Gout requires long-term management and regular measurement of blood uric acid levels

April 20th is the eighth World Gout Day. Li Shun, secretary-general of the Pain Special Committee of the Chinese Association of Integrated Traditional and Western Medicine, said in an interview on the 18th that the change in the lifestyle of contemporary people is one of the main reasons for the rise in the incidence of gout and the rejuvenation of patients. For example, overweight, heavy drinking, unbalanced diet, excessive intake of viscera, seafood, meat and other factors may be the driving force behind gout.

It is reported that 통풍 자주 발생 급성 at night, with joint symptoms such as redness, swelling, and severe pain, often occurring in areas such as the the big toe and ankle joint. As the condition progresses, the frequency of 통풍 발작 in patients 경향 to 점차적으로 증가, and the duration of attack will also be prolonged. Li Shun pointed out that the harm of gout should not be underestimated. "통풍 아님 만 원인 참을 수 없는 통증 언제 그것 공격, 선도 에 관절 손상, 그러나 할 수 있음 또한 be 동반 by 고혈압, 관상동맥 심장 질병, 및 상승된 혈액 설탕. 만약 치료 is 지연 지속적으로, 그것 5월 리드 에 the 느린 진행 의 the 질병, 및 in 중증 사례, IT 5월 원인 기형 및 장애, 심각한 위협적인 the 환자's 물리 건강 및 질 of 생명."

In fact, the number "420" is closely related to gout because it is the warning "red line" for human blood uric acid levels. In a normal purine diet, when a person's fasting blood uric acid level exceeds 420 umol/L twice on a different day, it can be determined as hyperuricemia, and uric acid crystal deposition can easily cause gout. Li Shun pointed out that many gout patients not only have high uric acid levels, but may also have other problems such as high blood sugar and abnormal liver function. Therefore, the management of gout is a continuous process that requires long-term or even lifelong monitoring and management of the condition, which cannot be achieved without high cooperation from various aspects within, outside the hospital, and among patients.

It is understood that gout is divided into acute attack period and remission period, and the treatment strategies for different stages also have different focuses. Li Shun introduced that in the acute phase of gout, non-steroidal anti-inflammatory drugs are mainly used for treatment, which reduces the risk of gastric damage that may be caused by hormone preparations and has higher safety. After the patient enters the remission period, drugs that inhibit uric acid should be used as the main approach to control blood uric acid levels within a reasonable range for a long time. In addition, lifestyle adjustments are also an important part of disease control, including reducing alcohol consumption, weight loss, eating more grains and grains, and reducing purine intake.



"We suggest that gout management be carried out under the 'Internet plus' system, encourage patients to connect with their family doctors, regularly monitor the level of blood uric acid every three months or so, and manage the disease well in daily life for a long time." Li Shun said, "Because gout has an acute onset, patients may not be able to go to the hospital in time. It is very necessary to respond to emergencies outside the hospital, such as in pharmacies and other channels. Trained pharmacists can provide reasonable suggestions in the process of patients' purchasing drugs. In the long run, long-term follow-up guidance of doctors in the hospital is indispensable."