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        長江云客戶端

        長江云公眾號

        飲食養生匯|護肝101,你是C位出道嗎?

        今天我們邀請到了武漢協和醫院消化內科主任醫師、醫學博士、博士生導師,中華醫學會肝臟病學分會,脂肪肝和酒精性肝病學組委員徐可樹老師,聽他來講一講關于肝臟保護的一些知識吧!

        1、“將軍肚”,很有范;脂肪肝,別小看!

        2、管住嘴,邁開腿,絕不只是一句口號!

        3、聽說是藥都傷肝,我還要繼續吃嗎?

        4、藥物肝損傷,淡定,先別慌!

        肝臟在我們看來十分重要也尤其需要養護,不過在怎樣保護肝臟健康的道路上,我們似乎忽略了什么,比如肥胖對于肝臟的影響。傷了肝需養肝,肝臟才能棒棒!

        臨床上有急性藥物性肝損傷和慢性藥物性肝損傷,大于6個月的一般叫做慢性藥物性肝損傷。

        為什么有的人吃藥以后沒有藥物性肝損傷,而有的人又有了,這是因為患者個體差異所引起的。

        藥物性肝損傷的機理有兩個方面,第一個是藥物的劑量和時間所引起的。這種情況一般來說是患者加重了劑量而引起的,這是藥物直接對肝細胞產生了影響。

        第二種是由于個體的差異所引起,藥物與它的代謝產物作為一種半抗原到機體里面去了,和機體內的蛋白質結合形成抗原產生的抗體,這抗體對肝細胞產生了殺傷作用,會引起肝細胞的凋亡。

        另外肝損傷的原因,除了有個體的差異之類,也可能存在基因差異。基因的多肽性導致不同的人吃藥,會有不同的反應。有的人吃藥以后,藥物不能很好地經過代謝系統排泄出去,而在體內大量的堆積,這種情況醫生是不可測的。

        脂肪肝在早期沒有任何癥狀,病人容易忽視,甚至到纖維化肝硬化癥狀重的時候,再進行治療卻為時已晚。

        因為脂肪肝在早期沒有表現為任何癥狀,所以當脂肪肝的一些伴隨性疾病出現的時候,就要引起注意了。

        比如說鼾癥,又稱為呼吸暫停睡眠綜合征,經常打鼾的人就要注意,是不是有患上脂肪肝的可能。

        此外女性身體肥胖引發的多囊卵巢綜合征,也屬于脂肪肝的一個伴隨癥狀。

        一旦出現脂肪肝的伴隨癥狀,一定要引起高度重視。肝臟治療首先是要進行基礎治療,即患者個人通過飲食鍛煉等來消除脂肪肝。

        飲食方面的話盡量以清淡飲食為主,多吃粗纖維類的東西,油膩的東西和碳水化合物食品要少吃,飯量控制在七八分飽左右即可。

        鍛煉即邁開腿,每天進行適當的體育運動和鍛煉,飯后多走一走,不要久坐在椅子上。每日快走20分鐘到30分鐘,保持一秒三步的速度。

        此外還要進行生物鐘的調節,避免熬夜,作息要規律。

        關于保健品能夠保護肝臟的問題,有一些知識需要你盡快了解。保護肝臟不一定非得靠保健品,所有的保健品當中都含有化學制劑,短期內患者需要補充大量營養可以考慮使用保健品,但實際上保健品對脂肪肝是沒有明顯的效果的。

        據統計,大約有30%的人會患脂肪肝,這個數據是比較可怕的,尤其是中老年朋友,以及生活不規律的、飲食不夠健康的、長期久坐不起的朋友,一定要定期去醫院體檢。

        眾所周知,肝臟是身體的排毒器官,如果吃了非常多的藥物堆積在肝內排不出去的話,就會給肝臟帶來很大的負擔。

        民間有說法叫是藥三分毒,能夠不用靜脈服藥的,盡量用口服取代。長期服用藥品很可能引發藥物性肝臟損傷,又稱之為藥物性肝病。

        藥物在進入臨床之前,一般是安全的。但是很多藥物都是通過肝腎代謝的,如果不注意攝入藥品量過多,時間一長就可能加重肝臟的負擔。

        藥物性肝損傷嚴重的話要到醫院去進行導瀉跟洗胃,另外可以多喝水,加強維生素營養物質的攝入,最重要的就是要停用可疑藥物。

        若肝功能不能恢復,要及時用藥物干涉。根據不同的病因,選用不同的護肝藥物。因此,大部分的肝損傷都是可以治好的,是可逆的。但是我們也要警惕那少部分可能引起肝功能衰竭、肝硬化甚至死亡的因素。

        患有藥物性肝損傷的病人也不要因為自己的肝臟問題就驚慌失措,如果體征開始有類似肝炎的癥狀,食欲減退,乏力、厭油、惡心嘔吐,排尿的時候尿液變黃,一定要及時去醫院就診,不要自己隨意用藥。

        藥物性肝損傷,如果發生的話,不是要加強鍛煉促進體內的新陳代謝,l而是要休息。在藥物性肝損傷的急性期,應避免過量運動,要多注意休息,保證肝臟的血流量。

        養生貼士:藥物性肝損傷應多喝水,加強維生素的攝取。

        那么怎么能夠預防藥物性肝損傷呢?

        1.要合理用藥,正確的選擇藥物,該吃的時候就要吃,不該吃的時候就不吃。同時也要充分考慮藥物是否對肝臟有損傷,要嚴格仔細的閱讀說明書,掌握藥物的適應癥和禁忌癥。

        2.自身肝功能不好的人應避免使用會加重肝功能損傷的藥物,或在醫生的指導下換同類通過其他器官代謝的藥物。肝功能不好的就醫的時候必須告訴醫生,出外采買藥物的時候,也要告訴醫師自己在肝功能方面的問題。對可能引起肝損傷加重的藥物盡量不用。

        3.盡量少用聯合用藥。多種藥物聯合到一起要盡量少用,因為聯合用藥是增加了藥物的正作用,與此同時藥物的副作用也增加了。

        來源:湖北衛視飲食養生匯

        (編輯:郭小涵 審核:蔣艷)

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