The consequences of fatty liver
Answer:
Fatty liver because of a variety of reasons refers to liver cells caused by excessive accumulation of fatty lesions. Normal intrahepatic fatty liver weight accounted for 3% -4%, if the fat content of more than 5% of liver weight is fatty liver, severe cases fat up to 40% -50%, fatty liver lipids mainly triglyceride. fatty liver can be divided into two types of acute and chronic. Acute fatty liver is similar to acute and subacute viral hepatitis, are relatively rare, Clinical symptoms of fatigue, nausea, vomiting and varying degrees of jaundice, and happened a short period of hepatic coma and renal failure, severe cases may die from complications in a matter of hours, if timely treatment, his condition can be improved rapidly in the short term.
Chronic fatty liver is more common, slow onset, hidden, long course. Early no obvious clinical symptoms, usually at B to do overtime occasionally found that some patients may be loss of appetite, nausea, fatigue, liver pain, abdominal expansion, as well as the right upper quadrant andpressure. because of these symptoms is not specific, and general chronic gastritis, cholecystitis is similar to and often vulnerable to misdiagnosis and mistreatment.
Fatty liver symptoms are what?
Fatty liver of many patients without symptoms or only mild fatigue, loss of appetite, abdominal distention, belching, feeling, such as liver. Because patients are often continued or repeated transaminase increased, and hepatomegaly, easy misdiagnosed as hepatitis, should pay particular attention to the differential. B super-CT had a higher diagnosis rate, but the diagnosis still depends on the liver puncture biopsy.
The reasons for the formation of fatty liver
1. Culprits are alcohol, long-term alcohol consumption, leading to alcoholism, resulting in reduced oxidation of fatty liver, chronic alcoholics happened nearly 60% fatty liver, 20% 30% eventually will develop into liver cirrhosis.
2. Long-term intake of high fat diet or long-term substantial sugar, starch and other carbohydrates, so that excessive synthesis of fatty liver.
3. Obesity, lack of exercise, so that the importation of too much fatty liver.
4. Diabetes.
5. Hepatitis.
6. Some drug-induced acute liver injury or slow.
Patients with fatty liver, what are the principles of nutrition therapy
Normal liver fat content of less than 5%, and excessive fat deposition in the liver is called fatty liver. Common clinical symptoms of fatty liver have loss of appetite, nausea, fatigue, upper abdominal fullness after eating, and some weight loss or increase, liver pain, some patients have hepatomegaly or mild swelling.
The principles of diet therapy are:
(1) to control the total heat: mild liver fat analysis body weight per day supply of 30 kcal of calories, weight a day off every public re-folding 1725 kilo-calories, so weight gradually reduced in favor of liver function to resume.
(2) protein in patients with a daily supply of 80,100 grams of protein is appropriate.
(3) fat: the daily supply of 3550 grams of fat, preferably unsaturated fatty acid supply with higher vegetable oil.
(4) carbohydrates: give low-carb diet, fasting sugar, fructose, etc., the daily supply of 200,300 grams of carbohydrates is better.
(5) of salt: the control at 5-6 grams of salt is better.
(6) ban alcohol and alcoholic beverages.
(7) day is better to eat 4 meals.
Ursodeoxycholic acid as a dissolving cholesterol stones drugs, due to a strong suppression of liver function and are widely used in a variety of liver disease treatment. Domestic scholars found ursodeoxycholic acid treatment of fatty liver with curative lower alanine aminotransferase (ALT), aspartate aminotransferase (AST), -glutamyltranspeptidase enzyme (-GT), lower blood lipids, significantly alleviate the symptoms of fatty liver, fatty liver to improve the performance of imaging study, and minor adverse reactions .
The role of ursodeoxycholic acid may be related to liver cell membrane stability, the protection of mitochondria, inhibiting cell apoptosis, regulation of immune, cholagogic and other factors related to the role through the above-mentioned so as to achieve improvement in lipid metabolism, protect liver cells and promote the transformation and excretion of cholesterol purpose. can think, ursodeoxycholic acid treatment of fatty liver is a better drug.
Fatty liver in place against
Fatty liver is caused by a variety of barriers to lipid metabolism, so that the fat content of liver cells in abnormal increase in a disease, the liver under normal circumstances the total fat mass does not exceed 5% of liver weight, and fatty liver in patients with total fat volume can be as high as 40-50% of liver weight, liver disease patients during or after the more excessive food intake, activity reduction caused by extreme fatty liver, liver function can lead to anti -
Complex abnormalities, it is not easy to restore, and even the formation of liver cirrhosis, a poor prognosis.
The principles of nutrition in patients with fatty liver are
Normal liver fat content of less than 5%, and excessive fat deposition in the liver is called fatty liver. Common symptoms of fatty liver have loss of appetite, nausea, fatigue, upper abdominal fullness after eating, and some weight loss or increase, liver pain, some patients have hepatomegaly or mild swelling.
Control calorie intake
Of fatty liver in patients with thermal energy supply should not be too high. To engage in mild hepatitis Events Patient recovery period, the daily per kilogram of body weight 30-35Kcal to supply heat in order to prevent obesity-induced fatty liver. For obese or overweight, per kilogram of body weight can be 20-25Kcal supply heat to control or lose weight.
Reducing sugar and sweets
Carbohydrate mainly grains supply, appropriate to add vegetables, fruits and other foods.
Appropriate enhance the quality of protein
High-protein diet (1.5-1.8g/kg body weight) to avoid protein loss, has beneficial liver cell repair and regeneration; and correcting hypoproteinemia and prevention of further damage to liver cells.
Control of fat and cholesterol
Fat is too high, thermal energy is difficult to control, to reduce the weight disadvantage. People of fatty liver disease, all-day food and cooking oil supply does not exceed the total fat 40g; of food containing high cholesterol such as egg yolk, such as is advisable for proper control.
Supplementary vitamins, minerals and dietary fiber
Supplement beneficial for treating liver diseases of various vitamins and minerals, in particular, are rich in folic acid, choline, inositol, niacin, vitamin E, vitamin C, vitamin B12, potassium, zinc, magnesium, such as food and products to promote and maintain normal metabolism, to correct or prevent nutritional deficiencies.
Food should not be too fine, with the staple food grains should be thick, with many vegetables, fruits and algae in order to ensure adequate intake of dietary fiber quantity.
