Fatty liver, in layman’s terms, refers to the accumulation of fat in liver cells caused by various reasons. When a normal person consumes a nutritious meal, the fat content in the liver only accounts for 4% to 7% of its weight. Once the liver's absorption and utilization of lipids is out of balance for some reason, the amount of fat in the liver increases. When the fat content exceeds 5% of the liver weight (wet weight), it is called fatty liver. In severe cases, it can reach 40% of the liver weight. %~50% or more.

According to different causes, fatty liver can be divided into obesity fatty liver, alcoholic fatty liver, malnutrition fatty liver, drug-induced fatty liver, acute fatty liver of pregnancy, diabetic fatty liver, etc. .

Possible symptoms of fatty liver include: nausea and vomiting; spider nevus (formed by the expansion of the terminal branches of small arteries in white skin, resembling a spider, so it is called spider nevus), which mostly appears on the face, neck, back of hands, upper arms, and forearms. Chest, shoulder and other parts. During examination, use fingertips or needles to press the center of the mole, and its radial small blood vessel network will fade immediately and can be restored after removing the pressure); liver palm (the thenar area of ??the palm of the hand is often red and fades after applying pressure). ; Endocrine disorders, such as male breast development, impotence, female amenorrhea or menorrhagia, and weight changes. A smaller number of patients develop jaundice.

Very mild fatty liver may have no symptoms and is easily missed. According to reports, more than 25% of patients may be clinically asymptomatic, and the clinical symptoms of fatty liver are directly proportional to the degree of fatty infiltration in the liver. With treatment, symptoms can disappear after excess fat is removed from the liver. Obese people, diabetics and people with long-term risk factors for fatty liver should pay attention to their livers to prevent the occurrence of fatty liver.

At present, there is no ideal treatment drug for fatty liver. The main treatment measures are:

Treat the primary disease and "correct the disease factors";

Dietary treatment, Correct nutritional imbalance;

Adopt drugs to lower lipids, protect liver, reduce jaundice, prevent liver cell necrosis, inflammation, liver fibrosis and further deterioration of liver function;

Necessary exercise, Maintain weight;

Maintain relatively normal blood lipid and blood sugar levels.

Dietary adjustment is an indispensable and important part in the treatment of fatty liver. The diet of patients with fatty liver should be based on high protein and appropriate fat, focusing on maintaining the balance of various amino acids, and timely supplementation of various vitamins. Patients who exceed the standard weight should limit their total calorie intake, pay attention to preventing and treating hyperlipidemia during the diet adjustment process, and eat foods containing less cholesterol and triglycerides, that is, a "low-fat diet."

In addition, patients with fatty liver should control their sugar intake, avoid sweets, limit fat intake, and eat less high-cholesterol foods such as fish roe, fatty meat, animal offal, and egg yolks.

Families with patients with fatty liver should use less cooking methods such as frying, deep-frying, and roasting. When cooking, they should use less oil or only vegetable oil, such as soybean oil, sesame oil, peanut oil, vegetable oil, etc., to ensure Low fat. Eat more fresh green leafy vegetables, and eat less foods with higher sugar content such as potatoes, taro, and yams. It is not advisable to use onions, ginger, garlic, chili, pepper and other condiments that are irritating to the liver.

Because smoking can lead to an increase in serum total cholesterol in the blood and an increase in serum triglyceride levels, which affects the synthesis and transport of triglycerides, leads to the accumulation of triglycerides and produces fatty liver, so fatty liver The patient should quit smoking.

For normal people, drinking a small amount of alcohol is good for health. Drinking a small amount of alcohol can promote blood circulation and prevent diseases such as atherosclerosis. However, alcohol is mainly metabolized in the liver. Long-term excessive drinking can lead to alcohol poisoning, and alcohol is also one of the causes of fatty liver. Therefore, especially patients with alcoholic fatty liver disease and those with fatty liver disease and abnormal liver function should avoid alcohol. .

The vast majority of patients with chronic fatty liver disease, if treated early, can prevent the further development of fatty liver disease, or even reverse it and achieve complete cure.