”Gout”, which is more or less known to the patients, is a hot topic in recent years. In ancient times, and even today, people would say that it is a “disease of wealth”. Yes, it means eating too well. But some people will say, I do not eat well, how to also get this disease? No hurry, I will talk to you slowly. First of all, we need to know about this disease.
Official explanation: Gout is a recurrent inflammatory disease caused by increased purine biosynthesis metabolism, excessive uric acid production or poor uric acid excretion resulting in elevated uric acid in the blood and urate crystals deposited in the synovial membrane, bursa, cartilage and other tissues of the joints.
These are the same old things that everyone who has had this disease knows, but why do I have to emphasize it here. It is to tell you that the disease of gout should be understood in theory and in practice.
In fact, gout is divided into many kinds, we can more or less understand some, the following I will give some people who do not understand a little knowledge.
1, rheumatoid arthritis.
Mostly seen in young and middle-aged women, it occurs in the small joints of the fingers and wrists, knees, ankles, sacroiliac and spine joints, manifesting as wandering, symmetrical arthritis, blood uric acid is not high, rheumatoid factor is mostly positive, X-ray shows rough joint surface, joint space narrowing, and even joint surface fusion, which is obviously different from the bone defect caused by gout.
2.Pseudogout
It is caused by calcification of articular cartilage, which is common in the elderly, and the knee joint is most easily involved. The symptoms are similar to gout during acute attacks, but the blood uric acid is not high, and the bursal fluid examination contains calcium pyrophosphate crystals or apatite, and the X-ray shows calcification of cartilage.
3.Septic arthritis and traumatic arthritis
Blood uric acid is not high, septic arthritis bursal fluid contains a large number of white blood cells, culture can be obtained pathogenic bacteria; traumatic arthritis often has a more serious history of injury, can be distinguished.
4, cellulitis
In acute attacks of gout, the soft tissues around the joints are often obviously red and swollen, and if the symptoms of the joints themselves are ignored, it is easy to mistake them for cellulitis, in which the blood uric acid is not high, but the systemic symptoms such as chills and fever and increased white blood cells are more prominent, and the joint pain is often not obvious.
5. Other
In the acute stage, it must be distinguished from lupus erythematosus, relapsing arthritis and psoriatic arthritis; in the chronic stage, it must be distinguished from the sequelae of hypertrophic arthropathy, traumatic and septic arthritis. Blood uric acid tests can help in the diagnosis.
Broadly speaking, it can be divided into the above categories, which are limited to personal opinions. Without getting into the big talk, here is something about what is relevant and practical for us, the people, so that readers can understand more and more easily.
First of all, do not think that gout is a minor disease. Because at the moment in China, we don’t really have a gout department, because in the eyes of doctors, gout is a minor disease, such as a headache or a cold. But just because it is a minor disease, it is not taken seriously by patients. Secondly, people who have gout should not think, “Why am I so miserable to have this disease? I can’t eat anything, so I might as well die. In fact, having gout is not necessarily a bad thing, it is telling you that your body can’t take it anymore and you need to pay attention to it. It is better than having cancer at once. So, everyone has a reason for getting sick, and your natural constitution determines your condition later in life.
Do not treat gout as a minor disease, but because you don’t care, it can become serious later in life.
The knowledge of gout and how to pay attention to maintenance in the future.
1, put yourself in the right position, keep your mind: you have the disease, we must face it positively. The state of mind is very important, do not worry, optimistic.
2, positive medication, optimistic: have a disease, we must take medicine. Don’t get sick, hold on to it and pass, must be the right medicine, and can not take drugs. The medicine is three parts poison. For those who are in the early stage, I personally suggest to look at your own uric acid level, if the uric acid value is below 450, I suggest diet therapy, regular uric acid measurement, and do less things that are not beneficial to the kidney. For example: stay up late, eat cold food, drinks, excessive sexual life.
3, out of the misunderstanding, to avoid frequent: the vernacular says, good scars forget the pain. When it hurts, I avoid everything, well continue to big fish and meat. The disease of gout is not a day two days to get, is your life irregularities and gradually lead to. The actual fact is that you can’t eat anything if you have gout, you can eat some meat, fish and other purine food, but you can’t eat it in moderation. I eat some damp food in the morning, pasta base steamed buns, black rice barley porridge, salted vegetables. At noon, meat, fish can eat, but to control between 100-200 grams (3-4 two). Instead, long-term strict taboos will lead to malnutrition and cause other diseases.
4, active exercise, lose weight: gout patients are mostly overweight. Exercise is the best healing medicine, for example, swimming, Tai Chi, brisk walking, jogging and other activities. But for gout patients, you can not intensity exercise, but the opposite. Drink more water, timely hydration, more urination, in order to effectively prevent attacks.
5, pay attention to warmth, protect the joints: the two seasons of spring and autumn are the most prone to the onset of the season, we must keep their affected areas warm during this period, do not blow air conditioning, cold water to wash their feet. Protect your body, let your limbs warm up and strengthen blood circulation. Avoid joint damage, triggering gout (I am joint damage, and gout, deeply experienced).
6, wine is grain essence, the more you drink the younger: think about this sentence is interesting, in fact, I think it is the love of alcohol people make excuses, got gout must not stay away from alcohol. No matter white wine, beer, red wine, as long as you want not to relapse, say goodbye. You see a lot of people patients, produce gout stones, are unable to strictly avoid the mouth led to (except primary gout, that is genetic).
7, eat more fruit, good for the body and mind: fruit, personally, gout patients do not have to count too much, what fruit can eat, especially cherries, lemons, grapes, plums, watermelon and other fruits can better help you urinate.
Finally, it is recommended that you do a 24-hour uric acid to see whether you are excreting problems or generating too much uric acid in order to prescribe the right medicine.