Recently, a 27-year-old young man came to the Rheumatology and Immunology Department of the Second Hospital of Guangzhou Medical University. His right foot repeatedly ulcerated, and large and small yellow and white bumps were seen in multiple joints of his limbs. The joints were deformed, which was shocking! The doctor judged that these yellow-white bumps were tophi. When he checked, his uric acid was as high as 597umol/L! Kidney B-ultrasound showed that the echoes of the vertebral bodies in both kidneys were thickened and enhanced, and the gouty kidneys had changed!
In people’s impression, the main group of gout sufferers are middle-aged and elderly people, and they seem to be far away from young people. distant. Only 27 years old, how can a young man without underlying diseases develop such a serious situation?
I hardly drink boiled water
I use beverages as water all year round
Gout, in simple terms, is a disorder of purine metabolism that leads to an increase in uric acid, which in turn causes joint swelling and pain . The uric acid in the human body mainly comes from the following two aspects:
1. The endogenous uric acid formed by the action of enzymes, the product of protein decomposition in the human body.
2. Exogenous uric acid formed by digestion, absorption and enzymatic action of ingested purine compounds.
“In recent years, the incidence of gout has increased year by year, which is closely related to the improvement of living standards, irregular diet, and overeating.” According to Huang Wenhui, chief physician of the Department of Rheumatology and Immunology, The Second Affiliated Hospital of Guangzhou Medical University Introduction, gout is closely related to diet. For example, frequent eating of seafood, big fish and big meat, and drinking alcohol can cause exogenous uric acid to rise and cause gout. Many people have heard of these, but did you know that high-sugar, carbonated and other beverages can also cause blood uric acid to rise. .
Under the doctor’s questioning, the young man revealed that he has been drinking a lot of drinks every day since he was a teenager, “almost no boiled water”.
“I started to notice sudden and dull pain in my joints a long time ago. I thought it was a sports injury. Later, the attacks became more frequent and I felt that something was wrong,” he said. He didn’t realize that beverages are also an important factor in causing the increase of uric acid, which is one of the reasons for the rejuvenation of gout.
For this young man, he should adjust his lifestyle in time, stop drinking and drink more water, and insist on taking uric acid-lowering drugs regularly. Controlled below 300umol/L), tophi is still expected to gradually dissolve, preventing further damage to the bone.
Don’t ignore another gout “accomplice”
——Fructose
How to prevent gout? Many people know that seafood with high purine is an “accomplice” and should be eaten less, but there is another “accomplice” – fructose can not be ignored. After fructose enters the human body, it can be converted and promote the synthesis of purines, which means that one of the end products of fructose is uric acid.
So, what foods contain more fructose? Mainly in fruits and honey, but eating some fruits on a daily basis will generally not lead to excessive fructose intake, unless eating a lot of particularly sweet fruits such as lychees and longan may cause excessive uric acid in the blood.
In addition, carbonated drinks also contain a lot of fructose, which gives people a refreshing and refreshing feeling after the mouth, and can improve the grade of drinks in terms of taste. The daily fructose intake of healthy people is 30 to 80 grams (average 40 grams). However, if you drink a lot of carbonated drinks for a long time, it is easy to cause too much fructose intake, and it is expected that uric acid will increase significantly.
Tophi is caused by uncontrolled uric acid for a long time. If the level of uric acid in the body is too high, it cannot be dissolved in the blood, and it will slowly condense into crystals in the joints and skin, forming tophi. Tophi not only affects the appearance, but also damages the joints and bones. Urine is the most important form of uric acid excretion from the human body. If you want to stay away from gout, it is a reliable way to drink less beverages and more water, and urinate frequently. Plain water is the cheapest and healthy choice.
The average person urinates about 1000-2000 ml per day, with an average of about 1500 ml, so it is recommended that ordinary people drink enough water every day as much as 1500-1700 ml. People with a history of gout need to drink more water and urinate more. It is recommended to drink more than 2000 ml of water every day. In short, develop the habit of drinking more water when you have nothing to do, drink water when you wake up, drink water before going to bed, drink water when you are tired from work… This is good for preventing gout. In addition to drinking boiled water, people who have the habit of drinking tea can also drink some light tea appropriately.
Experts remind that gout is controllable and curable. Once gout is detected, the key is to control uric acid. You can go to the rheumatology and immunology department of a regular hospital for treatment. Do not blindly believe in various remedies. (All media reporter Weng Shuxian correspondent Huo Yongbao Xu Yongyi)