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Enlarged liver

Increased or fatty liver is too diffuse accumulation of neutral fats (triglycerides) inside liver cells, which is why the liver is usually slightly to moderately increased.



Fatty liver (fatty liver) is the name for an overly diffuse accumulation of neutral fats (triglycerides) inside liver cells, which is why the liver is usually slightly to moderately increased. The second is the name of steatosis of the liver. Latin name: steatosis hepatisEngleski name: fatty liver Fatty liver occurs when fat accumulation in liver cells exceeds the normal 5% of body weight. It can be temporary or long-term condition which in itself is not harmful, but indicate some disorder in the body. If left untreated it can contribute to other diseases. If the cause can be detected and corrected a recovery. The liver is the organ responsible for the processing of fats from food into forms that can be stored and used by the body. Triglycerides are a form of fat stored in the body and used for energy and new cell formation. Degradation of fat in the liver can be disrupted by a number of reasons leading to the accumulation of fat in liver cells. Fatty liver is usually not a painful condition and can be unnoticed for a long time. In severe cases the liver is increased to three times and then it can be painful and sensitive. Nonalcoholic fatty liver is the accumulation of fat in the liver that is caused by alcohol, and is frequently being diagnosed in obese women or diabetics. The most common cause of fatty liver alcohol abuse. Excessive consumption of alcohol changes the way breaks down and stores fat, a condition also contributes to chronic malnutrition is often present in alcoholics. Other possible causes of fatty liver are: - Obesity-diabetes-chemicals (eg carbon tetrachloride) - an overdose of drugs (corticosteroids, tetracycline, valproic acid, methotrexate, yellow phosphorus) - malnutrition-protein-deficient diet pregnancy-poisoning in vitamin A-bypass surgery in the small intestine of cystic- fibrosis-natural metabolic disorders of glycogen, galactose, tyrosine and homocysteine-deficiency of the enzyme cholesterol esterase and arildehodrogenaze medium-chain-disease-Refsumova abetalipoproteinemija-Reyes syndrome Fatty liver is the microscopic picture of liver cells can be divided into makrovezikularnu (large droplets of fat in liver cells) and mikrovezikularnu (small fatty droplets). Makrovezikularna fatty liver is the most common and is caused by alcoholism, diabetes, obesity, corticosteroid therapy, prolonged infusion eating. Symptoms of fatty liver associated with the degree, time, origin and cause of the disease. Fatty liver is usually not connected with any symptoms, especially if it is a chronic condition. If there are symptoms, they are: pain under right rib cage, abdominal swelling, jaundice and fever. Symptoms that occur less often in alcoholic fatty liver disease, and more frequently in fatty liver caused by pregnancy are: vomiting, nausea, loss of appetite and abdominal pain. Sudden, acute, caused fatty liver due to obesity can lead to significant tenderness of the liver due to the expansion of its capsule. Makrovezikularna fatty liver is usually revealed during examination as insensitive, smooth, in the fatty liver in alcoholics, obese people and diabetics. It can feel pain in the upper right quadrant of the abdomen, sensitivity, and jaundice, or may be merely an abnormality detected during casual examination the abdomen or during autopsy. Weak correlation between fatty liver and frequently used biochemical tests for liver disease. Alkaline phosphatase and transaminases may be mildly increased. Mikrovezikularna fatty liver has a pronounced performance marked by fatigue, nausea and vomiting on it soon adds jaundice, hypoglycemia, and disseminated intravascular coagulopathy (formation of blood clots in the circulation). Diagnosis During a routine or targeted examination the doctor may notice increased, and sometimes sensitive liver. Finding hard, painless and fully enlarged liver with minimal disturbance of its functions or eclampsia. If the patient has chronic alcoholic, obese, malnourished, pregnant or suffering from diabetes diagnosis is more likely. Blood laboratory tests (called liver probe) used for determining the quality of liver function. Abnormalities are increasing levels of SGOT and SGPT, and in many cases, elevated alkaline phosphatase, and the halt of bile. Diagnostic imaging tests (ultrasound, magnetic resonance imaging, computed tomography) may be displayed typical changes in the liver. When the diagnosis is not sure it can be done percutaneous liver biopsy. This condition is manifest high blood pressure, swelling and convulsive seizures. Treatment Until healing occurs for conditions that caused the formation of fatty liver and supportive therapy. Proper diet, abstinence from alcohol, harmful drugs or chemicals, the existing treatment of metabolic disorders, regular control of diabetes, weight reduction, treatment of disorders of digestion, the compensation of vitamins and minerals, etc. usually leads to recovery. In alcoholic fatty liver gradual disappearance of fat from the liver occurs after 5-8 weeks of proper diet and abstinence from alcohol. Fatty liver is recommended for induction of labor if the pregnancy is high enough. Forecast Fatty liver is a condition that can be cured if detected in time and give medical advice and assistance. In some patients there is a tendency to develop other types of liver disorders, depending on the duration and severity of the condition. Fatty liver in pregnant women can be life threatening and mother and child. Severe liver damage may require her transplant. NAFLD may be accompanied by inflammation, death of liver cells and cirrhosis. Mikrovezikularna fatty liver has a sudden appearance, and if the patient survives a possible recovery. Nonalcoholic fatty liver generally has a good prognosis with rare worsening of the disease. Prevention Prevention consists of maintaining a balanced diet and healthy lifestyle and abstinence from alcohol. Pregnant women need good roads and care to this state is recognized early and treated. To prevent Reyes syndrome, children should not be given drugs containing acetylsalicylic acid (aspirin, Andol) for the treatment of influenza and other viral diseases.




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