How do gout patients eat?
Author:Dr. Sun Siqing, Department of Time:2022.08.29
In modern life, there are more and more patients with San Gao, that is, we are familiar with hypertension, hyperlipidemia, and hyperglycemia, and they are also the three major killers of health. While we fight with San Gao, the fourth high has quietly attacked -it is high uric acid (commonly known as gout)!
There are more and more patients with gout now. One of the most questions asking is: What can I eat? What can't you eat?
What is uric acid?
Everyone knows that the core of gout is due to the high level of uric acid.
Uric acid is the end product of purine metabolism in the human body. The synthesis of uric acid is jointly involved by human amino acids, carbon dioxide, ribosphium phosphate, and trice phosphate (ATP). Eased or hytestaline conversion enzymes produce uric acid.
Uric acid is the metabolic "garbage" of the human body. Under normal circumstances, the production and dissolution of blood uric acid are dynamic balance in the body. The human body newly generates 600 mg of uric acid and discharged 600 mg to maintain a balanced state.
What is gout?
Gout is a crystal correlation joint disease caused by a single sodium uric acid deposits in the joints, which is directly related to the hyperuricemia caused by purine metabolic disorders and/or reduced uric acid excretion.
The production and dissolution of hemoglobin is a dynamic balance in the body. When the level of blood uric acid exceeds the saturated dissolving amount in the blood, the increased uric acid will be depressed in the joints in the form of salt crystals.
A little crystal falling can stimulate the inflammatory response of surrounding tissues, causing joint redness, swelling, heat, and pain, severe gout stones, severe pain brings great inconvenience to the patient's daily life Deforms, gout nephropathy, and even renal failure.
High uric acid, why is someone unbearable, but some people have no symptoms?
Where is uric acid sinking and where it hurts!
When the uric acid in the blood reaches a certain high level, it will be deposited in many organ tissues, causing various diseases.
Big toe joints are the end of the human body, and the crystals of acid poison are the easiest to accumulate here. Some people are thumbs and joint pains, which are the same.
But not all patients with high uric acid have gout and other manifestations.
The uric acid is elevated but the body does not have any symptoms. This part of the patient is simply elevated uric acid, and there will be no discomfort and obvious symptoms clinically.
Check why uric acid is not urinating?
Checking uric acid is usually a blood uric acid, which needs to collect venous blood. You can clearly know the increase in uric acid. This is a gold standard.
U uric acid reflects the ability of uric acid excretion of the kidneys. It cannot show the level of uric acid in the blood. You can only understand that the decrease in uric acid excretion or the increase in uric acid production.
If it is already patients with hyperuricemia or gout, it is recommended to check both blood uric acid and uric acid.
Drug treatment of gout
The first -line therapy for gout is non -steroidal anti -inflammatory drugs (NSAIDS), autumn water seserine or short -term oral glucocorticoids. At the same time, patients' common diseases, joint prescriptions and preferences must be considered.
Patients with gout, while taking prescriptions, apply ice packs (cold therapy) in the lesion parts may help relieve pain.
It is recommended to go to the hospital for treatment and take medicine under the guidance of a doctor.
How to maintain normal uric acid?
1. Regular diet, refuse overeating, encourage the intake of dairy products and fresh vegetables, rationally match meat, eat less animal organs (such as liver, kidney), eat less greasy and too salty food.
2. Drink 2000-3000 ml daily,
3. Limit the intake of alcohol and high purine and high fruit sugar diet;
4. Rest regularly, do not stay up late, the nervous system is too excited to cause uric acid to produce more;
5. Control weight and avoid obesity;
6. Regular exercise to avoid strenuous exercise
7. It is not recommended or limited to the intake of soy products.
What can gout patients eat?
Gout is related to lifestyle and diet structure. High uric acid indicators indicate that there is a problem with the metabolic transformation of body purine and uric acid.
Patients with gout usually eat less purine foods:
1. Seafood, animal viscera, various broths, and processing foods such as sausages, bacon and various beverages.
2. Oyster sauce, abalone juice, seafood sauce, shiitake sauce, concentrated chicken sauce and other food seasonings;
3. Fruit sugar drinks and freshly squeezed juice, but you can eat fruits. It is advisable to consume 200-400 grams per day.
4. Try to avoid drinking strong tea, coffee and other beverages to prevent aggravating and inducing acute gout;
5. Beer contains a certain amount of purine, alcohol can also promote purine absorption, which will add heavy gout;
6. Shiitake, soybeans, lentils, laver, etc. are fasting during the acute period of gout.
7. Patients with gout should be more thin and thick, because the purine content in coarse grains is higher than fine grains.
This year, the British National Institute of Health and Clinical Optimization (NICE) released the diagnosis and management guide of gout states that there is no sufficient evidence that any specific diet can prevent seizures or reduce blood uric acid levels. It is recommended to follow a healthy and balanced diet.
in conclusion:
The management of gout lifestyles is also important,
The first is diet control, reduce drinking, exercise, obese people to reduce weight, etc.;
The second is to control gout -related accompanying and risk factors, such as hyperlipidemia, hypertension, hyperglycemia, obesity and smoking.
In terms of diet, animal foods with high purine are limited, such as animal organs, shells and sardines, etc., reducing the intake of medium purine foods.It should be emphasized that dietary control cannot replace uric acid treatment.
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