World recognized expert on liver disease and gastrointestinal tract, Ph.D. Boris Vucelić of non alcoholic fatty liver and prevention of the most common chronic liver disease of Western civilization
Excessive intake of food and drink during the past holiday season can, except some extra kilos, contribute to the accumulation of fat in the liver. In fact, the liver is a kind of filter that every day cleanse the body of harmful substances that we enter into ourselves. From too much food and drink, to certain types of drugs – all this will go through our liver, which is responsible for the health and maintenance of immunity of the body.
In the case of hepatic dysfunction may occur a condition that can develop into disease whose incidence and complications are becoming alarming. Although liver disease is most commonly associated with excessive alcohol consumption, non-alcoholic fatty liver disease (nonalcoholic fatty liver disease, NAFLD) is the most common chronic liver disease of Western civilization that begins the accumulation of fat in the liver, but without consuming of alcohol.
The disease is divided into two subgroups: Nonalcoholic fatty liver (nonalcoholic fatty liver, Nat’l) and nonalcoholic steatohepatitis (nonalcoholic steatohepatitis, NASH). The very name indicates that NASH is characterized by inflammation and more aggressive form of the disease. The seriousness of this disease can be seen in the fact that for 10 years, about 20 percent of patients with NASH develop cirrhosis, and 10 percent of them die. Registers of liver transplantation showed that NAFLD is an indication for transplantation in 10 percent of transplant patients.
Prof. Ph. D.. Boris Vucelić, who is renowned Croatian gastroenterologist also looked back at it, who recently joined the team of top doctors in Zagreb internal medicine-pediatric clinic Arista: “nonalcoholic fatty liver disease is the cause of 75 percent of chronic liver disease, and particularly concerning is the fact that there are more and more frequent cause of chronic liver disease in children. If is left untreated, primarily by changing eating habits and unhealthy lifestyles, this disease may represent a growing problem that can cause serious liver damage and aggravate other forms of chronic liver disease. “As pointed out by prof. Vucelić, the incidence of this disease, unfortunately, in the population is growing rapidly as it grows and the frequency of risk factors for this disease. In the first place are thickness, type 2 diabetes, lipid disorders, hypertension.
The disease is most common between the ages of 40-50 years and it seems to be equally present in both sexes. In children the disease is more common in girls.
Do not ignore the symptoms of fatigue, weakness and a dull pain under the right rib
Most patients with nonalcoholic fatty liver disease has no symptoms. However, in a more explicit forms of the disease may feel symptoms such as fatigue, weakness and fatigue, and feeling a dull pain under the right rib arch. Enlarged liver is found in about 20 percent of patients with advanced disease.
The laboratory found elevated aminotransferase, where ALT is higher than AST in contrast to alcoholic liver disease where the ratio is reversed. It is important to recognize that the degree of increase of the enzyme is not necessarily associated with the weight of liver damage. Other diagnostic methods are liver ultrasound, computed tomography (CT), magnetic resonance imaging (MRI) and liver biopsy.
How to cure a disease?
There are no specific drugs, and, above all, necessary to introduce changes in diet and physical activity, and act on the risk factors for developing the disease. Prof. Ph. D.. Boris Vucelić particularly stands out: “In the disease nonalcoholic fatty liver is necessary to gradually regulate body weight as sudden weight loss can worsen the disease. Regular physical activity is very important; should, if possible, every day to walk swiftly at least half an hour. Is necessary to take an intervention as well in the diet. In addition to the usual dietary measures that are prescribed, olive oil, coffee and omega-3 fatty acids have proven to be useful supplements for the health of the liver. “