{"id":1991,"date":"2026-03-31T19:23:05","date_gmt":"2026-03-31T19:23:05","guid":{"rendered":"https:\/\/studenthub.elsevier.com\/de\/?p=1991"},"modified":"2026-03-31T19:23:06","modified_gmt":"2026-03-31T19:23:06","slug":"gicht","status":"publish","type":"post","link":"https:\/\/studenthub.elsevier.com\/de\/erkrankungen\/gicht\/","title":{"rendered":"Gicht"},"content":{"rendered":"\n<p><em>Klin. Manifestation der Hyperurik\u00e4mie; syn. Urikopathie<\/em><\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Ursachen<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Hyperurik\u00e4mie (Harns\u00e4ureerh\u00f6hung im Blut \u2265 6,5 mg\/dl) \u2192 Ablagerungen von Harns\u00e4urekristallen (Urate) in Gewebe, Gelenken, Harnwegen<\/li>\n\n\n\n<li>Unterschieden werden:<br>\u2013 Prim\u00e4re Hyperurik\u00e4mie (h\u00e4ufig): erbl. bedingte St\u00f6rung der Harns\u00e4ureausscheidung (autosomal dominant) oder (sehr selten) genetisch bedingte \u00dcberproduktion von Harns\u00e4ure (x-chromosomal-rezessiv), manifestiert sich bei \u00dcbergewicht, purinreicher Kost, Alkoholkonsum<br>\u2013 Sekund\u00e4re Hyperurik\u00e4mie (seltener): Harns\u00e4ureerh\u00f6hung infolge vermehrten<br>Zelluntergangs (z. B. Zytostatikatherapie) o. einer Nierenfunktionsst\u00f6rung<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">Symptome<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Stadium I: asymptomatische Hyperurik\u00e4mie<\/li>\n\n\n\n<li>Stadium II: akuter Gichtanfall (meist nachts): pl\u00f6tzl. heftigste Schmerzen in einem Gelenk (meist Gro\u00dfzehengrundgelenk), Gelenk ger\u00f6tet, geschwollen, \u00fcberw\u00e4rmt, extrem ber\u00fchrungsempfindl., ggf. Fieber<\/li>\n\n\n\n<li>Stadium III: symptomfreie Intervalle zwischen 2 Gichtanf\u00e4llen<\/li>\n\n\n\n<li>Stadium IV (heute selten): chron. Gicht mit Gelenkdeformierungen u. Harns\u00e4ureablagerunge in Weichteilen u. Knochen<\/li>\n\n\n\n<li>Bei Lesch-Nyhan-Syndrom (x-chrom.rez.) fast nur Jungen betroffen: in den ersten Lebensmonaten eingeschr\u00e4nkter Bewegungsdrang, ggf. geistige Retardierung, selbstverletzendes Verhalten<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">Diagnostik<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Labor: Harns\u00e4ure \u2191<\/li>\n\n\n\n<li>Gichtanfall: klin. Symptomatik, Entz\u00fcndungszeichen<br>(BSG \u2191, CRP \u2191, Leukozytose)<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">Therapie<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Bei Gichtanfall: NSAR (entz\u00fcndungs- u. schmerzhemmend); ggf. auch Colchicin, unterbricht Anfall rasch, aber keine schmerzu. entz\u00fcndungshemmende Wirkung; ggf. Kortisongabe<\/li>\n\n\n\n<li>Intervalltherapie (Harns\u00e4urespiegel senken):<br>\u2013 Di\u00e4t<br>\u2013 Medikamente, Mittel der Wahl: Allopurinol (Urikostatikum) zur Hemmung der Harns\u00e4ureproduktion<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">Hinweise zur Pflege<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Gesundheitsberatung \u00fcber:<br>\u2013 Di\u00e4t u. ihren Stellenwert: purinarme Kost (wenig Fleisch), Alkoholabstinenz (Bier<br>ist purinreich), wenig Kaffee <br>\u2013 Gewichtsreduktion, aber keine Fastenkuren (erh\u00f6hen Harns\u00e4urespiegel)<br>\u2013 Extreme k\u00f6rperliche Belastung und Unterk\u00fchlung k\u00f6nnen Gichtanfall ausl\u00f6sen<\/li>\n\n\n\n<li>Bei Gabe von Urikostatika auf ausreichende Trinkmenge zur Bildung von mind. 2 l Urin pro Tag achten<\/li>\n\n\n\n<li>Betroffene Gelenke im akuten Anfall ruhigstellen und k\u00fchlen<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-background has-fixed-layout\" style=\"background-color:#ffd8b8\"><tbody><tr><td><strong>Besonderheiten beim alten Menschen<\/strong><\/td><\/tr><tr><td>Bei Menschen mit kognitiver Einschr\u00e4nkung (z. B. demenzielle Erkrankung): unruhiges Verhalten (m\u00f6gliches Anzeichen von Schmerz)<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<h3 class=\"wp-block-heading\">Besondere Informationen<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Zu 95 % sind M\u00e4nner betroffen, gute Prognose bei konsequenter Therapie<\/li>\n\n\n\n<li>Komplikation: Uratnephropathie (Gichtniere), in allen Stadien m\u00f6gl.<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\" \/>\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Klin. Manifestation der Hyperurik\u00e4mie; syn. Urikopathie Ursachen Symptome Diagnostik Therapie Hinweise zur Pflege Besonderheiten beim alten Menschen Bei Menschen mit kognitiver Einschr\u00e4nkung (z. B. demenzielle Erkrankung): unruhiges Verhalten (m\u00f6gliches Anzeichen von Schmerz) Besondere Informationen<\/p>\n","protected":false},"author":172,"featured_media":2182,"comment_status":"open","ping_status":"open","sticky":false,"template":"erkrankungen-individual-entry","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[27],"tags":[],"class_list":["post-1991","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-erkrankungen"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v23.6 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Gicht - Student Hub Germany<\/title>\n<meta name=\"description\" content=\"Alles Wichtige zur Gicht: Ursachen, Symptome, Diagnostik und Behandlung. 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