Dr. Kazuo Namata (left), a hepatitis medical coordinator, who has a meeting to open the "fat liver outpatient", and Masami Hashimoto, Fukui City, Fukui City, Fukui Prefecture
The fatty liver, which accumulates in the liver, has few subjective symptoms, but may lead to lipitis, cirrhosis, and liver cancer.Even if there is no drinking habits, the number of people who will be in fatty liver is increasing rapidly, Fukui Saiseikai Hospital (Fukui City) opened a "fat liver outpatient" in April, found a person with liver cancer risk and found it early.Connect to treatment.A specialist warns, "There is a risk of lifestyle -related diseases due to lack of exercise under the corona, and there is a risk of more people with fatty liver."[Graphic] Omicron shares are the most common symptoms of lifestyle, such as excessive calorie intake and lack of exercise, and more than 20 million patients with non -alcoholic fatty liver disease (NAFLD = Naflui) in Japan.Of these, 25 % have non -alcoholic lipitis (nash), which may be more likely to progress to cirrhosis and liver cancer."NASH is explodingly increasing, and 1-2 % of NAFLD will progress to liver cancer," said Kazuo Natsumata, Deputy Director of the Saiseikai Hospital.When liver disease becomes severe, yellow dan, face and body swelling appear, but many people have no subjective symptoms until then.The main subject of specialized outpatients is those who have been pointed out for obesity, diabetes, and liver function abnormalities.Agent doctor performs echo tests and blood tests, and if you have any suspicion of NASH, ask them to be introduced to the specialty outpatient.In a specialized outpatient department that is newly established in the hospital's internal medicine, it is an ultrasonic device called Fibroscan, which measures the degree of "fibrosis" and liver fat amount that makes the liver stiff.If you are suspected of nash or cirrhosis, you will be hospitalized and perform a "liver biopsy" to collect and examine the liver tissue.For patients who have led to a definitive diagnosis of NASH and cirrhosis, she teaches medications including clinical trials, as well as dietary and exercise therapy.We regularly check the presence or absence of complications, such as cardiovascular diseases and cancer in other organs.The specialty outpatient is three times a week, and two liver specialists, including Dr. Natsumata, are in charge of medical treatment.The medical institution of the collaboration will also be informed of the medical treatment system, and a mechanism will be prepared to introduce each other and follow each other."I would like to accurately pick up Nash patients and link them to early treatment."◆ The risk of lurking in fatty liver and the opportunity to the right consciousness may be a strong image that liver disease is due to daily drinking and viruses.However, Dr. Tsumata of the prefectural Saiseikai Hospital states that he wants to open a specialized outpatient clinic, saying, "I would like to make the risk of lurking in fatty liver correctly aware of the lock liver."In order to prevent fatty liver, aerobic exercise and muscle training according to physical strength are important to eat a moderate calorie, nutritionally balanced diet.If there is an abnormality in a blood test such as a medical examination, if there is an abnormality that indicates liver function, Dr. Natsumata says, "I want you to take an echo test as a GP."It is said that the number of liver function is always necessary to find the liver function value because there are cases where non -obese people and minors can find fatty liver.The hospital is the only "liver disease medical treatment cooperation base hospital" in the prefecture, and 35 nurse, nutritionist, and physiotherapists have become a "hepatitis medical coordinator" in the prefectural governor.In the past, the role of viral hepatitis and consultation recommendation, but the opening of the fatty liver outpatient has expanded its role.Masami Hashimoto, a nurse and hepatitis medical coordinator, was misunderstood as "I'm okay because I don't usually drink alcohol," or "I'm not obese, so there's nothing to do with fatty liver."If the person has a specialized outpatient, it will be easier to recommend a doctor.
Fukui Shimbun