Generally, the normal reference value of uric acid is based on the average value of uric acid in the blood of a group of people plus 2 standard deviations as the upper limit. About 10% of people will have high uric acid, but this is only a biochemical abnormality and cannot be confused with gout. Although the higher the uric acid value, the greater the chance of gout. However, there are as many as 30% cases, and gout attacks still occur when the blood uric acid value is normal. It is worth mentioning that after the onset of acute gouty arthritis, the level of blood uric acid in the body can not change greatly. This is because the body adjusts itself after the symptoms appear, which accelerates the excretion of uric acid. For example, the increase of adrenocortical hormone secretion can promote uric acid excretion during acute gout attack. In addition, factors such as water intake, diuresis and drug use can affect the level of serum uric acid. Therefore, only the increase of serum uric acid level can not be used as a criterion for the diagnosis of gout. However, for gout patients with hyperuricemia, the monitoring of serum uric acid is of great significance for guiding treatment.
(1) weight control
Should maintain the ideal weight, when overweight will increase the patient's pain, when overweight, should slowly lose weight, weight loss1~ 2 kg per month is appropriate, but it is not appropriate to lose weight during acute onset. Rapid weight loss will lead to tissue decomposition, resulting in a large number of uric acid production, causing acute gout attacks.
(2) Do not eat foods with high purine content.
Purine generally exists in all kinds of foods. If gout patients are strictly restricted from eating foods with high purine content, almost all nutritious things can't be eaten. According to research, in extreme cases, the difference between eating foods with high purine content and foods with low purine content is only 1 mg/100 ml. For the sake of balanced diet, it is impossible to completely remove such foods, especially fish. For patients complicated with hypertension and cardiovascular diseases, fish has low fat content and is an important source of protein for patients. Listing fish skin here can remind patients that fish skin should be removed while controlling protein.
(3) Don't eat high-fat food.
There is a close relationship between high-fat diet and obesity. Gout patients should eat less fried foods and foods with high fat content. High fat will inhibit uric acid excretion, so they should use it as little as possible when cooking, and use more cooking methods such as steaming, boiling, marinating and cold salad to reduce the amount of fat.
Frequently asked questions editor
What can't you eat with high uric acid (gout)?
1, animal internal organs: such as pancreas, liver, kidney, bone marrow and large intestine (with high purine content). Vegetables: spinach, radishes, etc.
Special note: Because spinach and other plants are rich in oxalic acid, it is easy to lead to the double growth of hyperoxaluria, which makes uric acid increase sharply and increases the burden on the kidneys.
2, seafood, shellfish and other aquatic products:
Special Note: Lobster, crab, oyster, herring, herring, salmon, tuna, white fish and other seafood, shellfish and aquatic products, green algae can't be eaten: because these foods are rich in polysaccharides and high in protein, these will increase the burden of kidney decomposition and increase uric acid, so it is not appropriate to eat more.
3, treatment:
There are mainly two methods: western medicine treatment and traditional Chinese medicine treatment. Western medicines include benzbromarone, probenecid and allopurinol, which can promote uric acid excretion, and will do harm to health if used for a long time.