How to treat gout? How is gout treated?

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Gout is caused by kidney problems, right? I haven't seen the medicine you mentioned, but I've seen a cure.

Gout, also known as "hyperuricemia", is a disease caused by the accumulation of uric acid due to purine metabolism disorders, and belongs to a type of arthritis, also known as metabolic arthritis. --In view of the pathogenesis of gout, the herb tea is finely compatible, the high-quality precious medicinal materials are selected, and the high temperature extraction is used to ensure the efficacy of the active ingredients of the drug without loss. Compared with Western medicine, it pays more attention to starting from the lesion and adopting a step-by-step method to achieve the goal of treating both the symptoms and the root cause of gout.

Precautions for gout:

Drink more water, drink less soup, high blood uric acid and gout patients should drink more plain water, less broth, fish soup, chicken soup, hot pot soup, etc. Drinking more plain water can dilute uric acid, accelerate excretion, and reduce the level of uric acid. The soup contains a large amount of purines, which not only does not dilute uric acid after drinking, but causes uric acid to increase.

Reduce the intake of foods high in purines, such as animal offal; seafood such as sardines, mackerel, scallops; Meat; Legume; Certain vegetables such as cruciferous, luxun, spinach, mushrooms. Avoid drinking thick soups, old soups, gravy soups. Eat more fruits and vegetables, which contain antioxidants such as cherries, stoirs or red plums, which can help lower uric acid in the body, avoid uric acid crystals, and reduce inflammation.

Enhancing body therapy and physiotherapy, the body treatment focuses on stretching and flexing, and the physiotherapy includes hot compresses, hot baths, and ultraviolet massage to increase blood circulation to the joints. Regularly review uric acid, blood image, liver and kidney function, and add hepatoprotective drugs if necessary. Prevent mood flustering, cold hunger, infection, trauma and other elements to avoid disease**.

Prevent the use of pyrazinamide, ethambutol, diuretics, and salicylic acid drugs to avoid secondary hyperuricemia.

At present, there is a traditional Chinese medicine drink based on the formula of traditional Chinese medicine, although the ingredients in it are all traditional Chinese medicine, but it is also the same source of medicine and food, and it cannot be regarded as traditional Chinese medicine. The formula is Poria cocos, fresh reed root, coix seed, yellow mustard seed and peach kernel five flavor medicines, you can take this recipe to consult the local old Chinese medicine doctor, and then increase or decrease according to your personal situation. You can also wait for a while, this traditional Chinese medicine drink is recently doing the third test before mass production and marketing, and now it has come to an end, there is a high chance of 3 months of acid reduction is basically not, and it is currently being further tested whether there are any adverse reactions to various populations.

If you're interested, you can keep an eye out for it.

The method of gout** is as follows:

1. Pay attention to water intake, low-purine diet, and abstain from alcohol, sugary drinks, animal offal, thick soup and other foods;

2. In the acute stage of gout, pay attention to rest and do not exercise vigorously, so as not to damage the injured joints again;

3. After the acute stage, it is necessary to continue to use urate-lowering drugs to make the blood uric acid meet the standard and reduce the onset of gout;

4. Patients with a long history of gout need surgery if they have chronic gouty arthritis or tophi.

Gout is mainly to control the diet, can not eat seafood, or should go to the hospital for a check-up, high uric acid is easy to suffer from gout.

The root of gout lies in hyperuricemia, as long as the blood uric acid level is controlled within the standard range for a long time through dietary control, drinking Fengcao tea conditioning, etc., the urate crystals deposited in the joint cavity will gradually dissolve, when it is dissolved, if the patient's blood uric acid level is still well controlled, no new crystals are produced, and gout will almost no longer attack. At this time, it can be considered that the gout has been broken and has been **.

As long as there is a principle of taboo food for gout patients, high-purine diets should be absolutely avoided. For example, seafood, all seafood, old fire soup, and soybean products, such as tofu, soy milk, bean curd and other soybean products, as well as fruits and fruit juice drinks with high fructose content, these are all foods that patients with hyperuricemia or gout cannot eat. Specific to daily life, we should also pay attention to avoiding foods that are easy to induce gout attacks, such as pickled products, particularly spicy things, and red meats, such as beef and mutton, which are actually not good for patients with high uric acid, so these are to be avoided.

Eggs and milk can supplement protein, and the purine content is low, which is suitable food for patients.

The clinical goals of gout include stopping the onset of acute arthritis as soon as possible, preventing arthritis**, correcting hyperuricemia, preventing complications caused by urate deposition in the kidneys and joints, and preventing the formation of uric acid kidney stones.

1. Drugs**.

1) Non-steroidal anti-inflammatory drugs: It is usually effective in relieving joint pain and swelling, and commonly used drugs include indomethacin, diclofenac, etoricoxib, etc. Nonsteroidal anti-inflammatory drugs should be continued for a period of time after pain and inflammation have resolved, in case symptoms recur or arthritis occurs due to a rapid drop in serum uric acid due to the use of urate-lowering drugs.

2) Colchicine: It is a traditional ** drug, in the acute attack of gout, it is recommended to use low-dose colchicine alone for those who have contraindications to non-steroidal anti-inflammatory drugs, which is effective and has few adverse reactions, and the effect is better when used within 48 hours. At present, it is not advisable to take large doses of colchicine because excessive doses can cause diarrhea, liver damage, or low white blood cells***.

3) Glucocorticoids: mainly used for non-steroidal anti-inflammatory drugs, colchicine** ineffective or contraindicated, renal insufficiency, in the acute attack of gout, short-term glucocorticoids alone, its efficacy and safety are similar to non-steroidal anti-inflammatory drugs. In addition, other analgesics, rest, splinting, and ice may be used to reduce pain.

2. Interictal and chronic phases**: For patients with frequent attacks of acute gouty arthritis and chronic gouty arthritis or tophi, uric acid lowering should be carried out to control the patient's blood uric acid level in the range of 300 350 mol l, which is helpful to alleviate symptoms and control the condition.

1) Allopurinol: adverse reactions include gastrointestinal symptoms, rash, drug fever, elevated liver enzymes, bone marrow suppression, etc.

2) Febuxostat: It can be used for patients with mild to moderate renal insufficiency, and the adverse reactions mainly include mild liver function abnormalities.

3) Benbromarone: adverse reactions include gastrointestinal symptoms, rash, renal colic, granulocytopenia, etc., and rare and severe hepatotoxicity.

4) Probenecid: It can inhibit the active reabsorption of urate in the proximal convoluted renal tubule, increase the excretion of urate and reduce the concentration of urate in the blood, alleviate or prevent the formation of urate nodules, reduce joint damage, and can also promote the dissolution of urate that has been formed, and it is forbidden for those who are allergic to sulfonamides.

2. Surgery**.

If necessary, surgery such as tophi removal can be chosen** to avoid joint deformation caused by long-term development. However, at present, the indications, contraindications and specific surgical methods for the exclusion of surgery** have not been completely unified. The indications of surgery should be strictly standardized, the pros and cons should be weighed, and the risk of short-term and long-term complications after surgery should be reduced while ensuring the best effect.

The treatment of gout includes general lifestyle interventions, as well as medications for acute attacks of gout. Generally** includes dietary control, avoiding the intake of high-purine foods, such as animal offal, seafood products, thick broths and other things as little as possible, in addition to avoiding overeating, avoiding alcoholism, overwork, mental stress, etc. If the patient is complicated by dyslipidemia, diabetes, hypertension, etc., these diseases will be repeated.

Once gout is acutely attacked, in the acute arthritis stage, only symptomatic pain relief can be given in the acute stage, such as the use of non-steroidal anti-inflammatory drugs, colchicine, if not the top, glucocorticoids can also be activated. After the acute phase of gout has passed, drugs** mainly include drugs that inhibit the production of uric acid and drugs that promote the excretion of uric acid, so as to reduce uric acid to a relatively safe level and minimize the acute attack of gout.

Classification Reserves: Healthcare.

Analysis: 1) Don't eat foods rich in purines: Gout is caused by purine metabolism disorders, so gout patients should not eat this kind of food, so as not to induce gout.

Foods rich in purines include: all kinds of animal offal, meat soup, the first kind of meat of each imitation friend, bone marrow, marine fish (especially windtail fish, sardines, etc.), shrimp, crab, sea vegetables; All kinds of legumes (especially peas), peanuts, spinach, cauliflower, mushrooms, brown rice, semolina, whole cereals, etc. should be prohibited. 

2) Control protein and fat intake: Gout is closely related to obesity and hyperlipidemia, so actively controlling fat and protein intake has a positive significance for preventing gout attacks. The patient's diet should be based on a light, alkaline vegetarian diet, and more milk and eggs with lower pururine content can be eaten.

Protein intake in patients with gout should be limited to less than grams per kilogram of body weight per day. The intake of fat should be controlled below 60 grams per day, and it is forbidden to eat animal oil. 

3) Drink more water and avoid dryness **Food: Patients with gout should pay attention to drinking more water at ordinary times, and do not wait until they are thirsty to drink, which is conducive to the discharge of uric acid. Because tobacco, alcohol, strong tea, coffee, chili pepper and other foods can induce or aggravate gout, they should be prohibited.

What should gout patients pay attention to when drinking water?

Patients with gout are required to drink plenty of water in order to increase urine output and promote uric acid excretion. Proper drinking of water can also reduce blood viscosity, which has certain benefits for the prevention of gout complications (such as cardiovascular and cerebrovascular diseases). However, it is necessary to pay attention to scientific drinking water and reasonable drinking water. The following points are available for reference:

1) Drinking habits: We should develop drinking habits, insist on drinking a certain amount of water every day, and do not usually skip drinking and temporarily overdrink.

2) Drinking time: Do not drink a large amount of water within half an hour before meals and immediately after fullness, which will dilute digestive juices and stomach acid, affect appetite and hinder digestive function. The best time to drink water is between meals, in the evening and early in the morning.

Evening refers to the period from 45 minutes after dinner to bedtime, and early morning refers to the period from waking up to 30 minutes before breakfast.

3) Drinking water and thirst: The habit of ordinary people is to drink water only when they are thirsty, gout patients should take the initiative to drink water, and can not wait for thirst to drink water, because the body is already in a state of water shortage when the thirst is obvious, and drinking water at this time has a poor effect on promoting uric acid excretion.

4) Drinking tea: Many people in China usually like to drink tea, gout patients can drink tea instead of drinking boiled water, but tea contains tannic acid, which is easy to combine with iron in food to form insoluble precipitate, which affects the absorption of iron. In addition, the tannic acid in tea can still be combined with certain proteins to form tannic acid proteins that are difficult to absorb.

Therefore, if you drink tea immediately after a meal, it will affect the absorption of nutrients and easily cause iron deficiency anemia. A better way is to start drinking tea 1 hour after a meal, and it is advisable to use weak tea.

In the acute phase of gout, it is generally based on rapid pain relief, and colchicine and various non-steroidal drugs can be selected. Commonly used non-steroidal drugs, such as ibuprofen, celecoxib, loxoprofen, diclofenac sodium, etc. If there are contraindications to the above drugs or adverse drug reactions cannot be tolerated, hormonal drugs can also be used**.

However, hormonal drugs need to be reduced slowly after the disease is controlled, and if the dose is reduced too quickly, it may lead to recurrence of the disease, and hormone drugs should be used with caution in some diabetic patients and patients with severe infections. In addition, in addition to the use of drugs**, it is also necessary to strictly control the diet, such as not drinking alcohol, not eating seafood, not eating animal offal and other foods that are too high in purines. In the remission period of gout, the blood uric acid should be continuously lowered, only if the uric acid will be within the normal range, can the gout continue to be avoided, and urate-lowering drugs such as febuxostat, benzbromarone, etc.

The appropriate drug should be selected according to the type of hyperuric acid in the patient**.

The main reason for gout is to pay attention to your diet and not eat foods that are high in the color of the gout.

Trapped mountain annex.

The first method of gout is mainly two stages, the first stage is to control acute Hongling inflammation; The second stage is to lower uric acid, preventing the continuation of gout**.

The main disadvantage of reducing inflammation is to use three drugs, the first is a non-steroidal anti-inflammatory drug, the common loxoprofen sodium. The second is colchicine, colchicine tablets are recommended to be used in the early stage of the disease, preferably within 24 hours, and the effect will be better. The third drug is hormones, which are used relatively rarely, but it works relatively quickly, and hormones can be used orally, or intramuscular injections of hormones, because it is relatively large, so try to avoid using it.

In particular, patients with high blood pressure and diabetes mainly aim to reduce uric acid levels and prevent the continuation of gout**. In addition to lifestyle changes, it is necessary to carry out drug ** to lower uric acid. However, if uric acid can be controlled at normal levels through lifestyle changes, there is no need for medication.

There can be two types of uric acid-lowering drugs, one is a drug that lowers uric acid synthesis, and the other is a drug that increases uric acid excretion. There are also many types of such drugs, and you can choose according to your own situation.

1. To control acute inflammation, there are three main drugs, including non-steroidal anti-inflammatory drugs, colchicine tablets, and hormones; Clause.

2. To reduce uric acid and prevent gout from continuing**, patients can adjust their diet and lifestyle first; If it doesn't work, medication is required**.