Self-management and regular review of gout

  Self-management and regular review is a very important part of the standardized treatment of gout, which is an important means to improve the treatment effect and quality of life.  I. Self-management Learn about the pathogenesis, process and treatment of gout. Understand your comprehensive treatment plan, measures, goals and prognosis. Prevent and monitor possible adverse drug reactions and various acute and chronic complications. Relaxation and integration of psychological regulation into daily life.  Many people who have gout complain and are negative and pessimistic, believing that once they have the disease, they will suffer for life. In fact, otherwise, early understanding of the standardized treatment plan and adherence to standardized treatment can avoid the hazards and complications brought about by high blood uric acid.  Reasonable adjustment of diet structure. What to eat? How much to eat? It is a big problem for all the patients. The quality, origin, maturity and moisture content of food can affect the purine content of food, and some foods do not have data on purine content measurement. Various factors such as age, work intensity, height and weight of patients determine that the diet structure of patients cannot be uniform.  A low purine diet control must take into account a reasonable balance of high quality protein, carbohydrates and calories. How to adjust the diet structure to meet the nutritional needs of the body, while controlling the blood uric acid to meet the standard and minimizing the amount of maintenance medication? There is a relatively simple method to share with you: ① Prefer foods with low purine content.  Do not eat foods with high purine content such as animal offal, beer, gravy and thick soup.  ③Eat as little or as much as possible of mushrooms, beans and soy products.  ④Purines are easily soluble in water. Cook meat first before consumption.  ⑤Adjust the amount of food according to your needs to ensure adequate nutrition.  ⑥Use the minimum dose of medication to control so that the blood uric acid reaches the standard.  (7) Check blood uric acid regularly, and use the test results to infer whether the diet structure and medication are reasonable, and then have a suitable recipe for yourself after control and stability.  Second, regular review In the process of adjusting uric acid-lowering drugs, uric acid should be measured every 2-5 weeks. Uric acid measurement is the basis for adjusting drug doses and is also helpful to judge patients’ compliance with treatment drugs. The items to be reviewed regularly are: blood routine, urine routine, kidney function, and the items to be reviewed once every 3-6 months: liver function, blood sugar, blood pressure, ultrasound of digestive system and ultrasound of urinary system.