Entertainment too many years ago, gout patients soared 5 ~ 6 times! The reporter learned from the Department of Hematology and Rheumatology of the Third Hospital of Guangzhou Medical University yesterday that in the past month, an average of 3 to 5 gout patients were treated every day, and there were more than a dozen cases in the past month. Zhang Jianyu, the attending doctor of the hospital, said that this is probably related to the recent cold weather, more and more people making hot pot or soup for tonic, and the overwhelming entertainment, dinner and eating before and after the festival. Zhang Jianyu said that a few days ago, she met a 39-year-old Mr. Li, who worked in a foreign company. Near the end of the year, Mr. Li eats a meal almost every day. After eating with a client, his left toe joint suddenly hurt in the middle of the night and he couldn't sleep all night. Early in the morning, he limped to the hospital. Mr. Li was diagnosed with gout. It turned out that Mr. Li drank two large glasses of beer at dinner the night before, ate a lot of seafood and drank old fire soup during the meal.
According to reports, gout refers to a disease caused by purine metabolic disorder, including hyperuricemia, recurrent acute arthritis, gout stone deposition, gouty chronic arthritis and gouty nephropathy. Typical patients often have sudden onset, and the common midnight foot pain is like a knife. The first part is often the first metatarsophalangeal joint, and the joints and surrounding soft tissues are obviously red, swollen and hot, which can relieve itself for several days, enter an intermittent period, and recur after several months or years. Without active prevention and treatment, the number of attacks will increase and more joints will be involved. Over time, tophi and tophi arthritis can be formed, leading to joint deformity and disability. Some patients even have nocturia, hematuria and low back pain. , leading to uric acid nephropathy, urinary calculi and so on. If we still do not pay attention to it and do not actively prevent it, patients with advanced gout will have renal insufficiency. The reporter learned that gout favors men. Among gout patients, 95% are male, and the ratio of male to female is 20: 1, which is a typical "son preference" disease.
Zhang Jianyu pointed out that since 10, with the continuous improvement of people's living standards and the change of diet structure, the prevalence of gout has increased year by year, and the onset age is younger. The number of newly diagnosed patients under 40 has increased by about 25% compared with 20 years ago. In the past, only men over 40 years old were likely to get gout, but now many men in their twenties also get gout. Most of these patients usually have more entertainment, more meals and less exercise, often accompanied by obesity. Many of them ate more seafood or drank wine the night before, and woke up the next day to find pain in their toes or other joints.
Reminder:
Gout patients should drink at least 2000 ml every day.
For middle-aged and elderly people, mental workers, obese people who are addicted to alcohol and meat, especially those with a family history of gout, we should be alert to the possibility of gout and should go to the hospital regularly to check blood uric acid.
The author of gout should pay attention to:
First, control diet: low-calorie diet should be adopted to avoid high-purity food. Foods containing more purines mainly include: animal viscera (liver, kidney, heart, brain, etc. ), sardines, clams, oysters and other seafood and thick soup, followed by fish and shrimp, meat, peas and so on. However, various cereal products, fruits, vegetables, milk, dairy products and eggs contain less purine.
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