As blood uric acid levels increase and urate oversaturation, small needle-like crystals can be deposited in soft tissues, leading to chronic inflammation, foreign body nodules, and gouty stones. With the gradual increase of gout stones, the appearance of ** becomes thinner and cracked, which not only causes severe pain, but also affects the phenomenon. Do people with gout have gout stones?
Do people with gout have to develop tophi?
Gout stones occur due to persistent high uric acid loss of control. Its main symptoms are persistent joint swelling, pain and tenderness, joint deformities and joint dysfunction, and even destruction of joint bones, leading to degenerative diseases. Not everyone with gout will have a gout stone. As long as you use your medications correctly and do a good job of life interventions, you can avoid gout stones.
What can gout patients do to prevent the occurrence of tophi?
1. Pain relief without delay.
In an acute attack of gout, urate crystals accumulate too much in the joint fluid, causing the joints to swell and ache violently. In this case, we should not delay. We should use anti-inflammatory analgesics in advance to avoid macrophages from phagocytosis of urate crystals and reduce the risk of gouty stones. Options include colchicine, glucocorticoids, or nonsteroidal anti-inflammatory drugs, combined with ** if necessary.
2. Stabilize uric acid.
When blood uric acid exceeds 420 micromoles, it promotes the deposition of urate crystals; As long as the blood uric acid is reduced below 360 micromoles, urate crystals cannot be deposited, which shows how important it is to control blood uric acid. Therefore, we should do a good job in life intervention and take uric acid-lowering drugs reasonably to control blood uric acid.
3. Remove the crystals in the joints.
If there is too much urate crystal deposition in the joint tissue, long-term** uric acid lowering is required to ensure the dissolution of urate crystals. If uric acid causes mechanical damage and joint dysfunction, arthroscopy or needle knife endoscopy** is also required to remove urate crystals deposited in the joint in a timely manner to rapidly lower blood uric acid.
4. Dietary intervention.
Uric acid is the end product of purines. Disorders of purine metabolism are not only the main cause of gout, but also the root cause of urate crystallization. Therefore, we should adjust our diet to stay away from high-purine foods such as animal offal, shell seafood, broth, various wines, and beverages. Also, we should not overeat or over-diet. Supplement dietary fiber, vitamins and protein reasonably to avoid malnutrition.
5. Adjust your lifestyle.
Maintain regular work and rest, avoid staying up late, and sleep at least 7-8 hours a day. Engage in more than 30 minutes of aerobic exercise every day, such as cycling, brisk walking, or jogging, to keep your weight within the normal range. Pay attention to the combination of work and rest, avoid overwork, and learn to release stress.
Reminder: Not all people with gout have gout stones. As long as you do the above points, you can prevent urate crystallization. At the same time, develop the habit of active drinking water to ensure that the daily drinking water volume reaches 2000 2500ml. You can also drink weak tea or mineral water, but you can't drink carbonated and alcoholic beverages.
Excessive tension or anxiety can also lead to acute gout attacks, so we should adjust our mindset and learn to relax. We can change our emotions by listening, talking, or reading. In addition, it stabilizes blood pressure, blood lipids, blood sugar, body weight and other indicators while protecting the kidneys.