Gout is a medical condition that rarely requires surgical intervention.

However, in this patient, there are not only many gout nodules all over the body, but also large, and the skin of several gout nodules cannot hold on, and they break by themselves, forming a wound that does not heal for a long time, and at this time, without the intervention of surgery, the wound can hardly heal.

Because the gout nodule is full of uric acid crystals, the human tissue is eroded by uric acid crystals, resulting in the extremely poor healing ability of this wound, or even no healing ability.

Gout can develop to such a point, and it is generally the reason why the patient himself does not pay attention to it.

Some patients feel that gout does not need treatment, anyway, sometimes it hurts, sometimes it doesn't hurt, when it hurts less, when it doesn't hurt, when it doesn't hurt, it's the same as normal people, so there is no need for treatment.

There are also some patients who feel that gout needs to be treated, but to be treated, they must take medicine, they think that the drug has side effects, and they are afraid to worry about the side effects of the drug, so they delay it again and again until they can't get out of control.

Gout is a disease, and if it is a disease, it can be treated, and the mediation of diet is also considered a treatment method, but it is only limited to patients with hyperuricemia who do not have gout attacks, or who have mild gout in the early stage.

The vast majority of cases of gout require medical intervention, which lowers the amount of uric acid in the blood.

Inside the human body, uric acid is the final metabolite of purines.

In patients with gout, purine metabolism is malfunctioning, so its metabolite uric acid is elevated, and this fault is often irreparable.

"Fatty, you should be a gout expert, you have time to popularize the knowledge of gout with everyone." After seeing this patient, Yang Ping felt that it was necessary to popularize some knowledge of this disease with everyone.

The hospital holds weekly health classes at Sanbo Hotel, which are lectures on health science knowledge, and the audience is generally hospital employees, inpatients, or their families.

Liang Fatzi once recommended himself to the medical department, hoping to undertake the popularization of gout science, but adhering to the principle of specialized lectures, the medical department rejected the fat man's request and handed over the gout lesson to the endocrine doctor.

The fat man went to the endocrinologist's class, and was very disappointed, feeling that it was not popular enough, not earthy enough, and did not talk about the pain points.

Now Yang Ping offered to let him give a lecture on gout, and he was eager to try.

"It's better to choose a day than to hit the day, anyway, if you are free now, how about giving a lecture now? If so, we recommend you to go to the health lecture hall of Sanbo Hotel? ”

Xiao Wu is very interested, because his father-in-law is a gout patient, every time he asks the fat man, he gets a little bit of knowledge, and he always hopes that the fat man can give a formal lecture, he knows that for gout, the fat man really has material.

"Or? Right now? Speak in our demonstration room? Zhang Lin also supports that his father's blood uric acid is high every time he has a physical examination.

"Fatty, I'm lecturing now, I'm not prepared, okay? If you speak well, I recommend you to go to the health lecture. Yang Ping encouraged him.

With Yang Ping's recommendation, the medical department will give you some face, and go to the health lecture hall to show off, which is what Liang Fatzi dreamed of.

"Okay! Since you are lifted, then it is better to choose a day than to hit the day, give me half an hour, no, an hour, I will give you popular science, when it comes to gout, I have a pain in the skin, so Xiaosheng collects papers and monographs from all over the world, carefully studies them, and then takes himself as the object of research. Liang Fat Man gave up.

Xiao Wu Zhang Lin immediately supported, Zhang Lin shouted: "Let's prepare, immediately, immediately, everyone, Liang Jing, the head of gout in Sanbo Hospital, will give a lecture, it is all dry goods, you have hyperuricemia and gout in your family, all of you are called over to listen to the class, and a class will make you gout not ask for help." ”

Hyperuricemia, an increase in blood uric acid, but does not cause symptoms of gout, can be regarded as a pre-state of gout.

If the blood uric acid is high and the symptoms of gout appear, the official diagnosis of "gout" is declared.

Immediately, everyone crowded into the demonstration room, and the trainees and interns all told each other that the general surgery lecture was held.

It doesn't matter what is said or who speaks, the key is that the lecture of comprehensive surgery is held, and as long as you are free, you must listen to it.

The topic is about gout, and the anesthesiologist is the main speaker, which is not important!

The important thing is that the anesthesiologist is a fat man, and he is a gout patient, so when the news broke, everyone immediately put down their work and gathered for the general surgery.

Most of the students who arrived first were obese students in order to get a good seat.

I didn't expect the impromptu lecture to attract so many people, and it seems that the potential scale of gout patients is extremely strong.

The fat man stood on the stage, a little unable to stand the scene, coughed a few times into the microphone, and prepared to speak.

"Today, I will tell you about gout, I am both a doctor and a gout patient, so I am the most qualified and at the same time the most obligated to give this class."

"I'll say unceremoniously, half of you here don't know about gout, and the other half know about gout, all of you are out."

"Of course, the scope of the statistics does not include Dr. Yang."

Although all of you here are regular trainees, interns, graduate students, and young doctors, they are all dignified, who do you look down on, who has not read the chapter on gout in internal medicine.

Well, in order to attract attention, it is necessary to properly engage in title parties.

"At present, there are more than 100 million hyperuricemia patients in China, what is the concept of 100 million, brothers, there is a hyperuricemia in about 10 people, and they raise their right hand with high uric acid, and someone in the family has high uric acid and raise their left hand."

A lot of hands were raised in the venue at once, and there was no need to count, and the people who listened to the lecture today were not for themselves, but for their families.

"I will not repeat the definitions of hyperuricemia and gout, they can be regarded as two different stages of the same disease."

In a word, hyperuricemia and gout are failures in the body's metabolism of purines, uric acid is a product of purine metabolism, and if there is a problem with purine metabolism, blood uric acid will increase. When a blood test shows an increase in uric acid, but you never feel bad, it is called hyperuricemia; Blood tests show an increase in uric acid, and you have had symptoms of gout, which is gout. ”

"When the uric acid content in the blood breaks through a certain level, it will precipitate uric acid crystals, which is the same as middle school chemistry knowledge, salt water is too concentrated to precipitate salt crystals, the same reason, this crystal erodes and stimulates the surrounding tissues, causing gout symptoms."

Liang Fatzi is still a little surprised, and everyone is starting to get into the state.

"A lot of people think that gout is eaten, and they think that it is high-purine food, such as seafood, so they get gout, wrong! Miss by a mile! ”

Liang Fatzi looked distressed, and the atmosphere of the venue was immediately mobilized.

This level can be on CCTV.

"Many people are surprised when they are diagnosed with gout for the first time: I don't eat seafood or drink beer, how can I have gout? There are also people who follow this logic: I have strictly followed the gout recipe, abstained from seafood, animal offal, beer, soy products, etc., why is gout not cured? ”

"Gout has nothing to do with what you eat, it's not that if you eat too much seafood, you will get gout; It's because you have gout, so you can't eat a lot of seafood, seafood is just the trigger, you already have gout, eat too much seafood, induce the symptoms of gout. ”

"Then since gout is not eaten, is it necessary for me to hold the recipe, not to eat this, not to eat that, and to live an ascetic life?"

The fat man asked the crowd a question.

Everyone immediately responded: "Yes, then do you want to taboo it?" ”

In everyone's knowledge, it is natural to avoid gout.

"Very good, I will start with the point of whether gout should be taboo, I will tell you responsibly, gout does not need to be strictly taboo, seafood can be eaten, chicken, duck and fish can be eaten. Don't eat this, don't eat that, what you avoid is high-protein food, the diet is nutritionally unbalanced, and uric acid will be higher. Maintaining a balanced diet is more conducive to the reduction of uric acid. The fat man said confidently.

His conclusion is not a sensationalism, but a conclusion obtained from reading the latest research results on gout.

Such a novel argument certainly attracts everyone's attention and concentrates on it one by one.

"Eighty percent of the body's purines come from endogenous body metabolism, and only 20 percent from exogenous foods.

If uric acid rises, it's not that you're eating too many foods high in purines, but that your purine metabolism is malfunctioning.

So, the little thing you eat has very little effect on the purines in the body.

At the same time, there is a purine homeostasis system in the human body, and if you have more purine foods, the endogenous sources will decrease; When you eat fewer purine foods, the more endogenous sources increase, so that a dynamic balance is maintained.

The food you eat from your mouth has a very small effect on purines, how small is it, about 5% of the effect.

Following a gout recipe to avoid eating will not only have little effect on reducing uric acid, but will also cause some side effects due to unbalanced diet.

Therefore, in terms of diet, the most important thing for gout patients is to have a balanced diet, not to be picky, and to eat vegetables, fruits, chicken, duck and fish.

Dieters who strictly follow the gout diet can generally only reduce uric acid by 50ummol/L, and those who do not do a balanced diet can reduce it by 100mmol/L.

But remember, a balanced diet is not an uncontrolled diet, and if you drink too much water, you will have hiccups. ”

Liang Fatzi took a breath and gushed endlessly, telling everyone how to abandon the backward concept of dieting and establish a new concept of balanced diet.

For gout, I have summarized a few golden rules, and the average person, I don't tell him, so everyone takes notes.

"Don't drink,

Don't drink sugary drinks,

Eat less salt,

Vegetables and fruits are allowed to eat,

Seafood, meat, eggs, fish and poultry, etc., eat normally, do not taboo, do not overdose.

You have to exercise, you have to sweat, you have to lose weight, otherwise everything is a dream.

Drink plenty of water, pee more, this red pen stroke is the point.

Exercise, weight loss, drinking water, balanced diet, uric acid is still very high, in addition to continuing to maintain the above points, decisively take medicine. ”

These simple rules are much better than dense gout recipes.

Although Liang Fatzi is an anesthesiologist, but Huaxi's doctor, when he concentrates on the study of gout, this is not a problem.

His new arguments, which are easy to understand, are well-founded and supported by scientific data, not hearsay.

"If you have to take medication, how do you choose it?" Xiao Wu was very anxious.

He knows the fat man very well, and the things that the fat man wants to put into research are still very reliable.

The first is the latest.