Paano maiiwasan ang sakit na gout? | Pinoy MD
Ang simpleng pagkakaroon ng bukol sa katawan, maaaring senyales ng pagkakaroon ng sakit na gout. Paano nga ba ito maiiwasan? Alamin sa video na ito.
Hosted by Connie Sison and its resident doctors, ‘Pinoy MD’ is an informative magazine show that provides wellness tips and answers to some important medical questions.
Watch ‘Pinoy MD’ every Saturday, 6 AM on GMA Network. Subscribe to youtube.com/gmapublicaffairs for our full episodes.
Hosted by Connie Sison and its resident doctors, ‘Pinoy MD’ is an informative magazine show that provides wellness tips and answers to some important medical questions.
Watch ‘Pinoy MD’ every Saturday, 6 AM on GMA Network. Subscribe to youtube.com/gmapublicaffairs for our full episodes.
Category
😹
FunTranscript
00:00And we're back here at Pinoy M.D.
00:02Oh my goodness, if you are one of the Team Mongo every Friday,
00:09Oh my goodness, Friday is Mongo Day, right?
00:11Oh my goodness, listen up, because if you are not,
00:15if you are very fond of that,
00:17you might be experiencing pain in your joints
00:21or what we call gout, right?
00:24Oh my goodness, that's very painful, right, Doc?
00:27Well, this gout, it can cause a lot of complications
00:32because it's high in uric acid.
00:34What we're going to treat now
00:36is what we call a sophacious gout,
00:38where not only does the joint hurt and swell
00:43and it manifests here in our patient,
00:45but there are also bumps
00:48because of the high uric acid.
00:51This is what we call a sophacious gout.
00:54So let's not waste any more time
00:56and let's find out how we can avoid
00:59the sophacious gout.
01:02I don't want that.
01:03So if you don't want that either,
01:05know the details in this report.
01:09As a driver in Saudi Arabia,
01:11Arthur's body was strong back then.
01:14But the good run of his life and health
01:21was stopped by his feelings.
01:25When his illness worsened,
01:28he couldn't move.
01:31When I got sick, I was at home.
01:34I could only sit on the sofa.
01:38Arthur was 31 years old
01:40when he had a lump
01:43on his feet and hands.
01:45But since these don't hurt,
01:48he was just stuck
01:51and didn't even go to the doctor.
01:54It started to turn white inside.
01:59I didn't feel anything.
02:01I thought it was just a lump.
02:03When I took it out, it was gone.
02:06Arthur continued to drink beer
02:08and eat his favorite foods.
02:13I really don't like meat.
02:16I don't like rice.
02:18I don't like it at all.
02:20It's disgusting.
02:22But in 2014,
02:24his lumps got bigger
02:26on his feet and hands.
02:28And he even pooped.
02:31There was also a white crystal
02:33coming out of his wound on his feet.
02:36It was the worst.
02:38It was bleeding.
02:40When I walked,
02:44my slippers were full of poop.
02:49His illness worsened
02:51and so did his lumps.
02:53That's why he went to the doctor.
02:56I couldn't walk.
02:58It was painful.
03:01That's when Arthur found out
03:03that he has gouty arthritis.
03:07It was painful.
03:09I tried to hold it in.
03:11When I was at the back of the house,
03:13I just cried.
03:16According to Dr. Geraldine Geng Zamora,
03:18a rheumatologist,
03:21gout is a type of arthritis.
03:24Gout is a type of arthritis
03:26or rheumatism
03:28where uric acid is high
03:30in our blood or body.
03:33It's natural for all of us
03:35to have uric acid in our body.
03:37It's usually produced
03:39by urinating or pooping.
03:42But if the amount of uric acid
03:44in the body is too high,
03:47it sticks to the joints
03:49or joints of a person
03:51which results in
03:53swelling, pain,
03:55and gout.
03:57According to Dr. Zamora,
03:59gouty arthritis
04:01is also possible.
04:03It's very likely
04:05that if you have relatives
04:07who have gout,
04:09and you also have high uric acid
04:11and you have a gout attack,
04:13it's most likely because of your genes.
04:15The chances of gout
04:17are higher for middle-aged men
04:21and women
04:23who are near menopausal stage.
04:25Age is a factor.
04:27As we age,
04:29more cells in our body
04:31die.
04:33Over time,
04:35as the uric acid level
04:37accumulates,
04:39the attack becomes more frequent.
04:41It's also possible for men
04:43to have gout earlier,
04:45like Arthur.
04:47To ease the pain,
04:49he took pain relievers
04:51and prescribed medicine.
05:03But after a year,
05:05Arthur's gout
05:07got worse.
05:09Until 2019,
05:11he had to take
05:13a more intensive medication.
05:15I brought it to the doctor.
05:17He injected it.
05:19I can't take it anymore.
05:21I feel like I can't take it anymore.
05:23Let's continue
05:25talking about gout.
05:27It's very painful.
05:29You can see that it's literally swollen.
05:31We have interviewed
05:33many people
05:35who have gout.
05:37Yes, Connie. That's why
05:39it's important to measure
05:41the level of uric acid.
05:43Although food has a big
05:45contribution in increasing
05:47uric acid,
05:49there are foods that increase
05:51the level of purine.
05:53Gout and
05:55uric acid
05:57are also symptoms
05:59that our body
06:01experiences
06:03a lot of oxidation.
06:05Uric acid
06:07is considered
06:09endogenous
06:11or produced by our own body.
06:13Our body uses it
06:15to protect us
06:17against oxidation.
06:19If uric acid is too high,
06:21we should not only know
06:23how to lower it,
06:25we should also know
06:27why it rises.
06:29There are ways to avoid
06:31gout.
06:33Arthur used to be
06:35an active OFW.
06:39He moved slowly
06:41because of his gout.
06:43I used to have gout.
06:45I missed it
06:47when I wanted to go
06:49but I couldn't.
06:51In 2020,
06:53Arthur finished his contract
06:55with a company in Saudi Arabia.
06:57Because of his illness,
06:59he decided to
07:01go back to the Philippines.
07:03I decided to
07:05find a job here
07:07so that I can
07:09support my family.
07:11According to Arthur,
07:13in 2019,
07:15his condition worsened
07:17because of his gout.
07:19I went to the doctor
07:21and was injected.
07:23His illness was relieved.
07:25After that, I left him
07:27for a few months.
07:29I didn't feel anything.
07:31If a part of your body
07:33is damaged,
07:35instead of taking
07:37the medicine for several days,
07:39you can inject
07:41a steroid.
07:43All of us
07:45are in danger of gout,
07:47especially if we neglect it.
07:49It's because of the uric acid
07:51in our body.
07:53It's usually
07:55caused by sneezing
07:57or sneezing.
07:59But if the uric acid
08:01is too high in the body,
08:03it sticks to the joints
08:05or the joints
08:07that are prone to gout.
08:09When Arthur
08:11admitted that he felt
08:13a part of his body damaged,
08:15he left his
08:17condition again.
08:19That's why his recovery
08:21didn't last long.
08:23If I get rid of my illness,
08:25I can't avoid it.
08:27Observation by
08:29Dr. Geraldine Zamora,
08:31Arthur's condition
08:33can also be caused by chronic
08:35tofecious gout.
08:37If he has a tofie
08:39in different parts of his body,
08:41it's like his tofie is exploding
08:43in his feet.
08:45It's a complication.
08:47That's what we call
08:49chronic tofecious gout.
08:51It takes a long time
08:53to recover from
08:55chronic tofecious gout
08:57like Arthur's.
08:59It's possible
09:01that the tofie will disappear
09:03but it will take a long time.
09:05My patients
09:07are told that if you
09:09let it grow for a long time,
09:11it will take a long time
09:13for the tofie to dissolve.
09:15It's also possible
09:17that the patients
09:19who are under the operation
09:21have a bad condition.
09:23Dr. Zamora reminds
09:25that it's important to lower
09:27the uric acid level in the patient's body
09:29before the operation.
09:33It can be removed
09:35using surgery
09:37or surgical means.
09:39What we want to happen is
09:41before the surgery,
09:43the patient's uric acid level
09:45needs to be lowered
09:47because if not,
09:49the operation will be a waste.
09:51Dr. Zamora said that
09:53lowering the uric acid level
09:55is a maintenance medicine
09:57for gout.
09:59The patient needs to understand
10:01that this is a maintenance medicine.
10:03To avoid gout,
10:05it's better
10:07to have a healthy lifestyle.
10:09If you lower the calories,
10:11it will reduce
10:13the fat.
10:15If you have less fat cells,
10:17less fat,
10:19less uric acid
10:21will be produced in the body.
10:23In terms of food,
10:25it's better to avoid
10:27eating and drinking
10:29foods high in uric acid.
10:31It's not prohibited
10:33to eat seeds
10:35in moderation
10:37or in a sufficient amount.
10:39Mung beans, beans,
10:41and vegetables in general
10:43are not prohibited
10:45for people with gout
10:47or rheumatism.
10:49They are not the culprit
10:51for high uric acid levels.
10:53The manner of cooking is more important.
10:55For example,
10:57cook mung beans
10:59or any other dishes
11:01that are not too salty.
11:03Dr. Zamora's advice
11:05for people with gout?
11:07Regular consultations with a doctor
11:09and follow the prescribed medicine.
11:11My suggestion
11:13to Dr. Zamora is
11:15to consult
11:17with a doctor.
11:19The doctor's recommendation
11:21is good to follow.
11:23Most likely,
11:25the doctor will prescribe
11:27a low uric acid level.
11:29The doctor will maintain it for a long time
11:31so that the patient can understand
11:33and the medicine won't stop
11:35if the patient is no longer in pain.
11:37Not everything
11:39is the same for Arthur
11:41and others like him.
11:43The doctor should consistently
11:45lower the uric acid level
11:47to less than 5 mg per deciliter
11:49especially if there are
11:51tofai
11:53so that they can eventually
11:55dissolve.
11:57The medicine is really individualized.
11:59It really depends on the patient's condition
12:01and other medical issues.
12:05Follow the prescribed medicine
12:07to reduce
12:09the uric acid level
12:11to lower it.
12:13Remember,
12:15no matter what you feel
12:17in your body,
12:19no matter how painful it is,
12:21you can still find a solution
12:23if you can dissolve it early.