A 15-year-old boy in the third grade of junior high school had unbearable joint pain while playing football. He was found to have serum uric acid of 890umol/l. , the anxious mother sent out a painful torture: “How can my child have gout at such a young age?!”. When the national attention to gout day is approaching, let’s talk about gout.
Under normal purine diet, fasting blood uric acid level >420μmol/L twice on different days (regardless of male and female) is high Uricemia. Experts from all walks of life in China propose to define April 20 each year as “High Uric Acid Day” and also “National Gout Day”.
About Gout span>
Gout refers to the deposition of urate crystals in joints, soft tissues, kidneys, etc. in patients with hyperuricemia, leading to arthritis, uric acid A group of clinical syndromes of nephropathy and urolithiasis. At present, the prevalence of hyperuricemia in my country is as high as 13.3%, and the prevalence of gout is 1% to 3%.
Gout can be complicated by kidney disease. In severe cases, joint destruction and kidney function damage may occur, often accompanied by high fat Hypertension, diabetes, arteriosclerosis and coronary heart disease. In recent years, there is a trend of younger onset, which has caused a heavy disease burden to the family and society.
Typical gout has abrupt onset, more than aroused by foot pain in the middle of the night, and 60%~70% of the first onset in The single joint of the big toe. Affected joints are extremely painful, red, swollen, burning, cutting flesh, and may be accompanied by systemic symptoms such as fatigue or low-grade fever. The pain level even reached ten grades, comparable to the pain of female labor.
Gout is a manageable disease
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Gout is a controllable disease. As long as the etiology and incentives are well controlled, most gout patients can reduce the recurrence of gout, and even some gout patients only have one attack in their lifetime.
Once the diagnosis is made, the treatment should be standardized as soon as possible, do not reduce or stop the drug arbitrarily, actively cooperate with the doctor, and control the uric acid value for a long time at the ideal level.
Prevention strategies for gout
Develop healthy living habits, low-purine diet, strictly limit high-purine foods such as animal offal, seafood and meat, Encourage eating more fresh vegetables.
Drink a lot of water. If the heart and kidney functions are normal, it is recommended to drink more water to maintain a daily urine output of 2000-3000 ml .
No sugar-sweetened beverages.
No alcohol.
Lose weight to control your weight and avoid strenuous exercise.
In short, it is not difficult to get away from gout by scientifically understanding gout, standardizing treatment as soon as possible, and correcting bad living habits as soon as possible.
author introduction
Geng Yahui
ViceChief Physician
Deputy Director, Department of Endocrinology, Beijing Geriatric Hospital
Mainly good at the diagnosis and treatment of common diseases in endocrinology, such as diabetes, hyperthyroidism, hypothyroidism, thyroid nodules, osteoporosis, obesity, hyperuricemia and metabolic syndrome, especially for the individualized treatment of elderly diabetic patients. . He has more clinical experience in critical diseases such as diabetic ketoacidosis, hypoglycemia coma, diabetic hyperosmolar coma, and diabetes complicated by infection.