Patient: Doctor, Doctor! I haven't eaten any high-purine food! Why do I still have five or six hundred uric acid?
Doctor: Oh? What is not eaten?
Patient: yes! I didn't eat anything!
Doctor: Do you know what foods you eat that will cause high uric acid?
Patient: I didn't drink any alcohol! I didn't eat the offal! I didn't eat the seafood! I didn't eat the hot pot! I didn't drink the old fire soup! I didn't drink soy milk! I haven't even eaten much meat, doctor, what else can I eat?
So. Why is uric acid high?
Yangshengjun led the friends today.
Learn about this.
Hyperuricemia
Hyperuricemia is a metabolic syndrome caused by a disorder of purine metabolism, and it is called hyperuricemia in both men and women when the blood uric acid level exceeds 420umol l on the same day.
Gout, on the other hand, is a crystal-related arthropathy caused by monosodium urate (MSU) deposition in the joints, which is directly related to hyperuricemia caused by purine metabolism disorders and/or decreased uric acid excretion.
Here comes the culprit! Purine!
Purine content ranking, I believe everyone has searched and seen ......
High-purine food, which is a purine content of 150mg 100g, should not be eaten!
Medium-purine food, which is a purine content of 50-150mg 100g food, gout patients should eat less or no food when the disease is attacking.
Low-purine food, which is a purine content of 50mg 100g, can be eaten often by gout patients.
The average daily purine intake of gout patients during the onset of gout is controlled between 100 and 150 mg.
Does uric acid have little to do with eating?
However, some people have managed to keep their mouths shut, drink more water, and even open their legs, but they still can't pass gout.
The idea of reducing ** (keeping your mouth shut) and increasing excretion (drinking more water) is correct, but why is the effect always unsatisfactory?
It turns out ......The production of uric acid is not so related to eating!!
In 2018, BMJ (a well-known foreign academic journal) published an article suggesting that dietary differences have an impact on blood uric acid levels, but the effect is very limited. How limited is it? Probably no more than 5% overall!
From a genetic point of view, gout is a polygenic inherited disease, and its occurrence is the result of the interaction and joint action of genetic factors and environmental factors. The results of a prospective study of identical twins showed that 60% of primary gout was related to genetic factors, and 40% was related to environmental factors, and genetic factors were the main factors in the onset of gout.
The main cause of high uric acid
80% of our uric acid is in the process of its own metabolism, and there are old cells decomposing at all times, new cells are generated, and old cells are decomposed to produce uric acid, which is the main cause of our uric acid. And excretion, 1 3 by stool, 2 3 by urine.
At this point, do you have a nod from a constipated hyperuricemia patient?
Therefore, the reason for high uric acid is still focused on the speed of metabolism and the efficiency of kidney excretion.
There is also a study, through the data of Chinese people with hyperuricemia and gout, we were shocked again on the question of rising fast or slow discharge, and the result was: excessive uric acid production is the main type - accounting for 10%; Decreased uric acid excretion is the main type - accounting for 60%; Half and half type - 30%.
How and prevent?
At present, there are two kinds of Western drugs commonly used in clinical practice, one is to inhibit the synthesis of uric acid, and the other is to promote the excretion of uric acid. The purpose is to reduce the storage content of uric acid in the uric acid pool and avoid the occurrence of long-term hyperuricemia and gout.
So, what exactly should the diet of patients with high uric acid be? In general, it's good to be healthy.
Grasp the overall principle: adjust the diet structure, exercise regularly, and obese people should actively lose weight; Diversity of food types, eat more natural fruits and vegetables, high-quality protein; Control sugar, less oil and less salt, drink enough water, do not drink alcohol, and quit high-sugar drinks such as milk tea.
Tencent Medical Codex.
Pay attention to the wording! I talked about patients with hyperuricemia, but if you have already had a gouty arthritis, then you are considered to have entered the door, then the "spark" that has a small impact may cause "forest fires", and the diet must be strictly managed.
Tencent Medical Codex.
Although diet is not the main cause of hyperuricemia and gout, it is an important trigger for acute attacks of gout!
So you can't just let yourself go!
Introduction to Endocrinology
General Overview: The Department of Endocrinology, Shenzhen Hospital of Guangzhou University of Chinese Medicine (Futian) is a comprehensive diagnosis and treatment center integrating endocrine system diseases, metabolic disease diagnosis, prevention and treatment, a national standardized metabolic disease management center, a demonstration base for the diagnosis and treatment of diabetes with traditional Chinese medicine, and a "three projects" of Shenzhen medical and health Academician Tong Xiaolin's TCM metabolic disease team relies on the department, the "13th Five-Year Plan" key specialty of Guangdong Provincial Bureau of Traditional Chinese Medicine, the key clinical specialty of Futian District, and the diabetes unit management center of integrated traditional Chinese and Western medicine. Lingnan Traditional Chinese Medicine Diabetes Alliance Unit, Shenzhen Type 1 Diabetes Alliance Member Unit, Shenzhen Endocrine and Metabolic Disease Standardized Management Specialty Alliance Unit, Pu Chunli National Grassroots Famous Old Chinese Medicine Expert Inheritance Studio.
Department environment: The department consists of general wards, the National Standardized Metabolic Disease Management Center (MMC Studio), and the outpatient clinic has 3 consultation rooms, traditional Chinese medicine characteristic ** room, and specialized testing room. The department has the most advanced visceral fat detector, arteriosclerosis detector, sensory threshold meter, Doppler limb blood flow diagram and other endocrine and metabolic disease specialist equipment for early screening, evaluation and diagnosis of diabetes and complications. At the same time, the integrated Chinese and Western medicine is carried out**, and insulin pumps, spools (real-time continuous glucose monitoring C** (real-time continuous glucose monitoring CGM, insulin infusion CSII and diabetes information management Carelink) and other equipment are used to control blood sugar smoothly.
Department characteristics**: According to the theory that the incidence of diabetes is divided into four stages of "depression, heat, deficiency and loss", the unique TCM diagnosis and treatment methods such as "opening and clearing heat", "eliminating ointment and reducing turbidity", "bitter acid and regulating method", "detoxification and channeling method" and other unique TCM diagnosis and treatment methods, and with a variety of TCM non-drugs such as "Tongjing Regulating Visceral and Abdominal Acupuncture**", "Tongshi Wenjing Tongluo Sugar Paralysis External Washing Formula", "Pulse Energy Tongluo Method", etc., have significant curative effects in the diagnosis and treatment of endocrine and metabolic diseases.
Scope of diagnosis and treatment: combination of internal and external treatment of traditional Chinese medicine, diagnosis and treatment of traditional Chinese and Western medicine
Glucose and lipid metabolism diseases (diabetes and diabetic complications such as diabetic neuropathy, diabetic nephropathy, diabetic retinopathy, diabetes mellitus with cardiovascular and cerebrovascular diseases, hyperinsulinemia, dyslipidemia, obesity, non-alcoholic fatty liver disease).
Diseases of purine and electrolyte metabolism (hyperuricemia and gouty arthritis, hyponatremia, hypercalcemia, hypertension with hypokalemia).
Bone metabolic diseases (osteoporosis in postmenopausal women, senile osteoporosis, hyperparathyroidism, vitamin D deficiency, etc.).
Pituitary diseases (functional assessment of pituitary tumors, acromegaly, hyperprolactinemia, Cushing's disease).
Thyroid related diseases (thyroid nodules and thyroid cancer postoperative management, hyperthyroidism, hypothyroidism, Hashimoto's thyroiditis, subacute thyroiditis, thyroid-related eye disease).
Adrenal gland disorders (adrenal function assessment, Cushing's syndrome, primary hyperaldosteronism, pheochromocytoma, etc.).
Gonadal diseases (polycystic ovary syndrome, perimenopausal syndrome, etc.).
Growth and development disorders (short stature, etc.).
Characteristic advantages: The department adheres to the concept of "comprehensive, individualized, equal emphasis on prevention and treatment, lifestyle intervention and drugs" for patients with endocrine and metabolic diseases, uses pure Chinese medicine and integrated Chinese and Western medicine to prevent and treat endocrine and metabolic diseases, and adopts an integrated comprehensive evaluation and model of combining drugs and non-drugs, internal treatment and external treatment. Specifically, it has the following advantages:
1. Diabetes mellitus and its complications, such as diabetic peripheral neuropathy, diabetic nephropathy, diabetic retinopathy, diabetic foot, diabetic cardiovascular disease, etc.: through traditional Chinese medicine to regulate physical fitness, improve symptoms, reduce insulin resistance, eliminate the factors that are difficult to control blood sugar, achieve stable blood sugar fluctuations, reduce the dosage of oral drugs and insulin, protect the heart, brain, kidneys, eyes, etc., and delay the progression of the disease. The combination of traditional Chinese and Western medicine has the outstanding advantages of excellent curative effect and high safety.
2. Patients with newly diagnosed type 2 diabetes mellitus with significant hyperglycemia: We give short-term insulin to intensify hypoglycemia, combined with traditional Chinese medicine internal administration and external treatment**, which can quickly and smoothly control blood glucose, improve insulin cell function, and induce longer-term blood sugar remission in some newly diagnosed patients with type 2 diabetes.
3. Science education and follow-up management of diabetes and its complications, metabolic syndrome and thyroid diseases; Attaching importance to the health education and guidance of patients with metabolic diseases, there are diabetes clubs and thyroid disease clubs, diabetes club activities are carried out once a week, regular science popularization and large-scale free clinic activities, and a series of publicity and education and free clinic activities are carried out around the theme of the annual United Nations Diabetes Day and Thyroid Day to improve the awareness of health and disease prevention among the whole people.
4. Outpatient services for primary diabetes, obesity and thyroid nodules in the outpatient clinic. At the same time, ultrasound-guided thyroid biopsy based on TCT combined with gene mutation detection technology is carried out to improve the diagnosis rate of malignant thyroid nodules, reduce the number of multiple punctures in patients, and have a full-course management clinic for thyroid nodules and thyroid cancer after surgery.
Endocrinology team visiting time: Park Chunli Chief Physician: weekly.
1, 3, 4 and 6 mornings (special outpatient clinics of famous Chinese medicine halls); Chief Physician Li Tong, Chief Physician Wu Xuemin, Deputy Chief Physician Li Pei, Deputy Chief Physician Zhao Xiaohua, Attending Physician Lai Xingrong, Attending Physician Gao Shengnan, Attending Physician Du Lin, Attending Physician Gu Chengjuan, Attending Physician Wang Li, Attending Physician Zhang Naiwen; Deputy Chief Physician Zhang Yi, Deputy Chief Physician Fang Miaoshan, and Attending Physician Xiao Xiaoli, see the following table for details of the visiting time.
*In addition to the annotation, it is contributed by the department, if there is any infringement, please inform us to delete.