For liver disease, many people understand that hepatitis B is one of the main causes of liver cancer. With the recent years of medical technology, especially the supplementation of drugs, the world has made great progress in the treatment of viral hepatitis. If you follow According to this reasoning, the incidence of liver cancer should also have a larger drop. However, an investigation by medical institutions in the United States found that the number of patients suffering from liver cancer did not decrease accordingly. After in-depth research, it was found that the number of people suffering from non-alcoholic steatohepatitis has been increasing over the years.
As dietary habits change, more people tend to eat high-fat, high-calorie diets. The proportion of people suffering from fatty liver in my country is getting higher and higher. It is currently estimated that about 30% of people suffer from fatty liver, even According to some clinical statistics of hepatobiliary departments, more than half of the people seeking medical treatment have fatty liver.
With so many people suffering from fatty liver, you will hear this statement at this time: fatty liver is not too harmful and there are no symptoms of discomfort! In fact, we cannot judge the severity of the disease solely from the presence or absence of symptoms, let alone take fatty liver and so on, because it may be a health crisis for each of us.
How is fatty liver formed?
How did fatty liver come about, and how do you explain it? Its practical use foie gras to explain the most clearly. Many people have eaten foie gras. Its taste is smooth and tender and melts in the mouth. Especially the French foie gras is famous all over the world. foie gras has such a taste, because the foie gras contains a lot of fat; in order to make the goose produce better quality foie gras, the farmer will let the goose eat excessive and high-calorie feed during feeding As a result, the liver of the goose continues to grow and eventually becomes the raw material for foie gras.
Fatty liver is caused by excessive fat accumulation in liver cells.
So the cause of fatty liver is simply,That is, after a person eats too much calories, it will be converted into triglyceride stored in the storage of fat cells, and at the same time it will begin to accumulate in the internal organs; in addition to the function of fat metabolism, the excessive triglyceride is It will accumulate in liver cells to form fatty liver of varying severity.
The main sources of food are carbohydrates and sugars, such as starchy foods, pastries, sugary drinks, etc., and these carbohydrates and sugars eat into the mouth and exceed the body’s load. It will be converted into triglycerides and accumulate in the body's cells and organs, causing obesity and fatty liver. Therefore, food must be screened at present. Don't cause health problems because of indulgence of mouth and tongue.
Who are the high-risk groups of fatty liver?
First of all, of course, people who are overweight and obese. Studies have shown that 90% of obese people suffer from fatty liver. Other high-risk groups include: diabetes and those with a family history of diabetes, high blood lipids, long-term steroid use and metabolic syndrome, etc.; in addition, people with hepatitis C are also more likely to develop Fatty liver. And don’t think that thin people don’t have fatty liver. Research has found that about 10% of thin people also have fatty liver.
Fatty liver means healthy red light
There have been studies abroad, and the follow-up investigation of non-alcoholic fatty liver patients will find that 1 to 30% of non-alcoholic fatty liver patients will enter the study Alcoholic steatohepatitis stage, and about 20% of these people will develop liver cirrhosis, which may lead to liver cancer in the next 10-20 years.
I believe many people know that they have fatty liver,However, most people do not care about this phenomenon because they have no symptoms and the transformation of the liver is not obvious. However, once the simple fatty liver enters the stage of liver inflammation, there will still be a chance to enter the trilogy of liver disease (or four Qu, adding liver fibrosis), that is, hepatitis, cirrhosis, and liver cancer.
And fatty liver is related to diabetes, hypertriglyceridemia, hypertriglyceridemia, , etc. All three are risk factors affecting health and are also prone to liver cancer!
Therefore, in the face of fatty liver, we must have a correct concept, which is to regard fatty liver as a warning of health risks, and we must control fatty liver before it worsens, otherwise it may not just The threat of liver cancer, even chronic diseases such as cardiovascular disease, diabetes, hyperlipidemia, stroke, etc., will also appear one by one.
In the diagnosis of fatty liver, abdominal ultrasound is the main method
Because fatty liver does not have special symptoms, most people use a non-invasive method of abdominal ultrasound during a health check to find out if they have it. Fatty liver is usually diagnosed by color Doppler ultrasound in the abdomen during physical examinations, and it is basically possible to have an understanding of liver problems.
In addition to ultrasound , general CT scans, magnetic resonance imaging and other instruments can also be used as a method of fatty liver examination, but because these types of instruments are expensive and some of them have radiation, they are a little overkill. In addition, if you want to understand the severity of fatty liver, you can consider using a liver fibrosis shock wave device. This type of examination has no radiation and has a short examination time, but it is not popular at present, so the utilization rate is still far lower than that of abdominal ultrasound.
In addition to image inspection,The blood draw data also has important reference value. In particular, blood glucose, low-density lipoprotein cholesterol , triglycerides, liver function and other values are also a reference index used by doctors in the diagnosis and treatment of fatty liver.
Fatty liver is classified as mild or severe, but fibrosis degree
can be seen directly by abdominal ultrasound, but the disadvantage is that the picture cannot be digitized. Clinical doctors will use the liver to compare the degree of fibrosis. Contrast the brightness of the right renal cortex to distinguish the severity of fatty liver.
mild fatty liver
The brightness of the liver is wider than that of the right renal cortex but slightly increased, and the small blood vessels in the liver can still be seen clearly.
Moderate fatty liver
The brightness of the liver has a broad and moderate increase compared to the brightness of the right renal cortex, and the image of small blood vessels in the liver is less clear.
Severe fatty liver
The brightness of the liver has a broad and very significant increase compared to the brightness of the right renal cortex, and the images of small blood vessels and deep liver in the liver are difficult to see.
Although fatty liver can be divided into mild, moderate and severe,But in fact, it is not possible to judge whether the liver is inflamed or fibrotic by the severity of ultrasound alone, so don't think that mild fatty liver is fine. Although some patients are diagnosed as mild fatty liver by ultrasound, they are found by blood sampling. The index of liver function is very high, which means that the liver is in a state of inflammation, and further early treatment is needed for the cause of hepatitis to avoid continuous development.
If you have fatty liver, it is recommended to check regularly
Fatty liver is a sign of liver disease, so you must conduct regular inspections and follow-up reviews; if you are also a patient with viral hepatitis, you must do it at least every six months or so Do not forget to take a blood test while doing an ultrasound of the abdomen. If you have liver cirrhosis, the checkup time must be more frequent, within 3-6 months; if there is no viral hepatitis, people who simply suffer from fatty liver, in order to understand the liver condition, it is recommended to have a physical examination and an abdominal color Doppler ultrasound, and at the same time Take a blood test to see if liver function is abnormal, triglyceride is abnormal, and blood sugar is high.
In addition, in patients with fatty liver, some have fatty pancreas, that is, fat can accumulate in the pancreas in addition to the liver. Excessive pancreatic fat can affect the secretion of insulin and increase the insulin secretion of . Resistance to , resulting in abnormal glucose metabolism, and risk of diabetes in the future.
Fatty liver drugs are still being developed
For diabetes, hyperlipidemia, high blood pressure and other diseases, there are now drugs that can be well controlled. Many people will ask, why is there no fatty liver? In fact, there is no drug application for fatty liver at present, but there are indeed drugs in clinical trials. Therefore, it may take some time to realize the treatment of fatty liver with drugs.
So, how to improve fatty liver?
Three steps to eliminate fat, protect the liver, and lose weight
Fatty liver can be said that most of the diseases are civilized diseases that are imported from the mouth.There is no definite curative medicine that can eliminate fatty liver, but studies at home and abroad have shown that fatty liver can be reversed. The only recommended way is to lose weight healthy; as long as it can reduce the existing body weight by 5%-10% , The severity of fatty liver may be improved. Clinically, some patients have lost 15 kilograms of healthy weight within 2 years, and their fatty liver has gone from severe to disappeared. This shows that as long as the method is right, fatty liver can be successfully reversed.
It is recommended that people with fatty liver can be divided into 3 steps to carry out the plan to eliminate fat and protect the liver.
Step 1: Choose the right food
Stay away from obesity In addition to a low-oil diet, it is also recommended to quit sugar-containing beverages, which contain more fructose is the easiest A health killer that causes disease.
According to a diet study of children in the United States, as long as 9 days of abstinence from a high-fructose diet, the changes before and after the fatty liver were compared again. Such dietary adjustments have significantly improved fatty liver, indicating that fructose is essential for fat accumulation and health What a hurt.
Why is fructose, which is a monosaccharide like glucose, has such a serious impact? Because of its high sweetness, fructose was used to replace granulated sugar in the past. Many studies later found that fructose can cause many health hazards, such as abnormal fat metabolism in the body, hardening of the blood vessels, cardiovascular disease and fatty liver. In addition, studies have found that fructose can increase the risk of gout , even related to some tumors.
In addition to choosing food, portion is also very important. It is recommended to set a halved sugary diet at the beginning, that is, halve the number of high-sugar diets that you are used to.Including sweets, sugary drinks, alcohol, high-starch staple foods, high-sugar fruits, etc., because too much sugar is finally converted into triglycerides and stored in the body. Two weeks after the halving plan is implemented, it is recommended to carry out the next sugar halving plan. This way, we will slowly implement the elimination of high-sugar foods, so that the body can adapt, and there will be no repetitions, and long-term progress will help maintain the ideal weight.
Step 2: Hyperactivity improves quickly
In addition to gradually implementing a healthy diet with low sugar, less oil and less salt, exercise is an important secret for us to fight against diseases. Studies have shown that as long as you walk briskly for 10 minutes a day, you can reduce the risk of cardiovascular disease!
Of course, for weight loss and fatty liver elimination, only walking for 10 minutes is not enough. To achieve fat loss, remember to match some medium-to-high-intensity exercise, that is, it must be a little bit panting and sweating. It is best to reach more than 30 minutes, so that exercise will have a more fat-removing effect. Studies have found that eating a bit more than normal after exercise, but enough exercise will not increase weight, but will reduce visceral fat that is harmful to health, and eating higher protein foods within 30 minutes of exercise is easier to increase muscle quantity.
Step 3: Regular check-ups and seek medical attention as soon as possible
If the above two steps of fat-removing and liver-protecting plan can be accurately implemented, I believe it will be helpful for the elimination of fat and liver. The liver will definitely help; if when you find out, you have worked hard to implement it, but still do not see significant results, then you need to find a specialist to conduct a complete liver and endocrine examination to rule out diseases caused by liver disease and endocrine factors. In clinical practice, patients who tried to lose weight but did not improve their fatty liver were found to have hepatitis C after medical examination.So regular inspections are also very important.
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