What is the treatment process for gout?

  It is important to have the right understanding of gout. Most patients are seen when they are in pain, and as soon as the pain gets slightly better, all medications stop. As for us doctors, the disease does not have many options when it comes to pain, only anti-inflammatory pain medications to control the symptoms. And only after 2-4 weeks of pain relief, the real uric acid lowering treatment is started.  The main hazards of this disease: 1. Destruction of joints.  2, easy to form kidney stones, damage kidney function and develop gouty nephropathy.  Therefore, we will routinely perform ultrasound examination of the kidney. If gouty nephropathy is considered, kidney ECT should also be checked. Treatment process: 1.diet control: especially beer, animals.  2.Standard treatment: According to the condition, set the target value of uric acid, mostly between 200-300. At present, there are three kinds of uric acid-lowering drugs: 1, benzbromarone, is by promoting the excretion of uric acid by the kidneys, the side effects may hurt the liver; in addition, it is not effective for a small number of patients with high discharge (i.e. the amount of uric acid excreted in 24h urine has been very high). Patients with kidney stones should avoid this drug as much as possible.2. Allopurinol tablets, by inhibiting the synthesis of uric acid in the body, the side effect is the possibility of allergy, which may lead to bad results if not taken care of, it is recommended that the HLA-5801 gene should be tested before use, about 15% of people have the gene and may be allergic to the drug.3. Febuxostat, a new drug that has been marketed in China only in the last two years, has few side effects, but is It is expensive, about 28-40 yuan for one tablet.  3. Maintenance therapy: After reaching the target value, it is still necessary to maintain this level for six months to a year, or even longer.  Treatment course: about 1 year, or even longer.