For a long time people suffering from obesity, can not even guess at what steatosis and what consequences can have its development. The main hepatosis disease risk group is men over 40 years, with similar effects on the liver occurs predominantly in men.
What it is?
Steatosis (fatty differently dystrophy, or fatty liver) is included in the reversible group, degenerative, chronic liver disease caused by the accumulation of large amounts of lipids. Now there is a rapid growth of the disease as a result of systematic violations in the diet, as well as the wrong way of life.
To stop the progression of the disease is possible with the identification of factors that influence the occurrence of fatty liver. Changes for the better are observed after one month when the treatment was timely
Causes of
The liver - the body has amazing regenerative ability and huge internal reserves, enough to sustain life 1/7 of its mass. The liver may be a long time to work with the increased load, since hepatocytes are restored, but everything has a limit. And when people (especially in early childhood) cause excess liver fat, carbohydrates, flavor enhancers, preservatives, food additives, vegetable oils (palm, coconut oil) - liver can not withstand tremendous toxic load and having its disease.
The main cause of this disease in men (70%) - alcohol, such an alcoholic steatosis called FH. Adolescents - is the abuse of energy drinks, the use of drugs - ecstasy, cocaine, opiates, etc.
The remaining causes of:
- Any toxic damage organism - any poisoning, reception of some drugs, the presence of toxic substances in water, air, food, industrial emissions, pesticides in vegetables, household cleaning products, regardless of routes of entry into the body - provoking steatosis liver.
- Diseases such as diabetes mellitus, elevated blood cholesterol levels (see. norm cholesterol) - markers presence of an abnormality of lipid metabolism in the liver. Moreover, chronic hepatitis (particularly hepatitis C), chronic pancreatitis also accompanied FH.
- Oxygen deficiency in heart disease, bronchial tubes and lungs leads to steatosis.
- Additionally excess fat in the liver, oddly enough, and can be formed in lean people with deficiency in protein diet food (vegetarians) and y those who enjoy a variety of diets, losing weight dramatically (from the prisoners' Osventsema "dystrophy" skin and bones ", had a high content in the body of the internal fat).
If you receive excessive liver lipids are deposited small droplets of fat in its cells, if it happens rarely, the hepatocytes have time process them and bring the fat with frequent and intensive introduction of lipids is their accumulation, and hepatocytes do not cope with their functions.
Such droplets begin to stretch the liver cells are destroyed and its internal structure, which leads to the delay timely removal of toxins, processed foods, thus disturbed blood supply and the oxygen supply is reduced in liver tissue.
Progression of this state leads to the next step - hepatitis (inflammation of liver), with death hepatocytes (they are replaced by connective tissue) develop liver failure and its extreme degree - cirrhosis.
Symptoms of liver steatosis
In the initial stage of hepatic steatosis symptoms completely absent. Later there is discomfort, a feeling of heaviness in the right upper quadrant, fatigue, slight yellowness of the skin. The liver is enlarged in size and the patient feels pain on palpation.
Ultrasound accurately identifies body size and how exceeded the original location of the border. Blood test shows an elevated level of aminotransferase, cholesterol.
The amount of fibrous tissue in the liver serves to determine the severity of the disease. Distinguish step 4, when "0" is a healthy body, and the fourth stage - advanced cirrhosis.
There are risk factors for the formation of fatty liver, among them:
- high blood pressure;
- female;
- decreased platelets;
- elevated alkaline phosphatase, and the State Tretyakov Gallery;
- polymorphism PNPLA3 / 148M gene.
Diagnostics
There are several methods of diagnosis that allow to do so as in the early stages and in the final. The first thing a doctor will do, it is a general examination of the patient. When it is done palpation in the right hypochondrium, where the liver is located. Increasing the liver (hepatomegaly) it will be immediately detected at the initial examination.
Next, the physician should assign the following studies:
- First of all, you need to do ultrasound, it can ehopriznaki identified this disease, with such a diagnosis is good in pregnancy;
- Magnetic resonance therapy, which can be prescribed by a doctor, to help establish the presence of lesions of the liver sections, as well as what shape (stage) of the disease;
- CT also helps establish hepatomegaly liver, which is one of the main signs of the disease;
- Diagnosis of the disease is also detected if the blood enter the special slides, which is getting into the liver, on the X-ray It shows the heterogeneity of the liver tissue, but before you enter a microscope slide, the patient some time should not eat food;
- liver biopsy, i.e. a study in which through a special needle is taken liver sample (tissue) and is directed to the study, fat cells can be detected therein.
In conducting the study, the skilled artisan may also designate other studies, which will focus on establishing the causes of the disease and related diseases of the body, in order to begin a comprehensive treatment of all body.
Treatment
When it becomes clear that such steatosis of the liver, it is necessary to determine the methods of treatment. Diet therapy is in the first place: it is able to relieve the patient of fatty liver. Treatment is carried out in the main house.
Diet involves restriction of heavy meals, dosed supply of proteins, minerals and vitamins in the body. Completely eliminated alcohol and fast food. Smooth reduced weight contributes to the rapid recovery (no more than 500g per day). Dramatic weight loss, on the other hand, can give complication of the disease.
Drugs for liver diseases, in particular in fatty hepatosis have auxiliary effect. Assign:
- Vitamins B6 and B12;
- folic acid and lipoic;
- Essentiale.
Lipid-lowering statins could theoretically reduce fat deposits in the liver, but their strong hepatotropic often does not allow to use these drugs at gepatoze. Hepatoprotectors discharged safely, they have a beneficial effect on the parenchyma.
Diet for fat gepatoze
When diagnosed with fatty liver degeneration, one of the most important methods in the treatment of diet is considered. Normalization of power can significantly speed up the healing process. Its main tasks:
- stabilization bile production;
- supply the required amount of glucose;
- recovery of all body functions;
- normalization of lipid metabolism;
- lowering cholesterol.
Meals in fatty liver gepatoze desirable to arrange so that the patient ate frequently - to 7 times per day, but in small portions. During the diet you will need:
- eat a lot of fiber;
- eliminate cholesterol;
- drink more water;
- limit salt and sugar;
- reduce animal fats;
- Change the cooking technology - cook, bake, soar.
Fatty liver demands to exclude from the menu of hot and soft drinks, to refuse the use of coffee and tea. Not recommended in the diet:
- onion;
- radish;
- tomatoes;
- garlic;
- fat dairy and meat products.
It is advisable to use:
- honey;
- lean meat;
- milk;
- jelly;
- vegetable, milk soups;
- carrot;
- cereals: rice, semolina, buckwheat;
- low-fat dairy products, cheese, yogurt, kefir;
- poultry meat without fat.
Folk remedies
It is better to combine diet and medical treatment of liver steatosis with folk remedies. Repeatedly proven the positive effect of pumpkin eating. This vegetable protects the liver and helps the cells recover faster.
To do this, prepare pumpkin honey. RECEP: ripe fruit cut in the cover and clean out the seeds. Filled to the brim with honey, return the cover is left to infuse pumpkin 2 weeks at room temperature. Then the honey is poured into a clean, dry jar and store in refrigerator. When gepatoze take 1 tablespoon three times daily.
Medicinal herbs are preparing infusions and decoctions. Prescriptions shall not give - it requires the approval of the treating physician.
prevention
Prevention of hepatic steatosis is easy. the following recommendations is sufficient to carry out:
- Reduce to the minimum the consumption of animal fats. Complete rejection of them as unacceptable.
- Eat often and fractional, small portions. So the liver will not be overstrained.
- To maintain a minimum level of physical activity: physical inactivity negatively affects the liver.
- With care to drink alcohol, in any case, not abuse.
All of these tips will help you avoid troubles with the liver in the future.
Liver steatosis is highly dangerous due to the risk of degeneration in cirrhosis. To avoid problems, it is necessary to rationalize their diet and exercise regime. And if the trouble still occurred, you should immediately seek medical advice. Treat steatosis in the initial stages is much easier. Thus the patient can help themselves and the doctor.
