The gout patients should do and should avoid

Gout (gout) is a joint disease caused by purine metabolism disorders in humans, originated from the increased destruction of acid the waste reduction of uric acid or outside cause increased uric acid in the blood, which consequently cause the inflammation of the joints, causing the tophy, which causes kidney stones, causing kidney failure. Gout can be controlled well with medication regularly and continuously, in collaboration with the living. Because it is a progressive disease, must be treated continuously to avoid a recurrence, the patient needs to be long-term follow-up by the

Illustrations

Gout is a joint disease caused by purine metabolism disorders in humans, originated from the increased destruction of the acids of the cells and/or reduce the uric acid test through the kidneys, causing increased uric acid in the blood, which consequently cause the inflammation of the joints, causing the tophy, causing kidney stones, kidney failure. Gout clinical features are quite distinctive, relatively easy to identify, if observed carefully (especially in the early years of the disease) such as:

· Common in males (over 95%), healthy, stout

·Starting at the age of 35 to 45 (the late Tuesday and early Wednesday)

·Onset sudden, major happenings, between the waves of pain from joints (the early years)

·The starting position is usually the joints in the lower limbs, especially your fingers I feet (70%)

·Nature and intense pain, swelling, sudden in a match, asymmetry and resolves after 3-7 days. In the late stages of expression in many joints, may be asymmetric, appear the Protuberance (tophy) in many places especially around the joints. In the acute phase can include body signs such as fever, chills, sometimes marked with the meninges (the hard neck, or ...)

·There may be other patients of hypertension, diabetes, cholesterol disorders ... attached.

Treating gout aims to reduce pain to reduce inflammation (acute osteoarthritis) reduce and maintain blood levels of uric acid in the normal range to avoid the recurrence of arthritis, protecting the kidneys from kidney stones and renal function impairment.

1. About the diet

To lower uric acid blood should eat foods rich in purines (contains many cell nuclei acids) like the heart, liver, kidney, brain, egg roll, fish, mullet. This is the kind of food that is rich in protein.

However, protein is a key ingredient in the nourishment of all ages particularly in persons with age. So, unable to complete removal of the protein in the diet on a daily basis but do not exceed the necessities of the body's protein.

In adults the need for protein is 1 g/kg of bodyweight per day (this demand will increase in some special body status: pregnant, straining, ill.).

Food: shrimp, crab, scallop, snail, Corbiculidae, frogs, freshwater fish, birds, eggs, meat, vegetable protein, marine fish in General. are no absolute deity. Free of stars, the amount of protein from the foods that do not exceed the daily necessities.

Do not drink alcohol, limit beer drinking, not eating.

Pork leg, is the kind of food that contains a lot of fat (lipids), without health benefits who are old, not eating regularly, particularly when patients with disorders of the lipid composition of the blood (Cholesterol, Triglycerides, HDL, LDL-C, bLipoproteine-C, VLDL-C.)

Should enhance the eating vegetables, drink lots of water, drink the mineral water has a lot of gas (bicarbonate) due to alkaline urine and Bill would increase the glomerular filtration rate, the excess uric acid waste out.

The table below is the amount of protein present in some common foods

Food (100 g)

Amount of protein (Grams)

Fresh cow milk

3.9

Sweetened condensed milk

8.1

Sour milk

3.7

Soy milk

3.9

Cheese

10-20

Fresh chicken eggs

11.6

Fresh duck eggs

14.2

Lean beef

20

Lean Buffalo meat

21.9

Lean rabbit meat

21.5

Lean pork

19

Chicken boneless

22.4

Lean duck meat

17.8

Goose meat lean

18.4

Frog meat

20.0

The SNAKEHEAD fish

18.2

CARP meat

16.5

Catfish meat

16.5

Eel meat

20.0

Shrimp meat

18.4

Sea crab meat

17.5

Tofu

10.9

Peanut (details)

27.5

Soy beans

34

Green beans

23.4

Sesame seed (sesame)

20.1

2. About the use of

The anti-inflammatory pain medication is only used when there is severe arthritis, which aims to cut the inflammation as early as possible. As little use as possible because of the side effects of the drug will increase according to the number of drugs used, duration of use and the age of the patient.

To treat the root of the result (which causes the inflammation of the joints, causing kidney stones, renal insufficiency.) of the disease need to reduce blood levels of uric acid by uric acid synthesis inhibitors medications and/or other drugs that increase uric acid waste out, the drugs reduce blood uric acid would have to use the long (years)using a continuous, not interrupted. Dosage and medication do doctors treat options and adjusted depending on the blood uric acid, age and health status of the patient. The goal of the use of this drug is to reduce blood uric acid to normal levels and maintain that level for long, warrant being deposited creatinine in the body: the joint (causing recurrent inflammation of the joints), kidney (causing kidney stones or kidney failure) ...

Meglumine (drug is Zyloric) is very often used to lower blood uric acid, because the drug inhibits uric acid synthesis.

In addition to taking the pills increase the uric acid waste through the kidneys as Probenecide, Sulfinpyrazone, Urate stones busting drugs (Piperazine Nuggets Midy), making the destruction of Uric acid (Uricozyme). but the need to pay attention to the indications of the drugs.

In the above age 60, Meglumine is usually chosen uric acid, which lowers the blood.

Drugs that reduce uric acid are required to use continuously for many years because it was the prevention of a recurrence.

Blood uric acid must be reduced to normal levels (below 5 mg% or below 300 (mol/L) and maintain this level with medication and diet. Periodic monitoring of uric acid in the blood, liver, kidney function is essential to the physician and adjust the dose accordingly and to track the influence of the medication to the patient's body.

When using Meglumine

-Try to avoid using antibiotics Group (Lactam (Penicillines group, especially Ampicilline and Amoxyclin) as Meglumine raises the possibility of allergy to antibiotics several times).

-Caution when taking the pill men (especially Captopril) because this drug increases the likelihood of allergies with Meglumine.

-Do not use Corticosteroids long and Aspirin for two drugs damage to disease and cause increased uric acid blood.

-Do not use the thiazide diuretics for preventing urinary uric acid through waste and increase the likelihood of allergies Meglumine.

When to use misoprostol may take is Paracetamol.

When the infection antibiotic treatment, patients should tell the doctor you are using Meglumine and physicians will use antibiotics in other groups such as: Erythromycine, Rovamycin, Tetracycline, Bactrim, Pefloxacin, Norfloxacin, Ofloxacin, Ciprofloxacine,.

The diuretic, diuretic, female herbal remedies may be used. The diuretic herbs usually increases translate to increased glomerular filtration rate, renal, and/or alkaline urine, do not waste salt. to facilitate the treatment of uric acid, (especially the area xakê). Can be combined with drugs to enhance and consolidate the results of treatment. Most cases also reduced the dose to be used

3. mode of living

A hot foot bath is helpful, able to do often, but do not use hot water, nor should it dip at are inflamed.

The bath, sea bath is very good, this is totally different from the cold rain beams or sudden chills.

Avoid exertion, avoiding stress, avoid excessive wake up late, avoiding the cold beams of cold rain.

To maintain an exercise regime, regular, moderate effort.

When chronic diseases need to have regular exercise regime, combined with physical therapy and rehabilitation to avoid muscle atrophy, joint stiffness and limited.