Gout is a disorder of purine metabolism and persistent elevation of serum uric acid due to a hereditary or acquired cause. At present, there are cases of gout reported around the world, and since the first report in 1948, with the improvement of people's living standards and changes in dietary structure, the disease has gradually increased in the plateau nomadic areas and more common in Qinghai and Tibet.
Gout is a group of diseases caused by purine metabolism disorders resulting in increased blood uric acid and tissue damage. The lesions often invade the joints, kidneys and other tissues, the age of onset is more than 40 years old, the prevalence increases with age, the ratio of men to women is 20:1, most of the female patients are postmenopausal women, often in the spring and autumn season.
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6) Drug treatment
1. Asymptomatic hyperuricemia treatment
Blood uric acid value is more than normal, but there is no gouty arthritis attack is called asymptomatic hyperuricemia. In this case, if the blood uric acid is 413 - 472 micromol/L (7 - 8 mg/dL), usually no medication is needed, but the underlying cause should be identified and dietary control can be used to lower the blood uric acid as well as to prevent gouty attacks. If this is still not effective, medication may be administered.
Dietary control and medication should be accompanied by avoidance of obesity, high-purine diets, certain medications, alcohol consumption, excessive fatigue, mental stress, localized joint injuries, trauma, surgery, infections, cold and dampness and other triggering factors.
2. Acute arthritis medication
Acute gouty arthritis attack should be treated as soon as possible, so that the symptoms can be relieved quickly, to prevent prolonged healing. During the attack period, absolute bed rest is needed, elevating the affected limbs and joints to stop the movement. Generally, you should rest until the joint pain is relieved for 72 hours before starting activities. Pay attention to keep warm, diet should be vegetarian.
The main drugs used in the acute phase are colchicine, non-steroidal anti-inflammatory drugs and adrenal glucocorticosteroids, which can often save you from an acute attack if you can take them when you first have symptoms.
3. Interictal and chronic treatment
The purpose of the treatment of gout interictal and chronic arthritis is to use uric acid-lowering drugs to keep the blood uric acid level in the normal range for a long time, to prevent acute attacks of arthritis, to prevent the formation of gouty stones, and to reduce the damage to the kidneys.
In order to ensure the effectiveness of uric acid-lowering treatment, it is best to consider the long-term use of uric acid-lowering drugs, and regularly review the blood uric acid to observe the efficacy of treatment. For those with severe conditions, even lifelong maintenance therapy is required.
4. Reduce the high uric acid drug application indications
① Although there is no family history of hyperuricemia and gout, and no gouty arthritis attack, but the blood uric acid value of more than 531 micromol / liter (9 mg / dl), simple dietary control can not achieve satisfactory results.
② gouty arthritis attack more than 2 times in 1 year or the total number of attacks more than 3 times.
③ gout patients, dietary control, blood uric acid is still greater than 420 micromol / liter or 24-hour uric acid excretion of more than 800 mg.
④ Gouty nephropathy, renal dysfunction and uric acid kidney stones (including previous urinary tract stones).
⑤ Those with gouty stones, chronic gouty arthritis, and eroded bone erosion.
⑤ Those with comorbidities such as hypertension, hyperlipidemia, ischemic heart disease, diabetes and obesity.
7) Diet therapy
Gout is a systemic chronic metabolic disease caused by abnormal purine metabolism in the body and increased levels of purine metabolites - uric acid in the blood. Once gout occurs, it cannot be cured, so it is important to pay attention to prevention, the best way is to regularly check the blood uric acid concentration (every 3 months), once found that the blood uric acid is more than the normal value, it is necessary to take uric acid-lowering drugs, as long as the control of hyperuricemia, gout will not occur.
1. Treatment principles
① Reasonable control of diet. ② Adequate water intake. ③ Live a regular life. ① Reasonable dietary control. ② Adequate intake of water. ⑤ Take effective medication. ⑥ Regular health checkups.
2. Dietary principles
In the prevention and treatment of gout, the diet should be three more and three less:
① Drink more water and less soup. People with high blood uric acid and gout patients should drink more plain water. Drink less meat soup, fish soup, chicken soup, hot pot soup and so on. The osmotic pressure of plain water is most conducive to dissolving various harmful substances in the body.
Drinking more plain water can dilute uric acid, accelerate excretion, and make uric acid levels fall. Soup contains a lot of purine components, drink not only can not dilute uric acid, but lead to uric acid increase.
② Eat more alkaline food, less acidic food. Gout patients themselves have purine metabolism disorders, uric acid abnormalities, if too much to eat acidic food, will aggravate the condition, is not conducive to recovery. And eat more alkaline food, can help to supplement potassium, sodium, chloride ions, to maintain the acid-base balance.
③ Eat more vegetables, less meals. Eating more vegetables is conducive to reducing purine intake, increasing vitamin C and increasing fiber. Eating less is conducive to controlling calorie intake, limiting weight, losing weight and reducing fat.
④ Acute attacks should avoid eating high-purine foods, such as: yeast, pancreas, concentrated gravy, dried meat, sardines, anchovies, animal hearts. You can eat grapes, oranges, hawthorn, tomatoes, apples, coffee, tea, milk, eggs, seaweed and other low purine alkaline food. Never drink beer.
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10) prescription (secret recipe)
1. carrot
The Northeast is the origin of carrots, "orange is born in Huainan is orange, born with the north of Huaihuibei is Hovenia", the Northeast has the most suitable natural environment for the growth of carrots. The Northeast has the most suitable natural environment for the growth of carrots, its unique climatic conditions and fertile black soil, so that the carrots produced in the region, whether in taste, nutrition, appearance and other aspects are better than other regions of the radish.
Daikon radish is rich in vitamin K, a vitamin that resists urate crystallization and effectively prevents bone coarsening. Radish also contains a lot of beneficial components that can help digestion and promote metabolism such as glycine, catalase, amylase, saccharase, etc. In addition, it also contains glucose, oxidase adenosine, dehydrated pentose sugar, gasification mucin, tissue amino acids, choline and other components.
Daikon radish not only has a very good function to help digestion, but also has a superb promotion of liver and kidney metabolism, it can quickly harmonize the balance of the five viscera, in the role of peptide nucleic acid PNA will be long-term deposition in the body of various ministries of gout stones decomposed into water, carbon dioxide and soluble sodium salt.
Long-term consumption of carrots can replenish liver transferase, effectively correct the purine metabolism disorders, regulate uric acid, balance the concentration of blood uric acid, alleviate and eliminate the inflammation at the gouty attack, to prevent the formation of stones again, so as to achieve the purpose of curing gout.
The daikon radish also has a good preventive and therapeutic effect on gallstones and kidney stones.
The following is the method and dosage of daikon radish for gout treatment (individual differences, for reference only):
① Raw material: daikon radish (Northeast female daikon radish is preferred)
② Dosage: 2-3 times a day, 1 hour before breakfast, 1 hour after dinner (or half an hour before going to bed), each time to consume 1 - 2 (each 100 - 250 grams)
③ Usage:
A. Wash fresh daikon radish and eat it raw with skin, but chew it carefully to avoid stomach upset.
B. Wash fresh carrots, cut them into thin julienne strips with the skin, add appropriate amount of sugar (or xylitol) and vinegar, mix well and eat.
C. Wash fresh daikon radish, cut into pieces with skin, squeeze the juice, add 150 ml of 50 ℃ warm water and appropriate amount of honey, drink.
Note: You can't consume anything else within 1 hour of eating raw daikon radish, so as not to affect the efficacy until the symptoms disappear.
Gout in addition to the influence of genetic factors, more by the influence of daily habits, gout is often a disease caused by improper diet, so the treatment of gout must be to develop healthy living and eating habits. Under this premise, the use of female carrots for dietary therapy will achieve twice the result with half the effort.
2. red cherry
Peach is rich in anthocyanins, anthocyanin and vitamin E, are very effective antioxidants, they can promote blood circulation, help uric acid excretion, can relieve the discomfort caused by gout, arthritis. In particular, the anthocyanins in cherries are very effective in eliminating muscle pain and inflammation.
The University of Michigan study found that anthocyanins in cherries can reduce the chance of inflammation, eat 20 cherries more effective than taking aspirin. General gout or arthritis patients, eating cherries within a few days can play a role in reducing swelling and pain. Long-term face computer work often have headaches, muscle aches and other problems, eat more cherries can also relieve or eliminate these symptoms.
Fresh cherries are available for a short period of time, and it is not possible to eat fresh fruit often. However, patients choose to take with cherry wine, can still play the effect of blood circulation and pain relief. Cherry wine, it is appropriate to choose a low degree of grain fermented wine, like rice wine, yellow wine, sorghum wine (about 40 degrees). Cherry wine placed in light, cool place storage, generally can be stored for 8 months to 1 year will not deteriorate. Every year when the cherry is produced, patients can choose the appropriate amount of cherry wine.
① Method: the ratio of cherries to wine is generally 1:10, that is, 100 grams of cherries with 1000 milliliters of wine. Cherries into the wine soaked 1 week to drink, you can drink 20 milliliters in the morning and evening; pain is not too intense, you can only drink 25 milliliters in the evening. When the wine will be finished, you can add a moderate amount of wine and then bubble.
② Note: Although cherry wine is effective in relieving arthralgia, it should never be used as a substitute for necessary medication. People with high blood pressure should be used with caution.
Sun Simiao, the king of medicine in the "Thousand Golden Remedies" in the "food therapy" specializing in a section, pointed out that: "the basis of the body, it must be funded by food"; "food can drain the evil and safe internal organs, happy God refreshing to capitalize on the blood and gas. If you can use food to calm the disease, release the feelings of the disease, can be said to be a good worker.
"Medicine is three times poisonous"! According to statistics, China's annual death rate due to "drug-induced diseases" than the 19 nine major infectious diseases 11 times higher. Although the drug can cure, but long-term use of large quantities of drugs produced by the toxic side effects, the harm to the human body is more worrying.
Why would you want to take medication for a disease that can be solved with dietary therapy? Gout is a poor diet eat out of the disease, it must be able to use dietary methods to cure!
Gout picture:/jb/2007/11/5/de0c8ac4c34.jpg
Love tips: the above introduction of the use of (prescription) medication, please be sure to consult the local regular (Chinese medicine) hospitals, combined with their own physiological characteristics and different pathological changes, to identify the choice of use.
If you are satisfied with the above answer, please don't let me down and adopt it as your answer.