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Every April 20th is the "Hyperuricemia Day" and also the "National Attention to Gout Day".
The blood uric acid test is beyond normal, do you have gout?
In fact, it is not. Gout is a long-term acute redness, swelling, heat and pain in the joints caused by the deposition of urate in the joint cavity due to the increase of uric acid, or the deposition of tophi in other soft tissues of the body, or the kidney damage caused by stones in the kidneys.
The natural history of gout can be roughly divided into four stages:
In the 2018 edition of the Evidence-Based Expert Recommendations for the diagnosis of gout updated by the European League Against Rheumatism, the course of gout is divided into preclinical (asymptomatic hyperuricemia and asymptomatic monosodium urate crystal deposition) and gout (ie clinical It is divided into gouty arthritis attack period and interictal period, and chronic gouty arthritis period)
Gout attacks are very sudden and may occur at night or early in the morning, with extreme pain, redness, and burning in the affected joint, and may be accompanied by systemic symptoms such as fatigue or a low-grade fever(Pictured tophi in the foot, via Getty Images)
Can gout be cured?
Gout is difficult to cure, but it is a controllable disease
The main reasons for recurrent gout attacks are irregular treatment and lack of attention to life management.
Because the symptoms during the intermittent period are not very obvious, many patients think that the pain is no longer just fine, and no further treatment is needed
In addition, there are other reasons, such as severe trauma, surgery, certain diseases (such as leukemia, renal insufficiency, renal failure patients), and some drugs (such as aspirin, thiazide diuretics, cyclosporine, etc.) seizures
Standardized treatment
Once diagnosed, treatment should be standardized as soon as possible, regular follow-up and monitoring under the guidance of professional doctors, do not arbitrarily reduce or stop the drug, actively cooperate with doctors to evaluate and optimize the treatment plan, and control the uric acid level at an ideal level for a long time
Healthy living habits can help prevent gout attacks and delay the progression of the disease, as well as manage comorbidities such as diabetes, hyperlipidemia and hypertension
