Fatty Liver

With modern times, the risk of catching various diseases such as insulin resistance, heart diseases and fatty liver increases due to the consumption of harmful products to the body and the decrease in the demand for physical activity. Fatty liver, which can be seen in a quarter of people in Turkey, occurs when the liver produces and stores excess fat.

Small fat vesicles form in liver cells that produce and store large amounts of fat for various reasons. Fatty liver does not show significant symptoms in the early stages, but it can cause liver damage in the advanced stage.

Fatty liver can be seen in abdominal ultrasound examination performed for any reason. This may worry you.

For gastroenterologists (scientists who deal with the digestive system), fatty liver is important because it can progress with simple adiposity, as well as progressive liver damage and even cirrhosis. In this case, when you apply to the relevant specialists, it is investigated whether the situation is related to another disease.

If it occurs together with other diseases, it is necessary to turn to the treatment of the disease. It may be associated with systemic diseases such as obesity, Type 2 Diabetes, cholesterol, storage disease and viral hepatitis, and the drugs used may cause fatty liver.

It is divided into 2 as alcoholic fatty liver disease and non-alcoholic fatty liver disease.

Alcoholic Fatty Liver:Fatty liver caused by excessive alcohol intake.

Non-alcoholic fatty liver: This situation; It is inflammation of the liver caused by fatty liver, which is associated with cirrhosis, which we call inflammation, death of liver cells, and severe damage to the liver.

Causes of acute lubrication: Acute Fatty Liver of Pregnancy, diseases that cause permanent damage to the liver and brain, alcohol and cigarette use, rapid weight gain and loss, some drugs used constantly, sedentary life, irregular lifestyle and some toxic substances we call toxins are shown.

Causes of chronic lubrication:A surgical weight loss procedure in which the entire small intestine between 30 cm and 45 cm is separated and placed to the side, for the relief of alcohol, obesity, diabetes, cholesterol, morbid obesity, Prolonged insufficient or excessive intake of one or more foodstuffs, or prolonged unbalanced food intake, intravenous nutrition, chronic hepatitis C (which causes damage to the liver as a result of long-term inflammation, and cirrhosis and liver failure occur over time.) Wilson’s disease, which causes excessive copper storage in the liver and brain and has abnormal copper metabolism , intestinal inflammatory diseases, and AIDS (sexually transmitted disease) are shown.

THE SOURCE OF THE DISEASE

Although the cause of non-alcoholic fatty liver disease is still unknown, it is thought to occur as a combination of both environmental and genetic factors.

Functional disorders occur with the deterioration of liver functions. Despite excessive fat intake, liver functions are impaired. It is thought that the imbalance that occurs as a result of the excretion of the fat in the blood and the inability to break down the fats by the body causes lubrication in the liver cells.

In the disease process that results in adiposity, the first blow is insulin resistance, that is, the cells in the muscles, fat and liver of the human body. to insulin (Hormone that lowers blood sugar) is not responding correctly. And it also means susceptibility to diabetes.

Non-alcoholic fatty liver disease includes:

fat storage only

Inflammation added to fat storage

Inflammation, which starts in addition to fat storage, is followed by progressive inflammation and ballooning of liver cells.

If this process continues, cirrhosis and liver failure will occur.

Causes of non-alcoholic fatty liver disease:

OBESITY: With an unbalanced, irregular and wrong diet and a lifestyle without physical activity, the nutrients we take into our body begin to be stored in the form of fat. And accordingly, an increase in fat occurs in liver cells. Most patients with nonalcoholic fatty liver disease have obesity. And obesity is directly proportional to the disease.

ALCOHOL USE:More than 60 grams in men and 20-40 grams in women per day a alcoholMore than 90% of people who consume fatty livercan develop.

DIABETES: As we know, in the case of high blood sugar or diabetes, which is generally known as hidden sugar in our environment, due to insulin resistance, fat production increases in the body when blood sugar rises uncontrollably.

HIGH CHOLESTEROL: The increase in bad cholesterol in the blood, which is harmful to our body, causes an increase in the amount of fat. Non-alcoholic fatty liver disease is high in 20-80% of patients.

LIVER INFECTIONS:As a result of damage to liver cells, these cells are replaced by adipose tissues.

LOSE WEIGHT FAST IN CASE OF OBESITY:Uncontrolled rapid weight loss accelerates the increase in body fat.

SOME MEDICINES

LIVER INFECTIONS

FAMILY RELATED DISEASES

Other causes of fatty liver are;

  • Hypertension

  • Pregnancy

  • hormonal diseases

  • Some bacteria and viruses.

  • Sudden weight loss and gain

  • It can be counted as the continuation of the high triglyceride level.

NUTRITION

  • Extra sugar consumption should be reduced.

  • A diet rich in vitamin E should be provided and vitamin E supplementation can be made when necessary.

  • Vitamin D and zinc deficiency may be a risk factor.

  • A controlled weight loss is therapeutic for fatty liver.

  • It should be fed with plenty of fiber.

  • In general, the diet should be adequate in vitamins and minerals.

  • Alcohol and cigarettes should be avoided as much as possible.

  • Fluid intake should be increased.

  • It should be fed little and often. (6 meals)

TREATMENT:

Fatty liver is a disease that is accepted as the beginning of liver damage that negatively affects life and needs to be treated. Because untreated fatty liver can damage liver function and pave the way for liver cirrhosis.

While the disease is being treated, it should be evaluated considering the risk of progression to cirrhosis and cancer.

When the disease that causes fatty liver is treated, the underlying problem will disappear, so the fatty liver will also disappear. For this reason, the treatment of fatty liver is done on the basis of eliminating possible factors that cause fatty liver.

After obese patients lose weight, lower high triglyceride levels and control diabetes, fatty liver decreases and disappears over time. Exercise and diet are important in the treatment of fatty liver.

Instead of immediately resorting to medication, diet and exercise should be applied first.

Even if drug treatment is to be started, the degree of obesity, which plays a role in the progression of the disease, should be evaluated according to diabetes and cholesterol status. However, a specific drug for the treatment of fatty liver has not been finalized yet.

Insulin resistance has an important place in non-alcoholic liver disease. If the drug is to be used, the target should be insulin resistance.

Weight loss and controlled physical activity must be added.

With a personalized nutrition program, all the vitamins, minerals and nutrients the body needs can be given.

Nutritionist, diet list While preparing the food, first learns the chronic and mental health problems of the person and determines the most appropriate nutrition program according to these data. For treatment, help should be sought from Expert Clinical Dietitians.

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