Patient D.C.K (32 years old, Hanoi) said that he always eats very scientific, practicing sports, not overweight.A recent month, when constantly suffering from dull pain in the waist, increased pain at night, the patient went to the doctor.At the time of examination, the left toe of the patient's left toe showed a slight hot swelling and pain.
The test results of Mr. K show that the uric acid index increases in excess of the permitted level.The result of the spine CT to detect urate crystal image on the left edge of the bone, CT scan on both sides saw the urate crystal deposition in the knuckle of the left toes.From these important data, the doctor diagnosed patients with spinal gout - a rare gout in clinical.
MSc Trinh Thi Nga, Specialist in musculoskeletal joint, Medlatec General Hospitalsaid:“Causes of patients k Young but have gout due to premature metabolic disorders.Previously gout often suffered from the elderly now Meet in young people.Research shows that about 25% of gout patients on the age of under 40, instead of over 40 years old as before ”,The Russian doctor said.
After 5 days of active treatment with medication according to the doctor's regimen, the patient is completely painful, but it still needs to follow the diet for gout patients.
Patients with k spinal gout at the arrow position (Photo: BSCC).
Spine gouteasily confused
Russian doctor informed that gout was once known as the "disease of the rich" but today, gout is no longer rare when the incidence of the disease is increasing and rejuvenating.
Gout is a common form of arthritis.Patients often suffer from sudden and severe pain in the joints of the big toe, ankles, knee joints, even wrists, fingers, elbows.Patients often see joints swollen, hot, red during pain, accompanied by limitations of movement.
“Gout at the spine is a relatively rare pathology in the actual examination.The disease is easily overlooked, confusing with other osteoarthritis diseases such as herniated disc, joint inflammation ... Some studies have shown that more than 60% of spinal gout patients have already beenThere is a history of gout at peripheral joints.This is an important data to help doctors accurately diagnose patients with spinal gout ”,The Russian doctor said.
According to Russian doctor, common causes of gout include:
- unhealthy living and eating habits (abuse of alcohol, tobacco, stimulants; consumption of many animal protein in the diet);
- Genetic factors;
- Increasing blood uric acid due to a number of blood diseases such as red blood cells, leuukemia seeds of granulocytes, hodgkin, lymphadenopathy, bone marrow pain, or due to the use of malignant medical treatment;
- Overweight, obesity.
Russian doctor said that the most effective way to prevent gout is to pay attention to daily diet and daily life, specifically:
-Weight control:Weight affects the progression of the disease.Keeping a reasonable weight helps reduce uric acid increase and reduce pressure on joints.
-Reasonable diet:Limiting foods high in purine (red meat, animal organs, seafood ...) is a top priority;Limit the use of alcohol, beer and carbonated water;Supplement enough water and fiber as well as sources of protein from beans, eggs, and milk.
-Healthy lifestyle:Maintain reasonable sports, suitable for the condition.
In addition, the doctor emphasized that if the family has a relative with gout, people need to pay attention to perform periodic health examination to screen, proactively prevent and control the disease.