1b. Bagaimana mekanisme pain?

2a. komposisi dari kacang?

Setiap 100 gram kacang kedelai berisi 145-171 miligram purine

One medium was composed of. MS basal salts supplemented with 8.9
µM 6-benzylaminopurine. (BAP), 14 µM kinetin (KN) and 2% sucrose

2b. Mengapa dengan menkonsumsi kacang dapat kambuh?

Gout is caused by an excess of uric acid in the body. Uric acid results
from the breakdown of purines. Purines are part of all human tissue
and found in many foods. The excess can be caused by either an over-
production of uric acid by the body or the under-elimination of uric acid
by the kidneys. Also, the ingestion of foods high in purines can raise
uric acid levels in the blood and precipitate gout attacks in some
people.

Purines are chemical substances which are not only produced naturally in the body, but also
found in various types of foods. These purines are converted into uric acid during digestion which
is thrown out of the body thorough the urine. However, when the body starts producing uric acid
in very high quantities or if it is not able to excrete uric acid properly, a person is said to
have gout. The excess uric acid in the body turns into structures that are sharp like needles called
urate crystals which get accumulated in different joints of the body like the big toe, heels, fingers,
elbows, thumbs, ankles, etc. Due to the presence of urate crystals, an individual having gout has
to experience swelling and terrible pain in the joints.

2g. Makanan apa saja yg mengandung purin?

• Beer, other alcoholic beverages.

• Anchovies, sardines in oil, fish roes, herring.
• Yeast.
• Organ meat (liver, kidneys, sweetbreads)
• Legumes (dried beans, peas)
• Meat extracts, consomme, gravies.
• Mushrooms, spinach, asparagus, cauliflower.

High Purine Foods

• Organ meats- kidney, sweetbreads, brains, liver and heart

• Sardines
• Anchovies
• Broth
• Fishes- mackerel, herring and roe (fish eggs)
• Meat extracts
 • Gravy
• Scallops
• Consomme
• Game meats- duck, goose, partridge, etc
• Mincemeat
• Bouillon
• Yeast supplements

Medium Purine Foods

• Mushrooms
• Whole grain cereals and breads
• Green peas
• Asparagus
• Oats and oatmeal
• Fish and shellfish
• Spinach
• Red meats- beef, lamb, pork, etc.
• Bran and wheat germ
• Cauliflower
• Lentils- peas and dried beans

Low Purine Diet Foods

• Pudding
• Skimmed milk
• Macaroni and pasta
• Cake and cookies- small quantities
• Eggs (not more than 3-4 every week)
• Carbonated drinks
• Nuts and peanut butter
• Low fat/fat free ice cream and cheeses
• Gelatin
• Sugar and sweets- small quantities
• Tea and coffee
• Oils and fats- small quantities

Bir, minuman beralkohol lainnya.

• teri, sardin dalam minyak, telur ikan, ikan haring.
• Ragi.
• Organ daging (hati, ginjal, roti manis)
• Kacang-kacangan (kacang kering, kacang polong)
• Daging ekstrak, kaldu, gravies.
• Jamur, bayam, asparagus, kembang kol.

Makanan Tinggi Purina

• Organ dalam seperti ginjal, otak, hati dan jantung
• Sarden
• teri
• Ikan, telur ikan
• Daging
• Kerang
• kaldu
• Yeast

Makanan Purina kadar Menengah

• Jamur
• sereal dan roti gandum utuh
• kacang polong
• Asparagus
• Oats dan oatmeal
• Ikan dan kerang
• Bayam
Makanan Rendah Purina
• Puding
• susu skim
• Makaroni dan pasta
• Kue dan jumlah cookie-kecil
• Telur (tidak lebih dari 3-4 setiap minggu)
• minuman bersoda
• Kacang dan selai kacang
• rendah lemak / bebas lemak es krim dan keju
• Gelatin
• Gula dan jumlah permen-kecil
• Teh dan kopi
• Minyak dan lemak dalam jumlah kecil

5b. Working diagnosis?

gout

5c. Etiology?

Purine is a substance found naturally in food and naturally produced by the body. Purines
are broken down by the body and become uric acid. (Gouty arthritis) Gout is caused by the
build up of uric acid. Either the body produces to much uric acid and/or the kidneys do not
filter enough uric acid through the urine to keep the uric acid from building up in the body.

5h. Treatment?