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痛風

發佈日期:2000-01-01
發佈單位:怡和醫院
最新更新日期:2012-04-18
痛風發生的原因
痛風主要是因為普林代謝異常所引起。當寫清中尿酸值大於7 mg/dL時,易形成尿酸鈉鹽結晶,導致關節發炎或腫脹、變形。

●自我照顧
1.水份:最好盡可能多喝水,每日至少2000-3000 c.c,特別是流汗多的夏季。
2.維持理想體重:熱量的攝取以維持理想體重為主,但是在痛風急性發作期間,為避免體組織快速分解產生普林加重病情,不建議減肥,若要減肥也應以每月一公斤為宜。
3.蛋白質的攝取:蛋白質的攝取總伴隨動物性油脂攝取,不利於體重的控制,且應避免高普林的蛋白質來源,以有效控制痛風病情,每餐約一兩(35公克)即可提供身體所需的蛋白質。
4.脂質:減少食用高油烹煮的菜色,如:油炸、油煎,因油脂的分解會抑制尿酸的排瀉,不利痛風病情之控制。
5.酒類:避免飲酒,因酒精代謝後產生的乳酸會抑制尿酸的排除。
6.糖類:病患急性發作期,無法正常飲食時,可考慮使用果汁、糖水、汽水,補充能量,並可防止體組織分解影響病患生活品質。

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