Reporter Yang Weiran correspondent Zhao Hong Hu Cuixi
Instructor Professor Yan Huitao, the First Affiliated Hospital of Hunan University of Traditional Chinese Medicine
Core tips
In the autumn, the appetite is wide open, and many people are busy with "sticking autumn qi" and "winter replenishment" in order to keep fit.
Experts remind that for gout, hyperuricemia and hypertension, hyperlipidemia, diabetes and other patients, if you do not taboo, eat chicken and duck fish, autumn crab and other cream flavor, may induce gout.
About 95% of gout patients are male
"Gout is a rheumatism caused by a disorder of purine metabolism." Kwong Huitao describes clinically hyperuricemia with recurrent gout acute arthritis, tophi deposition, gout chronic arthritis and joint malformation, and kidney disease. Substantial lesions of the globules and renal tubules and uric acid stones are the main features. Gout occurs in the middle-aged and elderly people. The population aged 30 to 50 is high-risk, about 95% are male, and 5% are female after menopause. The incidence rate for males and females is about 20:1.
Gout is generally divided into four phases, namely asymptomatic hyperuricemia, acute phase, intermittent phase and chronic phase. The clinical manifestations are as follows:
Acute gouty arthritis, "under no pain," most patients without obvious signs before the attack, or only fatigue, general malaise and joint tingling. Typical episodes are often awakened in the middle of the night due to arthralgia, and the pain progresses progressively. It peaks at about 12 hours, and is tear-like, knife-like, or bite-like. It is unbearable. Multiple joints may be involved at the same time, manifesting as polyarthritis. Pain can be relieved in a matter of days or within 2 weeks.
During intermittent attacks, the pain repeated and became more and more frequent. Chronic gout lesions, joint deformities, stones.
[Health Care Guide] Diet Rehabilitation: Strictly control the diet, fasting with fat, spicy and spicy foods, especially avoid eating high-purine foods such as animal organs, sardines, beans and fermented foods; strictly prohibit alcohol, especially beer Drinking more water, drinking more than 2000 ml of water per day; nutrition principles should be in accordance with the "high carbohydrate, medium protein, low fat" principle of allocation; eat more fruits and vegetables rich in vitamins and cellulose, moderate consumption of protein-rich Foods such as fish, eggs, milk, etc.
Psychological adjustment: Regulate the anxiety, restlessness, irritability, anxiety, insomnia and other symptoms caused by pain and limitation of movement. Maintain mentality and peace, optimism, and actively cooperate with doctors.
15-year-old boy actually suffers from gout
What kind of crowd is more gout? Yan Huitao pointed out that in obese people, the average weight of gout patients exceeds the standard body weight of 17.8%. The larger the body surface area, the higher the serum uric acid level. In hyperlipidemia, nearly 80% of gout patients have hyperlipidemia. In hypertensive people, about 25% to 50% of patients with gout are accompanied by hypertension. Among untreated hypertensive patients, those with elevated blood uric acid are 58%. Atherosclerosis and diabetes are also more complicated with gout.
The main cause is diet, eating high-purine foods such as seafood, beer, animal organs, soy products. In addition, exogenous cold, heat, excessive emotional excitement, excessive sexual activity, excessive fatigue, surgery, trauma, joint sprains, etc. are also the causes.
“The youngest patients with gout admitted to the clinic are only 15 years old and have had onset for 2 years.†Yan Huitao believes that in modern life, young people are busy with work, have great stress, and have poor living habits. Drink beer is not calculated by bottle, but a box of a box to drink, work during the day, the Internet at night, more entertainment, often eat supper, sexual life, etc., are all factors that lead to the onset of gout.
[Health guide] Moderate exercise: such as walking, jogging, cycling, swimming, Tai Chi and other aerobic exercise, can adjust the breathing, circulation and nervous system function, relieve tension in patients, but also enhance the body's immune function, which will help Gout treatment and rehabilitation.
Living conditioning: to prevent excessive fatigue, do not stay up all night, not excessive and strenuous exercise, work and rest; control sexual life, especially in elderly patients with gout or accompanied by renal impairment should pay attention; try to avoid trauma and so on.
Active treatment of its complications, such as hypertension, coronary heart disease, diabetes, kidney disease, etc., to prevent mutual influence and vicious circle.
Purine high food
Dogs, pigs, cows, mutton, ham, sausages, chickens, ducks, geese, rabbits, as well as various animal viscera (liver, kidney, heart, brain), bone marrow, etc., have high purine levels and should try not to eat or eat less.
Fish, shrimps, spinach, beans, mushrooms, mushrooms, toon, peanuts, etc. also have a certain amount of purine.
Purine low food
1. Main food categories: rice, wheat, noodle products, small powder, bran, macaroni, potato, sweet potato, hawthorn and so on.
2. Milk: milk, cheese, ice cream, etc.
3. Foraging: eggs and pig blood, chicken and duck blood.
4. Vegetables: Most vegetables are low-purine foods.
5. Fruits: Fruits are basically low-purine foods, but they are still not large enough.
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