"Thin people" also have fatty liver?Health management doctors said that these "invisible" fat should be alert to
Author:Southern Medical University Sh Time:2022.08.11
With the change of modern human lifestyle, fatty liver has become the world's largest chronic liver disease, and it is an important cause of abnormal health indicators in healthy liver testing. According to epidemiological research, about 10-20%of people diagnosed with fatty liver are "thin".
Recently, there is a young woman who is slim and does not drink. The B -ultrasound results indicate mild fatty liver, and she feels very puzzled. Why is it? Is the fatty liver and fatty liver be harmful? How to manage healthy? Do I need to take medicine? Below is the knowledgeable fatty liver knowledge full of dry goods, which is detailed for you.
Thin -human fatty liver is not a benign disease
"Thin people" means that the weight index is normal. Although the fat is less subcutaneous, the visceral fat may be relatively large. Unlike the increased subcutaneous fat, it can be easily found on the outside, and the increase in visceral fat is often more hidden.
Thin fatty liver is not a benign disease, because it will develop into more severe liver diseases, such as hepatitis and liver fibrosis, which leads to liver cirrhosis and even liver cancer. In addition, many studies have shown that compared with the obese fatty liver test, the risk of lean fatty liver has increased risk of type 2 diabetes (T2DM), and it has increased due to mortality.
Therefore, we must pay attention to the fatty liver. However, most people with fatty liver did not notice any symptoms in the early stages of the disease. Most of them accidentally found fatty liver during other examinations, such as health examination.
In clinical practice, abdominal ultrasound is sufficient to detect liver fat (fat degeneration). However, type B ultrasound diagnosis of mild fatty liver is low, and its specificity needs to be improved, because the typical characteristics of fatty liver can also be observed when diffuse liver fibrosis and early liver cirrhosis. The instantaneous elastic imaging of the liver is a new technique of diagnosing fatty liver based on an ultrasound-based liver instantaneous elastic imaging platform. It accurately distinguishes mild liver fat changes and medium-severe liver fat changes, and can evaluate the patient's liver fibrosis. Hepatal biopsy is only used for patients with uncertain or difficult diagnosis.
"Slim people" treatment strategy of fatty liver management
The main treatment method is to change lifestyle to reduce excess weight.
Guidelines for the United States Liver Disease Research Association (AASLD) pointed out that weight loss 3-5%can improve fat degeneration, but requires greater weight loss (7-10%) to improve hepatitis and liver fibrosis. Regarding diet methods, the Mediterranean diet is recommended as the preferred diet for all fatty liver patients. "Mediterranean -style diet" refers to a healthy, simple, light and nutritious diet. This special diet structure emphasizes more vegetables, fruits, fish, seafood, beans, and nuts, followed by cereals. Especially for olive oil. In addition, insist on the exercise of aerobic exercise.
medical treatement
At present, there is no special effect of drug treatment or preventing fatty liver, so it is not immediately treated with fatty liver when it is found. However, when abnormalities such as transaminase occur, you should seek medical treatment in time and need to take medicine under the guidance of a doctor.
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