Treatment of fatty liver

The main method of treatment in the early stages of fatty liver - a reduction in weight in patients with overweight and obesity, diabetes, and limiting alcohol consumption (in alcoholic fatty hepatosis). To the content of fat in the liver started to decrease, to adult patients with obesity is necessary to reduce the weight, at least 9%.

Patients with alcohol dependence Alcohol addiction - for no reason, no reason not arise   It may require prolonged treatment. Cure Alcoholism is often very difficult, but this is the only way to stop the pathologic changes in the liver tissue.

In addition, doctors are reviewing a list of drugs that a patient takes, and cancels the reception of those who are not really necessary (unfortunately, it often happens that people take any medication without the urgent need).

Hepatoprotectors at gepatoze fat can be used in addition. By hepatoprotectors include a variety of substances that can have a positive effect on the liver and protect it from damage. When fat hepatosis very useful hepatoprotectors are among the antioxidants Antioxidants: the truth about the notorious benefits For example, vitamin E, selenium, betaine. Can be used drugs such as metformin, rosiglitazone, pioglitazone. However, in most cases, lifestyle changes may be enough to cope with FH.

In very rare cases, the treatment of fatty liver Treatment for fatty liver - acceptable methods   may require bariatric surgery (surgery for weight reduction required if the patient fails to lose weight in other ways), or liver transplant - if the disease eventually led to cirrhosis.

Prevention of fatty liver

Acute steatosis treated only in a hospital. First, take urgent measures to stop the intake of toxic factors and removing it from the body (gastric lavage, saline laxatives, enemas). If fatty liver is caused by poisoning any internal factors (the image in various diseases), then carry out blood purification methods hemosorption or plasmapheresis.

It held as early and vigorous fight against bleeding. For this purpose, patients receiving blood transfusions are administered various drugs that increase its coagulation. To improve glucose Glucose: The energy source   blood intravenously administered solutions of glucose, vitamins C and Group B.

Appointed diet with enough high-grade protein and vitamins and low in fat. Introduced as drugs, normalizing liver function.

Prevention of acute fatty liver - it's nutrition, especially during pregnancy, refusal to take tetracyclines at higher doses. Prevention of chronic fatty liver - is the elimination of the reasons he was called.

How dangerous liver steatosis

One of the biggest risks associated with this disorder is that it develops very slowly and quietly, so that there is a high probability that it will identify the later stages of development, and by the time the liver will begin to form fibrous tissue. This probability is especially great if the patient is rarely undergo a medical examination. The most dangerous potential complications of fatty liver - a cirrhosis and liver cancer.

The likelihood of developing this type of cancer significantly increased in patients with cirrhosis. In addition, if the development of fatty liver in a patient associated with obesity and / or diabetes, and he is not doing enough to lose weight or control diabetes, over time, this can lead to problems with the operation of a number of organs and body systems. As a consequence, patients dramatically reduces the quality of life and increases the likelihood of development of severe diseases, which can not only lead to disability, but also, in some cases, fatal.

Diagnosis of fatty liver

The diagnosis of acute fatty liver may be suspected on the basis of reasons which the patient connects the appearance of the disease, its beginning and typical manifestations. Diagnosis confirmed by laboratory studies, which allow to distinguish it from the inflammatory processes in the liver (hepatitis).

For acute fatty liver characterized by decreased glucose Glucose: The energy source   in the blood (hypoglycemia) in the general analysis of blood Complete blood count how to understand why taking blood from a finger   found an increased number of white blood cells White blood cells as the basis of immunity , Increased values ​​of some liver function tests. In severe cases, blood is decreased amount of potassium, which may give cardiac complications (potassium necessary for operation of the heart muscle).

For chronic hepatitis B Chronic hepatitis - a diagnosis for life   also characterized by increased rates of some liver function tests.

A definite diagnosis of fatty liver is established by liver biopsy (taking a piece of tissue to study the liver by a puncture), which is the main method of detecting the disease. The liver biopsy specimens reveal fatty degeneration of hepatocytes.

Diagnosis of fatty liver liver: analysis

Since the early stages of the development of fatty liver is usually asymptomatic in many countries recommend regularly checked for this disease in all patients suffering from obesity and diabetes 2 degrees, as well as people who abuse alcohol.

Laboratory tests at gepatoze fat may show an increased level of bilirubin, decreased albumin, increased concentration of liver enzymes such as aspartate aminotransferase and alanine aminotransferase, anemia, thrombocytopenia, low level of magnesium and potassium in the blood. Although these test results are typical for fatty liver, they are not the basis for the diagnosis of this disorder.

In addition to the analysis required the use of medical imaging techniques - ultrasound or, less commonly, computer and magnetic resonance imaging (CT and MRI, respectively).

In the US in the fat hepatosis detected hyperechoic liver - liver tissue sites where the concentration of fat is particularly high; on the screen, they look brighter than others.

Medical imaging can not accurately determine the degree of fatty liver; in particular, no MRI or CT can not "see" an inflammation of the liver tissue.

If the patient has developed cirrhosis of the liver, to determine its cause - steatosis - by any means can be very difficult. The fact that cirrhosis fatty tissue gradually disappears, being replaced by connective tissue, and as a result, doctors detected the violation is called cryptogenic cirrhosis (cirrhosis, the cause of which is not clear). At present, experts suggest that about half of all cases of cryptogenic cirrhosis in patients with obesity and / or diabetes may be associated with non-alcoholic FH.