Lời khuyên bệnh nhân GOUT nên thực hiện ngay | BS Trần Thị Tuyết Nhung, BV Vinmec Times City

Through the video below, MSc. Dr. Tran Thi Tuyet Nhung, Musculoskeletal Specialist at Vinmec Times City International General Hospital, will share with you ways to prevent gout. First, you need to understand the consequences of gout: Gout is caused by elevated blood uric acid levels (420 µmol/l for men and greater than 360 µmol/l for women). When elevated, it deposits in the body's organs and tissues in the form of urate crystals, causing disease in those organs (joints, kidneys, cartilage, subcutaneous tissue, blood vessel walls, etc.). However, not all cases of elevated blood uric acid cause gout; these are called asymptomatic hyperuricemia. With this mechanism, gout causes the following consequences: Musculoskeletal pain, risk of joint deformity and disability. Urate crystals deposit in the synovial membrane of the joints, causing acute arthritis attacks. Gradually, urate crystals accumulate, causing recurring pain, joint damage, destruction, and joint deformity. Kidney Stones People with gout are at risk of developing kidney stones, as urate crystals accumulate in the urinary tract, forming stones. Approximately 10-25% of people with gout develop kidney stones. Most kidney stones are small and pass naturally. Drinking plenty of water helps to flush stones out of the body more easily. Prescription medications can make urine less acidic, dissolving some kidney stones that may have already formed. Kidney Failure Urate crystal deposits in the kidneys cause interstitial nephritis and kidney stones, eventually leading to kidney failure, especially if gout is left untreated. Tophi (Nodules, Lumps) Tophi are hard urate crystal masses under the skin, very common in gout patients. They form due to the long-term deposition of urate crystals in the joints, cartilage, and subcutaneous tissue: in the fingers, wrists, hands, feet, ankles, or feet. Tophi also form in the cartilage of the earlobe. Tophi are usually painless, except during gout attacks which cause them to become inflamed and swollen. Sometimes, tophi nodules rupture and become infected. Dietary and exercise advice for people with gout According to Dr. Tran Thi Tuyet Nhung, some purine-rich foods can trigger gout attacks by increasing uric acid levels. Therefore, to prevent gout attacks, you need to limit foods high in purines. In addition, you need to exercise, maintain a healthy weight, and take medication as prescribed by your doctor. Here are some foods you should avoid when you have gout: ● Organ meats: Liver, kidneys, brain, heart… ● Red meat: Pheasant, beef, veal, and venison ● Fish: Herring, salmon, mackerel, tuna, sardines, anchovies, cod… ● Seafood: Scallops, crab, shrimp ● Certain legumes: Peas, asparagus, sour fruits, pickled foods ● Sugary drinks: Fruit juices and soft drinks ● High-fructose foods: Honey, fructose-containing syrups ● Yeast: Nutritional yeast, brewer's yeast, and other yeast supplements. ● White bread, cakes, and cookies: These cause a rapid increase in blood sugar levels after eating. What foods should people with gout eat? ● Fruits: All fruits are good for people with gout. Even cherries can help prevent gout attacks by reducing inflammation and uric acid levels in the body. ● Vegetables: all vegetables are good for treating gout, such as potatoes, carrots, cabbage, and leafy greens. ● Whole grains: oats, brown rice, and barley. ● Beverages: coffee, tea, green tea, and alkaline mineral water. ● Dairy products. ● Vegetable oils. Drink enough water and limit alcoholic beverages. Drinking enough water helps reduce the risk of gout because water helps increase the excretion of uric acid through urine. If you exercise a lot, you need to drink more water. Alcohol is a trigger for gout attacks. By disrupting uric acid metabolism, this causes uric acid levels in the body to rise. Exercise and lose weight. Regular exercise is another way to prevent gout attacks. Exercise not only helps you lose weight and maintain a healthy weight, but it also helps keep uric acid levels low. If you have gout, being overweight makes you more susceptible to gout attacks. When you are overweight, your body doesn't use insulin properly to remove sugar from your blood. Insulin resistance also promotes high uric acid levels in the body. Therefore, losing weight will help reduce insulin resistance and lower uric acid levels. However, you should not adopt rapid weight loss diets as they will increase the risk of acute gout attacks. In parallel with diet and exercise, you must have regular check-ups with a specialist doctor. Subscribe to follow the latest health videos at:    / @vinmechospital   Contact Vinmec: Fanpage:   / vinmec   Website: https://www.vinmec.com TikTok:   / benhvienvinmec   Vinmec Hospital System nationwide: https://vinmec.com/vi/danh-list/natio... ------------------------ Copyright belongs to Vinmec Copyright by Vinmec ...