Diagnosis and treatment of fatty hepatosis of the liver

The symptoms of hepatosis depend on the cause of the disease, however, liver failure, jaundice and digestive disorders are common to all hepatosis. Diagnosis of hepatosis includes ultrasound of the gallbladder, liver and bile ducts, liver MRI and biopsy. There is an acute and chronic form of hepatosis. However, the most common form of the disease is fatty hepatosis.

Types of hepatosis

Allocate acquired and hereditary hepatosis.

Acquired hepatoses, i.e. developed during life under the influence of a number of factors:

toxic hepatosis: chronic liver disease due to toxic effects,
fatty hepatosis: chronic liver disease due to fatty dystrophy of liver cells with fat deposition.

Hereditary hepatosis caused by a defect in the genes:

Gilbert's disease: violation of elimination of the toxic effect of bilirubin in liver cells,
Dabin-Johnson syndrome: impairment of the movement of bound bilirubin from the liver to the bloodstream in liver cells with the accumulation in the liver of a large amount of pigment, giving it a blue-green, dark color,
Rotor syndrome: differs from Dabin-Johnson syndrome by the lack of pigment accumulation.

Causes of hepatosis liver

Causes of hepatosis are divided into two groups: external and hereditary.

Causes of fatty hepatosis of the liver include:

  • alcohol abuse
  • thyroid disease,
  • diabetes,
  • obesity.

The causes of toxic hepatosis of the liver include:

  • poisoning with large doses of alcohol or its substitutes,
  • toxic poisoning
  • drug abuse
  • poisonous poisonous mushrooms and plants.

Hereditary hepatosis develops in metabolic disorders in the liver.

The following factors lead to exacerbations in hereditary hepatosis:

  • stresses
  • starvation,
  • drinking alcohol,
  • low calorie diet
  • excessive exercise
  • severe infections
  • traumatic surgery
  • taking some antibiotics
  • use of anabolic steroids.

Fatty hepatosis of the liver: treatment, symptoms, causes, stages, diagnosis, diet, prognosis and prevention

This occurs when reducing the amount of substances involved in the processing of fats. As a result, the formation of phospholipids from fats, beta-lipoproteins, lecithin and fats are deposited in the liver cells.

As the process progresses, the liver loses its ability to neutralize toxins. Fat cells can be transformed, resulting in fibrosis, and then - cirrhosis of the liver. As a rule, fatty hepatosis of the liver occurs in a chronic form.

Causes of fatty liver hepatosis

The main causes of fatty hepatosis include:

  • obesity,
  • metabolic diseases
  • hypodynamia,
  • binge eating,
  • vegetarianism in violation of carbohydrate metabolism,
  • weight loss diets
  • deficiency in the body alpha-antitrypsin,
  • antiviral treatment for HIV,
  • vitamin A overdose
  • diseases of the organs of internal secretion
  • systematic abuse of alcohol,
  • radiation exposure
  • diseases of the digestive system.

In addition, long-term intake of certain medications leads to fatty hepatosis:

  • cordarone,
  • diltiazem,
  • expired tetracycline,
  • tamoxifen.

Factors contributing to the development of the disease are:

  • food semi-finished products and junk food,
  • high blood pressure
  • diabetes,
  • gout,
  • atherosclerosis,
  • pregnancy,
  • carriage of human papillomatosis virus.

One of the reasons for the development of fatty hepatosis of the liver can be hormonal alteration of the female body during pregnancy. Influences and overeating, characteristic of expectant mothers.

Stages of fatty liver

According to the degree of accumulation of lipids and the volume of hepatocyte damage in the development of fatty hepatosis of the liver, there are 3 stages:

Separate foci of clusters of cells with a high content of triglycerides (mixtures of glycerol and fatty acids) appear.

Characterized by an increase in the area of ​​foci and the beginning of the growth of connective tissue between the hepatocytes.

The areas of connective tissue are clearly visible, and the area of ​​accumulation of fat cells is very large.

Symptoms of fatty liver

Fatty hepatosis for a long time without symptoms.

Most patients do not pay attention to the first signs of the disease, which are:

  • nausea,
  • increased gas formation,
  • heaviness or discomfort on the right under the ribs,
  • alopecia,
  • reduced performance
  • deterioration of coordination.

As the disease progresses, the following symptoms occur:

  • constant nausea
  • pain in the right side under the ribs,
  • constipation
  • increased fatigue
  • bloating
  • allergic manifestations
  • skin rashes,
  • blurred vision
  • intolerance to fatty foods.

If liver hepatosis is not treated, symptoms of liver cirrhosis and liver failure appear:

  • behavior change
  • jaundice,
  • the monotony of speech
  • weakness,
  • aversion to food
  • ascites,
  • violation of coordination.

Diagnosis of fatty liver

A preliminary diagnosis of fatty hepatosis can be made on the basis of the patient's history and complaints. To confirm the diagnosis, instrumental methods of examination are used: ultrasound, computed and magnetic resonance imaging, biopsy. The level of cholesterol in the patient’s blood is often elevated.

Treatment of fatty liver

To achieve a positive effect in the treatment of fatty hepatosis, a strict diet and measures are needed to reduce body weight, which helps eliminate fats from hepatocytes, reduces the risk of developing concomitant inflammation of the liver and the formation of connective tissue in it. In addition to reviewing nutrition, stopping alcohol intake, patients are shown taking drugs from the group of hepatoprotectors.

The following drugs are used in the treatment of fatty hepatosis of the liver:

Preparations based on herbal ingredients:

Essential phospholipid preparations:

Preparations based on alpha lipoic acid:

Preparations improving blood viscosity properties:

Also appointed:

  • taurine preparations
  • hepatoprotector "Heptral,
  • selenium preparations,

If there are no stones in the hepatic ducts, choleretic drugs are prescribed:

  • B-group vitamins for removing fats from the liver,
  • antioxidants: vitamins A and E.

If a patient has diabetes, he needs an endocrinologist's consultation for prescribing anti-sugar drugs or insulin. When high triglycerides are detected in the blood, drugs from the group of statins (Lovastatin, Atorvastatin) or fibrates (Clofibrate, Bezafibrat) are prescribed.

In addition, other treatment methods are prescribed:

  • ultrasound treatment
  • intravenous laser blood irradiation
  • phytotherapy,
  • hirudotherapy

Diet for fatty hepatosis of the liver

A person who has been diagnosed with fatty hepatosis of the liver should completely reconsider their lifestyle and diet, in which it is necessary to eliminate the consumption of animal fats.

In this case, food should include foods that help dissolve the fat deposited in the liver. Eating should be 5 times a day, in small portions, in order to reduce the burden on the liver.

  • fatty dairy products: sour cream, cream, cheese,
  • carbonated drinks,
  • White bread,
  • fried foods
  • sausage,
  • broiler chickens in any form,
  • margarine,
  • mayonnaise,
  • alcohol,
  • pasta,
  • mushrooms,
  • sweets and baking
  • fast food,
  • radish,
  • canned food
  • spicy dishes.

  • boiled, steamed or steamed vegetables,
  • steam omelets,
  • boiled and stewed fish, lean meat,
  • milk,
  • boiled eggs,
  • porridge,
  • green tea,
  • parsley,
  • dill,
  • milk and vegetarian soups,
  • 1% kefir or yogurt.

It is advised to include in the diet as much as possible foods containing vitamin B15 (pantogamic acid):

  • rice sprouts
  • melon,
  • watermelon,
  • pumpkin,
  • apricot pits,
  • rice bran and brown rice,
  • Brewer's yeast.

Every morning you need to start with a glass of carrot juice, which helps the liver cells to recover.

Prognosis and prevention of fatty hepatosis

The prognosis for fatty hepatosis is favorable. The first results of the treatment started in a timely manner become visible after 2-4 weeks.

Prevention of fatty hepatosis of the liver is to comply with the following rules:

  • weight control,
  • sufficient physical activity
  • alcohol restriction,
  • healthy food
  • taking medications only on prescription.

Symptoms of hepatosis of the liver

Symptoms of chronic hepatosis in the initial stages are not expressed, but over time there is a gradual increase in signs of liver failure. As the disease develops, the patient may experience the following unpleasant symptoms:

  • feeling tired
  • feeling of heaviness in the right hypochondrium,
  • weakness,
  • nausea and vomiting,
  • constipation and flatulence,
  • intolerance to fatty foods,
  • abdominal distention,
  • feeling of pain in the abdomen.

The appearance of one of these signs indicates the transition of hepatosis to a dangerous stage. Hepatosis of the liver is a common cause of cirrhosis and even liver cancer, so you need to pay attention to the occurrence of these symptoms and consult a doctor promptly.

Symptoms of acute hepatosis liver develop rapidly. The disease manifests itself in the form of digestive disorders, accompanied by severe intoxication and jaundice. At the initial stage of the disease, the liver slightly increases in size, when probing it is soft, with time the percussion size of the organ becomes smaller, and palpation becomes impossible.

Diagnosis of hepatosis of the liver

Which doctor should be consulted for hepatosis:

They reveal the presence of various lesions in the liver and prescribe the necessary treatment.

Diagnosis of hepatosis begins with the exclusion of other pathologies of the liver. To do this, a blood test is performed to determine antigens or antibodies to viral hepatitis, biochemical liver samples, stool and urine tests for bile pigments, and coagulograms.

Diagnosis for which you should check the liver:

  • visceral abdominal obesity,
  • insulin resistance,
  • hyperinsulinemia,
  • microalbuminuria,
  • hemostasis disorders.

Ultrasound of the liver and gallbladder is quite informative method at the first stage of diagnosis, which allows you to identify morphological and structural changes in the liver. On ultrasound, there is a uniform enlargement of the liver, a diffuse increase in its density, with preservation of its homogeneity, etc. More detailed information can be obtained using magnetic resonance imaging and computed tomography.

In CT, a pronounced diffuse decrease in densitometric indices of the liver parenchyma is detected and, as a rule, an increase in the size of the organ is observed. It is possible to identify limited areas of fatty infiltration, surrounded by unchanged liver tissue. The final diagnosis of hepatosis can be confirmed by a liver biopsy, unless contraindicated.

General plan for the diagnosis of hepatosis:

  • analysis of the history of the disease and complaints
  • life history analysis,
  • family history analysis,
  • examination of the skin, the identification of pain when probing the liver, pancreas, spleen,
  • clinical blood test,
  • blood chemistry,
  • coagulogram,
  • general urine analysis,
  • blood test for viral hepatitis,
  • coprogram
  • analysis of feces on the eggs of the worm,
  • Ultrasound of the abdominal organs,
  • CT scan of the abdominal organs for a more detailed assessment of the liver,
  • esophagogastroduodenoscopy,
  • liver biopsy
  • elastography - the study of liver tissue in early pregnancy.

Hepatosis treatment of the liver

Tactics of treatment of each type of hepatosis is determined by its etiology. Patients with symptoms of acute hepatosis are hospitalized. When poisoning is necessary as soon as possible to conduct therapeutic measures aimed at accelerating the elimination of toxins.

In addition, the aim of emergency treatment is to fight hemorrhagic syndrome, intoxication and low levels of potassium in the blood. In severe pathology, the appointment of corticosteroids and therapy of liver failure.

One of the most powerful natural detoxicants is alpha-lipoic (thioctic) acid, which is able to remove virtually any poisons from the body. Doctors recommend taking thioctic acid to protect the liver - in particular, Thioctacid. It is available both in ampoules of Tioctacid 600T, and in a quick release tablet form Thioctacid BV, does not contain any impurities - lactose, cellulose, starch, propylene glycol.

Thioctic acid in its composition takes an active part in the work of the liver - it binds and removes heavy metals and toxins from the body, reduces oxidative stress, restores liver cells - hepatocytes. In addition, normalizing the metabolism of fats, thioctic acid protects the liver from fatty degeneration in hepatosis.

Chronic hepatosis

In chronic hepatosis of the liver, it is important to prevent the harmful effects of the active factor, the use of alcohol is prohibited. The patient is prescribed a diet low in fat and high in animal protein.

Lipotropic factors such as choline chloride, lipoic acid, folic acid are recommended. Assigned to vitamin B12 and the preparation with an extract of liver hydrolyzate - "Sirepar". In the treatment of chronic hepatosis, corticosteroids are prescribed. Patients need medical supervision.

Non-alcoholic fatty hepatosis

In the treatment of non-alcoholic fatty hepatosis, the main importance is given to compliance with the diet and moderate physical exertion. Reducing the total amount of fat and carbohydrates in the diet, along with increasing doses of protein, leads to a decrease in fat in the liver. Also with non-alcoholic hepatosis, the appointment of membrane stabilizers and hepatoprotectors is indicated.

Hereditary hepatosis

Hereditary hepatosis require careful treatment of their health. Such patients should choose a job that excludes heavy physical and mental stress.

Food should be healthy and varied, include all the necessary vitamins and minerals. Twice a year, you need to prescribe a course of treatment with vitamins of group B. Physiotherapy and sanatorium-resort treatment for hereditary hepatosis is not shown.

Gilbert's disease

Gilbert's disease does not require special therapeutic measures - even with complete absence of treatment, the level of bilirubin usually spontaneously normalizes to 50 years. Among some experts, there is a perception that hyperbilirubinemia in Gilbert's disease requires the constant use of agents that temporarily reduce the level of bilirubin (phenobarbital).

Clinical studies prove that this tactic does not improve the patient’s condition, but leads to depressive disorders. The patient is formed the opinion that he suffers from a serious incurable disease that requires constant treatment.

All this often ends with severe psychological disorders. At the same time, the absence of the need to treat Gilbert's disease forms in patients a positive view of their pathology and condition.

Criggler-Nayar Syndrome

In the treatment of type 1 Criggler-Nayar syndrome, only phototherapy and the replacement transfusion procedure are effective. In the treatment of the second type of disease, enzyme inducers (phenobarbital) and moderate phototherapy are successfully used. An excellent therapeutic effect in jaundice of breast milk has a translation to artificial feeding. The remaining hereditary pigment hepatosis in the conduct of therapeutic measures do not need.

Treatment of hepatosis folk remedies

Folk remedies are effective in treating hepatosis of the liver if they are used together with the main treatment. One of the most effective medicinal plants is milk thistle, which can be purchased at a pharmacy. Chopped herbs are added to meals or taken in a teaspoon 1-2 times a day with water.

On the basis of the milk thistle extract, a legal drug was created, the active substance of which is silibinin, which strengthens the cell membranes of the liver cells and prevents the penetration of toxins into them.

Hepatoprotector Legalon promotes the activity of the liver, the regeneration of its cells and has an anti-inflammatory effect. The tool is used not only for the treatment of hepatosis, but for prevention. Legalon reduces the negative impact of animal products with a high fat content, as well as alcohol.

Other effective means are Cirepar and Essentiale Forte.

There are a number of effective folk remedies that help cure liver hepatosis.

Here are a few of them:

Pine nuts: for the restoration of liver cells it is enough to eat 1 teaspoon of raw, purified kernels per day,
peppermint infusion: for cooking you need to take 1 tbsp. l dried and crushed leaves and pour 100 ml of boiling water, then insist overnight and strain, divide the infusion into 3 equal parts and drink 1 serving during the day before meals,
rosehip infusion: 5 tablespoons of berries pour in 1 liter of boiling water in a thermos and leave for 12 hours, 200 ml should be consumed 3-4 times a day,
corn silk: in the same ratio
cinnamon: helps to reduce the amount of fat in the liver,
turmeric: is an excellent antioxidant, improves the flow of bile and reduces the amount of sugar in the blood,
sorrel curly: normalizes the activity of the gallbladder and fights against fat deposits in the liver,
artichoke: contribute to the normalization of the liver.

Diet for hepatosis of the liver

The principles of nutrition, which should be followed in the treatment of hepatosis of the liver:

eat fractional, 4-5 times a day, the portions at the same time should be small,
stop drinking alcohol
drink about 2 liters of fluid a day,
eat only balanced food
avoid high fat foods
daily fat intake should be reduced to 70 grams,
consume more protein foods
you should give preference to meat of sea fish, poultry and seafood,
you should eat olives and various salads with vegetable oil.

Prognosis and prevention of hepatosis

With the exclusion of the causes and timely treatment, the prognosis of hepatosis of the liver is favorable. Among hereditary hepatosis, the most unfavorable prognosis is of the first type of Kriegler-Nayar syndrome. Most patients die at an early age due to the toxic effects of bilirubin on the brain. The remaining types of hereditary hepatosis have a favorable prognosis.

Prevention of acquired hepatosis is a healthy lifestyle and proper nutrition, with the exception of uncontrolled intake of drugs and alcohol.

Prevention of hepatosis of the liver is to comply with the following rules:

limiting physical and psycho-emotional stress in hereditary hepatosis during exacerbation,
reduction or elimination of the influence of toxic drugs for the liver,
balanced diet,
eating foods rich in fiber,
avoiding too hot, smoked, fried and canned food,
moderate exercise
elimination of alcohol and smoking
refusal to take anabolic steroids,
annual routine inspection.

Liver Hepatosis Questions and Answers

In hepatosis, the doctor prescribed a course of treatment, including Heptral. Can I take it with JCB?

I have hepatosis 1 st, is it possible to drink Phenibut and Pentoxyfelline pills.

With care: regularly being tested for hepatosis.

Hello, tell me, is it possible to take barbat in the light stage of hepatosis of the liver?

Good evening! When fatty hepatosis can take inulin with pectin? Thank!

Among the contraindications of liver disease is not.

I was diagnosed with hepatosis for a long time, but I was not prescribed anything, I had constipation, weakness, and my gums began to bleed badly. Is this due to hepatosis?

Constipation and weakness may be associated with the development of hepatosis, tell your doctor about it for examination and treatment.

I have hepatosis of the liver. I am on hormone replacement therapy, I take femoston 1/5. Is this drug causing hepatosis? Thank.

Whether femonstone was the cause of hepatosis is difficult to say, however, liver disease is one of the contraindications for femoston.

What foods break down fats in the liver during fatty hepatosis.

Raw vegetables are ideal for dealing with the disease: cabbage, zucchini, lettuce, cauliflower, broccoli, Brussels sprouts, asparagus, beets and celery. The easiest way: drink juice from vegetables.

Since February 2016, I have chronic calcific pancreatitis, April; anastomosis; PZHZH; excision of the pancreas head according to Frey. Severe exocrine insufficiency, chronic pain syndrome. Continuing on Creon. Since March 2017, diffuse changes in the liver are set up by type of fatty hepatosis.

One of the causes of fatty hepatosis of the liver are diseases of the organs of internal secretion, including the pancreas.

I have breast cancer, I take Anastrazol, when examining an ultrasound diagnosis of fatty hyposis, I take milk thistle courses, but bilirubin straight is still elevated at a rate of 4.3 - fact 4.51, cholesterol at a rate of 5.2 - fact 6.76, LDL at a rate of 4.12, fact 5.67. Thistle meal I take 1 tsp. in the morning at breakfast. Gall bladder removed. Can you advise something? The meal was discharged by a therapist. I accept courses 2 years.

Milk thistle meal is liver protection and prevention, not treatment. We recommend on-site contact with a gastroenterologist or a hepatologist for prescribing adequate treatment.

Chronic and fatty hepatosis - is it the same thing?

"Chronic" - lasting long, prolonged or permanent. As a rule, the course of fatty hepatosis is chronic.

I have hepatosis of the liver. Forced to take from pressure Valz N. Should I replace this drug with another one?

The drug is contraindicated in violation of the liver. It all depends on the state of your liver, so this question would be more appropriate to ask your doctor.

Can gallstone disease be the cause of fatty hepatosis of the liver? On the ultrasound I found both.

Rather, the same causes in hepatosis of the liver and gallstones.

Do I have liver hepatosis for how long should I drink milk thistle? Can I drink milk thistle with other medicines?

Regarding the use of specific folk remedies for the treatment of hepatosis of the liver, you need to consult with your doctor.

The process of degeneration of liver cells into fat

Fatty hepatosis, liver obesity, dystrophic changes in the liver cells are all synonymous with the process of accumulation of triglycerides (simple fats) in the liver cells.

Under the influence of alcohol, fatty and smoked food, medication, a lazy lifestyle, factors that sooner or later lead to fatty hepatosis. Perhaps one of the most dangerous factors and causes of fatty hepatosis are toxins that enter the body. Toxic substances, toxins, are sent in a direct stream to the liver.

The liver is an organ that includes many functions, and one of them is the function of processing, decomposition, neutralization. Any substance that gets into the body is strictly controlled by the liver, which turns them into simple fats by splitting them. With a constant flow of excessive amounts of fat, fat accumulation in the liver is inevitable, hepatosis of the liver is the next stage in the development of an unfavorable diagnosis.

The accumulation of simple fats in the hepatocytes of the liver gradually begin their process of dystrophic transformation into fatty, dense tissue. Fatty dense tissue, becomes an essential barrier to the normal functionality of the liver to neutralize toxic substances and soon leads to liver dysfunction.

Liver dysfunction develops into fibrous processes of the liver tissue (formation of scar tissue). In the wake of fibrosis develops cirrhosis of the liver. Cirrhosis of the liver, a disease that is quite difficult to treat with a final recovery, in advanced forms is fatal. The proliferation of the connective parenchyma (liver tissue), captures the cells and completely replaces them. That is why it is so important to recognize hepatosis in the early stages of liver development.

There are three stages in the development of hepatosis:

  1. The first stage of fatty hepatosis is the occurrence of foci of accumulation of simple fats, fat cells. Fat cells can be located in focal lesions at small distances from each other. The first stage is the process of diffuse formations of fatty hepatosis.
  2. The second stage of fatty hepatosis is the process of a substantial increase in the area of ​​accumulation of hepatosis cells, the first proliferation of connective tissue between hepatocytes.
  3. The third stage of fatty hepatosis is the process of formation of pronounced areas of connective fibrous tissue, a large accumulation of fat cells.

Obesity and other causes of hepatosis

Eliminating the disease - this means finding first of all the cause of the disease and trying to completely remove it. The purpose of therapy depends on the primary cause of the disease. Obesity, one of the characteristic causes of hepatosis of the liver, leading to fibrosis and cirrhosis of the liver. Consider the various causes that lead to the transformation of normal liver tissue into fat.

Causes of the disease due to metabolic fat, lipid metabolism. Lipid metabolism disorders include:

  • Type 2 diabetes mellitus (insulin-dependent patients),
  • Obesity 2-3 degrees,
  • Abnormal increase in blood lipids (hypertriglyceridemia).

The liver is the filter of our body to neutralize toxic effects. All antagonistic substances, toxins trapped in the body, undergo a procedure of neutralization and decomposition. With an overflow of such substances, the liver stops coping with this function. Excessive, systematic use of ethanol-containing beverages (alcohol) leads to fatty hepatosis.

The cause of the disease hepatosis of the liver, are, including the factors of radiation in unfavorable areas with high levels of background radiation.

Excessive intake of fats in food, excessive passion for sweets, fatty meat, fish, smoked foods causes a violation of lipid metabolism in the body, including this applies to people who do not consume enough protein in their daily diet.

It may seem strange that hepatosis of the liver can also occur during fasting, but fasting, like an unhealthy diet, causes a violation of lipid metabolism and also leads to hepatosis of the liver. Mothers of young girls should pay attention that thirst for a model, not rarely anorexic appearance leads to serious consequences from the reaction of the body.

Drug hepatosis is a form of hepatosis with long-term use of drugs aimed at antibacterial effects, in other words, drugs of the antibiotic group.

Taking antibiotics under the obligatory control of a physician, it is imperative to follow a diet, in the diet of which should include pribiotics, substances that protect the healthy intestinal, bacterial flora of the body.

Another important factor and cause of hepatosis is the excessive action of adrenal hormones, endocrine system disease, thyroxine deficiency, thyroid hormone. Preparations of aldosterone, cortisol, corticosterones, which are prescribed, are taken under constant control by dosage in order to avoid the possibility of diagnosis - hepatic hepatosis.

Methods of diagnosis of the disease hepatosis

Perhaps it was at this moment when you read this article that you noticed some signs of hepatosis. Do not hesitate, consult your doctor.

The most common diagnosis is an ultrasound examination of the liver, which shows characteristic changes in the liver in the direction of increasing size and good echogenicity of the organ. The echogenicity of any organ in the body with ultrasound, shows the inflammatory processes occurring in the diseased organ.

The doctor will prescribe a diagnosis that includes:

  1. Ultrasound examination of the liver, captures echo signs of fatty hepatosis, an increase in the organ.
  2. Liver biopsy is a puncture of the liver tissue, taken by inserting a special needle with a tip to collect a minimal portion of the tissue of the affected liver tissue. The procedure is performed with anesthesia of the right hypochondrium (injection with anesthetic). A positive result on hepatosis of the liver is the detection of fat cells. A contraindication to a biopsy is poor blood coagulability, the blood coagulability test is necessarily taken from all patients before taking a puncture. Poor blood coagulability - possible bleeding at the time of puncture of the liver tissue, after the procedural period.
  3. CTM - computed tomography allows to determine the affected, enlarged areas of the liver.
  4. MRI - magnetic resonance imaging using the physical phenomenon of nuclear magnetic resonance in the study of internal organs and tissues.

Pregnancy and hepatosis of the liver

Fatty hepatosis occurs during pregnancy, due to the hormonal background of the woman, namely failures in the hormonal system of the body. The use of excessive amounts of food at the time of pregnancy, an integral cause of the possibility of the disease hepatosis. Overeating, threatens with acute fatty hepatosis of a pregnant woman, briefly in medical terminology it is written as OZHGB. Acute fatty hepatosis leads to serious complications during pregnancy. Possible death of women during labor and delivery.

The dangerous period of fatty hepatosis is observed between 29 and 38 weeks of pregnancy. These terms are conditional, since the disease can manifest itself at earlier stages of pregnancy, before the 29th week.

The icteric signs of the disease during pregnancy are one of the most important:

  • Yellowing of the skin,
  • Yellow color sclera,
  • The whites of the eyes have a yellow tint,
  • Light cal,
  • Dark urine (the color of strong tea),
  • General weakness
  • Malaise,
  • Bitterness in the mouth,
  • The appearance of heartburn with constant manifestation,
  • Bouts of nausea
  • Vomiting with and without bile
  • Discomfort in the right hypochondrium, feeling of heaviness, dull pain,
  • Loss of appetite.

For any of the possible symptoms of Jaundice, it is necessary to consult a doctor who observes a pregnant woman throughout pregnancy, for advice and further treatment therapy.

Recommendations for the treatment of fatty hepatosis

To change your habitual and not quite correct life in excessive consumption of sweets, fats, alcohol, the absence of any sports loads is the first step to recovery from liver obesity. Treatment of fatty liver hepatosis is proper nutrition and adherence to a special diet. The less fat, alcohol, toxins will be ingested, the maximum effect will be during treatment. To relieve the liver of fat, the patient's primary task for liver obesity.

Dietary food is best to start at the early stage of the development of the disease of hepatosis, but one should not assume that with obesity to a higher degree, you need to abandon the diet and take only medication.

Diet effectively fights triglycerides (simple fats) and prevents them from disrupting the normal processing and neutralization functions of the liver.

Dietary food in the diagnosis of hepatosis of the liver must be boiled or steamed, baked foods are allowed. Consumption of at least 1.5 liters of fluid per day, not counting drunk compotes, jellies, teas and other beverages. All drinks should not be carbonated. Gas affects flatulence in the gastrointestinal tract, which adversely affects the functionality of the stomach and liver. Especially do not forget about this at the time of pregnancy for women. Salt with dietary nutrition is minimized.

Anything in terms of products is FAT, a high percentage content of anything should be excluded.

Foods that need to be excluded in the diagnosis of fatty hepatosis:

  • Cottage cheese,
  • Sour cream,
  • Hard cheeses
  • Pork,
  • Duck,
  • Goose,
  • Kidneys,
  • Brain,
  • Mutton,
  • Som
  • Mackerel,
  • Womer
  • Sterlet,
  • Herring,
  • Glosick
  • Capelin
  • Legumes,
  • Beans,
  • Onion and green onions,
  • Garlic,
  • Radish,
  • Sorrel,
  • Spinach,
  • Any conservation,
  • Pickles,
  • Mushrooms in any form,
  • Flour products,
  • Cakes,
  • Chocolate,
  • Buns,
  • Patties,
  • Cocoa,
  • Carbonated drinks,
  • Strong tea,
  • Coffee without milk
  • Spices,
  • Broths meat and fish,
  • White cabbage,
  • Seasonings,
  • Salt,
  • Alcohol,

All drinks and cooked meals should be at room temperature. Cold consumption is strictly prohibited in the diagnosis of hepatosis of the liver.

Foods that need to be included in the diet:

All foods should be non-fat, low-fat, with a minimum percentage of fat content.

  • Kefir,
  • Cottage cheese,
  • Yogurt,
  • Sour cream,
  • Milk,
  • Semolina,
  • Oatmeal, bran,
  • Buckwheat,
  • Rice
  • Hard cheese
  • Milk soup,
  • Vegetable soup,
  • Summer soup without fatty meat and zazharki,
  • Broccoli,
  • Red cabbage,
  • Zucchini,
  • Carrot,
  • Tomatoes (1-2 small per day),
  • Lazy dumplings,
  • Pasta in soups,
  • Potatoes (1-2 per day),
  • Eggs - protein omelet,
  • One boiled (medium soft) per day,
  • Honey,
  • Paste,
  • Marshmallow
  • Kissel,
  • Uzvar,
  • Stewed fruits of non-acidic fruits and berries
  • Coffee with milk,
  • Not strong tea,
  • The berries are not sour,
  • Fruit juice
  • Fruit is not sour,
  • Decoction of wild rose.

Rosehip decoction is one of the main drinks throughout the entire diet and further dietary intake, which you may have to adhere to throughout your life. Rosehip has excellent antioxidant, anti-inflammatory, hematopoietic properties. A decoction of wild rose actively helps the liver to remove toxins from the body.

The recipe of the rose hips is very simple. To prepare, take 100-200 grams of rosehip, rinse, brew with boiling water in a thermos. Leave to infuse throughout the day. Every day, take a decoction before or after eating, 0.5 cups in a warm form.

Pharmacies sell hood extract from hips, called "Holosas", which completely facilitates the preparation of broth from the hips. Dissolve one teaspoon per cup of warm water. Take 0.5 cups before or after meals.

The healing properties of pine nuts have been known for a long time. Pine nut is a very good helper antioxidant properties, cedar nut oil well strengthens the liver hepatocytes, providing them with a beneficial effect on recovery. A teaspoon pine nuts a day, for one month. In the future, you need to take a break, and be sure to consult with your doctor on further use of pine nuts.

Hepatomegaly, or the diagnosis of hepatosis of the liver with a characteristic increase in the organ, stimulates very well in the direction of decreasing size - juice, infusion of lemon. Preparation: 1-2 lemons, wash well under warm water. Using a fine blender grater, rub together with the zest to a slurry state. Pour 0.5 boiling water (1 lemon), respectively, 1 liter of water per (2 lemons). Leave the prepared broth overnight, 12 hours. After the decoction is infused, it must be drained through cheesecloth and pressed. Take one tablespoon between meals. Take the infusion of lemon should be no more than 3 days. Break lemon juice should be at least 3-4 days.

Dietary treatment, adherence to medical drugs prescribed by a doctor, an examination in the prescribed period, medical tests for fat in the body, repeated examination procedures using ultrasound, CT, MRI will always be able to determine the health status of your liver, and give you the opportunity to monitor the effectiveness of the prescribed treatment.

Fatty hepatosis of the liver - the causes of the disease

Doctors are serious about fatty hepatosis, because the pathological changes occurring in the liver are the first step to such a fatal disease as cirrhosis. Meanwhile, at the initial stage, dystrophic processes can be stopped, and with proper treatment, they can be reversed. The liver has a high capacity for regeneration, due to which damaged hepatocytes are quite realistic to recover if time has not yet been lost.

The liver is the largest gland in the human body. To maintain vital activity, 1/7 of its volume is sufficient; therefore, a completely healthy body can withstand a large load without any damage for a long time. However, the resources of the liver are not unlimited. If a person does not protect his body, abuses fatty and carbohydrate foods, all sorts of chemical additives, medicines, alcohol, hepatocytes no longer cope with toxins and lipids, gradually deposited in the liver cells.

According to statistics, more than 65% of overweight people are prone to fatty liver. However, this is not the only cause of hepatosis. The disease occurs in thin patients. Contribute to its development:

  • alcoholism and drug addiction
  • use of energy drinks
  • deficiency of protein foods (vegetarianism),
  • fad diets
  • weight "swing" (repeated dramatic weight loss, then weight return),
  • diabetes,
  • chronic pancreatitis,
  • hepatitis
  • hypoxia due to cardiovascular and broncho-pulmonary insufficiency,
  • food poisoning
  • prolonged intake of toxins from the environment (industrial emissions, polluted water, pesticides, household chemicals, etc.).

With all these loads, excess fat in the diet plays a fatal role. If a healthy liver easily processes and removes lipids, then a weakened person does not do well with this function. Fat particles are retained in hepatocytes, hypertrophy them, disrupt the structure and blood supply. A damaged cell is no longer able to effectively neutralize toxins and cleanse the body of harmful metabolic products.

The progression of cell dystrophy leads to the inflammatory process, and it in turn leads to the death and scarring of tissues (cirrhosis). At the same time, concomitant pathologies of the gastrointestinal tract, cardiovascular system, metabolic disorders develop:

  1. diabetes,
  2. gallstones,
  3. deficiency of digestive enzymes
  4. biliary dyskinesia,
  5. inflammation of the pancreas,
  6. hypertonic disease,
  7. ischemia of the heart.

In case of fatty hepatosis, the patient suffers from any infections, injuries and interventions.

Degrees of steatosis

The initial stage of the disease is defined as a liver by the type of localized fatty hepatosis, when individual small-fat deposits are formed in a limited part of the liver. With the increase in the number and volume of foci, the doctor states the first degree of fatty degeneration.

The progression of the disease is characterized by the growth of extracellular obesity, as well as the concentration of lipids within hepatocytes. Because of the accumulation of triglycerides, liver cells swell, which allows to diagnose the second stage.

At the third degree, intracellular steatosis, superficial foci of various sizes and localization are pronounced, fatty cysts and cords of connective tissue are formed. In severe cases, there is diffuse fatty hepatosis of the liver - a total tissue degeneration that captures the entire volume of the organ.

How fatty hepatosis is manifested - the main symptoms

Signs of fatty hepatosis of the liver are often detected by chance during medical examination. On ultrasound, the organ is hypertrophied, echo is evenly increased. With the development of the disease, ultrasound visualizes granular inclusions in the parenchyma, indicating inflammatory processes provoked by fatty lesions. Indirectly, hepatosis is indicated by high blood cholesterol.

Other signs of liver obesity at first may not be. The accumulation of lipids is painless, and a small increase in the body is not always perceived by doctors as a serious violation. As a result, there are no prescriptions, and the disease progresses imperceptibly until the patient begins to feel unpleasant symptoms:

  1. pain and heaviness in the right hypochondrium,
  2. poor appetite
  3. flatulence,
  4. nausea.

Over time, the liver is increasingly coping with the products of exchange, hitting other organs and becoming a victim of its own inefficient work. A vicious circle is formed: the blood circulates in the body, saturated with toxins, poisoning the liver itself.

Chronic intoxication results in an avalanche-like lesion of many organs: the heart, pancreas, intestines, and skin. Developing functional liver failure becomes obvious and is characterized by symptoms of varying degrees of intensity:

  • vomit
  • weakness
  • reduced performance
  • anorexia
  • indigestion,
  • yellowness
  • swelling,
  • exhaustion
  • seizures and neurological disorders.

In the presence of disposing factors, hepato-obesity usually forms by the age of 40 to 45 years. If you ignore the symptoms and treatment of fatty hepatosis of the liver, this will provoke a whole “bunch” of secondary pathologies. Launched tissue degeneration can not affect the condition of the whole organism, and the most dangerous consequences are liver cirrhosis and cancer. However, death is possible without them, it is enough to “earn” on the background of steatosis severe liver failure.

Specific therapy of hepatic dystrophy does not exist. The basis of treatment - the right diet, detoxification, elimination of provocative effects and associated pathologies.

Diet and proper nutrition

Diet with fatty hepatosis of the liver contributes to weight loss, normalization of cholesterol, triglycerides and glucose in the blood, relieves excess stress from the digestive tract. It is extremely important for obese patients to reduce body weight, but without abrupt and severe restrictions. Hunger strikes, taking fat loss and other drugs for weight loss are prohibited. Recommended frequent fractional power in combination with physical exertion.

Diet involves a complete rejection of a number of products:

  • alcohol
  • animal fats,
  • roast,
  • salty,
  • acute
  • preservatives,
  • artificial sweeteners, thickeners and other chemical additives.

Food should be as natural, boiled or steamed, preferably chopped, in the form of heat. It is recommended to adhere to the diet "table number 5": food 5 times a day with low glucose and fat and high - protein.

The most complete protein sources for hepatosis:

  • dietary meat (rabbit, chicken breast, turkey, veal),
  • a fish,
  • skim cheese,
  • fresh dairy products without additives,
  • skimmed milk,
  • egg white

Preparations for the treatment of fatty hepatosis

Drug treatment of fatty hepatosis of the liver has 2 directions:

  1. Normalization of metabolic processes.
  2. Protection and restoration of the liver.

In the first case, therapy consists of taking medications that regulate carbohydrate-lipid metabolism, as well as fortifying agents (vitamins, microelements). Since any medication is an additional burden on the digestive organs, how to treat fatty liver hepatosis should be solved by a gastroenterologist, based on the full picture of the disease. Sometimes, to correct the pathology, it is enough to follow a diet and avoid toxic effects. But if the body does not cope with the metabolic processes on its own, it needs medication support:

  • insulin-sensitizing drugs (troglizaton, metformin) - increase the sensitivity of tissues to insulin, so that blood glucose is converted into energy, and does not add up to fat depot, reduce inflammatory and fibrous processes in the liver,
  • drugs that reduce blood lipids (statins, lopid, gemfibrozil),
  • drugs that neutralize the effects of alcoholic hepatosis (aktigall),
  • PP vitamins, groups B, C, folic acid,
  • antispasmodics (No-shpa, Papaverin) for pain in the right hypochondrium.

The second group of drugs - hepatoprotectors. Their function is to protect and stimulate cell regeneration. Treatment of fatty liver hepatosis with drugs is individual, since hepatoprotectors have a different composition and action. The most commonly prescribed remedies are:

TitleActive substanceAct
Essentiale, Phosphogliv, Essliver ForteEssential PhospholipidsThey strengthen cell membranes, remove heavy fats from the liver. Course - a few months
Taurine, Taufon, Methionine, HeptralSulfo Amino AcidsThey protect hepatocytes from free radicals, stabilize cell membranes, normalize local blood supply and glucose utilization, stimulate the synthesis of enzymes, and dissolve bile acids. Course - 1 - 2 months
Karsil, Liv 52, Gepabene, HofitolHerbal ExtractsHave a choleretic effect, strengthen hepatocytes. Course - individually
Ursodez, Ursosan, UrsofalkUrsodeoxycholic acidImproves the outflow and biochemical composition of bile, regulate lipid metabolism
Hepatosan, SireparAnimal liver extractsRestore hepatocytes

Thanks to hepatoprotectors, liver cells are not fully regenerated, they are significantly strengthened and restore their functions. With a healthy lifestyle and nutritional control, this helps prevent further organ obesity and the development of complications.
Watch the video where practitioners talk in detail about the symptoms and methods of treatment of fatty hepatosis:

Treatment of folk remedies

If you have problems with the liver, you should not be carried away by popular methods. Like synthetic drugs, natural remedies create an unnecessary burden. However, when hepatosis welcome recipes that help reduce blood levels in the liver and liver:

  1. Cinnamon is a spice known for its fat burning properties.By adding it to food, it is possible to stimulate the elimination of fat from the liver depot to the blood for further utilization of physical exercise. Cinnamon normalizes cholesterol and reduces appetite.
  2. Turmeric is another food supplement that favorably affects the liver. Turmeric is an effective antioxidant and choleretic. Seasoning softens stones in the gall bladder and promotes the outflow of digestive enzymes.
  3. Milk thistle is a herb that is part of many plant hepatoprotectors. Cleans the liver, improves the passage of bile, stimulates the growth and strengthening of cell membranes.
  4. Pine nuts are a valuable product containing fats useful for hepatocytes. To strengthen the liver enough to eat 1 tsp. cores a day, no longer needed.
  5. The kernels of apricot pits have a beneficial effect on liver cells and the production of bile. Every day you need to eat 5 pieces.
  6. Lemon infusion breaks down fats and helps to reduce the size of the liver. For the medicine, you need to grind 3 lemons with zest and pour half a liter of hot water overnight. In the morning drink 1/3 of the liquid, during the day, take another 2 times. Repeat 3 days in a row, then stop for 4 days.
  7. Hepatic collection is designed for treatment within 2 months. Consisting of: St. John's wort, plantain, turnip, muslinitsa (in 3 parts), immortelle, eleutherococcus (2 parts), chamomile (part 1). 1 tbsp. l collection pour a glass of boiling water, after 30 minutes - strain. Drink 30 ml before meals, not sweetened, three times a day.
  8. Herbal infusion of calendula, marigold, nasturtium and centaury in equal proportions to half a liter of water to drink 100 ml per day before meals.
  9. Bile collecting on the basis of wild rose, immortelle and corn silk to insist a few hours in 500 ml of boiling water. Drink half a glass before eating.

Herbal medicine for hepatosis can not be the main method of treatment. Herbs can be used only after consulting a doctor.

Fat hepatosis liver is considered one of the "diseases of civilization." The use of industrial products, alcohol, convenience foods, refined sugars, sugary carbonated beverages, especially in combination with physical inactivity - inevitably leads to the damage of the organ that resists chemicals and toxins with which we ourselves feed our body every second.

People who lead a healthy lifestyle are also not insured against fatty liver. They have other risks: sports drinks, uncontrolled intake of vitamins and dietary supplements, "cleansing" the body with herbs and drugs. As a result - drug hepatosis.

In the conditions of modern life, when it is impossible to avoid the impact of all these factors, prevention comes to the fore: regular medical examination and the most careful attitude to your own body. Treatment of hepatosis is a long, complex process and not always a result.

Treatment reviews

My husband had myocarditis on the background of sore throat. Put in the hospital, stabbed with antibiotics. As a result - medicinal fatty hepatosis of the liver. We are treated for several years, constantly on a diet, we buy expensive medicines. Regularly go to the ultrasound and hand over lipidogram. The doctor says that there is no improvement, but it doesn’t get worse - it’s good. So this disease is with us now for life, not going anywhere.

On abdominal ultrasound, I was diagnosed with fatty hepatosis of the liver. She consulted with several doctors, completely passed the prescribed treatment courses, but nothing helped. Until I got to a good endocrinologist.

A competent doctor, I found hypothyroidism and explained that everything in the body is interconnected. I drink hormones of the thyroid gland, my son has become much better by ultrasound. The process, though slowly, is underway. Has grown thin, by the way.

What is fatty hepatosis?

The disease is caused by a person's lifestyle, the influence of environmental conditions. What is hepatosis? This is a chronic disease, fatty degeneration of the liver, in which there are diffuse changes in the cells of the organ. There is an increase in the parenchyma - tissue, consisting of hepatocytes, responsible for the normal functioning of the organ. Doctors in the diagnosis and treatment use several names of this disease:

  • fatty liver,
  • hepato-steatosis,
  • liver steatosis.

The liver in the body performs about five hundred functions. With a violation of metabolic processes begin dystrophic changes. In the cells, the structure deteriorates, they are filled with fat. There is a gradual development of fatty hepatosis:

  • the appearance of deposits in individual cells,
  • development of diffuse clusters
  • accumulation of fat by hepatocytes,
  • violation of oxygen supply,
  • slower blood circulation
  • cell death.

Fatty degeneration of the liver is code K76.0. according to ICD-10 - the international classification of diseases. If you do not begin treatment, the process of replacing cells with connective tissue occurs, which disrupts the functioning of the liver and affects the entire body. Serious consequences may occur: develop cirrhosis, hepatitis. There will be diffuse changes in the pancreas. There is a possibility of degeneration of cells into atypical ones - the development of malignant tumors.

Hypodynamia, the use of fast food can provoke the appearance of hepatosis. Harmful diets followed by overeating, fasting. Among the causes of fatty hepatosis:

  • overweight,
  • diabetes,
  • alcohol consumption,
  • pregnancy,
  • gastrointestinal problems
  • hepatitis viruses,
  • toxic poisoning
  • antibiotics,
  • eating fatty foods
  • vegetarianism,
  • drug drugs with toxic effects.

Hepatosis pregnant

When a woman is expecting a child, the liver experiences increased loads. The reason - a violation of the formation and outflow of bile due to the increase in the amount of estrogen, the processing of waste products of the fetus. This is observed in the last weeks of pregnancy. Hepatosis is poorly diagnosed due to the fact that it is difficult to carry out palpation - an enlarged uterus interferes, and many research methods are contraindicated.

Hepatosis in pregnancy often has hereditary roots. Manifested by skin itching, a feeling of heaviness, lightening fecal masses. Possible yellowing of the sclera, nausea, pain in the liver. Fat form is rare. Mostly cholestatic view, which is observed:

  • bile thickening
  • violation of cholesterol metabolism,
  • reduced biliary tract tone.

Alcoholic

One of the most common liver diseases is alcoholic hepatosis. When ingested, alcohol is converted into substances that destroy hepatocytes, responsible for the removal of toxins, the production of bile. When connective tissue grows in the cells, it means that all processes are disturbed. If the disease is not treated, cirrhosis of the liver will develop. Manifestation of hepatosis pains in the right side, arises:

  • feeling of heaviness
  • bloating
  • uncontrollable irritability,
  • nausea,
  • weakness,
  • decrease in performance.

At the beginning of the development of the disease symptoms are not observed. Patients may accidentally find out about it, undergoing ultrasound on another occasion. The disease is diagnosed by echoes. Symptoms of fatty hepatosis of the liver are manifested in the second stage of the development of the disease, while observing:

  • nausea
  • heaviness on the right in hypochondrium,
  • poor coordination
  • severe pain, nausea,
  • bloating
  • rash,
  • reduced visual acuity
  • constipation
  • aversion to food
  • weakness,
  • the monotony of speech
  • signs of jaundice.

Folk remedies

Doctors advise at home to use folk recipes. How to treat liver hepatosis with herbs and plants? Recommend:

  • daily drink tea with melissa, mint,
  • eat a teaspoon of peeled pine nuts,
  • there is more greenery: parsley, lettuce, dill,
  • drink rosehip berries infusion,
  • Brew milk thistle - a spoon for 2 cups boiling water.

Good splits fat fasting drink fresh carrot juice. Herbal collection is very effective, for the preparation of which you need to pour 2 spoons of the mixture into a thermos in the evening, add 1.5 liters of boiling water. Drink a decoction for the day. The composition contains in parts:

  • series - 3,
  • licorice root - 4,
  • sage - 2,
  • raspberry leaves - 3,
  • wormwood - 2,
  • birch leaves - 3,
  • yarrow - 1,
  • pharmaceutical chamomile - 1,
  • calamus root - 1,
  • linden - 1.

Fatty hepatosis: what is it?

Fatty hepatosis is a chronic disease in which the degeneration of functional liver cells (hepatocytes) into adipose tissue occurs.

In the case of fatty hepatosis, liver cells (hepatocytes) lose their function, gradually accumulating in themselves simple fats and are reborn into fatty tissue. With steatosis or fatty infiltration, the mass of fat exceeds 5%, its small clusters are scattered, this is how the diffuse fatty hepatosis of the liver looks. With its content of more than 10% of the total weight of the liver, more than half of the hepatocytes already contain fat.

Learn fatty hepatosis at first almost impossible. Unfortunately, the symptoms are most pronounced in the last stage, when the disease is already progressing. The patient appears:

  • feeling of heaviness in the liver,
  • skin rash and dull color,
  • disorder in digestion, frequent nausea, vomiting possible,
  • blurred vision.

One of the symptoms that characterize diffuse changes in the liver by the type of fatty hepatosis is an increase in its size - hepatomegaly. Sick liver takes a huge place in the internal cavity of a person, causing discomfort. The reason for the increase in size are:

  • increase in the number of cells to combat toxic substances,
  • multiplication of tissues to restore lost functions,
  • excess fat cells.

Based on the reasons that led to hepatosis, the disease can be divided into two groups: hereditary and resulting in violation of metabolic processes in the body.

The main causes of fatty hepatosis include:

  • obesity,
  • metabolic diseases
  • hypodynamia,
  • binge eating,
  • vegetarianism in violation of carbohydrate metabolism,
  • weight loss diets
  • long-term use of certain drugs:
  • cordarone, diltiazem, expired tetracycline, tamoxifen,
  • deficiency in the body alpha-antitrypsin,
  • antiviral treatment for HIV,
  • vitamin A overdose
  • diseases of the organs of internal secretion
  • systematic abuse of alcohol,
  • radiation exposure
  • diseases of the digestive system.

The progression of cell dystrophy leads to the inflammatory process, and it in turn leads to the death and scarring of tissues (cirrhosis). At the same time, concomitant pathologies of the gastrointestinal tract, cardiovascular system, metabolic disorders develop:

  • diabetes,
  • gallstones,
  • deficiency of digestive enzymes
  • biliary dyskinesia,
  • inflammation of the pancreas,
  • hypertonic disease,
  • ischemia of the heart.

In the case of fatty hepatosis of the liver, the patient suffers heavily from any infections, injuries and interventions.

There are risk factors for the formation of fatty hepatosis, among them:

  • high blood pressure
  • female,
  • reduced platelets
  • increased alkaline phosphatase and THG,
  • PNPLA3 / 148M gene polymorphism.

Based on the reasons, we can say that the development of hepatosis can be prevented. Changing the lifestyle will not only prevent the appearance of the disease, but also eliminate it at the initial stage.

With the accumulation of fat, fatty hepatosis of the liver is divided into three levels of development:

  1. The first degree is characterized by a small accumulation of simple fat cells. If these accumulations are marked in the number of several foci and a large distance is diagnosed between them, then this is diffuse fatty hepatosis.
  2. The second degree is put in the case when the volume of fat in the liver increases, and also in the structure of the organ there appear areas of connective tissue.
  3. The most severe third degree of the disease is noted when the areas of overgrowth of liver cells with connective tissue and large deposits of fat are clearly visible.

Symptoms of fatty hepatosis in adults

Hepatosis of the liver - the disease is silent. Often, until the process becomes neglected a person develops cirrhosis of the liver, nothing is noticeable. However, this is only an appearance. If you carefully listen to your own body, you will notice something that was not previously observed. The first symptoms of fatty liver hepatosis include:

  • Soreness in right side.
  • Enlarged liver, visible on palpation.
  • Digestive disorders: vomiting, diarrhea, nausea or constipation.
  • Deterioration of the skin and hair.
  • Predisposition to colds, poor immunity and allergic reactions.
  • Reproductive dysfunction, impossibility of conception.
  • In women, there are deviations of the menstrual cycle, heavy or irregular bleeding.
  • Degradation of blood clotting.

Usually, anxiety symptoms do not appear all at once, but increase over time. At first, patients complain of pain and discomfort, then symptoms of intoxication of the body appear, because the affected organ stops performing its function.

If the treatment is not carried out at the initial stage, the symptoms characteristic of the different stages of liver failure begin to appear:

Fatty hepatosisSymptoms
Stage 1
  • characterized by nausea and weakness, drowsiness,
  • decrease in working capacity
  • there is disgust for food
  • coordination worsens
Stage 2
  • jaundice,
  • puffiness
  • indigestion
  • diathesis,
  • general weakness appears
  • may develop abdominal dropsy
Stage 3
  • characterized by changes in internal organs,
  • metabolic disorder.

In severe cases it is possible:

  • exhaustion
  • convulsions
  • fainting
  • coma.

If liver hepatosis is not treated, symptoms of liver cirrhosis and liver failure appear:

  • behavior change, jaundice,
  • the monotony of speech
  • weakness,
  • aversion to food
  • ascites,
  • violation of coordination.

It is important to diagnose fatty hepatosis of the liver at an early stage - the symptoms and treatment are determined and prescribed only by a doctor. Then the higher the probability to fully restore its functions. The patient can shorten the healing time if he observes all the prescriptions. Unfortunately, at an early stage, the symptoms of fatty hepatosis do not appear.

People at risk should be tested periodically to detect diffuse changes and begin treatment.

Complications

Fatty hepatosis leads to liver dysfunction, which is deadly for the patient. The gradual intoxication of the body adversely affects the work of the heart, kidneys and even the lungs, causing irreversible damage. Most often, hepatosis develops into cirrhosis, and this disease is not at all treatable.

Effects for the body:

  • Stagnation appears in the gallbladder, leading to cholecystitis, pancreatitis, and stone formation. As a result, the food ceases to be completely digested, it overloads the intestines and provokes dysbacteriosis.
  • Inadequate performance of the liver leads to a deficiency of essential trace elements. As a result, cardiac activity and the condition of the blood arteries worsen, hypertension, varicose veins occur, and visual acuity decreases.
  • In addition, there is a decrease in immunity, which leads to frequent colds, infectious and fungal diseases.

How to treat fatty liver

The main treatment of fatty hepatosis is aimed at eliminating the factors that caused the disease, improving the regenerative abilities of the liver, improving metabolism, and detoxification. In case of fatty hepatosis, it is necessary not only to take medicine, but also to adjust the lifestyle, diet. Drugs are used in combination - an effective means of membrane-stabilizing properties and antioxidants are needed.

Drug therapy for fatty hepatosis includes taking drugs to improve the function of the liver and its cells:

  • essential phospholipids (Esssliver, Essentiale Forte, Berlition),
  • sulfamic acid group (taurine or methionine),
  • herbal preparations-hepatoprotectors (Kars, LIV-52, artichoke extract),
  • taking antioxidant vitamins - tocopherol or retinol,
  • taking selenium preparations,
  • drugs of group B intramuscularly or in tablets.

Phytotherapy has proven itself well - the drugs are used as holagol, gepabene, extracts of turmeric, milk thistle, curly sorrel.

  • Berlition is prescribed in a dose of up to 300 mg (1 tab.) Twice a day for up to 2 months. With severe dynamics, Berlition is administered intravenously up to 600 mg in two weeks, followed by switching to a dose of 300–600 mg per day in tablets.
  • Essentiale is prescribed up to 2 capsules (600 mg) 3 times a day. The duration of treatment is up to 3 months. Gradually lowering the dosage to 1 capsule 3 times a day.
  • An effective membrane-stabilizing drug is artichoke - Hofitol. Assign before meals (3 times a day) for three tablets in a course of 3 weeks.

Before use, consult your doctor, as there are contraindications.

Recommendations for patients

The patient at home must:

  1. To follow a diet that excludes fat, but rich in protein,
  2. Lead an active lifestyle that will promote weight loss, if necessary, as well as accelerate the metabolism,
  3. Take medication prescribed by a doctor, including folic acid, vitamin B12, etc. to improve digestion,
  4. Visit a doctor
  5. Eat boiled and steamed food, if possible, finely chopped or ground into puree.

A person who has been found to have fatty hepatosis must completely reconsider their lifestyle and diet, in which it is necessary to eliminate the consumption of animal fats. In this case, food should include foods that help dissolve the fat deposited in the liver. Eating should be 5 times a day, in small portions, in order to reduce the burden on the liver.

Food with fatty hepatosis of the liver
Permitted Products:Exclude from the diet:
  • fresh boiled and steamed vegetables,
  • vegetarian soups and borscht (without meat),
  • milk soups,
  • low-fat and mild cheese,
  • boiled eggs (1 per day),
  • steamed omelet
  • oatmeal, buckwheat, semolina and rice porridge,
  • milk,
  • low-fat or low-fat cottage cheese,
  • kefir, low-fat yogurt.
  • Replace cocoa and coffee with unsweetened tea.
  • meat broth,
  • fatty meat and fish,
  • fresh onions and garlic,
  • beans and beans,
  • tomatoes,
  • mushrooms,
  • radish,
  • canned food
  • salted and smoked products,
  • fat cottage cheese and sour cream.

Patients with hepatosis should also eat the following products in any quantities:

  • artichoke to stabilize the processes occurring in the liver
  • pine nuts to help repair tissue cells
  • sorrel, which acts as a stabilizing component and eliminates fatty formations in the affected organ,
  • cinnamon, which also breaks down fat deposits,
  • turmeric, which neutralizes sugar and free radicals formed in the blood during hepatosis and adversely affect the functioning of the liver.

Menu for the day with hepatosis

A sample menu for the day should meet the requirements of the diet and include:

  • First breakfast - oatmeal on water with milk, low-fat cottage cheese, black tea.
  • The second breakfast - dried fruit, apple, prunes.
  • Lunch - vegetable soup with vegetable oils (corn, olive), buckwheat porridge, compote.
  • Snack - bread, savory biscuits, broth from the hips.
  • Dinner - mashed potatoes with steamed fish, beet salad, low-fat kefir.

Prevention

If you want to avoid the occurrence of this disease, it is very important to comply with preventive measures. What, then, will be relevant?

  • Proper nutrition.
  • Maintaining weight is normal.
  • Need to lead an active lifestyle. Very important walks in the fresh air, as well as moderate exercise on the body.
  • In the day you need to drink at least two liters of water.
  • You also need to give up bad habits. Especially from taking alcohol.
  • It is important to monitor blood sugar levels.

Fatty hepatosis is a reversible liver disease. This pathology can be treated successfully in the early stages. There is no definite treatment. It all comes down to a change in lifestyle, the revision of nutrition, the elimination of etiological (causal) factors.

Watch the video: Fatty Liver Disease. Q&A (December 2019).

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