After detailed examination, the doctor told Xiao Li that abnormal indicators suggested fatty liver. Hearing fatty liver, Xiao Li breathed a sigh of relief: "It turned out to be fatty liver, nothing happened. I quit meat, and I should be vegetarian for a few days! "
Chen Jinjun, head and chief physician of the multidisciplinary writing group of liver in Southern Hospital, said that clinically, many patients with fatty liver have such luck and misunderstanding after learning the news of their illness. In fact, the harm of fatty liver is beyond your imagination. 15% of patients with fatty liver will develop irreversible cirrhosis within 5-25 years, and then only one step away from liver cancer.
Now people think that fatty liver has little to do with themselves when they hear it, but what you don't know is that there are 1 fatty liver patients in every five people in China, with a total of 240-380 million, which has been listed as the largest liver disease in China. What is even more frightening is that the disease is approaching to young people, and people diagnosed with fatty liver at the age of 20-30 are everywhere in clinic.
Chen Jinjun explained that fatty liver refers to the result of excessive accumulation of liver cell fat. Generally, when the fat content in the liver exceeds 5% of the weight of the liver, it is called fatty liver. The default fatty liver refers to "nonalcoholic simple fatty liver", which is a metabolic stress liver injury.
"The most common patients are obese or three-high dieters. This is because our body will convert the food we eat into the energy we need every day, and the excess energy will be stored as fat, and the liver is the main processing plant for synthetic fat.
Under normal circumstances, after the liver synthesizes fat, it will send the fat out through an apolipoprotein called' VLDL', but if the fat is over-synthesized, the apolipoprotein transport capacity will not keep up (in short, it is overloaded! These fats will stay in the liver all the time and become fatty liver after a long time, "Chen Jinjun said.
Just now, obese patients were the first to "attack" fatty liver, but it doesn't mean that thin people won't suffer from fatty liver. Chen Jinjun said that according to clinical statistics, at least 10% of fatty liver patients belong to the category of thin people, and even as high as 20% in some areas. This is because these thin people are not really "thin". Their limbs are slender, but their bellies (waistlines) are particularly prominent. In medicine, they are called "central obesity". Their visceral fat content is not less than that of obese patients, so they will also get fatty liver.
This situation is actually worse, because obese patients will still be vigilant in their hearts, while thin people are confused because of their figure, eating and drinking seawater every day because they are thin, but they don't know that they are dying on the edge of fatty liver!
In addition, although fatty liver is related to obesity, it is also related to genetic factors. Some people are born with genetic defects, and low insulin efficiency can also lead to fatty liver.
Since obesity or fatty liver is caused by the "three highs" diet, it should be possible to switch to vegetarian food! This is the first reaction of many patients with fatty liver, but it is often counterproductive.
Chen Jinjun pointed out that doctors always say that patients with fatty liver should have a balanced diet, and long-term vegetarians often lack protein and vitamins. As mentioned above, the fat in the liver should be emitted by apolipoprotein, which is a kind of protein. In other words, if you are a vegetarian, your body will not be able to synthesize enough apolipoprotein, and your transportation capacity will be weakened, and fat will still accumulate in your liver.
In addition, long-term vegetarian diet and malnutrition will not meet the needs of body function, glucocorticoid will increase, and a large number of free fatty acids will be released into the blood and enter the liver, which will make the fatty acids in the liver exceed the standard and form fatty liver.
"Some people think that not eating meat will increase appetite, but in fact, carbohydrates such as rice and pasta will also be converted into fat in the human body," Chen Jinjun reminded.
It needs to be clear that fatty liver is a chronic disease closely related to life behavior. Its harm lies in the degeneration of liver cells, which will gradually lead to liver fibrosis and cirrhosis, and then lead to secondary liver cancer.
In addition, fatty liver patients not only have harmful liver diseases, but also have high blood triglycerides and hyperlipidemia. High blood viscosity increases the possibility of atherosclerosis. Fatty liver can also aggravate the disorder of glucose metabolism, which is one of the inducing factors of type 2 diabetes.
"The liver is the largest detoxification organ in the human body. Once injured, it will reduce detoxification function and resistance function. In other words, you will be more susceptible to bacterial and viral infections. " Chen Jinjun said.
Indeed, fatty liver is not as effective as diabetes and hypertension. At present, there is no specific medicine to deal with fatty liver, but fortunately fatty liver is a reversible disease.
If the examination belongs to mild fatty liver, we don't need drug treatment, as long as we do two small things well.
The first is to adjust the diet structure. Control calories, eat less and eat more meals, just seven minutes full for each meal, eat less heavy oil, heavy sugar and high-fat foods, eat more foods rich in dietary fiber, such as grains and high-fiber vegetables, and eat more green vegetables, which can not only supplement nutrition, increase satiety, but also reduce the metabolic burden of the body.
The second is to cooperate with appropriate exercise. Make sure to exercise for at least 30 minutes every day for at least three days a week. Aerobic exercise, such as swimming, running, table tennis, etc. , you can choose as an exercise method. Don't sweat a little, just have a slightly faster heart rate.
The above two points should be done step by step, just like exercise. You can't achieve the goal of consumption by one or two strenuous exercises. If everyone can persist for at least three months, fatty liver can easily be "dumped".
Then why do some patients need medication? This is because once mild fatty liver is not effectively controlled, liver cell fat will further increase, resulting in the destruction of some liver cells, liver function is affected and transaminase is abnormally increased. At this time, in addition to lifestyle changes, it is necessary to increase drug therapy to make transaminase normal and at the same time carry out liver protection treatment, but the specific use of that drug is very complicated and needs to be used under the guidance of professional doctors.
Chen Jinjun particularly emphasized that patients with fatty liver must not buy the "magic liver protection medicine" on the market without authorization, which has limited effect on fatty liver.
#39 Health Super Team # # Breeze Plan # # Health Science Qualifying Tournament #