Gout is often considered a disease of the rich, the disease is directly related to the daily diet of patients. The disease is common in middle-aged men but in recent years the disease tends to age and increase in dizzying numbers in Vietnam. So what is the cause of the disease and how does the prevention work?
Picture 1 of Where does gout come from?
Gout is in crystalline deposition disease group.
Specifically in this disease is the accumulation of monosodium urate crystals in the joints and tendons caused by elevated uric acid levels in the blood . causing peripheral arthritis episodes that are particularly frequent in the limb joints. big toe . This inflammation is caused by white blood cells that are like fighting soldiers in the body to clean up these crystals.
This inflammation can recur repeatedly, causing joint deformity if not treated. Not everyone who has high uric acid in their blood is suffering from a gout attack, but if the blood uric acid level is high and lasts longer, there is an increased risk of gout.
Specifically, the maximum limit that if passed is considered to be hyperuricemia of 420 µmol / l for men, 360 µmol / female.
So why do you have hyperuricemia?
This is because the kidneys are unable to discharge urique acide or because the body produces too much (due to eating, due to diseases such as leukemia, hemolytic anemia, psoriasis .) or due to abnormalities in the cycle. create this acide.
Picture 2 of Where does gout come from?
The disease will be manifested by pain in the joints, the joint may be swollen and red, there may be water in the joint, especially the big toe (the finger joint), which is most common, but other joints can be affected. The pain is very badly described and much when the patient does not dare to apply a blanket because just touching it causes severe pain.
A good gout occurs after a minor injury, after a drink. Gout attacks can occur days or weeks and may be self-limiting, but if not treated these attacks will appear more often and cause disfigurement of the joint causing disability.
Picture 3 of Where does gout come from?
The disease occurs due to hyperuricemia after some other diseases called secondary gout . Uric acid in the blood may increase secondary due to the following reasons:
BSs will allow patients to test the level of uric acid in the blood and according to the parameters of each type of test machine for different numbers, normally less than 7mg / dL. However, the gout is quite typical so sometimes it can be diagnosed through a medical history and examination of a patient because of the high level of uric acid in the blood that helps diagnose but is not specific. If the joint fluid is taken under the microscope to see the needle-shaped urate crystals are the most stable, but rarely done for many different reasons.
Joint x-ray shows a picture of sub-cartilage damage.
When you have the following symptoms, you must pay special attention to gout and should go to the doctor early to find the appropriate treatment regimen for your condition, avoid long-term illness in the untreated condition and make the disease The more severe and the unfortunate complications occur:
Picture 4 of Where does gout come from?
Often, gout attacks can be repelled by existing drugs and if the patient follows treatment and accepts diets, the disease can be prevented but remember that this is a disease that cannot be cured, ie Patients must accept diet and follow up for life.
If not treated or let gout occur many times, it will destroy the joint causing disability, then need to reconstruct joints. About 20% of patients with gout suffer from kidney stones caused by the urate crystal itself, which causes stones to obstruct the urinary tract, which can cause kidney dysfunction, UTI . which can affect lives. Some patients have subcutaneous lumps such as elbows, fish eyes, etc. called tophi, which are caused by deposition of urate crystals when the tank exits a white powder-like substance.
The role of arthroscopy is to clean the joints, cut off synovial joints of joints when repeatedly inflamed, limiting the movement of joints. Once the joint is completely damaged, it can be replaced by an artificial joint.
Picture 5 of Where does gout come from?
Gout can be prevented by implementing a healthy and scientifically active diet with the aim of strengthening health, improving the body's resistance to fighting pathogens and maintaining its content. Blood urid levels are moderate. Therefore, to prevent gout you need: