Monday, April 9, 2012

Uric arthritis (arthritis urica)

Uric arthritis or gout is a disease caused by uric acid metabolism disorder. 

Known as the disease of kings and king of the disease, doctors are studying gout for centuries caused the suffering of many people. Once a tremendously painful, gout is now simply controlled by proper treatment.

What is it?
Gout is an inflammation of joints (arthritis) caused by the formation of uric acid crystals in joints.

Description of disease
Gout is one of several types of arthritis which is a known cause. The result is delay, needle crystals of uric acid in connective tissue, joint, joint space, cartilage, tendon or at all these places. Uric acid is a byproduct of decomposition of purines or waste products of the body. Normally, uric acid is dissolved in the blood and eliminated in the urine. When the body increases the production of uric acid or if the kidneys do not eliminate enough uric acid from the body, its concentration in the blood increases. This condition is called Hyperuricemia.Hyperuricemia is not a disease, and there may be no symptoms. However, if you create uric acid crystals as a result of Hyperuricemia, gout can develop.

Who gets?
Painful attacks can occur at any age, but the first attack often affects men between forty and fifty years of age.Gout is 20 times more common in men than in women, yet the number of women who suffer from gout increases with menopause. Attacks of gout previously been associated with drinking alcohol and high standard of living, it was a kind of "punishment" for easy one lifestyle. Most people who suffer from gout today are moderate people and have a genetic tendency to gout or prerequisites for many other reasons. They do not have to be crazy to entertainment, voracious or alcoholics to suffer from gout, although too much pleasure in "benefits" of life definitely increases the risk of disease.

Common symptoms of gout are sudden attacks of severe pain, tenderness, redness, warmth and swelling in some joints. Usually only one joint affected by the attack, especially the joint of great toe, but can also be affected knee joint article on the leg, foot, hand, wrist and elbow. Deposits of uric acid, called tofi, can appear as lumps under the skin around the joints and the edges of the ears. The crystals of uric acid can also be collected in the kidneys and cause kidney stones.

What views can be done?
The standard diagnostic procedure for gout can include a history and physical examination, blood test and urine sample hiperuricemiju. For a definitive diagnosis of gout requires a sample of the joint (synovial) fluid from the affected joint. X-rays in some cases provide additional information.

Although there is no cure, most people with gout can not keep it under control and lead normal lives. Treatment may consist of one or a combination of procedures.

Nonsteroidal anti-inflammatory (anti-inflammatory) drugs (NSAIDs) inhibit the formation of prostaglandins, substances that cause inflammation and pain. Taken orally with a high dose of caution at all until there are symptoms, and three or four days afterwards. There are many NSAIDs. Possible choices include tenoksikam drugs, diclofenac and indomethacin.

Colchicine, a derivative of the autumn saffron, is used to treat gout for thousands of years. This medicine eases pain and swelling and can help prevent future attacks. Although highly effective, is no longer the first choice of doctors because of its potential unpleasant side effects.
If you schedule a NSAID or colchicine effect, in an advanced stage of disease can be used corticosteroids.

Allopurinol stops the production of uric acid and it is a drug that is commonly used in long-term treatment of elderly patients and those with high levels of uric acid excretion.

Changes in diet
Some people may benefit from reduced food rich in purine. This includes beer and other alcoholic beverages, anchovies, sardines (in oil), fish roes, herring, yeast, organ meats (liver, kidneys), legumes (eg dried beans, peas and soy beans), meat products, clear soups, sauces, mushrooms, spinach, asparagus, cauliflower, and poultry.
Losing weight can help reduce levels of uric acid in overweight people.

Treatment of acute attacks allows people to live a normal life. The acute form of the disease can develop into chronic disease. Symptoms are generally worse in people who develop the disease before the thirties. Also, since uric acid is normally eliminated through the kidneys, chronic gout may lead to the formation of kidney stones.


General guidelines for the prevention of gout
Avoid foods high in purines (see list of diet). The higher the purine content will be produced more uric acid in the body. If you are overweight, try to achieve your ideal weight through slow, controlled weight loss (maximum 1 kg per week). Fast / rapid post is not recommended because it can increase the amount of uric acid and gout worse.Avoid heavy, rich meals with high fat and protein content. Avoid alcohol, especially wine, because it bothers excretion of uric acid.

Diet list
Content rich in purine
herring, meat, mussels, sardines, yeast (brewer's and baker)
Alcohol: Alcohol contains no purine but interferes with the excretion of uric acid
Content rich in purines, do not take more than one thing a week.
anchovies, bacon, chicken broth, beef, lamb, pheasant, salmon, sausages, trout, turkey, veal, venison, lobster, crab
moderate purine content, no more than one thing four times a week
asparagus, bouillon, brains, cauliflower, chicken, duck, ham, kidneys, beans, lentils, liver sausage, mushrooms, oysters, beans, pork, zečevina, spawn, spinach, language, Fileki (cow and pig stomachs), tuna, whole cereals, bread
little or nepurinski facilities - often as you want
beverages: tea, coffee, cocoa, chocolate
carbonated soft drinks.
fruit juices
Sugar, sweets
Vegetables: accept those species listed under the careful
and creamy vegetable soup (no meat).
butter, fats of all kinds (in moderation)
bread (accept integral)
grains (accept integral)
Cheese: all kinds (in moderation)
milk, whey, condensed, sweetened
hazelnuts, walnuts, peanuts, peanut butter
Drink plenty of fluids (2 to 3 liters per day) to help flush uric acid through the kidneys.

Caution! If you have heart or kidney disease, your doctor may require a reduction in fluid intake, and the need to consult with him about the allowed amount of fluid intake.

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