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La gotta

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Breve sintesi della patologia legata ad alterazioni dell'acido urico

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La gotta

  1. 1. Pasqua Noemi4 B economo dietista
  2. 2. La gotta è una malattia cronica su base ereditaria caratterizzata da un elevatolivello di acido urico nel sangue (iperuricemia). Cinque fattori che indicano lapresenza della gotta sono: Accumulo di cristalli Accessi acuti di artrite di urato monosodico dovuti alla allinterno delle deposizione dei articolazioni e in altri cristalli nel liquido tessuti sinoviale Alti livelli di acido urico Formazione di Alterazioni renali calcoli renali di con ipertensioni acido urico
  3. 3. “Malattia dei ReMedievali"
  4. 4. L’acido urico, è formato come prodottodel metabolismo delle purine, e nelnostro organismo, ha due funzioni CAPACITA’importanti: IMMUNOSTIMOLANTI CAPACITA’ ANTIOSSIDANTE NEL SANGUE
  5. 5. L’acido urico, può essere diprovenienzaendogena, dalla sintesidegli acidi nucleici, siaalimentare.
  6. 6. NEFROPATIA URATICALITIASI Con elevata iperuricemia e laURICA deposizione di cristalli di urato nei tessuti, abbiamo la gotta ma anche altri 2 tipi di malattie:
  7. 7. La causa dell’iperuricemia èrappresentata dallì85-90 % daridotta escrezione renale percause patologiche o per effetto difarmaci, il 10-15 % è dovuta allasovraproduzione di acido uricodovuto a difetti congeniti dellasintesi delle purine. Negli USAc’è un aumento rapido dagli anni20’ agli anni 70’. Nella donnafertile i valori sono più bassi perl’azione degli estrogeni.
  8. 8. Le recenti ricercheepidemiologiche hannoriscontrato un progressivoaumento dell’uricemiamesso in rapporto con lacrescente diffusione disovrappeso e obesità.
  9. 9. I sintomi della gottaincludono: Intenso dolore alle articolazioni, soprattutto dei polsi, ginocchia, piedi e mani. Infiammazione e rossore delle parti interessate
  10. 10. La gotta è una malattiaassociata molto al nostroregime alimentare, quindiuna dieta scorretta puòessere causa di essa.
  11. 11. Ma, una dieta sana ed equilibrata, puòessere anche la cura della gotta e deveessere: ipocalorica;Un elevato contenuto proteico daottenersi con derivati magri del latte;I glucidi raffinati devono esseresostituiti con quelli complessi;Riduzione dei grassi saturi
  12. 12. Bisognaevitare cibicome: Sgombro e trota Birra e liquori Bevande con fruttosio
  13. 13. L’uso dei farmaci, ènecessario nei soggetti Aumentare l’escrezionecon frequenti attacchi dell’acido uricogottosi. La riduzionedell’acido urico da partedi farmaci può avvenire: Riducendo la produzione dell’acido urico
  14. 14. Aumento Riduzione dell’escrezione dell’acido urico dell’acido uricoProbenecid, Brenz Allopurinolobromarone e FebuxostatSulfinpirazione
  15. 15. Dieta ipouricemizzanteIl rischio di contrarrela gotta si puòprevenire con: Perdita del peso corporeo
  16. 16. ... E IN FINE … L’IMPORTANTE E MANGIARE BENE E SANO PER STARE IN BUONA SALUTE!

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