's prevention and health care of eight major mistaken ideas of what fatty liver is prevented and cured
In recent years, the ill rate of the non- alcohol fat hepatopathy shows a tendency to rise gradually, 8 years before, Shanghai has done an investigation in the white collar, the detection rate of fatty liver is 12.9%; Nowadays, the proportion that the white collar hit fatty liver of detection has already been more than 20%, and there is inclination becoming younger gradually. However, people's understanding of fatty liver still has a lot of mistaken ideas, some effectual prevention and cure methods do not get very good implementation yet so far. For this reason, our publication specially invite Shanghai Communications University attach to first the People's Hospital fatty liver, treat Fan JianGao, director of centre, to help you to go out of the mistaken idea that fatty liver prevents and cures.One of the mistaken ideas: Fatty liver is not a disease, it does not matter to seeWith the increasing of detection rate of fatty liver of crowd around, everybody has already it taken exception to, always think fatty liver can be regarded as a kind of subhealthy state, but not real disease at most, do not need to treat at all. Whether then fatty liver is a disease on earth, treat'the medical circle has thought, non- alcohol fatty liver is that the fat piles up too much pathologic states in a kind of liver, will not cause hepatitis and liver fiber. But a large amount of research in recent years shows, non- alcohol fatty liver is the chronic disease closely related to life behavior, its reason is three: 1, At least 20% of the non- alcohol fatty liver is non- alcohol fat hepatitis, instead of simple fatty liver, but not alcohol fat hepatitis has been already clear in order to conceal the important previous pathological changes of source liver cirrhosis and hepatocarcinoma now, and the reason rarely depleted for liver function; 2,Even simple fatty liver, fatty liver is more fragile, relatively more apt to receive medicine, the poisonous substance, alcohol, ischemic and injury that the virus infects of industry than the normal liver, thus lead to the fact the hepatopathy incidence of other types increases, and fatty liver, as being for the liver to used in liver transplantation extremely incident to transplant the liver and have no function; 3,As to overweight and overweight person, the appearance of fatty liver may be briefed on " malignantly and fatly" ,The very apt to take place high the intersection of lipoprotein and the intersection of blood and disease, diabetes and hypertension people, will increase notably too if the probability of coronary heart disease, cerebral apoplexy takes place finally. For this reason, no matter from hepatopathy or in terms of diabetes and prevention and cure of disease of blood vessel of brain of heart, should all be thought non- alcohol fatty liver to be a kind of disease, it should be as non- alcohol fat hepatopathy that it names scientifically. So, even the one that checked healthily the body is found is not symptom fatty liver and also can't adopt a casual attitude, should go to the hospital to make a diagnosis and give treatment in time.Second of mistaken idea: Fatty liver can not be cured at allOn clinic, a lot of fatty liver patients have gone to a doctor in many hospitals for a long time, has tried many medicines, but just disappear and take a favorable turn, therefore think fatty liver impossible and cure pessimistically.In fact, simple fatty liver is the manifestation in early days that various liver toxicity damage, if can remove cause of disease and control and send disease originally in time, the fat can totally disappear within several months when being deposited in the liver. For example, it is absolutely effective that alcohol fatty liver stops drinking; Most medicines and industry poisonous substance fatty liver, can also recover after stopping medicines or breaking away from the poisonous working environment in time; Malnutritive fatty liver can take a favorable turn after supplementing heat and protein; And if fat fatty liver can control the weight and reduce the waistline effectively then the fat can also disappear to deposit quickly in the liver. But if getting simple fatty liver develop into fat hepatitis already, pathological change recover, take half a year and even several years more than time often totally then, even a few patients can still develop to remove the cause of disease for irreversible liver cirrhosis. So, should strengthen the making a diagnosis and giving treatment in early days of fatty liver, some fatty liver patient's difficulties to recover may be treated in time or therapeutic method is improper and the course of treatment is not long enough.Third of mistaken idea: Treat fatty liver and mainly depend on protecting the liver medicineA lot of patients often toss about in bed and ask and ask the specific medicine to treat fatty liver in every large hospital or dispensary, in fact not find yet both at home and abroad so far that treat the miraculous cure of fatty liver, prevent and cure getting fat the intersection of fatty liver and the modern the intersection of city and disease, reduce weight, even more important drug therapy have protecting liver through measure of going on a diet, tempering etc., especially simple fat fatty liver. As to with the intersection of transaminase and raised non- alcohol fat hepatitis, reduce weight, guarantee, assuare liver medicine blow important precondition of result. Everybody relatively despised and reduced weight in the past, even a lot of clinician also mistakes thought" not needing administration not to need treating " . In fact, in complex treatment of fatty liver, protect liver medicine whether a treat the measure auxiliarily, used mainly in with the raised fat hepatitis patient of transaminase, it is a short-term strengthening the behavior; And need what patients paid close attention to and adjusted for a long time, it is the patient's diet, sport and bad and behavioral revision. These are not that drug therapy measures need carrying out all the life, otherwise even if fatty liver has been cured will recur. So, patient must understand and participate in the therapeutic importance fatty liver voluntarily, strive to find out and correct one's own bad diet and habits and customs, must not think it was healthy that buying medicines can be tried to get when depending on simply.Fourth of mistaken idea: Must be taken and lowered the medicine of fat of blood if there is fatty liverThough high lipoprotein blood disease is in close relation with fatty liver, it is not usually causality between the two, have not lowered the medicine of fat of blood and reduced the regular clinical trial that the fat of liver deposits effectively yet both at home and abroad so far. For this reason, have fatty liver must take, lower the intersection of fat of blood and medicine, lower the intersection of fat of blood and medicine, employ improper to not only can lighten fatty liver sometimes, can aggravate the liver to damage instead. Its reason may represent liver has already reached limit to the treatment of the supersession disorder of lipid for the appearance of fatty liver, use, lower fat of blood medicine equivalent to right away at this time " Unfair punishment " ,Namely the fat liver, to lowering the tolerance decline of the medicine of fat of blood, employ the improper medicine hepatopathy incident.Think if fatty liver with high the intersection of lipoprotein and the intersection of blood and disease, don't then use and lower the medicine of fat of blood at present. There is fatty liver that has high lipoprotein blood diseases, need it according to the reason, intensity and the probability of the arteriosclerosis vascular pathological change of heart brain takes place of the high lipoprotein blood disease, determine whether to use and lower the medicine of fat of blood or not according to the circumstances. If is caused by alcoholism, it is beneficial for reducing the fat of blood and lightening fatty liver to stop drinking; Caused by medicine, can stop medicines and try hard to stop medicines, if can't stop drinking or stop medicines and fat of blood and increase and don't obviously too be in charge of it, because of you " In charge of " It may increase the liver to bear. The high lipoprotein blood disease caused as to fat, diabetes, if the fat of blood is not very high, adjust the fat of blood and prevent and cure fatty liver through go on a diet, movement control the weight and blood glucose mainly; Treat 3 to after the June, fat of blood high to can use, lower the intersection of fat of blood and medicine, but often need appropriate decrement or unite and use protecting the liver medicine at the same time. Have high the intersection of lipoprotein and the intersection of blood and the intersection of disease and the intersection of family and history and fat of blood increase getting obvious to want with lower medicine of fat of blood, treat, because can get up to lower the medicine of fat of blood at this time " Treat both principal and secondary aspect of disease " Function.Fifth of mistaken idea: Fatty liver rise, need, take, lower enzyme medicine with transaminasePeople often think by mistake in the past it was hepatitis that transaminase of serum increased, but hepatitis was viral, infective. So long as transaminase is dropped to normally, needn't be afraid even if it is virus hepatitis then. For this reason, once compatriots find transaminase rises, it is often eager to employ medicines to make transaminase drop to normally, thus resume " The normal life " . Hardly realize this kind of method just deceives oneself as well as others because it is apt to cause hepatopathy to worsen because it can be latent to overlay the condition and relax basic treatment.The epidemiology investigation shows, the adult or children with fatty liver, transaminase found in health examination increases and mainly relates to fat and fatty liver, it is not infective that this kind of transaminase increases. Everybody may feel inconceivable, the weight drops within March - June 5% - 10% , Serum transaminase that can make the fat fatty liver patient increase is dropped to the normal level. It is reported, the weight is reduced by 1% each time, transaminase drops by 8.3%; The weight drops by 10%, the transaminase increasing basically returns to normal, companion's swelling liver retraction and fatty liver are reversed; And weight person who remain high transaminase rise continuously often, employ, assuare liver and fall enzyme medicine difficult to be effective even.Sixth of mistaken idea: Fatty liver can't raise many activities with transaminaseOn clinic, about 10% of the persons who didn't get alcohol fat hepatopathy have transaminase of serum to increase, this kind of situation is different from acute virus hepatitis, non- alcohol fat hepatitis does not need to have a rest and strengthen nutrition, do not also need to take relevant sterilizing and separation measure. However, both clinician and relative and colleague often require the patient to move about few, took more time to rest, patient's weight and waistline were growing on and on finally, transaminase of serum was unusual to exist with fatty liver continuously.The epidemiology investigation shows, it is in close relations that fat fatty liver raises the life style occidentalized and stayed a moment to move with the diet structure few with transaminase, while keeping a diet, insist every week the aerobics of medium-sized quantity are the most effective treatment measure in more than 150 minutes. So, fatty liver not only don't be strengthened and had a rest with the raised patient of transaminase, need to increase and do exercises instead. Patient's best exercise of fatty liver is to leave quickly with vigorous strides, are 3 at more least kilometers each time, 5 or more times every week.Seventh of mistaken idea: It is the most important in antiviral treatment that chronic virus hepatitis amalgamates fat fatty liverOur country is infected with in big countries by a chronic B-mode hepatitis virus, the fat fatty liver patient is increasing constantly in recent years, two disease probability stored in to amalgamate higher and higher. Infect the treatment raising the patient with transaminase as to the fat, fatty liver, B-mode hepatitis virus, what everybody usually thinks of is to use the antiviral medicine. In fact, it is caused that the patient's liver is damaged and infected by the virus, it is caused that infected by the virus, it is useless that you are more antiviral. In addition, even hepatitis B, the existence of fat and fatty liver will reduce the probability of antiviral treatment success greatly. For this reason, when chronic virus hepatitis and fat fatty liver coexist, should consider reducing weight and treating at first. If weight-reducing future trouble person's transaminase and fatty liver return to normal, then its principal contradiction is fat but not the virus is infected, do not need antiviral treatment at this moment; If reduce weight after treating for half a year, patient transaminase is unusual continuously more antiviral treatment is not late, it manages one's own weight well to be easy to accomplish after all, and and success rate low also.Eight of the mistaken ideas: Fat fatty liver patient's fruit the more, the betterThe fresh fruit is rich in moisture, vitamin, cellulose and mineral, often it is undoubtedly favorable to the health to eat. However, it is the better that function of health care of the fruit is not the more. Because the fruit contains certain carbohydrate, it can cause blood glucose, fat of blood to rise to eat too much for a long time, bring out fat even, so fat, diabetes, high the intersection of lipoprotein and the intersection of blood and disease and fatty liver patient unsuitable to eat more fruit.We should consider the danger that the heat surplus of meal may bring to the health constantly at present, should select fruits low in candy such as the apple, pear,etc. for use as much as possible, and there can't be too much quantity, substitute fruits with vegetables such as the turnip, cucumber, tomato,etc. if necessary; Eat fruits while trying hard before the meal or between two meal to be hungry, in order to reduce taking food amount of dinner. The same, the milk rich in protein and calcium is drunk in right amount and favorable to the health, but sleep because milk of the first cup is apt to cause the heat surplus, it is improper as to the fat fatty liver patient maybe.In a word, as to food and clothing the broad masses solve, but speech, it lacks to be " nutrition (heat) " ,But sports; It was not tonic and medicine, but scientific life style that needed badly. Only we accomplish " eat few, move more, drink, careful and use medicine few " at present ,Can unquestionably control the serious prevailing current situation day by day of fatty liver effectively.
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