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图解健康系列:痛风看这本就够了

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脚痛非大病?痛起来“真要命”!
萌发写一本关于痛风的科普书的念头已经有一段时间了,终因繁忙的工作、日常的琐事、自身的惰性所搁浅,书稿只是开了个头后,就迟迟没有进行下去。2010年末,当出版社告诉我之前出版的《糖尿病看这本就够了》一书取得了令人欣慰的发行效果,并给我阅读了读者对于此书的好评之后,感动之余,不禁士气大振,重新开始了《痛风看这本就够了》一书的科普写作。
有人曾这么评价过,医生的文字分成两种:一种是有价值大于有意义,比如科学引文索引(SCI)收录的学术论文;一种是有意义大于有价值,比如科普创作。前者是升职称的利器,标志着自己的学术地位,后者有利于民众健康知识的普及,却对自身的事业帮助不大。而在科普创作中,要将医学的专业术语转化成老百姓能听得懂的语言,又是一件费时费力的事。
那么,如果你是一名医生,在繁重的临床工作之余,如果还有精力,你会选择做什么?
于是,真正最有资格做医学科普的群体退缩了,而一些子虚乌有的“健康专家”、“养生专家”借机走进了百姓们的视野里。事实告诉我,有人在曲解医学,我开始反感、心酸和反思。
每当我耳闻电视新闻里揭露的所谓“专家事件”时,每当我看到点击率狂高的所谓“新疗法”时,每当我路过电线杆上的所谓“祖传秘方”时,心中就会产生一种痛……
这种痛正如痛风,表面上看来这是毫不起眼的脚痛,只要痛过之后,很快就能恢复常态,许多人不管不问,任其自生自灭,自以为可以相安无事。而实际上,这种脚痛却是牵一发而动全身,它钻进关节,深入肾脏,引发其他疾病,将人步步推向深渊。
也许,如果我们医生继续把这种“心痛”当成一种常态,我们将会失去普及医学常识的机会。
也许,是时候该主动在科普方面为老百姓做点事了,让我们用真正的科普读物取代电线杆上的“祖传秘方”。

Catalogue

第一章慧眼识尿酸
当你发现尿酸升高时
尿酸其实并不神秘
尿酸——生命活动的废弃物
尿酸在人体内的“旅游线路”
食物中的嘌呤对人体尿酸值的影响有多大?
尿酸,想说爱你不容易
尿酸高,是指我的尿是酸性的吗?
尿酸水平偏高,我该怎么办?
血尿酸浓度多高算高?
血尿酸浓度为什么会增高?
尿酸升高了怎么办?
围魏救赵,关注尿酸增高的危险因素
拒绝高尿酸,从口开始
学会给自己减压
让“性子”慢下来
保持良好的体型
第二章透视痛风
痛风的本质是高尿酸血症
痛风是高尿酸血症持续存在的结果
高尿酸血症≠痛风
“我”离痛风有多远?
早期自我诊断的方法
痛风会找上我吗?
为什么痛风爱找“工作狂”?
诊断有没有痛风——我该进行哪些检查呢?
关节痛莫忘“痛风”
尿酸——诊断痛风的基本检查
血清尿酸值测定
尿尿酸值测定
刨根问底——痛风给“我”带来了什么?
痛风性关节炎——不定期袭来的痛苦
痛风性关节炎究竟有多痛?
罪魁祸首还是尿酸
仅仅是疼痛而已吗?
痛风结节——症状严重的标志
痛风的“发展历程”
痛风是一种终身疾病吗?
恼人的痛风结节
痛风肾——痛风患者死亡的主要原因
肾脏——任劳任怨的“清洁工”
痛风导致的肾脏病变
慢性痛风性肾病
急性尿酸性肾病
尿酸性尿路结石
与痛风“狼狈为奸”的疾病
“生活习惯病”困扰着现代都市人
甜蜜杀手——糖尿病
痛苦的压力——高血压
隐形的杀手——高血脂
难言的负担——肥胖症
肥胖为什么找上我呢?
让痛风的“损友们”无机可乘
第三章防治痛风,从嘴开始
学会吃东西——痛风患者的第一张处方
食疗,有那么重要吗?
痛风饮食的五部曲
开幕——控制体重,吃到八分饱
我算不算肥胖?
第二幕——饮食结构合理搭配
酸性食物和碱性食物
第三幕——避免高嘌呤食物
第四幕——水√,酒×
尾声——持之以恒
肥胖的人需要减少食量
肥胖——开启“痛风之门”的钥匙
减少食量——开始对“痛风”说 goodbye
保持“苗条”的饮食习惯
痛风饮食——您无须做个“假和尚”
低嘌呤饮食——痛风患者最为关心的
按嘌呤含量将食物分门别类
低嘌呤饮食的科学安排
合理的热量和平衡的营养才是“王道”
“我”该怎样吃到饱?
把握好热量,说难也不难
如何制订我的“热量计划书”?
“80千卡”——饮食生活中一个有趣的数值
让实践来检验一切
“我”该怎样吃得好?
选择碱性食品
常见食物的酸碱度
能量供应以糖类为主
科学选择蛋白质
“我”连豆制品都不能碰吗?
限制脂肪摄入量
维生素和矿物质
痛风饮食实战
世上无难事,只怕有心人
痛风饮食的食谱举例
第一类食谱(低嘌呤食物)
第二类食谱(中嘌呤食物)
减少盐分摄取量预防并发症的发作
摄盐过多是高血压的重要危险因素
改变自己的口味,只是习惯而已
减少用盐量的烹饪技巧
痛风合并其他疾病的饮食攻略
当您同时患有糖尿病时……
糖尿病患者的饮食举例:冷拌面
糖尿病患者的饮食举例:西瓜黄瓜汁
当您同时患有高血压时……
高血压患者的饮食举例:炒三泥
高血压患者的饮食举例:素炒黑白
当您同时患有高脂血症时……
高血脂患者的饮食举例:山楂蒸薯珠
高血脂患者的饮食举例:洋葱排骨
酒,痛风的助虐剂
啤酒,“您”最不该招惹的对象
“伪装”的低嘌呤食物
饮酒影响尿酸的排泄
饮酒打乱正常饮食生活
向酒宣战
在外就餐的饮食攻略
餐馆食品VS家庭饮食
外出就餐学会打自己的“小算盘”
第四章细节决定成败——痛风患者的合理日常生活
生命在于运动
痛风患者运动有什么好处?
提高胰岛素敏感性,减轻胰岛素抵抗
千里之行,始于足下
痛风患者该采用怎样的运动?
选择有氧运动
选择合适的运动
痛风发作的急性期要停止锻炼
切勿矫枉过正——运动不应给身体增加负担
适当的运动强度很关键
您的脉搏就是运动强度的“测试表”
痛风患者的关节操
压力——现代生活中不得不说的话题
精神压力——痛风的“麻烦制造者”
远离压力的源头
您会先完成哪一件事?
水乃生命之源——痛风患者的饮水要点
保证足够的尿量——每日2升以上
你会喝水吗?
喝什么样的水?
什么时候喝水?
痛风患者喝纯净水好吗?
第五章该出手时就出手——药物治疗
什么样的患者需要药物治疗?
痛风治疗的风向标——尿酸水平的改善和并发症
的预防
痛风药物的“舰艇编队”
伪装潜艇——抑制尿酸合成的药物
驱逐舰——促进尿酸排泄的药物
主力战舰——缓解疼痛的药物
护卫舰——非甾体抗炎药(NSAIDs)
巡洋舰——秋水仙碱
航空母舰——肾上腺皮质激素
凭借“预感”巧治病
不同时期的痛风治疗
和平年代——无症状高尿酸血症期
战争时期——痛风急性发作期
战后重建——慢性期和间歇期
痛风慢性期治疗的精华所在
惹上了痛风的“坏兄弟”,我该怎么办?
痛风合并糖尿病,怎么办?
痛风合并高血压,怎么办?
痛风合并高脂血症,怎么办?
附录A按嘌呤含量将食物分门别类
附录B算算您每天需要多少热量
附录C常见食物的酸碱度
附录D常见食物中所含的热量
Book Abstract

尿酸水平偏高,我该怎么办? 通常,当我们面对一个陌生事物时,不安就会悄悄来访。接触与 了解都会使人感到不同程度的惶恐,因为我们不具备相应的知识和能 力来面对陌生的新局面。在这样一个新奇和不确定的岔道口,惴惴不 安陪着我们上路了。有不少患者朋友,当发现自己的尿酸值升高后, 便陷入了这样的一个场景:尿酸水平偏高了,我该怎么办呢? 莫紧张,别害怕,当我们进一步熟悉了陌生事物,就会豁然开 朗,惴惴不安的感觉也就会消失殆尽。下面,我就给患者朋友们介 绍一下高尿酸血症吧。 血尿酸浓度多高算高? 高尿酸血症这个词,实际上有两层含义,一种是理化性质上的 定义,也称为绝对高尿酸血症,它的意思是血中尿酸的含量超出了 它的饱和度。一般而言,正常人体血液的pH值7.35~7.45处于微 碱性,而尿酸在这样的酸碱环境下,浓度一旦超过420微摩/升,便 会析出尿酸钠结晶而沉积。因此,绝对意义上的高尿酸血症的界限 是420微摩/升。 高尿酸血症的另一种定义在流行病学上具有较大的意义,也称 为相对高尿酸血症。通过流行病学调查,获得某地区居民血尿酸的 平均值,在此基础上增加2个标准差的数值,便是相对高尿酸血症 的界限。一般认为,超过这样一个数值的人群,在当地居民中罹患 痛风和肾结石的危险就会大大增加。 血尿酸浓度为什么会增高? 如果把人体比作一座工厂,尿酸好比是工业生产时产生的废物, 血尿酸的浓度就好比是垃圾处理站。工厂里的垃圾堆放的多少,不 外乎取决于两方面因素:工业生产时废物产生的速度,以及垃圾处 理的速度。 尿酸这种废物产生的来源有外源性和内源性两者,前者好比是 工厂从外面购买组件,重新加工、组装时产生的废物;后者则是工 厂利用自己的原材料加工成产品时产生的。外源性尿酸是由食物中 的核苷酸和嘌呤等分解而来的。进食含核苷酸和嘌呤含量高的食物, 如动物内脏、海鲜、鸡鸭鱼肉、蘑菇、紫菜和豆类等,都会使血尿 酸浓度升高。此外,饮酒特别是长期饮用啤酒,也是引起血尿酸增 高的原因。 内源性尿酸是人体代谢过程中自行产生的。除了在本章开头中 提到的正常细胞衰老时分解产生的之外,有一些疾病如恶性肿瘤疾 病的患者,在放疗和化疗的过程中,肿瘤细胞的大量破坏分解,也 会导致内源性尿酸水平的急剧上升。大体上而言,血尿酸浓度的升 高主要是由内源性因素决定的,多达2/3的血尿酸来自于内源性。 除了废物的产生速度外,废物的处理速度也是影响血尿酸浓度 的重要原因。肾脏是人体重要的“垃圾”处理系统,约有2/3的血尿 酸通过肾脏排出人体,因此,当患有肾脏疾病导致肾脏功能下降时, 尿酸这种“垃圾”也会慢慢在体内越堆越多,血尿酸浓度也就随之 上升了。 尿酸升高了怎么办? 当了解到尿酸浓度升高的原因后,不少聪明的读者朋友也很快 会猜出应对的办法了——“节源开流”。 不错,理财时,为了增加我们的存款金额,有一个经典的四字 理财方针就是“开源节流”。而为了减少“垃圾”的产生,可以反其 道而行之,便是“节源开流”。解释开来,就是尽量减少血尿酸的产 生和促进尿酸的排泄。 “节源”方面,我们比较容易做到的是减少外源性尿酸的产生。 尽管这方面因素仅占血尿酸产生的1/3,但少进食动物内脏、海鲜等 核苷酸含量高的食物,对于降低血尿酸值还是有一定的意义的。关 于减少内源性尿酸的产生,我们会在后面的章节中详细叙述。 “开流”方面,我们从前面的小知识栏中了解,尿液的pH值升 高,可以增加尿酸的溶解度,因此,碱化尿液有利于尿酸的排泄。 另外,使用一部分药物,可以通过抑制肾小管对尿酸的重吸收,或 者增加肾小球对尿酸的滤过,实现“开流”。

……

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Yami Consolidation Service Shipping Fee $9.99(Free shipping over $69)

Sellers in China will ship their orders within 1-2 business days once the order is placed. Packages are sent to our consolidation warehouse in China and combined there. Our Yami consolidation warehouse will directly ship the packages to you via UPS. The average time for UPS to ship from China to the United States is about 10 working days and it can be traced using the tracking number. Due to the pandemic, the delivery time may be delayed by about 5 days. The package needs to be signed by the guest. If the receipt is not signed, the customer shall bear the risk of loss of the package.

Sold by JD@CHINA

Service Guarantee

Free shipping over 69
Genuine guarantee

Shipping

Yami Consolidated Shipping $9.99(Free shipping over $69)


Seller will ship the orders within 1-2 business days. The logistics time limit is expected to be 7-15 working days. In case of customs clearance, the delivery time will be extended by 3-7 days. The final receipt date is subject to the information of the postal company.

Yami Points information

All items are excluding from any promotion or points events on Yamibuy.com

Return Policy

You may return product within 30 days upon receiving the product. Items returned must be new in it's original packing, including the original invoice for the purchase. Customer return product at their own expense.

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About the brand

Jingdong book

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About the brand

Jingdong book