Mild fatty liver disease also requires doctor intervention

  Aug 18, 2023

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Aunt Dan (pseudonym), 65 years old, is a patient with chronic hepatitis B (hereinafter referred to as chronic hepatitis B). After long-term medication, various liver function indicators are stable. She thought that she had got rid of the "entanglement" of hepatitis B virus, so she stopped taking medicine without authorization, which resulted in liver failure. Fortunately, she recovered and was discharged with the full treatment of experts.
Qian Zhiping, director of the Department of Severe Hepatology of the Shanghai Public Health Clinical Center (hereinafter referred to as the Shanghai Public Health Center), said in an interview with reporters on the 27th that for people with chronic hepatitis B B, the hepatitis B virus replicates in the liver cells. To inhibit the replication of the virus, the concentration of drugs in the blood needs to be kept at a certain level. Therefore, medication adherence is important. Random discontinuation of medication not only provides the opportunity for the virus to "revive", but also increases the risk of drug resistance, and can even lead to recurrence of the disease, leading to the progression of the disease towards cirrhosis and liver cancer. He pointed out that even if doctors agree to discontinue medication, patients should undergo regular follow-up.
Qian Zhiping told reporters that Aunt Dan was hospitalized due to "severe hepatitis and liver failure". The rescue team activated artificial liver therapy. It is understood that artificial liver is a blood purification technology that can replace plasma containing a large amount of "toxins" in the human body with normal plasma, temporarily replacing liver function, giving the liver time to rest and allowing liver cells to resume regeneration. Finally, after symptomatic medication and 6 treatments with artificial liver, Aunt Dan's various liver function indicators gradually improved and stabilized. Aunt Dan only recovered and was discharged after being hospitalized for nearly 2 months.
It is reported that the 13th World Hepatitis Day is approaching, and this year's theme is "Adhere to early prevention, strengthen testing and detection, and standardize antiviral treatment". Li Jun, the director of the major surgery department at Shanghai Jiahui International Hospital and the director of the Jiahui International Cancer Center, told reporters that the liver does not have pain nerves and appears to have a strong "endurance" ability. Therefore, some patients feel that when abdominal pain is unbearable, it is already in the late stage of liver cancer. He admitted that such cases are not uncommon. In China, there are a large number of hepatitis B virus carriers. How can we avoid developing cirrhosis and liver cancer? Li Jun believes that it is necessary to have a scientific understanding of liver nourishing knowledge, develop healthy lifestyle habits, conduct regular screening, and receive timely treatment.
This expert pointed out that some popular sayings about liver health preservation in the market, such as "eating liver to nourish liver" and "nourishing liver with medicine", are actually not correct. Li Jun explained that the food consumed by the human body will be digested into various types of energy and elements, and it is possible that the quantity supply is not "launching missiles", but can achieve "pointing to where to hit". The animal liver is also an important detoxifying and metabolic organ in the animal body, and heavy metals may accumulate in the liver, with a large amount of cholesterol easily leading to cardiovascular disease. He said that this is also the reason why patients with fatty liver and hypertension need to eat less animal liver. Some people who stay up late will take health products that claim to have "liver protection" functions. Regarding this, Li Jun bluntly stated that on the one hand, the role of various "liver protection tablets" and health products in liver health needs to be confirmed; On the other hand, drug abuse can exacerbate the burden of liver detoxification, and the gains outweigh the losses.
Does liver disease necessarily evolve into liver cancer? Li Jun stated that after liver disease worsens, it may transform into liver cancer, but not all liver diseases will experience this situation. As long as patients actively cooperate with treatment and control the development of the disease, it can prevent the worsening of liver disease and its transformation into liver cancer. In the interview, the expert stated that early detection, diagnosis, and treatment are very important for liver diseases; After discovering liver disease, the public should pay attention and receive standardized treatment.
With the improvement of people's living standards, being diagnosed with "fatty liver" during physical examinations is no longer a new thing. In this regard, Zhu Junfeng, director of the Department of Hepatology of Yueyang Hospital of Integrated Traditional and Western Medicine affiliated to Shanghai University of Traditional Chinese Medicine (hereinafter referred to as "Shanghai Yueyang Hospital"), said frankly: "In recent years, with the improvement of material life and the change of eating habits, the incidence rate of fatty liver is rising and getting younger." He pointed out that even if people are found to have mild fatty liver, they must seek medical advice in time to intervene. He told reporters that fatty liver is a progressive disease that, if not controlled, can develop into steatohepatitis, cirrhosis, and even liver cancer. Scientific and effective treatment can control the progression of the disease and even achieve a cure.
Zhu Junfeng said that doctors can guide patients with fatty liver to take oral Chinese medicine treatment. They can also combine acupuncture and moxibustion and catgut embedding, external application and penetration of drugs, infrared, and auricular points to form a "five in one" treatment, which can significantly improve the patients' fatigue, liver discomfort, abdominal distention, dull, irritable, insomnia, dry mouth, bitter mouth, bad breath and other symptoms caused by fatty liver, and reduce high transaminase, high blood fat, high uric acid, high blood sugar and other conditions.

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