What is dangerous gout, which was sick Julia Nachalova: literacy
'21.03.2019'
Source: health.mail.ru
Today, March 21, Julia Nachalova was buried at the Troekurovsky cemetery in Moscow. The cause of death of the singer announced sepsis and acute renal failure. The singer struggled with gout and 2 type diabetes. Given the wave of interest in these diseases, we have prepared for you a memo about how to treat gout.
What is this disease
Gout is a type of arthritis caused by the deposition of urate salts in the urate joint, writes health.mail.ru. It is manifested by bouts of severe pain, redness and swelling. The joint of the big toe, which connects it to the foot (metatarsophalangeal joint), usually suffers. The goal of treatment is to combat symptoms and prevent further attacks.
Where does gout come from
The disease develops because of a disturbance in the exchange of purines - (they exist in the human body), as well as in meat and seafood. When the purines are broken down, uric acid is formed, normally it is excreted in the urine. But if the level of uric acid in the blood is increased, it turns into salts - urates, which are deposited in the joints and kidneys in the form of crystals. The level of uric acid in the blood may increase for various reasons:
- Overweight. Obese people produce a lot of uric acid, and it becomes more difficult for the kidneys to remove it from the body.
- Floor. In men, uric acid levels are higher, so they often develop gout. Risks in women increase after menopause.
- Age. In men, the disease is usually found in 30 – 50 years, but in fact a person of any gender and age can get sick.
- Ration. The more a person eats meat and seafood, the higher the level of uric acid in his blood. Due to alcohol (especially beer) and sweet drinks with fructose, the uric acid content increases.
- Some diseases. The development of gout is promoted by arterial hypertension, metabolic syndrome, diabetes mellitus of the 2 type, kidney disease.
- Наследственность. If your loved ones have gout, your risks are also elevated.
- Some medicines. Uric acid levels are increased by aspirin, diuretic (thiazide diuretics), which are often prescribed for people with high blood pressure.
- It can trigger the onset of gout. surgery or injury.
Gout is manifested by an attack of severe pain in the affected joint. It always starts unexpectedly, usually at night. 4 – 12 hours persist in agonizing pain, swelling and redness appear in the joint area. When the pain subsides, the discomfort and limited movement remain. Symptoms usually occur in the area of the joint at the base of the big toe. The disease can also affect the ankle, knee, elbow, wrist and knuckles.
In some people, the seizure occurs once, after which the symptoms no longer return, other patients experience several seizures a year.
Over time, if not to carry out treatment, movements in the joint become more and more limited, accumulations of uric acid salts, tophi, appear under the skin. If urates are deposited in the kidneys, urolithiasis develops.
How to detect
First of all, the doctor is likely to prescribe an X-ray to see the condition of the joint, and exclude other pathologies. The joint is punctured: a needle is inserted into it, some intra-articular fluid is obtained and examined under a microscope. It can be found crystals uratov. An increased level of uric acid is detected in the blood. Separately, this analysis is not informative. If a person has elevated levels of uric acid, it does not mean that he has gout.
Ultrasound examination helps to identify urate deposits in the tissues around the joints. Detect crystals in the joint can be using dual-energy computed tomography. But this diagnostic method is rarely used, because it is complex, expensive, not in all clinics, and often a diagnosis can be established without it.
How to treat
Pain and inflammation in gout is fought with nonsteroidal anti-inflammatory drugs (NSAIDs) - ibuprofen, naproxen, indomethacin, glucocorticosteroids (adrenal hormone preparations) - they are taken in pills or injected into the joint cavity.
For the prevention of new attacks, use two groups of drugs:
- Medications that reduce the production of uric acid: allopurinol, febuxostat.
- Drugs that increase the excretion of uric acid through the kidneys, for example, probenecid.
Recommendations for patients with gout
- Limit meat and seafood.
- Give up alcohol.
- Do not drink beverages sweetened with fructose.
- Perform physical exercises.
- Maintain a healthy weight.
Recall that Julia Nachalova died 16 March 2019 of the year. 38-year-old woman burned from sepsis in just three days. On the set, the singer rubbed her leg, an abscess began. The situation was aggravated by gout. Julia has long suffered from this disease and in April last year even published a photo in a bathing suit, which shows what made her body sick.
