More and more patients after examination by doctors will know that they have identified steatosis.This liver disease differs from other diseases of the liver rather favorable course, but you need to take responsibility for their nutrition. Content
traditional way of life of many of our contemporaries is that the fast food craze, neglect physical exercise in conjunction with family history turn into problems with fat metabolism.They, in turn, give rise to unpleasant diseases: obesity, diabetes, hypertension, non-alcoholic fatty liver disease.The latter has several stages of development, one of which is steatosis.Its essence lies in the increased deposition of triglycerides (fats) in the liver cells - hepatocytes, which has nothing to do with excessive addiction to alcohol.
One of the most important therapeutic measures in this disease is considered to di
Patients sometimes on their own, having read dubious sources, sharply reducyruut fat or carbohydrate component of the diet.Such changes in the diet may further aggravate the existing disturbances in the body or trigger new diseases.Thus, rapid mass loss is accompanied by the release of fatty acids that impair the function and structure of the liver tissue.Consider what changes are needed.
When fat hepatosis daily amount of proteins derived from food must remain within the physiological norm of the patient (about 1 g / kg body weight).Half of them are derived from vegetable products, and the remaining 50% - of food of animal origin.Moreover, those proteins are necessary which consist of essential amino acids and lipotoropnyh factors (methionine, choline, etc.).These substances may suspend the further development of fatty liver.They are found in:
If you start to restrict proteins, their deficiency can only enhance hepatic steatosis.Sometimes it is detected and completely depleted patients.
patients diagnosed with FH usually reduced in the diet daily quota of fat to '70 veto imposed on products with a high degree of refractory animal fats, high in cholesterol and saturated fatty acids (palmitic, myristic, lauric):
However,about two-thirds of the fat should be animal nature.Preference is given to foods rich in beneficial polyunsaturated fatty acids (linoleic, dokozogeksaenovaya, eicosapentaenoic), normalizes altered fat metabolism.They are:
third of the fat should come from plant foods.Patients showing various vegetable oils (corn, cottonseed, sunflower, olive, peanut, etc.) And olives rich already mentioned polyunsaturated fatty acids.These oils can replace sour cream, hard margarine, butter.
We should not forget the Prohibition of frying and cooking in oil, in which damaged all the useful fatty acids.Admitted decoction, roasting, stewing.
thoughtless limiting fat component of the diet can cause hormonal changes (including the hormones that regulate the work of the reproductive system), the lack of fat-soluble vitamins, skin changes.
needed when fat hepatosis reducing carbohydrates is achieved by limiting simple refined sugars, which increase fat formation by serving as precursors of triglyceride.They are found in:
food diet enriched with complex (non-digestible) carbohydrates.They are pectins, cellulose, hemicellulose, gluten.These dietary fibers reduce the absorption of fats from the gut and improve cholesterol metabolism.They are rich:
caloric diet is determined by the actual weight of the patient.If it is in the normal range, then kalorazh must comply with the physiological needs and the actual energy consumption of a particular organism.
different approach is needed in the case of a patient of excess weight.After all, it is one of the normalization of the purpose of the treatment of the formed fatty liver.There are special mathematical formulas, allowing to establish the necessary level of caloric daily diet.They take into account, and gender, and age, and physical activity, and related diseases.Usually, nutritionists are trying to create such a diet, which reduced by 500-700 kcal units compared with the calculated value.At the same time doctors believed that limit energy intake less than 1200 kcal (for women) and 1,500 kcal (for men) is dangerous.
Compliance hypocaloric diet is best done under close medical supervision.The most effective and harmless is weight loss of 1-1.6 kg per week.A more accelerated rate of decline in weight significantly increases the risk of stones in the biliary system.
patients with FH should be good to remember that this food should not be momentary impulse, and life-long and deliberate modification of the diet.Only then it will be really effective.
The effectiveness of diet therapy can be greatly strengthened by regular physical activity.
opinions of scientists about the appropriateness of drugs uniquely.But many practitioners realize that not all patients can perform a liver biopsy, to distinguish steatosis from steatohepatitis.Therefore, these doctors recommend their wards different medications (metformin, Geptral, Silymarin, Tiogamma, means of ursodeoxycholic acid, etc.).The choice of drug often depends on other manifestations of disorders of fat metabolism or other related ailments.
In the most extreme cases (for example, with concomitant obesity grade 4) sometimes resort to surgical methods of weight reduction.