A variety of fatty liver
Fatty liver is a common clinical phenomenon, rather than a separate disease. The clinical manifestations were asymptomatic lighter in weight from illness ferocious. In general, fatty liver is a reversible disease, early diagnosis and prompt treatment usually return to normal. Normal human liver total fat, accounting for 5% of liver weight, containing phospholipids, triglycerides, fatty acid, cholesterol and cholesterol ester. More than 5% fat, mild fatty liver, more than 10% of moderate fatty liver, more than 25% was severe fatty liver. When the liver total fat exceeds 30%, can be detected with the B-, B-ultrasound were diagnosed as “fatty liver.” The patients with fatty liver, the total fat content of up to 40% -50%, some up to 60% or more, mainly triglycerides and fatty acids, and phospholipids, cholesterol and cholesterol ester is only a small increase.
Fatty Liver Category:
Malnutrition, fatty liver disease
Malnutrition, fatty liver caused by a lack of protein is an important reason why, more common in feeding inadequate or digestive disturbances can not be synthesized apolipoproteins, resulting in accumulation of hepatic triglyceride to form a fatty liver. Patients with severe nutritional deficiencies, such as protein deficiency manifested as edema, weight loss, skin pigment loss and fatty liver, and in giving high-protein diet, the liver fat quickly reduced; or type of amino acids, along with the protein synthesis returned to normal, fatty liver, be removed quickly.
Diabetic fatty liver
Diabetes can occur in patients with an average of 50% of the fatty liver, of which adult patients of. Because diabetes in adulthood, 50% -80% are obese, their plasma insulin levels and increased plasma fatty acids, fatty liver changes not only with the degree of obesity, but also with the consumption of too much fat or sugar related. The one hand, the cause of these patients actively taking treatment, the other hand, require low-fat, low sugar and high protein diet low heat cards, patients of the total fat calories to 25% or less calories is appropriate.
Fatty liver of pregnancy
More in the first 34-40 weeks of pregnancy disease, a serious condition, the prognosis is poor, maternal and child mortality rates were 80% and 70%. Clinical manifestations of severe vomiting, jaundice, upper abdominal pain and so difficult to distinguish an outbreak of viral hepatitis. The timely termination of pregnancy can reverse the condition, a few may be via a natural delivery or caesarean section and out of danger.
Drug-induced fatty liver
Certain drugs or chemical toxins by inhibiting protein synthesis Erzhi fatty liver, chemical medicine, Western medicine such as tetracycline, adrenal cortex hormone, puromycin Cyclohexylamine ipecac alkaline, as well as arsenic, lead, silver, mercury, such fatty liver should stop using the drug, if necessary, be complemented by supportive care until the fatty liver restored.
Obesity, fatty liver
The extent of liver fat accumulation and body weight is proportional to severe fatty liver in obese variable rate as high as 61% of -94%; obese body weight under control, its fatty infiltration also decreased or disappeared. Such fatty liver treatment should be to adjust the diet-based, the basic principle of “a proper two low”, that is, moderate protein, low sugar and low fat diet usually attention to light, not fullness, eat fresh vegetables and fruits, limit calorie intake. At the same time to strengthen the exercise, a positive weight, as long as weight loss, fatty infiltration of the liver that is markedly improved.
Alcoholic fatty liver
According to the long-term alcoholics, liver biopsy, 75% -95% of fatty infiltration. It was also observed that more than 80-160 grams a day while drinking alcohol fatty liver increased the incidence of 5-25 times, after drinking alcohol to replace the fatty acids, so that accumulation of fatty acids, ketones accumulate in the body, the body of lactic acid, pyruvic ratio increased, lactic acid, uric acid inhibit excessive discharge from the kidney, causing hyperuricemia; to xenobiotic reduction of glycogen, leading to low blood sugar, and some patients with sudden death. The development of fatty liver dangers of such a large, but the mild alcoholic fatty liver alcohol as long as 4-6 weeks after quitting, their aminotransferase levels can be reduced to normal levels.
Other diseases caused by fatty liver
Tuberculosis, bacterial infections such as pneumonia and sepsis, may also occur when the fatty liver, viral hepatitis, if excessively restrict the activities of the patient, together with intake of high-sugar, high-calorie diet, liver cells, accumulation of fat Yi; receiving corticosteroid treatment, fatty liver more likely to occur. Control or remove the cause of illness after infection, the rapid improvement of fatty liver, as well as the so-called high parenteral nutrition, fatty liver, toxic fatty liver, caused by hereditary diseases such as fatty liver. Fatty liver is a form of pathological phenomena, do not need to separately as a disease to treat, but also not without cure. When you find a fatty liver, it should as soon as possible to the hospital for serious examination, to find out the cause, a result of treatment, the vast majority of fatty liver can be restored to normal.
Since the physical quality of fatty liver according to different dietary habits such as leading to different pathogenesis of fatty liver works differently, generally can be divided into obese, over-feeding fatty liver, fatty liver after hepatitis, alcoholic fatty liver disease, nutritional deficiency fatty liver, drug-induced fatty the liver, diabetes, fatty liver of pregnancy fatty liver and unknown causes of cryptogenic fatty liver, etc..
Fatty liver is divided into different levels according to the severity of fatty liver with mild, moderate and severe fatty liver fatty liver. Mild fatty liver, has become a modern and prevalent problem. Mild fatty liver is the best period for the treatment of fatty liver.