Thursday, November 1, 2018

GAUT, OFFER AND HONORABLE LARGE




Gout disease is a form of arthritis caused by hyperuricemia. Hyperuricemia is defined as plasma urate level (uric acid) exceeding 420 μmol / L (7.0 mg / dL); hyperuricemia is a major feature of gout and there is certainly gout disease despite uric acid levels high does not necessarily mean that a person will suffer from gaut disease. GOUT is inherently linked to male illness and it rarely happens to women. If any, it is likely that only after menopause.


When the gout attacks, the legs will become swollen, hot and very painful until some patients can not walk. In fact, this pain can last for a couple of days and just disappear with medication.
Gout has been identified for over 2,000 years and is said to be the oldest disease. It was once called a rich man's illness because it was associated with the consumption of food and drink that was too much nourishment.

It is a part of arthritis disease classified as metabolic diseases due to uric acid (ie waste generated from purine breakage (protein), gather in the joints and soft tissues around the joints, especially in the legs and causing pain.

This uric acid deposition will eventually produce salt and crystalline crystals that trigger joint pain. It is also called a joint swelling problem that is from the toe-foot site, transmitted to other joints on the feet and hands.
According to Orthopedic and Traumatic Surgery Consultants, Dr. Robert Penafort, the true cause of metabolic problems is still unknown, however, individuals with diabetes, obesity and kidney disease are also at risk of acquiring. High uric acid is associated with age, obesity, type IV hyperlipidaemia, diabetes mellitus, ischemic heart disease and hypertension. Sometimes, a person inherits genetic defects from their family.


Soft tissue
Gout can be divided into four stages; asymptomatic (no symptoms), acute, interracial and chronic. In acute cases, gout symptoms occur rapidly and suddenly; usually only attacking soft tissue on some joints.

While in chronic stage, serabutout can occur repeatedly called polyarticular gout. Patients will feel very sick, cramps and legs change. There may also be problems with swollen, red, hot and fever.

The accumulation of these acids can be seen through the skin due to the formation of a small bulge called tophi. In more serious circumstances, the overly tophi may break out and remove the material like chalk.

"In addition to foot, gout can also occur on other limbs such as ankle, knee, hand and wrist. Pain can last between five and 10 days according to patient's condition. The joints that are attacked by gout will be swollen, red and hot.

"Naturally uric acid is dissolved in the blood and removed from the body through urine. Sometimes the body produces too much that it accumulates into a needle-shaped crystalline joint or surrounding tissue causing swollen and painful joints, "he said.

However, not all joint pain due to uric acid crystals due to dihydrate calcium pyrophosphate deposition can also cause pain in the ankles, knees and wrists - called false gout or pseudogout.

Signs

The classic features of the sudden excruciating pain usually begin with only one joint, especially the toe (75% of the first attack is the first metatarsal-phalangeal joint).


RISK FACTORS

· Gender - In general, men are at greater risk of getting gout at a rate of 90 percent reported.

· Lifestyle - People who drink a lot of liquor especially beer are said to be at greater risk of getting gout.

· Obesity - Especially for people with a weight of over 66 kilograms of normal weight.

· Diseases, health conditions and medicines - Some diseases such as uncontrolled high blood pressure, diabetes, hypertilipipemia (high levels of fat and high cholesterol) and arteriosclerosis (narrowing of the blood vessels) may also cause gout. Individuals who undergo surgery or get ill sudden and long-suffering can also experience increased uric acid in the body. In fact, medicines controlling blood pressure and chemotherapy are also identified to increase levels of uric acid in the patient's body.

· Genetics - The study found that one in four patients came from families with gout problems.



· Age - Usually gout affects old patients but now there are many cases involving patients aged 30 to 50 years old. While for women, most cases begin after menopause.

When should I seek treatment? Dr Penafort says that when the joints feel hot, swollen and painful because if it is not treated this problem will get worse and can cause joint damage.

In fact, people with diabetes, obesity, anemia, kidney patients or medicines that interfere with uric acid accumulation are at risk for gout. .

According to Dr Penafort, uric acid is usually removed from the body through urine and stool. Failure of the body to produce excessive uric acid will cause it to collect and gather either in the joints, kidneys or skin.

Inherit
Gout is also commonly associated with unhealthy and balanced eating habits. However, in some cases it can be inherited, especially those without enzymes to remove uric acid.
Gout can also be caused by obesity, obesity, stress, kidney damage. For individuals with gout problems, they are advised to wait a bit and avoid purine rich foods such as cereals, seafood, high protein foods, anchovies, liquor, soy sauce, tea and coffee. Instead, drink more boiled water at least eight glasses a day and regularly exercise.

For now, there is no special treatment to cure gout but this problem can be overcome and controlled by taking pain medicines such as endometacin (indocid) and diclofenac (voltaren).

Individuals who often suffer from cerabutout should have the best supply of allopurinol drugs at home to balance the level of uric acid in the body that needs to be taken for a lifetime.
Some of the recommended medicines for long-term treatment include uricosuric (probenecid and sulphinpyrazone). For sudden attacks, patients may take non-steroidal antiinflamatory drugs (NSAIDs), colchicine (for less frequent attacks) and corticosteroids.


TREATMENT OF GAUT



Apple Cider Vinegar (ACV)

Apple vinegar is helpful in treating gout and arthritis. This acidity of ACV will help relieve pain. You can also add honey to enhance anti-inflammatory response

Mix 1 teaspoon of apple vinegar in a glass of warm water, drink 2-3 times daily. If you feel this treatment helps, you can increase the dose of this apple to 2 tbsp.

You can also mix 2 tablespoons of organic apple vinegar with two tablespoons of honey. Take 2 times a day, once in the morning and once before bedtime

Ginger

Anti-inflammatory properties in ginger help relieve pain and inflammation. There are several ways to treat gout with ginger.

Mix halba powder, turmeric powder and dry ginger powder in the same ratio. Take 1 tablespoon of this mixture together with warm water. Take 2 times daily.

You can also increase ginger in cooking and can also be eaten raw.

In addition, with this ginger, you can add half a teaspoon of this ginger in a cup of boiling water and mix well until well mixed. Drink at least once a day.

You can also make ginger paste with a little water and paste in the affected area of ​​this gout. Leave it in half an hour. Make it once a day


Baking Soda

One of the main reasons for this gout is the increase in uric acid in the body.

This baking soda is also used to make cakes, can also help reduce the amount of uric acid and thus provide you with relief from pain.

Mix half a teaspoon of baking soda in a glass of water and drink. Drink 4 times a day. NEVER MORE. Continue for up to 2 weeks.

If you are 60 years old, do not take more than 3 times a day

If you have high blood pressure, do not try this method

Lemon Juice

To relieve the pain of gout, it is important to estimate the body and subsequently neutralize excess uric acid in the bloodstream. This can be done easily with fresh lemon juice and baking soda.

Lemon is a very unique citrus fruit, which will change its acidic properties when it comes to our stomach.

Cherry

Known for its anti-oxidant properties. Cherries also contain anthocyanins that can reduce inflammation.

For gout patients, it is recommended to take 15-20 cherries daily. To get the best results, practice taking it early in the morning.

Epsom Salt

Epsom salt has a lot of good. At Zarith's house and mother did not ever run out of epsom salt. Zarith uses it in treating Zuyyin and Zayra with a fever, cough and flu.

The high amount of magnesium in this epsom salt will improve the condition of the heart and lower the high blood pressure.

For bathing, add 2 cups of this epsom salt into warm water. Soak your body in this water until the water becomes cold. Do it once a week. But if you suffer from severe gout, you can do it 2-3 times a week.

You can get this Epsom salt in guardian. It costs RM 5.90 je box.


Banana

Banana is also effective against gout. High potassium content in bananas will help convert these uric acid crystals to the form of fluid that will be thrown through the urine during urination.

Banana also contains a moderate amount of Vitamin C and is very effective in managing swelling and pain.

Practice eating 1-2 bananas a day, Inshaa Allah can help

Apple

Malic acid found in apples will help neutralize uric acid in the body and thus reduce pain and inflammation caused by gout

Activated Coal.

It is well known for the absorption of uric acid. So, for gout sufferers are encouraged to take this charcoal bath 1-3 times a week

Mix one and a half cup of charcoal powder with water to form a paste and place paste into the bath and add more water. Soak the pain part of the body for at least half an hour

This is a great way for gout sufferers in large ankles or legs. For other parts of the body, you can continue to paste the paste directly in the affected area. Allow up to half an hour and rinse with warm water.

Food should be avoided


Seafood

Other fish and seafood contain higher purines and lead.

Gout foods to avoid listing include: shellfish, sardines, herring, anchovies, bloating fish, oysters, shrimps, crabs and shrimps. Other high-medium fish in purines include tuna, fish, codfish, halibut, perch, salmon, fish, and trout, and fish.


Sugar & Grocery Product

This is the food category that should be avoided for most gout sufferers. Sugar-based and high fructose or corn syrup is bad for gout-afflicted. Cakes and sweets are also included in this category.


Red meat

High meat with iron and protein can affect the efforts of increasing uric acid levels.

Meat should be avoided or consumed moderately when taking GC® depending on the level of gout such as steak, goat meat, sausages, processed meat, grated meats and internal parts such as liver, lungs and so on.



Vegetables / beans

Studies have shown that vegetables do not increase levels of uric acid such as high purine foods. Vegetables should be encouraged but some types contain higher purines.

Higher vegetables purines include asparagus, mushrooms, dark green vegetables (due to higher levels of iron), legumes, red beans, green beans, flower cabbage, tofu, as well as tomatoes due to higher acidity and lower ph .

Other foods that need to be avoided or taken in moderation include beef broth, roasted beans, fried foods (heated oil destroys vitamin E), cakes, sweet products, dried fruits such as cranberries and apricots, oats, and yeast products such as sweet bread as high acidity and purine. Avoid foods containing iron, niacin, multi-vitamin.
Bread

If you are an acute patient, you should pay attention to the bread that is eaten. Full cereals like wheat bread, oats and most cereals have higher purine content than fine cereals. Choose white bread, pasta, and white rice to limit purine consumption. If you want full grain, limit your intake several times a week as full grain can increase the level of uric acid.

Everyone is different and foods that cause gout are different for some. Learn what you can and can not eat, and avoid foods that can affect gout. It will benefit in the long run.



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