{"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\/ro\/zdrave\/obratima-li-e-nealkoholnata-steatoza-omaznen-cheren-drob\/","title":{"rendered":"Este boala hepatic\u0103 gras\u0103 non-alcoolic\u0103 reversibil\u0103?"},"content":{"rendered":"

Steatoza nonalcoolic\u0103, cunoscut\u0103 \u0219i sub numele de boala ficatului gras nonalcoolic (NAFLD), este o afec\u021biune medical\u0103 caracterizat\u0103 prin acumularea de gr\u0103sime \u00een celulele hepatice (hepatocite) la persoanele care consum\u0103 pu\u021bin sau deloc alcool. Este considerat un spectru de afec\u021biuni care variaz\u0103 de la ficatul gras simplu (steatoz\u0103) la o form\u0103 mai sever\u0103 cunoscut\u0103 sub numele de steatohepatit\u0103 nonalcoolic\u0103 (NASH), care implic\u0103 inflama\u021bia \u0219i deteriorarea celulelor hepatice.<\/p>\n\n\n\n

Aceast\u0103 steatoz\u0103 este str\u00e2ns legat\u0103 de sindrom metabolic<\/a><\/strong>, care include afec\u021biuni precum obezitatea, rezisten\u021ba la insulin\u0103, hipertensiunea arterial\u0103 \u0219i nivelurile ridicate ale colesterolului. Se crede c\u0103 rezult\u0103 dintr-un dezechilibru \u00eentre absorb\u021bia \u0219i sinteza acizilor gra\u0219i \u0219i oxidarea \u0219i exportul lor de c\u0103tre ficat.<\/p>\n\n\n\n

Obezitatea, diabetul \u0219i s\u00e2ngele - printre cauzele posibile<\/h2>\n\n\n\n

Cauza exact\u0103 a afec\u021biunii nu este pe deplin \u00een\u021beleas\u0103. Factorii de risc includ obezitatea, diabetul de tip 2, hipertensiunea arterial\u0103, colesterolul crescut \u0219i un stil de via\u021b\u0103 sedentar. \u00cen plus, factorii genetici \u0219i de mediu pot contribui \u0219i la dezvoltarea acestuia.<\/p>\n\n\n\n

Steatoza nonalcoolic\u0103 de obicei nu provoac\u0103 simptome vizibile \u00een stadiile incipiente. Cu toate acestea, pe m\u0103sur\u0103 ce boala progreseaz\u0103, poate duce la complica\u021bii precum NASH, fibroz\u0103 hepatic\u0103 (cicatrici), ciroz\u0103 <\/a><\/strong>(cicatrici severe) \u0219i chiar cancer la ficat. Prin urmare, este foarte important s\u0103 detecta\u021bi \u0219i s\u0103 trata\u021bi boala din timp. Acest lucru va preveni o posibil\u0103 progresie.<\/p>\n\n\n\n

Diagnosticul implic\u0103 o combina\u021bie de evaluare a istoricului medical, examen fizic, analize de s\u00e2nge, studii imagistice (cum ar fi ecografie, tomografie computerizat\u0103 sau RMN) \u0219i uneori o biopsie hepatic\u0103 pentru a confirma prezen\u021ba \u0219i severitatea leziunilor hepatice.<\/p>\n\n\n\n

Tratamentul bolii hepatice grase non-alcoolice<\/h2>\n\n\n\n

Tratamentul pentru steatoza nonalcoolic\u0103 se concentreaz\u0103 pe modific\u0103ri ale stilului de via\u021b\u0103 pentru a \u00eembun\u0103t\u0103\u021bi s\u0103n\u0103tatea metabolic\u0103. Aceasta implic\u0103 pierderea \u00een greutate printr-o combina\u021bie \u00eentre o diet\u0103 echilibrat\u0103, exerci\u021bii fizice regulate \u0219i gestionarea afec\u021biunilor subiacente, cum ar fi diabetul \u0219i hipertensiunea arterial\u0103. Medicamentele pot fi prescrise pentru a controla afec\u021biunile asociate sau pentru a trata simptome specifice. Nu exist\u0103 un medicament specific aprobat pentru tratamentul NAFLD \u00een sine.<\/p>\n\n\n\n

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

Ce s\u0103 faci pentru a-\u0219i rec\u0103p\u0103ta s\u0103n\u0103tatea<\/h3>\n\n\n\n

Steatoza nonalcoolic\u0103 este de obicei reversibil\u0103, mai ales \u00een stadiile incipiente. Cu modific\u0103ri adecvate ale stilului de via\u021b\u0103 \u0219i gestionarea bolilor de baz\u0103, acumularea de ficat gras poate fi redus\u0103, inflama\u021bia poate fi controlat\u0103 \u0219i ficatul poate reveni la func\u021bionarea normal\u0103.<\/p>\n\n\n\n

Iat\u0103 c\u00e2\u021biva pa\u0219i importan\u021bi care pot ajuta procesul de vindecare<\/em>:<\/p>\n\n\n\n

Sc\u0103derea \u00een greutate, mai ales atunci c\u00e2nd este \u00eenso\u021bit\u0103 de o reducere a gr\u0103simii viscerale (gr\u0103simile din jurul organelor), este esen\u021bial\u0103 pentru \u00eembun\u0103t\u0103\u021birea s\u0103n\u0103t\u0103\u021bii ficatului. Chiar \u0219i pierderea moderat\u0103 \u00een greutate de la 5-10% poate produce \u00eembun\u0103t\u0103\u021biri semnificative ale gr\u0103simii hepatice \u0219i ale inflama\u021biei.<\/p>\n\n\n\n

Este important s\u0103 m\u0103n\u00e2nci o diet\u0103 echilibrat\u0103 \u0219i hr\u0103nitoare. Concentra\u021bi-v\u0103 pe alimente integrale, inclusiv fructe, legume, cereale integrale, proteine slabe \u0219i gr\u0103simi s\u0103n\u0103toase. Limita\u021bi-v\u0103 consumul de alimente procesate, b\u0103uturi dulci, gr\u0103simi saturate \u0219i gr\u0103simi trans.<\/p>\n\n\n\n

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

Exerci\u021bii fizice regulate: Participarea la o activitate fizic\u0103 regulat\u0103 poate \u00eembun\u0103t\u0103\u021bi sensibilitatea la insulin\u0103, poate promova pierderea \u00een greutate \u0219i poate reduce gr\u0103simea hepatic\u0103. Urm\u0103ri\u021bi cel pu\u021bin 150 de minute de exerci\u021bii aerobice de intensitate moderat\u0103 sau 75 de minute de exerci\u021bii viguroase pe s\u0103pt\u0103m\u00e2n\u0103, \u00eempreun\u0103 cu exerci\u021bii de antrenament de for\u021b\u0103.<\/p>\n\n\n\n

Controla\u021bi bolile de baz\u0103<\/h3>\n\n\n\n

Dac\u0103 ave\u021bi afec\u021biuni precum obezitatea, diabetul, hipertensiunea arterial\u0103 sau colesterolul crescut, este important s\u0103 le gestiona\u021bi eficient cu medicamente. Dac\u0103 este necesar, face\u021bi \u0219i schimb\u0103ri \u00een stilul de via\u021b\u0103. Acest lucru poate ajuta la prevenirea leziunilor hepatice suplimentare \u0219i la promovarea recuper\u0103rii.<\/p>\n\n\n\n

Evita\u021bi alcoolul \u0219i anumite medicamente<\/h3>\n\n\n\n

De\u0219i aceast\u0103 steatoz\u0103 nu este cauzat\u0103 de consumul de alcool, se recomand\u0103 evitarea sau limitarea consumului de alcool deoarece poate agrava afectarea ficatului. Unele medicamente pot provoca, de asemenea, toxicitate hepatic\u0103. Acestea trebuie utilizate cu pruden\u021b\u0103 sau evitate dac\u0103 este posibil.<\/p>\n\n\n\n

Este important de men\u021bionat c\u0103 progresia \u0219i reversibilitatea steatozei pot varia de la un pacient la altul. \u00cen unele cazuri, mai ales dac\u0103 s-a dezvoltat steatohepatita nealcoolic\u0103 (NASH) sau fibroz\u0103 avansat\u0103, leziunile hepatice pot fi mai extinse \u0219i pot necesita tratament medical de specialitate.\u00a0<\/p>\n\n\n\n

Redactor 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 - \u043e\u043c\u0430\u0437\u043d\u0435\u043d \u0447\u0435\u0440\u0435\u043d \u0434\u0440\u043e\u0431 - bolenzdrav.com<\/title>\n<meta name=\"description\" content=\"\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 - \u043e\u043c\u0430\u0437\u043d\u0435\u043d \u0447\u0435\u0440\u0435\u043d \u0434\u0440\u043e\u0431 bolenzdrav.com\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/bolenzdrav.com\/ro\/zdrave\/obratima-li-e-nealkoholnata-steatoza-omaznen-cheren-drob\/\" \/>\n<meta property=\"og:locale\" content=\"ro_RO\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"\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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