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2016年8月5日星期五

High uric acid

High uric acid
Overview: high uric acid is a kind of metabolic disease, which caused by purines metabolic disorder and uric acid rising in the blood.
Symptoms:
1, asymptomatic high uric acid hematic disease: blood tests can be found that the blood uric acid concentration increased, but not in arthritis, high uric acid stones, or kidney stones and other clinical symptoms. Asymptomatic high uric acid hematic disease sustainable 10 to 20 years, some can not appear high uric acid. For life. Generally the higher the blood uric acid level, the greater the risk of high uric acid.
2, acute high uric acid sex arthritis: four seasons all can come on, in the spring and autumn the most. Joint local damage, feast on crapulence, excessive fatigue, damp, certain drugs, infection and surgical operation can induce acute episodes.
Control:
1, proper aerobic exercise, must not to do strenuous exercise, so as to avoid joint strain. Had better choose swimming aerobics, tai chi, table tennis to lose weight.
2, drink plain boiled water or light tea, daily urine output to control in about 2000 ml is the best. More than westerners to reduce uric acid and drink apple cider vinegar. Don't drink strong tea, coffee sweet drinks.
3, eat more vegetarian, but not all vegetarian diet to eat more, eat more green, purple eggplant, Shanghai lettuce. Green vegetables diet spinach, then all the beans to eat less or not. Eat more fruits, all kinds of fruits are composed of carbohydrates, let the body more alkaline have a positive effect, especially eat cherry.
4, eat less meat. Don't eat seafood and animal innards and hot pot (fish can eat less, drink more water after eating).
5, beer is prohibited. Other wine drinking or not strictly limited.
6, often with hot bubble foot habit, every time not less than 20 minutes, no more than 30 minutes, to the whole body sweating slightly better. When wash feet, can add appropriately promoting blood circulation to remove blood stasis of Chinese medicine.
7, all the blood uric acid or claims for the treatment of gout drug, have side effects on kidney, liver is very big, drug uric acid is the most pyrrhic victory.
8, distribute work, pay attention to sleep, relaxed state of mind, optimistic face. Once every half a year check uric acid, strive to control at around 350, gout will not cause damage to any joint.
Treatment:
1. row of uric acid prescription: row of uric acid medicine mainly includes probenecid, sulfonated pyrazole ketone, benzene bromide Malone, etc. The drug can prevent renal tubular reabsorption of uric acid, increase the excretion of uric acid, which have the effect of lowering blood uric acid level in the human body. Side effects is the line of uric acid and other trace elements out of the body, the body can cause low blood sodium, potassium, calcium, but also have side effect to liver, kidney, so can't long use.
2. The inhibition of uric acid generated drugs: current clinical commonly used drugs inhibit acid production is don't Piao alcohol. The drug is a kind of powerful purine oxidase inhibitors, it is so far only can effectively reduce uric acid generation and reduce the level of uric acid in the human body. Although the allopurinol with less adverse reaction, but the person that liver and kidney dysfunction should be careful.
3. Alkalize urine drug: there is no drop uric acid sodium bicarbonate alkaline drugs such as role, but can be alkalize urine, increase the solubility of uric acid in the blood, make the uric acid is not easy to accumulate and form crystallization in the urine.
Diet for high uric acid:
1. Shall provide plenty of carbohydrates and fats. Such as cardiovascular and kidney had no adverse effect, should drink more.
2. The cooking methods multi-purpose stewed, boiled, boil, steam and diving, decoct, fry way less. Food should be easy to digest.
3. Choose foods rich in vitamin B1 and vitamin C more. Available food: rice, noodles, milk, fruit and all kinds of vegetable oil.
4. Vegetables in addition to the asparagus, broccoli, spinach, other are edible.
5. To disable the animal internal organs, roe, bone marrow, sardines, mussels, oysters, shrimp skin, mackerel, meat, liver, kidney, brain, clams, crab, fish, soup, chicken soup, peas, lentils, mushrooms, etc., all kinds of strong condiment and strengthen the nervous excitement of food such as wine, tea, coffee, spicy taste, etc.
6. Maintain ideal weight, overweight or obese should reduce weight. However, weight loss should be step by step, otherwise easy to cause acute ketosis or gout.
7. Carbohydrates can promote uric acid eduction, patient edible rice is rich in carbohydrates, steamed bread, pasta, etc.
8. Protein can according to the weight, according to the proportion to ingest, 1 kilogram of body weight should be 0.8 g to 1 g of protein intake, and given priority to with milk, eggs. If it is lean meat, chicken, duck, etc. should boil to eat soup, avoid eating stew or braised pork.
9. Eat less fat, fat can reduce uric acid eduction. Gout complicated with hyperlipidemia, fat intake should be controlled within the total quantity of heat of 20 to 25.
10. Drink lots of water, daily should drink 2000 ml to 3000 ml, promote the uric acid. Eat less salt, every day should be restricted to 2 grams to 5 grams.
http://www.kidneyhospital.org/

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