I. Prevention before the onset
Fatty cirrhosis occurs on the basis of fatty liver, so patients with fatty liver should intervene and treat early to change the poor lifestyle to prevent the disease from progressing to cirrhosis.
1.Food therapy
(1) Patients with fatty liver should eat less food with high fat content
Fatty liver patients with liver function greatly affected, too much fat intake, will increase the burden on the liver, you can choose to consume a certain amount of protein, supplemental protein can help improve liver function, but also eat moderate amounts of less oily soy products. Fatty foods, including fatty meats and fried foods, should be eaten sparingly or not at all.
(2) Fatty liver patients should abstain from alcohol
Drinking alcohol will only accelerate the deterioration process of the liver, an injured liver is extremely poor at handling alcohol.
2.Body therapy
Obese patients should strengthen exercise, eat reasonably and lose weight under the guidance of doctors. Diet control is vital, but also pay attention to a reasonable diet, meat and vegetables, and does not advocate vegetarian diet. It is also necessary to actively exercise moderately, and frequent aerobic activities are also a good way to prevent fatty cirrhosis.
3.Pharmacotherapy
The use of drugs should be standardized, do not blindly use drugs, but aggravate fatty liver. Must go to a regular hospital to find professional doctors for treatment.
4.Psychological treatment
The previous person said: “Those who are in love, more phlegm and turbidity. The lifestyle of eating more and moving less, lazy thinking and lying down is the main factor leading to fatty liver. Patients should be encouraged to establish confidence in overcoming the disease and overcome the vices with a strong will; in addition, they should be encouraged to actively participate in social activities and work with a relaxed mood and vigorous spirit, so as to achieve the ideal treatment effect.
II. Treatment
1.Basic treatment
Formulate reasonable energy intake and diet structure adjustment, moderate aerobic exercise, and correct poor lifestyle and behavior.
2.Avoid aggravating liver damage
Prevent drastic weight loss, drug abuse and other factors that may induce the deterioration of liver disease.
3.Insulin sensitizer
Those with combined type 2 diabetes, impaired glucose tolerance, increased fasting glucose and visceral obesity may consider applying metformin and thiazolidinediones with a view to improving insulin resistance and controlling blood glucose.
4.Lipid-lowering drugs
Those with dyslipidemia who still present mixed hyperlipidemia or hyperlipidemia combined with more than 2 risk factors after more than 3-6 months of basic treatment and application of weight loss and hypoglycemic drugs need to consider the addition of lipid-lowering drugs such as beta, statin or probucol.
5.Drugs for liver disease
In cases of non-alcoholic fatty liver disease with abnormal liver function, metabolic syndrome, ineffective after 3-6 months of basic treatment, as well as those with NASH confirmed by liver biopsy and chronic progressive course of the disease, adjuvant therapy with drugs for liver disease can be used to antioxidant, anti-inflammatory and anti-fibrotic. and ursodeoxycholic acid and other related drugs, but should not apply a variety of drugs at the same time.
Third, post-onset care.
Patients with fatty cirrhosis should take vitamins, eat more fresh vegetables and appropriate amount of fruits, pay special attention to supplement B vitamins and vitamin A and vitamin C. Supplemental protein should be easy to digest, eat lean meat, fish, egg whites and fresh vegetables and other diets rich in lipophilic substances, which help to reduce fat in the liver, so we should adhere to a long-term reasonable diet.
Keep the stool smooth, reduce the accumulation of ammonia, prevent the occurrence of hepatic encephalopathy, once the complications occur, refer to the treatment of complications of cirrhosis. At the same time, abstain from alcohol and smoking, and regulate the emotions, while exercise should not be too hasty.