TUGAS BAHASA INGGRIS

MANDIRI
SPEECH CLASS PROGRAM GOUTY ARTHRITIS

Oleh

NI LUH NYOMAN DEWI MELIANI

18.321.2894
A12B

PROGRAM STUDI SARJANA KEPERAWATAN

STIKES WIRA MEDIKA BALI
TAHUN AJARAN 2020
Good morning ladies and gentlemen, my name is Ni Luh Nyoman Dewi Meliani, a student of
STIKes Wira Medika Bali who will provide education about Gouty Arthritis.

Gouty arthritis is a form of inflammatory arthritis that occurs in individuals with high
blood uric acid levels. This gouty arthritis may form needle-like crystals in the joints. As a
result, this condition can cause gouty attacks that are very painful, accompanied by redness,
swelling, and warmth in the area.
Gouty arthritis occurs when urate crystals build up in the joints, this condition causes
inflammation and intense pain from gout attacks. The body produces uric acid when it breaks
down purines, which are substances that are found naturally in the body. Usually, uric acid
dissolves in the blood and passes through the kidneys into the urine. However, sometimes the
body produces too much uric acid or the kidneys excrete too little uric acid. When this happens,
uric acid can build up, forming sharp and needy uric crystals, such as veins in or around joint
tissue, causing pain, inflammation, and swelling.
There are several factors that trigger uric acid levels in the blood to rise, namely:
Family history, having had an accident, likes to consume foods with high puri content, likes to
consume alcohol and drinks with high sugar levels, uses chemotherapy drugs, has certain
diseases such as diabetes mellitus.
Symptoms of gouty arthritis include: sudden pain in the joints that is usually felt in
the middle of the night, joint stiffness causes limited movement, the joints most commonly
affected are: the big toe joints, ankles, knees, elbows, wrists and fingers .
Prevention of gouty arthritis, namely: drink lots of fluids, limit or alcohol, get protein
from low-fat milk production, limit intake of meat, fish and poultry, maintain ideal body
weight.
If gouty arthritis is not treated for a long period of time, crystals can form clumps
under the skin around the joints. They are called tophi. They don't hurt, but can affect the way
the joints appear. If crystals accumulate in the urinary tract, they can form kidney stones.

Well, I have finished explaining the theory about gouty arthritis. Thank you for your attention,
ladies and gentlemen.Havan nice day.
QUESTION :
1. What are the factors causing the increase in urate cysts?
a. Consume foods with high puria content.
b. Consume foods with high glucose
c. Insomnia
d. High productivity
e. Eating foods with high salt
ANSWER :
a. Consume foods with high puria content.

2. What happens if gouty arthritis is not treated for a long time?

a. Joint pain occurs because cysts accumulate
b. Cysts accumulate until anxiety occurs
c. Cysts accumulate in the urinary tract to form kidney stones.
d. Cysts accumulate in the bloodstream will cause hypertension
e. The cyst increases and there is acute pain
ANSWER :
c. Cysts accumulate in the urinary tract to form kidney stones.