Fatty liver is still sick?

That's right, get cure!

　　The doctor reminds that letting it go can develop into liver cirrhosis and even liver cancer can be reversed by standard treatment

　　"The physical examination doctor said I have fatty liver!" "It doesn't hurt, doesn't itch, doesn't interfere with eating and drinking, can it be considered a disease?" ... With the continuous improvement of living standards, more and more people suffer from fatty liver in our country. .

According to relevant data, among men between 30 and 40 years old in my country, 1/4 are diagnosed with fatty liver.

When they know that they have fatty liver, some people are very anxious, but some people don’t care at all. They think that fatty liver just eats better and doesn’t treat it as a disease at all... In fact, neither of these two treatments are very serious. appropriate.

　　March 18 is the National Liver Love Day. Today, a doctor from the Liver Disease Center of Beijing Ditan Hospital will come to talk to you about fatty liver that has been commonplace.

　　Liver "stuffed" by oil can develop into cirrhosis

　　The so-called fatty liver is excessive free fatty acids in the blood or abnormal lipid metabolism in the liver, which leads to the accumulation of triglycerides in the liver, forming fatty liver.

In layman's terms, the liver is "stuffed" by grease.

Mild fatty liver may have no discomfort, and it can only be detected by abdominal color Doppler ultrasound during physical examination.

　　Fatty liver is called simple fatty liver when there is no liver damage.

However, if the accumulation of fat in the liver increases or lasts for a long time, it may further cause the destruction of liver cells and abnormal liver functions such as alanine aminotransferase (ALT) and aspartate aminotransferase (AST).

At this time, it turns into steatohepatitis. The patient may have discomfort such as fullness of the abdomen, swelling and pain in the right side rib area, fatigue, etc., or there may still be no discomfort.

If it develops further, continuous liver damage will lead to liver fibrosis, cirrhosis, and even liver cancer.

Therefore, everyone needs to pay attention to fatty liver, understand fatty liver, and treat fatty liver as a "disease".

　　Found that fatty liver is treated with standardized treatment

　　The occurrence of fatty liver is mainly related to the changes in our current lifestyle. Long-term intake of a large number of high-fat diets, a lifestyle of sitting more and less moving, drinking alcohol, and drug intake will all increase the risk of fatty liver.

Therefore, you must pay attention to regular physical examinations in your life. If you find fatty liver, you must consult a professional doctor to find out the cause and treat it.

　　From the analysis of the cause, obesity, metabolic syndrome, excessive alcohol intake, viral hepatitis, especially chronic hepatitis C, drug-induced liver disease, excessive weight loss and the relatively rare hepatolenticular degeneration, and other rare causes, are all It can cause liver steatosis, but most patients may belong to metabolic-related fatty liver and alcoholic fatty liver.

Taking into account the differences in the treatment principles of fatty liver caused by different causes, it is recommended that patients with fatty liver discovered for the first time go to a specialist hospital or specialist clinic for standardized diagnosis and treatment.

　　After clarifying the diagnosis of fatty liver, analyzing the cause and stage of the disease, the doctor will help the patient formulate a systematic treatment prescription.

For example, the core principle of alcoholic fatty liver is "quitting alcohol"; patients with metabolic-related fatty liver disease must stay away from unhealthy lifestyles, lose weight and hyperactivity, and generally recommend that patients also treat comorbidities such as obesity, hypertension, and diabetes. , Hyperlipidemia, hyperuricemia and other related metabolic disorders.

When necessary, doctors will also prescribe medication orders for medication; for other causes of fatty liver, doctors will even prescribe targeted treatment orders.

　　Picky eaters can't escape fatty liver

　　We all know that eating too much and eating too well can get fatty liver.

What I want to tell you today is that you can get fatty liver if you eat too little and eat less.

　　If you have a partial eclipse, you will only eat a limited variety of foods every day, such as bread, French fries, instant noodles and nothing else. The dietary starch and sugar content is too high, but it lacks vitamins and protein.

We all know that too much starch and sugar can be stored as fat when the body cannot use it.

Both vitamin B family and vitamin E participate in lipid metabolism in the body.

　　A low-protein diet can make the body lack many essential amino acids, choline and lecithin that are involved in liver metabolism. These substances are all necessary raw materials for the synthesis of apolipoproteins. If they are lacking for a long time, the body cannot produce apolipoproteins responsible for transporting fat. The fat in the liver cannot leave the liver on the apolipoprotein "boat".

These fats accumulate in the liver to form fatty liver.

　　When a person is in a hungry state, the body cannot obtain the necessary glucose, and the fat and protein stored in other parts of the body will be mobilized and converted into glucose, which will lead to an increase in free fatty acids in the serum.

The amount of fatty acid uptake by the liver depends on the amount of free fatty acids in the plasma, so a large amount of free fatty acids into the liver can also cause fatty liver.

The current standard of living has improved, but people's awareness of scientific life has not improved significantly, which has caused nutritional imbalance and increased the incidence of fatty liver.

　　Weight loss + exercise fatty liver can be reversed

　　Simple metabolic-related fatty liver can often be reversed, and weight loss and exercise are the most effective methods.

Normally, adjust the diet structure, balanced nutrition, not to lose weight blindly or pursue fast weight loss.

　　Reasonable exercise recommends aerobic exercises such as swimming, jogging, and brisk walking, and moderate-intensity aerobic exercise three to five times a week. The amount of exercise is controlled so that the number of times the heart rate during exercise reaches "170-age", and lasts for more than 30 minutes.

The fatigue caused by exercise disappears within 20 minutes after exercise, indicating that exercise is appropriate.

　　Scientific diet 1. The diet should be quantitative and the structure should be reasonable: strictly control the daily calories of the diet, and control the dinner to account for less than 30% of the total daily intake.

Reduce the intake of high-fat and high-sugar foods; 2. Eat less heavy-tasting foods, such as over-salty and over-spicy foods; 3. Eat foods that are conducive to weight loss: such as the Mediterranean diet, with diverse food arrangements, and try to use coarse foods Processed foods instead of finely processed foods; 4. Complete vegetarianism is not recommended: long-term vegetarianism may lead to too little fat and protein intake, excessive body fat breakdown, reduced lipoprotein synthesis, and fat transport disorders; 5. If fatty liver patients have developed At the stage of liver cirrhosis, it is very easy to experience weight loss, weight loss, albumin decline and it is not easy to correct, and liver function is delayed and difficult to return to normal.

One of the important reasons is that the fat and protein in our body are oxidized and decomposed to participate in energy supply. In severe cases, it affects the regeneration of liver cells and the recovery of liver function. At this time, nutritional improvement is more important. It is recommended to consult a professional. Adjustment.

　　Text/Wang Qi (Beijing Ditan Hospital)