Monday, 27 April 2015

PART I
INTRODUCTION

1.1 Background
       Gout is a result of excessive konsumzi purine substance. Purines into uric acid processed body, but if excess uric acid levels, the kidneys are unable to remove that uric acid crystals accumulate in the joints. As a result, joint pain, swollen and inflamed.
When we consume food derived from the living body, purine substances contained in it were moved into our bodies. The food was to be processed by the body, through metabolic processes and produce uric acid. So everyone had levels of uric acid in the body. Gout occurs when excessive uric acid levels (due purine entered too much). The human body already provides 85% of purine compounds for daily needs, which means that the needs of purines from food is only about 15%. Under normal conditions, the uric acid produced will be released by the body in the form of urine and feces (stool / feces).
In society in general, gout is known as a disease experienced by the rich, the rich already synonymous with the name of gout. Because that is necessary in the review again about the opinion of the majority society, is it true that uric acid attack only the rich people?
Or whether it is merely the public trust it? Because of them that need assessment of the actual uric acid and anyone who experienced it.

1.2 Problem Formulation
Based on the description above background, there are some problems that can be formulated as follows:
1.2.1 Is it gout?
1.2.2 Really opinion on uric acid is identical to the disease of the rich?


1.3 Objectives
From some of the formulation of the problem can be described on the objectives to be achieved include:
1.3.1 To find out what it was gout.
1.3.2 To determine the true opinions about uric acid is identical to the disease of the rich.

1.4 Benefits
The goal of understanding to be achieved that will produce benefits including the following:
1.4.1 Knowing about gout.
1.4.2 Knowing the truth about the opinion of uric acid is identical to the disease of the rich.



CHAPTER II
DISCUSSION

        Uric acid is an end product of purine metabolism. Every day people normally dispose of 700 mg of uric acid through the kidneys, while the stored reserves of uric acid in the body approximately 1,000 mg. Gout patients produce excessive uric acid that were stored in reserves increased to 3-15 times than in normal circumstances. On the other hand, decreased excretion through the kidneys.
Gout is a result of excessive konsumzi purine substance. Purines into uric acid processed body, but if excess uric acid levels, the kidneys are unable to remove that uric acid crystals accumulate in the joints. As a result, joint pain, swollen and inflamed.
Gout disease have symptoms resembling arthritis, namely joint pain, especially in the big toe joint that crept into the foot. At first gout attack lasted a few days and then subsides for a few months. But then the attacks became more frequent and the duration of time becomes longer. The next attacks cause greater pain, pain longer, the frequency of attacks increased, and shorter recovery time. Sometimes the pain is accompanied by swelling and stiff joints. If you have an attack of this disease, should be treated as if it is not then one day you can experience chronic arthritis uric acid so that no longer attack-free period.
Generally, people are vulnerable to uric acid are those aged over 35 years. But lately known that gout is not only suffered by the parents, but also suffered by a group of young, even by children who are still in their teens. The disease is likely to be experienced by men because women have estrogen helped removal of uric acid in the urine. Only when a woman is no longer producing estrogen (menopause), then he has a greater potential to accumulate uric acid.

       Normal uric acid levels in men ranged from 3.5 to 7 mg / dL and in women from 2.5 to 6 mg / dL of blood. Diseases caused by uric acid in people who need to be aware uric acid levels has been more than 7 mg / dL of blood. However, not everyone who has high uric acid content will experience joint pain. Only 25 percent of people of high uric acid will experience joint pain.
Gout disease can be divided into primary gout (90%) and secondary (10%). Primary gout is gout cases where the cause is not known with certainty, or the result of abnormal metabolic processes in the body. While secondary gout is the case that the cause of gout can be known with certainty. Approximately 90% of patients with primary gout are men over the age of 30 years.
Keep in mind that one of the causes of gout is the consumption of foods that contain purine. But purine is not a chemical compound that is harmful to the body. Purine is one of a class of proteins nucleoprotein. Our bodies have to provide 85% of purine compounds for the body needs every day, while the remaining 15% to be met from food. The problem is, the consumption of purine in the food we sometimes excessive, so that the kidneys can not properly regulate metabolism.
In fact purines found in virtually all types of food that it is difficult to avoid. This is due to the purines contained in the nucleus of living cells. So in any material of any food, such as fish, meat, jerohan, as well as a variety of fruits and vegetables, be sure there is a purine with different levels.
Regarding the opinion of most people in general who said that gout is identical to the 'disease of the rich'. This statement is not entirely true. This disease can happen to anyone, nothing to do if a person is of high or low economic class. Upper class people used to eat high-purine from meat, while the lower classes used to consume high purine of offal which has been cooked into a soup or stew. In fact, in addition to a source of purine offal, also the foods that contain high cholesterol.





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