痛风急性发作时关节剧痛，NOXA20是常用缓解药物，但正确的急救处理能加速恢复。
▲急性发作冰敷
【发作识别】夜间突发关节剧痛，关节红肿发热，触碰剧痛。最常见大脚趾。
【第一步：休息】发作关节完全休息，避免负重。抬高患肢减轻肿胀。
【第二步：冰敷】用毛巾包裹冰袋敷在关节处，每次15-20分钟。不要热敷（加重炎症）。
【第三步：用药】NOXA20痛风特效药20号饭后立即服用1粒（20mg吡罗昔康）。秋水仙碱在发病24小时内使用效果好。
【第四步：喝水】大量饮水促进尿酸排泄。暂停高嘌呤饮食。
【就医时机】首次发作、反复发作、多个关节同时发作、伴发热，应及时就医。
【恢复时间】急性发作通常持续3-10天。即使疼痛缓解也应开始降尿酸管理。
【NOXA20服用】每日1次1粒，饭后服用。连续不超过5天。症状缓解后停药。
During acute gout attacks, joints hurt severely. NOXA20 is a common relief medication, but proper first aid speeds recovery.
Attack recognition: Sudden severe joint pain at night, with redness, swelling, heat, and extreme tenderness. Most commonly the big toe.
Step 1: Rest: Completely rest the affected joint, avoid weight-bearing. Elevate the limb to reduce swelling.
Step 2: Ice: Apply ice pack wrapped in towel to the joint for 15-20 minutes. Do NOT use heat (worsens inflammation).
Step 3: Medication: Take NOXA20 immediately after meals, 1 capsule (20mg Piroxicam). Colchicine works best within 24 hours of onset.
Step 4: Hydration: Drink plenty of water to promote uric acid excretion. Pause high-purine foods.
When to see a doctor: First attack, recurrent attacks, multiple joints simultaneously, or with fever.
Recovery time: Acute attacks typically last 3-10 days. Even after pain subsides, start uric acid-lowering management.
NOXA20 dosing: Once daily, 1 capsule after meals. No more than 5 consecutive days. Stop when symptoms subside.
▲发作期忌口
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