Find effective ways to relieve gout.
1. Hot compress arthritis area
When arthritis breaks out, you can dip a hot towel in hot water for 20 minutes every day. You can change the towel several times to keep it warm, which can effectively remove the pain.
Adjust diet
Overnutrition and obesity will aggravate gout, and gout often leads to diseases such as high blood pressure and hyperlipidemia, so we must lose weight and reduce the burden on joints. In addition, we must increase the intake of some alkaline foods and reduce the intake of high-fat foods. Besides, we need to give up smoking and drinking.
3. Maintain a positive treatment mentality.
A positive and optimistic attitude is conducive to achieving a good therapeutic effect, improving the body's immunity, ensuring a happy mood and not being pessimistic, taking active measures for treatment, and also needing to arrange sleep reasonably and maintain abundant energy.
4. Use drugs for treatment
Gouty arthritis can also be treated with some drugs, such as anti-inflammatory and analgesic treatment in acute stage and uric acid reduction treatment in remission stage. Specific drugs should be selected according to whether the patient has kidney calculi. Drugs for reducing uric acid include inhibiting uric acid production and promoting uric acid excretion.
5. Eat more foods with high potassium content.
Potassium can reduce uric acid precipitation and help excrete uric acid. Foods containing potassium include bananas, broccoli and celery. You can also eat more alkaline food.
The most detailed guidelines for colchicine use are suggested.
Regarding the treatment of colchicine, the recommendations in 20 12 American Rheumatology Association (ACR) gout treatment guidelines are the most detailed. If the patient did not use colchicine for preventive treatment during gout attack, or did not use colchicine to treat acute gouty arthritis within 14 days, colchicine treatment can be selected.
The load is 1.2mg (0.6mg per tablet) or 1.0mg (0.5mg per tablet), and 0.6mg (or 0.5mg) is taken after 1 hour. After 12 hours, 0.6mg each time, 1-2 times a day, or 0.5mg each time, for three times a day until gout is completely relieved.
If the patient takes colchicine for preventive treatment and takes too much colchicine orally within 14 days, NSAIDs or glucocorticoids are used instead of colchicine in this episode. If the patient has been taking colchicine ≥ 14 days after the onset of acute gout, it is also necessary to switch to non-steroidal anti-inflammatory drugs or glucocorticoid.
For gout with mild or moderate attack, especially cases involving 1 or several small joints or 1-2 large joints, it is suggested to take one of NSAIDs, colchicine or glucocorticoid orally. For cases with severe multi-joint involvement or 1-2 joint involvement, comprehensive treatment is recommended. The two drugs used in combination can be full dose, or according to the situation, one drug is full dose and the other drug is preventive dose.
There are three ways to cooperate in the recommended joint scheme: ① non-steroidal anti-inflammatory drugs and colchicine; ② Oral glucocorticoid and colchicine; ③ Intra-articular injection of glucocorticoid combined with colchicine.
After comparison, considering the toxic and side effects of colchicine, the recommendations on the use of colchicine in major guidelines at home and abroad are basically similar. Acute gout, the first dose should be doubled, and a small dose should be used. Some guidelines regard colchicine as the first choice for treatment without contraindications. To prevent acute attacks, the guidelines recommend taking colchicine for 3-6 months or longer. It is believed that this has certain reference significance for the clinical use of colchicine in China.