Mr. Yu, a company white-collar worker who is nearly 40 years old, is on the rise in his career. As a middle-level leader of the company, it is normal to have a high work pressure and a fast pace of life. Even so, Mr. Yu pays great attention to a healthy lifestyle, has a light diet, often takes time to run, and keeps his weight within the standard range. But in the last two months, Yu Xiansheng often felt pain in his joints, and he was swollen these two days. After going to the hospital for examination, I found that uric acid was high, and joint swelling and pain was caused by gout. According to the doctor, Yu Xiansheng belongs to primary gout and has a family genetic history.
26b Check the gout of Health Net. Where are you hurt? CACAJK .. file extension of encoded image stored in jpeg file exchange format.
So, besides heredity, what other factors can also cause gout?
Hyperuricemia is the most important biochemical basis of gout. Clinically, hyperuricemia is actually eating. Living conditions are good, and many people often eat high-purity food, such as meat, seafood, animal offal, thick soup and so on. In addition, drinking alcohol (beer, liquor) will increase blood uric acid, and gout will happen sooner or later.
Of course, high uric acid is not equal to gout. Clinically, some people think that hyperuricemia will occur as soon as they see the test sheet or hear that the blood uric acid of women exceeds 360mmol/L and that of men exceeds 41.7 mmol/L. Experts of Check Health Network point out that although the possibility of gout in patients with hyperuricemia is roughly proportional to the increase of serum uric acid level, the blood uric acid value of most gout patients exceeds 420mmol/L, but hyperuricemia does not necessarily lead to gout. It is generally believed that asymptomatic hyperuricemia does not need treatment, but we should look for the causes of hyperuricemia, such as diuretics, antihypertensive drugs, chemotherapy drugs and other drug factors, as well as kidney diseases, hematological diseases, diabetes and so on. At the same time, obesity, high purine, high calorie diet, alcoholism and other inducing factors should be avoided.
During the acute attack of gout, most patients may have no systemic symptoms, and some patients have only mild systemic discomfort, mainly manifested as regional arthritis. Some patients have mild symptoms, such as headache, fatigue and loss of appetite. Some patients may have aversion to cold and fever, with low or moderate fever, and some even have fever above 39℃. Generally speaking, the existence and severity of systemic symptoms are not only related to individual differences, but also directly proportional to the degree of arthritis. If the regional redness, swelling, heat, pain and dyskinesia of joints are more obvious, the systemic symptoms will be more serious; On the contrary, systemic symptoms are mild.
It is generally believed that gout mainly causes joint pain, and the pain is located in the foot. In fact, the harm of hand gout should not be underestimated.
If hand gout is not treated for a long time, tophi may appear. Tophi is common in the helix, but also in the first metatarsophalangeal joint, fingers, wrists, elbow joints and knee joints. A few patients can appear in nasal cartilage, tongue, vocal cords, eyelids, aorta, heart valves and myocardium. Invade the bones in the bones near the joints, form skeletal deformities, or damage the bones. This gout nodule can also be found in synovium, tendon sheath and cartilage near joints. Jatropha stones vary in size, from sesame seeds to eggs. It directly affects our normal walking and has a serious impact on our lives.
Check the health network to remind gouty arthritis will recur. If hyperuricemia does not disappear, it will affect all organs of the whole body, such as hypertension, hyperlipidemia, type II diabetes, obesity and so on. Gout has been proved to directly lead to cardiovascular diseases. For more sub-health information, please pay attention to check the gender health channel of Health Network!
Help: How to reduce uric acid and how to cure gout? _ gout
Hello, patient: Gout is an abnormal purine metabolism disease, which is common in middle-aged and elderly men. In recent years, there is a trend of youthfulness. It is reported that the youngest gout patient in the world is only twelve or thirteen years old, which is surprising.
The majority of young male patients are mainly due to the improvement of people's living conditions and young people's eating habits. Gout is also a kind of Fu Gui's disease, because purines usually exist in foods with high nutrition, such as seafood, heart and lung, pork, fish and stewed meat. And alcohol (especially beer) also contains more purines. In addition, young people like to drink carbonated drinks, which easily leads to an increase in carbonate in the body. Experts pointed out that drinking, overeating, staying up late, eating spicy food, working pressure and mental stress have become the main inducing factors of gout.
The etiology of gout, 20% of patients are related to genetic factors, 1% is related to the lack of purine metabolizing enzymes, and the other causes are unknown, so gout can not be cured for the time being. Therefore, patients with high uric acid should pay attention to daily health care and avoid eating foods with high protein and high purine, such as seafood, animal offal, meat, old fire soup and so on. Also, drink plenty of water to promote uric acid excretion. Drink 2000-3000ML of water every day. Don't drink too much, don't stay up late, avoid mental stress and keep a happy mood.
At present, indomethacin, ibuprofen and other drugs on the market can effectively relieve swelling and pain, while colchicine tablets only has anti-inflammatory and detumescence effects. At the same time, after the attack, you need to take uric acid-lowering drugs to help purine excretion and prevent uric acid from forming in the body.
While reducing uric acid, we should regularly check the blood uric acid level and adjust the drug treatment according to the uric acid level. It is suggested that the rheumatology clinic follow up for a period of time, or do not buy medicine for treatment.
I am a gout patient, and now my uric acid level is very high. How can I drop it quickly?
Uric acid in patients with gout should be reduced slowly, not quickly, otherwise it will easily lead to gout attacks. Gout can't be cured, only the progress of the disease can be controlled. Alibaba tree extract tablets owned by Rainforest Holdings can be used to improve gout.
Gout often occurs, how to reduce uric acid?
Sister-in-law, tofu, seafood and other foods with high purine content.
How can we reduce uric acid and improve gout?
Disease analysis:
The main reason for high uric acid is eating too well. If you find that your uric acid is high,
Guiding opinions:
Diet control, foods with low purine content include freshwater fish, edible plants, vegetables, fruits and so on. Eat more green vegetables, such as carrots and vegetables. Eat more fruits with more water: oranges, watermelons, peaches, etc.
What are the drugs for gout to reduce uric acid?
Principle 1: limit heat. Most gout patients like a high-calorie, high-fat, high-protein diet, which easily leads to overnutrition and excessive calorie intake. Therefore, it is necessary to control the daily calories and balance the intake of various nutrients.
Principle 2: Maintain an ideal weight. Prevention of overweight and obesity gout patients tend to be overnourished and gain weight, which is obviously related to high uric acid. Regular weight measurement can be used as an index to measure nutritional status.
Principle 3: limit the intake of purine. During hyperuricemia, it is necessary to limit the intake of purine, limit foods with high purine content, freely choose foods with low purine content, and appropriately choose foods with medium purine content.
Principle 4: Balanced intake of nutrition. Carbohydrate intake accounts for 55%~60% of the total calories needed.
A, don't choose coarse grains, choose flour and rice, because the purine content of coarse grains is higher than flour and rice.
B, don't eat fructose, because fructose has a high calorie, and the calorie provided by 1g fructose is 16.7Kj (4kcal).
C, the daily intake of fat should be less than 50g, accounting for 25%~30% of the total calories.
D, the intake of protein should be less than that of normal people, with a daily intake of 0.8~ 1.0g per kilogram of body weight. Purine mostly exists in protein in food.
Therefore, when choosing protein foods, we should choose foods that contain no or less purine, such as milk, eggs, plant proteins, etc., but we should pay attention to the fact that soybeans and lentils in plant proteins also contain a lot of purine.
Principle 5: Develop the habit of drinking more water. Drink a glass of water before going to bed at night, after getting up in the morning, after exercise, after sweating and after bathing. Intake of 2000~300ml of water every day can dilute the concentration of uric acid in blood and promote the excretion of uric acid by kidneys.
Principle 6: Try to drink as little as possible and give up drinking as much as possible. A. In order to decompose a large amount of ethanol into the body, the human body must consume energy and produce a large amount of uric acid.
B, alcohol metabolism in wine makes the blood lactic acid level increase, which hinders the excretion of uric acid by the kidney, and the blood uric acid increases, causing acute onset of arthritis.
C. It is generally believed that beer has a low alcohol content and is safe to drink, but I don't know that beer contains a lot of purines and has a high calorie, which is easy to induce gout.
Therefore, alcohol should be banned during acute attack of gout, and efforts should be made to abstain from alcohol during chronic and intermittent periods. If you must drink, you should control your alcohol consumption, drink slowly, and don't drink it all at once.
Principle 7: The most important thing for gout is diet control, especially alcohol, which is easy to induce gout ~ For patients in acute stage, conventional drugs are still used, mainly colchicine, non-steroidal anti-inflammatory drugs, hormones, drugs that promote uric acid excretion (such as probenecid, sulpirone, benzbromarone) and drugs that inhibit uric acid synthesis (allopurinol)! In fact, it is mainly based on diet control, with a light diet and less wine, viscera and seafood.
How much should uric acid drop in gout patients?
This depends on tophi, and the formation of tophi must be dissolved, and uric acid must be reduced below 300.