Saturday, October 30, 2010

Child and Adolescent Psychiatry liver disease: let's create the next generation of transplant patients?

If we are so surprised at the epidemic of childhood and youth, we are facing today? We can see that a diet of processed and hydrogenated fats, fried foods and super-power would not return, made in order to monitor us? With childhood obesity already a widespread problem, we are worse than the associated complications and diseases that this is the extreme condition in our children learning. First, the weight increase was a disturbing note in our modern world. But then wehad juvenile diabetes, heart disease, and established the heavens high cholesterol numbers. While serious in its impact on health to a growing body, their presence can take a back seat, which could be the biggest problem meeting the decline of collective health of our children. This is an emerging medical problem is called fatty liver syndrome known danger.

What is the risk of fatty liver disease?

In other words, the conditions of risk known as fatty liver when the body begins to accumulate in the liver causedFat. After the liver Society of statistics of the population to the risk of fatty liver disease is 10-20 percent. While the accumulation of fat in the liver is not normal, is currently in and of itself is not known to cause harmful or lasting damage. One of the functions of the liver produces a form of fat known as triglycerides. These are important for the production of new cells and glands, hormones are necessary for estrogen, testosterone and adrenal glands to produce hormones. In the liver of a patientwith the risk of fatty liver disease, liver cells accumulate large droplets of fat, usually consist of triglycerides. metabolized in the normal liver, fat from the diet in the liver and other tissues.

If the amount of fat in the body requirement that large accumulations of fat in the liver, which develop in an increase in liver enzymes and inflammation results. This inflammation can cause scarring and hardening of the liver (cirrhosis) and leads to a reduction in the liverFunction.

The types of risk of fatty liver disease

The disease known as fatty liver syndrome risk includes a number of diseases of the liver. And 'here in order of severity.

Fatty liver (steatosis).

The most common condition. risk of fatty liver syndrome is the accumulation of fat in liver cells. This condition usually does not cause liver damage and is not associated with abnormalities of the liver. The scarring, or inflammation of the liverusually not present. Of the three conditions that are asymptomatic in most patients unaware of their condition.

Non-alcoholic steatohepatitis (NASH).

The most common form of non-alcoholic fatty liver disease. Patients who have NASH typically an inflammation of the liver due to accumulation of fat. At this point, the liver is not to make scars. If left untreated, can lead to cirrhosis of NASH. After the liver affects society NASH 2-5Percent of Americans

Liver cirrhosis.

Liver cirrhosis is the result of an infection left untreated for years. The danger occurs when there can be progress in liver cirrhosis. At this point, the liver is more than likely scar tissue. A liver with cirrhosis meetings progressive, irreversible damage to the liver.

What are the causes?

As with many liver complaints, the most common cause of the syndrome of fatty liver is alcohol abuse. But that may soon be his shadowsteatohepatitus variety non-alcoholic (NASH) has resulted in all types of steatohepatitis, the condition is aggravated by it, or malnutrition, obesity, diabetes mellitus, hepatitis C virus, Wilson disease, hyperlipidemia or endocrine disorders and Reye's syndrome in children. There is also a rare but serious form of fatty liver that begins late in pregnancy, the possibility of jaundice and liver failure. In the real causes of non-food fatty liver disease can be dangerousfor certain chemical overdose or poisoning. Some of the drugs and substances can cause fatty liver include, amiodarone, methotrexate, high doses of vitamin A, tetracycline, cortisone, phosphorus, carbon tetrachloride and prednisone. Carbon tetrachloride is a chemical that makes the liver so the liver cells accumulate fat can hurt.

That sounds so familiar, where I hear?

In addition, for those of you who are hearing aboutseems that for the first time the issue of liver and adipose tissue strangely familiar. Never heard of foie gras? French is not it? Yes, it's okay Martha French, French for fatty liver! (Translation for those of you skeptics, the words "fat liver" of the Google Translate tool in French and see what you get.) While certain types of beer & BBQ knowledge that gras grass hopper a lot of little grease down ' French for making the gooseneck! The liver is growing twice as normal and before the gooseis a patient in the French health system, is surrounded by some French company Pate. For those of you who have connected the dots, there are basically we address the human skull. The process of "fat" is something like our development and free will. We act for the cages lazyboys and the croaking of the beeps of video games.

Most people are familiar with cirrhosis of the liver and usually attribute this disease, long-term effects of alcohol. The extensive use ofCalled alcohol leads to fatty liver and inflammation, alcoholic hepatitis, but we know that the majority of the population such as liver cirrhosis.

The symptoms of NASH or fatty liver

Most people diagnosed with these conditions previously shown little or no symptoms or complaints. Some people have symptoms and here is a quick list:

Jaundice, abdominal pain right side, swelling, itching and fever as a whole, and small yellow skinNodules

How is it diagnosed?

syndrome risk of fatty liver and NASH are usually collected as a result of abnormal laboratory tests providing data. In most cases, the laboratory work was carried out as independent subjects. In other cases, the liver is tender to audit and found to be increased. The typical laboratory findings include elevated liver enzyme levels. These enzymes are typical AST and ALT. If you are strong enough to justify the results ofYour doctor my suggest an ultrasound. other imaging techniques are magnetic resonance imaging (MRI) and / or computed tomography (CT). In short, it's a physical exam (if applicable), which confirms the state of the risk of hepatic steatosis or NASH. This test consists of a microscopic examination of a sample of liver tissue (biopsy).

How is it treated?

Since then, the treatment of fatty liver syndrome risk of destruction or treatment, the cause ofState. It is believed that most cases of fatty liver syndrome are reversible. As with many incurable diseases and disorders of the syndrome of fatty liver is reversible if caught in early stages of their development. Regardless of the cause in mind, it should develop the objective of the patient to a healthy diet. As there is no magic associated with NASH or fatty liver syndrome risk, people who take vitamin and mineral supplements as components are in search of healing. If left untreated, NASH and FattyLiver disease can cause serious liver damage. In such cases, the patient may eventually require the extreme measure for a liver transplant.

How can a risk of fatty liver disease can be prevented?

In order to avoid fatty liver adopt and follow these instructions:

Follow a diet low in cholesterol and fat low exercise regularly to maintain an ideal weight sports.

Ask a therapy, to ensure your body receives the necessary vitamins and essential minerals.

Avoid alcohol ReviewDrugs to ensure that they are not toxic to the liver.

I am blood sugar, cholesterol and triglyceride levels checked regularly

Nutritional causes of treatment effects and the availability of fatty change, which enters the liver. How many nutritional causes can be rooted in the diet of these shortcomings of available carbohydrate, or complete with the addition of proteins or to overcome many shortcomings to be achieved. (See South Beach Diet)

The proteins arelipoproteins carry cholesterol and fats. (See also the South Beach diet) doses of L-carnitine, lecithin, choline and zinc are increasingly recommended for patients.

Vitamins, minerals and herbs

There are many well-known and traditional vitamins, herbs and minerals that the body can help with liver problems. The following is a list of items that are increasingly studied in relation to the risk of fatty liver. Always consult your doctor about yourSupplement and vitamin intake.

Choline is an essential nutrient found in foods, mainly in the form of phosphatidylcholine but also as free choline. A correlation between a diet low in choline and fatty infiltration of the liver in rats has documented for some time. Choline is a lipotropic, a substance that prevents the deposition of fat in the liver.

Inositol is primarily used in the treatment of liver problems. It also helpsthe breakdown of fats and helps in reducing cholesterol in the blood. And 'necessary for the formation of lecithin and functions closely with choline, folic acid, vitamin B-6 & B-12, methionine and betaine to prevent the accumulation of fat in the liver.

Lecithin Lecithin is largely composed of linoleic acid and choline and inositol. It acts as an emulsifier, so that fats and other lipids are dispersed in water.

L-carnitine L-carnitine is awater-soluble B-vitamin nutrients, how to turn body fat into energy.

Milk thistle (silymarin) is composed of three flavonoids and small amounts of mainly silybin and silydianin silychristin that support the function of protective levels of liver glutathione. Milk thistle is one of the most popular herbs for the benefit of the liver.

SAMe has been suggested that the same acts as a "regeneration intracellular" switch that regulates liver cellDifferentiation, protects against oxidative stress and exposure hepatotoxin. (1) lowered the level which is suspected to cause steatosis and steatohepatitis. (2)

Zinc Zinc is necessary for the metabolism of selenium. Both selenium and zinc are reduced in patients with hepatitis C

household chemical and fatty liver

If you are diagnosed with fatty liver syndrome, is extremely important that contact with chemicals every day that limit alreadyknown for its toxicity to the liver. It 'important to use gloves or adequate protection when using these chemicals to the absorption limit. The following is a brief list of household chemicals that you should be careful around:

Chlorinated aliphatic and aromatic hydrocarbons

Found in: Thinner

May cause liver and kidney damage.

Naphthalene

Aka 1-naphthalene and 2-methylnapthalene methylnapthalene
May you find in:mothballs, moth flakes, cleaning the toilet deodorant blocks for toilets and diaper pails

Para-dichlorobenzene

Para-dichlorobenzene is also known as: para-DCB, p-DCB, 1,4-dichlorobenzene
Para-dichlorobenzene is a probable carcinogen that can damage the central nervous system, liver and kidneys.

Perchloroethylene

Also known as: Tetrachloroethylene, Tetrachloroethane, 1,1,1-trichloroethane, solvents, PCE

Found in: Dry CleaningFluid, stain removers, carpet cleaners
May cause liver and kidney damage if ingested. Accumulate and can consist of human adipose tissue and breast milk.

Phenol and cresol

Found in: Disinfectants

Can diarrhea, fainting, dizziness and kidney and liver damage

Toluene

Aka methylbenzene

Found in: adhesives, nail polish, cosmetics, glue, paints, solvents, paints, dyes, dyes and inks.
Toluenehighly toxic and can cause skin, kidney, liver, central nervous system damage, can damage the reproductive system.

(1) Matt JM, Corrales FJ, Lu SC, Avila MA. S-adenosylmethionine: a switch that regulates liver function. FASEB J 2002, 16:15-26.

(2) P Rozenthal, Biava C, Spencer H, et al. Liver morphology and function tests in obesity and hunger in all. Am J Dig Dis 1967, 12:198-208.

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