First, the clan genetic: gout is hereditary is indisputable, primary gout is autosomal dominant heredity, clinically found that there are close to a quarter of the gout patients is genetic, gout patients in the close relatives of about 5% to 25% of the hyperuricemia, less than 1% of the patients for enzyme defects caused by. patients are caused by enzyme defects. Resisting family members with a history of gout are more likely to develop gout than others.

Second, age: age is an important morbidity status of gout, and the majority of patients with gout between the ages of 40 to 55 years old, the average age of onset of disease is about 45 years old, these years because of the advancement of the level of survival of the Chinese citizens, especially dietary planning and lifestyle changes, the age of onset of gout is also in advance, the onset of the age of 40 years old before the onset of the person has been non-rare, and need to pay attention to.

Third, irregular life and diet: many people have no regularity in life, overwork, overnight, too hungry and too full will lead to gout more and more serious. There are many other common causes of gout, such as: weather, environment, pressure, etc. can be triggered by the factors of gout. In life, we should pay attention to, do a good job of prevention and treatment to ensure that the gout condition is stabilized to ensure that we have a normal life and work.

Fourth, fat related: diet title is also an important cause of gout, someone invented gout patients uniform weight across the standard weight 17.8&#xFF05, and the body surface area and serum uric acid level is directly proportional to the larger the surface area of the higher uric acid degree. After the patient in the weight reduction, the body's blood uric acid level will have a great decline.

Fifth, too much pressure: the great pressure of work, excessive mental tension, resulting in physical and mental fatigue, and lack of exercise, which will make, the physiological function of the organs, affecting the excretion of metabolic wastes, body fluids become acidic, for the development of gout to lay the root of the problem, so we should combine work and rest, not overworked, to avoid the mental and life on the great pressure.

Gout performance

1, asymptomatic period

Serum urate concentration increases with age, and there are gender differences, the main manifestation of this stage is a persistent or fluctuating increase in blood uric acid, from the time of blood uric acid to the emergence of symptoms can be as long as a few years to a few years, only in the occurrence of arthritis is called gout.

2, acute arthritis attack

is the most common first symptom of primary gout, preferably in the lower limb joints, to the bunion and the first metatarsophalangeal joints for the most common, the first single joint inflammation, repeated episodes of the joints involved in an increase in the attack, gout attacks indicate that the blood uric acid concentration of a long period of time supersaturation and lead to a large number of urates in the tissues of the deposition.

3, intermittent period

Gout attack lasts a few days to a few weeks can be naturally relieved, without sequelae and complete recovery, and then appeared asymptomatic stage, known as the acute attack of the intermittent period, and thereafter can be re-emerged, about 60% of the patients recur within 1 year, the intermittent period also up to more than 10 years.

4, gout stone

Chronic arthritis period Without treatment or poor treatment of patients, urate crystals deposited in the cartilage, tendons, bursal fluid and soft tissues, gout stone is a common manifestation of this period, often occurring in the earwheel, forearm extensor, metatarsal toes, fingers, elbows, etc., the increase in urate deposition in the joints, inflammation recurrent episodes into the chronic phase and can not completely disappear, resulting in The joint bone erosion defects and surrounding tissue fibrosis, so that the joints occur stiff deformity, activity is limited, with the recurrence of inflammation, so that the lesion is more and more aggravated, seriously affecting the joint function, the early prevention and treatment of hyperuricemia, the patient can be without the manifestation of the current period.

Diet for gout

First, limit the intake of alcohol. Alcohol metabolism will affect the metabolism of purine, which will have a great impact on gout patients or people with high uric acid. Drinking beer or red wine can trigger gout attacks. Acute attacks should be strictly prohibited.

Second, drink more water. Gout patients should choose plain water, tea, mineral water, fruit juice as drinks. Strong tea, coffee, cocoa and other beverages are not recommended, which may induce gout attacks.

Third, use alkaline ingredients. Foods that contain more potassium, calcium, magnesium and other elements, such as most vegetables, fruits, milk and so on. Watermelon and winter melon are not only alkaline food, but also diuretic effect, very suitable for patients with gout or high uric acid.

Fourth, limit dietary purines. Then what food belongs to the purine content?

The first group of food, the highest purine content. For example, liver, brain, kidney, beef and lamb tripe, anchovies, sardines, fish roe, broth, hot pot soup, etc., should be prohibited when gout attacks.

The second group of foods, such as dried beans, most shellfish, carp, cod, sea bass, halibut, shrimp, mussels, eels, eels, geese, pigeons, ducks, pheasants, rabbits, pork and so on. So the above food, purine content is also relatively high, for the acute stage of gout patients are strictly prohibited to eat, otherwise it may aggravate the condition.

The third category of food, such as: mackerel, salmon, white fish, lobster, chicken, ham, sheep, cattle, bread, cereal, bran, lettuce, cauliflower, beans, green beans, peas, beans, spinach, mushrooms and other food. This type of ingredients purine content is relatively lower than the second type of food, but gout attack patients should still try to avoid, weekdays can be appropriate choice.

The fourth category of food purine content is quite low, such as: milk, eggs, some other cereals, vegetables, fruits, dried fruit food. These food friends can choose as much as they want.

Gout dietary taboos

1, prohibit seafood, offal. They are typical high-purine foods, which is well known, but not always possible to avoid, because they are too delicious.

2, prohibit all kinds of alcohol. Not only beer, liquor, brandy, whiskey, wine and other fruit wines are also best avoided. Alcohol promotes endogenous uric acid production. There is no evidence that drinking red wine is good for gout, but at most a small amount is not harmful.

3, do not eat sweets, do not drink all kinds of sweet drinks, including sweetened fruit juice. Fructose promotes endogenous uric acid production. Soda drinks, although beneficial to uric acid discharge, are not conducive to controlling blood pressure. Considering that hypertension and stroke risk are also elevated in gout patients, it is not recommended to drink large quantities, not to mention relying on soda and abandoning dietary control.

4, do not drink fresh meat soup, chicken soup, fish soup, seafood soup, hot pot soup. Which has a high purine content.

5, drink more water to promote uric acid discharge. Drinking water, light tea can be. Some studies have proved that coffee and tea do not promote the role of gout, as long as the sugar is not added, drink in moderation.

6, eat a lot of vegetables, 750 grams a day is good. Vegetables contain a lot of potassium, calcium and magnesium, which is conducive to raising the pH value of urine and promoting the discharge of uric acid. The oxalic acid content of most green leafy vegetables is not higher than that of eggplant potatoes, even if spinach, amaranth, mullein and a few other high oxalic acid vegetables, as long as they are blanched with boiling water to remove most of the oxalic acid, is still beneficial to the control of gout and the prevention of complications, no need to worry about purine problems. Cooked vegetables are also good as long as they are cooked in less oil and do not have to be eaten all raw.

7. Eggs and milk are low-purine foods and can be consumed in normal amounts. Concerned about cholesterol, a daily egg yolk can be. If the protein supply is insufficient, protein can eat two. A study proved that milk is good for patients with gout attacks, skim milk without limited; but yogurt must be concerned, because of which the purine content of microbial fermentation increased, and lactic acid may also interfere with uric acid discharge, only a small amount of food.

8, fish and meat limit, according to the dietary guidelines, no more than 100 grams of fish per day, or 75 grams of meat. Too much animal protein is not conducive to lowering the pH of the urine and can increase urinary calcium loss, which is not good for gout patients.

9, soy products such as shredded tofu, dried tofu and other low purine content, can be consumed in small quantities, partially replacing the fish used to supply protein. Can not add a lot of soy products in addition to fish, meat, eggs and milk. If kidney function has been impaired, the total amount of protein a day should be controlled, not limited to the control of soy products. If you have experienced discomfort after consuming soy products, you need to disable them as well.

10, fruits and grains staple food normally eat. Millet and other miscellaneous grains purine content is lower than rice, and potassium and magnesium content is much higher than rice, for gout patients is favorable, no need to meal white rice. Red beans, kidney beans, peas and other starchy legumes purine content is higher than white rice and white flour, but lower than soybeans, and the potassium content is very high, a small amount (a small handful) added to the porridge need not be prohibited.

11, pay attention to dietary restrictions on salt and cooking oil, pay attention to the control of blood pressure and lipids, to avoid complications of other chronic diseases. Chicken essence, monosodium glutamate (MSG) should also be limited, especially chicken essence, mushroom powder contains nucleotides, it is advisable to use less.

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