What is Uric Acid and Gout?
Gout is a disease characterized by elevated uric acid in blood, which leads to depositing of uric acid of sodium monourato joints. It is this deposit that generates the secondary outbreaks of acute arthritis that so bother the patients.
Is important in order to realize that not all people who are with the excessive rate of uric acid (hiperucemia) are suffering from gout (only 20% of hiperucemicos develop the disease). Most patients with gout is composed of adult men.
Congenital absence of a good enzymatic mechanism in charge of the particular excretion of uric acid by the kidneys. Without proper disposal, there is an increased concentration of acid in the blood;
- Excessive production of uric acid by the body due to a "defect" enzyme.
- In cases like this, one generates a large amount of uric acid and the kidneys cannot eliminate it.
- This cause is less common.
Some medications such as diuretics and also aspirin can lead to reduced renal excretion of uric acid.
Most cases the first indicator is a swollen big toe together with severe pain. The first crisis may last 3-10 days, and after this period the patient returns to lead a normal life, which usually means that he did not seek immediate medical help.
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- New crisis may arise months or years and commit the same or other joints.
- Usually the crises of arthritis can be found in the lower limbs, but there may be disadvantages of any joint.
Without treatment, the interval between attacks will reduce and increase the intensity.
The patient who is not necessarily can have their joints deformed and still have crystal debris monourato sodium in cartilage, tendons, and bursae articulacos.
You can only make the diagnosis of gout in the first seizure if found uric acid crystals in joint fluid aspirated. Or else, you can not set before the diagnosis to rule out other possible causes. When the rate of uric acid is actually normal during the crisis, but still suspected of developing the disease, the physician should indicate a new strength within 2 weeks.
An X-Ray Examination can Help Set the Table.
- There is no cure for the final fall, given that the majority of cases are caused by faults in the elimination or production of uric acid.
- Since both of them are genetic causes, treatment is not conclusive.
Usually diet and medications are indicated in order to decrease the rate of uric acid in the blood vessels and thus stop attacks of gout.
When in treatment, the levels are normal, the particular intake of alcoholic beverages can be done without exaggeration;
Do not eat seafood, kids, a lot of red meat, when uric acid levels are usually high because you may trigger an attack. Under management of gout, these food types can be eaten without exaggeration.
Do not abandon the treatment because the uric acid level rises again leading to deformities of the joints.