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China's gout patients are increasing rapidly at an annual growth rate of 9.
Originally sick is not comfortable, but also misled by some rumors, gout friends are really too "south".
Today, Youyou has compiled 20 gout rumors, hoping to help
Myth 01: Drinking beer is prone to gout, drinking liquor is fine
The metabolism of alcohol will affect the excretion of uric acid by the kidneys, and can also accelerate the synthesis of purines and further increase uric acid, so wine must not be drunk, whether it is white wine, red wine or beer
The likelihood of gout induced by different liquors is ranked by aged rice wine > beer > ordinary rice wine > white wine > red wine
Myth 02: If you can't drink, just drink it
The effect of fructose on uric acid is even comparable to
On the contrary, many studies have confirmed that coffee is conducive to excreting uric acid, and the more you drink it, the more obvious
But the coffee studied didn't have added sugar and creamer, which is not in line with the habits
Therefore, there is no need to deliberately cultivate the habit of drinking coffee, as long as you know that it is harmless to high uric acid
Even a very strict "taboo" can only reduce the uric acid value by about
Myth 05: Beans and soy products are high in purines and should be fasted
Although beans are high in purine content, the effect of promoting kidney excretion of uric acid is more significant
In the same way, those so-called high purine vegetables, what spinach, cauliflower, almost no effect on uric acid, but can help lower uric acid, rest assured to eat
Myth 06: After getting gout, it has no connection with seafood
The purine content of different seafood products varies greatly, and the content of purines such as sea cucumber, jellyfish and seaweed is low, and gout friends can eat it
Myth 07: High uric acid is bound to get gout
In general, about 10% of people with hyperuricemia develop gout
Myth 08: Checking uric acid normally during a gout attack indicates that I am not gout and that I am misdiagnosed
Although uric acid is high in most patients with gout, some patients have normal
(1) During the attack, the body makes some rapid reactions and reduces the uric acid level
(2) The pain during the attack is unbearable, and the patient reduces the behavior that causes high uric acid, such as stopping eating high purine food and bed rest
.
Myth 09: Gout attack, use penicillin, cephalosporin to reduce inflammation
Gout is caused by urate crystals, a group of sterile inflammations, while penicillin cephalosporins are both antibiotics and are bactericidal
.
The use of bactericidal drugs to treat inflammation that is not caused by bacteria is not only not symptomatic, but also the abuse of antibiotics
.
Some people say that I hung up the cephalosporin for a few days, and the gout is indeed better? Either you use painkillers while hanging on the cephalosporin, or because gout is originally a self-limiting onset process, and if you don't treat it, most people can get better
on their own for a week or so.
The anti-inflammatory drugs mentioned at the time of gout attacks are actually "nonsteroidal anti-inflammatory drugs", including eicoxi, celecoxib, futaline, ibuprofen and so on
.
It is a three-point poison of medicine, and this sentence is correct
.
But why should we take medicine? It is because the harm caused by the disease to the body is far greater than the "three poisons"
of drugs.
High blood pressure is well controlled, the problem is not big, the control is not good, the cardiovascular and cerebrovascular accidents will die, diabetes is also, gout is no exception
.
Long-term high uric acid, not only prone to repeated attacks of gout, but also may cause joint destruction, tophi formation, gouty nephropathy, kidney stones, etc.
, and may also lead to joint deformities and uremia
.
In fact, the side effects of commonly used drugs have been studied more thoroughly, as long as they are regularly monitored, the vast majority of cases are no big problem, at least much
safer than letting the disease develop.
Don't compare with people who don't need to take medicine, accept the fact of being sick, in order to treat and treat the disease
with the right mindset.
420 μmol/L, generally refers to the maximum solubility
of uric acid at a body temperature of 37 °C.
But many joints of the human body, due to skin and bones, in the natural environment, the temperature is often lower than the body temperature
.
In order to avoid the deposition of urate, or even to gradually dissolve the already deposited urate crystals, it is necessary to stabilize the uric acid below 360 μmol/L for a long time, and for some patients with severe gout, it needs to be reduced to less than
300 μmol/L.
As the fourth highest, hyperuricemia is also a chronic disease, and the vast majority of patients need to take medication
for life.
Many friends stop the drug as soon as they see that uric acid is normal, and then immediately rebound
.
This repetition has a greater
impact on the body.
Follow the doctor's advice, the doctor will adjust the dose according to your situation, do not make your own decisions
.
At present, colchicine is still a relatively classic drug
for controlling the acute onset of gout.
In the past, the side effects of colchicine were large, and one possible reason was that the dosage was too large
.
At present, Chinese and foreign guidelines believe that small doses of colchicine play a similar role as large doses, but greatly reduce the occurrence of side effects
.
Myth 13: Gout is to stop the pain when the attack is on the line, do not attack and do not use medicine
Gout attack is an acute inflammation induced by urate crystals, pain relief only suppresses the inflammation, uric acid levels remain high, urate crystals are still deposited into the joints, so once there are precipitating factors, it is also easy to have gout attacks
.
Rumor 14: Drinking tea can lower uric acid, and a certain brand of tea has a miraculous effect of lowering uric acid
Due to the wide variety of tea leaves, it is difficult to study their effects on
uric acid uniformly.
However, existing research believes that tea does not have much elevating effect on uric acid, nor does it have a significant reducing effect
.
If you use tea to increase the amount of active water you drink, it is a good idea, but if you fry the concept and make black money, you should expose it
.
Myth 15 : The "all-natural" folk remedy works well and can be used for a long time
The effect is good, mostly mixed with hormones
.
The doctor gives you hormones, generally for three or five days, and the side effects are within the controllable range
.
However, many of the "folk remedies" you have heard and done are black-hearted traders who have seized the patient's "psychology that just stopping the pain is a good medicine" and performing deception
.
Don't be superstitious about what is pure natural, poisonous fungus is also pure natural, don't eat
everything into your stomach.
Myth 16: Gout attack, redness, swelling, heat and pain, hot compresses to soak the feet, blood activating drugs
It's also too
yourself.
Hot compresses and blood in the acute phase of gout will only make the inflammation heavier and more painful
.
Either don't toss, raise the affected area to rest in bed, or ice or take medicine
.
When there is a large joint effusion, this is indeed a way to
relieve symptoms.
But the premise is that it must be disinfected strictly
.
Cases of purulent joint infection due to effusion are not uncommon
.
Gout does not matter, take medicine and pass, but once the joint is infected, it is catastrophic
for joint function.
To draw the liquid, go to the regular hospital, do not repeatedly draw the liquid! Often walk by the river, where there are shoes that are not wet
.
Also, after smoking, pressurized and bandaged
.
First, the founder of the acid-base physique theory has long been indicted and convicted in the
United States.
Secondly, whoever says that he can cure gout, guarantees what he does, and directly identifies him
as a liar.
Excessive exercise is also a major trigger for gout attacks
.
Sweating concentrates blood, increases lactic acid production after strenuous exercise, fatigue and injury at the lesion site, all of which can cause elevated blood uric acid, inducing and aggravating gout
.
Medium and low intensity, regular aerobic exercise is more suitable for gout friends
.
For example, jogging, cycling, walking, swimming, square dancing, etc
.
During and after exercise, it is necessary to replenish water in time to ensure adequate urine output
.
Directly above:
Look where you are, no matter what, lifestyle interventions must be carried through.
Every gout person is a "wind warrior", and I hope that these 20 rumors will help you cut through the thorns on the road to fight gout
.
Under the premise that there is no major breakthrough in the current level of gene therapy in humans, gout cannot be cured, but as long as it is properly controlled, it is possible to live
like a normal person.