The mistake of alcohol liver disease
What is alcoholic liver? 1 Affiliated Hospital of Henan College of Gastroenterology, said Professor Yang Guohong, alcoholic liver suggests that it is liver disease caused by alcohol, full name of the alcoholic liver disease. Disease is more common in the West, leading to cirrhosis of the liver due to alcohol ratio of deaths the cause of death in the United States and Europe accounted for the top five, but the downward trend in recent years. In China, in recent years along with economic development, improvement of living standards, the incidence of alcoholic liver on the rise. According to Tianjin Institute of Liver Disease survey of more than 3,000 patients, the incidence of alcoholic liver cirrhosis accounting for the total number of newly issued 60%, of which 80% of patients 40 years old! This alarming reminder of the findings : To improve the awareness level of alcohol liver disease, change bad drinking habits, has become an urgent concern of the major social problems.
Professor Yang Guohong person is frequently on the drinking of several cognitive errors Comments below. Misunderstanding 1: I am not hepatitis, why would be elevated transaminases?
50-year-old Lee talking about his liver, it does not understand: their own elevated transaminases for many years, but upon inspection is neither hepatitis A, but not hepatitis B, the other C, D, HEV are also on the number that do not. “I’m in the end get what was wrong?” He asked the doctor. Upon inquiry, the doctors found that he has many years of drinking history, but also with symptoms of alcoholic liver judge him.
According to Professor Yang Guohong introduction, alcoholic liver sub-clinical mild, moderate and severe three. Mainly as a mild alcoholic fatty liver. Most younger patients, often without symptoms, only a feeling of abdominal distension weak; the medium-term performance as a loss of appetite, disgust greasy, tests can be found, elevated aminotransferases, which the aspartate aminotransferase (AST) and glutamyl transferase ( GGT) increased more outstanding. Light to moderate alcohol liver can be cured completely, but severe disease may develop cirrhosis of the liver, leading to ascites and bleeding. Misunderstanding 2: Gesanchawu on the wine market, not too alcoholic liver.
What drink a lot of wine, drink alcohol, how long will cause the liver? Some people think that: “I Gesanchawu was the last wine market, all right.” Really true?
Professor Yang Guohong, said alcohol liver formation and degree of alcohol in the wine. The capacity of the general male liver 40g of alcohol a day, women less. 40g of alcohol is about the equivalent of brandy 100ml, whiskey 120ml, Shaoxing wine 250ml, beer 1000ml. If you exceed this amount continued to drink 3 to 5 years, alcoholic liver cirrhosis will follow. Misunderstanding 3: I have normal liver function, why not drink?
A 40-year-old in his early liver cancer two years ago, diagnosed with alcoholic liver, but liver function tests were normal. Because of their work, often half a dozen to continue drinking. He always said: “I am normal liver function, why not drink?” A month ago, a business trip to Guangzhou feel liver pain, abdominal distension. An inspection, Mandu ascites, liver cancer is already advanced.
Yang Hong said that not only make healthy people drink alcohol to cirrhosis or liver cancer, hepatitis B, etc. will also speed up the process of viral hepatitis into cirrhosis of the liver. So there are two types of people can not drink alcoholic liver first and second, patients with viral hepatitis. Patients with liver disease should at least once every six months, check liver function. Compensatory liver has a strong ability to hide in the disease development, the liver cell damage to a certain extent, liver function tests may be normal. At this point if they continue to drink, would be “worse.” Until the time of “abnormal” appearance often is too late. Mistakes 4: What prescriptions can be alcohol?
Yang Hong said that for the early and mid-alcoholic liver, alcohol is the only method of treatment. Generally mild alcoholic liver alcohol can improve the symptoms after 34 weeks, there is abnormal liver function may take some liver protection with antidotes, such as glutathione, sulfur Punuo Ning and so on, after six months will slowly drop in transaminase .
However, easy to drink hard alcohol. Yang Hong said that the medical profession has not come up with a rapid current alcohol drugs, to seek drugs, prescriptions alcohol is a kind of misunderstanding. Of course, the long-term drinking of people you let him suddenly stopped, he would be very difficult to be, there withdrawal symptoms. Such as insomnia, irritability, unable to eat anything, or even tremors, convulsions and other symptoms similar to drug treatment, which is alcohol syndrome, the need to find a doctor to give sedation, intravenous nutritional supplements and other symptomatic treatment.
The abstinence approach, she believed to be primarily psychological and behavioral therapy. First, the patient should strongly abstinence confidence, take the initiative to take measures to gradually decreasing amount of alcohol and change the original way of life. Including daily drink less 12, from wine to drink beer or wine, or drink something to eat before drinking alcohol-free beverages, try to avoid drinking buddy meeting to develop a variety of hobbies and so on. He introduced a drinking party, is to live eels into three low-grade wine and 250ml bubble 4 days, after drinking one or two a day. In fact, this treatment carries with it the role of psychological suggestion, and that with a smell of wine sticky Hu Hu, and few people drink down. Misunderstanding 5: After suffering from fatty liver disease can not eat meat.
For alcoholic liver disease, doctors are always warning their pay attention to nutritional balance, eat more vitamin-rich vegetables, fruits and lean meat, fish, milk and so on. Early alcoholic liver disease who may be skeptical about this: I have a fatty liver, dare to do to eat meat?
Yang Hong said that, in fact, this is a misunderstanding. Because the cause of fatty liver There are three main reasons: obesity, alcohol consumption and diabetes mellitus. Alcoholic fatty liver of obesity is not caused by excess nutrients, but alcohol damage the liver cells, causing liver fat metabolism disorders and deposition. So, should eat lean meat, milk, these low-fat high-protein foods, to improve the nutritional status of the liver, cirrhosis of the liver to slow down its development.
Here, she recommended three therapeutic side, we recommend regular consumption of alcoholic liver disease were: ① fried mushrooms and celery: celery 400g, mushrooms 50g, salt, vinegar appropriate. This side has Pinggan heat, the role of Qi and blood. ② burning mushroom tofu: soft tofu 250g, Mushroom 100g. Tofu and Mushroom Casserole by putting up a piece, plus amount of salt and water, boil in the fire, a small Huodun 15 minutes, add spices can be. There qi Yiwei, lipid-lowering anti-viral, can be used to fatty liver after hepatitis adjuvant therapy. ③ celery and red date soup: celery 200 ~ 400g, red dates 50 ~ 100g, soup sub-doses. Can also be used alone celery 250g, washed Daozhi to the residue, add honey amount, after the warm stew served once a day. Two parties have Qingrejiedu, the role of blood Yanggan.