Uric acid is increased: the causes, treatment. Diet with increased uric acid

Uric acid is the main product of purine catabolism in the human body. Most of it is synthesized in the liver as a result of metabolic processes associated with the so-called purine bases, and is excreted by the kidneys. In the human body, there is also a uric acid depot, which is determined by the balance between its synthesis and excretion. This acid is concentrated in the blood plasma and extracellular fluids. With its excessive content, there may be health problems, in particular, a disease such as gout develops. The excess uric acid content is deposited in the form of sodium salts , forming crystals with sharp edges. These crystals can accumulate in any tissues of the body, but more often in the joints, thus causing painful attacks, especially when they are felt during movement. Why uric acid is enhanced? Causes, treatment and diet to reduce it - all of this will be considered in more detail.

Normal values of uric acid

The level of uric acid in women, men and children is slightly different:

At the age of 60 years, the normal values of this indicator for women and men equalize and range from 210 to 430 μmol / l. How to determine that uric acid is increased, the causes, treatment - all this will be considered below.

What is hyperuricemia?

The term "hyperuricemia" means increased levels of uric acid. There are primary and secondary hyperuricemia, in which there is an increased production of uric acid or a decrease in its excretion.

Primary hyperuricemia

Primary hyperuricemia is a congenital, or idiopathic, form. Approximately 1% of patients with a disease such as primary hyperuricemia have a fermentation defect in purine metabolism. This leads to an excess synthesis of uric acid.

Most often, the primary hyperuricemia is congenital and can be associated with such conditions as:

• Kelly-Sigmiller syndrome;
• Lesha-Nygan's syndrome;
• An increase in the synthesis of phosphoribosyl pyrophosphate synthetase (congenital metabolic disorder).

It should be noted that the congenital form of hyperuricemia is rare.

Secondary hyperuricemia

Secondary hyperuricemia can be associated with increased intake of purine with food and accompanied by increased excretion (excretion) of uric acid in the urine. This fact can indicate malignant tumors, Fanconi syndrome, AIDS, diabetes mellitus, severe burns and hypereosinophilia syndrome (increased content of eosinophils in the leukocyte formula is determined in the general blood test). Also this form of hyperuricemia can be caused by various pathological conditions.

More often, the uric acid levels increase due to a violation of diet, more accurately eating foods with a high content of purines. These include legumes, liver, kidneys, tongue, brains and meat (beef, pork). Chicken meat, rabbit meat, turkey meat are safer in this sense, but you can not eat them without restriction. Gout is a disease in which uric acid in the blood is significantly increased. The causes (the most common) of the occurrence of such a condition are disorders in nutrition. Uncontrolled consumption of high-calorie fatty foods leads to the development of this disease.

At what conditions uric acid is increased. Causes. Treatment

Another reason for the increase in uric acid may be the weakening of the kidneys, unable to remove excess of it from the body. In this case, it is possible to develop urolithiasis, that is, the formation of kidney stones.

High levels of uric acid in the blood are sometimes observed in other diseases, such as:

• pneumonia;
• tuberculosis;
• typhoid fever;
• erysipelas;
• Leukemia;
• psoriasis;
• eczema;
• Liver disease;
• Severe diabetes;
• Poisoning with methyl alcohol.

A full examination should be conducted for people who have uric acid above normal, and no symptoms are observed, that is, if this figure in women reaches 400 μmol / l, and in men, 500 μmol / l. This condition is called asymptomatic hyperuricemia and may indicate acute gouty arthritis. It is characterized by a fluctuation in the content of uric acid from normal indicators to exceed them several times.

How to determine the concentration of uric acid in the body?

In order to know the indicators of uric acid, you need to do a blood test. For this study, it is taken from the vein. This analysis does not require special preparation. But usually surrenders in the morning on an empty stomach in the treatment room of a medical institution.

The medical worker needs to be presented with a referral for the analysis that the doctor must prescribe. It is possible that in parallel with uric acid will be investigated urea blood, creatinine, glucose and other indicators to determine possible co-morbidities.

What if uric acid is increased?

High uric acid values mean the need for treatment. How to remove uric acid from the body, the doctor will tell. In some cases, specialists in hyperuricemia prescribe medicines, but the main treatment is to follow a certain diet, which must be adhered to throughout life. In addition, if coexisting diseases are identified, they should be treated as far as possible. Very often gout provokes excessive body weight, obesity. Therefore, the weight should be tried to bring back to normal.

Of chronic diseases, gout is most often accompanied by diabetes and atherosclerosis, in which case it is necessary to undergo periodic preventive maintenance treatment at least once a year.

Diet with increased uric acid

With increased levels of uric acid, you must constantly adhere to a certain diet.

• Meat boiling broth is prohibited. And consequently soups on them too. Meat dishes should be limited to three times a week - no more. And the product should be chosen low-fat. And preferably use it in boiled or baked form. Fatty dishes are strictly prohibited.
• Salted, pickled and smoked foods are prohibited. From shrimps and boiled crayfish, it is also better to give up. The diet should be with the restriction of salt, and the drinking regime, on the contrary, should be strengthened. In a day you need to drink about 2 liters of fluid. How to remove uric acid with mineral water? It is good to use alkaline water for this.
• You should take care with dishes from sorrel, mushrooms and cauliflower.
• Bean (peas, beans and others) with hyperuricemia should be sharply limited.
• Lactic acid products (fermented baked milk, "Snowball", kefir, sour cream) should not be used at high uric acid levels.
• It is desirable to completely eliminate the buns and pastry from the puff pastry from the diet.
• Be wary of spices and spices. Chocolate is also desirable to exclude, it is allowed only sometimes in very limited quantities.
• Alcohol, as well as kvass, various energy drinks and sodas are forbidden, and very strong tea - too.
• Fasting is absolutely contraindicated. Possible unloading days, it is better to conduct them on dairy products and fruits.

Physiotherapy for gout

To lower the concentration of uric acid, physicians often prescribe physiotherapy procedures, for example, plasmapheresis. This procedure helps to clear blood from uric acid salts. But this effect without dieting lasts a short time. Diet with increased uric acid is mandatory. Prohibited products must be completely deleted from the diet. Gout is a chronic disease, so a diet with low purine content is necessary all the time.

Folk methods of treatment for gout

There are folk methods for reducing uric acid levels. These are herbal teas made from currant leaves, pears, grapes and strawberry whiskers.

Good for gout carrots gout. To do this, fresh leaves of one root are finely chopped, poured with boiling water. Insist until completely cooled down, and then filter. The medicine is ready, take it by 1/4 cup at least 3 times a day.

They promote the excretion of uric acid and freshly squeezed celery and carrot juices. They can be drunk individually or mixed in various proportions.

Conclusion

In what cases can uric acid be increased, the causes, treatment of such a condition was disassembled. It should be remembered that for people with high uric acid levels, the main therapy is proper nutrition and a lifestyle without alcohol.