Emphasize individualized treatment of fatty liver
“A large number of fatty liver in patients with less than a hospital, one of the most major reason is that ‘fatty liver is not a disease, not hinder eating, do not obstruct drinking, but it is no discomfort, you can be it’. In fact, this understanding is wrong . “Tianjin Infectious Diseases Hospital fatty liver clinic director and the hospital Zhong Xi Yi Jie Qiang, director of Mi chief physician, said that in recent years, with the rapid increase in fatty liver disease, the medical profession to give more and more awareness of the disease concern about its increasingly in-depth study. Considerable amount of research has now been confirmed, fatty liver, no one imagines as “simple”, it is not only disease, but also the long-term lack of effective treatment, but also may lead to cirrhosis or liver cancer, its hazards no way inferior to HBV.
This is because excessive fat accumulated in the liver, affecting the blood and nutrient supply to the liver and its own metabolism, liver cells will gradually swelling, inflammation, infiltration, degeneration and necrosis, damage liver function, leading to steatohepatitis. This situation, if long-term development, it will cause liver fibrosis and cirrhosis, which greatly increase the risk of liver cancer. Data shows that about 30% of the alcoholic fatty liver may develop cirrhosis of the liver; about 1.5 to 8.0% of the non-alcoholic fatty liver can progress to cirrhosis of the liver, this process is a short few years, or as long as several decades, and the the patient’s condition and constitution. In addition can lead to cirrhosis of the liver, the fatty liver but also with hypertension, diabetes, dyslipidemia and other “working hand in glove”, caused by coronary heart disease, stroke and other cardiovascular diseases.
Mild fatty liver disease often has no symptoms, developed to a certain stage, the patient will appear liver fullness, pain, Liang Lei rib area discomfort, fatigue, abdominal distension, anorexia, nausea and discomfort, but many mid-and late and even have patients with early liver cirrhosis is still no obvious symptoms. Therefore, symptoms alone can not determine the severity of fatty liver conditions, once diagnosed should be actively treated.
Treatment of fatty liver is stressed that individual
“Some patients with fatty liver, although it understood the dangers, but also aware of the need aggressive treatment, but to an incorrect diet, exercise methods, results, but to make sicker.” Mi Qiang said, diet, exercise is an important part of treatment of fatty liver , such as the patient should reduce the total food intake, eat high-fat, high-calorie foods, increase the coarse grains, vegetables, fruit intake, to enhance aerobic exercise. However, if diet, exercise and excessive weight loss, not only difficult to achieve the purpose, but will also affect the liver lipid metabolism, so that sicker, some have high blood pressure, coronary artery disease also is likely, therefore dangerous.
Treatment of Fatty Liver great emphasis on personalization. Diet, exercise, drugs to treat the three links, how to apply scientific and rational, it is necessary due to human illness varies and one side. City Hospital for Infectious Diseases out-patient fatty liver according to patient’s age, height, weight, etc. to calculate their daily intake of food should be the total amount allocated in accordance with the principles of nutrition, with three meals a day to develop specific recipes; based on patient condition, the body status, past medical history, formulate a reasonable exercise program to quantify the number of weekly exercise, exercise time and intensity; according to the patients color Doppler ultrasound, ALT and other tests, indicators, development of drug treatment responses. In addition, the system was established were followed up, regular return visits, timely adjustment of treatment options, monitoring the implementation of patients in order to effectively achieve the therapeutic effect.