{"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\/pt\/zdrave\/obratima-li-e-nealkoholnata-steatoza-omaznen-cheren-drob\/","title":{"rendered":"A doen\u00e7a hep\u00e1tica gordurosa n\u00e3o alco\u00f3lica \u00e9 revers\u00edvel?"},"content":{"rendered":"

A esteatose n\u00e3o alco\u00f3lica, tamb\u00e9m conhecida como doen\u00e7a hep\u00e1tica gordurosa n\u00e3o alco\u00f3lica (DHGNA), \u00e9 uma condi\u00e7\u00e3o m\u00e9dica caracterizada pelo ac\u00famulo de gordura nas c\u00e9lulas do f\u00edgado (hepat\u00f3citos) em indiv\u00edduos que consomem pouco ou nenhum \u00e1lcool. \u00c9 considerado um espectro de condi\u00e7\u00f5es que variam de f\u00edgado gorduroso simples (esteatose) a uma forma mais grave conhecida como esteato-hepatite n\u00e3o alco\u00f3lica (NASH), que envolve inflama\u00e7\u00e3o e danos \u00e0s c\u00e9lulas do f\u00edgado.<\/p>\n\n\n\n

Esta esteatose est\u00e1 intimamente relacionada com s\u00edndrome metab\u00f3lica<\/a><\/strong>, que inclui condi\u00e7\u00f5es como obesidade, resist\u00eancia \u00e0 insulina, press\u00e3o alta e n\u00edveis elevados de colesterol. Acredita-se que resulte de um desequil\u00edbrio entre a absor\u00e7\u00e3o e s\u00edntese de \u00e1cidos graxos e sua oxida\u00e7\u00e3o e exporta\u00e7\u00e3o pelo f\u00edgado.<\/p>\n\n\n\n

Obesidade, diabetes e sangue - entre as poss\u00edveis causas<\/h2>\n\n\n\n

A causa exata da condi\u00e7\u00e3o n\u00e3o \u00e9 totalmente compreendida. Os fatores de risco incluem obesidade, diabetes tipo 2, press\u00e3o alta, colesterol alto e estilo de vida sedent\u00e1rio. Al\u00e9m disso, fatores gen\u00e9ticos e ambientais tamb\u00e9m podem contribuir para o seu desenvolvimento.<\/p>\n\n\n\n

A esteatose n\u00e3o alco\u00f3lica geralmente n\u00e3o causa sintomas percept\u00edveis nos est\u00e1gios iniciais. No entanto, \u00e0 medida que a doen\u00e7a progride, pode levar a complica\u00e7\u00f5es como NASH, fibrose hep\u00e1tica (cicatrizes), cirrose <\/a><\/strong>(cicatrizes graves) e at\u00e9 c\u00e2ncer de f\u00edgado. Portanto, \u00e9 muito importante detectar e tratar a doen\u00e7a precocemente. Isso impedir\u00e1 uma poss\u00edvel progress\u00e3o.<\/p>\n\n\n\n

O diagn\u00f3stico envolve uma combina\u00e7\u00e3o de avalia\u00e7\u00e3o do hist\u00f3rico m\u00e9dico, exame f\u00edsico, exames de sangue, estudos de imagem (como ultrassonografia, tomografia computadorizada ou resson\u00e2ncia magn\u00e9tica) e, \u00e0s vezes, uma bi\u00f3psia hep\u00e1tica para confirmar a presen\u00e7a e a gravidade do dano hep\u00e1tico.<\/p>\n\n\n\n

Tratamento da doen\u00e7a hep\u00e1tica gordurosa n\u00e3o alco\u00f3lica<\/h2>\n\n\n\n

O tratamento para a esteatose n\u00e3o alco\u00f3lica se concentra em mudan\u00e7as no estilo de vida para melhorar a sa\u00fade metab\u00f3lica. Isso envolve a perda de peso por meio de uma combina\u00e7\u00e3o de dieta balanceada, exerc\u00edcios regulares e controle de condi\u00e7\u00f5es subjacentes, como diabetes e press\u00e3o alta. Medicamentos podem ser prescritos para controlar condi\u00e7\u00f5es associadas ou para lidar com sintomas espec\u00edficos. N\u00e3o h\u00e1 nenhum medicamento espec\u00edfico aprovado para o tratamento da DHGNA em si.<\/p>\n\n\n\n

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

O que fazer para recuperar a sa\u00fade<\/h3>\n\n\n\n

A esteatose n\u00e3o alco\u00f3lica costuma ser revers\u00edvel, principalmente nos est\u00e1gios iniciais. Com mudan\u00e7as apropriadas no estilo de vida e gerenciamento de doen\u00e7as subjacentes, o ac\u00famulo de gordura no f\u00edgado pode ser reduzido, a inflama\u00e7\u00e3o pode ser controlada e o f\u00edgado pode retornar \u00e0 fun\u00e7\u00e3o normal.<\/p>\n\n\n\n

Aqui est\u00e3o alguns passos importantes que podem ajudar no processo de cicatriza\u00e7\u00e3o<\/em>:<\/p>\n\n\n\n

A perda de peso, especialmente quando acompanhada de redu\u00e7\u00e3o da gordura visceral (gordura ao redor dos \u00f3rg\u00e3os), \u00e9 fundamental para melhorar a sa\u00fade do f\u00edgado. Mesmo a perda de peso moderada de 5-10% pode produzir melhorias significativas na gordura e inflama\u00e7\u00e3o do f\u00edgado.<\/p>\n\n\n\n

Comer uma dieta equilibrada e nutritiva \u00e9 importante. Concentre-se em alimentos integrais, incluindo frutas, vegetais, gr\u00e3os integrais, prote\u00ednas magras e gorduras saud\u00e1veis. Limite o consumo de alimentos processados, bebidas a\u00e7ucaradas, gorduras saturadas e gorduras trans.<\/p>\n\n\n\n

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

Exerc\u00edcio regular: participar de atividades f\u00edsicas regulares pode melhorar a sensibilidade \u00e0 insulina, promover a perda de peso e reduzir a gordura do f\u00edgado. Procure pelo menos 150 minutos de exerc\u00edcios aer\u00f3bicos de intensidade moderada ou 75 minutos de exerc\u00edcios vigorosos por semana, juntamente com exerc\u00edcios de treinamento de for\u00e7a.<\/p>\n\n\n\n

Controlar doen\u00e7as subjacentes<\/h3>\n\n\n\n

Se voc\u00ea tem condi\u00e7\u00f5es como obesidade, diabetes, press\u00e3o alta ou colesterol alto, \u00e9 importante gerenci\u00e1-las de forma eficaz com medica\u00e7\u00e3o. Se necess\u00e1rio, fa\u00e7a mudan\u00e7as no estilo de vida tamb\u00e9m. Isso pode ajudar a prevenir mais danos ao f\u00edgado e promover a recupera\u00e7\u00e3o.<\/p>\n\n\n\n

Evite \u00e1lcool e certos medicamentos<\/h3>\n\n\n\n

Embora esta esteatose n\u00e3o seja causada pelo consumo de \u00e1lcool, recomenda-se evitar ou limitar a ingest\u00e3o de \u00e1lcool, pois pode piorar os danos ao f\u00edgado. Alguns medicamentos tamb\u00e9m podem causar toxicidade hep\u00e1tica. Eles devem ser usados com cautela ou evitados, se poss\u00edvel.<\/p>\n\n\n\n

\u00c9 importante notar que a progress\u00e3o e a reversibilidade da esteatose podem variar entre os pacientes. Em alguns casos, especialmente se houver desenvolvimento de esteato-hepatite n\u00e3o alco\u00f3lica (NASH) ou fibrose avan\u00e7ada, o dano hep\u00e1tico pode ser mais extenso e pode exigir tratamento m\u00e9dico especializado.\u00a0<\/p>\n\n\n\n

Editora Diana Georgieva<\/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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