#湖南省直中医医院 ##株洲头条#
Gout, a metabolic disease with a long history known as "imperial disease", was named in ancient times because it was more common among the aristocratic class who lived a rich life and ate well.
However, in modern life, gout is no longer the patent of a specific group of people, but has gradually entered the public eye and has become an important health problem that affects people's quality of life.
According to data from the Chinese Center for Disease Control and Prevention, the total number of people with gout in mainland China has exceeded 80 million and is steadily rising.
28-year-old Xiao Wang, just worked, the pressure is great, usually often stay up late, love "happy fat house water", love to eat barbecue seafood, during the Spring Festival, visit relatives and friends, parties constantly, delicious food, but also eat and drink, indulge yourself, but in the middle of the night, Jiaming thumb toe severe pain from sleep woke up, tossing and turning, unbearable.
The doctor gave Xiao Wang a laboratory test, and the uric acid in the blood reached 680umol/L, and the doctor told Xiao Wang that he suffered from "gout", and after giving reasonable anti-inflammatory pain relief and control of uric acid, Xiao Wang's joint pain did not recur.
1. What do we often talk about gout?
Gout is a common metabolic disease, its biochemical basis is hyperuricemia, the onset of which is positively correlated with blood uric acid levels, due to purine metabolism disorders or decreased uric acid excretion, resulting in the accumulation of its metabolite uric acid in the blood, when the uric acid concentration is too high, solid urate crystals will be formed in the joints, these crystals induce inflammatory reactions, leading to joint swelling and pain.
2. Is gout really that painful?
Gout is a common rheumatic disease, and for most patients, the most profound manifestation of the disease is the pain that rivals that of a woman in childbirth, and therefore the disturbance to work and life.
Although most patients have been in the stage of hyperuricemia without obvious symptoms, some patients will eventually have gout attacks, arthritis, tophi, joint deformities, and in severe cases, they may be accompanied by damage to important organs such as large blood vessels, heart, and kidneys.
The first metatarsophalangeal joint (that is, the junction between the "thumb" and the "ball" of the foot) is the most common, and it can also occur in the dorsum of the foot, ankle, knee joint, etc., and the finger joint, wrist joint, elbow joint, etc. can also be affected.
Symptoms typically include redness, heat, and significant swelling in and around the joints, accompanied by severe pain, which resolve spontaneously within a few days or two weeks.
3. What should we do if we suffer from gout?
Clinical big data shows that only about 10%~20% of patients with hyperuricemia will develop gout.
However, if the body of a patient with long-term hyperuricemia is damp, and the solubility of uric acid in the body decreases and cannot be excreted after being cold and damp, it will lead to severe fluctuations in uric acid in the body and gout.
Therefore, gout patients must pay attention not to be cold and cold, and to pay attention to the local warmth of the body.
For gout patients, taking drugs to treat gout is only an important means to relieve gout symptoms, like diabetes, gout will exist in the patient's life for a long time, and it is difficult to completely cure.
Therefore, it is necessary to do a good job in gout prevention. In order to effectively prevent gout and avoid the occurrence and attack of gout, the key is to start from daily life.
First of all, maintain a low-purine diet and eat more alkaline foods, such as vegetables, fruits, milk, etc.
Avoid overeating and alcoholism, control your weight and figure, drink plenty of water, and drink no less than 2,000 ml of water per day.
Secondly, be careful not to let your body get cold and damp, avoid strenuous exercise, excessive fatigue and mental tension, and wear comfortable shoes to protect your joints and prevent joint damage.
Finally, drugs that affect uric acid excretion, such as certain diuretics and low-dose aspirin, should be used with caution to prevent and treat comorbid diseases, such as hypertension, diabetes and coronary heart disease.
Hunan Medical Chat Special Author: Tang Haoyuan, Department of Rheumatology and Immunology, Hunan Provincial Hospital of Traditional Chinese Medicine
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(Ed. ZS.) Image source network, invaded and deleted)