Know more fatty liver 了解更多脂肪肝 (English version)

HerbsDr
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2 بار بازدید - 2 ماه پیش - Know more fatty liver 了解更多脂肪肝
Know more fatty liver 了解更多脂肪肝

脂肪肝是一组异质性疾病,由遗传易感、环境因素与代谢应激相互作用导致,以肝细胞脂肪变为病理特征的,主要包括酒精性脂肪性肝病(简称酒精性肝病)、非酒精性脂肪性肝病以及特殊类型脂肪肝,其中以非酒精性脂肪性肝病最常见。

诱发因素
1. 体重增长太快,体重超重、肥胖,特别是腰围超标的内脏性肥胖;
2. 高血压、血脂紊乱、高血糖(糖尿病)、高尿酸血症(痛风);
3. 高热量膳食,富含饱和脂肪、反式脂肪、胆固醇,含糖饮料和深加工食品;
4. 吃得太快、太饱,喜吃零食、甜食、荤食,不吃早餐,晚餐丰盛且吃夜宵;
5.坐得太久,活动太少,缺乏体育锻炼,肌少症;
6.吸烟、饮酒、睡眠时间不足、经常熬夜;
7. 甲状腺功能减退症、垂体功能减退症、多囊卵巢综合征、睡眠呼吸暂停综合征;
8. 中老年人,营养不良、慢性肝病等患者;
9. 有肥胖、糖尿病、高脂血症、冠心病、脂肪肝家族史,以及某些特殊的遗传易感个体。
典型症状: 起病隐匿,发病缓慢,一般无症状。
少数患者有乏力、右上腹不适、睡眠障碍、便秘等症状。

部分患者有肝脏肿大,少数患者还可伴有脾脏肿大。

发展到肝硬化失代偿期时与其他原因所致的肝硬化症状相似。
伴随症状

多数患者有肥胖症、高血压病、痛风、2型糖尿病、动脉硬化性心脑血管疾病以及胆囊炎、胆石症的症状。

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Fatty liver disease is a group of heterogeneous diseases caused by the interaction of genetic susceptibility, environmental factors and metabolic stress. It is pathologically characterized by hepatocellular steatosis. It mainly includes alcoholic fatty liver disease (alcoholic liver disease for short), non-alcoholic fatty liver disease Alcoholic fatty liver disease and special types of fatty liver disease, of which non-alcoholic fatty liver disease is the most common.

Predisposing factors
1. Too fast weight gain, overweight, obesity, especially visceral obesity with excessive waist circumference;
2. Hypertension, dyslipidemia, hyperglycemia (diabetes), hyperuricemia (gout);
3. High-calorie meals, rich in saturated fat, trans fat, cholesterol, sugary drinks and highly processed foods;
4. Eating too quickly and being too full, liking snacks, sweets, and meat, skipping breakfast, eating big dinners, and late-night snacks;
5. Sitting for too long, too little activity, lack of physical exercise, and sarcopenia;
6. Smoking, drinking, insufficient sleep time, and often staying up late;
7. Hypothyroidism, hypopituitarism, polycystic ovary syndrome, sleep apnea syndrome;
8. Middle-aged and elderly people, patients with malnutrition, chronic liver disease, etc.;
9. Individuals with a family history of obesity, diabetes, hyperlipidemia, coronary heart disease, fatty liver, and some special genetic susceptibility.

Typical symptoms: Insidious onset, slow onset, generally asymptomatic.
A few patients have symptoms such as fatigue, right upper quadrant discomfort, sleep disorders, and constipation.

Some patients have liver enlargement, and a few patients may also have splenomegaly.
When the decompensated stage of cirrhosis develops, the symptoms are similar to those of cirrhosis caused by other causes.
accompanying symptoms

Most patients have symptoms of obesity, hypertension, gout, type 2 diabetes, arteriosclerotic cardiovascular and cerebrovascular diseases, cholecystitis, and cholelithiasis.

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2 ماه پیش در تاریخ 1403/03/03 منتشر شده است.
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