How to check fatty liver

summary

Most patients with fatty liver have no symptoms in the early stage and are often found by routine physical examination. Some patients with fatty liver may have mild abnormal liver function. It should be noted that normal transaminase does not mean that fatty liver is not harmful to the body. The development of fatty liver will lead to hepatitis, cirrhosis and even liver cancer. So let's share with you how to check fatty liver

How to check fatty liver

The first is that B-mode ultrasonography is sensitive to fatty liver detection. It is mainly diagnosed according to the definition of liver blood vessels and the degree of ultrasonic attenuation. It has been used as the preferred diagnostic method for fatty liver and is widely used in epidemiological investigation of incidence rate of fatty liver in the population. However, B-ultrasound can not determine the degree of liver function damage, and it is difficult to detect early cirrhosis.

Second: laboratory examination of mild fatty liver, liver function is basically normal. The levels of ALT and AST in moderate and severe fatty liver were 2-5 times higher than those in normal liver. In general, ALT is higher than AST in obese fatty liver, on the contrary, AST is higher than ALT in alcoholic fatty liver. Alkaline phosphatase (ALP) and creatinine were detected in half of the patients γ- Glutamyl transpeptidase (GGT) increased 2-3 times. More than 80% of the patients had elevated serum cholinesterase. Serum bilirubin may be abnormal.

Third: about 30% - 100% of the patients in physical examination have obesity, mild liver enlargement may have tenderness, slightly tough texture, blunt edge and smooth surface, and a few patients may have splenomegaly and liver palms. When liver cirrhosis develops, jaundice, edema, flapping wing tremor and signs of portal hypertension may appear.

matters needing attention

Fatty liver should be controlled diet, should promote high protein, high vitamin, low sugar, low fat diet. Do not eat or try to eat less animal viscera, scaleless fish (such as eel, hairtail), egg yolk, crab yolk, etc. In addition, sugars can be converted into fat in the body, aggravating fatty liver, so do not eat or try to eat less sweets (including sugary drinks). Eat more vegetables, fruits and foods rich in cellulose, as well as lean meat, river fish and bean products with high protein. In addition, also pay attention to eating habits, do not eat snacks, do not eat meals before going to bed.