How to treat gout and how to treat gout

1. Ordinary **.

For most gout patients, gout symptoms are only early and there are no long-term and severe symptoms, therefore, these people can control the gout condition through general**, that is, adjust work and rest and diet structure, try to avoid the increase in uric acid levels in the body, so that gout can be controlled within a good range without severe attacks, and if properly maintained, the patient's gout can slowly improve.

2. Drugs**.

If a person with gout has severe pain attacks, significant deformities in the joints, or red and purple turns during the attack, these are signs that the patient needs medication**. However, since the drugs used for drugs need to reach the patient's joints through the body's metabolic system, the cycle tends to be relatively long, and the patient often takes about half a year to gradually control the condition.

3. Surgery**.

If the symptoms of gout are very strong and cannot be improved with medication**, surgery** is required, and the surgery ** is relatively simple, that is, uric acid crystals and gouty stones in the joints can be removed directly by surgery. However, after surgery, the surgical joint still needs a period of time to return to its normal function, and surgery is risky.

Gout is a metabolic disease, with the change of human lifestyle and dietary habits, the incidence of gout is getting higher and higher, and more and more young people have such problems. Gout is a problem caused by uric acid crystallization due to increased uric acid production and decreased excretion. Some people are caused by a lack of enzymes in the body and a decrease in purine metabolism.

Some may be caused by other problems, such as obesity, hypertension, diabetes and even hyperlipidemia. Here's how to deal with it:

1. Change your lifestyle, exercise appropriately, and lose weight;

2. Change the dietary structure, try to carry out a low-purine diet, reduce the intake of animal offal and soy products, and reduce alcohol consumption, including beer and liquor;

3. Drugs**, some drugs can reduce uric acid production or increase uric acid excretion. Colchicine will be used for pain treatment in the acute phase, because it is larger, and it is now recommended to use it in small doses, and at the same time, it can be used together with non-steroidal anti-inflammatory drugs, that is, non-steroidal analgesics;

4. In particularly severe cases, there are many uric acid stones after joint sedimentation, and they are huge, which require surgical operation, that is, surgical incision and rowing, and cutting and draining tophi.

Disease analysis: The clinical goals of gout include ending the onset of acute arthritis as soon as possible, preventing arthritis, correcting hyperuricemia, preventing and treating 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.

Gout should be carried out from several aspects**: 1. Generally**, you can avoid eating animal offal, seafood, beer, and eat less spinach, cauliflower, lentils, etc. through a low-purine diet. Drink plenty of water, the daily urine output should reach 2000-3000ml, you can use baking soda to alkalize the urine, and keep the pH value of the urine in between.

2. The use of drugs to promote the synthesis of uric acid and the excretion of uric acid, allopurinol is the first choice to promote the synthesis of uric acid, and the drug to promote the excretion of uric acid is benzbromarone. There are others**, if gout pain can be relieved by anti-inflammatory and analgesic drugs, you can also use traditional Chinese medicine or Chinese patent medicine**. Patients with gout can generally choose to strengthen their life management, medications** and other symptoms to alleviate symptoms.

1. Strengthen life management

Gout is a joint disease caused by the deposition of monosodium urate in the body, which may be caused by irregular diet, work and rest, etc., or it may be caused by long-term smoking and drinking, cold and strenuous exercise.

2. Drugs**.

Gout can lead to acute arthritis, if the patient's pain is more severe, you can take ibuprofen sustained-release capsules, diclofenac sodium sustained-release tablets and other drugs under the guidance of a doctor, which can effectively improve the patient's symptoms.

Gout is a lifelong disease, after active and effective **, most gout patients can live a normal life, and patients should also follow the doctor's instructions for regular re-examination after **, so as to understand the recovery of the disease.

Dandelion and it are soaked in water together, diuretic and latong, excrete excess buried bibi uric acid, and prevent gout! Curl.

1. Drugs for gout**.

1.Non-steroidal anti-inflammatory drugs.

After suffering from gout, there are often obvious pain symptoms in the joints, and daily life will be affected, in this case, non-steroidal anti-inflammatory drugs can be appropriately applied**. The main effect of the drug is anti-inflammatory and analgesic, which can relieve the pain symptoms caused by gout.

2.Drugs that lower uric acid.

Patients with gout also need to be treated with urate-lowering drugs**, mainly including drugs that inhibit uric acid synthesis and drugs that promote uric acid excretion. The drugs that inhibit the synthesis of uric acid are mainly allopurinol tablets, and the drugs that promote the excretion of uric acid are mainly probenecid.

3.Drugs that alkalize urine.

Patients with gout can also use drugs that alkalinize urine**, such as salamina tablets, which can alkalize urine and balance pH, so as to promote the excretion of uric acid as soon as possible, so that the symptoms of gout can be reduced. You can also drink some soda water at ordinary times, which can also play a role in alkalizing urine.

2. Home remedies for gout**.

1.Gout hand and foot bath soak.

If you have gout, you can soak your feet for at least 30 minutes at a time before going to bed at night. This method can not only effectively ** gout, but also reduce pain symptoms and promote the dissolution and excretion of uric acid crystals from the body.

2.Drink gout medicinal wine.

Gout medicinal wine needs to use pangolin, angelica, millennium, attached tablets, parsnip and other Chinese medicinal materials, but also need to use wild grape vines wrapped around mulberry trees, soak these materials in an appropriate amount of sorghum wine, soak for a day, and then seal the mouth of the can with plastic film, put it in a pot with water and steam for 15 minutes, and then filter the residue. Drink three dollars in the morning and evening, and it will be effective in two days, which can effectively relieve the joint swelling and pain caused by gout.