[Wan Qingyi Care]Obesity, high blood pressure, old fire soup is an incentive to prevent gout from diet

[ad_1]

Article Liang Wanfu (geriatrician), “Ming Pao”

“When the wind blows, I feel pain, and when it hurts, I feel crazy.” My old classmate “Ma Cheng” described the feeling of gout.

He suffered from gout attacks, and lamented that he could not drink red wine, eat desserts, eat seafood, and even old soup and thick soup are taboos. How should he deal with himself?

(Hong Kong News) When I was at the University of Hong Kong, I was on the editorial board of “School” together with Da Macheng and more than a dozen classmates. Although the members of the editorial board come from different departments, their goals and viewpoints are quite consistent. We still keep in touch after graduation, but mostly on electronic platforms, not too many actual gatherings. Especially during the past three years of the epidemic, it was really difficult to meet each other, and it was also difficult to say goodbye; even if the former comrades-in-arms decided to uproot and leave Hong Kong, we did not have the opportunity to say goodbye.

Until the beginning of this year, the epidemic prevention measures were finally lifted, and everyone immediately had a big gathering. Because we are all in the age of ears, it is definitely not easy to make the decision to leave Hong Kong for him, so we cherish the rare opportunity to meet each other.

Men are 6 times more likely to gout than women

In this gathering, I met Dacheng and his wife Daisy again. How did I know that as soon as we met, Dacheng complained to me: “Ah Fu, I am so miserable! The thumb of my toe flew up for no reason, and I stopped. After two days in the hospital, the doctor said it was gout. That kind of pain, it hurts even when the wind blows, and the pain makes you go crazy!”

Da Macheng’s speech has always been very “responsive” (a target), and his description this time is quite accurate. Gout was once described as a vertebral heartache that “would be too painful to live”.

However, whether it is “unprovoked” is open to question, and marijuana is indeed a dangerous molecule for gout. First of all, men suffer from gout 6 times more than women, and marijuana is more likely to be male, so of course the risk factor is higher; second, the older you are, the higher the risk. We are close to 70 years old, no matter how young we are, the risk must be high Secondly, the reason why Da Ma Cheng is called “Dai Cheng” is not only because of the word “Cheng” in the name, but also because of his fat body.

Moreover, marijuana suffers from high blood pressure and diabetes, and likes food and red wine.

It seems that he is already a “big friend” of gout, because obesity, high blood pressure, high-purine diet, and sugary drinks are all triggers of gout.

Redness, swelling and inflammation caused by uric acid accumulation in the joints

So, I said to Da Macheng: “Ah Cheng, there is no way! You are a high-risk molecule, and gout is closely related to human genes and gender. Gout, in simple terms, is caused by uric acid; when the metabolic function in the body changes, the blood When too much uric acid is accumulated and cannot be excreted, uric acid will eventually crystallize and accumulate in joints, kidneys and other parts, causing redness, swelling, heat and inflammation of the joints.”

“I believe you know the symptoms best. Even though genes and gender cannot be changed, life and eating habits can be changed; therefore, if you want to prevent gout attacks, you must start with diet and exercise!”

“Old friend, of course I know that I have started to lose weight. Alas! ‘Once a person is fat, he will get sick’. The older you are, the less you can get fat! My wife has forbidden me to drink alcohol. I look at the bottle every day, and I don’t drink a drop. Really Sooner or later, ‘crazy’ is ‘gout’ plus ‘crazy’!” Ma Cheng sighed.

However, the words were still in my ears, and Da Macheng kept persuading him to drink that night: “Brother, drink! What is life like when you use wine as a song?” In addition to adding wine for us, he also added countless glasses for himself!

I haven’t seen a marijuana adult in a while since that night at the party. Until last week, when I was about to rush back from the clinic to go back to the hospital for rounds, the nurse told me: “There is a patient outside who said he couldn’t make an appointment in time, but I want you to see him before leaving.”

Ah, is it an emergency? All right! There should still be time. The nurse handed over the patient’s name, which turned out to be marijuana, but Daisy was the only one who came in.

“Oh, Daisy, what’s the matter? Is Ah Cheng going to see a doctor? Or you?” I asked.

“Oh, of course it’s Ah Cheng! The gout is attacking again! The pain is so painful that I can’t sleep all night and can’t get out of bed. He asked me to find you and prescribe painkillers for him.”

Marijuana Cheng is a retired civil servant. He has been seeking medical treatment and follow-up consultations in public hospitals, and has never been to my clinic. It is really unsafe to prescribe painkillers for patients without seeing them in person.

Vomiting in the middle of the night, toes hurting to the point of tears

So, I asked Daisy: “Did Ah Cheng see a doctor and take medicine?”

“Yes. One night about 5 months ago, he suddenly yelled in his sleep: ‘The thumb of his foot hurts!’ It was so painful that he burst into tears, and even vomited twice in a row. He was finally sent to Queen Elizabeth Hospital and stayed there. 2 nights. The doctor said he had high uric acid, prescribed medicine, and asked him to exercise and quit. However, after the pain last time, I haven’t seen a doctor.” Daisy replied.

Since Ma Cheng had been treated in a public hospital, the medical records can naturally be found in “Yijiantong”. After obtaining consent, I checked his medical records and list of medications. Records show: 5 months ago, the patient was hospitalized for acute gout flare. High uric acid was diagnosed as gout, and he was prescribed uric acid-lowering drugs and anti-gout drugs.

“Daisy, although it is very likely that Ah Cheng has a gout attack this time, it is better to have an examination first for safety. Because the pain can be a precursor to other diseases. However, I checked the list of medicines on ‘Yijiantong’, and the hospital gave He has gout medicine for backup, why don’t you tell him to take these medicines first and see if it works. If the pain subsides and he can move easily, you can come to see me with him again. Okay?” I asked.

2 days later, Daisy came with Cannabis. Although Ah Cheng still faltered a little, he seemed to be still spirited. As soon as he entered the door, he said: “Ah Fu, I can give you any medicine. In short, don’t have another attack.”

Change life and eating habits to reduce uric acid concentration by 15%

Why do gout patients need to adjust their lifestyle and diet?

Gout is a disease caused by the deposition of uric acid crystals in the joints. Uric acid is normally stored in the human body, but when the metabolic function changes, the accumulated uric acid cannot be excreted and causes inflammation.

The causes of gout include: genetic factors, family medical history, gender, aging, drug side effects, etc., but one’s own eating habits are also one of the causes, because although most of the uric acid in the body is produced by natural metabolism, 20% to 30% of it is caused by food intake.

“The ancients often called gout a ‘rich man’s disease’, which may be due to ‘eating too much’. Therefore, if the diet is unrestrained, gout is naturally more likely to attack. Studies have shown that if patients can improve their eating habits, the concentration of uric acid in the blood will increase. It can be reduced by 15%.”

Avoid alcoholic sugary drinks

Therefore, I solemnly say: “Ah Cheng, if you don’t want gout to recur, you must adjust your life and eating habits. In terms of diet, try to quit alcohol and sugary drinks. Beer, spirits, fructose and sucrose drinks will Metabolized into lactic acid in the body, lactic acid will accelerate the growth of uric acid and affect the excretion of uric acid.”

“Therefore, refined sugar foods such as cakes, ice cream, etc. should also be avoided. Secondly, pay attention to protein intake. Do not eat foods high in purines such as animal offal, shrimp, crab, oysters, kelp, and dried shiitake mushrooms.”

“Ah Fu, you don’t need to say it! I have quit everything. I just came back from visiting old friends in Taiwan. I eat hot pot with my friends every day, but I just watch them eat seafood such as shrimps and crabs. I don’t let go of them at all. Imported. I only eat tofu, vegetables and drink soup.” Ma Cheng rushed to explain.

“What, eat hot pot? You eat hot pot every day and still say that you have not ‘crossed the line’?” I said sternly: “The ‘old ghost’ Qiqi who eats hot pot with you committed the crime of ‘Bo Ren You Me’. You hurt It’s all because of them! You know, although you haven’t eaten seafood, you’ve absorbed the essence! All kinds of seafood have been boiled for hours, and the soup base is delicious. But at the same time, the high-purine essence is also in it! You After drinking the soup, it’s hard not to think about it!”

At this time Daisy asked: “Ah Fu, according to what you said, you can’t even eat homemade thick soup?”

“Yes. Laohuo thick soup is the fuse. I have patients who have gout attacks every time they eat hot pot. Therefore, it is better to quit hot pot.” I replied. In addition, trauma can also induce gout.

Trauma can also induce gout

People over the age of 50, if they find that their feet or joints are painful after long-term exercise or playing football, and the swelling does not go away after a few days, it is often the first sign of gout. And joint pain is not limited to the toes, any other joints of the body including: knee joints, hand joints, and even jaw joints can also occur.

“Oh, Ah Fu. I really can’t accept it. Living in today’s Hong Kong, old friends are separated, and regular activities disappear. Now even my personal life preferences are disillusioned; I can’t drink red wine, I can’t eat desserts, and I can’t touch seafood. Now even thick soup is taboo, you really want to teach me how to deal with myself.” Ma Cheng sighed with a sad face.

However, before I could respond, Daisy said: “Ah Fu, you don’t have to worry about it! I will relieve Ah Cheng. When you get old, one day your body will naturally go wrong. I believe Ah Cheng also knows this, but it’s just psychological. Not ready yet.”

Yes, when society, atmosphere, environment, family, and even one’s own health are changing, the fact is that it is difficult to adapt. Therefore, it is best for us to encourage each other, be positive and optimistic, adjust as much as possible, and do our homework to meet various changes.

[ad_2]

Source link