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Relations Uric Acid and Purine "The disease is caused by high uric acid levels of uric acid in the blood., And high levels of uric acid is caused due to the large consumption of foods containing purines"

Uric acid is the end product of purine metabolism in the body. While purine protein of group nucleoprotein is not so needed by the body. High uric acid levels cause tofus, hard lump sort of powder containing lime, on the feet and hands.

Excessive levels of uric acid in the blood causes the accumulation of uric acid crystals. If the accumulation of crystals that form in the joint fluid, then there gout or uric acid. If accumulation occurred in the kidneys, will appear kidney stones uric acid kidney stones are often called.

Uric acid is the acid form of the metabolism of protein nucleic acids contained in the cell nucleus. After experiencing a variety of biochemical processes will be purines oxide. Purine itself is one of the ammo acid derivatives. Oxidation of purine metabolism is at again by an enzyme and produce the final product is uric acid. So Uric acid is an end product of purine metabolism of the material. Uric acid is a problem when ekresi or disposal process is not going well. This occurs because the kidneys are malfunctioning. The kidneys are not damaged but the ability to dispose of uric acid less. This is usually due to heredity. Therefore, when there is impaired renal function, uric acid levels in the blood will rise or known as hyperuricemia. Besides thrown through the kidneys (70%) in the form of urine, uric acid from food and metabolism is also released through the intestines of 30%.

Blood uric acid levels that are considered normal average 5-7 mg% (6.5 mg% limit of high men and 5.5 mg% in women). Approximately 50% of uric acid in the body comes from dietary intake. elevated levels of uric acid in the blood may also occur due to the intake of food containing purines excessive. Raw foods contain high purine that can increase uric acid levels in the blood such as meat, liver, fish, vegetables, such as spinach, beans and drinks are like coffee and alcohol.

Here are some foods that contain high levels of purines:

- Anchovy salt / fresh - Sardines or preserved foods - Kidney and bovine brain - Meat, offal (intestines, liver, heart, lung, spleen, intestines, etc.) - Oyster / shellfish types - Meat with a high fat content such as quail - Dairy products like mayonnaise

In addition to the above also birds, ducks, sea food, fish, vegetables, cabbage, beans and nuts such as peanuts, dry. "But most of purines found in organ meats,"

Uric acid is very easy to crystallize / stacking when not in purine metabolism completely. Crystallization of uric acid in the joints that often occurs that causes a disease gout arthritis / gout or encok.Timbunan or crystals will cause an inflammatory reaction if such conflict sparked by trauma, stress and cold temperatures. Blood uric acid levels that are considered normal average between 5-7 mg% (605 mg% limit of high men and 5.5 mg% in women). Crystallization usually occurs when the blood uric acid levels already mencaopai 9-10 mg%. In some patients with excessive levels of uric acid can accumulate in the kidney tissue and kidney stones sometimes found the stone in the bladder kemih.Hal will disrupt the function of the kidneys and sometimes arise from pain in the lumbar region.

Arthritis gout is caused by increased blood levels of uric acid that has been going on for years. If uric acid levels are continuously high, can lead to chronic rheumatic gout where attacks will continue to occur and there is no longer an attack-free period. Acute rheumatic gout can also occur due to Fluctuations in blood uric acid levels suddenly. And this is precisely what could be causing the slow process of healing. Broadly speaking, we can say that there are two conditions where arthritis gout appears:

• The condition of normal organs but excess uric acid production

  • Normal uric acid production, but there is a breakdown in organs such as the kidneys

The occurrence of excess uric acid in the body can be caused by two things, namely the excessive production of uric acid and expenses down. This excessive production of uric acid occurs due to the consumption of foods high in purines, alcohol in large amounts and duration, obesity and certain diseases. "The expenditure of uric acid in the urine due to reduced renal disease, drugs, lack drinking and others.

Symptoms and signs of arthritis due to uric acid (Gout Artitis) In general location of the emergence of the attacks of pain, swelling, red and warm to the touch and disruption in joint function in only one place that is at the base of the big toe (70-80 percent). However this attack can also occur in other joints such as the ankle, instep, knee, elbow, wrist, hand or fingers.

A sudden attack of gout arthritis, characterized by joint swelling, heat and redness, in one joint (monoartritis) and reached its peak in the first 24 hours, and can heal itself within 3-10 days. "Joints are attacked usually at the base of the big toe joint called Podagra. Other joints that can be affected are the ankles, heels, knees, wrists, fingers and elbows, "Research done by adding monosodium urate crystals when observed with a polarizing microscope shaped like needles, so it is natural that felt very painful.

In addition to the joint attack on the network can also occur in the kidneys which then led to the emergence of urinary stone disease. In the more severe stages (urate crystal accumulation or thopi more and more) in addition to causing the destruction of joint structures can also damage the structure of the tissue under the skin. Thopi looks like a small pale bumps that appear on the ears, the back of the arm, the side of the bowl of the knee joint and the tendon Archilles. When the blood uric acid levels are not controlled, can thopi continues to expand and cause joint damage and ulceration. Sores can appear like a viscous fluid dispensing chalk containing urate monohydrate crystals monosidium (MSU). Thopi generally appear in the chronic stage when the patient has been suffering from gout arthritis over ten years and do not get good treatment so that their blood uric acid levels are often in high condition.

Stages Artitis Gout / Arthritis / Rheumatism 1. Asymptomatic Stage Increased blood uric acid levels but no symptoms. Furthermore, gout causes high blood pressure or severe backache pain.

2. Acute Phase The first acute attack came suddenly and quickly peaked. Generally the first attack occurred in the middle of the night or early morning. The attack took the form of severe pain at the base of the toes. The pain arises suddenly and is preceded by another complaint. The pain was so intense that when the sore when touched even lebmbut blanket will feel pain. The pain reaches a peak within 24 hours and will slowly heal spontaneously and disappear by themselves within two weeks.

3. Phase Interkritikal Patients can return to normal and doing various activities like sports without pain at all. If the pain in the first strike was lost and not recovered bererti disease, usually a few years later there would be a second attack.

4. Chronic Phase Occurs when the disease becomes acute diabaiakan so.

Risk Factors

Men have a higher risk of developing the disease, approximately 90% of patients with this disease are men. but not everyone with high uric acid gout arthritis will experience because not all arthritis accompanied by high uric acid. People who suffer from this potential are those that include: - Drinking alcohol, alcohol increases levels of uric acid in the blood - Have a family history of rheumatic gout diseased - Excess weight - Less drinking water - Have kidney problems and high blood pressure

Prevention and treatment of rheumatic arise so as not important to do since I was young. Regular exercise such as swimming, riding a bike because exercise is the best exercise because it can drive all the joints, regular aerobic exercise is not too memben = sons of the body should be done. For rheumatism because uric acid uric acid kaar keeping is essential. Uric acid levels should be kept stable at 5 mg% to prevent severe complications occur due to uric acid. Safe consumption of 50-60 grams of protein per day, therefore avoiding high purine foods mengadung.

1. Liver, kidney, heart, spleen, lungs, brain, sardines, meat broth, bread 150-180 mg purines -> should not be eaten 2. Meat, fish, shellfish, nuts kcangan, beans, cauliflower, spinach, mushrooms 50-150 mg -> should be limited 3. vegetables, fruits, milk, cheese, eggs and serealea 0-15 mg purines -> highly recommended

Here are some practical tips to lower uric acid from the diet dr Qimi: • Drink more water to help the removal of uric acid by the kidneys. • Reduce weight. • Eat regularly. • Eat a balanced diet by increasing servings of vegetables and fruit buahaan. • Limit coffee, tea, alcohol and chocolate. • Limit foods that are high in purines.

What is often called purines above? Purine is the origin of the formation of uric acid in the body after treatment. Here are some other examples of grouping based on the levels of purine foods: 1. High purine (100 - 1000 mg/100gr foods) should be avoided: the brain, liver, heart, kidney, offal, duck, fish, sardines, mackerel, scallops. 2. Purine medium (9-100 mg/100gr groceries) limited: maximum 50-75gr of meat or fish, vegetables 100gr. Beef, fish, chicken, shrimp, dried beans, tofu, tempeh, asparagus, spinach, cassava leaves, kale, beans melinjo. 3. Purine low (negligible) should be eaten every day: rice, sweet potatoes, corn, bread, vegetables and fruit (except in group 1 & 2), oil, sugar, flour, milk.

For gout sufferers do have to be very careful with foods that contain lots of purines. so .. should be more selective in choosing food.

Source: from various literature

Friday, November 27, 2009 A M A N D E L


Tonsils or tonsils is a collection of lymphoid tissue situated on either end of the throat behind the mouth behind the crease. Tonsils function to prevent the infection does not spread throughout the body by holding the bacteria enter the body through the mouth, nose, and throat, because it is not uncommon tonsils become inflamed. Inflammation of the tonsils is called tonsillitis, this disease is one disorder ENT (Ear, Nose & Throat). Tonsillitis may be acute or chronic. Severe acute form that does not usually last about 4-6 days, and are generally found during the two peak periods in childhood, at the age of 3-7 years and between the ages of 12-13 years. While tonsillitis / chronic tonsil occurs repeatedly and lasts longer. Tonsillitis can also affect adults.


Tonsillitis / tonsils (tonsillitis) caused by infection with group A streptococcus bacteria hemolik beta, but can also be caused by other types of bacteria or by a virus infection. In acute tonsillitis usually begins with a sore throat symptoms of a mild to a severe, painful swallowing food, sometimes vomiting. Tonsillitis / tonsils (tonsillitis) is caused by a bacterial infection of beta hemolytic streptococcus group A, but can also be caused by other types of bacteria or virus infection. In acute tonsillitis, usually begins with a sore throat symptoms of a mild to a severe, painful swallowing food, sometimes vomiting.

Tonsillitis / tonsils (tonsillitis) is caused by a bacterial infection of beta hemolytic streptococcus group A, but can also be caused by other types of bacteria or by a virus infection. In acute tonsillitis biasanyadimulai with a mild sore throat symptoms to be severe, painful swallowing, sometimes vomiting.


Tonsillitis can cause the tonsils become swollen, hot, itching, pain in muscles and joints, pain in the whole body, chills, headache, and pain in the ear. The lymph nodes in the region weakened submandibuler. The back of the throat will feel puckered so hard to swallow. Other symptoms include fever, headache, sometimes chills, fatigue, muscle pain with cough, colds, hoarseness, halitosis, nausea, sometimes abdominal pain, enlarged lymph nodes (lymph nodes) in the neck. Sometimes patients with tonsillitis (chronic) snoring during sleep (especially if accompanied by enlarged adenoid glands (glands located in the back wall of the throat and nasal cavity)

In chronic tonsillitis may lead to recurrence of sore throat and tonsils out pus in a curve. The attack occurred repeatedly, seemed enlarged tonsils, red, and there abscess (pus spots yellowish white). Enlarged tonsils / tonsil tonsil can be very large so that the left and right of each other and can interfere with the breathing.

Acute inflammation of the tonsils or tonsillar swelling is not too big and not block airways, and does not cause complications, unnecessary surgery / operation, because the tonsils are made of lymph tissue may function to prevent the body from being exposed to diseases associated with infection. However, if chronic tonsillitis with tonsillar swelling is too large, resulting in the disruption of breathing, or the appearance of complications, often requiring surgery / surgery to remove the tonsils.

For treatment to do the following steps: • Arranged to drink plenty of fluids such as water or fruit juice, especially during fever. • Do not drink ice, syrup, ice cream, food and beverages chilled, fried, salted preserved foods, and sweets. • Gargle warm salt water 3-4 times a day. • Put warm compresses on the neck every day. • Get plenty of rest.


Herbal products from PT. Meddia used to treat tonsillitis / tonsillitis is GISAK or PASCOP, whose function is to relieve inflammation, eliminate bacteria and can quickly restore the body's natural immune. Hamengkubuwono I

Hamengkubuwono I, born Raden Mas Sujana (d. 1792), was the first sultan of Yogyakarta.

Sujana, the Crown Prince, was known as Prince Mangkubumi prior to Becoming sultan of Yogyakarta Sultanate. As a son of Sultan Sunan King of Mataram Mataram ruler, and brother to Prince Heir Apparent Pakubuwono II of Surakarta, a dispute arose concerning the Succession to the throne of Mataram. Prince Mangkubumi Pakubuwono II challenged brother who was aided by the Dutch East India Company seeking a more pliant VOC as Central Javanese puppet king. The war that eventuated was known as the Third Succession War in Mataram.

During the war Prince Mangkubumi was aided by brilliant legendary army commander-in-chief Raden Mas Said who Fought in a highly effective strategic manner. Mangkubumi won decisive battles at Grobogan, Demak and Bogowonto River. During the War in 1749, and the winner! Pakubuwono II Mangkubumi Became Crown Prince Sultan. At the Battle of Bogowonto River in 1751, the Dutch Army under De Clerck was destroyed by Mangkubumi's forces. Raden Mas revolted in dispute with Prince Mangkubumi. The Succession War and revolt of Raden Mas Said ended when the Treaty of 1755 Giyanti Giyanti Treaty, signed in Giyanti-an area east of Surakarta (capital of Mataram Empire) Raden Mas Said and was granted the title Royal Appenages Mangkunegara.

According to the Giyanti Treaty, Mataram was firstly divided into two Kingdoms, Surakarta with Pakubuwono III as ruler, and Yogyakarta Sultanate with Prince Mangkubumi as sultan with the title Sri Sultan Hamengkubuwono I Senopati Ing Ngalaga Sayidin Panatagama Kalifatulah. Became capital Yogyakarta and a new palace was built with a magnificent water palace in the west of his grounds of Taman Sari.

Hamengkubuwono winner! Sultan in 1792 and was interred in the Royal cemetery of Astana Kasuwargan in Imogiri. He was Succeeded by Hamengkubuwono II, his son.