08/01/2023
đ°ááąáŤááş (Gout) ááąáŹááŤáááŻááŹááŹáá˛?
đááąáŤááşááąáŹááŤá áĄáá
áşáĄáá˝ááşá¸áá˛áˇ áá
áşáááŻááşáá˝ááş crystal áááşáá˝áąááźá
áşááąáŤáşááŹááźáŽá¸áĄáá
áşáĄááźá
áşááąáŹááşá
áąáá˛áˇááąáŹááŤáá
áşááťááŻá¸ááźá
áşáááşá Gout áááźááşá¸áááşáá˛áˇ ááŹááťááşáážáŻáá˛áˇ ááąáŹááşáááşá¸áážáŻ áá˝áąááᯠááŻááşááááş ááźá
áşááąáŤáşá
áąááŤáááşá áĄááťáŹá¸áĄáŹá¸ááźááˇáş áá˝áąá¸ááŻáśá¸ááźáŽá¸ááąáŹááş áĄáááş 30 ááťáąáŹáş áĄááťááŻá¸ááŹá¸ááťáŹá¸áážááˇáş áĄááťááŻá¸áááŽá¸ááťáŹá¸áá˝ááş áááşááąáŹááşáážáŻáážááááşá ááąáŤááşááąáŹááŤáááş áĄááťááŻá¸ááŹá¸ááťáŹá¸áááş áĄááťááŻá¸áááŽá¸ááťáŹá¸áá˝ááş áááŻáĄááźá
áşááťáŹá¸ááŤáááşá
đ ááąáŤááşááąáŹááŤáááş ááášááŹáááŻááşáĄáá˝ááşá¸ áá°áá
áşáĄááşáá
áş(uric acid) ááťáŹá¸áá˝ááşá¸ááąáŹ hyperuricemia ááŻááąáŤáşááąáŹ áĄááźáąáĄááąááźáąáŹááˇáş ááźá
áşáá˝áŹá¸ááźááşá¸ááźá
áşááŤáááşá áááˇáşááášááŹáááŻááşáá˛áˇ áááşá
áŹá¸áá˛áˇ áĄá
áŹá¸áĄá
áŹáá˝áąáážáŹááŤáá˛áˇ purines áá˝áąááᯠááźááŻáá˝á˛áá˛áˇáĄá፠ááášááŹáááŻááşá áá°áá
áşáĄááşáá
áşááᯠááŻááşááąá¸ááŤáááşá ááášááŹáááŻááşáá˛áážáŹ áá°áá
áşáĄááşáá
áşááťáŹá¸áá˝ááşá¸áá˛áˇáĄá፠áá°áá
áşáĄááşáá
áşááŻáśááąáŹááşáá˛áá˝áąáᏠááášááŹáááŻááşáĄáá˝ááşá¸áážáŹáážááá˛áˇ áĄáá
áşáá˝áąá áĄáááşáá˝áąáá˛áˇ áá
áşáážá°á¸áá˝áąáážáŹ á
áŻááŻáśááŹáááŻááşááŤáááşá Hyperuricemia áááş ááąáŤááşááąáŹááŤááᯠáĄááźá˛áááźá
áşá
áąáᲠááąáŤááşááąáŹááŤááášáááŹááťáŹá¸ááážááᲠhyperuricemia ááᯠááŻááááşááááŻáĄááşááŤá
đááąáŤááşááąáŹááŤáááş ááášááŹáááŻááşáĄáá˝ááşá¸ áá°áá
áşáĄááşáá
áş(uric acid) ááťáŹá¸áá˝ááşá¸ááąáŹ hyperuricemia ááŻááąáŤáşááąáŹ áĄááźáąáĄááąááźáąáŹááˇáş ááźá
áşáá˝áŹá¸ááźááşá¸ááźá
áşááŤáááşá áááˇáşááášááŹáááŻááşáá˛áˇ áááşá
áŹá¸áá˛áˇ áĄá
áŹá¸áĄá
áŹáá˝áąáážáŹááŤáá˛áˇ purines áá˝áąááᯠááźááŻáá˝á˛áá˛áˇáĄá፠ááášááŹáááŻááşá áá°áá
áşáĄááşáá
áşááᯠááŻááşááąá¸ááŤáááşá ááášááŹáááŻááşáá˛áážáŹ áá°áá
áşáĄááşáá
áşááťáŹá¸áá˝ááşá¸áá˛áˇáĄá፠áá°áá
áşáĄááşáá
áşááŻáśááąáŹááşáá˛áá˝áąáᏠááášááŹáááŻááşáĄáá˝ááşá¸áážáŹáážááá˛áˇ áĄáá
áşáá˝áąá áĄáááşáá˝áąáá˛áˇ áá
áşáážá°á¸áá˝áąáážáŹ á
áŻááŻáśááŹáááŻááşááŤáááşá Hyperuricemia áááş ááąáŤááşááąáŹááŤááᯠáĄááźá˛áááźá
áşá
áąáᲠááąáŤááşááąáŹááŤááášáááŹááťáŹá¸ááážááᲠhyperuricemia ááᯠááŻááááşááááŻáĄááşááŤá
đ ááąáŤááşááąáŹááŤáá˛áˇ ááášáááŹáá˝áąá ááŹáá˝áąáá˛?
đááąáŤááşááąáŹááŤáááş áááşáááˇáşáĄáá
áşáááŻáááᯠáááááŻááşáááŻááşááźáŽá¸ áĄááťáŹá¸áĄáŹá¸ááźááˇáş ááźáąááťáąáŹááşá¸á ááźáąááťááşá¸áááşá áá°á¸áážááˇáş áááşááťáąáŹááşá¸ááťáŹá¸áá˛áˇááźáąááťáąáŹááşá¸ááťáŹá¸ áá˛áˇáĄáá
áşááťáŹá¸ááᯠáááááŻááşáááşááŤáááşá
đááąáŤááşááąáŹááŤá ááášáááŹááťáŹá¸áážááˇáş ááášáááŹáá˝áąáááąáŹáˇ-
- áĄáá
áşáá
áşáᯠáááŻáˇáááŻááş áá
áşááŻáááşáááŻááąáŹ áĄáá
áşááťáŹá¸áá˝ááş ááźááşá¸áááşá
á˝áŹ ááŹááťááşááźááşá¸á
- áĄáááŻá¸áĄáá
áşáá˝áą áá°ááźáŽá¸ áĄáááşá¸áá°á¸ááśáˇáááşá
- áááááŻááşááááąáŹ áĄáá
áşáá
áşáááŻááşáá˝ááş ááąáŹááşáááşá¸ááźááşá¸á
- áááááŻááşááááąáŹ áĄáá
áşááťáŹá¸ááąáŤáşáá˝ááş ááŽáá˛ááąáŹ áĄááŹá¸áĄááąáá˝áąáˇááźááş áááŻáˇááźá
áşááŤáááşá
đááąáŹááŤááášáááŹááťáŹá¸áááş ááŹááŽáĄáááşá¸áááşáĄáá˝ááşá¸ ááťááşááźááşá
á˝áŹ ááźá
áşááąáŤáşááŹááźáŽá¸ ááŻáśáážááşáĄáŹá¸ááźááˇáş ááŻáśá¸áááşááž áá áááşáĄáá ááźáŹáááşááŤáááşá ááŽááŹáááźáŽá¸áááş ááŹááťááşáážáŻá áááşááŹáá˝áŹá¸ááźáŽá¸ áĄáá
áşá ááŻáśáážááşááźááşááźá
áşáá˝áŹá¸ááŤáááşá ááąáŤááşááąáŹááŤáážááá°áááŻááşá¸ááŽá¸ááŤá¸áááş áá
áşáážá
áşáĄáá˝ááşá¸ áá
áşááťáááşááťáááşáá˝ááş ááąáŹááşáááş gout áááşááᏠááťáŹá¸ááᯠááźáŻáśáá˝áąáˇáááŤáááşá
đ ááąáŤááşááąáŹááŤááᯠáááşáááŻáĄáááşááźáŻááá˛?
đáááŹáááşáá
áşáŚá¸áááş áááşáˇááąáŹááŤááášáááŹááťáŹá¸áá˛áˇ áááşáááŻááşáááŻááşá¸áááŻááşááŹá
á
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á
áşááąá¸áážáŻááťáŹá¸á ááááşááťáŹá¸ááᯠáĄáá˛ááźááşááźááşá¸ááźááˇáş ááąáŤááşááąáŹááŤáážáŹáá˝áąááąá¸ááŤáááşá áĄáá
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á
áşááąá¸áážáŻáá˝ááş áĄáá
áşáážáŹ áá°áá
áşáĄááşáá
áşááŻáśááąáŹááşáá˛ááťáŹá¸ááᯠáá˝áąáˇáážááá˛áˇáĄá፠ááąáŤááşááąáŹááŤááźá
áşáááşáááŻáˇ áááážááááŻááşááŤáááşá
đ ááąáŤááşááąáŹááŤáááŻááŹáá˝áąááááŻáááŻá¸á
áąáá˛?
â ď¸áĄááťááŻá¸ááŹá¸ááźá
áşááźááşá¸á
â ď¸áĄááá˝ááşááźááşá¸á
â ď¸áážááŻáśá¸ááąáŹááŤáážáááźááşá¸á
â ď¸áá˝áąá¸áááŻá¸ááąáŹááŤáážáááźááşá¸á
â ď¸ááŽá¸ááťááŻááąáŹááŤáážáááźááşá¸á
â ď¸ááťáąáŹááşáááşááŻááşááąáŹááşáĄáŹá¸ áááąáŹááşá¸ááźááşá¸á
â ď¸ááŽá¸ááąá¸ (ááąááąá¸) áá˛áˇáááŻáˇááąáŹ ááąá¸ááŤá¸áĄááťááŻáˇááᯠáĄááŻáśá¸ááźáŻááźááşá¸á
â ď¸áĄáááşááąáŹááşááźááşá¸á
â ď¸fructose (áááźáŹá¸áĄááťááŻá¸áĄá
áŹá¸) ááťáŹá¸ááąáŹ áĄá
áŹá
áŹá¸ááźááşá¸ áááŻáˇáááŻááş ááąáŹááşááźááşá¸á
â ď¸ááášááŹáááŻááşááž áá°áá
áşáĄááşáá
áşáĄááźá
áşáááŻáˇ áá˝á˛ááŻááşáááŻááşááąáŹ purines áááŻááźááˇáşááŹá¸á
á˝áŹ á
áŹá¸ááŻáśá¸ááźááşá¸á
đPurine ááŤááşáá˝ááşáá˛áá˛áˇ áĄá
áŹá¸áĄá
áŹááťáŹá¸(gout ááąáŹááŤáĄáá˝ááş ááŻáśá¸ááážáąáŹááşááźááşáááşáá˛áˇáĄá
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áŹá¸ááťáŹá¸á
đáĄááŽááąáŹááşáážááá˛áˇ áĄááŹá¸ááťáŹá¸(áĄáá˛ááŹá¸ááááşááŹá¸áááááşááŹá¸á áááŻá¸ááŹá¸ á
áááşá)
đááąáŹáşááŽáááşá¸á ááá˝ááşá áááşá¸ááŻáá˝ááş á
áá˛áˇ áááşá¸ááŽá¸áááşá¸áá˝ááşááťáŹá¸á
đ ááąáŤááşááąáŹááŤááᯠáááşáááŻááŹáá˝ááşááááşá¸ááááşá¸ááźáŽá¸ áááĄáááşáĄáá˝áąá¸ááᯠááźážááˇáşáááşááá˛?
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áŹá¸áĄááąáŹááşáá˝áą á
áŹá¸ááŤá
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purines ááťáŹá¸ááąáŹáĄá
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áşááąáŹááşáááşá¸ááźááşá¸ááᯠáááŻáááŻá¸á
áąáááş áááŻáˇáááŻááş áĄáášáááŹááşáááşá¸á
á˝áŹ ááąáˇááťááˇáşáááşá¸ááŻááşáááş áááąááťáŹááąáŹáá°ááťáŹá¸á physiotherapy ááŻááážáŻáá°ááźáŽá¸ áĄáá
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đ What is gout?
đ Gout is a type of arthritis in which small crystals form inside and around the joints. It causes sudden attacks of severe pain and swelling. The condition mainly affects men over 30 and women after the menopause. Overall, gout is more common in men than women.
đ What causes gout?
đ Gout is caused by a condition known as hyperuricemia, where there is too much uric acid in the body. The body makes uric acid when it breaks down purines, which are found in your body and the foods you eat. When there is too much uric acid in the body, uric acid crystals can build up in joints, fluids, and tissues within the body. Hyperuricemia does not always cause gout, and hyperuricemia without gout symptoms does not need to be treated.
đ What are the signs and symptoms of gout?
đAny joint can be affected by gout, but it usually affects joints towards the ends of the limbs, such as the toes, ankles, knees and fingers.
đ Signs and symptoms of gout include:
- severe pain in one or more joints
- the joint feeling hot and very tender
- swelling in and around the affected joint
- red, shiny skin over the affected joint
đ Symptoms develop rapidly over a few hours and typically last three to 10 days. After this time the pain should pass and the joint should return to normal.
đ How is gout diagnosed?
đ A medical doctor diagnoses gout by assessing your symptoms and the results of your physical examination, X-rays, and lab tests. Gout can only be diagnosed during a flare when a joint is hot, swollen, and painful and when a lab test finds uric acid crystals in the affected joint.
đ What increases your chances for gout?
đ The following make it more likely that you will develop hyperuricemia, which causes gout:
â ď¸ Being male
â ď¸ Being obese
â ď¸ Having certain health conditions, including:
â ď¸ Congestive heart failure
â ď¸ Hypertension (high blood pressure)
â ď¸ Diabetes
â ď¸ Poor kidney function
â ď¸ Using certain medications, such as diuretics (water pills).
â ď¸ Drinking alcohol.
â ď¸ Eating or drinking food and drinks high in fructose (a type of sugar).
Having a diet high in purines, which the body breaks down into uric acid. Purine-rich foods include red meat, organ meat, and some kinds of seafood, such as anchovies, sardines, mussels, scallops, trout, and tuna.
đ How can to manage gout and improve the quality of life?
- Eat a healthy diet.
- Avoid foods that may trigger a gout flare, including foods high in purines (like a diet rich in red meat, organ meat, and seafood),
- Limit alcohol intake (particularly beer and hard liquor).
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Get physically active. Experts recommend that adults engage in 150 minutes per week of at least moderate physical activity. Moderate, low impact activities recommended include walking, swimming, or biking. Regular physical activity can also reduce the risk of developing other chronic diseases such as heart disease, stroke, and diabetes. Learn more about physical activity for arthritis.
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Lose weight. For people who are overweight or obese, losing weight reduces pressure on joints, particularly weight bearing joints like the hips and knees. Reaching or maintaining a healthy weight can relieve pain, improve function, and slow the progression of arthritis.
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Protect your joints. Joint injuries can cause or worsen arthritis. Choose activities that are easy on the joints like walking, bicycling, and swimming. These low-impact activities have a low risk of injury and do not twist or put too much stress on the joints. Learn more about how to exercise safely with arthritis.