Seafood with beer watching the game day and night grief wrapped around you so that "crazy"

Seafood with beer gout followed

【Outpatient Case】

Seafood with beer gout followed

During the summer, it coincided with the European Cup. Many fans took beer as water, seafood stalls were full of friends, coupled with high temperatures, sweating, if not drinking water in a timely manner may lead to blood concentration, increased uric acid levels. Caused the onset of gout in summer. It is reported that in China, the number of patients with hyperuricemia is about 130 million, and the prevalence of gout in the general population is about 1.1%. Gout has become the second largest metabolic disease in China following diabetes.

A few days ago, Mr. Wang, 40, and his friends ate seafood and beer at a food stall in the evening to watch the European Cup before falling asleep at midnight. I didn't expect the sudden wake of the toe in the early morning. The pain continued until the morning, and it was difficult to walk. Mr. Wang described the pain as a knife and flesh, such as a cone and a biting bone. He was terribly pained and really wanted to feel “crazy”.

After questioning relevant medical history, Chen Ning, an expert in endocrinology diabetes, initially judged that Mr. Wang may be gout. Chen Ning arranged for Wang to go to the blood to do blood uric acid measurement and renal function tests, and was finally diagnosed with gout. In the face of Mr. Wang’s acute attack of gout, Chen Ning gave him colchicine and non-steroidal anti-inflammatory drugs (NSAIDS) for treatment.

Elevated Uric Acid Causes Kidney Damage Often Concomitant with Diabetes Hypertension

Chen Ning introduced that if uric acid deposition in the kidneys can lead to kidney damage, urinary system stones, in turn, kidney function problems, but also affect the uric acid excretion from the kidneys, forming a vicious circle.

Chen Ning said that, in addition, although gout is the first occurrence of arthritis, it is actually a metabolic disease, and often accompanied by metabolic syndromes such as diabetes, hypertension, hyperlipidemia, and fatty liver. It must be customized in the treatment of gout. Comprehensive treatment plan. Therefore, we often tell everyone in gout science propaganda, gout is best to first visit the endocrinology, and gouty nephropathy with severe renal failure but also in the Department of Nephrology.

90% hyperuricemia can cause gout

[Experts reminded]

Chen Ning explained that gout is due to purine metabolism disorders, elevated blood uric acid, urate crystal deposition in the body, especially in synovial fluid caused by accumulation. In a nutshell, it's like crystals of urate crystallize in the joints, like a "salt" stuffed in your joints. You say you can not hurt it?

Chen Ning told reporters that excessive levels of uric acid in the blood may cause gout. Seafood is a high-purine food, and purine is a "raw material" for uric acid formation, and it is easy to eat seafood and increase blood uric acid. Beer is also a highly purine food. During its fermentation, it also produces ingredients that inhibit the excretion of uric acid in the body. The ability to increase blood uric acid is even greater than that of seafood. If the two are eaten together, the risk of gout will be greatly increased, so say "steak with beer, gout follow."

Urine deposition in vivo due to purine metabolism disorder

Pathogenesis

Urine deposition in vivo due to purine metabolism disorder

The patient, Mr. Lin, is 50 years old. Each time the physical examination of the unit is high blood uric acid, because no gout has ever occurred, so he does not care about the results of his annual high uric acid test, and it is unclear what the relationship between blood uric acid and gout.

Chen Ning said that the most worried about these ignorant patients, in the knowledge that their high uric acid conditions do not control the mouth, in fact, they are very close to the gout. In fact, hyperuricemia is one of the clinical manifestations of gout, and there is a long history of hyperuricemia before the onset of gout. According to the survey, 90% of people with hyperuricemia will have gout.

Sometimes, the physical examination report suggests hyperuricemia, but many people generally do not have clinical symptoms such as sore swelling, but only when the unconscious increase in blood uric acid, will further develop to the gout stage.

The reporter is very strange that patients with gout seem to be all males.

Chen Ning explained: "Gout patients are really men over the age of 40, and women over the age of 60 are also more common. In addition, there is a family history of gout, there is asymptomatic hyperuricemia, long-term meat and (or) Drinking, being overweight or obese is a group of people who are caught in gout."

Explain why gout is mostly big toe pain

The 55-year-old Mr. Ai suffered from gout pain from time to time, and his episodes were cold and sweaty. He is very strange. Why does he start from big toe every time?

Chen Ning said that the big toe joints are the most distal joints of the human body. The crystals of urate are most likely to accumulate here. Some people also have arthralgias or back-to-back pains, which is the same reason.

Four strokes in the summer to prevent gout

【link】

Four strokes in the summer to prevent gout

When coming in the summer, precautions must be taken to prevent the occurrence of gout. Here are some ways to prevent gout.

Prepare a bottle of soda at dinner

From a clinical point of view, alkalized urine is conducive to the ionization, dissolution and excretion of uric acid. People with normal renal function should preferably prepare a bottle of soda water or a small baking soda to basify the urine during dinner. In order to prevent urine concentration at night, especially after eating seafood, meat or drinking, it is better to drink water before going to bed or in the middle of the night. It is better to choose mineral water and boiled water.

Meat boiled and fried

What about meat-free food? As long as a reasonable cooking method is used, the amount of purine contained in the food can be reduced. For example, the meat can be boiled first, and the soup can be used after cooking. Animal liver, kidney, seafood and shellfish must be eaten less.

Do not drink yogurt

It should be noted that yoghurt contains more lactic acid and it will have an adverse effect on gout patients, so it is not suitable for drinking. Daily protein intake is controlled within 80 grams, and eggs are limited to one daily.

Eat more fruits and eat less mushrooms

Foods containing more elements such as sodium, potassium, calcium, magnesium, etc., are oxidized in the body to form basic oxides, such as most vegetables and fruits, which can reduce the acidity of serum and uric acid, but the content of mushroom purine is high, and uric acid is high. Patients with hyperlipidemia should eat less, especially mushrooms.

(According to "Health Times")

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