Many people are very afraid when they talk about gout, but they are confused about what harm there is
Now, there are as many as 120 million gout patients in the country, how did so many people get it? A pathogenesis is hyperuricemia, the culprit of which is uric acid, uric acid is the product of purine metabolism in the human body, known as the "garbage" of the human body, the human body is like a funnel that can hold 1200 mg of uric acid, daily intake of food metabolism can generate 600 mg of uric acid, when the 600 mg is normally excreted, which indicates that metabolism is normal, but many people gout uric acid long-term rise, the formation of hyperuricemia, hyperuricemia if continued uncontrolled may cause gout and even tophi.
At present, the gout population has a younger trend, most people have gout, do not know how to deal with it, what kind of harm, the brain is also vague.
What kind of harm does gout have?
Gout to most people feel that it comes and goes without a trace, initially, the attack of gout patients will generally heal on their own, and then feel the same as normal people, but after several attacks, chronic gouty joints will gradually form, and some cause tophi or even gouty nephropathy. Combining years of clinical and outpatient experience, Lao Chen believes that gout has four major harms
The first harm: causing joint deformity and dysfunction. Every time gout attacks, uric acid crystals accumulate a layer at the joints, gradually forming tophi, causing joint dysfunction, such as walking with a limp, limited function, and even invasion of bone.
The second harm: kidney disease, because uric acid needs to be filtered by the kidneys and then excreted, a large number of high-concentration urate crystals are deposited in the glomerulus, renal tubules, renal interstitium, forming uric acid kidney stones, causing the destruction of kidney function, and then causing nephropathy or uremia.
The third harm: comprehensive metabolic diseases, many gout patients can cause hypertension, diabetes, hyperlipidemia, fatty liver and other metabolic syndrome, these diseases often in turn cause damage to the liver, kidneys, aggravate the condition of gout.
The fourth harm: cardiovascular and cerebrovascular diseases. Gout patients have a large number of needle-like urate crystals in the blood, like a sharp "knife", will scratch the inner wall of blood vessels, urate is more likely to be deposited on the inside of the coronary arteries leading to arteriosclerosis, and make blood flow unsmooth, some crystals will directly block the heart or brain microvessels, resulting in cardiovascular and cerebrovascular diseases.
Gout is harmful, but most people have misunderstandings
From the "four harms" of gout, it can be seen that gout is still harmful, and severe patients can affect the quality of life, and may directly or indirectly cause life injury. Speaking of which, many people will ask, since gout has so many harms, can you still live as normal? Does it affect longevity?
Lao Chen believes that there is a premise here, depending on how you think about the condition. Many people keep their understanding of gout on the surface, without knowing its essence and roots. Many patients may have such misunderstandings in their understanding and treatment:
First, let it go without pain: Many gout patients often think of treatment after a gout attack, let it go without pain, and live habits as usual, which will only make the disease more and more serious.
Second, think that uric acid to normal is OK: uric acid is a metabolite of purine substances in food and the body, changes in concentration are related to health conditions, food and other factors, generally will control uric acid by changing eating habits and drug treatment, but many people think that uric acid is normal and everything is fine, this is a wrong understanding, many patients with hyperuricemia, uric acid down and then let go, go their own way, there will be a rebound situation.
Third, relying on diet control can reduce uric acid: many gout patients high uric acid production, from their own cell metabolism, only 20% of patients are caused by high purine food intake, this situation shows that the role of simple diet control of uric acid is limited, the main factor of gout attacks is because of metabolic disorders in the body, resulting in uric acid excretion disorders, so in addition to diet control, the important thing is lifestyle changes and correct conditioning means.
Fourth, gout long-term medicine on the line: most gout patients will use allopurinol, febuxostat, benzbromarone and other drugs to lower uric acid, but these drugs have more side effects, long-term use will cause liver and kidney and other organ damage. Therefore, in addition to conventional medicated uric acid lowering treatment, lifestyle changes are still important.
From these misunderstandings, the treatment of gout must have a systematic treatment and care plan to implement throughout, after all, ventilation is a stubborn disease.
Gout is a stubborn disease, Lao Chen tells you: how to live like a normal person
Since gout is a stubborn disease, there are many harms, and most people have considerable misunderstandings, can people with gout still live normally? Lao Chen believes that there is a premise for this, in addition to standardizing the treatment of the system, maintaining a good mood is also key.
If a gout patient, after years of healing, depressed, or even irritable, then the treatment of gout will not be smooth, and in the long run it will affect life expectancy and health, let alone live like a normal person.
Lao Chen once met such a patient, Yue, in his 40s, because he was in the prime of life, tophi's condition caused limited joint mobility, and it was difficult to even hold chopsticks. It is because of this, he is depressed, often lose his temper with his wife, resulting in more and more serious conditions, seeing this situation, I warned him, to stabilize his emotions, optimistic to face his condition, tophi through the visual minimally invasive endoscopic treatment system can be removed surgically, under my persuasion, Yue changed his mood, through our visual minimally invasive endoscopic treatment system treatment to remove tophi, in conjunction with the drug uric acid treatment, change the lifestyle, Yue gradually returned to normal life.
From this situation, as long as gout patients can seriously deal with the condition, have tophi to remove tophi, actively lower uric acid and lower uric acid, regular life, regular review, and reduce uric acid to a reasonable range, it is not difficult to live like a normal person.
The premise is how to be yourself.