Gout is called "the fourth highest" after "three highs".
Gout, which we often talk about, generally refers to gouty arthritis. It is a metabolic disease. Long-term purine metabolism disorder leads to increased blood uric acid and tissue damage caused by urate crystal (MSU) deposition. It is characterized by recurrent acute and chronic arthritis, joint deformity and severe pain. In severe cases, it causes joint damage and even uric acid nephropathy, which is more common in young and middle-aged men. Gouty arthritis, tophi, gouty joint deformity, gouty nephritis and uric acid kidney calculi caused by high uric acid are all called gout.
What is a tophi?
Tongfengshi, also known as gout nodule, is a white crystal precipitated in a certain part of the body due to the excessive rise of blood uric acid, which exceeds its saturation, just like a white deposit will appear at the bottom of a glass of salt water after the salt content exceeds a certain limit. Where the precipitated crystals are deposited, stones can occur. Gout patients can form tophi in almost all tissues except the central nervous system.
So the answer is yes!
Hyperuricemia is bound to form tophus, but because everyone's physique, living environment, work and rest, eating habits are different, so the size of tophus is also very different. The smallest state of tophus is urate crystal. The so-called accumulation of sand makes a tower, which means that tiny urate first gathers together to form a small group, which becomes urate crystal, which is the chief culprit of your acute gout attack. Over time, small groups United again to form large groups, so tophi was formed.
1, alkalized urine
Alkalized urine is beneficial to the dissolution and excretion of urate, especially for the prevention of uric acid kidney calculi and gouty nephropathy. This includes eating more alkaline foods and using alkaline drugs rationally, but this is often ignored by people.
2, the treatment of uric acid drugs
There are indications for the treatment of uric acid-lowering drugs. It is generally believed that uric acid-lowering drugs are used in the following situations: acute gouty arthritis with 2-3 episodes per year, gout stones and kidney damage, or patients whose serum uric acid is still significantly increased after diet control.
3. Surgical treatment
If the tophus is not big, it will not affect the organ function, so there is no need for surgical treatment, because surgical removal of tophus cannot completely cure it, and surgical treatment is only needed in the following three cases:
1. tophi affects joint function or compresses nerves;
2. Resection of necrotic fingers (toes) or correction of deformed joints due to urate erosion;
3. Remove the huge tophi to reduce the burden on the kidney.
Early detection! Early control! Reduce uric acid!
There is nothing to say about this, because the root cause of gout is high uric acid, and only when uric acid drops can we truly achieve the purpose of preventing and dissolving tophi.
Early detection, early control and early control, the less urate crystals are deposited in the body, the lower the possibility of forming gout stones. Only when uric acid is kept below 300 can the blood have the ability to dissolve gout stones, and the uric acid is kept below 300 until the gout stones are completely dissolved.
These things are not edible!
1, animal offal, seafood and broth are prohibited.
Animal internal organs include: liver, kidney, brain, spleen, etc.
Seafood includes sardines, anchovies, shrimps and crustaceans (oysters, shellfish, etc.). But it should be noted that seafood does not mean that all seafood can't be eaten. Salmon, tuna, white fish, herring and other purine content is not high (low purine content), so it can be eaten properly.
2. Prohibition of alcohol
Gout patients know that beer can't be drunk, but they don't know that liquor can induce gout more than beer! Liquor with high alcohol content can induce neutral particles chemotaxis, reduce uric acid elimination and induce gout attacks. Red wine is recommended not to be drunk. If you are really "greedy for wine", you should only drink a small amount.
3. No high fructose diet (sweet drinks)
Fructose is a monosaccharide, and its metabolite is uric acid. Most sweet drinks sold in the market (such as cola, fruit orange, etc.) contain a lot of fructose.
4. Reduce the intake of red meat
Pork, beef, mutton, venison and rabbit meat are called "red meat". A series of studies abroad show that the more red meat is consumed, the more significant the increase of serum uric acid level is, the higher the incidence of gout is, and the incidence of cardiovascular diseases will increase significantly.
5. Reduce the high-fat diet
Fat does not contain a lot of purine, but obesity is a risk factor for gout. Hyperlipidemia, hypertension and diabetes are often "good friends" with gout, and high-fat diet is also the most taboo for these diseases. From these aspects, the high-fat diet must be reduced!
These things are suitable for eating.
1, vegetable research shows that no matter whether vegetables contain purine or not, it will not lead to an increase in blood uric acid content. Therefore, no matter what kind of vegetables, they can be safely eaten.
2, milk and eggs milk and eggs will not induce gout attacks, as a source of high-quality protein, very suitable for gout patients.
3. The "star fruit" in the treatment of berry and cherry gout has a certain uric acid reducing effect.
Gout diet misunderstanding q&; A
Q: Can tofu be eaten?
A: yes! Although soybeans are high in purine, tofu, after being diluted, filtered and ground by a lot of water, has become a low purine diet. Gout patients have no problem eating tofu as long as they don't overdo it!
Q: Can tea and coffee be eaten?
A: yes! Coffee can promote uric acid excretion, and tea can affect uric acid and its products. These are all drinkable. However, it should be noted that coffee companion is "plant fat" and should be avoided.
Q: I can't eat any seafood.
A: Salmon, jellyfish skin, sea cucumber, tuna, white fish, etc. all belong to the low purine diet and can be eaten in moderation. Even the sea crab that everyone loves is not a high-purity diet, and it is completely ok to eat it in a small amount!
Finally, I would like to give you a piece of advice:
Don't listen to folk remedies and crooked ways easily. Contemporary medicine is completely adequate in treating hyperuricemia and gout. If tophi has worn out of the body surface and caused epidermal ulceration, it is recommended to seek medical attention immediately.
Shut up, take your legs, follow the doctor's advice, and wish you health!