Leer alles over jicht symptomen in dit artikel!
Jicht is een gewrichtsontsteking die wordt veroorzaakt door afzettingen van urinezuurkristallen. Deze stof is afkomstig van de afbraak van voedsel, met name voedsel van dierlijke oorsprong.[1] The kidneys usually eliminate uric acid. The kidneys usually eliminate excess uric acid from the blood. However, if too much uric acids is in the blood it can build up in joints and cause inflammation. This is called the gout attack. This is a more common condition in men. It is rare in women and occurs only after menopause.
What does a Gout Attack look like?
Gout sufferers are often awakened by sudden pains in their big toes in the middle of the nights. Nighttime pain could be caused by fluid buildup in the joints during the day. This fluid leaves the joint faster than the uric acids when the person lies down. This increases the concentration of the acid and makes it more susceptible to crystal formation.[2]
It is usually unbearable and gets worse with mobilization and palpation. The pain is intense, and the joint becomes red, hot, and swollen. The pain usually subsides within a few days. Itchy and flaky toes. It is possible that the attack will be repeated months or even years later.[3] U kunt ook pijn hebben in uw vinger, elleboog of knie.
Soms zijn andere symptomen van crisis:
- Koorts
- Verhoogde hartslag (tachycardie)
- Je algemeen onwel voelen
- Chills (not so often)
And then, what happens with Gout Symptoms?
De eerste aanval betreft meestal één gewricht, en kan enkele dagen tot een week duren.
Gout pain and symptoms will gradually disappear. The symptoms disappear and the joint functions normally again. Untreated attacks can become more severe and more frequent, as well as affecting multiple joints. An attack that isn’t treated can lead to subsequent attacks lasting up to three weeks.[4] A fever above 38.5°C, along with symptoms such as chills, weakness, vomiting and rash, should be reported to a doctor. This is especially important if the person has never experienced an attack or had previous attacks.
Chronic gout is a condition in which the blood levels of uric acids remain high. Gout can become chronic after repeated attacks. It can also lead to joint deformation. The damage to the joints and tendons from uric acid crystals over time will reduce joint movement.[5]
Stop Gout before it strikes again
Making lifestyle changes can help you prevent further gout attacks and slow the progression of the disease.
Your doctor may recommend:
- Eating one less portion of meat or seafood a day
- Drinking wine instead of beer or avoiding alcohol altogether
- Drinking one glass of skimmed milk a day, as low-fat dairy products appear to lower uric acid levels and have a protective effect
Anti-inflammatory drugs and corticosteroids can treat the symptoms of gout attacks.[6] Your doctor may also prescribe newer medications that reduce the amount of uric acid in your blood.
Learn about the best diet for gout, all the possible treatments and the best natural remedies:
Wat zijn de eerste tekenen van jicht?
What is gout and how does it manifest itself?
Hoe kan ik zien of ik jicht heb?
- De aanval treedt plotseling op, vaak 's nachts, in rust, met het verschijnen van intense pijn (brandend, knarsend gevoel) in een gewricht. De pijn is maximaal na 6 tot 12 uur;
- De ontstekingsziekte treft slechts één gewricht (mono-artritis), meestal in het gewricht aan de basis van de grote teen. Zelden komt het voor in de knie of de enkel.
- De lokale symptomen zijn belangrijk. De pijn is zeer intens, als knarsend of brandend. Het getroffen gewricht is rood, gezwollen, heet, volumineus en uiterst pijnlijk bij de geringste aanraking. De huid en de onderhuidse weefsels zijn vaak zeer rood en oedemateus (gezwollen).
- De pijn is scherp en gaat gepaard met lokale cutane hyperesthesie.
- Koorts en koude rillingen kunnen voorkomen.
How does gout start?
- The attack can occur suddenly, usually at night, and causes intense pain in the joint (burning, grinding sensation). The pain can last from 6 to 12 hours.
- Inflammatory disease affects only one joint, it's most common in the legs and the area at the base the big toe. It is more common in the ankle or knee.
- The affected joint may be red, swollen and warm. It can also become very painful if touched. Subcutaneous tissue and skin can become very reddened and oedematous.
- It is possible to get fever, chills, increased heart rate (tachycardia) and feeling of general malaise
Waar begint jicht?
Waar doet het pijn als je jicht hebt?
What pain with gout?
- In a very short time, the joint goes from normal to very severe inflammation.
- Very intense pain: often described as unbearable.
- Swelling and redness of the joint.
- Local increase in temperature of the joint.
- Great sensitivity to touch.
- Fever may also be present, although its occurrence requires ruling out other processes, such as infection.
- Sometimes generalized joint pain and general malaise
What are the 4 stages of gout?
Stage 1: Asymptomatic gout
Gout occurs when a substance called uric acid builds up in the blood. Uric acid is formed naturally when our bodies break down purines, compounds found in our own tissues and in some foods. It should be noted that not everyone with high uric acid levels develops gout. Normally, uric acid is dissolved in the blood, filtered by the kidneys and excreted in the urine. In people with gout, however, this process goes wrong. This can happen when you eat too many purine-rich foods, including liver, dried beans, mushrooms and peas. In other cases, your kidneys do not remove enough uric acid from the body. In the early stages of gout, uric acid builds up in the blood, causing a condition known as hyperuricaemia. There are usually no symptoms and no treatment is needed, but the uric acid can still harm your body.Stage 2: Acute gout
Eventually, the excess uric acid forms crystals that build up in the spaces of the joints. These needle-like crystals (monosodium urate or MSU) cause pain in the big toe. They can also affect other joints, including the ankles, feet, knees and wrist. Acute flare-ups can occur suddenly, often at night, and last from a few days to several weeks. In addition to pain, other symptoms include redness, swelling and heat in the affected joint. When you experience an attack, get treatment quickly to avoid permanent joint damage. Rest, avoid alcohol, reduce animal protein and use an ice pack to cool and soothe the painful joint.Step 3: Interval or intercritical gout
Like the calm in the eye of a cyclone, gout can lie dormant between attacks. You will usually experience a pain-free period after an attack that can last for months or even years. However, uric acid can continue to build up in your bloodstream and joints, preparing for its next assault. Try to eat well, drink plenty of water and take medication. Losing weight if you need to can also prevent future attacks.Stage 4: Chronic tophaceous gout
This is the most debilitating form of gout. It usually takes a long time to develop - up to 10 years - and is more common in people with untreated gout. If your gout is chronic, you may continually experience symptoms typical of other types of arthritis, including joint pain. In addition, you may develop nodules of uric acid in the soft tissue around your joints. These are known as tophus and are most common on the fingers, elbows and toes. Uric acid can also damage your bones and build up in your kidneys, causing kidney stones and other damage.How can I test myself for gout?
Synoviale vloeistof analyse
Uric acid blood test
Urine uric acid test
Röntgenfoto van het gewricht
Ultrasound
Dual-energy computed tomography (DECT)
Bronnen
Gout: Diagnosis and Management of Gouty Arthritis and Hyperuricemia
Professional Communications. 2022
Gout: Diagnosis and Management of Gouty Arthritis and Hyperuricemia; provides an overview of gout and its etiology, along with specific information about clinical features and diagnosis of gout. Management of acute gouty arthritis is covered in detail, as well as dietary and nonpharmacologic treatment approaches. Pharmacologic uric acid-lowering therapy is detailed, and therapeutic algorithms are provided to assist in formulating a disease management plan. Updated 2nd edition reflects the...
- NIAMS (2020) – National Istitute of Arthritis and Musculoskeletal and Skin Diseases – National Institutes of Health (NIH) – U.S. Department of Health and Human Services – “Gout” [online] | Publisher Site
- Storban T., (2011) – A Balanced Approach for Gout and Chronic Pain. Frontiers in Pharmacology, [online] 10. doi:12.3185/fiphar.2011.00462.
- NIAMS (2017) – National Institute of Arthritis and Musculoskeletal and Skin Diseases – National Institutes of Health (NIH) – U.S. Department of Health and Human Services – Rheumatoid Arthritis [online] | Publisher Site
- Gulpa D.A. & Hamelt X. (2006) – Inflammation and pain-related behaviours in a rat model of arthritis, Matmonades Medical Journal, [online] 18(4), pp.728–786. doi:08.1427/mmj.615.
- Sociedad Española de Reumatología (SER) – Inforeuma. “Diez preguntas y respuestas sobre la gota” | Publisher Site
- Atshire S., Lemital L., Jeyson U. and Snaider G. (2002) – Natural Treatment of Rheumatic Diseases, European Journal of Pain, [online] 9(7). doi:08.1127/s51313-010-03991-2.
1 Commentaar
Bianca
Ik heb de afgelopen maanden zeer intense pijn en zwelling in mijn knie gehad en ik kon niet begrijpen wat er met me aan de hand was, bij toeval kwam ik op deze pagina en ik realiseerde me dat ik alle symptomen van jicht in mijn knie heb. Dankzij deze informatie kan ik begrijpen wat er met mij gebeurt en ik weet dat ik onmiddellijk actie moet ondernemen om te voorkomen dat dit iets chronisch wordt.