In the golden autumn of October, it is a good season for the chrysanthemum crab. The crab's deliciousness is always irresistible. The data of the relevant aquatic company shows that during the National Day, crabs are used in large quantities in hotel weddings, friends and family gatherings. However, although crabs are good, they are not a blessing for everyone, especially gout patients, because crabs are high-purine foods and patients should eat less or not eat. During the National Day, the Department of Endocrinology of the Southern Medicinal Affiliated Hospital received several patients with gout due to the lack of control of their mouths. One of them was because the family did not like to eat crabs. In order to avoid waste, they even ate 10 crabs and caused gout. In this regard, Xu Na, chief physician of the secreta department, explained in detail the diagnosis and treatment of gout and matters needing attention in daily life.
If you worry about eating too much crabs, gout attack, you can participate in the following standards after going to the hospital to test uric acid values.
15mg/dl (300μmol/L): uric acid uptake value in patients with gout gout;
26mg/dl (360μmol/L): uric acid in patients with non-gouty gout reached the standard value, but also the diagnostic criteria of female hyperuricemia;
37mg/dl (420μmol/L): diagnostic criteria for hyperuricemia in men and postmenopausal women;
48mg/dl (480μmol/L): There are cardiovascular risk factors but no gout attack, began to lower the standard of uric acid drug treatment;
59mg/dl (540μmol/L): no gout attack and cardiovascular risk factors, began to lower uric acid drug treatment criteria;
Hyperuricemia and gout diagnosis and treatment errors
Many people have misunderstandings about hyperuricemia and gout. They are roughly divided into the following points:
1 As long as uric acid is not high, it must not be gout;
2 hyperuricemia does not require treatment without symptoms;
3 Gout needs treatment in the acute phase and no treatment is needed during the remission phase;
4 Uric acid does not require long-term treatment, drugs have side effects;
5 beer can not drink, white wine can drink.
How to treat gout?
The three major trump cards for the treatment of acute gout attacks: NSAIDs, colchicine, and glucocorticoids. Specific usage and dosage please consult your doctor. The uric acid lowering treatment in the remission of gout is mainly used to promote the excretion of uric acid: benzbromarone is the best choice. Please refer to your doctor for specific usage and dosage. Drugs that inhibit uric acid synthesis: allopurinol, febuxostat. The use of allopurinol should pay particular attention to its adverse reactions. About 5% of patients may have severe hypersensitivity syndrome and the mortality rate is 20% to 25%. Uric acid treatment must also be performed with anti-inflammatory drugs, such as small-dose non-steroidal anti-inflammatory drugs or colchicine to prevent gout attacks. Reducing uric acid treatment note: Begin treatment 2 weeks after onset of remission; effect should be as far as possible; more aggressive treatment; treatment starts with a small dose, slowly adjust the dose; related drugs suggest long-term use; pay attention to patient education and follow-up.
What do you need to pay attention to when you have gout?
Director Luna put forward some attentions in the daily life of gout patients. For example, beer and liquor can increase blood uric acid, while proper red wine can slightly reduce blood uric acid; sugary drinks can increase blood uric acid without sugar Beverages do not affect blood uric acid levels; meat and seafood increase blood uric acid, while plant proteins have no significant effect on blood uric acid; Vitamin C and dairy products have a reduced uric acid effect (low-fat milk and low-fat yogurt can reduce gout attack risk) Daily drinking water should exceed 2000ml; proper consumption of vegetables with high purine content does not increase the risk of gout attack.
The chrysanthemum yellow crab fat season needs special attention. Crabs are great cold things. Even healthy people should not eat too much. The best meal is to eat only one meal. For people who suffer from diseases such as gout, hepatitis, cardiovascular disease, cholecystitis and colds, eating a crab may worsen the condition.
In addition to paying attention to diet, gout patients can also improve their condition through exercise. Suitable exercise methods for patients with hyperuricemia include uniform walking, swimming, cycling, Tai Chi, and Qigong. Excessively intense sports, especially sports events that are likely to cause joint impact injuries, should be done as little as possible; competitive, vigorous sports, and excessive physical exertion, such as running, football, basketball, ice skating, hiking, long-distance running, etc. Not suitable.
Director Luna reminded us that the autumn crabs are delicious and delicious. We must do our best. (Xinhuanet Shi Wei Gu Xinfei)
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