Prairie Medical Talk: How to avoid hyperuricemia from developing into gout?

The rheumatology and immunology outpatient of the hospital has two patients: Xiao Wang's blood uric acid value is 558umol/L, but the doctor said that he is not gout but hyperuricemia
.
Xiao Li's uric acid value was 389umol/L but was diagnosed with gout
.
What's going on here?

Hyperuricemia: refers to blood uric acid above 420umol/L twice a day
under normal purine diet.

Gout: is a crystal-related arthropathy caused by urate crystal deposition, which belongs to the category
of metabolic rheumatism.

Hyperuricemia is the basis of gout attacks, and patients with gout must have hyperuricemia at a certain stage of the disease (not necessarily acute attack), but hyperuricemia does not necessarily develop into gout
.

Under normal circumstances, the synthesis and decomposition of purines are in a relatively balanced state, and the production and excretion of uric acid are relatively constant
.
When the body has excessive purine intake, metabolic disorders, and decreased uric acid excretion due to various reasons, the uric acid in the human blood will exceed the normal level, that is, hyperuricemia
.
Excess uric acid will precipitate from the blood, form crystals, accumulate in joints, kidneys, subcutaneous and other parts to cause acute and chronic inflammation and tissue damage, that is, gout
.

Early detection, standardized treatment, and long-term monitoring of blood uric acid values in patients with hyperuricemia and gout are essential
.
On this basis, disease control
can also be carried out by improving lifestyle.

1.
High-risk groups such as the elderly, male, obese, first-degree relatives with a history of gout, and people with sitting as their main lifestyle, it is recommended to screen regularly and monitor blood uric acid value
.

2.
Control diet to reduce purine intake: (purine amount< 200mg)

Avoidance: animal liver, seafood with carapace, thick broth, etc
.

Restricted consumption: beef, sheep and pork, fish (< twice a week and in small amounts), etc
.

Recommended consumption: skim dairy products, eggs, fresh vegetables, low-Gi cereals, cherries, etc
.

3.
Quit smoking and limit alcohol, reduce the intake of sugary drinks: men <2 alcohol/day, women <1 alcohol/day, 1 alcohol is equivalent to 12% red wine 145ml, 3.
5% beer 497ml, 40% distilled liquor 43ml).

4.
Overweight people regularly lose weight, reach and maintain normal weight (BMI<25kg/m2)

5.
Maintain sufficient water intake: daily water intake> 2000ml, urine output > 1500ml
.

6.
Exercise regularly and avoid strenuous exercise or sudden cold
.
(150-300 minutes of moderate-intensity exercise per week)

Only by maintaining good living habits can we stay away from diseases and embrace a healthy life
.

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