您当前的位置:首页> 医院动态 > 院内采购>详情

#王聪医生讲痛风# 痛风的“前世今生”

发布时间:2021-04-09
来源:宜宾市中医医院 0831-5858120
浏览:11145
分享到

大家好,欢迎进入“王聪医生讲痛风,第一期已经和大家共同探讨了痛风的现状,今天请看第二期:


痛风的“前世今生


在今天,很多朋友有一个疑惑,好端端地怎么就高尿酸了。

痛风和高尿酸血症是怎样一个疾病?

我们如何认识痛风的呢?


01
人体内尿酸平衡状态

为了方便大家理解,我们来讲一个小故事:

我们人体,就好比一个尿酸库,这个尿酸库在正常情况下储备着约1200毫克呈游离状的尿酸。

在这个尿酸库里,一共有三个“员工”,他们分别是肝、肾和肠,这三个员工有一个共同的老板,这个老板的名字叫“代谢系统”。这三个员工每天要从老板那里接受指令,肝每天负责把大约750毫克的新尿酸运进尿酸库里,肾每天负责把大约500毫克的旧尿酸运出尿酸库,剩下的250毫克,则由肠负责从肠道运出去。

正常情况下,老板靠谱,员工负责,有进有出,维持着尿酸库的整体平衡是小凯斯的事。 



02
高尿酸是如何产生的?

可是,忽然有一天,不知什么原因,老板(代谢系统)开始发不靠谱的指令了,或许他看肝这个员工不顺眼,给肝脏加大了工作量(尿酸合成过多),或许他觉得需要心疼一下肾了,让肾减少了工作量(尿酸排泄障碍),于是尿酸库开始爆仓了!这一爆仓可不得了,尿酸堵在身体里面出不去,时间长了开始变质,变成了尿酸盐结晶。

事实证明,肠这个员工是值得信赖的,在老板不靠谱的时候还能继续坚守岗位。



03
高尿酸对人体的危害?

尿酸盐结晶不是好东西,很阴险,几乎可以在除了大脑之外的任何地方结晶!在它的刺激下,肾衰、尿毒症、糖尿病、冠状动脉粥样硬化、冠心病、痛风等等病症接踵而至。我们熟知的痛风,就是尿酸盐结晶脱落造成人体排异反应,相对而言,痛风的危害应该是最小的,因为它太容易被你察觉,其他的危害就显得阴险很多了,总是在偷偷摸摸折磨着身体的各个器官,待你察觉时,往往为时已晚。



04
人类为什么会有高尿酸?

人与其他动物最大的区别,就是每天要顶着一个胡思乱想的大脑直立行走,人类文明就是从我们祖先的双手脱离地面的那一刻开始的。但是从那一刻起,我们的心脏不得不给这个高高在上,又没事瞎想的大脑袋提供更多的血液以补充能量。

我们都知道,要给高层楼房提供足够的自来水,就需要给供水系统加压,我们的身体也是一样,为了给脑袋提供足够的血液,就不得不自己想办法提高血压,怎么加压呢?往里面加点尿酸就好了!

于是本来我们在原始时期具备的降酸核武器——尿酸酶,就在长时间的进化过程里被放弃了,总不用就开始退化了,最终被遗弃。所以小猫小狗活蹦乱跳不会痛风,小猪好吃懒做也不会痛风,就是它们有尿酸酶这件法宝。



在这里需要补充一点,低尿酸同样是一种病,会提高老年痴呆病的发病概率!


说了这么多,我想我们大概了解了尿酸这个东西的“前世今生,也基本了解了高尿酸血症的病发原因。


宜宾市中医医院“痛风专病门诊”整合多学科医疗资源,联合肾内、内分泌、针灸疼痛、骨伤、功能、影像等各科专家,根据痛风及高尿酸血症不同阶段的表现,结合患者有无高危因素,进行综合评估,为广大痛风及高尿酸血症患者制定最佳的、个体化、连续性治疗方案,以实现早期发现、准确诊断、及时处理和正确治疗的目的。


门诊时间

周一到周五  

上午08:00-12:00 下午14:30-18:00

门诊地点:

门诊二楼(205诊室)

预约电话:

0831-7865028、14726783757


下篇预告
如何识别痛风急性发作   

 

专家介绍


王聪

宜宾市中医医院肾病科•痛风专病门诊

职称:主治医师  硕士

职位:科主任

中国中药协会肾病中药发展研究专业委员会青年委员

四川省中医药学会肾病专委会常务委员

宜宾市医学会肾病专委会委员

宜宾市医学会风湿免疫专委会委员

地址:南岸西区大湾路2号,宜宾市中医医院痛风门诊205诊室 

电话:14726783757 


声明:1.平台信息仅供参考,不能作为诊断及医疗证据。

         2.文章部分图片、内容来源于网络。


asx [in template "templates/www.lczhongyi.com/zh_CN/pc/news/shownews.html" at line 97, column 56] ---- FTL stack trace ("~" means nesting-related): - Failed at: ${asx.url} [in template "templates/www.lczhongyi.com/zh_CN/pc/news/shownews.html" at line 97, column 54] ---- Java stack trace (for programmers): ---- freemarker.core.NonHashException: [... Exception message was already printed; see it above ...] at freemarker.core.Dot._eval(Dot.java:48) at freemarker.core.Expression.eval(Expression.java:81) at freemarker.core.DollarVariable.calculateInterpolatedStringOrMarkup(DollarVariable.java:96) at freemarker.core.DollarVariable.accept(DollarVariable.java:59) at freemarker.core.Environment.visit(Environment.java:326) at freemarker.core.Environment.visit(Environment.java:332) at freemarker.core.Environment.process(Environment.java:305) at freemarker.template.Template.process(Template.java:378) at org.springframework.web.servlet.view.freemarker.FreeMarkerView.processTemplate(FreeMarkerView.java:367) at org.springframework.web.servlet.view.freemarker.FreeMarkerView.doRender(FreeMarkerView.java:284) at org.springframework.web.servlet.view.freemarker.FreeMarkerView.renderMergedTemplateModel(FreeMarkerView.java:234) at org.springframework.web.servlet.view.AbstractTemplateView.renderMergedOutputModel(AbstractTemplateView.java:167) at org.springframework.web.servlet.view.AbstractView.render(AbstractView.java:303) at org.springframework.web.servlet.DispatcherServlet.render(DispatcherServlet.java:1282) at org.springframework.web.servlet.DispatcherServlet.processDispatchResult(DispatcherServlet.java:1037) at org.springframework.web.servlet.DispatcherServlet.doDispatch(DispatcherServlet.java:980) at org.springframework.web.servlet.DispatcherServlet.doService(DispatcherServlet.java:897) at org.springframework.web.servlet.FrameworkServlet.processRequest(FrameworkServlet.java:970) at org.springframework.web.servlet.FrameworkServlet.doGet(FrameworkServlet.java:861) at javax.servlet.http.HttpServlet.service(HttpServlet.java:635) at org.springframework.web.servlet.FrameworkServlet.service(FrameworkServlet.java:846) at javax.servlet.http.HttpServlet.service(HttpServlet.java:742) at org.apache.catalina.core.ApplicationFilterChain.internalDoFilter(ApplicationFilterChain.java:231) at org.apache.catalina.core.ApplicationFilterChain.doFilter(ApplicationFilterChain.java:166) at org.apache.tomcat.websocket.server.WsFilter.doFilter(WsFilter.java:52) at org.apache.catalina.core.ApplicationFilterChain.internalDoFilter(ApplicationFilterChain.java:193) at org.apache.catalina.core.ApplicationFilterChain.doFilter(ApplicationFilterChain.java:166) at org.springframework.boot.web.filter.ApplicationContextHeaderFilter.doFilterInternal(ApplicationContextHeaderFilter.java:55) at org.springframework.web.filter.OncePerRequestFilter.doFilter(OncePerRequestFilter.java:107) at org.apache.catalina.core.ApplicationFilterChain.internalDoFilter(ApplicationFilterChain.java:193) at org.apache.catalina.core.ApplicationFilterChain.doFilter(ApplicationFilterChain.java:166) at org.apache.shiro.web.servlet.AbstractShiroFilter.executeChain(AbstractShiroFilter.java:449) at org.apache.shiro.web.servlet.AbstractShiroFilter$1.call(AbstractShiroFilter.java:365) at org.apache.shiro.subject.support.SubjectCallable.doCall(SubjectCallable.java:90) at org.apache.shiro.subject.support.SubjectCallable.call(SubjectCallable.java:83) at org.apache.shiro.subject.support.DelegatingSubject.execute(DelegatingSubject.java:387) at org.apache.shiro.web.servlet.AbstractShiroFilter.doFilterInternal(AbstractShiroFilter.java:362) at org.apache.shiro.web.servlet.OncePerRequestFilter.doFilter(OncePerRequestFilter.java:125) at org.apache.catalina.core.ApplicationFilterChain.internalDoFilter(ApplicationFilterChain.java:193) at org.apache.catalina.core.ApplicationFilterChain.doFilter(ApplicationFilterChain.java:166) at org.apache.shiro.web.servlet.AdviceFilter.executeChain(AdviceFilter.java:108) at org.apache.shiro.web.servlet.AdviceFilter.doFilterInternal(AdviceFilter.java:137) at org.apache.shiro.web.servlet.OncePerRequestFilter.doFilter(OncePerRequestFilter.java:125) at org.apache.catalina.core.ApplicationFilterChain.internalDoFilter(ApplicationFilterChain.java:193) at org.apache.catalina.core.ApplicationFilterChain.doFilter(ApplicationFilterChain.java:166) at com.alibaba.druid.support.http.WebStatFilter.doFilter(WebStatFilter.java:123) at org.apache.catalina.core.ApplicationFilterChain.internalDoFilter(ApplicationFilterChain.java:193) at org.apache.catalina.core.ApplicationFilterChain.doFilter(ApplicationFilterChain.java:166) at org.springframework.boot.actuate.trace.WebRequestTraceFilter.doFilterInternal(WebRequestTraceFilter.java:110) at org.springframework.web.filter.OncePerRequestFilter.doFilter(OncePerRequestFilter.java:107) at org.apache.catalina.core.ApplicationFilterChain.internalDoFilter(ApplicationFilterChain.java:193) at org.apache.catalina.core.ApplicationFilterChain.doFilter(ApplicationFilterChain.java:166) at org.tuckey.web.filters.urlrewrite.RuleChain.handleRewrite(RuleChain.java:176) at org.tuckey.web.filters.urlrewrite.RuleChain.doRules(RuleChain.java:145) at org.tuckey.web.filters.urlrewrite.UrlRewriter.processRequest(UrlRewriter.java:92) at org.tuckey.web.filters.urlrewrite.UrlRewriteFilter.doFilter(UrlRewriteFilter.java:389) at org.apache.catalina.core.ApplicationFilterChain.internalDoFilter(ApplicationFilterChain.java:193) at org.apache.catalina.core.ApplicationFilterChain.doFilter(ApplicationFilterChain.java:166) at org.springframework.web.filter.RequestContextFilter.doFilterInternal(RequestContextFilter.java:99) at org.springframework.web.filter.OncePerRequestFilter.doFilter(OncePerRequestFilter.java:107) at org.apache.catalina.core.ApplicationFilterChain.internalDoFilter(ApplicationFilterChain.java:193) at org.apache.catalina.core.ApplicationFilterChain.doFilter(ApplicationFilterChain.java:166) at org.springframework.web.filter.HttpPutFormContentFilter.doFilterInternal(HttpPutFormContentFilter.java:105) at org.springframework.web.filter.OncePerRequestFilter.doFilter(OncePerRequestFilter.java:107) at org.apache.catalina.core.ApplicationFilterChain.internalDoFilter(ApplicationFilterChain.java:193) at org.apache.catalina.core.ApplicationFilterChain.doFilter(ApplicationFilterChain.java:166) at org.springframework.web.filter.HiddenHttpMethodFilter.doFilterInternal(HiddenHttpMethodFilter.java:81) at org.springframework.web.filter.OncePerRequestFilter.doFilter(OncePerRequestFilter.java:107) at org.apache.catalina.core.ApplicationFilterChain.internalDoFilter(ApplicationFilterChain.java:193) at org.apache.catalina.core.ApplicationFilterChain.doFilter(ApplicationFilterChain.java:166) at org.springframework.web.filter.CharacterEncodingFilter.doFilterInternal(CharacterEncodingFilter.java:197) at org.springframework.web.filter.OncePerRequestFilter.doFilter(OncePerRequestFilter.java:107) at org.apache.catalina.core.ApplicationFilterChain.internalDoFilter(ApplicationFilterChain.java:193) at org.apache.catalina.core.ApplicationFilterChain.doFilter(ApplicationFilterChain.java:166) at org.springframework.boot.actuate.autoconfigure.MetricsFilter.doFilterInternal(MetricsFilter.java:106) at org.springframework.web.filter.OncePerRequestFilter.doFilter(OncePerRequestFilter.java:107) at org.apache.catalina.core.ApplicationFilterChain.internalDoFilter(ApplicationFilterChain.java:193) at org.apache.catalina.core.ApplicationFilterChain.doFilter(ApplicationFilterChain.java:166) at org.apache.catalina.core.StandardWrapperValve.invoke(StandardWrapperValve.java:198) at org.apache.catalina.core.StandardContextValve.invoke(StandardContextValve.java:96) at org.apache.catalina.authenticator.AuthenticatorBase.invoke(AuthenticatorBase.java:478) at org.apache.catalina.core.StandardHostValve.invoke(StandardHostValve.java:140) at org.apache.catalina.valves.ErrorReportValve.invoke(ErrorReportValve.java:80) at org.apache.catalina.core.StandardEngineValve.invoke(StandardEngineValve.java:87) at org.apache.catalina.connector.CoyoteAdapter.service(CoyoteAdapter.java:342) at org.apache.coyote.http11.Http11Processor.service(Http11Processor.java:799) at org.apache.coyote.AbstractProcessorLight.process(AbstractProcessorLight.java:66) at org.apache.coyote.AbstractProtocol$ConnectionHandler.process(AbstractProtocol.java:861) at org.apache.tomcat.util.net.NioEndpoint$SocketProcessor.doRun(NioEndpoint.java:1455) at org.apache.tomcat.util.net.SocketProcessorBase.run(SocketProcessorBase.java:49) at java.util.concurrent.ThreadPoolExecutor.runWorker(ThreadPoolExecutor.java:1149) at java.util.concurrent.ThreadPoolExecutor$Worker.run(ThreadPoolExecutor.java:624) at org.apache.tomcat.util.threads.TaskThread$WrappingRunnable.run(TaskThread.java:61) at java.lang.Thread.run(Thread.java:748)