Korean Treatment Gout - Gouty arthritis

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Korean Treatment Gout - Gouty arthritis Korean Treatment Gout - Gouty arthritis
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4. Gout Treatment4.1. Nutrition- Avoid foods containing a lot of purines: animal organs (heart, liver, oval); smoked por...
28/06/2022

4. Gout Treatment

4.1. Nutrition

- Avoid foods containing a lot of purines: animal organs (heart, liver, oval); smoked pork; seafood (shrimp, crab, salmon, sardines); beans, asparagus, spinach; red meat (buffalo, cow, dog); Sour foods (sour fruits, pickles)
- Avoid drinking beer, strong alcohol, can drink wine (150ml/day)
Avoid taking diuretics and corticosteroids.
- Should drink a lot of water: about 2 liters / day (alkaline mineral water)
- Should eat a lot of green vegetables, carrots, cabbage, tofu
- Can drink milk, eat eggs, eat white meat, copper fish
- Vitamin C 500mg/day
- Do not wear shoes that are too tight
- In general, an energy-restricted diet because gout is often associated with other metabolic disorders.

4.2. Drug treatment
During an acute attack, treat with anti-inflammatory drugs. Long-term treatment with uric acid-lowering drugs.
To prevent and control the disease in the most effective way, patients must adhere to a reasonable diet, have regular checkups, and adhere to a long-term treatment regimen.

1. Mechanism of the diseaseDue to an increase in uric acid in the blood (> 420 mol/l for men and > 360 mol/l for women...
28/06/2022

1. Mechanism of the disease
Due to an increase in uric acid in the blood (> 420 mol/l for men and > 360 mol/l for women, when it is increased it will be deposited in organs and organizations in the form of urate crystals (in the form of urate crystals in the body). Synovial membrane causes arthritis; in the kidney causes interstitial nephritis, urinary stones gradually lead to kidney failure; bone cartilage: joint cartilage, ear cartilage; in subcutaneous tissues: elbows, ankles, knees, tophy granules are formed. ...)

However, if the blood uric acid is normal, it does not rule out the diagnosis, and vice versa, if the blood uric acid is high but there are no clinical symptoms, it does not make the diagnosis of gout. Uric acid should not be used as a standard for definite diagnosis, but it is only meaningful in supporting diagnosis and monitoring in treatment.

2. Subjects prone to Gout
Men (male/female ratio: 9/1) obese, people with metabolic syndrome, heavy alcohol use, eating foods low in purines as listed below.
In addition, it is also common in people with kidney failure, while being treated with some anti-tuberculosis drugs, blood diseases, cancer or prolonged use of diuretics...
3. Symptoms of Gout
Sudden severe painful swelling of one or more asymmetrical joints
Common joints are: big toe joint, other metatarsal joints, knee joints, ankle joints. May joint elbow, wrist, hand finger (less often).

There are two main causes of gout: primary (most cases) and secondaryPrimary:95% of cases occur in men, the common age i...
28/06/2022

There are two main causes of gout: primary (most cases) and secondary

Primary:
95% of cases occur in men, the common age is 30-60 years.

Unknow cause.

Diet high in purines such as liver, kidney, shrimp, crab, egg yolk, mushrooms, etc. is considered to aggravate the disease.

Secondary
Due to genetic disorders (genetic causes): rare.

Due to increased uric acid production or decreased uric acid excretion, or both:

Renal failure and diseases that reduce the glomerular clearance of uric acid
Blood diseases: acute leukemia
Use diuretics such as furosemide, thiazides, acetazolamide, etc.
Use of cytostatic drugs to treat malignancies
Use anti-tuberculosis drugs such as ethambutol, pyrazinamide, ...

Subjects at risk of goutAccording to statistics, about 1 in 200 adults have gout. The disease can arise and progress in ...
28/06/2022

Subjects at risk of gout
According to statistics, about 1 in 200 adults have gout. The disease can arise and progress in any subject, regardless of s*x and age. However, post-menopausal women and men aged between 30 and 50 are more susceptible to the disease. The disease rarely occurs in children and young people.

Risk factors that can influence the development and progression of the disease include:

Overweight and obesity
A diet rich in seafood and protein
Long-term use of alcohol
Gender and age: The disease occurs more often in the elderly and in men
Family history of gout
Hypertension
Excessive weight gain
Recent surgery or recent injury
Impaired or abnormal kidney function
The cause of uric acid accumulation in the body can arise from the use of certain drugs by the patient. Specifically, diuretics, aspirin, drugs that can weaken the immune system such as cyclosporine, chemotherapy drugs.
Body is dehydrated
People with a history of or are suffering from impaired kidney function, diabetes, atherosclerosis, heart disease, infectious diseases, blockage of blood vessels, high blood pressure.

Symptoms of GoutThe crystals of urate salts that accumulate in the joints are the cause of inflammation, swelling as wel...
28/06/2022

Symptoms of Gout
The crystals of urate salts that accumulate in the joints are the cause of inflammation, swelling as well as pain for patients. The accumulation of many urate crystals in the joints causes the joints to swell, in addition, the increase in uric acid in the blood will deposit urate in the kidneys causing kidney stones.

There are two types of gout - acute and chronic:

When suffering from acute gout, patients often present with intense, burning joint pain. These symptoms often appear around midnight or early morning, especially after high protein meals, beer and wine. In painful joints, there is obvious inflammation (swelling, heat, redness, pain). The characteristic in arthritis of gout is that the most common painful joints are ankle joints, toe joints, knee joints and especially big toe joints (in women often pain in finger joints). For acute gout, uric acid in the blood is often elevated.
For people with chronic gout will often have pain in some joints, but not often, but the pain recurs many times. Every time there is pain, sometimes without any treatment, it will go away on its own, that's why elderly people with gout are easily misdiagnosed with degenerative joint disease or rheumatoid arthritis because the symptoms are quite similar.

28/06/2022

How dangerous is gout if not treated in time?

If not treated appropriately, patients will be prone to bone and joint deformities, reduced mobility, even leading to disability, seriously affecting quality of life.

When the tophi particles are broken, the risk of bacterial invasion is very high and causes septic arthritis, sepsis.

In addition, gout also causes kidney stones, kidney failure and affects all other organs in the body.

In addition, many patients use painkillers indiscriminately leading to dangerous complications such as gastrointestinal bleeding, osteoporosis, fractures, diabetes, myocardial infarction, and sudden death.

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