Once, gout is also a kind of "rich and expensive disease." With the general improvement of living standards, gout has now changed from "rich guilty disease" to "conventional disease." Gout is not only painful, but it also damages joints and causes repeated attacks. The quality of life of patients will be greatly reduced. However, in the event of this "pain," what methods can be better than this?
Dr. Ou Haining, chief physician of the Department of Rehabilitation Medicine of the Fifth Affiliated Hospital of Guangzhou Medical College, reminded that patients with gout must first stay away from high-purine foods in their diets. Apart from animal viscera and seafood, people are familiar with high-purine foods. Animal bone marrow is also the highest in purine One of the foods, most of the vegetables, fruits do not contain purine, but it should be noted that peas and spinach contain a certain amount of purine, eat less; in the exercise, the acute phase of gout must be absolutely bed rest, rest to joint pain relief 72 Hours before you can resume exercise. In addition, when the onset of gout with local cold, avoid hot.
Medical Director / Chief Physician, Department of Rehabilitation Medicine, Fifth Affiliated Hospital of Guangzhou Medical College
â— What is gout
A uric acid increase disease
First of all, let us find out exactly what gout is. Ou Haining introduced that gout is a disorder of purine metabolism and/or uric acid excretion disorder caused by increased blood uric acid. It is characterized by hyperuricemia and the resulting recurrent gout of acute arthritis, tophi deposits, chronic topharyngitis, and joint malformations, which usually occur in older adults.
"Gout is not only painful, but it also damages the joints and causes repeated attacks, making the patient miserable." Ou Haining said that when the gout flares up, it should go to the hospital's Rheumatology and Immunology Division as soon as possible to seek specialist medical treatment. However, the key is to require patients to take precautions against acute attacks in their daily lives.
â— Official Guide
Adjusting lifestyle helps relieve gout
"Adjusting lifestyles helps gout prevention and treatment." Ou Haining introduced, "2016 China Gout Treatment Guide" pointed out that patients with gout should follow the following principles:
1. Limit wine;
2. Reduce the intake of high purine foods;
3. Prevent strenuous exercise or sudden coldness;
4. Reduce intake of fructose-rich beverages;
5. Drink plenty of water (more than 2000 ml daily);
6. Control weight;
7. Increase the intake of fresh vegetables;
8. Regular diet and rest;
9. Regular exercise;
10. No smoking.
â— Expert guidance
When the attack of gout with local cold compress avoid hot
In everyday life, how can you stay away from gout? Ou Haining suggested the following:
Diet: Drink plenty of water to excrete uric acid
1) Avoid seafood, far viscera, chickens, ducks, pigs and cattle to the right amount.
2) Drink plenty of water, avoid soups, and fruits and vegetables are good for milk.
Interpretation:
The dietary control of gout patients is very important. Patients should always keep in mind that they are away from the high purine diet and try to eat low-purine foods.
1) Animal viscera, bone marrow, and seafood contain the most abundant purines and should be kept away.
2) The purines contained in fish, shrimp, meat and other foods are also high and should be eaten less.
3) Fresh vegetables are protective factors for gout. Most vegetables and fruits do not contain purine, but it should be noted that peas and spinach contain a certain amount of purines and should be eaten less.
4) Milk and eggs basically do not contain purine, and you can rest assured to eat.
5) Eat more alkaline foods, do not drink too much soup, but more water, to ensure that the total daily water intake of 2000 ~ 3000ml, to facilitate the discharge of uric acid.
6) The diet of middle-aged and elderly gout patients should be controlled to 80% of normal food intake.
Sports: Walking, cycling, and swimming are the most suitable
1) Choose aerobic exercise with moderate oxygen consumption. Such as walking, uniform walking, Tai Chi, aerobics, cycling, swimming, etc., which is the most suitable for walking, cycling, swimming.
2) Gout patients should avoid strenuous exercise and prolonged physical activity to prevent transient hyperuricemia and induce gout attacks.
3) Exercise is best done every morning and evening for 30 minutes, 3 to 5 times a week.
4) In the acute stage of gout, it is absolutely necessary to rest in bed and raise the affected limb. Generally, it should be rested until the joint pain is relieved for 72 hours before recovering.
Remission: gout attack should be local cold
1) Cold compresses local inflammation and pain. When the onset of gout, you can use the method of local cold, with ice packs or ice mineral water cold pain joints for 20 to 30 minutes. note! Don't heat or bathe your feet with hot water. The temperature rise will make inflammation and edema worse and more painful.
2) Patients with dysfunction of the joints can go to the hospital rehabilitation department or assistive care center, and under the guidance of professional doctors, choose the braces, crutches, and protectors that are suitable for them to avoid burdened joints and reduce joint swelling and pain. . In addition, "tailored" orthoses, such as finger orthosis, can act as fixed brakes and correct malformations.
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