153552Fatty Liver Disease

153552

Fatty Liver Disease

Fatty Liver Disease

Fatty Liver – It is imperative that the severity level be assessed. In particular, it is the measurement of the amount of fibrosis in the liver. even if the patient has no symptoms Including the detection of various comorbidities as well.

Fatty Liver Disease (Non-alcoholic fatty liver disease; NAFLD) is a disorder of the liver. caused by the accumulation of fat in the liver cells with large quantities The incidence of fatty liver disease is associated with overweight. and high fat or blood sugar In most patients, fatty liver disease may not directly affect the liver. However, about one in three patients may develop liver inflammation. Nonalcoholic steatohepatitis (NASH), where repeated inflammation of the liver over a long period of time leads to a buildup of fibrosis caused by the repair of damage within the liver. And when these cysts accumulate in large quantities, they can lead to future cirrhosis and increase the risk of liver cancer .

However, although only a portion of fatty liver patients develop hepatitis. But having fatty liver disease is one of the risks of cardiovascular complications. Because patients in this group are often overweight. Including diseases that increase the risk of cardiovascular system as well, such as high blood pressure and diabetes, etc.

Risk factors for fatty liver disease

As mentioned above, the occurrence of fatty liver disease is associated with higher weight. Western lifestyles and diets have led people to have a higher incidence of metabolic syndrome (including waist circumference greater than 90 cm in women and 100 cm in men, high blood pressure, visceral fat). high blood and high blood sugar), which these factors contribute to the incidence of more fatty liver disease It also increases the risk of developing cardiovascular disease in the future.

In addition to the aforementioned main reasons Hormonal disorders or taking certain medications are also risk factors for fatty liver disease, including polycystic ovary syndrome (PCOS), thyroid disease, hypothyroidism, or hormone deficiency. (Hypopituitarism or underactive pituitary gland) and medication such as tamoxifen

Symptoms of the disease

Patients with fatty liver disease or with fatty hepatitis, most of them are asymptomatic. and clear symptoms It can usually be detected from an annual physical examination. It may be found that abnormal liver enzyme values or may be detected by ultrasound of the abdominal cavity and found that the liver has accumulated fat.

When to see a doctor

In patients diagnosed with fatty liver disease, it is imperative that the degree of severity be assessed, in particular, to determine the level of fibrosis in the liver. even if the patient has no symptoms Including the detection of various comorbidities, including diabetes, high blood pressure. High blood fats, etc. Therefore, patients should be advised to see a medical professional. for further examination

Diagnosis

Most are initially diagnosed by radiographs. The abdominal ultrasound is mainly to look at the appearance of the liver with the accumulation of fat. together with the liver enzyme test whether there is hepatitis or not and relying on additional tests to differentiate other diseases that cause hepatitis or fat accumulated in the liver away By additional examination, the doctor will consider the examination in each patient as follows:

Blood test
liver function test
Screening for hepatitis B and C viruses
Examination for various comorbidities, such as blood sugar and sugar accumulation, blood lipid measurement, etc.

Measurement of liver fibrosis

Currently, the standard method used to assess liver fibrosis is called fibroscan or transient elastography. This test aims to measure the elasticity of the liver. and to interpret the results into the quantity of fibrosis in the liver This quantity of liver fibrosis chart is important information for further planning for patient care. The newer fibroscan can also measure the amount of fat in the liver. The method of examination can be done easily by touching the probe to the patient’s skin. and transmit sound waves to the liver area It can be done easily, quickly and painlessly.

Another alternative method for measuring liver fibrosis is electromagnetic imaging. (MRI) using electromagnetic waves together with a special device for measuring the flexibility of the liver tissue to interpret the results into liver fibrosis.

Liver tissue examination

is rarely used today. Because there are other tools that can be replaced without making the patient painful. But in some patients, the cause of hepatitis is unclear. A liver biopsy may be considered for microscopic examination on an individual basis.

Treatment Method

Weight loss is a good remedy. and the most effective in treating fatty liver disease Because it can reduce both the amount of fat, inflammation and the amount of fibrosis in the liver. In addition, weight loss has a beneficial effect on various comorbidities such as diabetes, high blood pressure and hyperlipidemia. Doctors generally recommend that patients lose 5-10 percent of their original weight.