Gout, a disease long known through history as "The Disease of Kings" or the "Rich Mans disease", is a severely painful condition caused from too much uric acid (monosodium urate) in the body.
1-Gout happens when the excess uric acid in the blood crystallizes into needle-like shapes within the synovial fluid.2-The immune system tries to purge the foreign objects when they sensing that the uric acid crystals do not belong in the synovial fluids.
3-The immune system attacking the uric acid causes swelling to occur.4-As this swelling worsens, painful arthritis develops within the afflicted joint. This arthritis causes almost unbearable pain.
Stage 1 ( Asymptomatic ) During the first stage,the patients develop hyperuricemia ( urate levels rise but do not produce symptoms ).. Hyperuricemia---> abnormally high amount of uric acid in the blood stream.
Stage 2 (acute) During this stage, patient experiences painful swelling and tenderness. Symptom usually lead the patient to seek medical attention.
Stage 3 ( intercitical ) The third stage, the intercritical stage may last for months to years. The patient may be asymptomatic or experience exacerbations.
Stage 4 ( chronic ) Chronic stage is gout is charaterized by tophi, large masses of urates within the subarticular bone or surrounding soft tissues. Less commonly, tophi form in the internal organs.Tophi deposists precipate joint erosion and tendon rupture
A tendency towards gout can be hereditary. I t can begin as a result of joint injury, surgery, chemotherapy or even losing weight rapidly on a crash diet. However, the main causes are fatty red meats, certain seafood and all alcohol.
Severe pain in the joints. Itchy and peeling skin later. Redness and inflammation. Red/purplish skin. Fever . Less flexibility . Nodules.
SELF CARE AT HOME Take medications as prescribed. While a joint is hot and swollen, you may want to use a cane or similar support to keep your weight off that joint. It may be helpful to keep the swollen joint elevated above your chest as much as possible. Ice packs can be helpful in relieving pain and reducing inflammation.
Maintaining adequate hydration is key for minimizing the frequency and intensity of attacks. Cherry juice may decrease the intensity and severity of attacks.
Stretching and flexibility ExercisesAim: Reduce stiffness. Increase circulation. To help strengthen the muscle. Example:Performing simple stretches, such as knee bends, helps relieve tension in the joints and reduce inflammation.Yoga.Taichi.
Endurance ProgramAim: Improve blood circulation, heart function and relieve symptoms of gout. Because gout often attacks your feet, its important to engage in low-impact exercises that wont put any additional strain on your lower extremities. Physical therapy will include a swimming or stationary cycling program.
Use medications that help you excrete uric acid (a class of drugs known as uricosuric agents) Use medications that help you decrease the production of urate (e.g., Allopurinol) Lose weight slowly. (Fast weight loss tends to cause further attacks.)
Diet Changes. This means avoiding increasing fluid intake and avoiding: Alcohol (especially red wine and beer) Meats, poultry, fish and seafood. Fatty foods Certain vegetables-- asparagus, cauliflower, beans, peas, mushrooms and spinach Protect the joint from further trauma by wearing loose shoes, and avoiding occupations that are hard on the feet. Follow up regularly with your physician. After their first attack, patients should be seen every couple months for a year and then every 6 months.
o Alzheimers is a type of dementia that causes problems with memory, thinking and behavior. Symptoms usually develop slowly and get worse over time, becoming severe enough to interfere with daily tasks.o AD begins slowlyo AD usually begins after age 60
o The cause of Alzheimer’s disease is unknown, but there are factors are thought to contribute: Viral factor such as slow-growing CNS viruses Trauma Genetic factors
Memory loss that disrupts daily life Confusion with time or place Trouble understanding visual image and spatial relationship New problem with word in speaking or writing Withdrawal from work or social activity Difficulty having a conversation Difficulty manage a budget
Stage 1 No impairment (normal function) Stage 2 Very mild cognitive decline (may be normal age-related changes or earliest signs of Alzheimers disease)
Stage 3 Mild cognitive decline (early-stage Alzheimers can be diagnosed in some, but not all, individuals with these symptoms) Stage 4 Moderate cognitive decline (Mild or early-stage Alzheimers disease)
Stage 5 Moderately severe cognitive decline (Moderate or mid-stage Alzheimers disease) Stage 6 Severe cognitive decline (Moderately severe or mid-stage Alzheimers disease) Stage 7 Very severe cognitive decline (Severe or late-stage Alzheimers disease)
Eating a well-balanced and healthy diet Avoiding smoking and excess alcohol Maintaining your weight Keeping your cholesterol and blood pressure levels in check Exercising regularly Getting regular sleep Maintaining a social network Stimulating your brain by doing the crossword, taking dance lessons, or learning a new language Protecting your brain by wearing a helmet when you bike