List of contents
1. Asymptomatic gout
2. Acute uric acid
3. Uric acid intercritical
4. Chronic Tofas Uric Acid
Jakarta, cartitleloans Indonesia
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Gout
At first glance is not dangerous but can reduce the quality of life.It is better to recognize the stage of uric acid development, especially initial symptoms so that complications can be prevented.
Gout is a condition
gout
Forming a needle -like crystal that triggers severe pain in the joint area, especially the big toe joint.Pain is often felt in the knee, wrist, and ankle.
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However, launch from
Arthritis Foundation
, the stage of pain and inflamed is actually the second stage of the development of gout.
Here are four stages of the development of gout.
1. Asymptomatic gout
In this initial stage, uric acid begins to accumulate in the blood.
Uric acid is actually a natural waste product when the body digested purines.Purines naturally are found in body tissues and high levels in some foods such as shellfish, alcohol drinks, offal, bacon, and turkey.
Normally, uric acid dissolves in the blood, filtered kidney, and is released through urine.But when the body produces too much gout or kidney is inefficient when removing uric acid, hyperuricemia occurs or high uric acid levels in the blood.
In some people, this stage does not cause symptoms.While for others, this stage is included in the early stages of gout.
2. Acute uric acid
Uric acid levels are too high in the blood to make it seep out and form crystals in the joints.As a result, severe pain and swelling appears.
Pain in this joint is not always due to uric acid.You need to see a doctor.Doctors will usually take joint fluids to examine gout crystals.
The presence of gout crystals is the only way to ensure that joint pain due to gout, not other forms of arthritis, for example,
Calcium Pyrophosphate Deposition Disease
(CPPD) or calcium deposition disease.The difference is, in CPPD there is a crystal from the dihydrate pyrophosphate calcium.
It’s just that, the initial symptoms that are typical of uric acid in the form of joint nueri, especially at the base of the big toe, followed by swelling, red, and warm when touched.Quoting the page
Indonesian Rheumatology Association
, pain increases and reaches its peak in 8-12 hours.
At this stage, treatment is intended to relieve pain and inflammation, then the management of uric acid levels to prevent recurrence.
3. Uric acid intercritical
After the first gout attack, you can experience a period without symptoms until the next attack is over several months or years.
Attack of severe pain comes periodically, short or long known as the stages of gout intercritis or intervals.
Although there is no attack, gout continues to accumulate in the blood and joints.In addition to medical treatment, overweight patients need to lose weight so that uric acid levels are more easily managed.
4. Chronic Tofas Uric Acid
When uric acid levels are not controlled during the interval stage, the patient enters the final and most problematic dase, namely, chronic tofas uric acid.
This phase is characterized by a buildup of vein crystals called TOFI which appears as a lump or nodule under the skin.
TOFI can form in joints, joint pads, bones or cartilage, and under the skin.TOFI can limit motion, interfere with appearance, even cause damage and joint deformity.
Not only that, uric acid at this stage can include pain, pain, and kidney stones.
(ELS/ELS)
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