Fatty liver and liver examine the intersection of _ and symptom while being living

Fatty liver and liver examine the intersection of _ and symptom while being living
1. Vivid careful value of the liver: B Exceed and/or CT has already become main methods to diagnose fatty liver. It can basically judge the fat is distributed in the liver, the diagnosis of making filling the air and office cooking stove fatty liver; Combine medical history, physical examination and laboratory to check, after getting rid of the chronic hepatitis due to other reasons, can define the existence of fat hepatitis and cause of disease and follow the disease state. The definite diagnosis of simple fatty liver and fat hepatitis has already seldom needed to rely on the liver and lived to examine now. On the other hand, liver live examine, diagnose and not quantitative to judge liver organize inflammation, necrosis, only reliable method that fiber take, carry on the most sensitive and most peculiar inspection means by stages of fatty liver, and may contribute to finding out about prognosis. But natural history in fatty liver know little about still so far, liver live examine, now still can't define what fatty liver patient will obviously benefited in therapeutic measure that recommend.
2. Liver adaptation examined to live solicit: As to various fat diagnosis, liver of illness, liver live examine, use mainly for:
( 1) Office cooking stove fatty liver or person who fill the air fatty liver accompany normal the intersection of liver and island distinguish with malignant tumour while being difficult, need to puncture by the liver of skin purpose under the circumstances that Ultrasonography B is guided;
( 2) Verify the intersection of cholesterol and ester, store up ill glycogenic to store up disease, the intersection of Wilson's and fat nature liver illness rarely such as being ill;
( 3) A suspicious one have symptom non- alcohol fat hepatitis, liver live examine, make a definite diagnosis of means only;
( 4) Alcohol hepatopathy can't have clinic of the explanation or persons who unusually behave of biochemistry, and alcohol hepatitis consider the intersection of cortex and steroids before the treatment, the latter need liver live, examine, get rid of the active infection; Some alcohol with serious fatty infiltration or getting obstructive to end venular pathological change of the liver hepatitis, can appear ascites and the intersection of portal vein and high pressure, extremely apt to misdiagnose for liver cirrhosis, liver live examine, contribute to, diagnose and instruct and treat clearly;
( 5) After the fat fatty liver patient reduces 10% of the original weight, liver function damages the persons who still exist continuously, need liver and live to examine and look for other liver to decrease the reason;
( 6) Suspect heavy-duty hepatitis is cause by little bubble fatty liver, need liver live, examine and diagnose and understand his cause of disease clearly;
( 7) Assess some laboratory indexes and images and learn to check and diagnose fatty liver, fiber dependability, need to examine histology and diagnose as the gold standard with the living liver;
( 8) Any suspicion is not that simple fat of hepatocyte is becoming or doubting fatty liver that many kinds of causes of disease cause or person who damages liver function, need, live, examine clear concrete cause of disease through liver and with which kind of cause of disease as the main fact.
3. Living careful histology of the liver is diagnosed: Assess the type including fatty liver, liver gland bubble and involve the pathology dividing into type of position and fatty liver and three respects by stages in intact pathology.
Until lipoprotein drip diameter can divide fatty liver into little bubble nature and loud bubble nature two major types in the hepatocyte, the former can be for the early or behavior in convalescence of the latter, but little typical bubble fatty liver present diseases more acutely, and big bubble fatty liver often happens for being chronic and invisible. The fat of hepatocyte due to various causes of disease becomes distributed in the range, differed in the small leaf, but usually involve liver gland bubbles to take at first, it is relatively bad to involve the prognosis of person who takes me. Live and examine and organize HE to dye the fat sex change intensity of hepatocyte under all mirror according to the liver, can divide fatty liver into lightly, middle, heavily and three type. Slightly, namely the mere mirror makes the area of per unit and sees the hepatocyte fat of 1/3- 2/3 change; Intermediate, namely more than 2/3 of the hepatocyte fat changes; Severe, namely the fat happens to change in nearly all hepatocytes. Have lipoprotein to drip, deposit in a few hepatocytes, the persons who have not reached the diagnostic standard of fatty liver, called the fat of hepatocyte and changed the sex. It is fat cyst, fat granulation swollen and fat hepatitis, fiber be if you can't continue, send oftenned to be taken on in big bubble fatty liver severe. Existence and fiber intensity of inflammation, necrosis while organizing according to the liver, can divide fat liver illness into three issues, namely: Simple fatty liver, the fat of rarely seen hepatocyte changes the sex; Fat hepatitis, soak with hepatocyte changing the sex, necrosis and inflammation cell on the foundation that the fat changes, and it can have Mallory it is little for body and around veins central and take fiber around hepatocyte; Fat liver cirrhosis, for continue, send severe fiber in fatty liver organize hyperplasia with the intersection of liver and little leaf structure improve and false little leaf and regenerated tubercle form. It is clinical it is pathologic indicate research,the fatty liver one dividing into type and by stages and change and although relevances certain the pathologies of fatty liver between clinical manifestation, but there is no positive connection.
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