What is Purine?
Purine is a type of organic compound that is found in various foods and is also naturally produced by the body’s cells as part of normal metabolism. Purines are essential components of DNA, RNA, and other important molecules involved in cellular function and energy metabolism.
Foods that are high in purines include red meat, organ meats (such as liver and kidney), certain types of seafood (like sardines, anchovies, and shellfish), and some types of beans and legumes.
Below is the food purine table:
Kandungan Purin | Kategori Makanan | Senarai Makanan |
Makanan Purin yang Sangat Tinggi (Kandungan purin>150mg/100g) | Organ haiwan Produk akuatik Jenis Sup | Hati, Buah Pinggang, Otak, Limpa, Usus, lain lain Crayfish, Caviar, Lobster, Scallops, Sardines etc. Kuah pekat, Sup ikan pekat, Sup periuk panas makanan laut. |
Makanan Purin yang Tinggi (Kandungan purin sekitar 75 hingga 150mg/100g) | Pelbagai daging Poltri Ikan-ikan Haiwan Laut bercengkerang keras Kacang kering | Daging khinzir, daging lembu, kambing, keldai. Ayam, Itik. Bass, Carp, Crucian carp, Abalone, etc. Prawn, Shellfish, Crab, etc. Kacang soya, Kacang hitam, Kacang hijau. |
Makanan Purin Sederhana (Kandungan purin sekitar 30 hingga 75mg/100g) | Sayuran berdaun hijau gelap Sayur bunga Kacang hijau Produk akuatik Produk soya | Sayuran berdaun seperti Bayam, Batang lembut seperti Asparagus Kembang kol putih Edamame, kacang hijau Salmon, Tuna Susu soya, Tauhu kering, Kulit tauhu, Yuba, Tauhu |
Makanan Purin Rendah (Kandungan purin <30mg/100g) | Susu Telur Sayuran berdaun berwarna cerah Sayur akar Sayur nightshade Sayur tembikai Bijirin Buah-buahan Bihun | Susu lembu Telur ayam Kubis Cina Kentang, Taro, Keledek, Tapioca Tomato, Terung Tembikai musim sejuk Millet, Buckwheat, Oatmeal Anggur, Epal, Strawberi Nasi, Roti |

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Produk tenusu
Produk tenusu rendah lemak boleh menurunkan paras asid urik darah dan mengurangkan kejadian gout.
Kekacang
Produk soya (seperti dadih kacang soya, tauhu, susu soya) boleh pengurangkan pengambilan protein yang disebabkan oleh menyekat pengambilan daging merah, dan boleh juga mengurangkan risiko penyakit jantung koronari.
Sayur-sayuran
Beberapa tahun kebelakangan ini, terdapat banyak kajian yang menunjukkan pengambilan sayur-sayuran yang kaya dengan purin tidak meningkatkan paras asid urik darah dan kejadian gout. Makan sejumlah besar sayur-sayuran boleh mengalkalikan air kencing, yang bermanfaat untuk perkumuhan asid urik dan mengurangkan tahap asid urik darah.
Buah-buahan
Pengambilan buah-buahan yang mengandungi purin yang rendah seperti plum hijau, timun, tembikai, air kelapa, strawberi, ceri, nanas, pic, plum, buah zaitun dan sebagainya.
Pesakit gout disarankan untuk mengurangkan pengambilan buah-buahan mengandungi purin yang tinggi seperti epal, buah tin, oren, laici, pisang kaki, longan, pisang, bayberi, dan delima.
Vitamin C
Kesan penurun asid urik vitamin C secara oral telah lama diamalkan secara klinikal dengan dos purata 500 mg/hari (pengambilan harian bagi orang dewasa tidak boleh melebihi 2000 mg).
Vitamin C mampu mengurangkan asid urik serum dengan menggalakkan perkumuhan asid urik dan menghalang asid urik.
Teh
Teh mempunyai mekanisme penurun asid urik seperti yang terkandung dalam kopi, tetapi teh juga mempunyai komponen yang meningkatkan asid urik dalam darah. Peminum teh tidak menunjukkan kesan ke atas paras asid urik darah. Pesakit gout boleh membuat pilihan sama ada ingin minum teh ataupun tidak.
Pengambilan Air yang Mencukupi
Dengan meminum 2,000 ml air sehari, dan minum lebih banyak air masak untuk mencairkan asid urik, melawaskan perkumuhan, dan mengurangkan tahap asid urik.
Kurangkan minum air rebusan, sup ikan, sup ayam, sup hotpot kerana sup-sup ini mengandungi kandungan purin yang tinggi.
Mencergaskan Buah Pinggang
Buah pinggang bertindak sebagai organ penting dalam proses perkumuhan. Sekiranya anda ingin membuang asid urik secepat mungkin, anda perlu bergantung pada fungsi buah pinggang. Dengan mempunyai buah pinggang yang sihat, bermakna mempunyai proses perkumuhan yang baik. Anda digalakkan untuk makan banyak makanan yang menguatkan buah pinggang, seperti Rehmannia, Dogwood, keladi, Alisma, Paeonol, dan Poria.

Bolehkah pesakit asid urik tinggi makan oat? Mengapa?
1. Pesakit asid urik boleh mengambil oat. Pesakit dengan asid urik tinggi tidak digalakkan makan makanan yang mempunyai kandungan purin yang tinggidan 100 gram oat mengandungi 24.4mg purin yang merupakan makanan purin rendah dan sesuai untuk pesakit yang mempunyai asid urik tinggi.
2. Oatmeal kaya dengan kanji, protein, lemak, serat, vitamin B, niacin, asid folik, asid pantotenat, kalsium, zat besi dan nutrien lain, yang dapat menggalakkan motilitas gastrousus, mengurangkan gula darah, lipid darah, dan tekanan darah.
3. Oatmeal mengandungi protein berasaskan tumbuhan yang dapat membekalkan protein. Secara umumnya, orang dewasa memerlukan 0.8-1 gram oatmeal per kilogram berat badan yang boleh ditambah atau dikurangkan mengikut pemakanan pada hari itu. Ini adalah dicadangkan kepada seorang dewasa yang mempunyai berat badan 50kg untuk mengambil 50-100 gram oatmeal sehari. Selain itu disarankan, pesakit asid urik tinggi turut boleh mengambil oatmeal sebanyak 1-3 kali seminggu.
4. Prinsip pemakanan asid urik tinggi adalah rendah lemak dan kurang garam, dan jangan guna terlalu banyak gula. Anda boleh terus membancuh oatmeal dengan air panas, makan oatmeal bersama susu, atau memasak oatmeal bersama nasi, millet dan sebagainya. Sayur-sayuran yang kaya dengan vitamin B dan vitamin C juga boleh ditambah ke dalam oat untuk membantu perkumuhan asid urik. Oleh kerana kandungan purin makanan ruji seperti beras, sekoi, dan jagung adalah lebih rendah daripada oatmeal, anda dicadangkan untuk campurkan oatmeal dengan makanan ruji lain untuk mengurangkan pengambilan purin.

Apakah yang perlu dilakukan dengan kadar asid urik yang tinggi? Bagaimanakah untuk mengurangkannya?
Bagi situasi asid urik tinggi tetapi tidak mempunyai simptom, doktor akan mencadangkan anda supaya minum air dengan kadar yang mencukupi. Kursus rawatan antibiotik ubat adalah 7 hari, dan nilai asid urik boleh berkurangan dalam masa tiga minggu, dan kadar pengurangan adalah 89%. Secara amnya, jangan minum alkohol semasa mengambil ubat dan kurangkan pengambilan makanan laut.
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