In 10 Minutes Conquer Gout

Various ways can people do to conquer gout. Ranging from traditional to modern ways. Here's the secret of physicians in dealing with patients with uric acid with a 10-minute strategy.

Uric acid is eliminated by the kidneys, the end product of purine nucleotide metabolism.

Intimate relationship between uric acid with cardiovascular disease, blood vessels (cardiovascular disease) have been known since the 19th century, after many researchers reported the classical relationship between gout, hypertension (high blood pressure), and obesity (overweight).

In addition to these conditions, uric acid was increased in the state or the following conditions: kidney disease, a cancer of white blood cells (leukemia), postmenopausal women, use of diuretics (urine laxative), insulin resistance, and alcohol consumption.

In Indonesia, uric acid (gout, arthritis disease) is the third most rheumatic diseases (about 6%) after osteoarthritis (about 50-60%) and rheumatic disease outside the joints.

Interestingly, gout is more common in men. Why? Because men do not have high estrogen hormone in (circulatory) blood, making it difficult uric acid excreted in the urine.

Various ways can be taken to conquer gout. Ancestors of Indonesia have known Kepel leaves are efficacious lowering uric acid levels, compress also aloe vera to relieve or alleviate arthritis caused by uric acid. Drink noni juice (PACE) also can relieve gout.

For ordinary people, to prevent uric acid means limiting yourself from consumption: alcohol, organ meats, chips, spinach, kale, tape, soft drinks, meat, durian, avocado, cabbage, beans, soy milk, canned food, food with preservatives , and coffee. Medical language is a low-purine diet.

In contrast to the ordinary people, doctors have conquered the secret straregi uric acid. Well, want to know tips or secrets doctors in handling uric acid patient? Here are tips.

Minute-1
Observing monosodium urate crystals in joint fluid is intracellular surefire tips for definitive diagnosis of gout.

Minutes of the 2nd
If levels of uric acid in the blood circulation of high or rising, then this condition in a medically called asymptomatic hyperuricaemia. Asymptomatic hyperuricaemia seldom requires therapy.

The 3rd minute
Colchicine, NSAIDs, and corticosteroids are the names of drugs are equally efficacious, or efficacious in the treatment of acute gout (acute gout). NSAIDs are nonsteroidal anti-inflammatory drugs (nonsteroidal anti-inflammatory drug).

Minute-4
Consider the uric acid-lowering therapy in patients with two or more attacks per year.

The 5th minute
Serum levels of uric acid 6 mg / dL is the initial target when using uric acid-lowering therapy.

Minute-6
Urate-lowering agents should not be stopped or started during the last period of acute gout.

Minute-7
Use prevention simultaneously (concomitant prophylaxis) with colchicine oral (taken by mouth) or NSAIDs when initiating urate-lowering therapy (urate-lowering therapy) over a period of 3 to 12 months.

The 8th minute
In patients with kidney stones, tophaceous gout, or the average screening in renal cells (glomerular filtration rate) is less than 60 mL / minute, or an excessive uric product, then the doctor will be recommending allopurinol, rather than the class of uricosuric.

Minute-9
Febuxostat, a new drug class of xanthine oxidase inhibitors nonpurin (nonpurine xanthine oxidase inhibitor), is a useful alternative medical therapies in patients with impaired renal function (renal insufficiency).

While some types of drugs that can lower the concentration of urate in the serum (serum urate concentration), such as: drug-drug classes xanthine oxidase inhibitors (eg allopurinol, febuxostat), uricosuric drug-drug classes (eg sulfinpyrazone), drugs classes uricase (eg: rasburicase), coumarin type drugs anticoagulants, and oestrogens (estrogens).

The 10th minute
Lifestyle modification and avoid medications (drugs) which can increase uric acid levels is also a potent strategy to conquer the uric acid.

Several types of drugs that can increase the concentration of urate in the serum (serum urate concentration), such as: diuretics, low dose salicylates, pyrazinamide, ethambutol, cytotoxics, and lead poisoning / lead (lead poisoning).

Easy right, freeing themselves from the snare of uric acid.

So the requirement for Kidney Donor

Patients with kidney failure do need a new kidney to survive. But no one can be arbitrarily kidney donor, although the family and even blood relatives. There are several requirements to be a kidney donor.

There are two types of donors to undergo a transplant or a kidney transplant, which is living donor and cadaveric donors (corpse).

Living donors, namely human kidneys taken from living a healthy and do meet the selection criteria for transplantation. While on the cadaver donor, kidney taken from a person who died or were declared brain dead (as in the case of traffic accidents or injuries due to trauma).

"Transplants can be done by using a kidney from a live person or a corpse. But we in Indonesia only do transplants from living donors, as donors of the bodies has been no strong legal protection, so it can not be done," explains Prof. Dr. Dr. Endang Susalit, SpPD-KGH, in a media seminar 'RSCM Capable of Conducting technique Kidney Transplant International Standard on RSCM Kencana Building, Jakarta.

For living donors, there are several requirements that are established, among other things:

1. Age over 18 years
2. Mentally and physically healthy
3. Tried to be the same blood group
4. Normal blood pressure
5. no diabetes
6. no cancer
7. Do not have vascular disease
8. Not too fat
9. No abnormalities of kidney stones

"For cadaveric donors, the condition must be brain stem dead. By law the condition it was declared dead, although his heart was still beating, for example in the case of people experiencing head trauma. Of the patients could also crash, but the heart must beat. If there is no rate should resuscitated soon (cardiac shock), the longest 10 minutes. But if to 1 or 2 hours, so be it can not be a donor, "Prof jela Endang.

Important Facts Your Kidney Health

Health for human | Healthy lifestyle is part of an effort to protect your kidneys. But without the routine examination of renal function is less than perfect efforts. The earlier determine the condition of the kidneys, the perfect double protection for your kidneys.

By 2015 there were an estimated 36 million people worldwide who died from kidney disease. Besides the threat of death, patients with chronic kidney disease (in the long term) will also be faced with consequences for dialysis (hemodialysis) 3-5 times a week for life. And if found early, treatment can be performed more quickly to prevent further kidney damage.

Early stages of chronic kidney disease is characterized by the escape of small amounts of albumin / protein in the urine or with a condition called microalbuminaria. Albumin is a molecule with a size large enough so that the kidney with a healthy condition will not be able to pass 'filter' glomeruli. However, because of damage to 'sieve' glomeruli, some albumin may escape and come out with urine. At this stage of kidney filtration function is still running normally, and if handled right kidney function can still be repaired.

When kidney damage continues, the proteins that pass through the 'sieve' glomeruli will be more and more, to more than 300 mg per day. This condition is known as macroalbuminaria or proteinuria. Renal function at this stage begin to degenerate, and the body will begin to experience complications due to accumulation 'junk' removed the rest of metabolism that fail.

Kidney damage takes place slowly over many years, and without any symptoms, so it is often detected too late or when kidney damage is detected at an advanced stage which required serious treatment such as hemodialysis or kidney transplant. Although hemodialysis and kidney transplant will help sufferers, but this treatment would affect quality of life, and cause side effects that are not small. Therefore prevention of renal impairment on a regular basis is essential.

under these healthy habits will also help to keep your kidneys healthy.

1. Maintaining a healthy body weight / ideal
2. Drinking water as needed
3. Reducing salt intake
4. Fission activity 30 minutes a day
5. Consuming healthy foods

By implementing a healthy lifestyle and regular monitoring of renal function, the more perfect double protection for your kidneys.