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Boala de ficat ”silențioasă” care poate duce la cancer sau ciroză. Cum o depistezi la timp?

<p>Unii spun c&abreve; ficatul gras e cea mai u&scedil;oar&abreve; boal&abreve; hepatic&abreve;&period;<&sol;p>&NewLine;<&excl;-- WP QUADS Content Ad Plugin v&period; 2&period;0&period;92 -->&NewLine;<div class&equals;"quads-location quads-ad68336 " id&equals;"quads-ad68336" style&equals;"float&colon;none&semi;text-align&colon;center&semi;padding&colon;0px 0 0px 0&semi;" data-lazydelay&equals;"3000">&NewLine;<div class&equals;"quads-ad-label quads-ad-label-new">Advertisement<&sol;div><&excl;-- responsive 1 -->&NewLine;<script async src&equals;"https&colon;&sol;&sol;securepubads&period;g&period;doubleclick&period;net&sol;tag&sol;js&sol;gpt&period;js"><&sol;script>&NewLine;<div id&equals;"andreilaslau&period;ro&lowbar;responsive&lowbar;1">&NewLine; <script>&NewLine; window&period;googletag &equals; window&period;googletag &vert;&vert; &lbrace; cmd&colon; &lbrack;&rsqb; &rcub;&semi;&NewLine; googletag&period;cmd&period;push&lpar;function&lpar;&rpar; &lbrace;&NewLine; var slot &equals; googletag&period;defineSlot&lpar;'&sol;23293390090&sol;andreilaslau&period;ro&sol;andreilaslau&period;ro&lowbar;responsive&lowbar;1'&comma; &lbrack;&lbrack;300&comma; 250&rsqb;&comma; &lbrack;320&comma; 50&rsqb;&comma; &lbrack;728&comma; 90&rsqb;&comma; &lbrack;468&comma; 60&rsqb;&comma; &lbrack;336&comma; 280&rsqb;&comma; 'fluid'&rsqb;&comma; 'andreilaslau&period;ro&lowbar;responsive&lowbar;1'&rpar;&semi;&NewLine;&NewLine; var mapping1 &equals; googletag&period;sizeMapping&lpar;&rpar;&NewLine; &period;addSize&lpar;&lbrack;980&comma; 0&rsqb;&comma; &lbrack;&lbrack;728&comma; 90&rsqb;&comma; &lbrack;468&comma; 60&rsqb;&comma; &lbrack;336&comma; 280&rsqb;&comma; &lbrack;300&comma; 250&rsqb;&comma; 'fluid'&rsqb;&rpar;&NewLine; &period;addSize&lpar;&lbrack;750&comma; 0&rsqb;&comma; &lbrack;&lbrack;728&comma; 90&rsqb;&comma; &lbrack;468&comma; 60&rsqb;&comma; &lbrack;336&comma; 280&rsqb;&comma; &lbrack;300&comma; 250&rsqb;&comma; 'fluid'&rsqb;&rpar;&NewLine; &period;addSize&lpar;&lbrack;320&comma; 0&rsqb;&comma; &lbrack;&lbrack;336&comma; 280&rsqb;&comma; &lbrack;320&comma; 50&rsqb;&comma; &lbrack;300&comma; 250&rsqb;&comma; 'fluid'&rsqb;&rpar;&NewLine; &period;build&lpar;&rpar;&semi;&NewLine;&NewLine; slot&period;defineSizeMapping&lpar;mapping1&rpar;&semi;&NewLine; slot&period;addService&lpar;googletag&period;pubads&lpar;&rpar;&rpar;&semi;&NewLine; googletag&period;enableServices&lpar;&rpar;&semi;&NewLine; googletag&period;display&lpar;'andreilaslau&period;ro&lowbar;responsive&lowbar;1'&rpar;&semi;&NewLine; &rcub;&rpar;&semi;&NewLine; <&sol;script>&NewLine;<&sol;div>&NewLine;&NewLine;<&sol;div>&NewLine;&NewLine;<p>Dar de la steatoza hepatic&abreve; pornesc grave maladii ale ficatului&comma; ciroza&comma; cancerul hepatic&comma; hepatitele cronice&period;<&sol;p>&NewLine;<&excl;-- WP QUADS Content Ad Plugin v&period; 2&period;0&period;92 -->&NewLine;<div class&equals;"quads-location quads-ad68337 " id&equals;"quads-ad68337" style&equals;"float&colon;none&semi;text-align&colon;center&semi;padding&colon;0px 0 0px 0&semi;" data-lazydelay&equals;"3000">&NewLine;<div class&equals;"quads-ad-label quads-ad-label-new">Advertisement<&sol;div><&excl;-- responsive 2 -->&NewLine;<script async src&equals;"https&colon;&sol;&sol;securepubads&period;g&period;doubleclick&period;net&sol;tag&sol;js&sol;gpt&period;js"><&sol;script>&NewLine;<div id&equals;"andreilaslau&period;ro&lowbar;responsive&lowbar;2">&NewLine; <script>&NewLine; window&period;googletag &equals; window&period;googletag &vert;&vert; &lbrace; cmd&colon; &lbrack;&rsqb; &rcub;&semi;&NewLine; googletag&period;cmd&period;push&lpar;function&lpar;&rpar; &lbrace;&NewLine; var slot &equals; googletag&period;defineSlot&lpar;'&sol;23293390090&sol;andreilaslau&period;ro&sol;andreilaslau&period;ro&lowbar;responsive&lowbar;2'&comma; &lbrack;&lbrack;300&comma; 250&rsqb;&comma; &lbrack;320&comma; 50&rsqb;&comma; &lbrack;468&comma; 60&rsqb;&comma; &lbrack;336&comma; 280&rsqb;&comma; 'fluid'&rsqb;&comma; 'andreilaslau&period;ro&lowbar;responsive&lowbar;2'&rpar;&semi;&NewLine;&NewLine; var mapping2 &equals; googletag&period;sizeMapping&lpar;&rpar;&NewLine; &period;addSize&lpar;&lbrack;980&comma; 0&rsqb;&comma; &lbrack;&lbrack;468&comma; 60&rsqb;&comma; &lbrack;336&comma; 280&rsqb;&comma; &lbrack;300&comma; 250&rsqb;&comma; 'fluid'&rsqb;&rpar;&NewLine; &period;addSize&lpar;&lbrack;750&comma; 0&rsqb;&comma; &lbrack;&lbrack;468&comma; 60&rsqb;&comma; &lbrack;336&comma; 280&rsqb;&comma; &lbrack;300&comma; 250&rsqb;&comma; 'fluid'&rsqb;&rpar;&NewLine; &period;addSize&lpar;&lbrack;320&comma; 0&rsqb;&comma; &lbrack;&lbrack;336&comma; 280&rsqb;&comma; &lbrack;320&comma; 50&rsqb;&comma; &lbrack;300&comma; 250&rsqb;&comma; 'fluid'&rsqb;&rpar;&NewLine; &period;build&lpar;&rpar;&semi;&NewLine;&NewLine; slot&period;defineSizeMapping&lpar;mapping2&rpar;&semi;&NewLine; slot&period;addService&lpar;googletag&period;pubads&lpar;&rpar;&rpar;&semi;&NewLine; googletag&period;enableServices&lpar;&rpar;&semi;&NewLine; googletag&period;display&lpar;'andreilaslau&period;ro&lowbar;responsive&lowbar;2'&rpar;&semi;&NewLine; &rcub;&rpar;&semi;&NewLine; <&sol;script>&NewLine;<&sol;div>&NewLine;&NewLine;<&sol;div>&NewLine;&NewLine;<p>Ficatul gras e o boal&abreve; frecvent&abreve;&comma; circa 27&percnt; din popula&tcedil;ie sufer&abreve; de steatoz&abreve; hepatic&abreve;&comma; dar doar 5&percnt; evolueaz&abreve; spre ciroz&abreve; &scedil;i cancer&period; Profesor doctor Alexandru Oproiu a explicat pentru jurnalul&period;ro ce înseamn&abreve; aceast&abreve; boal&abreve;&period;<&sol;p><div class&equals;"b03d97280e765d707d336f444dd9d428" data-index&equals;"10" style&equals;"float&colon; none&semi; margin&colon;0px 0 0px 0&semi; text-align&colon;center&semi;">&NewLine;<script type&equals;"text&sol;javascript" class&equals;"teads" src&equals;"&sol;&sol;a&period;teads&period;tv&sol;page&sol;176827&sol;tag" async&equals;"true"><&sol;script> &NewLine;&NewLine;<&sol;div>&NewLine;&NewLine;<p>Ficatul gras se poate caracteriza ca o depunere de gr&abreve;simi în celulele ficatului&comma; mai ales trigliceride&period;<&sol;p>&NewLine;<&excl;-- WP QUADS Content Ad Plugin v&period; 2&period;0&period;92 -->&NewLine;<div class&equals;"quads-location quads-ad68338 " id&equals;"quads-ad68338" style&equals;"float&colon;none&semi;text-align&colon;center&semi;padding&colon;0px 0 0px 0&semi;" data-lazydelay&equals;"3000">&NewLine;<div class&equals;"quads-ad-label quads-ad-label-new">Advertisement<&sol;div><&excl;-- responsive 3 -->&NewLine;<script async src&equals;"https&colon;&sol;&sol;securepubads&period;g&period;doubleclick&period;net&sol;tag&sol;js&sol;gpt&period;js"><&sol;script>&NewLine;<div id&equals;"andreilaslau&period;ro&lowbar;responsive&lowbar;3">&NewLine; <script>&NewLine; window&period;googletag &equals; window&period;googletag &vert;&vert; &lbrace; cmd&colon; &lbrack;&rsqb; &rcub;&semi;&NewLine; googletag&period;cmd&period;push&lpar;function&lpar;&rpar; &lbrace;&NewLine; var slot &equals; googletag&period;defineSlot&lpar;'&sol;23293390090&sol;andreilaslau&period;ro&sol;andreilaslau&period;ro&lowbar;responsive&lowbar;3'&comma; &lbrack;&lbrack;300&comma; 250&rsqb;&comma; &lbrack;320&comma; 50&rsqb;&comma; &lbrack;468&comma; 60&rsqb;&comma; &lbrack;336&comma; 280&rsqb;&comma; 'fluid'&rsqb;&comma; 'andreilaslau&period;ro&lowbar;responsive&lowbar;3'&rpar;&semi;&NewLine;&NewLine; var mapping3 &equals; googletag&period;sizeMapping&lpar;&rpar;&NewLine; &period;addSize&lpar;&lbrack;980&comma; 0&rsqb;&comma; &lbrack;&lbrack;468&comma; 60&rsqb;&comma; &lbrack;336&comma; 280&rsqb;&comma; &lbrack;300&comma; 250&rsqb;&comma; 'fluid'&rsqb;&rpar;&NewLine; &period;addSize&lpar;&lbrack;750&comma; 0&rsqb;&comma; &lbrack;&lbrack;468&comma; 60&rsqb;&comma; &lbrack;336&comma; 280&rsqb;&comma; &lbrack;300&comma; 250&rsqb;&comma; 'fluid'&rsqb;&rpar;&NewLine; &period;addSize&lpar;&lbrack;320&comma; 0&rsqb;&comma; &lbrack;&lbrack;336&comma; 280&rsqb;&comma; &lbrack;320&comma; 50&rsqb;&comma; &lbrack;300&comma; 250&rsqb;&comma; 'fluid'&rsqb;&rpar;&NewLine; &period;build&lpar;&rpar;&semi;&NewLine;&NewLine; slot&period;defineSizeMapping&lpar;mapping3&rpar;&semi;&NewLine; slot&period;addService&lpar;googletag&period;pubads&lpar;&rpar;&rpar;&semi;&NewLine; googletag&period;enableServices&lpar;&rpar;&semi;&NewLine; googletag&period;display&lpar;'andreilaslau&period;ro&lowbar;responsive&lowbar;3'&rpar;&semi;&NewLine; &rcub;&rpar;&semi;&NewLine; <&sol;script>&NewLine;<&sol;div>&NewLine;&NewLine;<&sol;div>&NewLine;&NewLine;<p>Înc&abreve;rcate cu gr&abreve;sime&comma; celulele hepatice nu-&scedil;i mai îndeplinesc rolurile&period;<&sol;p><div class&equals;"amp-ad-wrapper amp&lowbar;ad&lowbar;1 ampforwp-incontent-custom-banner ampforwp-incontent-ad3"><amp-ad width&equals;"336" height&equals;"280" type&equals;"sulvo" data-ad&equals;"andreilaslau&period;ro&lowbar;amp&lowbar;display&lowbar;336x280" class&equals;"demand-supply"><&sol;amp-ad><&sol;div><div class&equals;"b03d97280e765d707d336f444dd9d428" data-index&equals;"10" style&equals;"float&colon; none&semi; margin&colon;0px 0 0px 0&semi; text-align&colon;center&semi;">&NewLine;<script type&equals;"text&sol;javascript" class&equals;"teads" src&equals;"&sol;&sol;a&period;teads&period;tv&sol;page&sol;176827&sol;tag" async&equals;"true"><&sol;script> &NewLine;&NewLine;<&sol;div>&NewLine;&NewLine;<p>Aceasta este prima faz&abreve; a bolii&colon; steatoza hepatic&abreve;&period; Ea avanseaz&abreve; prin apari&tcedil;ia inflama&tcedil;iei&comma; steatohepatita&period; Neglijat&abreve;&comma; duce la fibroz&abreve;&comma; la acea înt&abreve;rire a &tcedil;esutului hepatic&comma; un fel de cicatrici care împiedic&abreve; func&tcedil;iile ficatului &scedil;i blocheaz&abreve; trecerea sângelui prin ficat&period;<&sol;p>&NewLine;<p>Trebuie trecut la ac&tcedil;iune&comma; în primul rând prin schimbarea stilului de via&tcedil;&abreve;&period; Obezitatea trebuie atacat&abreve;&comma; mai pu&tcedil;ine gr&abreve;simi animale&comma; mai deloc dulciuri concentrate &scedil;i f&abreve;inoase &scedil;i&comma; bineîn&tcedil;eles&comma; mi&scedil;care&comma; m&abreve;car o plimbare seara&comma; de o jum&abreve;tate de or&abreve;&period;<&sol;p>&NewLine;<p>Indicele de mas&abreve; corporal&abreve; nu trebuie s&abreve; salte peste 28-30&comma; iar circumferin&tcedil;a în talie la b&abreve;rba&tcedil;i trebuie s&abreve; fie sub 102 centimetri&comma; iar la femei&comma; sub 88&period;<&sol;p>&NewLine;<p>Dac&abreve; sl&abreve;birea este nesemnificativ&abreve;&comma; se poate apela &scedil;i la medicamente de sl&abreve;bit&comma; de reducerea poftei de mâncare&comma; dar nu este preferabil date fiind efectele secundare ale acestor doctorii&period; Nu e cazul s&abreve; se sl&abreve;beasc&abreve; pompieristic&comma; e indicat s&abreve; se piard&abreve; 500 de grame pe s&abreve;pt&abreve;mân&abreve;&comma; adic&abreve; dou&abreve; kilograme pe lun&abreve;&period;<&sol;p>&NewLine;<p>Trebuie s&abreve; se aib&abreve; în vedere acel sindrom metabolic X&comma; cvartetul mor&tcedil;ii&period; S&abreve; se reduc&abreve; obezitatea&comma; s&abreve; se trateze con&scedil;tiincios diabetul prin diet&abreve; &scedil;i medicamente&comma; s&abreve; se ia zilnic combina&tcedil;ia de medicamente împotriva hipertensiunii arteriale&period; Pentru diminuarea colesterolului &scedil;i a trigliceridelor în sânge e necesar&abreve; cura cu statine&period;<&sol;p>&NewLine;<p>Ficatul gras este o boal&abreve; viclean&abreve;&comma; nu d&abreve; semnale clare și doar controlul periodic poate descoperi aceast&abreve; maladie&period;<&sol;p><div class&equals;"b03d97280e765d707d336f444dd9d428" data-index&equals;"5" style&equals;"float&colon; none&semi; margin&colon;0px 0 0px 0&semi; text-align&colon;center&semi;">&NewLine;<div data-type&equals;"&lowbar;mgwidget" data-widget-id&equals;"1671590"> &NewLine;<&sol;div> &NewLine;<script>&lpar;function&lpar;w&comma;q&rpar;&lbrace;w&lbrack;q&rsqb;&equals;w&lbrack;q&rsqb;&vert;&vert;&lbrack;&rsqb;&semi;w&lbrack;q&rsqb;&period;push&lpar;&lbrack;"&lowbar;mgc&period;load"&rsqb;&rpar;&rcub;&rpar;&lpar;window&comma;"&lowbar;mgq"&rpar;&semi; &NewLine;<&sol;script> &NewLine; &NewLine; &NewLine; <script id&equals;"&lowbar;vidverto-362eafc0ba2cb293c4d0e2c47c8d893c">&excl;function&lpar;v&comma;t&comma;o&rpar;&lbrace;var a&equals;t&period;createElement&lpar;"script"&rpar;&semi;a&period;src&equals;"https&colon;&sol;&sol;ad&period;vidverto&period;io&sol;vidverto&sol;js&sol;aries&sol;v1&sol;invocation&period;js"&comma;a&period;setAttribute&lpar;"fetchpriority"&comma;"high"&rpar;&semi;var r&equals;v&period;top&semi;r&period;document&period;head&period;appendChild&lpar;a&rpar;&comma;v&period;self&excl;&equals;&equals;v&period;top&&&lpar;v&period;frameElement&period;style&period;cssText&equals;"width&colon;0px&excl;important&semi;height&colon;0px&excl;important&semi;"&rpar;&comma;r&period;aries&equals;r&period;aries&vert;&vert;&lbrace;&rcub;&comma;r&period;aries&period;v1&equals;r&period;aries&period;v1&vert;&vert;&lbrace;commands&colon;&lbrack;&rsqb;&rcub;&semi;var c&equals;r&period;aries&period;v1&semi;c&period;commands&period;push&lpar;&lpar;function&lpar;&rpar;&lbrace;var d&equals;document&period;getElementById&lpar;"&lowbar;vidverto-362eafc0ba2cb293c4d0e2c47c8d893c"&rpar;&semi;d&period;setAttribute&lpar;"id"&comma;&lpar;d&period;getAttribute&lpar;"id"&rpar;&plus;&lpar;new Date&lpar;&rpar;&rpar;&period;getTime&lpar;&rpar;&rpar;&rpar;&semi;var t&equals;v&period;frameElement&vert;&vert;d&semi;c&period;mount&lpar;"10405"&comma;t&comma;&lbrace;width&colon;720&comma;height&colon;405&rcub;&rpar;&rcub;&rpar;&rpar;&rcub;&lpar;window&comma;document&rpar;&semi;<&sol;script>&NewLine;<&sol;div>&NewLine;&NewLine;<p>Majoritatea pacientilor cu steatoza nu prezinta simptome&comma; dar unii dintre ei pot raporta oboseala&comma; slabiciune sau durere subcostala dreapta&period; Multi se prezinta pentru analize modificate ale functiei hepatice&comma; descoperite intamplator&comma; la examenele de rutina&period;<&sol;p>&NewLine;<p>Boala hepatica avansata se caracterizeaza prin simptome de gravitate precum icter&comma; edeme sau ascita &lpar;lichid in cavitatea peritoneala&rpar;&period; La examenul fizic&comma; se mai poate decela hepatomegalie &lpar;marirea in dimensiuni a ficatului&rpar;&comma; iar in cazuri mai avansate &lpar;ciroza&rpar;&comma; apare si splenomegalie &lpar;marirea in dimensiuni a splinei<&sol;p><div class&equals;"amp-ad-wrapper amp&lowbar;ad&lowbar;1 ampforwp-incontent-custom-banner ampforwp-incontent-ad1"><amp-ad width&equals;"336" height&equals;"280" type&equals;"sulvo" data-ad&equals;"andreilaslau&period;ro&lowbar;amp&lowbar;display&lowbar;336x280" class&equals;"demand-supply"><&sol;amp-ad><&sol;div>&NewLine;<p>Bineîn&tcedil;eles c&abreve; b&abreve;utorii de alcool peste capacitatea de metabolizare a ficatului sunt cei mai expu&scedil;i la steatoz&abreve; hepatic&abreve;&period; Cei cu ficat gras alcoolic trebuie s&abreve; treac&abreve; la eliminarea cu des&abreve;vâr&scedil;ire a alcoolului&period; Cei care nu reu&scedil;esc s&abreve; scape de obezitate&comma; mai ales când este vorba de o grav&abreve; obezitate&comma; pot apela la chirurgia bariatric&abreve;&period;<&sol;p>&NewLine;<p>Investigatii radioimagistice si de laborator<&sol;p>&NewLine;<p>Analize de sange&colon; testele functionale hepatice&comma; indeosebi enzimele hepatice&comma; pot ajuta medicul la stabilirea diagnosticului&period; In steatoza hepatita&comma; enzimele hepatice ALT si AST pot fi crescute&comma; iar GGT creste in special in boala hepatica asociata cu consumul de alcool&period;<&sol;p>&NewLine;<p>In steatoza non&plus;alcoolica&comma; sunt observate deseori cresteri ale lipidelor serice &lpar;colesterol&comma; trigliceride&rpar; sau ale glicemiei &lpar;glucozei serice&rpar;&period;<&sol;p>&NewLine;<p>Proceduri imagistice&period; Ecografia abdominala&comma; dar si tomografia computerizata si examenul RMN pot releva steatoza hepatica&period;<&sol;p>&NewLine;<p>Evaluarea fibrozei hepatice&period;<&sol;p>&NewLine;<p>In cazul in care se suspecteaza o boala hepatica mai avansata&comma; pot fi necesare teste care sa puna in evidenta in ce masura ficatul este afectat de fibroza &lpar;o forma de cicatrizare a tesutului hepatic&comma; care poate aparea in timp ca urmare a inflamatiei celulelor hepatice&rpar;&period;<&sol;p>&NewLine;<p>Fibroza poate fi evidentiata atat printr-o procedura invaziva &lpar;biopsia hepatica&comma; adica prelevarea unei mici probe de tesut hepatic cu ajutorul punctiei cu un ac special&rpar;&comma; cat si prin teste non-invazive &lpar;Fibroscan sau FibroMax&rpar;&period;<&sol;p>&NewLine;<p>Surse&colon;<a href&equals;"http&colon;&sol;&sol;www&period;csid&period;ro&sol;boli-afectiuni&sol;gastroenterologie&sol;steatoza-hepatica-ficatul-gras-12840025&sol;">www&period;csid&period;ro<&sol;a><&sol;p>&NewLine;<p><a href&equals;"http&colon;&sol;&sol;www&period;doctorulzilei&period;ro&sol;boala-de-ficat-silentioasa-care-poate-duce-la-cancer-sau-ciroza-cum-o-depistezi-la-timp&sol;">www&period;doctorulzilei&period;ro<&sol;a><&sol;p>&NewLine;<div class&equals;"b03d97280e765d707d336f444dd9d428" data-index&equals;"3" style&equals;"float&colon; none&semi; margin&colon;0px 0 0px 0&semi; text-align&colon;center&semi;">&NewLine;<div data-type&equals;"&lowbar;mgwidget" data-widget-id&equals;"1603935"> &NewLine;<&sol;div> &NewLine;<script>&lpar;function&lpar;w&comma;q&rpar;&lbrace;w&lbrack;q&rsqb;&equals;w&lbrack;q&rsqb;&vert;&vert;&lbrack;&rsqb;&semi;w&lbrack;q&rsqb;&period;push&lpar;&lbrack;"&lowbar;mgc&period;load"&rsqb;&rpar;&rcub;&rpar;&lpar;window&comma;"&lowbar;mgq"&rpar;&semi; &NewLine;<&sol;script> &NewLine;&NewLine;<&sol;div>&NewLine;&NewLine;<div style&equals;"font-size&colon; 0px&semi; height&colon; 0px&semi; line-height&colon; 0px&semi; margin&colon; 0&semi; padding&colon; 0&semi; clear&colon; both&semi;"><&sol;div><&sol;p>&NewLine;

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