{"id":28018,"date":"2023-06-06T19:50:00","date_gmt":"2023-06-06T16:50:00","guid":{"rendered":"https:\/\/bolenzdrav.com\/?p=28018"},"modified":"2023-06-06T16:52:09","modified_gmt":"2023-06-06T13:52:09","slug":"obratima-li-e-nealkoholnata-steatoza-omaznen-cheren-drob","status":"publish","type":"post","link":"https:\/\/bolenzdrav.com\/fr\/zdrave\/obratima-li-e-nealkoholnata-steatoza-omaznen-cheren-drob\/","title":{"rendered":"La st\u00e9atose h\u00e9patique non alcoolique est-elle r\u00e9versible ?"},"content":{"rendered":"<p>La st\u00e9atose non alcoolique, \u00e9galement connue sous le nom de st\u00e9atose h\u00e9patique non alcoolique (NAFLD), est une affection m\u00e9dicale caract\u00e9ris\u00e9e par l&#039;accumulation de graisse dans les cellules h\u00e9patiques (h\u00e9patocytes) chez les personnes qui consomment peu ou pas d&#039;alcool. Il est consid\u00e9r\u00e9 comme un \u00e9ventail de conditions qui vont de la simple st\u00e9atose h\u00e9patique (st\u00e9atose) \u00e0 une forme plus grave connue sous le nom de st\u00e9atoh\u00e9patite non alcoolique (NASH), qui implique une inflammation et des dommages aux cellules h\u00e9patiques.<\/p>\n\n\n\n<p>Cette st\u00e9atose est \u00e9troitement li\u00e9e \u00e0 <strong><a href=\"https:\/\/bolenzdrav.com\/zabolyavaniya-i-lechenie\/metabolitniyat-sindrom-e-zatlastyavane-s-hipertoniya-i-visoka-kravna-zahar\/\">syndrome m\u00e9tabolique<\/a><\/strong>, qui comprend des conditions telles que l&#039;ob\u00e9sit\u00e9, la r\u00e9sistance \u00e0 l&#039;insuline, l&#039;hypertension art\u00e9rielle et l&#039;hypercholest\u00e9rol\u00e9mie. On pense qu&#039;elle r\u00e9sulte d&#039;un d\u00e9s\u00e9quilibre entre l&#039;absorption et la synth\u00e8se des acides gras et leur oxydation et exportation par le foie.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-\u0437\u0430\u0442\u043b\u044a\u0441\u0442\u044f\u0432\u0430\u043d\u0435-\u0434\u0438\u0430\u0431\u0435\u0442-\u0438-\u043a\u0440\u044a\u0432\u043d\u043e-\u0441\u0440\u0435\u0434-\u0432\u044a\u0437\u043c\u043e\u0436\u043d\u0438\u0442\u0435-\u043f\u0440\u0438\u0447\u0438\u043d\u0438\">Ob\u00e9sit\u00e9, diab\u00e8te et sang - parmi les causes possibles<\/h2>\n\n\n\n<p>La cause exacte de la maladie n&#039;est pas enti\u00e8rement comprise. Les facteurs de risque comprennent l&#039;ob\u00e9sit\u00e9, le diab\u00e8te de type 2, l&#039;hypertension art\u00e9rielle, l&#039;hypercholest\u00e9rol\u00e9mie et un mode de vie s\u00e9dentaire. De plus, des facteurs g\u00e9n\u00e9tiques et environnementaux peuvent \u00e9galement contribuer \u00e0 son d\u00e9veloppement.<\/p>\n\n\n\n<p>La st\u00e9atose non alcoolique ne provoque g\u00e9n\u00e9ralement aucun sympt\u00f4me perceptible dans les premiers stades. Cependant, \u00e0 mesure que la maladie progresse, elle peut entra\u00eener des complications telles que la NASH, la fibrose h\u00e9patique (cicatrisation), <strong><a href=\"https:\/\/bolenzdrav.com\/zabolyavaniya-i-lechenie\/tsiroza-simptomi-lechenie-i-preporaki-za-hranene\/\">cirrhose <\/a><\/strong>(cicatrices s\u00e9v\u00e8res) et m\u00eame le cancer du foie. Par cons\u00e9quent, il est tr\u00e8s important de d\u00e9tecter et de traiter la maladie t\u00f4t. Cela emp\u00eachera une \u00e9ventuelle progression.<\/p>\n\n\n\n<p>Le diagnostic implique une combinaison d&#039;\u00e9valuation des ant\u00e9c\u00e9dents m\u00e9dicaux, d&#039;examen physique, de tests sanguins, d&#039;\u00e9tudes d&#039;imagerie (telles que l&#039;\u00e9chographie, la tomodensitom\u00e9trie ou l&#039;IRM) et parfois une biopsie du foie pour confirmer la pr\u00e9sence et la gravit\u00e9 des l\u00e9sions h\u00e9patiques.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Traitement de la st\u00e9atose h\u00e9patique non alcoolique<\/h2>\n\n\n\n<p>Le traitement de la st\u00e9atose non alcoolique se concentre sur les changements de mode de vie pour am\u00e9liorer la sant\u00e9 m\u00e9tabolique. Cela implique de perdre du poids gr\u00e2ce \u00e0 une combinaison d&#039;une alimentation \u00e9quilibr\u00e9e, d&#039;exercices r\u00e9guliers et de la gestion de conditions sous-jacentes telles que le diab\u00e8te et l&#039;hypertension art\u00e9rielle. Des m\u00e9dicaments peuvent \u00eatre prescrits pour contr\u00f4ler des affections associ\u00e9es ou pour traiter des sympt\u00f4mes sp\u00e9cifiques. Il n&#039;y a pas de m\u00e9dicament sp\u00e9cifique approuv\u00e9 pour le traitement de la NAFLD elle-m\u00eame.<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><a href=\"https:\/\/bolenzdrav.com\/wp-content\/uploads\/2016\/06\/otslabvane-kantar.jpg\"><img decoding=\"async\" width=\"940\" height=\"565\" data-src=\"https:\/\/bolenzdrav.com\/wp-content\/uploads\/2016\/06\/otslabvane-kantar.jpg\" alt=\"\u043a\u0430\u043a \u0434\u0430 \u043e\u0442\u0441\u043b\u0430\u0431\u043d\u0435\u043c \u0442\u0440\u0430\u0439\u043d\u043e\" class=\"wp-image-26947 lazyload\" data-srcset=\"https:\/\/bolenzdrav.com\/wp-content\/uploads\/2016\/06\/otslabvane-kantar.jpg 940w, https:\/\/bolenzdrav.com\/wp-content\/uploads\/2016\/06\/otslabvane-kantar-300x180.jpg 300w, https:\/\/bolenzdrav.com\/wp-content\/uploads\/2016\/06\/otslabvane-kantar-768x462.jpg 768w, https:\/\/bolenzdrav.com\/wp-content\/uploads\/2016\/06\/otslabvane-kantar-150x90.jpg 150w, https:\/\/bolenzdrav.com\/wp-content\/uploads\/2016\/06\/otslabvane-kantar-696x418.jpg 696w\" data-sizes=\"auto\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" style=\"--smush-placeholder-width: 940px; --smush-placeholder-aspect-ratio: 940\/565;\" data-original-sizes=\"(max-width: 940px) 100vw, 940px\" \/><\/a><\/figure>\n\n\n\n<h3 class=\"wp-block-heading\">Que faire pour retrouver la sant\u00e9<\/h3>\n\n\n\n<p>La st\u00e9atose non alcoolique est g\u00e9n\u00e9ralement r\u00e9versible, en particulier dans les premiers stades. Avec des changements de style de vie appropri\u00e9s et une gestion des maladies sous-jacentes, l&#039;accumulation de st\u00e9atose h\u00e9patique peut \u00eatre r\u00e9duite, l&#039;inflammation peut \u00eatre contr\u00f4l\u00e9e et le foie peut retrouver son fonctionnement normal.<\/p>\n\n\n\n<p><em>Voici quelques \u00e9tapes importantes qui peuvent aider le processus de gu\u00e9rison<\/em>:<\/p>\n\n\n\n<p>La perte de poids, en particulier lorsqu&#039;elle s&#039;accompagne d&#039;une r\u00e9duction de la graisse visc\u00e9rale (graisse autour des organes), est essentielle \u00e0 l&#039;am\u00e9lioration de la sant\u00e9 du foie. M\u00eame une perte de poids mod\u00e9r\u00e9e due au 5-10% peut produire des am\u00e9liorations significatives de la graisse h\u00e9patique et de l&#039;inflammation.<\/p>\n\n\n\n<p>Il est important d&#039;avoir une alimentation \u00e9quilibr\u00e9e et nutritive. Concentrez-vous sur les aliments entiers, y compris les fruits, les l\u00e9gumes, les grains entiers, les prot\u00e9ines maigres et les graisses saines. Limitez votre consommation d&#039;aliments transform\u00e9s, de boissons sucr\u00e9es, de gras satur\u00e9s et de gras trans.<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><a href=\"https:\/\/bolenzdrav.com\/wp-content\/uploads\/2021\/12\/dieta-hranene-salata.jpg\"><img decoding=\"async\" width=\"650\" height=\"433\" data-src=\"https:\/\/bolenzdrav.com\/wp-content\/uploads\/2021\/12\/dieta-hranene-salata.jpg\" alt=\"\u0434\u0438\u0435\u0442\u0430 \u0437\u0430 \u043e\u0442\u0441\u043b\u0430\u0431\u0432\u0430\u043d\u0435 \u043f\u0440\u0430\u0432\u0438\u043b\u043d\u043e \u0445\u0440\u0430\u043d\u0435\u043d\u0435\" class=\"wp-image-23944 lazyload\" data-srcset=\"https:\/\/bolenzdrav.com\/wp-content\/uploads\/2021\/12\/dieta-hranene-salata.jpg 650w, https:\/\/bolenzdrav.com\/wp-content\/uploads\/2021\/12\/dieta-hranene-salata-300x200.jpg 300w\" data-sizes=\"auto\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" style=\"--smush-placeholder-width: 650px; --smush-placeholder-aspect-ratio: 650\/433;\" data-original-sizes=\"(max-width: 650px) 100vw, 650px\" \/><\/a><\/figure>\n\n\n\n<p>Exercice r\u00e9gulier : Participer \u00e0 une activit\u00e9 physique r\u00e9guli\u00e8re peut am\u00e9liorer la sensibilit\u00e9 \u00e0 l&#039;insuline, favoriser la perte de poids et r\u00e9duire la graisse du foie. Visez au moins 150 minutes d&#039;exercices a\u00e9robiques d&#039;intensit\u00e9 mod\u00e9r\u00e9e ou 75 minutes d&#039;exercices vigoureux par semaine, ainsi que des exercices de musculation.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Contr\u00f4ler les maladies sous-jacentes<\/h3>\n\n\n\n<p>Si vous avez des conditions telles que l&#039;ob\u00e9sit\u00e9, le diab\u00e8te, l&#039;hypertension art\u00e9rielle ou l&#039;hypercholest\u00e9rol\u00e9mie, il est important de les g\u00e9rer efficacement avec des m\u00e9dicaments. Si n\u00e9cessaire, apportez \u00e9galement des changements \u00e0 votre style de vie. Cela peut aider \u00e0 pr\u00e9venir d&#039;autres dommages au foie et favoriser la r\u00e9cup\u00e9ration.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\u00c9vitez l&#039;alcool et certains m\u00e9dicaments<\/h3>\n\n\n\n<p>Bien que cette st\u00e9atose ne soit pas caus\u00e9e par la consommation d&#039;alcool, il est recommand\u00e9 d&#039;\u00e9viter ou de limiter la consommation d&#039;alcool car elle peut aggraver les dommages au foie. Certains m\u00e9dicaments peuvent \u00e9galement provoquer une toxicit\u00e9 h\u00e9patique. Ils doivent \u00eatre utilis\u00e9s avec prudence ou \u00e9vit\u00e9s si possible.<\/p>\n\n\n\n<p>Il est important de noter que la progression et la r\u00e9versibilit\u00e9 de la st\u00e9atose peuvent varier d&#039;un patient \u00e0 l&#039;autre. Dans certains cas, en particulier si une st\u00e9atoh\u00e9patite non alcoolique (NASH) ou une fibrose avanc\u00e9e s&#039;est d\u00e9velopp\u00e9e, les l\u00e9sions h\u00e9patiques peuvent \u00eatre plus \u00e9tendues et n\u00e9cessiter un traitement m\u00e9dical sp\u00e9cialis\u00e9.\u00a0<\/p>\n\n\n\n<p>R\u00e9dactrice Diana Georgieva<\/p>","protected":false},"excerpt":{"rendered":"<p>\u041d\u0435\u0430\u043b\u043a\u043e\u0445\u043e\u043b\u043d\u0430\u0442\u0430 \u0441\u0442\u0435\u0430\u0442\u043e\u0437\u0430, \u0438\u0437\u0432\u0435\u0441\u0442\u043d\u0430 \u043e\u0449\u0435 \u043a\u0430\u0442\u043e \u043d\u0435\u0430\u043b\u043a\u043e\u0445\u043e\u043b\u043d\u0430 \u043c\u0430\u0441\u0442\u043d\u0430 \u0447\u0435\u0440\u043d\u043e\u0434\u0440\u043e\u0431\u043d\u0430 \u0431\u043e\u043b\u0435\u0441\u0442 (NAFLD), \u0435 \u043c\u0435\u0434\u0438\u0446\u0438\u043d\u0441\u043a\u043e \u0441\u044a\u0441\u0442\u043e\u044f\u043d\u0438\u0435, \u0445\u0430\u0440\u0430\u043a\u0442\u0435\u0440\u0438\u0437\u0438\u0440\u0430\u0449\u043e \u0441\u0435 \u0441 \u043d\u0430\u0442\u0440\u0443\u043f\u0432\u0430\u043d\u0435 \u043d\u0430 \u043c\u0430\u0437\u043d\u0438\u043d\u0438 \u0432 \u0447\u0435\u0440\u043d\u043e\u0434\u0440\u043e\u0431\u043d\u0438\u0442\u0435 \u043a\u043b\u0435\u0442\u043a\u0438 (\u0445\u0435\u043f\u0430\u0442\u043e\u0446\u0438\u0442\u0438) \u043f\u0440\u0438 \u0438\u043d\u0434\u0438\u0432\u0438\u0434\u0438, \u043a\u043e\u0438\u0442\u043e \u043a\u043e\u043d\u0441\u0443\u043c\u0438\u0440\u0430\u0442 \u043c\u0430\u043b\u043a\u043e \u0438\u043b\u0438 \u043d\u0438\u043a\u0430\u043a\u044a\u0432 \u0430\u043b\u043a\u043e\u0445\u043e\u043b. \u0421\u0447\u0438\u0442\u0430 \u0441\u0435 \u0437\u0430 \u0441\u043f\u0435\u043a\u0442\u044a\u0440 \u043e\u0442 \u0441\u044a\u0441\u0442\u043e\u044f\u043d\u0438\u044f, \u043a\u043e\u0438\u0442\u043e \u0432\u0430\u0440\u0438\u0440\u0430\u0442 \u043e\u0442 \u043e\u0431\u0438\u043a\u043d\u043e\u0432\u0435\u043d \u043c\u0430\u0441\u0442\u0435\u043d \u0447\u0435\u0440\u0435\u043d \u0434\u0440\u043e\u0431 (\u0441\u0442\u0435\u0430\u0442\u043e\u0437\u0430) \u0434\u043e \u043f\u043e-\u0442\u0435\u0436\u043a\u0430 \u0444\u043e\u0440\u043c\u0430, \u0438\u0437\u0432\u0435\u0441\u0442\u043d\u0430 \u043a\u0430\u0442\u043e \u043d\u0435\u0430\u043b\u043a\u043e\u0445\u043e\u043b\u0435\u043d \u0441\u0442\u0435\u0430\u0442\u043e\u0445\u0435\u043f\u0430\u0442\u0438\u0442 (NASH), \u043a\u043e\u044f\u0442\u043e \u0432\u043a\u043b\u044e\u0447\u0432\u0430 [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":21732,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[5235],"tags":[51,921,2448,483],"class_list":{"0":"post-28018","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-zdrave","8":"tag-lechenie","9":"tag-metaboliten-sindrom","10":"tag-steatoza","11":"tag-cheren-drob"},"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.2 (Yoast SEO v27.2) - 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