In the past, gout was more common in middle-aged and elderly people, but now it is gradually getting younger, and many young people are also suffering from gout.
What is gout?
Simply put, the principle of gout is that the uric acid content in the patient's blood is too high for a long time, and a large number of deposits are deposited in the joints of the limbs, and the deposited uric acid triggers the attack of white blood cells, which causes severe local inflammation and causes severe pain.
Severe pain is often the first symptom, many people can't even walk, and severe cases can cause joint deformities, kidney damage and even life-threatening.
How to prevent gout
How can we prevent gout and reduce pain in daily life? Today, Lao Guo recommends to everyone a grass that can be found everywhere in the countryside - plantain.
Plantain is distributed all over the mainland, mostly growing in mountains, roadsides, rivers and other places. Don't underestimate this grass, in the unilateral prescription of traditional Chinese medicine to prevent and treat gout, plantain is quite favored.
Plantain is sweet and cold, has the effect of clearing heat and diuresis, and expectorant in the eyes, and has always been a common drug for diuretic stone elimination. Strictly speaking, plantain is not a direct treatment for gout, it is through diuresis to reduce the content of uric acid, reduce uric acid crystals, so as to achieve the purpose of improving gout.
Three factors that induce gout
These three factors are: diet, temperature, and water volume.
1
diet
The development of gout is directly related to hyperuricemia due to disturbance of purine metabolism or decreased uric acid excretion. Under normal conditions, endogenous uric acid and uric acid produced by dietary intake are in balance.
But when we are particularly keen on certain foods that are easy to produce more uric acid, and our own metabolic capacity has decreased, and we cannot fully metabolize these excess uric acid, this dynamic balance will be broken, and uric acid will accumulate in some parts of the body temperature that are low, gradually forming uric acid crystals, producing inflammatory symptoms.
You may ask: who did the oranges and apples provoke?
The fructose content in oranges and apples is relatively high, and fructose is metabolized layer by layer in the body, and eventually converted into purine, resulting in increased uric acid, thereby increasing the risk of gout.
Among them, coffee and tea are through their diuretic effect to strengthen the metabolism of the kidneys, thereby promoting the excretion of uric acid and reducing gout attacks. The caffeine and aromatic substances in coffee and tea can increase the blood flow of the kidneys, the glomerular filtration rate, and increase the amount of urine, so drinking coffee and tea in moderation can not only increase water intake, but also achieve the effect of alkalizing urine, which is conducive to excreting urate in the body that may cause gout attacks.
2
temperature
According to the data of "Practical Goutology", the incidence of tophi in Harbin is 28%, while that in Qingdao is only 19%; The incidence of kidney stones in Harbin is 30%, but in Qingdao it is only 10%.
But we all know that Qingdao is close to the Yellow Sea, is a famous seafood province in China, most of the seafood is very easy to produce too much uric acid after metabolism, why is the incidence of tophi in Harbin higher?
Another factor related to gout is temperature. Under different temperature environments, the solubility of uric acid crystals is not the same.
Urate crystals are present in the blood, and blood is equivalent to a urate solution. When the temperature rises, most of the urates belonging to inorganic salts have the characteristics that the solubility increases with the increase of temperature and decreases with the decrease of temperature.
Once the solubility decreases, inorganic salts are easily precipitated in the form of crystals.
If the uric acid content in your body itself is very high, and the temperature of the body is relatively low at the same time, the solubility of uric acid will decrease, and sodium urate will be more likely to precipitate from the blood, forming uric acid crystals, deposited in muscles, tendons, cartilage, and even bones, thus causing harm to our body.
This also explains why gout often occurs at the ends of the limbs such as the pinna, back of the hands, toes, ankles, etc., and the temperature at the end of the limbs is generally low compared to the trunk and organs, so urate is more likely to precipitate to form crystals. Therefore, friends with high uric acid must pay attention to keeping warm when they go out, especially in the ears, hands and feet.
3
Water
In addition to temperature, another factor that affects gout is the amount of water.
For inorganic salt solutions, the more water, the lower the concentration of inorganic salts in it, and it is not easy to precipitate. If the amount of water is insufficient and the blood is concentrated, the urate in the body will not be easily dissolved.
In addition, excessive intake of salt and sugar will also cause an increase in urate crystals, so we must usually control our mouths, open our legs, and drink more water.
Gout patients are not unable to eat soy products
The 68th session of the United Nations General Assembly declared that last year, that is, 2016, was the "International Year of Beans", once again prompting the extremely high nutritional status of beans, and the people, even have "eat beans a day for three dollars, why do you need to take medicine for years", such a good food, gout patients can really only pass by? In fact, with the deepening of medical understanding, for patients with gout with normal kidney function, beans have long been no longer a prohibited product, but can be boldly eaten!
The purine content of beans is similar to lean meat, and the soybeans we use to make tofu soy milk contain 116.5mg of purine per 100g, and 122.5mg of purine per 100g of lean pork. However, soybeans contain plant purines, meat contains animal purines, according to the New England Journal of Medicine new research proposed: purine-containing foods cause different risks of gout, plant-containing foods are far safer than meat and fish containing animal purines.
As for the soy products we often eat, although each 100g of soybeans contains 116.5mg of purine, under normal circumstances, 100g of soybeans can make 500g of tofu, and the amount of purine per 100g of tofu is less than 25mg. 20 grams of soybeans can make a cup of 250 ml of concentrated soy milk, drinking a cup of soy milk intake of purine is about 23.3mg, it can be seen that soy products have low purine content and are not high-purine food.
A number of clinical studies have confirmed that the total intake of bean foods is negatively correlated with the prevalence of hyperuricemia, that is, the more legume foods ingested to a certain extent, the smaller the possibility of inducing elevated blood uric acid, and some studies believe that bean foods contain substances that promote the excretion of uric acid, which helps the excretion of uric acid.
Kidney function is not good, soy products should be eaten less
Therefore, for patients with gout with normal kidney function, eating beans is beneficial and harmless to gout! However, if there has been renal insufficiency, whether there is gout or not, the intake of protein should be limited, such a taboo is not for purine, but for protein, in order to avoid kidney metabolism of too much protein, increase the burden, aggravate renal insufficiency.
Source: Meet a famous doctor