Soft Steatohepatitis (Nash) is a type of fatty liver disease. This is often developing due to a metabolic disorder, such as obesity or diabetes, which leads to the accumulation of toxic grease in the liver.This is the listened form of non-alcoholic liver disease (NAFD) .
Nash symptoms are often silent or non-specific, which makes diagnosis difficult.As a result, Nash patients may not know their condition until the end of disease diseases.
For most people, the length of fat in the liver, although it is not perfect, no Causes problems.But in some people, fat can become toxic to liver cells, causing inflammation and damage to cells.
This article will discuss the symptoms , the causes, diagnosis and treatment of Nash.
Get information from Meds / Teresa Chiechi
Types of hepatic diseases in bold
Liver, greater organ the body,It is responsible for creating and storing energy, detoxifying drugs and the manufacture of bile, which help to make residues and subsidies in fat digestion in the small intestine.If the liver is damaged, damaged, or simply stops correctly, fat can accumulate in the liver, causing a fatty liver disease.
There are two main types: / P>
- Non-alcoholic liver diseases ( NAFLD)
- Alcoholic liver disease, also calls alcoholic surf (ash)
Nash vs. NafLD vs.Ash
NAFD is mainly a benign state characterized by increasing fat in the liver. Nafl is sometimes called hepatic fat disease, because the presence of fat in liver cells is the only characteristic of the state.
NAFLD has no symptoms of liver diseases. It is quite common to 25% of people in the world with this condition.
Nash is the type of non-alcoholic hepatic disease. About 20% of people with NAFD Nash. Nash is generally associated with obesity, type 2 diabetes and a high level of body fat ( hyperlipidemia ).
(hardening liver) and hepatocellular carcinoma (type of liver cancer ). But the probability of both is much greater in those who are with Ash0.5% compared to 3% to 10%, respectively.
Symptoms of NO – Steatohepatitis of the alcoholic
Nash nash is without symptoms, so you do not even know what you have .If your Nash is getting worse, you can begin to test the symptoms that indicate inflammation and damage performed for your liver cells.
nash General symptoms include:
- Fatigue
- inexplicable weight loss
- Total address
- at the top right of your belly
Calls
How unsveloped diseases of fatty liver are being studied.The first step includes the resistance to insulin and obesity, which leads to high levels of fat infiltration in liver cells, so-called steatohepatitis.
The following is the inflammatory response, which causes non-alcoholic steatohepatitis .The mechanisms that are established are still studied. Inflammation can damage liver cells, causing fibrosis (scars) of the liver.
Experts are not sure why some people get Nash and experience of symptoms, and others can not. Researchers conclude that genetics, family history and its surroundings play a role.
People with the following conditions are a greater degree of risk of developing liver diseases and Nash symptoms:
Nash is generally visible in those that vary from 40 to 50 years and have one or moreProblems listed aboveAunque Nash can happen in people who do not have any of these risk factors.
Diagnosis
Nash can imagine without symptoms, or symptoms can remain unnoticed, which makes it a difficult condition to diagnose the refusal of that,There is no single test, which can diagnose Nash.
To make a diagnosis, a health professional will ask you about her illness. This includes medications you take, your symptoms and your health problems you had.
They will then perform a physical examination, specifically looking at the signs of enlarged liver or cirrhosis, as jaundice .
If your medical history and your physical examination in relation to Nash, your doctor can offer tests or visualization to see if fat is increasing in your liver and excludes other diseases. Blood analyzes include liver blood tests.
The measurement of liver enzyme levels are especially important because they help diagnose Nash and differentiate Nash from alcohol hepatitis.Two levels of hepatic enzymes, aspartate aminotransferases (AST) and Alanine aminotransferase (ALT), increased approximately 90% of people with Nash.
Image tests may include:
- Ultrasound in the ventral half
- Computed tomography (CT) Scan
- Restaurant magnetovisualization (MRI) Scanning
Your doctor can also doA liver biopsy to confirm Nash or eliminates other causes of liver disease. In the biopsy of the liver, your doctor takes a fabric sample of your liver. and it is checked for the signs of Nash.The liver biopsy can also provide information on the degree of Nash disease.
Treatment
NASH treatment medications were not approved, so the management of its basic health status and a healthy lifestyle is the best treatment option.You can:
- Reduce the level of general cholesterol.
- lose weight.If you are overweight or obesity, losing 3% to 10% of the total volume of the body, you can change type 2 diabetes or insulin resistance in some people, although weight loss has positive health benefits in all people.Performing the healthy level of blood sugar through diet and drugs reduces the likelihood of Nash symptoms.
- Avoid alcohol. The use of alcohol is prohibited if it has Nash.Even a little alcohol can worsen liver damage, so the cessation of alcohol consumption will generally give you the greatest benefit of health.
- Check your medications.Make sure none of your medications, herbs and additives are not toxic to the liver.
- Regular exercises.
- Vaccination. Vaccination for hepatitis A and B, influenza and pneumococcal disease are necessary.However, it is most likely that they receive infections, but they are more inclined to progress to cirrhosis or full insufficiency of the liver, if they receive hepatitis A or B.
- Vitamin E.Aditivasi does not have diabetes or heart disease, there is some evidence that taking vitamin E can slow down his liver damage, but the evidence is weak. / UL>
No specific medications dealt with Nash Direct , taking metformin and statins for the treatment of related metabolic states, such as insulin resistance,A high level of cholesterol can help these related conditions. If in combination with weight loss and an improved diet, you can reverse liver disease.
The two best drug options confirmed by the American Association for the study of biopsy liver diseases are vitamin E and pioglitazonazone (used to treat diabetes), but security,The efficiency and secondary effect. He denied not to start one of these medications without controlling doctors.
Forecast
Most people with Nash will continue to develop serious liver problems.In fact, a study showed that most people with Nash have a similar life expectancy for those who, without them, especially if their functions tests are stable. . This is Nash’s most serious complication.
The average life expectancy for those with discompeced hepatic insufficiency is approximately two years. The estimates of progression for cirrhosis in Nash patients vary from 10% of the development of discompeced hepatic diseases under 25 years of age at 25% of developing cirrhosis.
Basic conditions, such as hypertension and type 2 diabetes, can increase the risk of complications associated with the liver.But the worst results for heart disease and liver are found in those who have a combination of metabolic syndrome of insulin resistance, obesity and hyperlipidemia. Weight loss can reduce the risk of cirrhosis.
/ P>The prevalence of Nash met with the United States. The presence of obesity. Nash is now the main cause of the liver transplant .
For someone with cirrhosis, liver transplant can add years to your life expectancy.Nash patients without fibrosis are at a significantly lower risk of mortality associated with the liver compared to advanced fibrosis.Unlike fatty hepatic disease, which is associated with the causes of death associated with the liver, cardiovascular diseases are often resurrected as the cause of death in cases of Nash without fibrosis.
Nash diagnostics reception can be softened, especially if you have the main health conditions.It is natural that you think that the last thing you need is another complication of health, but Nash does not always mean that you are inevitable.
Creation of the necessary lifestyle of changes or continued changes that you have already done often slow down the progression of the disease. The treatment of its basic conditions will also help your Nash symptoms.
If you have been diagnosed with Nash, here are some important things you should do to avoid additional liver damage:
- limit or stop alcohol. There is no amount of Safe alcoholic beverages, so it is likely to avoid alcohol.
- Check the medicine. Even the common medications, such as acetaminophen, the general ingredient in Tilenol and some cold medications, can be harmful if you take too much by much, especially if you have a liver disease or drink alcohol. Vaccination To protect against hepatitis A and B liver viruses.
- Keep other health conditions under control.
- Get regular detection tests for liver cancer if you already have cirrhosis.
Summary
No alcoholic steatoteatite (Nash) is the form of non-alcoholic diseases of fatty liver, in which inflammation and destruction of liver cells occurs.This may not have symptoms if the damage does not progress.More often speak people with obesity, metabolic syndrome, insulin resistance or type 2.
Nash can be diagnosed with blood tests and images.The treatment is associated with a sample of lifestyle and treatment of basic conditions. The prognosis is good if cirrhosis or liver cancer does not develop.
Word of the medicine received
nash should not dominate in your life.Health complications can be prevented to a large extent if you work with a health professional in a plan that has rooted in healthy behavior.Do not forget to stop using alcohol and follow your vaccination regime to avoid medical complications, such as cirrhosis or secondary infections.
Frequently asked questions
What is the difference between Nash and NAFD?
NAFLD is a state when fat accumulates in the liver.Nash is a nafle subtype, which is characterized not only by fat infiltration in the liver, but also damage to inflammation and liver cells. Two main types of NAFD are non-alcoholic fatty hepatics (NAFL) and non-alcoholic stehes (Nash).
When a bold liver becomes cirrhosis?
cirrhosis can take months or years for development.Although there are no specific estimates on the progression of the fatty liver to cirrhosis, studies have shown that changes in lifestyle and avoiding alcohol can reduce the probability of cirrhosis and long-term liver complications.
What can you do to change hepatic non-alcoholic cirrhosis?
No FDA-Approved medications of reverse liver cirrhosis, but changes in lifestyle, such as healthy nutrition,Regular exercise and alcohol avoidance can reduce the symptoms and probability of the development of portal hypertension and other complications associated with the liver.