Found 'tophi' and must operate as soon as possible? Doctor refutes the rumor: 3 situations should be operated
Gout is not uncommon in daily life. Even if you are not a gout patient, there are many people around you who are suffering from gout.
Gout is a metabolic disease. The disorder of purine metabolism in the human body, or the increase of uric acid in the blood, can cause a series of diseases, with joint pain as the main manifestation.
The most common symptom of gout patients is a stone around the joint. This is a very common phenomenon we call it: tophi.
When many gout patients find tophi, they want to get rid of this stone as soon as possible, and especially want to know if it is possible to have an operation to remove the tophi, so that the gout is not good? I heard the sooner the surgery the better? If you really think that tophi should be operated on, then you must have misunderstood this disease.
- Tophi.
In our country, joint pain occurs with age, the most common of which is osteoarthritis of the knee joint.
But if you are a man, pay attention to whether you have arthritis caused by gout. For gout patients, men are the ones who love to "start".
Among the gout patients, 95% are men. People in their 40s often have joint pain. They go to the hospital and find out that it is because of gout. Sodium urate increases in the body due to metabolic imbalances in the body, resulting in the formation of crystal deposits in the joints.
Some scholars have proposed that this is related to differences in body temperature in various parts of the body. Because the body temperature on the far side of the limbs is relatively low, the general body temperature is about 37 degrees Celsius, and the temperature of the knee joint cavity is about 32 degrees Celsius. This causes the uric acid to dissolve, forming crystals in the joints. Hence the tophi.
In addition, many men like to drink alcohol, and ethanol will also increase the synthesis of uric acid, which makes gout more likely.
But what to do with tophi? Is surgery necessary?
Two or three cases should be operated.
It would be bad if all patients needed surgery.
After all, there are many patients with gout, and there are naturally many people with tophi, but what kind of situation requires surgery?
In fact, a long time ago, experts have reached a consensus on this. They believe that there are three situations that require surgical treatment, provided that the tophi is particularly huge:
- May penetrate the skin. 2. Compression of surrounding blood vessels, nerves and tendons. 3. Affects joint activities.
In short, the huge size has produced potential danger or affected function, and in this case, surgical treatment should be considered.
If the skin has been pierced to form a sinus, this situation is more dangerous and may even require replacement of the artificial joint.
Don't let tophi develop to this stage, it is very troublesome to deal with.
However, when tophi is "not big", how should we prevent it?
Third, lowering uric acid is the key.
Many gouts are caused by uric acid, so lowering uric acid has also become the key to treatment and even prevention of gout.
How to reduce uric acid? There is a lot of content to say, here are some suggestions for you, I hope you can reduce uric acid more effectively in your life, and don't let the tophi get bigger and bigger.
Don't drink alcohol. Alcohol is one of the important factors that can lead to gout attacks, and different types of alcohol have different effects on gout. The most important things to guard against are beer and high-concentration liquor, which are very easy to cause gout attacks.
Drink plenty of water. Drink more than two liters of water a day. And it’s best to drink plain water. If you really can’t drink it, you can also consider drinking tea or unsweetened coffee. The most taboo is thick soup or fruit juice, and other sugar-sweetened beverages. These beverages can lead to aggravation of gout.
Supplement pleiotropin. Studies have shown that various Chinese herbal extracts such as cordycepin, cartilage collagen, Poria, turmeric, gardenia, etc., which are rich in pleiotropin, can increase the serum adenosine deaminase by inhibiting the activity of xanthine oxidase in the liver. Active to reduce the concentration of uric acid in the blood, thereby preventing the development of gout.
Long-term supplementation can dissolve tophi, reduce the concentration of uric acid, relieve joint pain and reverse the course of gout.
In addition to people with gout, people with high acidity and people with joint problems can also supplement paclobutterin, which can not only prevent the formation of gout, but also form a protective film at the joints, increase joint strength and flexibility, and prevent a series of uric acid Diseases caused by excess.
Eat more alkaline foods. Alkaline foods can promote the solubility of uric acid in the urine, which in turn helps uric acid excrete from the body and prevents uric acid from affecting the body. However, which foods are alkaline foods? In fact, many yellow-green vegetables are alkaline, such as rapeseed, cabbage, and carrots.
Actively control other factors. Gout is not terrible, but when gout has an acute attack, it can make people suffer to death. Therefore, in life, we must also avoid the factors that induce gout attacks, such as: do not overwork, do not catch a cold, be careful of joint damage, and actively control blood lipids. These are all good ways to prevent gout.