Fatty Liver
These are some basic things about fatty liver. The states of fatty liver and relevant therapy for any patients are different, so the data and information in this article are not suitable for everyone and only for reference.
Definition:
Fatty liver is just what its name suggests: the build-up of fat in the liver cells. Fatty liver is threatening human health and has become the second largest liver disease, only next to viral hepatitis. Fatty liver is a common clinical phenomenon and also known as steatosis. The total lipid in normal liver is about 5% of gross liver weight, while over 5% is called fatty liver. We can’t imagine that some patients’ general liver fat contents can reach to 40% to 50%. There are usually no symptoms that are noticeable to the lightly fatty liver patients, while the clinical manifestation is strong to the serious patients. At present, the incidence of fatty liver is increasing and ages are becoming low. Along with the horizontal exaltation in people physical life, person over thirty years old is easier to have fatty liver and the prevalence rate is growing rapidly. And this rate in high school students with less than twenty years old is also higher and higher. The reason is that they take too much high-caloric foods, desserts and beverage and lazy doing sports. Most patients hold an idea that once they suffered this disease they will not get rid of it, so they neglect the interventions and treatments. Relevant experts say that fatty liver is a reversibility disease and early lesion can be totally cured by changing lifestyle and taking suitable medication.
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Symptoms:
Most patients with fatty liver are asymptomatic. In fact, fatty liver is frequently uncovered during a routine physical examination. However, if questioned, more than 50% of patients with fatty liver report persistent fatigue, malaise, or upper abdominal discomfort. But there are almost no yellow spot on skin and eyeball. Liver blood vessels are oppressed by the liver cells’ excessive fat content and the liver inner blood circulation is changing badly, these weaken the liver function and so the patients are lazy doing things and easy to fatigue.
Causes:
Fatty liver is a pathological status of abnormal fat accumulation that caused by many reasons. This pathological state is the common reflection on various liver injuries. Adiposity, drunk, high-fat diet, lack doing sports, chronic hepatic diseases and middle-age and old patients’ endocrine maladjustment are the risk factors for fatty liver. And obesity, drunk and diabetes mellitus are the main factors.
The heavy use of alcohol. Drinking for a long time may cause alcoholism and have a toxic influence on supersession of triglyceride then decrease the lipid oxidation and finally pile up the fat in a large amount. About 60% of chronic alcoholists will be fatty liver patients, 20% and 30% of them may finally lead to cirrhosis and liver cancer.
Overnutrition is another factor. Too much intakes of high-caloric foods, desserts and fried foods may lead more synthesis of liver lipid. High fat contents will be the burden of liver function and may disturb the fat metabolizing. It destroys the balance between fat-in and fat-out in liver and leads fat accumulation, so the formation of fatty liver is unavoidable.
The scholars investigate and find, eight in ten fat people have fatty liver. The main reason is that a large amount of dissociative fat acid in blood is gradually transferred to liver and this overburdens the metabolism ability of liver then leads the fat accumulated and finally the fatty liver formed. More than half the patients with type 2 diabetes mellitus associated with fatty liver. Dextrose and fat acid can’t get a good use and obstacle appears in lipoprotein synthesizing. When dextrose and fat acid change into fat in liver, this will lead fat accumulation and finally fatty liver formed.
Hyperlipaemia. While more lipids over the ability range of liver then may lead a fat accumulation and finally form the fatty liver.
Malnutrition. This seems so weird why malnutrition can lead fatty liver. The simple reason is that deficient intaking of protein will reduce the synthesis of very low density lipoprotein and obstruct the liver transport of triglyceride. Fat are accumulated in liver and then fatty liver formed.
Fatty liver may occur with certain illnesses such as tuberculosis and hepatitis, excess vitamin A in the body, metabolic diseases or the use of certain drugs. Sometimes fatty liver occurs as a complication of pregnancy.
Categories:
Alcoholic Steatohepatitis;
Nonalcoholic Steatohepatitis;
Obesity fatty liver;
Diabetic fatty liver;
Malnutrition or overnutrition fatty liver;
Fatty Liver of pregnancy
Drug Fatty Liver
Diagnosis:
Fatty liver can be reversed if you can take any suitable curing and medicine, whereas it will develop into fat hepatitis and then hepatocirrhosis. So, making a diagnosis and give treatment earlier is important for prevention of fatty liver development and prognosis. There are usually no symptoms that are noticeable to the patient. In fact, fatty liver is frequently uncovered during a routine physical examination. There may be a rise in certain liver enzymes found in the blood, and sometimes the liver is slightly enlarged. Fatty liver may also be discovered while the physician is evaluating a patient for other illnesses. For example, an ultrasound exam of the abdomen done for other reasons may show fat in the liver. To be certain of a diagnosis of fatty liver, the physician may recommend a liver biopsy. Under local anesthesia, a slender needle is inserted through the right lower chest. A small piece of liver tissue is taken out with the needle and examined under a microscope. But with the rapid development of imaging technology, especially the extensive application of CT, MRI and ultrasonography in clinical diagnosis, the more popular therapy method is using B—ultrasound and CT. At present, it has been proved that imaging technology not only can recognize fatty liver, but also can diagnose the disease exactly. With the advantages of economy, speediness, no wounds and exactness, B—ultrasound is the best method of discovering fatty liver. The major signs include pain under the rib cage on the right side of the body, swelling of the abdomen, jaundice, abdominal pain, fever (all with hepatic necrosis or biliary stasis) and hepatomegaly. In a word, if you have any symptoms of the above points, you have to get a B—ultrasound as soon as possible. Fatty liver high-risk population should have a self-health care consciousness and take imaging technology checking like B—ultrasound once or twice every year.
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Treatment:
Fatty liver is the accumulation of fat in liver. Once one suffered fatty liver, how to deal with it?
In fact, the easiest method is combining suitable diet and moderate sports with internal medicine therapy. Be clear with the pathogeny and take corresponding measures. Reducing alcohol use can improve fatty liver due to alcohol toxicity. Controlling blood sugar may reduce the severity of fatty liver in patients with diabetes. Increasing nutrition can help fatty liver caused by malalnutrition. Anyway, eliminating the basic reason is helpful for curing fatty liver.
Second, to make a healthy, well balanced diet structure. Eating more foods with high protein, high vitamin, low sugar and low fat like vegetable, fruits, lean meat, river fish and bean products etc. Get rid of the bad habits like often have animal fat, desserts and sweet soft drink to decrease the total energy. No snacks and eating nothing before sleep are also necessary.
Furthermore, taking more appropriate sports to promote the internal fat consumption. Running at least six kilometers per day is beneficial to lose weight. Sit-ups and bodybuilding exercises are also useful.
Fatty liver is not awful as someone’s imagination. Early identification and treatment of fatty liver can increase the cure rate and no sequelae. We have to notice that the prevention of fatty liver should start from kids.
Prevention:
Insisting a reasonable diet structure by vegetable foods primarily and care much about the quality and quantity of nutritious elements and to build up a reasonable diet system. The foods that can prevent fatty liver consist, oat, corn, kelp, garlic, milk, onion, sweet potato, carrot, peanut, sunflower seed, hawkthorn and fig etc.
In fatty liver caused by alcoholism, the only treatment is to give up drinking alcohol and to eat a healthy, well balanced diet. To fix time and quantity for three meals a day and get ride of the habits of eating too much, having snacks (especially the desserts) and eating before sleep in order to avoid disturbing metabolic function.
Long-term and middle physical training. Besides accumulating fat, doing sports is the main method for the superabundant caloric consumption. For the sake of health, people should insist in doing more activities depend on their self-situation. Jogging, walking (115 to 125 steps per minutes), cycling, stair climbing, hill climbing, shuttlecock, badminton game, rope skipping and swimming etc are all good choices for physical exercises.
We should be careful of drug use in order to prevent drug-induced liver diseases. Most medicines have double effects, one side is to treat diseases and another is side effect. Liver is the key organ where drugs metabolized. Improper use of drugs is liable to suffer drug-induced liver diseases. So, to prevent drug-induced fatty liver, we should control drug use strictly, adjust drug dosage and treatment course rationally, avoid the drug dependence following long-term administration of tetracycline, glucocorticoid, synthetic estrogen and some antihyperlipidaemic.
Regular health check can control disease effectively. People who have the family disease history of obesity, diabetes mellitus, hyperlipemia and fatty liver should have self-health consciousness and take periodic physical checking in order to discovering fatty liver earlier.
In a word, it is necessary to strengthen person’s self-health consciousness and develop prevention and cure among people. Regular physical examination is very important for early finding, prevention and treatment.
Fatty Liver VS YHK
Although the liver cells of fatty liver patients are not attacked by virus, it is usually abnormal, the value of GPT（ALT）and GOT（AST）of patients may goes up. For most of patients, value of GPT（ALT）and GOT（AST）will go back to normal range after taking YHK for about 10 days. Only seldom patient’s value of GPT（ALT）and GOT（AST）get to normal level after taking YHK for 20 to 30 days.
YHK can get the liver function right and delay the worsening of disease farthest, offering favorable conditions for treatment of fatty liver.
