Symptomatic treatment of gout

summary

Gout is a disease caused by the dysfunction of metabolic system, which is marked by the increase of uric acid. In recent years, with the improvement of quality of life, the number and incidence rate of gout patients have been increasing gradually. Especially for the middle-aged and elderly, it is a common metabolic disease. The symptom treatment of gout? Next, I'd like to share my views with you.

Symptomatic treatment of gout

At present, the treatment of gout mainly includes two aspects: the treatment of gout pain and inflammatory reaction. To prevent gout attack, reduce blood uric acid < 6 mg / dl (357 μ mol/L)。 Patients with gout need lifelong uric acid lowering therapy, regardless of CKD, unless they are intolerant or have adverse reactions.

Low purine diet, keep a reasonable weight, quit drinking, drink more than 2000 ml per day. Avoid overeating, excessive drinking, cold and damp, excessive fatigue and mental tension, wear comfortable shoes, prevent joint injury, and be careful with drugs that affect uric acid excretion, such as some diuretics and low-dose aspirin. Prevention and treatment of concomitant diseases such as hypertension, diabetes and coronary heart disease.

Colchicine colchicine used in gout attack early, the speed of controlling symptoms is fast. According to the 2012 American rheumatic Association (ACR) guidelines, colchicine should be taken within 36 hours of an acute gout attack, while prodromal application can prevent gout attack. Renal insufficiency is still the first-line drug, but it should be reduced, because renal insufficiency can significantly reduce its clearance rate and increase drug toxicity.

matters needing attention

In order to restrain the excessive accumulation of uric acid, we must find a way to control the source. All foods rich in purine should be restricted, such as animal offal, seafood, bean products and so on. Scientific exercise, while limiting the intake of food calories, in order to avoid obesity.