How to solve nonalcoholic fatty liver? We must pay attention to these four points. With the improvement of modern people's living standards, there are many troubled problems in health. Alcoholic fatty liver is irreversible damage caused by drinking, and there are four solutions for nonalcoholic fatty liver. Exercise and diet control are not only the main measures to treat early NAFLD, but also reduce the risk of cardiovascular disease and type 2 diabetes after weight loss. First, emphasize a concept - body mass index (BMI): it is an important reference index commonly used in medicine to measure the degree of human obesity. BMI = weight (kg) / height 2 (cm2).
NAFLD patients should adhere to moderate aerobic exercise for 30 minutes every day, 5 times a week; Or high-intensity aerobic exercise for 20 minutes every day, 3 times a week, and 8-10 groups of impedance training (sit ups, push ups and anti resistance training using dumbbells and other instruments) at the same time, 2 times a week. Aerobic exercise includes squatting on one leg, sprinting, running, swimming, cycling, etc; The so-called moderate aerobic exercise is that the heart rate reaches 45% - 55% of the maximum predicted heart rate during exercise, the high-intensity aerobic exercise is that the heart rate reaches 65-80% of the maximum predicted heart rate during exercise, and the maximum predicted heart rate is 220 beats / min for men or 210 beats / min for women minus the actual age. In 1 years, weight loss 3%-5% can improve the metabolic syndrome such as hypertension and diabetes, and reverse the simple fatty liver. Weight loss 7%-10% can significantly improve liver function and improve liver inflammation. But exercise needs long-term persistence, otherwise the benefits brought by exercise can not be sustained.
medication
For patients with NAFLD who had been unable to lose weight and control metabolic risk for 3-6 months with diet control and exercise, it was suggested that they should go to the hospital to treat metabolic syndrome such as obesity, dyslipidemia and type 2 diabetes. BMI≥ Adults with 30kg / m2 can consider using orlistat and other drugs to lose weight, but they should be alert to the adverse reactions caused by weight-loss drugs; NAFLD patients with type 2 diabetes may consider metformin to reduce blood sugar and improve insulin resistance, and (or) to control the blood glucose level with the application of L; NAFLD complicated with hyperlipidemia can be considered to use lipid-lowering drugs such as statins or Bates, but its hepatotoxicity should be vigilant; At present, there is no effective drug for nonalcoholic fatty liver disease recommended by experts. If drug treatment is considered, please follow the doctor's advice.
Regular outpatient follow-up
In order to judge the curative effect of NAFLD patients, it is necessary to comprehensively evaluate the ergonomic indexes such as BMI, waist circumference, serum biochemical indexes, liver imaging changes such as B-mode ultrasound and transient elastic imaging of liver, dynamically observe the degree of liver steatosis and liver fibrosis, and monitor adverse drug reactions, so as to adjust the individualized diagnosis and treatment plan in time. Liver biopsy is still the 'gold standard' to evaluate the severity of NAFLD and liver histological changes. If conditions permit, liver biopsy is feasible.