Can the coarse echo of liver parenchyma be reversed?

Many people think that there is something wrong with their liver when they hear the diagnosis of coarse echo of liver parenchyma. So what is the reason for coarse echo of liver parenchyma? In fact, if the liver parenchyma echo is simply coarse, there is no need to worry too much. This does not indicate whether there is a problem with a person's liver. It often requires a judgment of liver function. Generally speaking, if the five items of hepatitis B and liver function tests are ruled out, it is necessary to consider whether it is fatty liver.

The coarse echo of liver parenchyma alone cannot explain the problem and needs to be judged in combination with the results of liver function tests. If there are no problems with liver function and five hepatitis B tests, there is a high possibility of fatty liver. Because a large amount of fat tissue is deposited in the liver cells, it can affect the normal echo of the liver.

When lipid accumulation in liver cells exceeds 5% of the liver wet weight due to disease or drugs, it is called fatty liver. The lipids accumulated in the liver can be triglycerides, fatty acids, phospholipids or cholesterol esters depending on the cause of the disease, among which triglycerides are the most common. According to the fat content, fatty liver can be divided into three types: mild (fat content 5%-10%), moderate (fat content 10%-25%), and severe (fat content 25%-50% or >30%). Fatty liver is a common clinical phenomenon rather than an independent disease, including pathological changes such as steatosis, steatohepatitis and cirrhosis. The clinical manifestations of fatty liver range from no symptoms in mild cases to severe conditions in severe cases. Laboratory tests lack specificity and diagnosis is confirmed by liver biopsy. Generally speaking, fatty liver is a reversible disease, and early diagnosis and timely treatment can often restore to normal.

A reasonable diet should be high in protein , appropriate in calories and low in sugar. Obese people create a negative balance of heat energy consumption while ensuring the body's basic needs for protein and various nutrients. Malnutrition-induced fatty liver should be treated with a high-protein diet and sufficient carbohydrates and fats.

What are the treatment principles for fatty liver? Fatty liver is not only a reversible disease, but also a pathological manifestation of systemic disease in the liver. If it can be detected early and comprehensive treatment is given promptly to the cause, the liver lesions can be reversed before they further develop into cirrhosis. The treatment principles of fatty liver can be summarized as follows:

(1) Eliminate the causes and predisposing factors and actively control the primary disease.

(2) Adjust the diet plan and correct nutritional imbalance.

(3) Maintain necessary exercise to maintain an ideal weight.

(4) Maintain relatively normal blood lipid and blood sugar levels.

(5) Educate children on self-care awareness to correct bad behaviors. ? ?

(6) If necessary, appropriate supplementation with liver protection, lipid removal, and anti-liver fibrosis drugs can promote lipid excretion in the liver and prevent liver cell necrosis, inflammation, and fibrosis.