A 21-year-old boy, why did gout find him?

In our perception

gout

often occurs in On the elderly

However…

Recently

Tonglu County Hospital of Traditional Chinese Medicineadmitted

A gout patient 21 years old

refreshed us again< /span>

Awareness of the age of onset of gout

Patient Xiao Zhang (pseudonym), 21 years old this year, came to the Orthopedics Department of the County Hospital of Traditional Chinese Medicine urgently due to unbearable knee pain. The doctor’s examination found that Xiao Zhang’s left knee could not flex and extend. The film showed obvious fluid accumulation in the left knee, anterior cruciate ligament injury, and meniscus injury. The diagnosis was gouty arthritis. In order to relieve the pain of the patient as soon as possible, on the second day of admission, the doctor performed arthroscopic joint exploration and lesion debridement for the patient.

▲ During the operation, white lime-like gout crystals were attached to the entire knee cartilage surface, meniscus, and anterior and posterior cruciate ligaments

▲The patient’s condition improved significantly a few days after minimally invasive surgery

▲The doctor changes the medicine for the patient

See here

You must be curious

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The 21-year-old boy

Why did he have gout?

Patient description

It is understood that Xiao Zhang’s father also has gout medical history. In addition, Xiao Zhang is almost every night supper, barbecue with wine, a pack of cigarettes a day, and usually seafood, big fish and meat are never taboo, and often go to bed late at night…

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The Doctor Says

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“patient The father has a history of gout, which is partly due to heredity.But the most important thing is that the patient has long-term consumption of high-purine foods, unhealthy diet, irregular work and rest.risk factors for gout. ” explained the doctor, “Tophi often occurs in patients with gout, which can be seen under the skin around the patient’s auricle, around joints, tendons, and soft tissues. Tophi formed in various parts of the body, especially the limbs, not only seriously affects the appearance of the limbs, but also leads to joint deformities, dysfunction, nerve compression, skin ulceration, and severe pain, which has a great impact on life. Those who are unwell should seek medical attention in time. ”

What is gout?
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There is a substance in the human body called uric acid, which is metabolized by purines. Product. Under normal circumstances, the production and excretion of uric acid in our body maintain a delicate balance, and the level of uric acid in the blood will remain within a stable range. However, when the metabolism is disturbed, the level of uric acid may increase. p>

If the situation goes further, there is too much uric acid in the blood and uric acid crystals accumulate in the body. Joints ( toes, ankles, knees, fingers etc.), causing inflammation, redness, and pain, which is gout, also known as gouty arthritis. If urate deposits in the kidneys, it can lead to kidney stones and inflammation, known as gouty nephropathy.

Gout and hyperuricemia increase the risk of chronic kidney disease, hypertension, cardiovascular and cerebrovascular diseases and diabetes, so they need active treatment and control.

How to avoid gout?
Weight control, regular exercise

Weight gain is a risk factor for gout. Relief has a protective effect, which can improve the compliance rate of uric acid control and reduce the frequency of acute gout attacks.

Drink less, drink more water

Excessive drinking can lead to lactic acidemia and reduce renal excretion of uric acid. Long-term drinking will increase the amount of purines produced by metabolism in the body and easily induce gout. Heavy drinkers have a 2.64-fold increased risk of developing gout, so try to avoid alcohol (and alcoholic beverages), especially beer and liquor.

Limit high-purine, high-fructose foods

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Uric acid is a product of purine metabolism in the human body. Gout patients should avoid eating animal offal such as liver and kidney, shellfish, shellfish such as oysters and lobster, and thick broth with high purine content and gravy etc. Foods and beverages rich in fructose also significantly increase blood uric acid levels and increase the risk of gout.

Forming healthy eating habits

Considering that most people are unlikely to choose the food that suits them according to the food purine content table every time they eat, it may be easier to create a healthy diet for yourself realized. In addition to a healthy diet, you should also pay attention to regular meals or small meals, do not overeat or eat a lot of meat in one meal, and use as little irritating seasoning as possible.

It’s just one sentence

Shut your mouth and stretch your legs

Source/County Traditional Chinese Medicine Hospital

Some pictures are from the Internet

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