Therapeutic _'s treatment of fatty liver

Therapeutic _'s treatment of fatty liver
In number 16 of Vol. 3 of August of 2003 of 2005-12-13 13:19:16 of the practical medical magazines of China of jasmine
[The literature is annotated yard ] B [article serial number ] 1609-6614( 2003) 16-1514-01
The morbidity is 5% among the crowds in our country of fatty liver. With the improvement of the living standards of the people, the change of the diet structure, its morbidity has the tendency to increase year by year. I find in clinic work in recent years, fat fatty liver and alcohol fatty liver occupy absolute proportion, and to the treatment of these two kinds of fatty liver, instruct the patient how to seem extremely important to cooperate actively.
In the fresh liver of fatty liver namely 100g, the fat content exceeds 25g, when the obstacle takes place in the fat supersession route, triglyceride suspended appears in the cytoplasm, the content rises to certain quantity gradually, become the fat blob, and then assemble and become fatty liver finally, has been looking on as the fat blob and growing up all the time, may make the hepatocyte burst, and cause inflammation to react and cause hepatitis or liver cirrhosis finally. Slight fatty liver is fatty 5%- 10%, it is 10%- 25% to be intermediate, severe in 25%- 50%, even higher. In fatty liver initial stage, the patient does not have obvious subjective symptoms, so long as pay attention to treating, fat in the hepatocyte can also absorb, liver organize returning to normal. Treat in early days, and serious, hepatocyte will chronic fiber take, and then have danger of cirrhosis happensing [1] .
1 adjusts the diet
Should control heat to take in first, lighten the weight to the standard weight to regard as the goal, make sure the energy consumption is higher than energy to take in, after bulk's weight is controlled, its fatty infiltration also reduces or disappears; The wine of limit of giving up smoking, according to being punctured and examines alive the long-term wine-head's liver, 75%- 95% have fatty infiltration. The harmfulness of development of this kind of fatty liver is relatively great, after only giving up smoking and drinking for 4- 6 weeks, can make the lipoprotein amount in the liver reduce to the normal level. 1.1 Carbohydrate not edible sweet food, such as ice cream, candy,etc.; Carrot, taro, potato, Chinese yam, bean vermicelli,etc. contain more candies, restriction that also should be appropriate.
1.2 Food with rich cholesterol such as fat not edible fat, fried food, broth, chicken soup, fish's soup and animal's viscera, egg yolk. Eat oil every day such as food according to per kilogram of standard weight 0.5- 0.8g usually. Food such as the millet, sesame, vegetables, beet beetroot, seafood well dispel the food of lipoprotein, the ones that can promote phosphatide are synthetic, assist the fat in the liver to change.
1.3 Protein protein has function of protecting cells, can impel the hepatocyte already damaged to resume and regenerate, so, the fatty liver patient should increase more soyfood, red meat, fishes and shrimps,etc. in the diet, eat more food of beans, should take in 80- 100g every day.
1.4 The vitamin fatty liver patient should also have supply of sufficient vitamin, you had better eat some more fresh green leaves vegetables. Dispel the garlic, celery, laver, mushroom, kelp,etc.ing of lipoprotein function in the vegetables.
1.5 Fatty liver patient should also limit and eat the salt the salt, the salt eaten every day will be controlled below 6g. In addition should eat few spicy stimulating food, like onion, ginger, spring onions, garlic, hot pepper, coffee,etc.; The staple food can't be too precise and too thin, should eat more coarse food grain, such as oat, corn, sweet potato,etc. in right amount; Cooking way should rely mainly on steaming, boiling, stewing, braising, floating.
2 is strengthened and done exercises
Insist on physical training every day, the visual oneself physique chooses the suitable sports events. Such as jogging, playing table tennis, badminton,etc. sport; Begin from the little amount of exercise, follow in order and advance step by step, reach the appropriate amount of exercise progressively, in order to strengthen the consumption of the internal fat. Finish right amount of sports, namely about 50% of sports of the largest intensity under the guidance of doctor, the heart rate reaches certain standard (130 times min of 20- 30 years old, 120 times min for 40- 50 years old, 110 times min of 60- 70 years old) ,Lasting 10- 30min each time, 3 or more times every week.
3 is careful to use medicines
The liver is a chemical plant of the human body, any medicine should all detoxify to enter body through the liver, so, mustn't take medicine easily at ordinary times, the so-called health-related medicine that don't especially help yourself and propagate on the advertisement. Avoid various toxicants medicines to liver at the same time. Can complement in order to dispel the lipoprotein medicine and deal with to the ill if necessary [1] : There are blood cholesterol increasing, persons who increase of triglyceride on while, can select 1- 2 kinds for use and lower the lipoprotein medicine under the guidance of doctor, the intersection of fat of blood and health, easy the intersection of nicotinic acid and inositol, many the intersection of alkene and health, Vitamin E,etc. that fall, and for instance, see oil of grass, root of red-rooted salvia, ginkgo leaf preparation, Semen Cassiae, first dark, garlic, hawthorn,etc. also have better lowering the lipoprotein and adjusting lipoprotein function in the moon; VitB 12 contributes to removing the fat from the liver, there is function of preventing fatty liver from forming; VitC can increase the hepatocyte resistance, promotes the regeneration of the hepatocyte, improve the liver supersession function, prevent the fat of liver from changing and hard and changing, increase the ability of detoxifying of the liver; The intersection of derivative and Kathy of glycine come, have, strengthen liver, detoxify function, stabilize the intersection of liver and cell membrane and mitochondrial membrane, accelerate degradation and excretion of ethanol and acetic aldehyde, so suitable for the patient of alcohol fatty liver [2] ; In addition, there is food therapy of Traditional Chinese medicine,etc., for instance the fruit of Chinese wolfberry, Ge Gen, Ma Lan,etc. assuare the liver dispels lipoprotein function, can eat more. Now introduce several kinds of simple usages: The safflower hawthorn tangerine peel is drunk: The intersection of safflower and 10g, the intersection of hawthorn and 50g, the intersection of tangerine and leather 12g, water, fry, boil above-mentioned 3 flavor, fetch the juice, divide into clothes 2- 3 times; Use hawthorn 30g, Semen Cassiae 15g of the grass every day, water 1000ml take the place of tea-drinking; The raw hawthorn 10- 15g is the quantity in one day, boiled water bubbles, act as tea-drinking, can reduce weight, lower the fat of blood; The intersection of root of red-rooted salvia and 15- 20g, for 1 day quantity, the intersection of boiled water and bubble, act as tea-drinking, spend, reduce weight for a long time, prevent fat of blood to be high. In addition, the mood is optimistic, no violent rage, little and annoyed, it is quite important to pay attention to striking a proper balance between work and rest etc.. Fatty liver is a reversible pathological change, so long as pay attention to the rational diet, strengthen physical training, early appropriate treatment, the prognosis is still good.
References
A Shen Wei. Drug therapy of the non- alcohol fat hepatopathy. Chinese liver disease magazine, 2003, 11( 2) : 114.
2 green duckweed Peng, Sun ShaoWu. Parenteral solution of compound root of red-rooted salvia unites Kathy to treat hepatitis and liver fiber with the curative effect analysis of early liver cirrhosis. Journal of Lanzhou medical college, 2001, 27( 2) : 56.
Author's unit: Hepatopathy centre of the 123rd hospital of 233015 clam port PLA of Anhuies

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