The peak of gout is often during the Lunar New Year and drinking spring wine. Xia, a nutritionist at the hospital, pointed out that gout is more painful than when a woman gives birth. In addition to genetic factors, 25 ~ 30% of the causes of gout are caused by diet, especially those who don't eat meat and don't keep exercising, which is one of the main high-risk groups of gout.
Drink spring wine violently during the Spring Festival, beware of gout.
During the Chinese New Year holiday, most people almost eat big fish and big meat, and the food items they eat are more complicated, so it is easy to decompose high purine because they eat too much protein food, which leads to high uric acid, and then it is easy to cause gout attacks.
Gout is a disease with abnormal purine metabolism and high uric acid concentration in blood, which is called hyperuricemia in medicine. Xia said that uric acid is the final metabolite of purine. If the concentration of uric acid in women's blood exceeds 6.0 mg/dl and that in men exceeds 7.0 mg/dl, they will suffer from "hyperuricemia", and about 5 ~ 18% of patients with hyperuricemia will develop gout.
The big toe is the most common, it hurts so much that it is difficult to move.
The main cause of gout is that excessive uric acid will combine with sodium in the body to form sodium urate crystals, which are deposited in joints, tendons, kidneys and other parts or organs. If it accumulates over time, it will produce tophi, and a single joint (especially the lower limb joint) is prone to redness, swelling, heat and pain. This is an inflammatory reaction. People with severe gout will feel pain and can't move, and it will be more painful to go upstairs and downstairs. It's even more painful to touch the affected area occasionally.
The most common part of gout is the big toe of the foot, followed by ankle, knee, wrist and elbow. Before the onset of gout 1 ~ 12 hours, patients often have dull pain symptoms, followed by severe pain, and the degree of pain will continue to increase, generally reaching a peak within 24 ~ 48 hours, and then the pain will slowly ease and return to normal in about 7 ~ 12 days. Xia especially reminded that the pain caused by some minor gout will naturally disappear even if it is not treated, which makes it easy for patients to ignore and delay medical treatment.
How to eat soup, seafood and wine without gout?
On the table around the stove on New Year's Eve, there must be soup like chicken soup and Buddha jumping over the wall. Xia said that this kind of stew for a long time has a high purine value, and staying up late in the New Year will make the body's metabolism worse. Drinking too much will inhibit uric acid metabolism in the body, and people with gout will naturally attack.
Method 1: Eat vegetables first and then meat and starch.
Many families choose to eat buffets around restaurants. In the face of all kinds of food, I'm afraid it's hard to resist the temptation of current food. How to avoid "waking up" gout? Xia suggested eating vegetables first, and then eating meat, starch and other foods in turn. However, even lettuce salad should be careful not to pour a spoonful of salad dressing, because salad dressing is too oily and will affect uric acid metabolism. It's best to take the sauce and put it next to the lettuce salad, so as to avoid eating too much fat and unconsciously slowing down uric acid metabolism.
Method 2: Don't eat seafood, eat more vegetables and drink more water.
As for the seafood that many people often eat first, such as sashimi, crab, shrimp, oysters, etc., especially the shelled seafood such as crab and shrimp has a higher prin. Xia said that gout patients had better not eat it. If they insist on eating, they must balance it with the same amount of green vegetables and drink more boiled water. After that, they have to give up eating other meats, so they can't eat everything. "If there is one good thing, then there is nothing." 」
Method 3: drink less, and people with gout attacks should avoid eating.
During the Chinese New Year, many people will drink some wine to amuse themselves, but this is the biggest taboo for gout patients. You really need to drink less. It is not the high price of wine, but it will inhibit metabolism. Xia stressed that all wines, including red wine and white wine, also have the effect of inhibiting uric acid metabolism, except the high purine value of beer that is often ingested, and people with gout attacks must avoid eating; For people who don't have seizures, men and women usually consume no more than 2 equivalents of alcohol per day, and women do not exceed 1 equivalent (1 equivalent is about15g of alcohol, which is converted into alcohol: Taiwanese beer 263c.c, wine and champagne 120c.c, and whisky 40c.c.
Method 4: Eat high-fat stir-fry and make up boiling water.
In fact, New Year's Day is not just about eating and drinking. In normal days, many people like to sit in a hot-fried shop, serve a few hands of beer with high-fat dishes that are baked quickly, which is regarded as a great enjoyment of life, but they ignore that such high-fat foods are also easy to make metabolism worse. Xia reminded that in the process of eating and drinking happily, you must always add enough boiled water, otherwise gout may occur once the uric acid concentration in the body rises.
Gout is younger! 2 The main cause of the failure
It is worth noting that gout tends to be younger. Xia said that the cause of gout in young people is closely related to obesity, and severe weight loss is one of the causes of gout in young women.
High oil, high salt and high sugar diet+no exercise
Young people may not be interested in the big fish and big meat in the Spring Festival, but they always insist on fried chicken, French fries, salted chicken and bubble tea in their daily life. These heavy-flavored foods with high oil, high salt and high sugar are all important factors inducing gout, especially fried rice blood and rice sausage. Because the main ingredient is rice, the oil absorption of starch is even higher than that of fried chicken. So people who don't exercise or seldom exercise have no money to eat this kind of food.
◆ Obese women adopt intense weight loss methods.
Some young obese women with high uric acid rashly take drastic weight loss, which may also lead to gout attacks. Some girls took a weight-loss course. By eating less, they lost nearly 4 kilograms in three months, and their basal metabolic rate dropped from normal 1 200 calories to 1 000 calories. However, because I didn't know that I had high uric acid, I consumed and decomposed a lot of muscles in the process of losing weight, which did not achieve the purpose of losing weight, but led to gout.
When you have an acute attack, don't eat middle-class food.
Gout diet, gout acute attack, avoid eating high-quality food, can only eat low-quality food. Xia pointed out that if you think it is troublesome to remember low-grade food, just remember that mushrooms can't be eaten, asparagus and pointed bamboo shoots are forbidden. Seafood can only eat sea cucumber, jellyfish skin, scaleless fish with bright skin, such as leucorrhea, white pomfret, roe and so on. They are all high and shelled seafood, such as crabs, shrimps and oysters. They are all high-quality foods and can't be eaten.
In addition, the stewed soup of ethnic food snacks such as pork rice or dried meat rice, and even the stewed cabbage with meat and bone soup as the main food belong to Gao Pulin food, and gout patients should eat less. Xia said that all soups or sauces cooked with gravy and bones have amazing purine values and must be eaten with care.
"Many people think that soybeans are the food of Goplin, and gout patients should never touch them. Actually, it's not entirely correct. Xia explained that it is mainly the bean dregs of soybeans that are highly regarded as food, such as the home-cooked dish "Stewed Beef with Soybeans", which is extremely valuable, because not only the whole soybean is used, but also the protein of beef is high. After stewing for a long time, the attack power of gout is "three effects in one". On the other hand, when making soybean milk, because the bean dregs will be filtered, soybean milk or its replica is only Zhongpulin, and it can still be eaten in moderation when there is no gout attack.
Total diet control, moderate intake of protein, drinking more than1500 c.c.
When gout attacks, we should control the total amount of food. Xia said that protein's daily intake is based on 10 kg protein 10 Liang (37.5g), and 50 kg people can only eat 5 Liang (about187.5g) of beans, meat, fish and eggs; For people weighing more than 80 kilograms, the upper limit of intake in protein is 8 taels (about 300 grams).
"Supply enough boiled water at any time" is undoubtedly the best way to prevent gout. Drinking too little water is one of the important causes of gout. How much water should everyone drink? The so-called water consumption refers to pure boiled water, excluding three meals of coffee, tea or soup; The simplest algorithm: weight (kg) × 30c.c is the basic water consumption per day, that is, a 50 kg person should drink at least 50× 30c.c. =1500c.c., and people who exercise should drink more water.
Xia reminds gout patients to drink boiled water no matter what they eat, especially to eat more purine foods such as meat. Drinking a proper amount of boiled water can eliminate uric acid in the body and inhibit the increase of purine, but the amount of boiled water should not exceed 4000c.c a day to avoid other side effects.
The treatment is mainly drugs, supplemented by diet control.
At present, the treatment of gout is mainly drugs, supplemented by diet control. For patients with gout, the uric acid control target should be lower than 6 mg/dl, and for patients who have never had gout, the uric acid target should be lower than 7 mg/dl. Commonly used drugs for gout include steroids, uric acid reducing drugs "colchicine" and non-steroidal anti-inflammatory drugs (NSAIDs). Doctors will choose one or more of them according to the severity and symptoms of the disease, and usually give priority to colchicine and NSAIDs in the first line.
Who is the high-risk group of gout?
Gout usually occurs in middle-aged men and postmenopausal women aged 40-60. The older you get, the slower your metabolism is, and the higher the probability of gout attack. In addition, people with kidney disease and three high problems should also be careful of gout.
◆ Men over 40 years old: Gout is often caused by abnormal work, entertainment, diet and life, eating too much meat and internal organs, drinking too much and not exercising enough.
Postmenopausal women: due to hormone reduction, obesity and metabolic syndrome, they are prone to gout.
◆ People with kidney disease, diabetes, cardiovascular disease or three high problems: Uric acid is easy to accumulate in the body, increasing the possibility of gout attack.
Don't take painkillers to prevent gout.
Painkillers should not be eaten indiscriminately, so as not to aggravate gout. Taking painkillers is a temporary solution, not a permanent cure. It's just to relieve the pain, and the time it takes from taking painkillers to exerting the drug effect in the body is not urgent for the pain at the moment, but it's just a self-deception that it doesn't hurt. But the fundamental problem of gout has not been solved. Even if you can bear the pain this time, it will recur next time, and the frequency will become more and more dense, and the symptoms of gout will be aggravated. Therefore, people should not take painkillers by themselves, but should seek medical treatment.
What are the Goplin foods?
Food category
Goplin( 150 ~ 1000 mg print/100 g)
bean
Whole bean
Meat/eggs
Chicken liver, chicken intestine, pig spleen (waist size), pig small intestine, pig liver, duck liver and beef liver.
Fish and its products
Smoked fish, silver carp, Wu Guoyu, saury, mullet, small tube fish, shark, eel, grass shrimp, oyster, clam, scallop, leucorrhea, snakehead, dried fish, flat fish, mullet skin, parent fish, polygala tenuifolia, and shredded fish.
vegetables
Bean sprouts, soybean sprouts, Lu Xun, alfalfa sprouts, dried mushrooms, dried laver.
other
Gravy, broth, beef soup, chicken essence, yeast powder, all kinds of wine.