{"id":1686,"date":"2025-05-21T09:12:53","date_gmt":"2025-05-21T09:12:53","guid":{"rendered":"https:\/\/nutricardio.ro\/?p=1686"},"modified":"2025-10-05T14:04:38","modified_gmt":"2025-10-05T14:04:38","slug":"guta-sau-artrita-urica-regim-alimentar","status":"publish","type":"post","link":"https:\/\/nutricardio.ro\/guta-sau-artrita-urica-regim-alimentar\/","title":{"rendered":"Guta sau artrita uric\u0103. Regim alimentar"},"content":{"rendered":"<p class=\"\" data-start=\"236\" data-end=\"528\">Guta sau artrita uric\u0103, este una dintre cele mai vechi boli documentate ale umanit\u0103\u021bii. Aceasta este o afec\u021biune inflamatorie cauzat\u0103 de acumularea de acid uric \u00een s\u00e2nge (hiperuricemie) \u0219i depunerea acestuia sub form\u0103 de cristale \u00een articula\u021bii \u0219i \u021besuturi.<\/p>\n<hr class=\"\" data-start=\"530\" data-end=\"533\" \/>\n<h2 data-start=\"535\" data-end=\"572\"><strong data-start=\"542\" data-end=\"572\">Guta sau artrita uric\u0103. Ce este \u0219i cum apare?<\/strong><\/h2>\n<p class=\"\" data-start=\"574\" data-end=\"963\">Guta este rezultatul unui dezechilibru \u00een metabolismul purinelor \u2013 compu\u0219i care se g\u0103sesc \u00een multe alimente \u0219i care, \u00een urma degrad\u0103rii, genereaz\u0103 acid uric. \u00cen mod normal, acidul uric este eliminat prin rinichi. \u00cens\u0103, c\u00e2nd este produs \u00een exces sau nu este eliminat eficient, se acumuleaz\u0103 \u00een organism \u0219i formeaz\u0103 cristale de urat de sodiu \u00een articula\u021bii, tendoane \u0219i \u021besuturi conjunctive.<\/p>\n<hr class=\"\" data-start=\"965\" data-end=\"968\" \/>\n<p data-start=\"970\" data-end=\"997\"><strong>Simptomele gutei<\/strong><\/p>\n<ul data-start=\"999\" data-end=\"1349\">\n<li class=\"\" data-start=\"999\" data-end=\"1085\">\n<p class=\"\" data-start=\"1001\" data-end=\"1085\">Durere articular\u0103 brusc\u0103 \u0219i intens\u0103, mai ales la degetul mare de la picior (podagra)<\/p>\n<\/li>\n<li class=\"\" data-start=\"1086\" data-end=\"1154\">\n<p class=\"\" data-start=\"1088\" data-end=\"1154\">Inflama\u021bie, ro\u0219ea\u021b\u0103 \u0219i senza\u021bie de c\u0103ldur\u0103 la nivelul articula\u021biei<\/p>\n<\/li>\n<li class=\"\" data-start=\"1155\" data-end=\"1209\">\n<p class=\"\" data-start=\"1157\" data-end=\"1209\">Rigiditate \u0219i deform\u0103ri articulare \u00een cazuri cronice<\/p>\n<\/li>\n<li class=\"\" data-start=\"1210\" data-end=\"1283\">\n<p class=\"\" data-start=\"1212\" data-end=\"1283\"><strong data-start=\"1212\" data-end=\"1227\">Tofi gutosi<\/strong> \u2013 depozite palpabile de cristale de acid uric sub piele<\/p>\n<\/li>\n<li class=\"\" data-start=\"1284\" data-end=\"1349\">\n<p class=\"\" data-start=\"1286\" data-end=\"1349\">\u00cen forme avansate, poate ap\u0103rea <strong data-start=\"1318\" data-end=\"1349\">insuficien\u021ba renal\u0103 cronic\u0103<\/strong><\/p>\n<\/li>\n<\/ul>\n<hr class=\"\" data-start=\"1351\" data-end=\"1354\" \/>\n<p data-start=\"1356\" data-end=\"1389\"><strong data-start=\"1363\" data-end=\"1389\">Cauzele hiperuricemiei<\/strong><\/p>\n<p class=\"\" data-start=\"1391\" data-end=\"1440\">Hiperuricemia poate ap\u0103rea \u00een mai multe condi\u021bii:<\/p>\n<ul data-start=\"1441\" data-end=\"1710\">\n<li class=\"\" data-start=\"1441\" data-end=\"1581\">\n<p class=\"\" data-start=\"1443\" data-end=\"1581\"><strong data-start=\"1443\" data-end=\"1478\">Produc\u021bie crescut\u0103 de acid uric<\/strong>: \u00een leucemii, anemii hemolitice, tratamente oncologice (citostatice, radioterapie), traumatisme severe<\/p>\n<\/li>\n<li class=\"\" data-start=\"1582\" data-end=\"1662\">\n<p class=\"\" data-start=\"1584\" data-end=\"1662\"><strong data-start=\"1584\" data-end=\"1616\">Excre\u021bie redus\u0103 de acid uric<\/strong>: boli renale cronice, alcoolism, deshidratare<\/p>\n<\/li>\n<li class=\"\" data-start=\"1663\" data-end=\"1710\">\n<p class=\"\" data-start=\"1665\" data-end=\"1710\"><strong data-start=\"1665\" data-end=\"1685\">Factori genetici<\/strong>: predispozi\u021bie ereditar\u0103<\/p>\n<\/li>\n<\/ul>\n<p class=\"\" data-start=\"1712\" data-end=\"1872\">\u00cen guta primar\u0103, cauzele sunt deseori legate de un dezechilibru metabolic mo\u0219tenit. \u00cen guta secundar\u0103, boala este o consecin\u021b\u0103 a altor afec\u021biuni sau tratamente.<\/p>\n<hr class=\"\" data-start=\"1874\" data-end=\"1877\" \/>\n<p data-start=\"1879\" data-end=\"1916\"><strong data-start=\"1886\" data-end=\"1916\">Factori locali de agravare<\/strong><\/p>\n<p class=\"\" data-start=\"1918\" data-end=\"2154\">Cristalele de urat se depun cu predilec\u021bie \u00een zonele mai reci ale corpului, cum ar fi articula\u021biile periferice (degetul mare de la picior, articula\u021biile m\u00e2inii). Acest lucru favorizeaz\u0103 inflama\u021bia \u0219i distrugerea treptat\u0103 a articula\u021biei.<\/p>\n<hr class=\"\" data-start=\"2156\" data-end=\"2159\" \/>\n<h3 class=\"\" data-start=\"2161\" data-end=\"2206\"><strong data-start=\"2169\" data-end=\"2206\">Rolul dietei \u00een tratamentul gutei<\/strong><\/h3>\n<p class=\"\" data-start=\"2208\" data-end=\"2383\">Dieta joac\u0103 un rol esen\u021bial \u00een prevenirea \u0219i tratarea gutei. Prin reducerea aportului de purine, se poate sc\u0103dea nivelul acidului uric din s\u00e2nge \u0219i, implicit, riscul de crize.\u00a0Obiectivele regimului alimentar:<\/p>\n<ul data-start=\"2425\" data-end=\"2645\">\n<li class=\"\" data-start=\"2425\" data-end=\"2457\">\n<p class=\"\" data-start=\"2427\" data-end=\"2457\">Reducerea purinelor alimentare<\/p>\n<\/li>\n<li class=\"\" data-start=\"2458\" data-end=\"2510\">\n<p class=\"\" data-start=\"2460\" data-end=\"2510\">Limitarea proteinelor (maxim <strong data-start=\"2489\" data-end=\"2509\">0,7 g\/kg corp\/zi<\/strong>)<\/p>\n<\/li>\n<li class=\"\" data-start=\"2511\" data-end=\"2531\">\n<p class=\"\" data-start=\"2513\" data-end=\"2531\">Sc\u0103derea lipidelor<\/p>\n<\/li>\n<li class=\"\" data-start=\"2532\" data-end=\"2580\">\n<p class=\"\" data-start=\"2534\" data-end=\"2580\">Cre\u0219terea diurezei (consum crescut de lichide)<\/p>\n<\/li>\n<li class=\"\" data-start=\"2581\" data-end=\"2645\">\n<p class=\"\" data-start=\"2583\" data-end=\"2645\">Alcalinizarea urinei (ape minerale alcaline, sucuri de legume)<\/p>\n<\/li>\n<\/ul>\n<hr class=\"\" data-start=\"2647\" data-end=\"2650\" \/>\n<h4 data-start=\"2652\" data-end=\"2722\"><strong data-start=\"2659\" data-end=\"2722\">Clasificarea alimentelor \u00een func\u021bie de con\u021binutul de purine<\/strong><\/h4>\n<div class=\"_tableContainer_16hzy_1\">\n<div class=\"_tableWrapper_16hzy_14 group flex w-fit flex-col-reverse\" tabindex=\"-1\">\n<p data-start=\"143\" data-end=\"201\"><strong data-start=\"147\" data-end=\"199\">Alimente bogate \u00een purine (150\u20131000 mg\/100 g)<\/strong><\/p>\n<p class=\"\" data-start=\"202\" data-end=\"223\"><strong data-start=\"202\" data-end=\"223\">Se evit\u0103 complet.<\/strong><\/p>\n<ul data-start=\"225\" data-end=\"480\">\n<li class=\"\" data-start=\"225\" data-end=\"267\">\n<p class=\"\" data-start=\"227\" data-end=\"267\">Organe (ficat, rinichi, creier, inim\u0103)<\/p>\n<\/li>\n<li class=\"\" data-start=\"268\" data-end=\"279\">\n<p class=\"\" data-start=\"270\" data-end=\"279\">Sardine<\/p>\n<\/li>\n<li class=\"\" data-start=\"280\" data-end=\"289\">\n<p class=\"\" data-start=\"282\" data-end=\"289\">An\u0219oa<\/p>\n<\/li>\n<li class=\"\" data-start=\"290\" data-end=\"300\">\n<p class=\"\" data-start=\"292\" data-end=\"300\">Hering<\/p>\n<\/li>\n<li class=\"\" data-start=\"301\" data-end=\"311\">\n<p class=\"\" data-start=\"303\" data-end=\"311\">Macrou<\/p>\n<\/li>\n<li class=\"\" data-start=\"312\" data-end=\"369\">\n<p class=\"\" data-start=\"314\" data-end=\"369\">Extracte de carne (cuburi concentrate, supe de carne)<\/p>\n<\/li>\n<li class=\"\" data-start=\"370\" data-end=\"404\">\n<p class=\"\" data-start=\"372\" data-end=\"404\">Drojdie de bere sau alimentar\u0103<\/p>\n<\/li>\n<li class=\"\" data-start=\"405\" data-end=\"448\">\n<p class=\"\" data-start=\"407\" data-end=\"448\">Fructe de mare (midii, scoici, creve\u021bi)<\/p>\n<\/li>\n<li class=\"\" data-start=\"449\" data-end=\"463\">\n<p class=\"\" data-start=\"451\" data-end=\"463\">Roe (icre)<\/p>\n<\/li>\n<li class=\"\" data-start=\"464\" data-end=\"480\">\n<p class=\"\" data-start=\"466\" data-end=\"480\">Carne de v\u00e2nat<\/p>\n<\/li>\n<\/ul>\n<hr class=\"\" data-start=\"482\" data-end=\"485\" \/>\n<p data-start=\"487\" data-end=\"556\"><strong data-start=\"491\" data-end=\"554\">Alimente cu con\u021binut moderat de purine (50\u2013150 mg\/100 g)<\/strong><\/p>\n<p class=\"\" data-start=\"557\" data-end=\"593\"><strong data-start=\"557\" data-end=\"593\">Se consum\u0103 rar sau cu modera\u021bie.<\/strong><\/p>\n<ul data-start=\"595\" data-end=\"834\">\n<li class=\"\" data-start=\"595\" data-end=\"629\">\n<p class=\"\" data-start=\"597\" data-end=\"629\">Carne ro\u0219ie slab\u0103 (vit\u0103, porc)<\/p>\n<\/li>\n<li class=\"\" data-start=\"630\" data-end=\"663\">\n<p class=\"\" data-start=\"632\" data-end=\"663\">Carne de pas\u0103re (pui, curcan)<\/p>\n<\/li>\n<li class=\"\" data-start=\"664\" data-end=\"695\">\n<p class=\"\" data-start=\"666\" data-end=\"695\">Pe\u0219te (ton, somon, p\u0103str\u0103v)<\/p>\n<\/li>\n<li class=\"\" data-start=\"696\" data-end=\"755\">\n<p class=\"\" data-start=\"698\" data-end=\"755\">Leguminoase uscate (fasole, linte, n\u0103ut, maz\u0103re uscat\u0103)<\/p>\n<\/li>\n<li class=\"\" data-start=\"756\" data-end=\"766\">\n<p class=\"\" data-start=\"758\" data-end=\"766\">Spanac<\/p>\n<\/li>\n<li class=\"\" data-start=\"767\" data-end=\"779\">\n<p class=\"\" data-start=\"769\" data-end=\"779\">Conopid\u0103<\/p>\n<\/li>\n<li class=\"\" data-start=\"780\" data-end=\"792\">\n<p class=\"\" data-start=\"782\" data-end=\"792\">Ciuperci<\/p>\n<\/li>\n<li class=\"\" data-start=\"793\" data-end=\"807\">\n<p class=\"\" data-start=\"795\" data-end=\"807\">Sparanghel<\/p>\n<\/li>\n<li class=\"\" data-start=\"808\" data-end=\"816\">\n<p class=\"\" data-start=\"810\" data-end=\"816\">Ov\u0103z<\/p>\n<\/li>\n<li class=\"\" data-start=\"817\" data-end=\"834\">\n<p class=\"\" data-start=\"819\" data-end=\"834\">Germeni de gr\u00e2u<\/p>\n<\/li>\n<\/ul>\n<hr class=\"\" data-start=\"836\" data-end=\"839\" \/>\n<p data-start=\"841\" data-end=\"895\"><strong data-start=\"845\" data-end=\"893\">Alimente s\u0103race \u00een purine (0\u201315 mg\/100 g)<\/strong><\/p>\n<p class=\"\" data-start=\"896\" data-end=\"928\"><strong data-start=\"896\" data-end=\"928\">Sunt permise \u0219i recomandate.<\/strong><\/p>\n<ul data-start=\"930\" data-end=\"1343\">\n<li class=\"\" data-start=\"930\" data-end=\"988\">\n<p class=\"\" data-start=\"932\" data-end=\"988\">Lapte \u0219i produse lactate (iaurt, br\u00e2nz\u0103 slab\u0103, chefir)<\/p>\n<\/li>\n<li class=\"\" data-start=\"989\" data-end=\"996\">\n<p class=\"\" data-start=\"991\" data-end=\"996\">Ou\u0103<\/p>\n<\/li>\n<li class=\"\" data-start=\"997\" data-end=\"1053\">\n<p class=\"\" data-start=\"999\" data-end=\"1053\">Fructe (mere, pere, prune, banane, fructe de p\u0103dure)<\/p>\n<\/li>\n<li class=\"\" data-start=\"1054\" data-end=\"1119\">\n<p class=\"\" data-start=\"1056\" data-end=\"1119\">Legume (cartofi, morcovi, dovlecei, castrave\u021bi, salat\u0103 verde)<\/p>\n<\/li>\n<li class=\"\" data-start=\"1120\" data-end=\"1170\">\n<p class=\"\" data-start=\"1122\" data-end=\"1170\">Cereale rafinate (p\u00e2ine alb\u0103, orez alb, paste)<\/p>\n<\/li>\n<li class=\"\" data-start=\"1171\" data-end=\"1215\">\n<p class=\"\" data-start=\"1173\" data-end=\"1215\">Uleiuri vegetale (\u00een cantit\u0103\u021bi moderate)<\/p>\n<\/li>\n<li class=\"\" data-start=\"1216\" data-end=\"1270\">\n<p class=\"\" data-start=\"1218\" data-end=\"1270\">Cafea \u0219i ceai (ne\u00eendulcite, f\u0103r\u0103 cofein\u0103 \u00een exces)<\/p>\n<\/li>\n<li class=\"\" data-start=\"1271\" data-end=\"1343\">\n<p class=\"\" data-start=\"1273\" data-end=\"1343\">B\u0103uturi alcaline (ap\u0103 mineral\u0103 plat\u0103 cu pH ridicat, ap\u0103 cu bicarbonat)<\/p>\n<\/li>\n<\/ul>\n<\/div>\n<\/div>\n<blockquote data-start=\"3392\" data-end=\"3498\">\n<p class=\"\" data-start=\"3394\" data-end=\"3498\">Este recomandat un <strong data-start=\"3413\" data-end=\"3443\">regim lacto-ovo-vegetarian<\/strong> \u00een guta cronic\u0103, pentru reducerea aportului de purine.<\/p>\n<\/blockquote>\n<hr class=\"\" data-start=\"3500\" data-end=\"3503\" \/>\n<h5 data-start=\"3505\" data-end=\"3551\"><strong data-start=\"3512\" data-end=\"3551\">De ce se evit\u0103 excesul de proteine?<\/strong><\/h5>\n<ol data-start=\"3553\" data-end=\"3754\">\n<li class=\"\" data-start=\"3553\" data-end=\"3646\">\n<p class=\"\" data-start=\"3556\" data-end=\"3646\">Un regim hiperproteic cre\u0219te eliminarea uratului \u00een urin\u0103 (uraturie) \u0219i solicit\u0103 rinichii.<\/p>\n<\/li>\n<li class=\"\" data-start=\"3647\" data-end=\"3754\">\n<p class=\"\" data-start=\"3650\" data-end=\"3754\">Majoritatea proteinelor animale sunt bogate \u00een <strong data-start=\"3697\" data-end=\"3709\">glicocol<\/strong>, un aminoacid implicat \u00een sinteza purinelor.<\/p>\n<\/li>\n<\/ol>\n<p>Guta sau artrita uric\u0103 este o boal\u0103 cronic\u0103 metabolic\u0103 tratabil\u0103, dar care poate duce la complica\u021bii severe dac\u0103 nu este controlat\u0103. Un <strong data-start=\"4351\" data-end=\"4378\">regim alimentar adecvat<\/strong>, asociat cu <strong data-start=\"4391\" data-end=\"4419\">tratament medical corect<\/strong> \u0219i <strong data-start=\"4423\" data-end=\"4473\">monitorizare regulat\u0103 a nivelului de acid uric<\/strong>, poate duce la o via\u021b\u0103 normal\u0103, f\u0103r\u0103 crize dureroase sau complica\u021bii articulare si renale. Citeste si:\u00a0<a href=\"https:\/\/nutricardio.ro\/obezitatea-abdominala-si-sindromul-metabolic\/\" target=\"_blank\" rel=\"noopener\">Obezitatea abdominal\u0103 \u0219i sindromul metabolic<\/a><\/p>\n<hr class=\"\" data-start=\"4566\" data-end=\"4569\" \/>\n<p class=\"\" data-start=\"4571\" data-end=\"4610\"><strong data-start=\"4574\" data-end=\"4607\">Surs\u0103 \u0219tiin\u021bific\u0103 recomandat\u0103<\/strong>:<\/p>\n<ul>\n<li>Biochimie medicala<\/li>\n<li class=\"\" data-start=\"4611\" data-end=\"4700\">\n<p class=\"\" data-start=\"4613\" data-end=\"4700\">American College of Rheumatology \u2013 <a class=\"\" href=\"https:\/\/www.rheumatology.org\" target=\"_new\" rel=\"noopener\" data-start=\"4648\" data-end=\"4700\">www.rheumatology.org<\/a><\/p>\n<\/li>\n<li class=\"\" data-start=\"4701\" data-end=\"4765\">\n<p class=\"\" data-start=\"4703\" data-end=\"4765\">Mayo Clinic \u2013 <a class=\"\" href=\"https:\/\/www.mayoclinic.org\" target=\"_new\" rel=\"noopener\" data-start=\"4717\" data-end=\"4765\">www.mayoclinic.org<\/a><\/p>\n<\/li>\n<li class=\"\" data-start=\"4766\" data-end=\"4859\">\n<p class=\"\" data-start=\"4768\" data-end=\"4859\">Gout &amp; Uric Acid Education Society \u2013 <a class=\"\" href=\"https:\/\/www.gouteducation.org\" target=\"_new\" rel=\"noopener\" data-start=\"4805\" data-end=\"4859\">www.gouteducation.org<\/a><\/p>\n<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Guta sau artrita uric\u0103, este una dintre cele mai vechi boli documentate ale umanit\u0103\u021bii. Aceasta este o afec\u021biune inflamatorie cauzat\u0103<\/p>\n","protected":false},"author":1,"featured_media":1687,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[4],"tags":[584,589,583,593,586,590,582,553,591,592,595,594,585,587,588],"class_list":["post-1686","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-nutritie","tag-acid-uric","tag-alimente-permise-guta","tag-artrita-urica","tag-artropatie-urica","tag-dieta-saraca-in-purine","tag-dureri-articulare","tag-guta","tag-hiperuricemie","tag-inflamatie-articulara","tag-insuficienta-renala","tag-prevenirea-gutei","tag-purine","tag-regim-alimentar-guta","tag-tofi-gutosi","tag-tratament-guta"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.7 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Guta sau artrita uric\u0103. 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