Health, Medicine
Obesity of the liver than to treat? Obesity of the liver: symptoms, treatment and prevention
The more slender a person is, the stronger his confidence that such a concept as "obesity" will never touch him. Unpleasant consequences, which entails excessive body weight, do not threaten if the weight is normal and the figure is beautiful. Why, then, on a routine examination, the diagnosis is: "Fat hepatosis"? It's all about visceral (abdominal) fat, enveloping our internal organs. One of the main reasons for this condition is genetic predisposition.
Causes of fatty hepatosis
This disease is divided into two types, depending on the causes of its occurrence: ABP (alcohol) and NAZHBP (non-alcoholic). It can also be primary and secondary. The table below shows the main causes of the development of a particular type of liver disease.
Classifier | A type | The main reasons for the development of ZBP |
For the reason that triggered the development of the disease | ABP | - excessive use of alcohol for a long time (there are cases of the development of the disease in a short time) |
NAZHB | - unbalanced nutrition (predominance of harmful fats); - Abuse of medicinal products (antibiotics, hormones); - violations of the hormonal background (for example, during pregnancy); - insulin resistance (as a consequence of obesity and hypertension); | |
By the list of concomitant diseases and factors | Primary hepatosis | - obesity and (or) diabetes mellitus; - violation of lipid metabolism |
Secondary hepatosis | - taking drugs with a hepatotoxic effect; - heart failure; - Oncology; - rapid weight loss; - chronic diseases of the digestive tract (colitis, pancreatitis); - serious surgical intervention | |
By the nature of the course of the disease | acute | - poisoning with toxic substances (arsenic, fluorine, drug overdose, alcohol); - hepatitis virus; - septicemia |
chronic | - violation of lipid metabolism; - deficiency of protein, some minerals and vitamins; - Alcoholism; | |
By severity of the disease | Steatosis | Steatosis is the 1st stage of ABP and NAPD, the causes are listed above |
Steatohepatitis | Steatosis passes into the II stage - steatohepatitis in the event that the inflammatory process is attached to the fatty infiltration | |
fibrosis | If treatment and prevention measures have not been taken at the I and II stages of the disease, then the disease progresses and leads to stage III - fibrosis. The risk factors are: - elderly age; - diabetes; - fullness (obesity); - the ratio of the activity of the transmiases ASaT \ ALaT> 1 | |
Cirrhosis / liver cancer (rare) | Fibrosis is an irreversible change in liver tissue with a chronic course that ultimately leads to stage IV - cirrhosis |
Adverse factors that can serve as an impetus to the development and further progression of the disease are:
- Hypodynamia;
- Stress;
- Genetic predisposition;
- Diets (implying starvation);
- bad ecology.
Many causes and factors can cause the development of a disease such as obesity of the liver. Than to treat ZBP will in many respects depend on the type, stage, severity of fatty hepatosis.
Clinical manifestations of ZBP
It is extremely important to make a diagnosis in a timely manner and begin treatment as early as possible. Unfortunately, the disease is insidious - it is practically asymptomatic. There are only common symptoms that can also manifest themselves in a variety of other ailments:
- fast fatiguability;
- Chronic fatigue (present even after sleep);
- Weakness, lethargy, a sense of impotence.
There may be more obvious symptoms that should be noted:
- Severity (discomfort) and / or pain in the right upper quadrant;
- Belching, bloating, nausea, heartburn;
- Stool (change in consistency, odor, color);
- Decreased appetite (no pleasure in eating);
- Icterus of the skin.
Because of the inactive way of life, the ecological situation, the semi-finished products that people used to eat daily, a boom of the 21st century was a disease like obesity of the liver. Symptoms, treatment and prevention of fatty hepatosis are important information that modern man should study in order not to become "every second" in disappointing statistics on the incidence of this disease worldwide.
Diagnosis of liver diseases
It is easier to prevent obesity of the liver than to treat it, so if you have one or more symptoms, you should consult a specialist. Usually this is a therapist, gastroenterologist, hepatologist. On examination, tell the doctor what exactly is bothering, what symptoms are present. The doctor will examine the skin, and also by the method of palpation will determine whether there is an increase in the liver. Diagnosis of the disease occurs in several stages. It will be necessary to pass standard analyzes: UAC, OAM, cal. The most informative methods are presented in the tables below.
Indicators of biochemical blood test | Norm |
Total protein in serum | 65-85 g / l |
Bilirubin generic | Below 3.3-17.2 μmol / l |
Bilirubin Straight | 0-3.41 μmol / l |
Bilirubin Indirect | 3.41-13.6 μmol / l |
Glucose | 4.45-6.37 mmol / l (adults) |
Bile acids | 2.4-6.8 mmol / l |
Fatty acid | 0,31-0,9 mmol / l (adults); More than 1.2 mmol / l (children and adults with obesity of varying degrees) |
Blood Lipids | HDL (high density lipids): 1,51-3,4 g / l (adults) LDL (low density lipids): 3.21-5.5 g / l |
Aminotransferase (transaminases) | ALaT: 0.13-0.87 MCKat / L, 28-190 nmol / (s × l), 0.1-0.67 μmol / (ml x h), 7-54 IU / l; ASAT: 0.17-0.77 MCKat / L, 28-125 nmol / (s × l), 0.1-0.46 μmol / (ml x h), 11-43 IU / liter |
Alkaline phosphatase | 278-830 nmol / (s × l) |
Cholesterol | Less than 5.0-5.2 mmol / l |
There are also instrumental methods for examining the retroperitoneal space (spleen, liver, gall bladder, kidney, pancreas): ultrasound, CT, MRI.
Of all the possible methods, biopsy of liver tissue is the most effective way to establish the correct diagnosis.
Treatment and prognosis for patients with ZBP
Although treatment of liver obesity I - II degree - the process is long and time consuming, the prognosis for such patients is favorable. In the stage of fibrosis, everything depends on its degree and on how the body reacts to drug treatment, whether there is a positive dynamics. In the terminal stage of cirrhosis, liver transplantation is necessary. This type of operation is the most expensive in the world. The prognosis for such people depends on material factors and peculiarities of the organism (post-rehabilitation period).
What is included in the treatment of fatty hepatosis? Obesity of the liver requires a number of complex measures: from a change in diet and lifestyle to the use of medication.
- Diet (usually a table number 5);
- Exercise (moderate exercise);
- Maintenance of weight within the limits of norm, at obesity it is necessary to find the reason of infringement of a metabolism, to adjust metabolic processes;
- Adhere to the correct mode of work and rest;
- Take medications prescribed by a doctor to maintain and restore liver cells (hepatoprotectors, lipoic acid, B vitamins).
If the ABP is acute, it is sufficient to quit drinking alcohol - with maintenance therapy, the liver is capable of rapid recovery. When NAZHBP requires treatment of the underlying disease or elimination of adverse factors (although that was the root cause).
Non-traditional methods of treatment of "fatty" liver
If you do not want to resort to medicines, how to treat obesity of the liver? Folk remedies will help get rid of the disease. It is worth remembering that in alternative medicine there are contraindications, so always consult a doctor.
- It should be taken on 2 parts of the following ingredients: birch buds, nettle leaves, herb litter, sweet clover. On 3 parts of raspberry leaves and licorice root. 1 part of the fennel and sculpin. The obtained collection must be crushed. After this, you should pour 2 tbsp. L. In a thermos and pour half a liter of boiling water, defend until the morning. Take 0.5 cups to 4 times a day for several months. After taking a break for 2 weeks, brew a fresh collection and repeat the treatment.
- 2 tbsp. L. Chopped mint leaves pour 150 grams of boiling water. Decoction to insist until the morning, after which divided into 3 equal parts and drink for a day; From the evening of 50 g dried hips of a dogrose to fall asleep in a thermos and to fill in 1/2 l of boiled water. Let the broth brew until morning. Eat 200 g of broth 3 times a day. In the same way, you can brew stigmas of corn. Such recipes are well suited for strengthening liver hepatocytes.
In order for the treatment to be effective, it is advisable to clean the entire body of toxins and toxins before it begins. In folk medicine, there are many recipes for "soft" liver cleansing.
Prevention of fatty hepatosis
If you force yourself to apply some preventive measures, you can hardly achieve a positive result. This should not be "through force," "sometimes," but rather a way of life. Only then will prevention and treatment be a pleasure.
Behind is not the most pleasant, but necessary topic: "Obesity of the liver: treatment, symptoms." Diet - that's what needs to be given the most attention in the prevention of ZBP.
The liver is the largest digestive gland in the body. It performs the functions on which life and health of a person depend. Recycles toxins and promotes their excretion, accumulates useful substances necessary to replenish life energy - and this is not all that makes this miracle organ to support life.
The liver is unique in its ability to regenerate. Restoration of the former volume is possible even if 3/4 of hepatic tissue is destroyed. Such a strong, until the last does not declare itself a liver still needs our careful attitude to it. A healthy lifestyle (sport, proper nutrition, work and rest regime) and medical examination (at least once a year) is the key to longevity, a way to avoid many diseases and their negative consequences.
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