Prevention and cure tactics _'s treatment of the fat relevant hepatopathy

Prevention and cure tactics _'s treatment of the fat relevant hepatopathy
--Fan JianGao Page 255 of number 4 of Vol. 12 of 2004 of disease magazine of Chinese liver The weight is in close relation with hepatopathy, no matter the weight drops too fast (especially original overweight person) With become thin, or fat until weight increase too fast can lead to the fact fat nature hepatopathy in the near future. Fat to decrease the liver factor as importance second only to hepatitis virus and alcohol now, and reduce weight and can reduce hepatopathy and take place, prevent the progress of hepatopathy and prevent hepatopathy from recuring scientifically and rationally.A relation with hepatopathyStudies have suggested, overweight and fat is raised common reasons of transaminase of serum of persons who causes physical examination of the health. Even severe overweight person does not have other companions who send disease, the incidence of fat hepatopathy is very high. The disease table of the fat hepatopathy namely non- alcohol fat hepatopathy is from simple fatty liver, non- alcohol fat hepatitis, to lose and compensate the depleted and primary hepatocarcinoma of a liver cirrhosis, liver function.The fat relation with fatty liver is closer than to drink to the relation of fatty liver, resist individual as to insulin but speech, overweight, or weight increase, can bring out fatty liver while being too fast in short term. And drink, can bring out fat, can aggravate alcohol while being fat liver damaged, the morbidity which cause alcohol hepatopathy increases and accelerates with the fiber progress of liver.Prevention and cure principle of second, fat relevant hepatopathy1. Precautionary measures: No matter normal people or hepatopathy patient, should keep the ideal weight as much as possible, prevent the fat from excessively piling up, it is fat to especially prevent the waistline from increasing the thick viscera. Fat ' Especially amalgamate fatty liver) The patient must prohibit against alcoholic drinks2. Treat the tactics: As to " unidentified reason " Without symptom persons who increase continuously of transaminase of serum, such as amalgamating overweightly or fatly, propose reducing weight and treating in advance.Third, reduce weight and is applied the prevention and cure of hepatopathyIn view of fat and in close relation with hepatopathy, as to overweight and fat and hepatopathy patient sharply increased in weight in the near future, must reduce weight and treat. Reduce weight, can prevent and cure insulin, resist, run affairs one with the intersection of supersession and syndrome and relevant energies, can also prevent and cure fat relevant hepatopathy effectively.Fourth, measure of reducing weight and adapting to the cardWeight-reducing method have, keep a diet, increase sport, revise bad behavior, reduce weight medicine, reduce weight operation and Carlos diet of low-heat very much mainly, the treatment measure that the first three kinds of methods are basic among them, need to insist on all the life; The medicine blows and treats function auxiliarily only, is used mainly in a certain stage of disease; Card diet of low-heat and weight-reducing operation are only suitable for some severe obesity patients very much.1. Diet treatment: It is a fat primary principle of diet treatment to control daily heat to take in rationally.2. Sport treatment: The aerobics of the medium-sized intensity, the amount of exercise is 70%- 80% of the maximum heart rate. Each sport lasting above 30- 45min, insist on for 3- 5 times every week, and combine with alimentary therapy. As to the thing that overweight person keep fit through sports, reduce weight even more important going on a diet, because the former can reduce the intersection of belly and the intersection of viscera and fat and improve insulin to resist notably effectively.3. Behavior treatment: Treat and correct and bring out fat psychology and life style to offset through the behavior, used to in order to set up the thinking, diet and sport that meet.4. Weight-reducing medicine: BMI is greater than or equal to 30kg/m2 and accompany the waistline to increase; BMI is greater than or equal to 23kg/m2 and accompany more than 2 dangerous factors such as hypertension, hyperlipemia, diabetes; BMIgt; But 25kg/m2 does not have other dangerous factors, through changing life style for 6 months, there are no persons who obviously lighten ( lt in the weight; 6kg) ,Can consider employing medicines to assist and reduce weight.Attentive matters that fifth, fat relevant hepatopathy reduces weightIt is basic tools of reducing weight to keep a diet, increase sports and revise the bad behavior, also the important measure of preventing and curing insulin resisting and fat relevant hepatopathy. Reduce weight medicine prevent and cure fat relevant result and security of hepatopathy, there is no regular clinical trial to verify yet so far, can consider the shaping operation of stomach about the relevant hepatopathy patient of fat of greater than 35kg/m2, the card diet of low-heat should not be used as much as possible very much. It is usually unrealistic that the weight returns to normal, so might not regard it as the final goal of reducing the heavy tactics.Think, the dropping speed of the weight is the key factor determining liver histology improves or worsens at present, weight drop, exceed 5kg, can cause hepatopathy worsen every month, and weight drop less than 0.45kg explain, reduce weight measure to be invalid often every month. Propose the weight to drops and does not less than 1200g every week at present ' Children are less than 500g week) ,But best speed and result that the weight drops wait to be clear. Reduce weight, maintain BMIlt as much as possible; 23kg/m2, prevents the weight from rebounding or reducing and rebounding the range, thus improve patient's life quality and lengthen its life expectancy.
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