Fatty hepatosis yog ib yam kab mob insidious heev uas tuaj yeem ua tiav asymptomatic rau lub sijhawm ntev. Tab sis nrog kev kuaj mob raws sij hawm thiab kev kho muaj peev xwm, nws yuav luag txhua zaus kom tsis txhob muaj qhov tshwm sim tsis zoo. Thiab rau qhov no koj yuav tsum paub yuav ua li cas paub txog lub siab rog, thiab yuav kho nws li cas.
tus kab mob no yog dab tsi
Peb lub siab yog ib lub cev tshwj xeeb uas muaj peev xwm rov tsim dua tshiab. Nws yog vim qhov no tias nws tuaj yeem ua haujlwm tau ntev txawm tias nyob rau hauv cov khoom hnyav ntxiv. Hmoov tsis zoo, tib neeg feem ntau tsim txom cov khoom no, tsis tu ncua overloading lub siab. Yog li ntawd, lub cev poob nws lub peev xwm los tsim dua tshiab. Maj mam, qhov txaus ntshai txawv txav ntawm cov qauv ntawm daim siab tshwm sim. Thaum ntxov ntawm cov kev hloov pauv no feem ntau yog lub siab rog.
Nws yog dab tsi? Fatty daim siab, uas tseem hu ua kab mob uas tsis yog-alcoholic fatty siab, yog pathology uas ntau tshaj 5% ntawm lub cev qhov hnyav muaj rog.
Tus kab mob no cuam tshuam nrog kev txawv txav hauv cov txheej txheem metabolic tshwm sim hauv daim siab. Nrog qhov nopathology, ib txwm hlwb ntawm lub cev yog maj mam sau nrog cov khoom ntawm cov roj metabolism, maj mam tig mus rau hauv cov ntaub so ntswg adipose. Cov kws kho mob feem ntau hu tus kab mob no fatty siab. Thaum xub thawj, cov txheej txheem pathological qeeb heev. Tab sis raws li tus kab mob no zuj zus lawm, lub siab rog tsis kam tiv nrog nws txoj haujlwm, vim tias tag nrho lwm yam kabmob pib raug kev txom nyem.
ua rau ntawm pathology
Tus txhais mechanism nyob rau hauv kev ua txhaum ntawm cov rog metabolism. Thiab qhov no tuaj yeem yog vim muaj ntau yam. Qhov tseem ceeb ntawm lawv yog kev noj zaub mov tsis zoo, tsis sib npaug, uas ib tus neeg tsis tu ncua thauj lub cev nrog ntau cov khoom noj khoom haus, rog, thiab ntau yam khoom noj ntxiv. Nws yog vim kev noj ntau dhau qhov hnyav dhau lawm, thiab qee zaum txawm tias rog.
Muaj tseeb, txawm li cas los xij, lub siab rog tuaj yeem dhau los ua neeg nyias. Feem ntau, cov neeg mob no muaj kev ua tsis tiav hauv cov metabolism hauv carbohydrate thiab tsis muaj protein ntau. Tus mob no feem ntau ntsib los ntawm cov neeg tsis noj nqaij thiab cov neeg uas tsim txom lub cev nrog kev noj zaub mov nruj.
Ntxiv rau, muaj ntau lwm yam mob, nyob rau hauv lub xub ntiag ntawm kev loj hlob ntawm fatty hepatosis yog tsis cais.
Cov yam hauv qab no tuaj yeem ua rau tus kabmob:
- kev quav cawv, yeeb tshuaj;
-
phaus ntxiv;
- tsis ua haujlwm hauv cov txheej txheem metabolic hauv ntshav qab zib mellitus;
- nce siab enzymes;
- qee tus kab mob xws li kab mob siab C thiab B;
- kab mob pathologies,txuam nrog urea cycles txawv txav thiab rog oxidation;
- noj qee yam tshuaj, xws li cov tshuaj uas tsis yog steroidal anti-inflammatory;
- genetic yam;
- oxygen deficiency hauv plawv thiab ntsws tsis xws luag;
- hypodynamia;
- hlab ntshav siab;
- ntev kev sib cuag nrog tshuaj lom, tshuaj lom, xws li tshuaj tua kab, kev daws teeb meem, roj av.
Nyob rau tib lub sijhawm, tus neeg mob tsim cov ntshav qab zib thiab nce cov lipids hauv cov ntshav. Nyob rau tib lub sijhawm, kev pheej hmoo ntawm cov hlab plawv tsis ua haujlwm nce ntxiv.
Tus kab mob yog raws li insulin tsis kam thiab ua tsis tiav hauv cov txheej txheem metabolic, feem ntau yog carbohydrate thiab lipid. Fatty liver disease tshwm sim thaum noj fatty acid ntau dhau lawm.
Risk group
Cov neeg uas niaj hnub haus cawv, noj tshuaj hormonal lossis tshuaj tua kab mob ntev, nrog rau cov neeg ua haujlwm hauv kev lag luam phom sij, xws li kws tshuaj, kws pleev xim, miners thiab metallurgists, feem ntau yuav dhau los ua cov neeg rog rog. kab mob siab. Cov kiv cua ntawm cov khoom noj txom ncauj sai thiab cov zaub mov ceev ceev yuav muaj kev pheej hmoo ntawm kev tsim kab mob, vim tias cov khoom noj no muaj ntau yam khoom ntxiv uas ua rau lub siab ntau dhau.
Tib neeg coj txoj kev ua neej nyob tsis muaj zog kuj muaj kev pheej hmoo. Thiab tag nrho vimhais tias nyob rau hauv lub cev ntawm ib tug neeg uas tas li zaum, kua stagnation yog tsim. Qhov tshwm sim no, nyob rau hauv lem, provokes kev loj hlob ntawm pathogenic microflora uas lom lub siab thiab tag nrho lub cev.
Ntawm lwm yam, pawg pheej hmoo suav nrog cov neeg uas muaj kab mob ntawm lub plab zom mov cuam tshuam nrog kev nqus ntawm lipids thiab tsim cov kua tsib. Lub luag haujlwm tseem ceeb ntawm kev hloov pauv hauv lub siab yog ua los ntawm cov kab mob endocrine, tshwj xeeb tshaj yog ntshav qab zib mellitus, insulin tsis kam, tsis muaj qee yam tshuaj hormones.
Dab tsi yog qhov txaus ntshai pathology
Yog tias kev kho mob daim siab tsis tau pib rau lub sijhawm, cov tsos mob ntawm tus kab mob yuav loj hlob tuaj thiab thaum kawg tuaj yeem ua rau cirrhosis. Hauv 30 xyoo dhau los, nws yog qhov pathology uas feem ntau ua rau kev loj hlob ntawm cirrhosis thiab xav tau kev hloov pauv.
Tau ntau xyoo, daim siab rog tau suav tias yog kab mob benign, tab sis dhau sijhawm nws tau pom tseeb tias nrog cov kab mob no, kev pheej hmoo ntawm kev tsim cov hlab plawv thiab ntshav qab zib mellitus nce ntau.
Qhov feem ntau ntawm daim siab rog yog li 20-25%, thiab cov neeg rog rog - txog 90%. Feem ntau, tus kab mob tshwm sim thaum muaj hnub nyoog 40-60 xyoo. Nws muaj ntau dua ntawm cov poj niam.
Cov tsos mob ntawm daim siab
Kev kho mob ntawm cov kab mob no feem ntau qeeb rau ib qho laj thawj yooj yim: tus kab mob no asymptomatic. Tshwj xeeb tshaj yog thaum nws los txog rau theem pib. Tab sis dhau sij hawm, kev hloov hauv daim siab los ntawm hom rog rog tseem ntxeev siab rau nws tus kheej, thiab tus neeg pib qhia qee yam cim ntawm tus kab mob.
UsuallyCov neeg mob yws txog:
- tsis xis nyob hauv txoj cai hypochondrium;
- daim siab loj, nws txawv txav protrusion;
- iab hauv qhov ncauj;
- nausea;
- kev xav hnyav hauv cheeb tsam sib raug.
Kev hloov pauv tshwj xeeb tuaj yeem kuaj pom los ntawm ultrasound.
Diagnosis
Txoj hauv kev tseem ceeb txhawm rau txheeb xyuas qhov hloov pauv hauv lub siab los ntawm hom rog yog ultrasound. Uas tso cai rau koj los ntsuas tsis tsuas yog qhov loj ntawm lub cev, tab sis kuj nws cov qauv. Tab sis ultrasound qhia tias muaj cov ntaub so ntswg adipose tsuas yog tias nws nyob ntau dua 30% ntawm daim siab.
Indirect elastometry, ua rau lub cim tshiab "Fibrascan", suav hais tias yog ib qho kev qhia paub ntau dua thiab raug kev kuaj xyuas. Cov txheej txheem no tso cai rau koj kom sai thiab tsis muaj cov ntaub so ntswg raug mob los kuaj xyuas cov kev hloov hauv daim siab los ntawm hom fatty hepatosis. Thaum lub sij hawm kuaj xyuas, pathology tuaj yeem kuaj pom, txawm tias qhov ntim ntawm cov ntaub so ntswg adipose tsis tshaj 5%. Nws tseem yuav cawm tau tus neeg mob txoj sia.
Yuav ua li cas kho lub siab rog
Kev kho kab mob siab yog qhov nyuaj heev, tab sis tsim nyog. Kev kho mob rau daim siab yog txhawm rau tshem tawm cov lipids ntau dhau los ntawm lub cev puas tsuaj thiab ua kom cov txheej txheem metabolic stabilizing. Tsuas yog nyob rau hauv txoj kev no tuaj yeem ua tiav tag nrho.
Txawm qhov ua rau lub siab rog, kev kho mob yuav tsum pib nrog kev hloov pauv ntawm tus neeg mob lub neej. Thaum khoHepatosis xav tau:
- qis dua, tshem tawm phaus ntxiv;
- tshem tawm cov khoom noj rog thiab kib, dej qab zib thiab cawv los ntawm cov ntawv qhia txhua hnub;
- tawm dag zog tsis tu ncua;
- noj tshuaj;
- hloov mus rau kev noj zaub mov kom zoo.
Lub siab rog yog kho los ntawm endocrinologists thiab hepatologists. Thawj tus kws tshaj lij cuam tshuam nrog kev tshem tawm thawj qhov ua rau pathology, thiab qhov thib ob - qhov tshwm sim ntawm lawv cov cawv.
Yog koj twb tau kuaj mob lawm, txhob tso tseg. Kev kho raws sij hawm thiab kev muaj peev xwm cuam tshuam tuaj yeem txhim kho qhov kev cia siab ntawm tus kab mob insidious.
Cov tsos mob tseem ceeb ntawm daim siab rog yog qhov sib sau ntawm cov rog hauv nws cov hlwb. Tab sis tsis txhob hnov qab tias lub cev no muaj ib tug tshwj xeeb muaj peev xwm rov qab. Yog li lub xeev ntawm hepatosis tuaj yeem thim rov qab, yam tsawg kawg ib nrab. Muaj tseeb tiag, tsuas yog nyob rau hauv cov xwm txheej uas kev siv zog ua los ntawm tus neeg mob nws tus kheej thiab tsis muaj kab mob siab mob hnyav.
Drug therapy
Rau kev kho kab mob siab, thawj kauj ruam yog tshem tawm cov kev tawm tsam uas ua rau lub siab tsis muaj zog thiab cuam tshuam rau nws txoj haujlwm. Qhov tseem ceeb tshaj plaws hauv kev kho mob yog kev noj zaub mov ua ke nrog kev kawm lub cev. Tab sis nrog qhov kev kuaj mob zoo li no, qee yam tshuaj kuj tseem ceeb.
Ntau hom tshuaj tuaj yeem raug sau rau kab mob siab: txhawm rau tshem tawm cov tsos mob ntawm daim siab rog, kev ua tsis zoo ntawm kev zom zaub mov thiab kev nqus,Restoration ntawm lub cev thiab normalization ntawm lub zog ntawm lub biliary system.
Feem ntau hauv cov kws kho mob siv:
- tshuaj lipotropic uas tswj cov lipid metabolism - lipoic acid, vitamin B12, "Lipocaine", "Essentiale", "Methionine";
- txhais tau tias tsim los ua kom cov ntshav khiav zoo - B vitamins thiab folic acid;
- steroids uas ua rau cov protein ntau ntau - "Retabolil", "Methandrostenolone";
- hepatoprotectors - "Ripazon", "Prohepar", "Urosal", "Sirepar";
- Qhov tseem ceeb phospholipids uas muaj polyunsaturated omega-3 fatty acids.
Basic of Nutrition
Nyob rau hauv kev kho mob ntawm lub siab uas tsis yog-alcoholic fatty siab, kev sib npaug, kev noj zaub mov kom raug los ua ntej. Kev noj zaub mov zoo pab tshem tawm thawj qhov ua rau tus kab mob thiab tiv thaiv nws txoj kev vam meej ntxiv.
Rau cov neeg mob uas muaj qhov kev kuaj mob no, nws yog ib qho tseem ceeb heev uas yuav tsum ua raws li cov cai ntawm cov khoom noj khoom haus fractional - pluas noj yuav tsum tshwm sim tsawg kawg 5 zaug hauv ib hnub, tab sis qee qhov me me, qhov loj ntawm lub nrig. Nws yog ib qho tseem ceeb sib npaug rau kev saib xyuas kev haus dej haus cawv - thaum nruab hnub koj yuav tsum haus dej tsawg kawg ib thiab ib nrab litres dej. Tag nrho cov no yog qhov tsim nyog los qhib cov metabolism, uas yuav pab kom lub siab ua haujlwm zoo - yog li nws yuav tsis ua haujlwm ntau dhau thiab tso cov lipids tsis zoo.
Dab tsi yog txwv
Nrog lub siab rog, txhua yam cawv, lub zog thiab cov dej qab zib yuav tsum raug cais tawm ntawm kev noj hausdej haus, caffeine. Tsis tas li ntawd, nyob rau hauv ib qho kev txwv categorical poob:
- khoom noj kaus poom;
- ntsim, muaj roj thiab kib zaub mov;
- Kuv muaj cov kua zaub nplua nuj thiab kua zaub ntsuab;
- nqaij thiab ntses;
- offal;
- nceb;
Yuav ua li cas thiaj muaj txiaj ntsig
Nws pom zoo kom noj zaub mov muaj fiber ntau ntau li ntau tau, zaub tshiab thiab hau, zaub stews thiab zaub xam lav.
Kev noj zaub mov rau cov kab mob siab tsis tuaj yeem ua yam tsis muaj dib, zaub qhwv, taub dag, carrots, zucchini, beets.
Raws li cereals, nws yog qhov zoo tshaj plaws los muab kev nyiam rau mov, buckwheat, oatmeal. Koj tuaj yeem ntxiv cov nqaij ntshiv thiab ntses, nqaij nruab deg, borscht, pickles, kua zaub rau cov khoom noj, tab sis siav hauv cov nqaij ntshiv.
Koj tuaj yeem noj ntau tshaj 4 lub qe nyob rau lub lim tiam, cov cheese yuav tsum yog nruab nrab. Bread yuav tsum tau xaiv los ntawm wholemeal hmoov. Cov zaub ntsuab muaj txiaj ntsig zoo - lettuce, dill, parsley, nrog rau txhua yam tshuaj yej thiab decoctions los ntawm sawv hips, roob tshauv, txiv qaub balm, mint. Tag nrho cov tais diav yuav tsum ci, stewed, boiled los yog steamed.
Sample menu
Feem ntau, cov ntawv qhia zaub mov yuav tsum sib npaug thiab ua raws txhua txoj cai:
- Yuav tsum tau txo cov roj saturated hauv cov zaub mov. Hauv lwm lo lus, koj yuav tsum tsis kam lees cov rog rog, uas tau tsim thaum lub sijhawm kib,margarine, nqaij liab, txiv maj phaub thiab xibtes roj.
- Txo qhov ntim hauv cov ntawv qhia zaub mov yooj yim - kua txiv hmab txiv ntoo, jams, dej qab zib.
-
Ua kom koj tau txais cov roj ntsha monounsaturated fatty acids uas muaj nyob hauv cov txiv ntoo, soy, txiv roj roj, noob paj noob hlis. Tib yam mus rau polyunsaturated fatty acids - lawv tuaj yeem pom hauv cov noob flax, ntses hiav txwv thiab lettuce.
Kev noj zaub mov kom rog rog - Ntxiv oligofructose rau kev noj haus, uas yog ib qho probiotic thiab muaj txiaj ntsig zoo rau microflora ntawm lub plab zom mov. Cov carbohydrates no kuj muaj txiaj ntsig zoo rau lipid thiab ntshav qab zib, thiab tseem muaj cov nyhuv tiv thaiv. Koj tuaj yeem pom cov khoom tseem ceeb hauv chicory, leeks, qej, artichokes, asparagus.
Ntawm txoj kev kom rov zoo, cov qauv zaub mov rau lub siab rog rau ib lub lim tiam yuav pab koj:
- Hnub Monday. Noj tshais - oatmeal kua zaub, rye qhob cij thiab ib daim ntawm cheese. Qhov thib ob noj tshais yog pear. Noj su - mov, ntses meatballs, compote. Khoom txom ncauj - ib khob ntawm skimmed mis nyuj nrog ob peb crusts ntawm crackers. Noj hmo - vinaigrette, boiled qe, kefir thiab me ntsis qhuav apricots.
- Tuesday. Noj tshais - semolina porridge nrog strawberry jam, milkshake nrog muesli. Noj su - tsev cheese tsis muaj rog nrog cov txiv hmab txiv ntoo tshiab los yog qaub cream. Noj su - ib khob mis nyuj, mov kua zaub, yob ntawm cov nqaij noj. Khoom txom ncauj - zaub xam lav ntawm grated carrots. Noj hmo - beetroot zaub xam lav nrog txiv ntseej thiab txiv hmab txiv ntoo qhuav, zaub qhwv yob nrog mov thiab nqaij qaib, tsis muaj zog tshuaj yej ntsuab.
- Wednesday. Noj tshais - pancakes los ntawm semolina thiab raisins, Berry pudding los ntawm tsev cheese, tshuaj yej nrog mis nyuj. Noj su - tshiab txiv hmab txiv ntoo puree. Noj su - buckwheat kua zaub, ib daim ntawm nqaij nyuj, dib thiab zaub xam lav. Khoom txom ncauj - ci txiv apples nrog zib mu. Noj hmo - pike perch ci hauv qaub cream, mashed qos yaj ywm los yog mov porridge.
- Thursday. Noj tshais - syrniki nrog qhuav apricots, ib feem ntawm buckwheat, rosehip broth, ib daim ntawm cheese. Noj su - kua txiv carrot, ib feem ntawm cov tsev cheese tsis muaj rog. Noj su - ntses fillet ci nyob rau hauv qaub cream, taub dag porridge thiab ntsuab tshuaj yej tsis muaj suab thaj, koj muaj peev xwm ntxiv zib mu. Khoom txom ncauj - omelet los ntawm ob lub qe nrog mis nyuj. Noj hmo - boiled los yog stewed cabbage, mov, kua txiv apple.
- Friday. Noj tshais - scrambled qe nrog zaub, zaub xam lav zaub xam lav thiab ib daim ntawm cheese, kua txiv hmab txiv ntoo los yog compote. Noj su - yogurt, txhua yam txiv hmab txiv ntoo. Noj su - lean kua zaub nrog zucchini, steamed cod, ib khob ntawm skim mis nyuj. Khoom txom ncauj - mov los yog semolina pudding. Noj hmo - nqaij qaib casserole, qaug zog dub tshuaj yej, marshmallows.
- Hnub Saturday. Noj tshais - oatmeal nyob rau hauv cov mis nyuj, muaj roj tsawg tsev cheese nrog pomegranate, jelly los ntawm berries. Noj su - boiled cabbage nrog mov, ib khob ntawm yogurt. Noj su - beetroot kua zaub, nqaij nyuj cutlet, buckwheat, pear kua txiv. Khoom txom ncauj - applesauce nrog carrots. Noj hmo - nqaij nyuj ci, stewed cabbage nrog carrots, kua txiv hmab txiv ntoo.
- Sunday. Noj tshais - ib qho omelet los ntawm ob lub qe, ib qho kev pab ntawm tsev cheese nrog grated txiv hmab txiv ntoo, ib tug milkshake nrog berries. Noj su - vinaigrette thiab ib daim ntawm boiled ntses. Noj su - ntses cutlets, mashed qos yaj ywm, zaub zaub xam lav, compote. Khoom txom ncauj - pasta casserole nrog zaub thiab cheese, tshuaj ntsuab decoctionnrog zib mu. Noj hmo - ntses kua zaub, taub dag thiab kua zaub xam lav, ib khob ntawm skim mis nyuj.
Ntawm lwm yam, sim zam kev noj zaub mov uas muaj monosodium glutamate. Cov tshuaj no ua rau muaj kev pheej hmoo ntawm kev tsim cov rog rog rog. Nws kuj ua rau mob thiab ua rau cov ntshav lipid nce ntxiv.
Cov khoom noj no tso cai rau koj los txo cov tsos mob ntawm daim siab rog, ua kom cov qib lipid zoo, tiv thaiv kev kis tus kab mob ntxiv thiab txo qhov mob hnyav. Tsis tas li ntawd, xws li kev noj haus pab kom tshem tawm qhov hnyav dhau. Tab sis kev tshaib plab nrog tus kab mob no tsis pom zoo.
kho mob qoj ib ce
Cov neeg mob tau kuaj pom tias "fatty hepatosis" yuav tsum tsis txhob siv lub zog thauj khoom thiab lean ntawm dumbbells, nws tseem tsis muaj txiaj ntsig rau koj tus kheej nrog kev ua haujlwm cardio. Rau qhov pib, lub nra nruab nrab yog txaus, piv txwv li, taug kev rau ib nrab teev. Tom qab qee lub sijhawm, koj tuaj yeem nkag mus rau me me cardio workouts. Yog li koj tuaj yeem maj mam ntxiv dag zog rau cov leeg thiab normalize cov calories noj. Nrog rau cov kab mob rog rog, kev cob qhia ua haujlwm, txawm tias tsis tau tshem tawm cov phaus ntxiv, yuav pab txhim kho lub cev puas tsuaj.
Tab sis koj yuav tsum nkag siab tias qhov kev poob phaus tsis yog ntau tshaj 0.5 kilograms hauv lub lim tiam. Tab sis tam sim ntawd poob ceeb thawj entails ib tug loj heev tawg rog ntawm fatty acids, vim hais tias cov khiav ntawm cov dawb fatty acids mus rau hauv lub cev cuam tshuam. Yog li ntawd, es tsis txhob txhim khoescalate.
Txoj Kev Kho Mob
Feem ntau fatty hepatosis tshwm sim tawm tsam keeb kwm ntawm ntshav qab zib. Nyob rau hauv cov xwm txheej zoo li no, nws yog ib qho tseem ceeb kom nkag siab tias kev kho mob ntawm tus kab mob yuav tsuas yog tsis muaj txiaj ntsig yam tsis muaj kev tswj hwm cov kab mob hauv qab thiab cov ntshav qab zib. Hauv cov xwm txheej siab, kev kho yuav tsum tau ua raws li kev saib xyuas tas li ntawm tus kws tshaj lij.
Nws tsis muaj qhov zais cia tias cov zaub mov thiab cov vitamins ua lub luag haujlwm tseem ceeb hauv kev noj qab haus huv thiab kev noj qab haus huv. Raws li kws kho mob, ntau ntawm lawv ua lub luag haujlwm tseem ceeb hauv kev tiv thaiv thiab kev kho mob ntawm fatty hepatosis. Piv txwv li, B vitamins pab tshem tawm thiab tshem tawm cov co toxins thiab lwm yam teeb meem hauv lub cev, txhim kho kev zom zaub mov thiab txo cov roj cholesterol.
Ntawm tag nrho cov vitamins B, nws tsim nyog hais txog B4-choline. Cov ntsiab lus no koom nrog hauv kev txav thiab metabolism ntawm lipids hauv daim siab.
Tsis txhob hnov qab txog cov vitamins C thiab E, uas yog ntuj antioxidants. Cov tshuaj no zoo tua cov dawb radicals.
Vim qhov tseeb tias daim siab rog feem ntau tsis tshwm sim nws tus kheej, koj yuav tsum mus ntsib kws kho mob tshwj xeeb thiab kuaj xyuas kom tsim nyog. Thiab thaum kho, nws tseem ceeb heev uas yuav tsum ua raws li txhua tus kws kho mob cov lus qhia.
