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In order to prevent and control the disease in the most effective way, the patient must adhere to a reasonable diet, have regular check-ups, and adhere to a prolonged treatment regimen: The first period of follow-up visits after 2 weeks, then every month, when stable, you can re-examine after 3-6 months.The article is consulted by Master, Doctor Tran Thi Tuyet Nhung, Doctor of Musculoskeletal - Joints, Department of General Internal Medicine - Vinmec Times City International Hospital
Along with other metabolic diseases such as diabetes, lipid metabolism disorders, obesity, gout is increasing in developed countries as well as in Vietnam. If we know how to apply a reasonable diet, adhere to a treatment regimen and closely monitor the disease, we can completely prevent and control the disease.
1. Mechanism of the disease Due to increased uric acid in the blood (> 420mol/l for men and >360mol/l for women, when it increases it will be deposited in organs and organizations of the body. in the form of urate crystals (in the synovial membrane causing arthritis; in the kidneys causing interstitial nephritis, urinary stones gradually leading to kidney failure); bone cartilage: articular cartilage, ear cartilage; in subcutaneous tissues: elbows, eyes fish, pillows form tophy granules...)
However, if the blood uric acid is normal, the diagnosis is not ruled out and vice versa if the blood uric acid is high but there are no clinical symptoms nor the diagnosis of Gout. uric acid as a standard for definite diagnosis, but only meaningful in supporting diagnosis and monitoring in treatment.
2. Subjects prone to gout Men (ratio of men/women: 9/1) Obesity, people with metabolic syndrome, heavy use of alcohol, eating foods that are low in purines as listed below.It is also common in people with kidney failure, while taking some anti-tuberculosis drugs. , blood disease, cancer, or taking diuretics Prolonged... 3. Symptoms of Gout Sudden, severe pain in one or more asymmetrical joints Common joints are: big toe joint, other metatarsophalangeal joint, knee joint, ankle joint . Elbows, wrists, and fingers (less often) can be completely healed within 2 weeks. 4. Treatment of Gout 4.1. Diet - Avoid foods containing a lot of purines: animal organs (heart, liver, oval cavity); smoked pork; seafood (shrimp, crab, salmon, sardines); beans, asparagus, spinach; red meat (buffalo, cow, dog); sour foods (sour fruits, pickled foods) - Avoid drinking beer, strong alcohol, can drink wine (150ml/day) - Avoid using diuretics, cocticoids. - Should drink a lot of water: about 2 liters/day (alkaline mineral water) - Should eat a lot of green vegetables, carrots, cabbage, tofu - Can drink milk, eat eggs, eat white meat, copper fish - Vitamin C 500mg /day - Do not wear shoes that are too tight - In general, an energy-restricted diet because gout is often associated with other metabolic disorders.
4.2. Drug treatment During an acute attack, treat with anti-inflammatory drugs. Long-term treatment with drugs to reduce uric acid in the blood. In order to prevent and control the disease in the most effective way, the patient must adhere to a reasonable diet, have regular check-ups, and adhere to a prolonged treatment regimen: The first period of follow-up visits after 2 weeks, then every month, when stable, you can re-examine after 3-6 months.
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