Thursday, June 19, 2008
Contribute to understanding the treatment of gout
Gout has had its own disease that he remained puzzled despite much thought. He usually also pay attention to the health of diet, neither alcohol nor Puyinpushi, why would a disease? » Gout of incentives According to Dr. Wang, a disease of the patients have gout is not half of the incentive attack, although the incidence is Baoyinpushi incentives, but the large consumption of food rich in purine could cause acute gouty arthritis. Common high-purine food animal offal, crabs, shrimp, in particular, excessive drinking beer after the disease will also trigger gout, a serious dining in will be immediately after the incidence. Soybean products in purine content is not the highest, but also induced by excessive consumption of gout. Therefore, regardless of any food, moderate consumption can reduce the probability trigger gout. In addition, trauma, surgery, Shouhan, Guodupilao, mental tension; taking diuretics, down uric acid, salicylic acid and other drugs, food allergies, hunger, joint injuries, the Humidicool, tight shoes, walking more, and so are May trigger gout disease. Heard here that he has to find its cause, all kinds of animal offal is his usual favorite food, but also because the work often required to travel around, often on outside trouble, and take the road a lot, over time will fall This is sick. Type of gout According to Dr. Wang, generally, gout gout disease can be divided into primary and secondary Gout two categories. The primary cause of gout, with the exception of a few because of congenital purine metabolic disorder caused by a genetic disease, most cause has not yet been identified, but frequently have obesity, hyperlipidemia, hypertension, coronary heart disease, diabetes, with Disease. Secondary gout mainly due to kidney disease, blood disease and other diseases or drugs with high purine food and other causes. Such as: lymphoma, multiple myeloma, hemolytic anemia, polycythemia vera disease, cancer, chronic renal insufficiency, and so on. In addition, according to uric acid formation and metabolism, gout disease can be divided into over-production and reduce the excretion of. Generation of excessive uric acid, also known as high-excretion, is enhanced by the nucleic acid metabolism, that is, for various reasons caused purine base of too much or too fast degradation, making purine metabolic product of too much, leading to increased serum uric acid. - Reduce the excretion, also known as low-excretion, or excretion in patients with kidney dysfunction, caused by uric acid excretion Guohuan elevated blood uric acid level. And Mr. Chen's condition, it is typical to reduce the excretion of, is currently receiving treatment. Clinical manifestations of gout In order for us to further understanding of gout, Dr. Wang also briefed the primary gout several major clinical manifestations. First, acute gouty arthritis, often the first attack during the night because of foot pain and suddenly woke up, or if Yao Shi-Daoge, joint and soft tissue around the obvious irritation of the pain, can not tolerate bed cover or the surrounding shock. A few days later to the general natural ease, but after the attack more and more frequently, increasing symptoms. Second, the calculus of chronic gout, generally from the first attack of gout significantly to the stone there for 11 hours, tophi usually deposited in Erlun, toes, fingers and palm means, etc., and then gradually increase, joint structure And soft tissue damage is also slowly, resulting in bone hyperplasia and joint deformities. Third, kidney stones, gout patients with uric acid kidney stones caused the probability of 10% to 25%, the biggest feature of renal colic and hematuria. Fourth, nephropathy, which is a chronic process, there will be patients with intermittent proteinuria, hypertension, elevated blood urea nitrogen, and other symptoms, can be advanced for the development of renal insufficiency.
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