An overview of fatty liver: fatty liver refers to a variety of reasons caused by the accumulation of fat in liver cells over the lesion. Fatty liver
disease is a serious threat to the health of the people, second only to become the second largest viral liver disease, has been recognized as the hidden nature of the common cause of cirrhosis. Fatty liver is a common clinical phenomenon, not an independent disease. The clinical symptoms are light, heavy conditions were ferocious. In general, is a reversible fatty liver disease, early diagnosis and timely treatment often return to normal. The normal human liver total amount of fat, about 5% of the liver weight, contains phospholipids, triglycerides, fatty acid, cholesterol, fat and cholesterol. Fat more than 5% for mild fatty liver, more than 10% for moderate fatty liver, more than 25% of the severe fatty liver. When fatty liver total of more than 30%, with ultra-B can check out by B-ultrasound diagnosis as “fatty liver.” The fatty liver patients, the total amount of fat up to 40% -50%, some up to 60%, mainly triglycerides and fatty acid, and phospholipids, cholesterol, fat and cholesterol is only a small amount of increase.
Fatty Liver:
Obesity fatty liver
Intrahepatic fat accumulation and body weight in direct proportion to the extent that severe obesity and fatty liver change rate as high as 61% -94%; fat weight were brought under control after its invasion of fat also reduced or disappeared. Such treatment of fatty liver should be adjusted based diet, the basic principle of “one of the two low-fitness”, that is, the amount of protein, low-sugar and low in fat, usually pay attention to eating light, not over-fed, eat more fresh vegetables and fruits, restrictions Calorie intake. At the same time strengthening exercise, weight loss positive, as long as weight loss, fatty infiltration of the liver that is a marked improvement. Generally do not need drug treatment, if necessary with fat-free drug prescriptions to deal with.
Alcohol fatty liver
According to the long-term alcoholics liver biopsy, 75% -95% of the fatty infiltration. It was also observed for more than 80-160 grams of alcohol per day was alcoholic fatty liver growth rate of 5-25 times after drinking ethanol to replace the fatty acids, so that the accumulation of fatty acids, ketones accumulation in the body, the lactic acid in the body, pyruvate The ratio increased, too much lactic acid suppression by the emission of kidney, caused by hyperuricemia; reduction of the opposite sex so that the liver glycogen, leading to low blood sugar, and some patients with sudden death. Such development of fatty liver of a greater harm, but as long as 4-6 weeks after quitting alcohol, so that the liver can reduce the amount of fat to normal levels.
Malnutrition fatty liver
Lack of protein malnutrition caused by fatty liver is a major cause of food shortage was particularly prevalent in the digestion or obstacles can not be synthesized apolipoprotein As a result, the liver accumulation of triglycerides, fatty liver formation. Severe nutritional deficiencies such as patients showed a lack of protein edema, weight loss, skin pigment and reduced fatty liver, giving high-protein diet, the liver quickly to reduce the fat; enter or amino acids, protein synthesis with the return to normal, fatty liver The rapid elimination.
Diabetic fatty liver
An average of 50% of diabetic patients with fatty liver may occurred, with as many adult patients. Because the troubles of adult diabetics are 50% -80% are obese, the plasma insulin levels and increased plasma fatty acids, fatty liver change is the degree of obesity, and eating too much fat or sugar-related. On the one hand, such a patient to take a positive cause of treatment, on the other hand, require low-fat low-sugar and high-protein diet card low heat, heat the patient card of the total fat calories below 25% is appropriate.
Fatty liver of pregnancy
More than in the first 34-40 weeks of pregnancy onset, severe illness, poor prognosis, maternal and child mortality rates were 80% and 70%. The clinical performance for the serious vomiting, jaundice, abdominal pain, and so it is very difficult with fulminant hepatitis virus difference. The timely termination of pregnancy can reverse the disease, may be a small number of natural birth or Caesarean section and out of danger.
Drug-induced fatty liver
Certain drugs or toxic chemicals by inhibiting protein synthesis due to fatty liver, chemical medicine, Western medicine, such as tetracycline, adrenocorticotropic hormone, Central has the purine-ipecac-alkaline, as well as arsenic, lead, silver, mercury, such fatty liver Should be suspended from use of the drug, if necessary, be complemented by supportive care until the resumption of fatty liver so far.
Other diseases caused by fatty liver
Tuberculosis, bacterial infections such as pneumonia and sepsis can occur when fatty liver, hepatitis patients if too many restrictions, coupled with a high intake of sugar, high-calorie diet, fatty liver cells easily piled up; accept corticosteroid therapy, fatty liver More likely. Infection control or removal of the causes of fatty liver after rapid improvement, there are the so-called high-parenteral nutrition fatty liver, toxic fatty liver, caused by hereditary diseases, such as fatty liver. Fatty liver is a pathological phenomenon, as an individual does not need to treat disease, it is not no cure. When you have found that fatty liver should carefully check to the hospital as soon as possible, to find out the cause, as a result of treatment, the vast majority of fatty liver can return to normal.
Since the fatty liver by various physical, such as different eating habits lead to fatty liver incidence of principle, can be divided into general obesity, diet had fatty liver, fatty liver after hepatitis, alcoholic fatty liver, nutrition, the lack of fatty liver, fatty substances Liver, diabetes, fatty liver, fatty liver of pregnancy and unexplained cryptogenic fatty liver and so on.
Fatty liver according to varying levels of severity of fatty liver is divided into mild, moderate and severe fatty liver fatty liver. Mild fatty liver, has become the common problems of modern man. Mild fatty liver treatment of fatty liver is the best time, just taking 1-2 courses of the liver in the pre-ching and adjusted on a good diet can cure. Patients with moderate course of treatment usually takes 2-3, severe fatty liver patients need to take 3-4 treatment healed you.
How early detection of fatty liver?
Fatty liver is a common diffuse liver disease, such as the timely diagnosis and treatment so that it can be reversed; On the other hand, some patients can develop into steatohepatitis, and even cirrhosis. As a result, early diagnosis and treatment of fatty liver to stop progress and improve the prognosis is very important. With regard to the diagnosis of fatty liver, liver puncture in the past must be carried out pathological examination confirmed that in recent years with the development of imaging technology, particularly CT, MRI and ultrasound imaging in a wide range of clinical applications, not by liver biopsy that can be More accurate clinical diagnosis.
Fatty liver due to the lack of specific clinical and laboratory indicators, and the liver biopsy and traumatic, it is mainly ultra-B and CT diagnosis of fatty liver. It has now been confirmed by imaging examination not only of fatty liver screening and diagnosis. In view of the B ultrasonic diagnosis of fatty liver with the economy, rapid, non-invasive, and other advantages, fatty liver on a regular basis to high-risk groups for liver B-ultrasound early detection of fatty liver is the best way.
Fatty liver of the so-called high-risk groups is the existence of fatty liver disease risk factors than the general population more susceptible to fatty liver group. Fatty liver of high-risk groups include obesity, especially visceral obesity fatty patients; diabetes, in particular, adult non-insulin-dependent diabetic patients; a large number of long-term drinkers; hyperlipidemia, especially blood triglycerides Those who rise; long-term liver damage drug use; as well as obesity, diabetes and fatty liver of individual family history.
In short, there is fatty liver disease risk factors to have a sense of self-care should be on a regular basis (1-2 times per year) for extra fine B liver imaging to early detection of fatty liver.
Liver disease
fatty liver disease, liver cells, liver patients