Early treatment of fatty liver
His father suffered from the early fatty liver, but because of his guts had been removed, a common treatment may not be very effective, the possibility of providing such a situation, as my father’s treatment of fatty liver?
Answer:
Healthy liver of the total amount of fat weight of about 2-5%, mainly phospholipids, triglycerides, fatty acids, cholesterol and cholesterol ester, and so on. When the liver accumulation of fatty liver weight of more than 5% of the total weight can be diagnosed with fatty liver. According to the accumulation of fatty liver volume of the number of fatty liver can be divided into light (5-10%), China (10-25%) and weight (> 30%) degrees.
Fatty liver can be an independent disease, but more still see the systemic disease of the liver in a pathological process. In the general population of about 1 0% of the population there are varying degrees of hepatic steatosis.
At present, the treatment of fatty liver is still the main cause of the removal, adjusting the diet at the same time, choose the appropriate lowering drugs, supplemented by symptomatic treatment. Early diagnosis, early treatment can effectively control the further development of fatty liver and can reverse the disease.
First, diet therapy
Adjust the treatment of eating fatty liver is an important part. In principle, there should intake of fresh vegetables, lean meat (with beef, mutton-based) and lipophilic-rich material (choline, methionine), meals, so that the weight loss of 10% -20%. But noted that fatty liver patients still have to diet with appropriate amount of fat and carbohydrate intake to control attention. This is because fat-free food intake, the body could be the predecessor of sugars and amino acid synthetic material, and the excessive intake of carbohydrates can increase insulin secretion, to promote sugar into fat. It should also be different depending on the cause of different diets to determine the disease poses.
(A) of the obese fatty liver
To ensure that nutrients in the normal intake premise, should be appropriate to reduce the fat, carbohydrate and total calorie intake, fat and vegetable oil to use the restrictions on high-cholesterol food intake, such as weight loss may be able to adhere to the one 10-20kg , The deposition of fatty liver then subsided. Diet to lose weight and control measures must be appropriate to limit excessive diet can lead to hepatitis and fatty liver fibrosis, and electrolyte imbalance, hyperuricemia and ketosis, and other adverse consequences. Research shows that both at home and abroad, the faster the initial weight loss, weight rebound and the heart, brain, liver fibrosis and hardening of the arteries of the greater incidence and more difficult to maintain weight after weight loss. Therefore, patients with this type of diet should be the goal of the initial stage of the degree of weight loss at 10% -15%, the daily intake of kilocalories 1200-1800, about a year. For obvious effect may be able to switch to low heat diet, intake of 600-1200 kcal per day is appropriate.
(B) alcoholic fatty liver
Simple alcoholic fatty liver patients, alcohol may be a means of special effects. At the same time, high-protein intake, high-calorie, high-vitamin diet to correct malnutrition. Fat intake should not exceed 15% of the total calories -20% and to reduce the price of multi-unsaturated fatty acid intake, because unsaturated fatty acids by lipid peroxidation induced liver injury and aggravated.
(C) malnutrition fatty liver
The disease was particularly prevalent in the nutritional intake or lack of digestion and absorption as well as obstacles to patients with chronic wasting disease. Should be based on high-protein diet, high-calorie, low-and high-vitamin diet consisting mainly of cellulose, for seriously ill persons should be combined with amino acid preparation.
(D) of the fatty liver of diabetic diet in the treatment of diabetic patients plays an important role. For Ⅰ, Ⅱ diabetic patients with fatty liver should be given to low-calorie, low-fat, high cellulose diet, total calorie sugars can be 60%. Kidney disease combined daily protein intake should be limited Ig / kg or less, so as to reduce the burden on the kidneys.
(E) hyperlipidemia fatty liver
Such patients may simply through diet and get cured. Diet should be low-sugar, low-fat, low cholesterol and high cellulose-based. Try to eat more mushrooms, fungus, celery and hawthorn, so as to achieve the blood-drop, reducing liver fat deposition purposes.
(F) of fatty liver after hepatitis
This situation was particularly prevalent in the recovery phase of acute viral hepatitis and chronic hepatitis patients, most of the patients due to excessive intake of calories, as well as excessive restrictions on the activities leading to ever-increasing body weight, so that deposition of fat in the liver. Diet should be adequate to reduce fat, carbohydrate and total calorie intake and increase physical activity moderate.
Second, medication
(A) of lipid-lowering drugs
Due to fatty liver and hyperlipidemia close, it is a long time, the lipid-lowering drug has been used to treat fatty liver has a certain effect, such as: choline, methionine, nicotinic acid and its derivatives, inositol, Xiao-gall , Clofibrate (n-m), bezafibrate (will lipid-lowering), elastase, the United States, and other lipid-lowering. There are many new drugs, such as ciprofibrate, fenofibrate (Li-fat, fat-fun Prew) gemfibrozil, Secretary ASIMO (Le-fat), Kelibeite, Beit benzyl chloride, According to Tuobei Te (i greasy), lovastatin, simvastatin, and so on, with lower serum triglycerides, cholesterol, VLDL, LDL and HDL increased role, which is also effective for fatty liver. However, a wide variety of fat-free drug, most of the effect is not very precise, some more side effects, such as the improper application of anti-liver fat deposition could be exacerbated, or even lead to patients with liver dysfunction or deterioration, it should be applied under the guidance of doctors. The focus on the treatment of liver fat diet to reduce body weight, with a small amount of medication.
(B) Liver fat-free drug
In recent years, some of the protection of both liver cells and liver cells to correct fat metabolism of the drug is active in research, has been used in clinical, such as: prostaglandin E (PGE), a liver health, malotilate, taurine , Sodium-glycine, and so on can try.
(C) of Chinese medicine
Many Chinese medicine, such as salvia, Chuanxiong, cassia, hawthorn, such as fatty liver Alisma effective, in accordance with the principles of TCM diagnosis and treatment of side group in order to alleviate the symptoms. Liver depression and stagnation, such as gas-patients can be Bupleurum liver powder, blood-Stagnation to stop by Tang, phlegm-resistance by Sini San Dao Tan Tang. In addition, a number of unilateral prescription, such as drinking Quzhi (Hawthorn, Alisma, Radix), CLT-ling (Atractylodes, Chenpi, Pinellia, Salvia), platinum pill (Bai Fan, Radix, etc.) can also be lipid-lowering, the market Also supplies drinking diet to lose weight-drop, or at the discretion to choose doctors under the guidance of the selection.
