Ngày nay, gan nhiễm mỡ đang trở thành căn bệnh phổ biến của thời đại, Mặc dù là bệnh lành tính nhưng khi tiến triển đến giai đoạn cuối, bệnh gan nhiễm mỡ có khả năng biến chứng thành xơ gan, ung thư gan… Đặc biệt, bệnh có thể xảy ra với bất kỳ ai.
Gan nhiễm mỡ là tình trạng mỡ tích tụ trong tế bào gan, có thể là do thừa cân đơn thuần, có khi là tình trạng nặng hơn gọi là chứng gan thoái hóa mỡ. Bình thường lượng mỡ chỉ chiếm khoảng 3-5% trọng lượng gan. Khi lượng mỡ trong gan vượt quá 5% trọng lượng gan tức là gan đã nhiễm mỡ ở mức độ nhẹ, tới 10-25% tức là nhiễm mỡ mức độ vừa và nếu vượt quá 30% thì đó là nhiễm mỡ nặng.
Gan nhiễm mỡ do nhiều nguyên nhân và cũng có thể do nhiều bệnh lý đưa đến gan thấm mỡ. Người bị gan nhiễm mỡ thường không có triệu chứng gì, đôi khi có mệt, suy nhược, chán ăn hay thỉnh thoảng đau nhẹ hạ sườn phải. Bệnh gan nhiễm mỡ có thể xảy đến với những bệnh nhân còn rất trẻ cũng như với những người có bên ngoài gầy nhỏ (trái với hình dung đây là căn bệnh của những người to béo), thậm chí là với cả thai phụ (gan nhiễm mỡ thai kỳ).
Các nguyên nhân gây ra bệnh gan nhiễm mỡ
Có rất nhiều nguyên nhân gây ra bệnh gan nhiễm mỡ, nhưng nguyên nhân chính phần lớn ở những thói quen sinh hoạt không lành mạnh, vốn là thói quen của rất nhiều người ở thời đại ngày nay như:
– Thói quen ăn uống kém khoa học, thiếu cân bằng dinh dưỡng.
– Lười vận động.
– Một số người bị gan nhiễm mỡ do chất hóa học trong bia rượu, nhiễm độc phospho, Arsenic, chì…
– Bệnh gan nhiễm mỡ còn có thể hình thành do nội tiết, do bệnh tiểu đường, do sự oxy hóa acid béo ở gan bị giảm, rối loạn dinh dưỡng…
– Là hậu quả của việc sử dụng các loại thuốc như corticide, Tetracyclin, các thuốc kháng ung thư, thuốc hocmon sinh dục nữ…
– Do biến chứng của các căn bệnh viêm gan B, C mãn tính gây ra.
Khó phát hiện ngay nhưng hậu quả khôn lường
Gan nhiễm mỡ có thể được coi là sát thủ thầm lặng bởi dấu hiệu của bệnh không rõ ràng khiến mọi người khó nhận biết, nói đúng hơn là mơ hồ hoặc nhầm lẫn với những bệnh khác; vì thế gan nhiễm mỡ cứ âm thầm phát triển, cho tới lúc trở nặng sẽ gây xơ gan, ung thư gan và nhiều hệ lụy nguy hiểm gây ảnh hưởng nghiêm trọng tính mạng người bệnh.
Ở những bệnh nhân gan nhiễm mỡ, do những nguyên nhân khác nhau thì cũng có kèm theo những triệu chứng toàn thân và những dấu hiệu đặc trưng của những nguyên nhân đó. Thông thường khi thăm khám, bệnh nhân chỉ được phát hiện một bất thường về xét nghiệm gan, ví dụ như tăng chỉ số alkaline phosphatase. Các bất thường khác ít gặp hơn là tăng bilirubin huyết thanh trực tiếp và giảm albumin huyết thanh.
Gan nhiễm mỡ khi còn ở thể nhẹ rất khó phát hiện. Người bệnh chỉ có thể phát hiện ra những biểu hiện của bệnh từ những triệu chứng mệt mỏi và cảm giác khó chịu ở vùng hạ sườn phải. Nhiều người khi phát hiện những dấu hiệu của bệnh lại thờ ơ để bệnh phát triển mà không tìm cách chữa trị ngay bởi cho rằng bệnh lành tính. Thực tế gan nhiễm mỡ giai đoạn 1 không đe dọa mạng sống người bệnh cũng không gây ảnh hưởng nhiều tới cuộc sống, nếu được phát hiện sớm thì việc điều trị sẽ dễ dàng bởi gan chưa bị thoái hóa hoàn toàn.
Các giai đoạn 2, 3 gan nhiễm mỡ sẽ rất nguy hiểm, người bệnh thường thấy mệt mỏi, uể oải, đầy hơi, khó chịu, chán ăn, sợ dầu mỡ, ngứa ngáy, làm việc lười biếng, không tập trung, sức khỏe suy giảm rõ rệt,… Tình trạng gan nhiễm mỡ nặng có thể có triệu chứng vàng da, đau bụng, buồn nôn, ói mửa và gan to nhẹ.
Gan nhiễm mỡ nặng có thể biểu hiện với triệu chứng vàng da và những bất thường rõ rệt trong các kết quả xét nghiệm gan.
Khi trở nặng, gan nhiễm mỡ có thể gây:
– Xơ gan và ung thư gan.
– Dẫn tới các chứng cao huyết áp và xơ vữa động mạch.
– Tiểu đường.
– Suy giảm chức năng thải độc của cơ thể.
– Viêm túi mật.
Gan nhiễm mỡ sẽ để lại những hậu quả nghiêm trọng nếu không được điều trị kịp thời. Theo thống kê của Tổ chức Y tế thế giới, 90% người lạm dụng bia, rượu bị gan nhiễm mỡ và 75% người thừa cân béo phì mắc căn bệnh này, trong số đó có thể có cả các bạn hoặc những người thân bên cạnh. Việc phòng và điều trị gan nhiễm mỡ rất cần sự chủ động của tất cả mọi người. Để kiểm soát tốt bệnh gan nhiễm mỡ bạn cũng cần kết hợp kiểm soát những yếu tố nguy cơ gây bệnh. Nếu bạn béo phì nên giảm và duy trì cân nặng ở mức phù hợp, nếu bạn bị tăng lipid máu nên hạ mỡ máu về ngưỡng an toàn, tăng cường vận động và duy trì chế độ dinh dưỡng hợp lý, không rượu, không bia và không thuốc lá. Ngoài ra có thể cân nhắc sử dụng thêm những sản phẩm bổ trợ để tăng cường chức năng gan có ứng dụng công nghệ sinh học và thử nghiệm lâm sàng từ những công ty Dược có uy tín.
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