Does not fatty liver need to take and lower lipoprotein medicine? 's treatment

Does not fatty liver need to take and lower lipoprotein medicine? 's treatment
A large number of application checking with supersonic wave in the physical examination, the discovery rate of fatty liver is increasing constantly. Some patients think, since fatty liver is a kind of lipid, should then take and lower the lipoprotein medicine treatment. Is this kind of understanding correct? I meet two patients in the clinical practice, very representative.
34 -year-old Mr. Zhang, there is no history of drinking, weight index 27. Two years ago, the upper abdomen Ultrasonography B was checked, found fatty liver, have been taking and lowering lipoprotein medicine all the time, reexamine recently, the weight has not obviously dropped, Ultrasonography B stills have fatty liver, and transaminase becomes abnormal in liver function.
58 -year-old Mr. Li, there is no history of drinking, weight index 32. One year ago, were checked and found fatty liver by Ultrasonography B and CT, accompanied hypertension, high lipoprotein blood disease and diabetes at the same time, once there was unusual liver function. Later, underwent control of diet and physical training under the guidance of doctor, complemented it in order to protect the liver treatment, the weight drops by about 10% in one year, liver function returns to normal too, CT reveals the fat of liver is deposited and obviously taken a favorable turn comparatively.
Why with fatty liver but appear different results? Answer this question, get the clear the following two points.
First of all, what is it about to understand the body fat and fat of blood. We say, people's whole body every tissues have a certain amount of adipose tissues, the liver is no exception, it is the organ rich in adipose tissue, the content of the only normal one is within the specific limits, it will cause fatty liver to exceed this quantity. And the fat of blood is a kind of transportation state of the fat, the fat is digested in the intestine, absorb from the small intestine in the blood, formate three acyl glycerine, cholesterol and various lipoprotein in the blood again, the fat of blood flows and brings in constant renewal in, keep the dynamic equilibrium under the normal situation. However, heredity or acquired factor, bad life styles, such as high lipoprotein diet of hobby, moving few,etc. can cause the high lipoprotein blood disease. Long-term high lipoprotein blood disease is dangerous factors of vascular disease and other supersession syndrome of heart brain such as hypertension, coronary heart disease,etc., so the doctor often lowers the medicine of fat of blood according to the raised intensity of fat of blood, reduce the emergence of the above-mentioned diseases by expecting through reducing the fat of blood.
Secondly, should understand role in fat supersession of liver. The position of final use of the fat is oxidized, reacted to consume the fat through of the hepatocyte in the liver, offer energy for human body, namely reduce the peripheral adipose tissue and reduce the fat of blood, also realize through mobilizing peripheral adipose tissue and fat of blood to the liver, so the liver is the important organ of the fat supersession. Fatty liver is the fat due to use obstacle of the liver, in this case abuse and lower lipoprotein medicine, its consequence must be to drive away peripheral adipose tissue and fat of blood to the liver, have not merely increased the burden of the liver, even aggravate fatty liver that has already existed originally, cause the liver function at various degrees to be unusual. In addition, much to lower the intersection of lipoprotein and the intersection of medicine and itself, have on liver function, damage function while being sure. It is so easy to understand, Mr. Zhang is after employing and lowering lipoprotein medicine for a long time, why will liver function appear unusual.
Certainly, fatty liver patient employ, lower lipoprotein like the intersection of companion and high the intersection of lipoprotein and the intersection of blood and disease treatment but also necessary, because high lipoprotein blood disease is the dangerous factors of a lot of diseases. More unanimous suggestion is now, carry on the basic treatment at first, namely take behavior and life style intervening, diet adjustment and three basic measures of kinesiatrics, in order to reduce the fat source, increase the fat to consume, achieve the goal that peripheral fat, fat of blood and liver fat reduce. If after basic treatment is intervened in 3- 6 months, it show as blood disease still patient ' greater than or equal to rubing 4.16 fine long hair density lipoprotein cholesterols low /rub liter, three acyl glycerine at 2.82- 5.65 fine long hair /liter) It is or serious Senior Three acyl glycerine blood disease(greater than or equal to rubing 5.65 fine long hair three acyl glycerine /liter) ,Can consider using and damaging less lowering lipoprotein medicine and treating to liver function.
In a word, the persons who do not accompany high lipoprotein blood disease of fatty liver, do not need to lower the lipoprotein to treat; And the person who accompanies high lipoprotein blood disease of fatty liver, should carry on the basic treatment at first. Some patient, after this treatment, it is obvious for fatty liver to improve, if Mr. Li spend, lower lipoprotein medicine, but pay attention to basic complex treatment, curative effect is better. If patient's fat of blood is relatively high, through the above-mentioned therapeutic effects being non- good, can consider using and lowering lipoprotein medicine to assist and treat under the guidance of doctor. Pay attention to using lowering it during lipoprotein medicine, need to monitor liver function regularly.
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