12.22.2014

Fatty liver - a factor causing cirrhosis


Most cases of fatty liver as a result of sedentary lifestyles, eat a lot of fat and sugar, drink a lot of alcohol. The disease often has no symptoms, it is difficult to detect, many patients seek only to have expressed cirrhosis.


Fatty liver is a condition in fat accumulation in the liver cells, causing liver weight increased by about 5%. In addition to the reasons mentioned above, factors such as type 2 diabetes, increased blood fats, tuberculosis, hepatitis C, chronic copper contamination, high doses and prolonged certain medications such as corticosteroids, tetracycline, estrogen drugs cure cancer ... well lead to this disease.
Dr. Dinh Huong, lecturer HCMC University of Medicine and Pharmacy, fat deposition in the liver may be due to increased intestinal absorption of fat, especially when eating too much animal fat. Another reason is the fat in adipose tissue from different parts of the body to
mobilize abnormal liver.
In many cases the patient to eat more sugar, moving to the liver, part road liver glycogen reserves, other known fat changed. Fat deposition in the liver may also be due to increased synthesis of fat in the liver or reduce the transfer of fat from the liver (due to lack of some substance to haul fat).
Ultrasound Faculty Cho Ray Hospital, fatty liver patients account for nearly 10% of cases are detected every day. Dr. Le Thanh Ly, Head of Internal Gastroenterology - Liver Cho Ray Hospital, said, in people with alcoholic fatty liver disease if the patient will recover abandon this beverage. These cases without steatosis hepatitis usually have a benign clinical stage 10-15 years. But in people with hepatitis associated with up to 25% will progress to cirrhosis in the same period.
Dr. Dinh Huong said, people with fatty liver almost no symptoms. Only a few patients feel tired or depressed, or feel slightly calloused away in the bottom right side . Therefore, the disease is usually discovered incidentally after a routine blood test (see increased liver enzymes) or after the ultrasound. Therefore, early detection, disease screening ultrasound to 3 months / time.
Dr. Hoang Thu Huong, Vice Dean Ultrasound Cho Ray Hospital advised that, if found to fatty liver ultrasound, patients do not worry, by ultrasound only valuable suggestions, accuracy depends on the experience of the doctor. On the other hand, imaging techniques can not be said that the degree of liver injury was fatty. Therefore, patients should go to a specialist liver to be doing some blood tests and diagnosed.
The common misconception about fatty liver
- Fatty liver occurs only for the excess food, the food shortages will never be: Actually, the long-term malnutrition can also be accumulation of fat in the liver due to lack some essential to bring down the fat out of the liver.
- Children should never be steatosis: Dr. Huong said she never met a child 8 years of age, obesity, this disease. Fatty liver associated with obesity; Thus, regardless of children or adults, if you are obese, you should think about the risk of fatty liver.
- To avoid fatty liver, just fat diet: The doctor said to reduce the sugar, because the extra sugar is converted into fat for storage in the liver. Athletes with good nutrition is also a way to reduce risk.
- How to treat fatty liver is best to use cholesterol-lowering drugs: Actually, to solve the causes of fatty liver. Most patients are not related to the cholesterol that involves another component of fat called triglycerides. Therefore, the cholesterol-lowering drugs not only do not cure, but also increases the risk of liver enzymes.
- You can use garlic or a cooling herb for preventing hepatic steatosis: current science can not prove the use of garlic and other herbs in the prevention of this disease.
- Fatty liver disease is benign: Previously, it was thought harmless disease. This is only true if steatosis alone, that is not inflamed liver cells and fat damage. If the liver becomes inflamed due to fat, 25% of patients will progress to cirrhosis mortality rate is 10%.

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