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Arthritis New Zealand. Gout – Nga Mate Kauti. Tena Koutou Katoa - Welcome TOA the organisation Our vision Our mission Our Aim Gout. 0800 663 463 www.toa.org.nz www.arthritis.org.nz Waea Korero Hui Roopu Tautoko Hui a rohe Kairangagau Kaiakina. Gout is a form of Arthritis.
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Arthritis New Zealand Gout – Nga Mate Kauti
Tena Koutou Katoa - WelcomeTOA the organisationOur visionOur missionOur AimGout
0800 663 463 www.toa.org.nz www.arthritis.org.nz Waea Korero Hui Roopu Tautoko Hui a rohe Kairangagau Kaiakina
Gout in Counties Manukau • High numbers in primary care • 14.9% Pacific men • 9.3% Maori men • 4.1% European men • (2.0% women) • > 200 admissions to MMH eachyear • Leading cause for new referrals to rheumatology clinic at CMDHB Richard Hulme CMDHB casemix
Mate Kauti? • Not only kaumatua • 66% of patients are men of working age • 56% have had work absences due to gout in the previous six months GOUT STATISTICS FOR CMDHB - OUTPATIENTS
Understanding Uric AcidWaikawa Tinana Uric acid is a waste product found in everyone’s blood Normal Uric Acid level (in the blood) is controlled by the kidneys and any excess Uric Acid is flushed out through your mimi
Purakau 1. Gout is normal Purakau 2. I deserve it Purakau 3. Gout is a minor condition Purakau 4. Its all about beer and shellfish Purakau 5. Gout goes away when the pain goes away Nga Purakau
Low is good Target is less than 0.36 Blood test when no gout pain Uric acid blood test
Treat as soon as feel first sign Gout attacks
Get into pairs Work on Quiz 1 Talk about whanau experiences Feedback Exercise
If you have two gout attacks in a year talk to GP about starting Medication to lower your uric acid Diagnosis
3 - 6 months till pain free Allopurinol Wait 2-3 weeks after pain stops before starting Allopurinol Once started Allopurinol don’t stop! Allopurinol gradually increase dose till uric acid <0.36mmol/L Colchicine To prevent gout pain for 3-6 mths Medication to Prevent Gout Pain