{"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\/pl\/zdrave\/obratima-li-e-nealkoholnata-steatoza-omaznen-cheren-drob\/","title":{"rendered":"Czy niealkoholowe st\u0142uszczenie w\u0105troby jest odwracalne?"},"content":{"rendered":"

Niealkoholowe st\u0142uszczenie w\u0105troby, znane r\u00f3wnie\u017c jako niealkoholowa st\u0142uszczeniowa choroba w\u0105troby (NAFLD), jest stanem chorobowym charakteryzuj\u0105cym si\u0119 gromadzeniem si\u0119 t\u0142uszczu w kom\u00f3rkach w\u0105troby (hepatocytach) u os\u00f3b, kt\u00f3re spo\u017cywaj\u0105 niewiele alkoholu lub nie spo\u017cywaj\u0105 go wcale. Uwa\u017ca si\u0119, \u017ce jest to spektrum schorze\u0144, kt\u00f3re wahaj\u0105 si\u0119 od prostego st\u0142uszczenia w\u0105troby (st\u0142uszczenie) do ci\u0119\u017cszej postaci znanej jako niealkoholowe st\u0142uszczeniowe zapalenie w\u0105troby (NASH), kt\u00f3re obejmuje zapalenie i uszkodzenie kom\u00f3rek w\u0105troby.<\/p>\n\n\n\n

To st\u0142uszczenie jest \u015bci\u015ble zwi\u0105zane z syndrom metabliczny<\/a><\/strong>, kt\u00f3ra obejmuje stany takie jak oty\u0142o\u015b\u0107, insulinooporno\u015b\u0107, wysokie ci\u015bnienie krwi i wysoki poziom cholesterolu. Uwa\u017ca si\u0119, \u017ce wynika to z braku r\u00f3wnowagi mi\u0119dzy pobieraniem i syntez\u0105 kwas\u00f3w t\u0142uszczowych a ich utlenianiem i eksportem przez w\u0105trob\u0119.<\/p>\n\n\n\n

Oty\u0142o\u015b\u0107, cukrzyca i krew - w\u015br\u00f3d mo\u017cliwych przyczyn<\/h2>\n\n\n\n

Dok\u0142adna przyczyna tego stanu nie jest w pe\u0142ni zrozumia\u0142a. Czynniki ryzyka obejmuj\u0105 oty\u0142o\u015b\u0107, cukrzyc\u0119 typu 2, wysokie ci\u015bnienie krwi, wysoki poziom cholesterolu i siedz\u0105cy tryb \u017cycia. Ponadto czynniki genetyczne i \u015brodowiskowe mog\u0105 r\u00f3wnie\u017c przyczyni\u0107 si\u0119 do jego rozwoju.<\/p>\n\n\n\n

Niealkoholowe st\u0142uszczenie zwykle nie powoduje zauwa\u017calnych objaw\u00f3w we wczesnych stadiach. Jednak w miar\u0119 post\u0119pu choroby mo\u017ce prowadzi\u0107 do powik\u0142a\u0144, takich jak NASH, zw\u0142\u00f3knienie w\u0105troby (bliznowacenie), marsko\u015b\u0107 <\/a><\/strong>(powa\u017cne blizny), a nawet raka w\u0105troby. Dlatego bardzo wa\u017cne jest wczesne wykrycie i leczenie choroby. Zapobiegnie to mo\u017cliwej progresji.<\/p>\n\n\n\n

Diagnoza obejmuje po\u0142\u0105czenie oceny historii medycznej, badania fizykalnego, bada\u0144 krwi, bada\u0144 obrazowych (takich jak USG, tomografia komputerowa lub MRI), a czasem biopsji w\u0105troby w celu potwierdzenia obecno\u015bci i ci\u0119\u017cko\u015bci uszkodzenia w\u0105troby.<\/p>\n\n\n\n

Leczenie niealkoholowej st\u0142uszczeniowej choroby w\u0105troby<\/h2>\n\n\n\n

Leczenie st\u0142uszczenia niealkoholowego koncentruje si\u0119 na zmianach stylu \u017cycia w celu poprawy zdrowia metabolicznego. Obejmuje to utrat\u0119 wagi poprzez po\u0142\u0105czenie zr\u00f3wnowa\u017conej diety, regularnych \u0107wicze\u0144 i radzenia sobie z podstawowymi chorobami, takimi jak cukrzyca i wysokie ci\u015bnienie krwi. Leki mog\u0105 by\u0107 przepisywane w celu kontrolowania powi\u0105zanych stan\u00f3w lub radzenia sobie z okre\u015blonymi objawami. Nie ma konkretnego leku zatwierdzonego do leczenia samej NAFLD.<\/p>\n\n\n\n

\"\u043a\u0430\u043a<\/a><\/figure>\n\n\n\n

Co zrobi\u0107, aby odzyska\u0107 zdrowie<\/h3>\n\n\n\n

St\u0142uszczenie niealkoholowe jest zwykle odwracalne, zw\u0142aszcza we wczesnych stadiach. Przy odpowiednich zmianach stylu \u017cycia i leczeniu chor\u00f3b podstawowych mo\u017cna zmniejszy\u0107 gromadzenie si\u0119 st\u0142uszczenia w\u0105troby, kontrolowa\u0107 stan zapalny i przywr\u00f3ci\u0107 normalne funkcjonowanie w\u0105troby.<\/p>\n\n\n\n

Oto kilka wa\u017cnych krok\u00f3w, kt\u00f3re mog\u0105 pom\u00f3c w procesie gojenia<\/em>:<\/p>\n\n\n\n

Utrata masy cia\u0142a, zw\u0142aszcza gdy towarzyszy jej redukcja trzewnej tkanki t\u0142uszczowej (t\u0142uszczu wok\u00f3\u0142 narz\u0105d\u00f3w), ma kluczowe znaczenie dla poprawy zdrowia w\u0105troby. Nawet umiarkowana utrata masy cia\u0142a z 5-10% mo\u017ce spowodowa\u0107 znaczn\u0105 popraw\u0119 t\u0142uszczu w w\u0105trobie i stanu zapalnego.<\/p>\n\n\n\n

Wa\u017cna jest zbilansowana i bogata w sk\u0142adniki od\u017cywcze dieta. Skoncentruj si\u0119 na pe\u0142nowarto\u015bciowej \u017cywno\u015bci, w tym owocach, warzywach, pe\u0142nych ziarnach, chudych bia\u0142kach i zdrowych t\u0142uszczach. Ogranicz spo\u017cycie przetworzonej \u017cywno\u015bci, s\u0142odkich napoj\u00f3w, t\u0142uszcz\u00f3w nasyconych i t\u0142uszcz\u00f3w trans.<\/p>\n\n\n\n

\"\u0434\u0438\u0435\u0442\u0430<\/a><\/figure>\n\n\n\n

Regularne \u0107wiczenia: Uczestnictwo w regularnej aktywno\u015bci fizycznej mo\u017ce poprawi\u0107 wra\u017cliwo\u015b\u0107 na insulin\u0119, sprzyja\u0107 utracie wagi i redukcji tkanki t\u0142uszczowej w w\u0105trobie. Celuj w co najmniej 150 minut \u0107wicze\u0144 aerobowych o umiarkowanej intensywno\u015bci lub 75 minut intensywnych \u0107wicze\u0144 tygodniowo, wraz z \u0107wiczeniami si\u0142owymi.<\/p>\n\n\n\n

Kontroluj choroby podstawowe<\/h3>\n\n\n\n

Je\u015bli masz takie schorzenia, jak oty\u0142o\u015b\u0107, cukrzyca, wysokie ci\u015bnienie krwi lub wysoki poziom cholesterolu, wa\u017cne jest, aby skutecznie zarz\u0105dza\u0107 nimi za pomoc\u0105 lek\u00f3w. Je\u015bli to konieczne, wprowad\u017a r\u00f3wnie\u017c zmiany w stylu \u017cycia. Mo\u017ce to pom\u00f3c w zapobieganiu dalszemu uszkodzeniu w\u0105troby i promowa\u0107 powr\u00f3t do zdrowia.<\/p>\n\n\n\n

Unikaj alkoholu i niekt\u00f3rych lek\u00f3w<\/h3>\n\n\n\n

Chocia\u017c st\u0142uszczenie to nie jest spowodowane spo\u017cyciem alkoholu, zaleca si\u0119 unikanie lub ograniczanie spo\u017cywania alkoholu, poniewa\u017c mo\u017ce on pogorszy\u0107 uszkodzenie w\u0105troby. Niekt\u00f3re leki mog\u0105 r\u00f3wnie\u017c powodowa\u0107 toksyczno\u015b\u0107 w\u0105troby. Nale\u017cy ich u\u017cywa\u0107 ostro\u017cnie lub unika\u0107, je\u015bli to mo\u017cliwe.<\/p>\n\n\n\n

Nale\u017cy zauwa\u017cy\u0107, \u017ce post\u0119p i odwracalno\u015b\u0107 st\u0142uszczenia mog\u0105 si\u0119 r\u00f3\u017cni\u0107 u poszczeg\u00f3lnych pacjent\u00f3w. W niekt\u00f3rych przypadkach, zw\u0142aszcza je\u015bli dosz\u0142o do rozwoju niealkoholowego st\u0142uszczeniowego zapalenia w\u0105troby (NASH) lub zaawansowanego zw\u0142\u00f3knienia, uszkodzenie w\u0105troby mo\u017ce by\u0107 bardziej rozleg\u0142e i wymaga\u0107 specjalistycznego leczenia.\u00a0<\/p>\n\n\n\n

Redaktor Diana Georgiewa<\/p>","protected":false},"excerpt":{"rendered":"

\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 […]<\/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":"\n\u041e\u0431\u0440\u0430\u0442\u0438\u043c\u0430 \u043b\u0438 \u0435 \u043d\u0435\u0430\u043b\u043a\u043e\u0445\u043e\u043b\u043d\u0430\u0442\u0430 \u0441\u0442\u0435\u0430\u0442\u043e\u0437\u0430 - 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