Fatty Liver By D Gnanasingh Arputhadas

LIVER

• Liver is an organ about the size of a football that sits just under your rib cage on the right side of your abdomen.

• Without your liver, you couldn't digest food and absorb nutrients, get rid of toxic substances from your body or stay alive.

FATS• All of our organs contain some level of fat.

• Fat cells are used for protection, and they are a great resource for storing extra energy.

• If the amount of carried fat exceeding normal bounds, it is stored in the liver and in other various tissues.

• The normal liver contains approximately 5% fat.

• The other 95% of the liver is made up of liver cells named Hepatocytes, which are responsible to do all the work of the liver.

FATTY LIVER

DEFINITION

• When the amount of fat is beyond 10%, some healthy liver cells are replaced by the fat cells, which ultimately results a Fatty Liver.

FATTY LIVER DISEASE (FLD)

• It is a reversible condition wherein large vacuoles of triglyceride fat accumulate in liver cells into intracytoplasmic vacuoles.

Microscopic View By Trichrome Stain

Triglyceride Fat

IntracytoplasmicVacuoles

TYPES

• There are two main types of fatty liver:

– Alcoholic fatty liver.

– Non-alcoholic fatty liver disease (NALFD).

ALCOHOLIC FATTY LIVER DISEASE

• Chronic alcoholism can lead to a slow and progressive liver failure.

• The first phase of an alcoholic liver diseases will probably be a Fatty Liver.

• If the patient continued drinking , liver cells gradually die and being replaced by scar tissue.

• Excessive amounts of scar tissue can lead to a liver failure and/or Cirrhosis.

NON-ALCOHOLIC FATTY LIVER DISEASE (NAFLD)

• Food habits: eating high-fat concentrated, fried food with high cholesterol; “fast food”; sugar rich snacks.

• Lack or very low physical activity.

• Being overweight or obese.

SYMPTOMS

• Fatty liver symptoms are nearly non-existent.

• It is usually “hidden” and unnoticeable in most cases, until a routine blood test detects some signs of it.

• The livers size is usually enlarged, and might cause a obscure discomfort in the right upper stomach.

CONTROL MEASURES

FOOD PYRAMID

TESTS FOR FATTY LIVER

• Only Two Major Tests are done to Analyse Fatty Liver :

– Liver Function Blood Test

– Fatty Liver Ultrasound

LIVER FUNCTION BLOOD TEST

ALBUMIN TEST

• Albumin – This is the core protein created by the liver,

that passes into the bloodstream.– Normal levels of albumin is between 3.4 to 5.4

deciliter.

• A/G ratio – The ratio of albumin to globulins.– Normal levels of A/G is below 1 deciliter.

BILIRUBIN TEST

• Direct Bilirubin (unconjugated bilirubin) – passes through the liver. Normal level of direct bilirubin is between 0 to 0.3 deciliter.

• Indirect Bilirubin (conjugated bilirubin) – doesn’t pass through the liver. Normal level of Indirect bilirubin is between 0 to 0.3 deciliter.

• Total Bilirubin – this is the total amount of direct + indirect bilirubin. Normal level of total bilirubin is between 0.3 to 1.9 deciliter

FATTY LIVER ULTRASOUND

RESULTS

HEALTHY LIVER FATTY LIVER

• It shows a typical healthy liver, at normal size, and with no signs of a liver disorder.

•You can actually see the fat that covers the liver (the black area).

NATURAL TREATMENT

• Ayurvedic Medicine

• Lemon Juice

• Dandelion

AYURVEDIC MEDICINE

• Phyllanthus niruri-கீழா�நெ�ல்லி

• Eclipta prostrata-கரிசலா�ங்கண்ணி

• Curcuma longa-மஞ்சள்

LEMON JUICE

• Lemon juice is rich of Vitamin C, which is an excellent antioxidant.

• As an antioxidant, it can cleanse your blood from various toxins.

DANDELION 

• The main part of this herbal plant is the effect its leaves and root have on the liver.

• These compounds help the liver to stimulate digestion, and can increase bile production and flow to the liver.