Reporter Yang Yanfan.
Gout attacks are caused by the formation and deposition of sodium urate crystals in the joints due to the formation and deposition of sodium urate crystals in the blood and tissue fluids in the blood uric acid, which induces a local acute inflammatory response in the joints. During an acute attack, many people with gout find the pain intense and unbearable. What should I pay attention to in gout**?
Cheng Yongjing, chief physician of the Department of Rheumatology and Immunology of Beijing Hospital, said that hyperuricemia is the premise of gout, although high uric acid levels do not necessarily cause gout, but the damage of hyperuricemia is invisible, and the higher the uric acid level, the greater the probability of arthritis, kidney disease and other complications. For hyperuricemia, patients who meet the indications need to be supervised by a physician as soon as possible**.
Some patients think that since gout is caused by hyperuricemia, it is wrong to lower uric acid** immediately during an acute attack. Cheng Yongjing said that the most important measure to be taken during the acute attack of gout is to carry out anti-inflammatory analgesia** to control joint inflammation. Excessive uric acid lowering** during an acute attack, a sudden drop in blood uric acid levels can cause urate crystals to fall off suddenly, causing acute arthritis to persist in recovery. Of course, if the patient has been using uric acid-lowering drugs before, they should not be stopped abruptly during the attack. The correct approach is to adjust the urate-lowering drugs under the guidance of a professional doctor after the acute attack has been controlled.
How to prevent gout reversal? Cheng Yongjing introduced that on the one hand, gout patients need to lower uric acid for a long time, and the selection of uric acid-lowering drugs should be carried out under the guidance of professional doctors, and the drug dose should not be stopped or reduced by themselves. On the other hand, on the basis of drug control, it is necessary to gradually improve the lifestyle and achieve the ideal state of gradually discontinuing urate-lowering drugs.
Cheng Yongjing said that in daily life, we should pay attention to reducing some behaviors that are easy to trigger gout attacks, such as avoiding sudden strenuous exercise or sudden cold, reducing the intake of frection-rich beverages, and avoiding heavy alcohol at one time. Usually reduce the intake of high-purine foods, drink more water, eat and rest regularly, and exercise regularly.
People** 2024-03-01 17th edition).