It hurts until you go crazy!
It was easy to suffer this time, but it didn't take long for it to reappear!
Countless patients clutched their toes in the middle of the night and burst into tears, not knowing what to do!
And this disease, in fact, there are only two simple words: gout!
Gout is actually one of the types of arthritis, but unlike other arthritis, it is essentially a crystal-associated inflammation, and its incidence is based on hyperuricemia.
That is, the uric acid production and metabolism in the patient's body are out of balance, resulting in a large amount of uric acid accumulating in the body, they precipitate urate crystals, deposited in the joints, and eventually cause the onset of gout.
In an acute gout attack, the patient's symptoms do not last long, often within hours or days, the symptoms will gradually ease and disappear. However, this does not mean that gout has been cured. In fact, in the future life, gout may also recur, from acute to intermittent and chronic.
So the question is, what should be done to alleviate the pain of gout patients and reduce the recurrence rate of gout?
1. Medication
The clinical treatment of gout can be roughly divided into two parts, the first is to treat the pain during the onset of gout, and the second is to treat the inflammatory reaction. Usually, the most widely used and typical drug in clinical practice is colchicine, which controls symptoms quickly and can effectively reduce pain.
In addition, patients also need to use a combination of various non-muscular anti-inflammatory drugs, glucocorticoid drugs, etc., to control the inflammatory response;
2. Uric acid lowering therapy
After acute gout is effectively controlled, in order to avoid repeated attacks of gout in the later stage, the first thing patients should do is to reduce the level of blood uric acid, and it is necessary to control blood uric acid.
In clinical view, regardless of whether gout is combined with CKD, patients need to undergo lifelong uric acid-lowering therapy, unless the patient has developed intolerance or adverse reactions, and then a change of treatment regimen can be considered;
3. Tophi treatment
If tophi causes skin compression or sinus tract formation, interferes with normal joint movement, develops symptoms of nerve entrapment, or causes joint deformities, the patient will need to be treated surgically.
According to the current clinical data, as long as the diameter of tophi exceeds 1.5cm, surgery should be performed as soon as possible;
4. Life adjustment
In addition to actively cooperating with doctors for targeted treatment, gout patients who want to reduce the recurrence rate also need to make joint adjustments from the aspects of life and diet. For example, while obese patients pay attention to blood uric acid, they must also carry out regular sports, detect blood pressure, blood lipids and blood sugar and other indicators, and give comprehensive treatment.
In addition, patients also need to maintain a low purine diet, abstain from alcohol, and drink more than 2000ml per day in life to avoid overeating, excessive fatigue and mental stimulation. At the same time, patients also need to be cautious in their lives to use drugs that affect the excretion of uric acid, such as diuretics and low-dose aspirin.
Finally, I would like to remind everyone that gout attacks are divided into four different stages, namely asymptomatic period, acute attack period, recurrent period, and chronic phase.
The recovery of an acute gout does not mean that the patient's condition has been cured, but from the acute phase to the recurrent phase. Therefore, it is necessary to actively cooperate with doctors to carry out relevant treatment and control blood uric acid levels.