Fatty liver is still a disease? Yes, it needs to be treated!

Fatty liver” can develop into cirrhosis

A fatty liver is a condition in which excess free fatty acids in the blood or abnormal liver lipid metabolism causes triglycerides to accumulate in the liver, resulting in a fatty liver. In layman’s terms, this means that the liver is “gummed up” with fat. Mild fatty liver may be uncomfortable and can only be detected by an abdominal ultrasound during a physical examination.

A fatty liver is called a simple fatty liver when there is no damage to liver function. However, if the accumulation of fat in the liver increases or persists over time, it may cause further damage to liver cells and abnormalities in liver functions such as alanine aminotransferase (ALT) and menthyltransferase (AST). At this point, it transforms into steatohepatitis, and the patient may have discomfort such as abdominal fullness, swelling and pain in the right quarter rib area, and weakness, or may remain without any discomfort. If it progresses further, continued liver damage can lead to adverse consequences such as liver fibrosis, cirrhosis, and even liver cancer. Therefore, we need to pay attention to fatty liver, understand it and treat it as a “disease”.

Fatty liver should be detected and treated regularly

The occurrence of fatty liver is mainly related to the changes in our current lifestyle. Long-term intake of a large amount of high-fat diet, a sedentary lifestyle, alcohol consumption, and drug intake can all increase the risk of fatty liver. Therefore, you must pay attention to regular medical checkups in your life, and if you are found to have fatty liver, you must consult a professional physician to find out the cause of the disease and treat it accordingly.

In our etiological analysis, obesity, metabolic syndrome, excessive alcohol intake, viral hepatitis especially chronic hepatitis C, drug-related liver disease, excessive weight loss and the relatively rare hepatomegaly, and some other rare causes can cause liver steatosis, but the vast majority of patients probably belong to metabolic-related fatty liver and alcoholic fatty liver. Considering the differences in the principles of management of fatty liver due to different etiologies, it is recommended that patients with fatty liver detected for the first time go to a specialist hospital or specialist outpatient clinic for standardized treatment.

After clarifying the diagnosis of fatty liver and conducting an analysis of the cause and stage of the disease, the doctor will help the patient develop a systematic treatment prescription. For example, the core principle of alcoholic fatty liver disease is “abstinence from alcohol”; patients with metabolic-related fatty liver disease must stay away from unhealthy lifestyles, lose weight and move more, and are generally advised to treat comorbidities such as obesity, hypertension, diabetes, hyperlipidemia, hyperuricemia and other related metabolic disorders. If necessary, the doctor will also prescribe medication to treat the fatty liver; for other causes, the doctor will prescribe targeted treatment.

Even if you are a picky eater, you can’t escape from fatty liver

We all know that eating too much and too well can lead to fatty liver. What I want to tell you today is that you can also get fatty liver if you eat too much or too little.

If you eat a partial diet, eating only a limited variety of foods every day, such as bread, French fries, instant noodles and nothing else, your diet is too high in starch and sugar, but lacking in vitamins and protein. We all know that too much starch and sugar will be stored as fat when the body can not use it. Both vitamin B and vitamin E are involved in lipid metabolism in the body.

A low protein diet can cause a lack of many essential amino acids, choline and lecithin, which are necessary for the synthesis of apolipoproteins, and if there is a long-term deficiency, the body cannot make apolipoproteins, which are responsible for transporting fats, and the fats in the liver cannot leave the liver on the apolipoprotein “boat”. These fats accumulate in the liver and form a fatty liver.

When a person is starving, the body does not have access to essential glucose, so it uses fat and protein stored in other parts of the body to convert to glucose, resulting in an increase in free fatty acids in the serum. The amount of fatty acids taken up by the liver depends on the amount of free fatty acids in the blood plasma, so a large amount of free fatty acids entering the liver can also trigger fatty liver. Nowadays, the standard of living has improved, but people’s awareness of scientific life has not improved significantly, thus causing nutritional imbalance and an increased incidence of fatty liver.

Fatty liver can be reversed with weight loss + exercise

Simple metabolic-related fatty liver can often be reversed, and weight loss and exercise are the most effective methods. Usually adjust the diet structure, balanced nutrition, and do not blindly lose weight or the pursuit of rapid weight loss.

Reasonable exercise Recommended aerobic exercise such as swimming, jogging, brisk walking, three to five times a week of moderate intensity aerobic exercise, exercise to control the number of times the heart rate reaches “170-age” during exercise, lasting more than 30 minutes. Fatigue due to exercise disappears within 20 minutes after exercise, indicating that the exercise is appropriate.

Scientific diet 1. Diet should be quantitative and reasonable in structure: Strictly control the daily caloric value of the diet and control dinner within 30% of the total daily intake. Reduce the intake of high-fat and high-sugar foods in food; 2. Eat less heavy foods, such as the intake of overly salty and spicy foods; 3. Eat foods conducive to weight loss: such as the Mediterranean diet, with a variety of food arrangements, and try to use coarse processed foods instead of fine processed foods; 4. Complete vegetarianism is not recommended: a long-term vegetarian diet may lead to too little fat and protein intake, too much body fat decomposition, reduced lipoprotein synthesis, and If fatty liver patients have developed to the stage of cirrhosis, they are very likely to lose weight, lose weight, lose albumin and it is not easy to correct, and the liver function is slow 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, which seriously affects the regeneration of liver cells and recovery of liver function, so it is more important to improve nutrition at this time, and it is recommended to consult professionals for adjustment.

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