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肝臟包了油,怎麼辦?

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肝 臟 包 了 油 , 怎 麼 辦 ?

脂肪肝可以說是現代人的文明病之一,我們每天活動所需要的能量,都是來自食物 的補充,如果熱量用不完,就會堆積下來,日積月累的結果,就形成脂肪,覆蓋在心、 肝等內臟器官的表面,也就是俗稱的「心包油」、「肝包油」。 一般人罹患脂肪肝多屬大泡性脂肪肝,起因於長期酗酒或營養過剩,而血脂肪過高(特 別是三酸甘油脂)、過重、糖尿病、長期服用藥物(成藥、毒品、四環素、止痛藥、抗 生素、類固醇等)、肝炎恢復期、減肥不當等,也都是相關的原因。 輕微脂肪肝通常不會有什麼不舒服,肝功能也大致能維持在正常範圍,但是一旦形 成重度脂肪肝時,就會偶而感到肚子脹脹的,肝功能也可能出現異常,引起噁心、嘔吐、 厭食、倦怠乏力、黃疸等症狀,更嚴重的變成肝硬化、肝癌(特別是酒精引起者),那 就不妙了。 現在超音波檢查很普及,一看就立即知曉有無脂肪肝,既準確又不傷身體,可以說 是最經濟實惠的診斷方法。萬一有脂肪肝怎麼辦?吃藥會不會好?其實,脂肪肝沒有特 效藥,倒是有可以恢復正常的方法,只要能去除病因,例如減輕體重、戒酒、少吃甜食 [ 發表醫師 ] :林英欽 醫師(家庭醫學科) [ 發布日期 ] :2006/4/10

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麵食、控制好血糖、多運動等,都可以減輕脂肪肝的程度,由重度慢慢減輕到中度、輕 度,甚至消失。 如果是因為體質因素,血中三酸甘油脂無論如何努力都依然偏高時,便可以考慮服用降 血脂藥治療,讓三酸甘油脂下降。 千萬不要聽信廣告,買了一堆保養肝臟的藥,結果肝臟負擔更重;很多人說喝甘蔗汁有 益肝病,但是高甜份的蔗糖反而會加重脂肪肝的惡化;還有些人喜歡打點滴,但是點滴 富含葡萄糖,愈打只會讓脂肪肝愈嚴重,這些都是要避免的。 總之,當你肝臟包了油時,不要驚慌,趕快減少熱量的攝取、增加熱量的消耗,配合醫 師的檢查,絕對可以還肝一個清新的面貌。 註:本文已刊登於中國時報 !!健康文章內文主要提供民眾降低對疾病因不了解產生之不安和恐懼,但不可取代實際的醫療行 為,所以身體如有不適請您前往醫院就醫治療。

 

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