{"id":1322,"date":"2024-08-12T16:35:55","date_gmt":"2024-08-12T16:35:55","guid":{"rendered":"https:\/\/tramedhealth.com\/?p=1322"},"modified":"2024-08-16T17:03:08","modified_gmt":"2024-08-16T17:03:08","slug":"gout-and-how-to-control-pain-relapse","status":"publish","type":"post","link":"https:\/\/tramedhealth.com\/vi\/musculoskeletal-disease\/gout-and-how-to-control-pain-relapse\/","title":{"rendered":"Vi\u00eam kh\u1edbp G\u00fat v\u00e0 l\u00e0m th\u1ebf n\u00e0o \u0111\u1ec3 ki\u1ec3m so\u00e1t c\u01a1n \u0111au?"},"content":{"rendered":"<h2 class=\"wp-block-heading\"><strong>\u0110\u1ecbnh ngh\u0129a<\/strong><\/h2>\n\n\n\n<p><strong>G\u00fat <\/strong>B\u1ec7nh g\u00fat l\u00e0 b\u1ec7nh vi\u00eam kh\u1edbp do vi tinh th\u1ec3. Bi\u1ec3u hi\u1ec7n l\u00e0 nh\u1eefng \u0111\u1ee3t vi\u00eam kh\u1edbp c\u1ea5p t\u00e1i ph\u00e1t, c\u00f3 l\u1eafng \u0111\u1ecdng tinh th\u1ec3 mu\u1ed1i urat natri trong c\u00e1c m\u00f4 do t\u0103ng acid uric trong m\u00e1u.<br>Vi\u00eam kh\u1edbp gout l\u00e0 b\u1ec7nh do r\u1ed1i lo\u1ea1n chuy\u1ec3n h\u00f3a nh\u00e2n purin, thu\u1ed9c nh\u00f3m b\u1ec7nh r\u1ed1i lo\u1ea1n chuy\u1ec3n h\u00f3a.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Nguy\u00ean nh\u00e2n<\/strong><\/h2>\n\n\n\n<p><strong>G\u00fat nguy\u00ean ph\u00e1t<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Ch\u01b0a r\u00f5 nguy\u00ean nh\u00e2n, ch\u1ebf \u0111\u1ed9 \u0103n th\u1ef1c ph\u1ea9m c\u00f3 ch\u1ee9a nhi\u1ec1u purin nh\u01b0: gan, th\u1eadn, t\u00f4m, cua, l\u00f2ng \u0111\u1ecf tr\u1ee9ng, n\u1ea5m l\u00e0m n\u1eb7ng th\u00eam b\u1ec7nh.<\/li>\n\n\n\n<li>G\u1eb7p 95% \u1edf nam gi\u1edbi, \u0111\u1ed9 tu\u1ed5i th\u01b0\u1eddng g\u1eb7p l\u00e0 30-60 tu\u1ed5i.<\/li>\n<\/ul>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"630\" height=\"467\"   src=\"https:\/\/tramedhealth.com\/wp-content\/uploads\/2024\/08\/01-gout.jpeg\" alt=\"\" class=\"wp-image-1325\" srcset=\"https:\/\/tramedhealth.com\/wp-content\/uploads\/2024\/08\/01-gout.jpeg 630w, https:\/\/tramedhealth.com\/wp-content\/uploads\/2024\/08\/01-gout-300x222.jpeg 300w, https:\/\/tramedhealth.com\/wp-content\/uploads\/2024\/08\/01-gout-16x12.jpeg 16w\" sizes=\"auto, (max-width: 630px) 100vw, 630px\" \/><figcaption class=\"wp-element-caption\"><em>Gout is very painful<\/em><\/figcaption><\/figure><\/div>\n\n\n<p><strong>G\u00fat th\u1ee9 ph\u00e1t<br><\/strong>M\u1ed9t s\u1ed1 hi\u1ebfm do c\u00e1c r\u1ed1i lo\u1ea1n v\u1ec1 gen (nguy\u00ean nh\u00e2n di truy\u1ec1n).<br>Ngo\u00e0i ra c\u00f3 th\u1ec3 do t\u0103ng s\u1ea3n xu\u1ea5t acid uric ho\u1eb7c gi\u1ea3m \u0111\u00e0o th\u1ea3i acid uric ho\u1eb7c c\u1ea3 hai, c\u1ee5 th\u1ec3:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Suy th\u1eadn n\u00f3i ri\u00eang v\u00e0 c\u00e1c b\u1ec7nh l\u00fd l\u00e0m gi\u1ea3m \u0111\u1ed9 thanh l\u1ecdc acid uric c\u1ee7a c\u1ea7u th\u1eadn n\u00f3i chung.<\/li>\n\n\n\n<li>C\u00e1c b\u1ec7nh v\u1ec1 m\u00e1u: b\u1ec7nh b\u1ea1ch c\u1ea7u c\u1ea5p.<\/li>\n\n\n\n<li>D\u00f9ng thu\u1ed1c l\u1ee3i ti\u1ec3u nh\u01b0 Furosemid, Thiazid, Acetazolamide.<\/li>\n\n\n\n<li>S\u1eed d\u1ee5ng c\u00e1c thu\u1ed1c \u1ee9c ch\u1ebf t\u1ebf b\u00e0o \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb c\u00e1c b\u1ec7nh \u00e1c t\u00ednh; thu\u1ed1c ch\u1ed1ng lao (ethambutol, pyrazinamide).<\/li>\n<\/ul>\n\n\n\n<p><strong>C\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1<\/strong> c\u1ee7a b\u1ec7nh l\u00e0 t\u0103ng huy\u1ebft \u00e1p, b\u00e9o ph\u00ec v\u00e0 h\u1ed9i ch\u1ee9ng chuy\u1ec3n h\u00f3a, t\u0103ng insulin m\u00e1u v\u00e0 s\u1ef1 \u0111\u1ec1 kh\u00e1ng insulin, u\u1ed1ng nhi\u1ec1u r\u01b0\u1ee3u.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Tri\u1ec7u ch\u1ee9ng<\/h2>\n\n\n\n<p>C\u01a1n g\u00fat c\u1ea5p t\u00ednh \u0111\u1ea7u ti\u00ean th\u01b0\u1eddng xu\u1ea5t hi\u1ec7n \u1edf l\u1ee9a tu\u1ed5i 35 - 55, \u00edt khi tr\u01b0\u1edbc 25 ho\u1eb7c sau 65 tu\u1ed5i. \u1ede n\u1eef \u00edt x\u1ea3y ra tr\u01b0\u1edbc tu\u1ed5i m\u00e3n kinh, \u1edf nam m\u1eafc \u1edf tu\u1ed5i c\u00e0ng tr\u1ebb th\u00ec b\u1ec7nh c\u00e0ng n\u1eb7ng.<\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"683\"    src=\"https:\/\/tramedhealth.com\/wp-content\/uploads\/2024\/08\/02-gout.jpg\" alt=\"\" class=\"wp-image-1324\" style=\"width:540px;height:auto\" srcset=\"https:\/\/tramedhealth.com\/wp-content\/uploads\/2024\/08\/02-gout.jpg 1024w, https:\/\/tramedhealth.com\/wp-content\/uploads\/2024\/08\/02-gout-300x200.jpg 300w, https:\/\/tramedhealth.com\/wp-content\/uploads\/2024\/08\/02-gout-768x512.jpg 768w, https:\/\/tramedhealth.com\/wp-content\/uploads\/2024\/08\/02-gout-18x12.jpg 18w\" sizes=\"auto, (max-width: 540px) 100vw, 540px\" \/><figcaption class=\"wp-element-caption\"><em>Usually, the metatarsal joint &#8211; big toe<\/em><\/figcaption><\/figure><\/div>\n\n\n<ul class=\"wp-block-list\">\n<li><strong>C\u01a1n g\u00fat c\u1ea5p:<\/strong> Xu\u1ea5t hi\u1ec7n \u0111\u1ed9t ng\u1ed9t ban \u0111\u00eam, b\u1ec7nh nh\u00e2n th\u1ee9c d\u1eady v\u00ec \u0111au \u1edf kh\u1edbp, th\u01b0\u1eddng l\u00e0 kh\u1edbp b\u00e0n - ng\u00f3n ch\u00e2n c\u00e1i (60 - 70% ): kh\u1edbp s\u01b0ng to, \u0111\u1ecf, ph\u00f9 n\u1ec1, c\u0103ng b\u00f3ng, n\u00f3ng, \u0111au d\u1eef d\u1ed9i v\u00e0 ng\u00e0y c\u00e0ng t\u0103ng, va ch\u1ea1m nh\u1eb9 c\u0169ng r\u1ea5t \u0111au, thay \u0111\u1ed5i th\u1ee9 t\u1ef1: b\u00e0n ch\u00e2n, c\u1ed5 ch\u00e2n, g\u1ed1i, b\u00e0n tay, c\u1ed5 tay, khu\u1ef7u, hi\u1ebfm th\u1ea5y \u1edf kh\u1edbp h\u00e1ng, vai, c\u1ed9t s\u1ed1ng. L\u00fac \u0111\u1ea7u ch\u1ec9 vi\u00eam m\u1ed9t kh\u1edbp sau \u0111\u00f3 c\u00f3 th\u1ec3 vi\u00eam nhi\u1ec1u kh\u1edbp.<\/li>\n\n\n\n<li>Ngo\u00e0i kh\u1edbp ra, t\u00fai thanh d\u1ecbch, g\u00e2n, bao kh\u1edbp c\u0169ng c\u00f3 th\u1ec3 b\u1ecb th\u01b0\u01a1ng t\u1ed5n<\/li>\n\n\n\n<li>C\u00e1c d\u1ea5u hi\u1ec7u vi\u00eam c\u00f3 th\u1ec3 k\u00e9o d\u00e0i nhi\u1ec1u ng\u00e0y, th\u01b0\u1eddng t\u1eeb 5-7 ng\u00e0y r\u1ed3i c\u00e1c d\u1ea5u hi\u1ec7u vi\u00eam gi\u1ea3m d\u1ea7n: \u0111\u1ee1 \u0111au, \u0111\u1ee1 n\u1ec1, b\u1edbt \u0111\u1ecf. H\u1ebft c\u01a1n, kh\u1edbp tr\u1edf l\u1ea1i ho\u00e0n to\u00e0n b\u00ecnh th\u01b0\u1eddng.<\/li>\n\n\n\n<li>Acute gout attacks are easy to recur; the interval can be close but very far, sometimes &gt; ten years.<\/li>\n\n\n\n<li>L\u1eafng \u0111\u1ecdng urat l\u00e0m cho h\u00ecnh th\u00e0nh c\u00e1c tophi d\u01b0\u1edbi da v\u00e0 g\u00e2y n\u00ean b\u1ec7nh kh\u1edbp m\u1ea1n t\u00ednh do urat.<\/li>\n\n\n\n<li><strong>Tophi:<\/strong> th\u01b0\u1eddng bi\u1ec3u hi\u1ec7n ch\u1eadm, h\u00e0ng ch\u1ee5c n\u0103m sau c\u01a1n g\u00fat \u0111\u1ea7u ti\u00ean nh\u01b0ng c\u0169ng c\u00f3 khi s\u1edbm h\u01a1n. Khi \u0111\u00e3 xu\u1ea5t hi\u1ec7n th\u00ec d\u1ec5 t\u0103ng s\u1ed1 l\u01b0\u1ee3ng v\u00e0 kh\u1ed1i l\u01b0\u1ee3ng v\u00e0 c\u00f3 th\u1ec3 lo\u00e9t.<\/li>\n\n\n\n<li><strong>Urate<\/strong> l\u1eafng \u0111\u1ecdng r\u1ea3i r\u00e1c \u1edf t\u1ed5 ch\u1ee9c k\u1ebd th\u1eadn, b\u1ec3 th\u1eadn, ni\u1ec7u qu\u1ea3n g\u00e2y s\u1ecfi th\u1eadn urat, t\u1ed5n th\u01b0\u01a1ng th\u1eadn.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Ch\u1ea9n \u0111o\u00e1n<\/h2>\n\n\n\n<p><em>Ti\u00eau chu\u1ea9n Bennet v\u00e0 Wood<\/em> (1968): \u0111\u1ed9 nh\u1ea1y 70%, \u0111\u1ed9 \u0111\u1eb7c hi\u1ec7u 82,7% \u0111\u01b0\u1ee3c \u00e1p d\u1ee5ng r\u1ed9ng r\u00e3i nh\u1ea5t \u1edf Vi\u1ec7t Nam do d\u1ec5 nh\u1edb v\u00e0 ph\u00f9 h\u1ee3p v\u1edbi \u0111i\u1ec1u ki\u1ec7n thi\u1ebfu x\u00e9t nghi\u1ec7m.<\/p>\n\n\n\n<p><em>Ti\u00eau chu\u1ea9n c\u1ee7a ILAR v\u00e0 Omeract<\/em> n\u0103m 2000: \u0110\u1ed9 nh\u1ea1y 70%, \u0111\u1eb7c hi\u1ec7u 78,8%<\/p>\n\n\n\n<p><strong>C\u00e1c c\u1eadn l\u00e2m s\u00e0ng c\u1ea7n thi\u1ebft:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Acid uric m\u00e1u t\u0103ng &gt; 420 \u00b5mol\/l, tuy nhi\u00ean kho\u1ea3ng 40% b\u1ec7nh nh\u00e2n c\u00f3 c\u01a1n g\u00fat c\u1ea5p nh\u01b0ng acid uric m\u00e1u b\u00ecnh th\u01b0\u1eddng.<\/li>\n\n\n\n<li>\u0110\u1ecbnh l\u01b0\u1ee3ng acid uric ni\u1ec7u 24 gi\u1edd: n\u1ebfu acid uric ni\u1ec7u t\u0103ng d\u1ec5 g\u00e2y s\u1ecfi th\u1eadn v\u00e0 kh\u00f4ng \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh nh\u00f3m thu\u1ed1c t\u0103ng \u0111\u00e0o th\u1ea3i acid uric.<\/li>\n\n\n\n<li>X\u00e9t nghi\u1ec7m d\u1ecbch kh\u1edbp: t\u00ecm tinh th\u1ec3 urat trong d\u1ecbch kh\u1edbp.<\/li>\n\n\n\n<li>C\u00e1c x\u00e9t nghi\u1ec7m kh\u00e1c: t\u1ed1c \u0111\u1ed9 l\u1eafng m\u00e1u t\u0103ng, CRP b\u00ecnh th\u01b0\u1eddng ho\u1eb7c t\u0103ng.<\/li>\n\n\n\n<li>Xquang kh\u1edbp: giai \u0111o\u1ea1n \u0111\u1ea7u b\u00ecnh th\u01b0\u1eddng, n\u1ebfu mu\u1ed9n c\u00f3 th\u1ec3 th\u1ea5y c\u00e1c khuy\u1ebft x\u01b0\u01a1ng h\u00ecnh h\u1ed1c \u1edf \u0111\u1ea7u x\u01b0\u01a1ng, h\u1eb9p khe kh\u1edbp, gai x\u01b0\u01a1ng.<\/li>\n<\/ul>\n\n\n\n<p><strong>Ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Vi\u00eam kh\u1edbp do l\u1eafng \u0111\u1ecdng c\u00e1c tinh th\u1ec3 kh\u00e1c (pyrophosphat calci dihydrat) hay b\u1ec7nh gi\u1ea3 g\u00fat.<\/li>\n\n\n\n<li>Vi\u00eam kh\u1edbp nhi\u1ec5m khu\u1ea9n.<\/li>\n\n\n\n<li><a href=\"https:\/\/tramedhealth.com\/vi\/musculoskeletal-disease\/how-to-get-the-best-life-with-rheumatoid-arthritis\/\" target=\"_blank\" rel=\"noopener\" title=\"\">Vi\u00eam kh\u1edbp d\u1ea1ng th\u1ea5p.<\/a><\/li>\n\n\n\n<li>Vi\u00eam kh\u1edbp ph\u1ea3n \u1ee9ng.<\/li>\n\n\n\n<li>B\u1ec7nh l\u00ed kh\u00e1c: vi\u00eam m\u00f4 t\u1ebf b\u00e0o, b\u1ec7nh m\u1ea1ch m\u00e1u ngo\u1ea1i bi\u00ean<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">\u0110i\u1ec1u tr\u1ecb<\/h2>\n\n\n\n<p>Vi\u00eam kh\u1edbp g\u00fat <em>r\u1ea5t d\u1ec5 t\u00e1i ph\u00e1t<\/em> v\u00e0 <em>mang l\u1ea1i nh\u1eefng tri\u1ec7u ch\u1ee9ng c\u0169ng nh\u01b0 bi\u1ebfn ch\u1ee9ng r\u1ea5t n\u1eb7ng n\u1ec1<\/em> cho ng\u01b0\u1eddi b\u1ec7nh n\u1ebfu nh\u01b0ng kh\u00f4ng \u0111i\u1ec1u tr\u1ecb v\u00e0 ki\u1ec3m so\u00e1t m\u1ed9t c\u00e1ch ch\u1eb7t ch\u1ebd.<\/p>\n\n\n\n<p><strong>Nguy\u00ean t\u1eafc chung<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u0110i\u1ec1u tr\u1ecb vi\u00eam kh\u1edbp trong c\u01a1n g\u00fat c\u1ea5p.<\/li>\n\n\n\n<li>D\u1ef1 ph\u00f2ng t\u00e1i ph\u00e1t c\u01a1n g\u00fat, d\u1ef1 ph\u00f2ng l\u1eafng \u0111\u1ecdng urat trong c\u00e1c t\u1ed5 ch\u1ee9c v\u00e0 d\u1ef1 ph\u00f2ng bi\u1ebfn ch\u1ee9ng th\u00f4ng qua \u0111i\u1ec1u tr\u1ecb h\u1ed9i ch\u1ee9ng t\u0103ng acid uric m\u00e1u.<\/li>\n<\/ul>\n\n\n\n<p><strong>\u0110i\u1ec1u tr\u1ecb kh\u00f4ng d\u00f9ng thu\u1ed1c<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Tr\u00e1nh c\u00e1c ch\u1ea5t c\u00f3 nhi\u1ec1u purin nh\u01b0 t\u1ea1ng \u0111\u1ed9ng v\u1eadt, th\u1ecbt, c\u00e1, t\u00f4m, cua. C\u00f3 th\u1ec3 \u0103n tr\u1ee9ng, hoa qu\u1ea3. \u0102n th\u1ecbt kh\u00f4ng qu\u00e1 150g\/24 gi\u1edd.<\/li>\n\n\n\n<li>Kh\u00f4ng u\u1ed1ng r\u01b0\u1ee3u, c\u1ea7n gi\u1ea3m c\u00e2n, t\u1eadp luy\u1ec7n th\u1ec3 d\u1ee5c th\u01b0\u1eddng xuy\u00ean.<\/li>\n\n\n\n<li>U\u1ed1ng nhi\u1ec1u n\u01b0\u1edbc, kho\u1ea3ng 2-4 l\u00edt\/24 gi\u1edd, \u0111\u1eb7c bi\u1ec7t l\u00e0 c\u00e1c lo\u1ea1i n\u01b0\u1edbc kho\u00e1ng c\u00f3 ki\u1ec1m ho\u1eb7c n\u01b0\u1edbc ki\u1ec1m 14\u2030.<\/li>\n\n\n\n<li>Tr\u00e1nh c\u00e1c thu\u1ed1c l\u00e0m t\u0103ng acid uric m\u00e1u, tr\u00e1nh c\u00e1c y\u1ebfu t\u1ed1 l\u00e0m kh\u1edfi ph\u00e1t c\u01a1n g\u00fat c\u1ea5p nh\u01b0 stress, ch\u1ea5n th\u01b0\u01a1ng.<\/li>\n<\/ul>\n\n\n\n<p><strong>\u0110i\u1ec1u tr\u1ecb d\u00f9ng thu\u1ed1c<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Thu\u1ed1c ch\u1ed1ng vi\u00eam: Colchicin th\u01b0\u1eddng \u0111\u00e1p \u1ee9ng v\u1edbi g\u00fat kh\u00e1 t\u1ed1t, gi\u1ea3m \u0111au, s\u01b0ng \u0111\u1ecf trong 1-2 ng\u00e0y nh\u01b0ng c\u1ea7n l\u01b0u \u00fd c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 c\u1ee7a thu\u1ed1c.<\/li>\n\n\n\n<li>Thu\u1ed1c kh\u00e1ng vi\u00eam kh\u00f4ng steroid: Ketoprofen, Piroxicam, Diclofenac, Celecoxib.<\/li>\n\n\n\n<li>Corticoid \u0111\u01b0\u1eddng to\u00e0n th\u00e2n \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh khi c\u00e1c thu\u1ed1c tr\u00ean kh\u00f4ng hi\u1ec7u qu\u1ea3 ho\u1eb7c c\u00f3 ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh, c\u1ea7n r\u1ea5t h\u1ea1n ch\u1ebf v\u00e0 d\u00f9ng ng\u1eafn ng\u00e0y.<\/li>\n\n\n\n<li>Thu\u1ed1c \u1ee9c ch\u1ebf t\u1ed5ng h\u1ee3p acid uric: Allopurinol.<\/li>\n\n\n\n<li>Thu\u1ed1c t\u0103ng th\u1ea3i acid uric: Probenecid, ch\u1ec9 \u0111\u1ecbnh nh\u00f3m n\u00e0y c\u1ea7n x\u00e9t nghi\u1ec7m acid uric ni\u1ec7u.<\/li>\n<\/ul>\n\n\n\n<p><strong>\u0110i\u1ec1u tr\u1ecb ngo\u1ea1i khoa<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Ph\u1eabu thu\u1eadt c\u1eaft b\u1ecf h\u1ea1t tophi \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh trong tr\u01b0\u1eddng h\u1ee3p g\u00fat k\u00e8m bi\u1ebfn ch\u1ee9ng lo\u00e9t, b\u1ed9i nhi\u1ec5m h\u1ea1t tophi ho\u1eb7c h\u1ea1t tophi k\u00edch th\u01b0\u1edbc l\u1edbn, \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn v\u1eadn \u0111\u1ed9ng ho\u1eb7c v\u00ec l\u00fd do th\u1ea9m m\u1ef9. Khi ph\u1eabu thu\u1eadt l\u01b0u \u00fd cho d\u00f9ng colchicin nh\u1eb1m tr\u00e1nh kh\u1edfi ph\u00e1t c\u01a1n g\u00fat c\u1ea5p. C\u1ea7n k\u1ebft h\u1ee3p thu\u1ed1c h\u1ea1 acid uric m\u00e1u.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Ph\u00f2ng ng\u1eeba<\/h2>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-large is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"683\"    src=\"https:\/\/tramedhealth.com\/wp-content\/uploads\/2024\/08\/gout-prevention-1024x683.jpg\" alt=\"\" class=\"wp-image-1326\" style=\"width:558px;height:auto\" srcset=\"https:\/\/tramedhealth.com\/wp-content\/uploads\/2024\/08\/gout-prevention-1024x683.jpg 1024w, https:\/\/tramedhealth.com\/wp-content\/uploads\/2024\/08\/gout-prevention-300x200.jpg 300w, https:\/\/tramedhealth.com\/wp-content\/uploads\/2024\/08\/gout-prevention-768x512.jpg 768w, https:\/\/tramedhealth.com\/wp-content\/uploads\/2024\/08\/gout-prevention-18x12.jpg 18w, https:\/\/tramedhealth.com\/wp-content\/uploads\/2024\/08\/gout-prevention.jpg 1500w\" sizes=\"auto, (max-width: 558px) 100vw, 558px\" \/><figcaption class=\"wp-element-caption\"><em>Prevent gout<\/em><\/figcaption><\/figure><\/div>\n\n\n<ul class=\"wp-block-list\">\n<li>Ch\u1ebf \u0111\u1ed9 sinh ho\u1ea1t h\u1ee3p l\u00ed, gi\u1ea3m \u0103n c\u00e1c ch\u1ea5t gi\u00e0u purin, ch\u1ea5t b\u00e9o.<\/li>\n\n\n\n<li>R\u00e8n luy\u1ec7n th\u1ec3 d\u1ee5c th\u1ec3 thao.<\/li>\n\n\n\n<li>\u0110i\u1ec1u tr\u1ecb t\u1ed1t c\u00e1c b\u1ec7nh l\u00ed g\u00e2y b\u1ec7nh g\u00fat th\u1ee9 ph\u00e1t nh\u01b0 suy th\u1eadn, do thu\u1ed1c, c\u00e1c b\u1ec7nh l\u00ed chuy\u1ec3n h\u00f3a.<\/li>\n<\/ul>","protected":false},"excerpt":{"rendered":"<p>B\u1ec7nh g\u00fat l\u00e0 b\u1ec7nh vi\u00eam kh\u1edbp do vi tinh th\u1ec3. Bi\u1ec3u hi\u1ec7n l\u00e0 nh\u1eefng \u0111\u1ee3t vi\u00eam kh\u1edbp c\u1ea5p t\u00e1i ph\u00e1t, c\u00f3 l\u1eafng \u0111\u1ecdng tinh th\u1ec3 mu\u1ed1i urat natri trong c\u00e1c m\u00f4 do t\u0103ng acid uric trong m\u00e1u.<\/p>","protected":false},"author":2,"featured_media":1323,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"om_disable_all_campaigns":false,"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"_uf_show_specific_survey":0,"_uf_disable_surveys":false,"footnotes":""},"categories":[50],"tags":[55,62,81,83,84,82,51],"class_list":["post-1322","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-musculoskeletal-disease","tag-co-xuong-khop","tag-dau","tag-dau-khop","tag-gout","tag-goutte","tag-gut","tag-musculoskeletal-disease"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/tramedhealth.com\/vi\/wp-json\/wp\/v2\/posts\/1322"}],"collection":[{"href":"https:\/\/tramedhealth.com\/vi\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/tramedhealth.com\/vi\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/tramedhealth.com\/vi\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/tramedhealth.com\/vi\/wp-json\/wp\/v2\/comments?post=1322"}],"version-history":[{"count":6,"href":"https:\/\/tramedhealth.com\/vi\/wp-json\/wp\/v2\/posts\/1322\/revisions"}],"predecessor-version":[{"id":1379,"href":"https:\/\/tramedhealth.com\/vi\/wp-json\/wp\/v2\/posts\/1322\/revisions\/1379"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/tramedhealth.com\/vi\/wp-json\/wp\/v2\/media\/1323"}],"wp:attachment":[{"href":"https:\/\/tramedhealth.com\/vi\/wp-json\/wp\/v2\/media?parent=1322"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/tramedhealth.com\/vi\/wp-json\/wp\/v2\/categories?post=1322"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/tramedhealth.com\/vi\/wp-json\/wp\/v2\/tags?post=1322"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}