Hepatosis

And what is dangerous «Breased liver»? How syndrome is manifested «Fatty liver» and which methods of its diagnosis exist? What is the name of the doctor who specializes in liver diseases? Answers to these questions you will find in the article.

Content

Question number 1. Alexey Olegovich, what is «Breased liver»?

«Breased liver» - The term that is more common in the English-language literature is the literal translation of the expression «Fatty LIVER».
In our country, the concept «Breased liver» denote pathological
condition that «Strict» medical diagnoses may sound
differently. Usually doctors use three terms: fatty dystrophy
Liver, fatty hepatosis, liver steatosis. All these names describe
the same condition that is characterized by the accumulation of fat in
liver cells - hepatocytes. The causes of such pathology is extremely
diverse.

In the first place is alcohol defeat
liver. It is approximately 65%, that is, about 2/3 of all cases «oily
liver». On the second, third and subsequent places are,
which occur with some forms of diabetes,
hyperlipidemia (elevated level of fat in the blood) and in obesity
(overweight). To the number of rare causes of this disease
Refers to the admission of some drugs, toxic
Impact, surgery on the gastrointestinal tract and others. except
that listed factors can be combined.

Question # 2. And what is dangerous «Breased liver»?

This condition threatens the increased probability of the development of complications. How
fat man and a person with «Fat biscuit» Launcher yourself
Different diseases. For example, fat in hepatocytes under the influence of alcohol or
Other reasons begin to oxidize, and oxidation - the path to inflammation.
Thus, «Breased liver» is the potential cause of development
Hepatitis (inflammation of liver cells). With a significant obesity of the liver
The normal activity of hepatocytes may even be disturbed because
Created by fat mechanical interference. When developing inflammation
There is a substantiation of special hepatocyte tissue «empty», Useless
connective tissue and, in the worst version, it leads to cirrhosis.
I want to emphasize that the obesity of the liver is completely reversible when liquidation
the reasons for its occurrence (especially for alcohol intake) and
Timely treatment. With an unfavorable coincidence
Such a progressive pathological chain is possible: fat
Liver dystrophy («Breased liver») - hepatitis - cirrhosis.

Question number 3. How syndrome is manifested «Fatty liver» and which methods of its diagnosis exist?

«Breased liver» insidious in that it often does not show itself.
Some patients lead to a doctor, for example, a feeling of gravity in the right
hypochondrium, sometimes driving pains there. At approximately posing
myself the location of the organs, patients believe that it is «hurts
liver». In general, there is nothing to hurt in the liver, because there is no
nerve endings, they are only in capsule and biliary ducts.
Usually painful sensations are associated with concomitant disconesia
biliary tract (violation of their motor activity). Others
Patients can disturb general discomfort, malaise, nausea. BUT B
Such cases rarely appeal to the doctor.

Unfortunately, «oily
liver», Despite its widespread, most often
Recognized by chance. For example, the patient is carried out ultrasound
study (ultrasound) of the abdominal organs or he turns to the doctor
Regarding any other disease (diabetes,
Ischemic Heart Disease and T.NS.), and the doctor has already been examined
reveals the presence of a patient with liver disorders. It is very important here to
The patient appealed to a specialist, that is, to a doctor who deals
It is the pathology of the liver. Because not all doctors therapists in
sufficiently oriented in liver diseases. It's not only
Our problem, but also the problem of economically more developed Western
countries.

Why do you need to get to a specialist? It's not even
In the fact that those methods are practiced in a specialized clinic
laboratory and instrumental diagnostics that do not apply,
For example, in the district polyclinic. There are perfectly equipped
Polyclinics in which they conduct any surveys, but cannot
properly interpret due to the lack of relevant experience.

Before
In total, the doctor must inspect the patient because sometimes in patient
«written» if not the whole diagnosis, then at least half of it.
Then the ultrasound is usually carried out, which allows you to identify the very fact of availability
Syndron «Fatty liver». Detect the presence of hepatitis by ultrasound
difficult; Signs of cirrhosis on fairly fortunate
stages can be revealed and ultrasound. For final diagnosis
War studies are conducted: clinical, in which you can
detect signs characterizing the inflammatory process and
biochemical. In particular, with biochemical analyzes, great importance
have indicators of special enzymes - the so-called transaminases. If
The level of their content is increased, then this is, when excluding heavy
diseases of the heart or muscles, is a sign of hepatitis.

except
Togo, the specialist will almost always prescribe a study for viruses
hepatitis A. The point is not that viral hepatitis is the most frequent in the world
The reason for the lesion of the liver, and in the fact that in some forms of viral
hepatitis, in particular with viral hepatitis C, possibly in
as one of the syndromes and development of obesity of the liver. More
Specialized research methods, such as computer
Tomography, Immunological Study Study or Liver Biopsy
(when a piece of fabric is taken on a microscopic study)
are held in the presence of special testimony.

Question number 4. What is the name of the doctor who specializes in liver diseases?

Hepatologist. Today, this term is missing in the register of medical
specialties Ministry of Health. In polyclinics, hepatologists do not lead, so
As for them there are no approved rates, but often such experts
stay in the positions of gastroenterologists and even simply therapists.

How
I have already said, hepatologist - semi-official name. However, we have
The country has been operating the Russian liver study society for the fifth year,
Which is headed by Vladimir Trofimovich Ivashkin, Academician, the main gastroenterologist of the Ministry of Health of Russia.

Question number 5. Who most often suffers from «Fatty liver»?

The risk group includes people abusing alcohol, people with
excessive body weight, with atherosclerosis of various vessels (as
The rule, atherosclerosis is a consequence of an increased level of blood lipids);
suffering from type II diabetes (most of these people
and elderly); Persons applying a large amount of drugs
At the same time (for example, drugs that are treated for diseases
Cardiovascular system, hormonal and other.); Moved operations
on the gastrointestinal tract and patients with rare hereditary
Diseases.

As for alcohol - this is the most
Common reason «Fatty liver». «Breased liver» became frequent
Diagnosis of patients from high social layers. This diagnosis is often
meets in artists, politicians, businessmen, diplomats.
They are not «abuse» alcohol, just they have a nice glass
Cognac - either an indispensable attribute of buffets and presentations, or
Means for removing stress after the working day, and sometimes during.
They feel great and immediately after a glass, and the next morning
after a glass, and their new day begins again with a glass (let
not even at eight in the morning, but at two in the afternoon). When are detected
Pathological liver changes, then patients are very surprised.
The reaction to alcohol from each of us is individual. That one is not
Bringing harm, may have the most difficult impact on another.
In addition, there are accompanying diseases that a person can
not even know the sensitivity of the liver cells to alcohol,
For example, viral hepatitis. Speaking of liver diseases, I always
I emphasize that the liver is very reliable, silent and patient
the authority, about his diseases, it gives to know only when tolerate
More impossible.

Question number 6. What preventive measures are needed in
attitude «Fatty liver»? Whether they differ depending on the stages
Development of the disease?

Any prevention can be divided
on primary, secondary and tertiary. Primary is preventing
Diseases before its development, secondary - developmental prevention
Subsequent stages of the disease and tertiary - developmental prevention
severe, threatening life complications. Primary prevention is simple.
It may sound trite, but you only need to lead a healthy image
Life. If a person understands that he abuses alcohol if
Ryumka brandy or beer bottle becomes an integral attribute
life; If he knows that he has diseases that can
cause the development of liver obesity; If it takes a lot
drugs, then he himself can be attributed to the group
risk and consult a doctor.

As for the prevention of development
more serious violations - hepatitis and cirrhosis, then here should be conducted
Speech about a mandatory meeting with a specialist. If «Breased liver»
revealed, then the patient needs to be under the supervision of
hepatologist, who, firstly, must carry out a complete adequate
Examination, secondly, when identifying the causes of liver obesity, assign
appropriate treatment and give specific recommendations for change
The lifestyle of this particular patient. Well, the prevention of heavy
complications should, as you understand, be conducted in a specialized
clinic.

If we talk about rational nutrition, then special
diet does not exist, but it is recommended not to be carried away with fats and carbohydrates
(especially people suffering from diabetes and cardiovascular
diseases) alcohol. Need more plant
Food, fish, dairy products. Recommended physical exertion, in
First of all to reduce excess body weight. When «oily
liver» not complicated, there are no contraindications for exercise.

If
There are some problems with the liver, then in our clinic functions
free school for hepatitis. School thematic. Usually
Classes consist of cycles. Talk about general provisions
diagnosis, prevention, treatment of certain forms of liver disease
and about how to behave sick: what to fear, and what is not worth.

Question number 7. How to treat «Fatty liver»?

First of all, it is necessary to either be excluded, or to reduce the maximum
The effect of that factor that led to development «Fatty liver».
For example, if there is an excessive use of alcohol, then
This patient is recommended to either completely eliminate or limit
dose of alcoholic beverages. If we are talking about diabetes, such a patient must
Endocrinologist is observed. If the level of lipids in the blood is increased, then
it must be reduced because it is the risk of development
Cardiovascular diseases and liver damage. Such a patient
Must be observed simultaneously with the cardiologist and hepatologist. Important
Dietary recommendations aimed at reducing excess mass
bodies (with their insufficient effectiveness prescribed medicinal
drugs). In addition, there is a group of drugs that are directly
Directed on the treatment «Fatty liver». The medicine is selected
individually depending on the testimony and contraindications, that is
The presence of concomitant diseases and individual sensitivity.
Operations about actually «Fatty liver» Do not be held.

«Oily
liver» - The condition is potentially reversible. If the causes of the disease
eliminated, then you can either fully restore the normal structure
liver, or save that stage of the development of pathological condition,
When the liver function is not broken.

In conclusion I will give you my
Favorite toast, which I usually pronounce kefir in my hands - for
Health, in the interpretation of this concept by the World Organization
Health: «Health is the condition of full physical,
mental and social well-being, and not just the absence
diseases and physical defects». If you take the definition of WHO,
That health is equal to the state of happiness, which I want to wish readers
newspapers.