Simple obesity can lead to liver disease
The relationship between diabetes and diabetes is complex, and simple obesity can lead to liver disease.
銆€銆€Case 1: The civil servant Mr. Ma, who is tall and burly, has a “spring breeze” in his career.
Who wants to organize a health checkup last spring to find that the alanine aminotransferase increased by more than 100, the unit leader is very concerned, let him rest at home, he is very uneasy.
I saw a lot of hospitals, did a lot of inspections (mostly normal), ate a lot of liver-protecting drugs, and the transaminase did not drop, and the pain in the liver area was still increasing.
After a few months, I went to our outpatient clinic to see the clinic. We analyzed his cause and thought that he was overweight and added nutrition during the break. The overweight was more obvious.
The treatment plan we have developed for him is very simple, “recover work, strengthen exercise.”
At the beginning, the patient’s concerns were great. The concern was also the unit’s leadership and colleagues around him (worried that his 鈥渓iver disease鈥?was contagious). We specifically gave him a certificate and suggested that he insist on going to work without a special car.Take the bus as early as possible to get off at one stop, and increase the exercise to consume more energy.
Soon his weight dropped to normal and the transaminase fell to normal.
銆€銆€Case 2: The 8-year-old boy Xiaobao is a typical chubby pier.
An unintentional visit to the hospital found that the transaminase increased by more than 300 units, B-ultrasound found that there is a liver, the child’s parents are very nervous.
Further liver examination revealed that there were obvious hepatitis and early cirrhosis diseases.
After treatment in surgical hospitals in Beijing, Chongqing and other places, doctors always think that there is a potential liver disease, not viral hepatitis is a very serious metabolic disease.
Checking to check is to find the cause that may cause it. Finally, the experts sit down to study and analyze the condition, which ultimately leads to the non-alcoholic abnormal hepatitis combined with liver fibrosis caused by malignant obesity.
銆€銆€These are two typical cases of increased transaminase caused by obesity.
So, is there a relationship between human weight and liver function?
銆€銆€Is the weight of a person related to abnormal liver function?
銆€銆€There is indeed a serious relationship between human body weight and normal liver function.
Older people may remember that many people suffered from liver disease when they were in the third-grade natural disaster. At that time, they were mainly malnourished, liver enlargement caused by underweight, and liver function damage to transaminase.
In the future, the problem of food and clothing for the people will be gradually improved, the standard of living will continue to improve, the weight will return to normal, and the relationship between body weight and liver disease will become less important.
However, in the past ten years, both Chinese adults and children are overweight, and the proportion of obesity is getting higher and higher. At this time, obesity has a close relationship with liver disease. Many people have abnormal liver function transaminase, and liver lesions are overweight.Excessive.
銆€銆€In the past, people generally thought that the increase in transaminase was hepatitis, and this hepatitis was viral and infectious.
In fact, many transaminase increases (especially a slight increase in transaminase, ie, small PT) are mainly related to excessive body weight and excessive levels.
There are reports in foreign countries, whether it is children or adolescents, the primary cause of increased transaminase is overweight, obesity, followed by hepatitis C.
There are also reports in Japan that they found that one-third of people with elevated transaminases are associated with obesity.
We also found in clinical that a large number of patients with elevated transaminase, after a series of tests such as virus testing, found that most of them are related to excessive weight and obesity.
銆€銆€Weight loss may return to normal aminotransferase?
銆€銆€Everyone may feel incredible, and the weight loss can make the transaminase replacement normal?
In the past, some people, including some doctors, thought that they should take biphenyl diester, scutellaria granules and other enzyme-lowering drugs to reduce transaminase.
In fact, obese people with elevated transaminase can reduce enzymes by losing weight and reducing body weight.
銆€銆€According to medical reports, weight loss is 1%, transaminase can be reduced by 10%; weight loss is 10%, and most obesity-related transaminase increases can return to normal.
銆€銆€Diabetes can cause certain liver diseases?
銆€銆€The relationship between diabetes and diabetes is complex, and simple obesity can lead to liver disease.
Many obese people are accompanied by liver damage, hepatitis, mild liver, and give him a comprehensive examination. The results may find that there is no other reason than the excess. In the past, it was called cryptogenic cirrhosis, cryptogenic hepatitis.
Now China’s liver disease community has gradually reached a consensus – excessive may cause hepatitis.
This so-called cryptogenic cirrhosis, cryptogenic hepatitis, is caused excessively.
銆€銆€In addition, the liver of an obese person is more vulnerable than the liver of a normal person.
We all know that the fat body is empty. In fact, his liver is more imaginary. Alcohol, drugs, and industrial poisons can easily damage it, causing alcoholic liver disease and drug-induced liver disease.
In addition, it is a big country of hepatitis. Many people are infected with hepatitis B virus, but this infection is asymptomatic for some people, so-called healthy carriers.If he is obese, then his liver is not “too flat” and he may show symptoms of liver inflammation.
Therefore, we believe that obesity is closely related to many liver diseases.
銆€銆€”Drinking + obesity” double damage the liver?
銆€銆€Diabetes itself can cause high blood pressure, and alcohol can also cause liver damage. These two factors work together to accelerate and aggravate damage to the liver.
In addition, people with high blood pressure have a double damage to the liver.
Because obese people generally have too much intestinal bacteria, often have flatulence, it can ferment to produce alcohol, which can produce alcohol by itself. If you drink alcohol, the damage to the liver is double.
Foreign researchers have done a survey, a group of people with normal weight, the second group is obese, the third group is drinking, the fourth group is drinking + obese people, after analysis and statistics, drinking + obese peopleMore than 90% of unfortunate livers will occur.
The high ratio is amazing.
銆€銆€Some obese people don’t drink alcohol, and they also find feces in the physical examination, as well as “big three yang”. How can this be explained?
This involves many causes of harm to the liver.
In addition to the above mentioned drinking, drugs, industrial poisons, an important factor is the virus infection.
鈥淏ig Sanyang鈥?and 鈥淪mall Sanyang鈥?are often chronically infected with hepatitis B virus.
For the treatment and treatment of hepatitis B patients, it is generally rest, strengthen nutrition, then the patient’s weight is increased; then there is type B, hepatitis C virus infection of the liver is poor, even the possibility of obesity is not veryObvious, but unfortunately it is easy to deposit in the liver, leading to unfortunate liver.
This also caused a considerable part of type B. After treatment of patients with hepatitis C, the transaminase did not fall repeatedly, the pain in the liver area did not improve, and the B-ultrasound diagnosed the unfortunate liver.
This kind of baby liver called hepatitis, especially patients with hepatitis B should be careful to prevent the baby liver after hepatitis to “add a little worse.”
銆€銆€How does the liver disease caused by obesity occur?
銆€銆€High blood pressure caused by high blood pressure in early stage is often a small amount of liver combined with a slight increase in transaminase. At this time, weight loss can definitely receive a significant effect, “hold the mouth to control the weight”, the weight loss of transaminase can be significantly reduced, mild liverCan be improved.
This may be the best treatment, and you don’t have to take the medicine.
銆€銆€However, people with unfortunate hepatitis, liver fibrosis, or cirrhosis should be supplemented with other treatments.
銆€銆€Can chronic liver disease with obesity lose weight?
銆€銆€For the treatment of chronic hepatitis B and hepatitis C, everyone thinks of using anti-viral drugs such as interferon and hepruding, plus “protecting the liver” drugs.
In fact, liver diseases are not caused by viral infections. If it is not caused by a viral infection, then it is useless to fight the virus, even if the interferon is used for 5 or 10 million units, for 6 months or one year.Also useless.
We need to treat the cause, if the liver function is damaged, mild liver, hepatitis may be caused by excessive, slight deposition, then you need to lose weight.
Losing weight will help liver function damage in this part of the patient, and liver histology will improve.
銆€銆€For patients with chronic viral hepatitis with liver damage and mild liver, we do not all need to use anti-virus to solve the problem. The fundamental thing is to achieve weight through weight loss.
After all, it is easier to manage your weight, and then talk about other situations after you manage your weight.