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O PRINCIPAL TRATAMENTO para GORDURA NO FÍGADO e as 10 causas de "FÍGADO GORDO" [ESTEATOSE HEPÁTICA] - Transcrição Original

Transcrição Original

Vídeo: O PRINCIPAL TRATAMENTO para GORDURA NO FÍGADO e as 10 causas de "FÍGADO GORDO" [ESTEATOSE HEPÁTICA]

Link: https://www.youtube.com/watch?v=V5Fc7JtdY3I

Idioma: original


[0.00s] What is the main treatment for fat in the liver in this video I will talk about it in detail
[4.62s] and also the 10 causes of fat in the liver here and the treatment is not based on
[11.46s] tea it is not with lemon on an empty stomach and there is no Magic Formula that I I'm going to bring here the
[17.46s] scientific evidence of more recent works in this area, okay, to start, you need to understand that
[23.70s] when I talk about fat in the liver or the scientific name hepatic steatosis, I'm talking about a
[29.94s] group of diseases, it's not a single isolated disease. a group among them there is a characteristic
[37.20s] why they are in this group what is the characteristic of this group of diseases of
[43.38s] hepatic steatosis of fatty liver disease the main characteristic is that in the hepatocytes
[49.86s] that is in the liver cells there are fat in several places while of the liver a little bit
[57.24s] throughout the liver not at least 5% of the liver will have fat in diseases related to
[66.18s] hepatic steatosis So depending on the size of the liver there is characteristic that's why the doctor in the
[70.86s] abdominal ultrasound, right in the abdominal ultrasound examination checks What is the size of the liver then
[77.22s] check which area probably has fat and said do you have hepatic steatosis
[83.46s] or not fat in the liver now what is the cause of the injection other clients need to study and that's what
[89.22s] I'm going to talk about here and also about the treatment right the main treatment the treatment
[94.62s] that science says today right and also the 10 causes that the causes you need to know why you have to
[100.86s] abandon these causes So let's go there knowing that this main characteristic of having at least
[106.14s] 5% of fat in the liver there we are take another step because when you're in the phase of
[113.04s] hepatic steatosis there's only fat in the liver it's still reversible you can remove that fat in the liver
[119.04s] now if for another phase I'll show you here even on the screen an image there's no way anymore no no
[123.90s] no there is an irreversible injury if you do not remove these factors that cause
[130.98s] this disease then you will have some consequences So what are the consequences the first major
[138.06s] consequence is that after the liver becomes fat if you do not treat it at that time the next
[143.82s] stage can inflammation happens and causes liver cirrhosis at that moment when I
[151.50s] say liver cirrhosis I mean that those cells that had fat in the liver are
[156.48s] kind of inactive so the liver gradually loses its function a part here another part there
[163.14s] and little by little it it is causing great damage to your health another consequence if you do not
[169.98s] treat hepatic steatosis this liver injury for a long time is having liver cancer and the
[176.82s] type of cancer is carcinoma It is pathocellular ok These are two major consequences among others
[183.66s] because the other consequences are related to the functions of the liver, right? In this image, you
[190.32s] can see in the first one that you have hepatic steatosis, it basically has fat if you decide to treat it
[197.88s] here, abandon the causes that I'm going to talk about here in this video, then your liver returns to normal, if
[202.74s] not then causes steatosis steatohepatitis, you know, inflammation of the liver and the next stage is
[209.22s] cirrhosis, which from here there is no way back, the liver is already compromised, then you will have to undergo a transplant and
[215.70s] other treatments and after cirrhosis, still not being treated well, it can turn into a cancer
[221.28s] called carcinoma hepatocellular for us to continue here I ask that you already leave
[228.00s] a comment already leave any questions here because I already answer I'll tell you other videos here
[233.28s] on the channel that I have also talking about hepatic steatosis And then I'll tell you what the
[237.54s] video is specific for you to watch but for that you need to subscribe to the channel and I'm
[242.46s] going to launch a challenge here we now have 41 thousand subscribers at the moment I'm recording
[247.02s] this video that I'm going to post there you click on subscribe let's go see how many subscribers we
[253.08s] will get here on the channel my goal is to reach 100,000 subscribers this year if you contribute with
[258.24s] that of course so comment leave the thumbs up and click subscribe for us to grow here together ok
[263.70s] for now we are 41 thousand let's see in a while that's why you have to click
[268.56s] there for us to evolve in the volume of subscribers OK so let's continue here then this liver disease
[274.02s] alcoholic right, I told you that fatty disease is a group of diseases that you have and within it there are
[281.28s] several types one of them is alcoholic disease That is, people who drink a lot of
[287.46s] alcohol can have hepatic steatosis but it appears in the previous video that I posted here
[295.02s] about it many people said I don't even drink and I have fat in my liver Exactly because there
[301.26s] is another cause I'll explain this other cause but let me tell you a little bit here
[305.16s] about this alcoholic liver disease caused by alcoholic beverages it corresponds more or less
[311.70s] 25% of the cases, so out of 100 people who have fat in the liver, that is, 5% more of the
[319.02s] liver has fat 25 of these 100 It was because of drinking a lot of alcoholic beverages.
[326.88s] challenge question I will want to know that if you know what is the limit
[332.52s] of doses that you can support So from How many doses does alcohol start to damage your
[339.12s] liver How many doses per week so knowing that a can of beer has 10 g of alcohol
[345.06s] how many cans a man could drink a week there which would be the limit to damage
[352.32s] the liver 14 21 or 30 cans from how many cans the liver starts to have big problems
[358.92s] 14:21 or 30 and in women from how many I'm going to give one tip here woman can take less So
[365.82s] if she drinks less alcohol she will have a big liver damage so a woman from
[374.46s] 7 12 or 20 cans that the liver starts to have a development of hepatic steatosis that
[381.00s] is of the fat in the liver So answer that in a little while I'll tell you the
[385.74s] correct answer ok 14 21 or 30 for men seven 12 or 20 for women let's continue here but oh There is
[393.42s] another type of fat in the liver that is not caused by alcohol by alcoholic beverages which is a
[399.84s] non-alcoholic liver disease or the full name is non-alcoholic fatty liver disease and this
[406.56s] type is the biggest cause why many people say they don't drink there is fat in the liver But
[412.32s] it's because this is another cause the biggest cause of 10 to 35% in the United States, which is where we have
[417.78s] some data, so for every 100 people between 10 and 35,
[423.84s] right? other things
[428.94s] here that I will tell you that are the causes but basically it is a big element there is that there is
[436.68s] a nutritional factor involved that is food and inadequate food and weight gain they are two
[444.06s] important causal factors but this disease here has much more than if you explore, right, that there are at least more than
[450.30s] 10 factors that I promised that I will say that they are causal factors for fat in the liver, including
[456.66s] these factors, some you can change others not so much, right, because it depends on some
[465.24s] and has a great involvement with the insulin resistance What is that there in your pancreas which is an
[470.34s] organ that we have it produces insulin and this insulin has to do with the use of available sugar
[475.74s] in our body right the carbohydrate when you eat there is a carbohydrate in the bread of the juice and other things
[480.96s] from rice noodles and then the pancreas is important to make use of the carbohydrate of this glucose that
[488.34s] arrives and for some people there is insulin resistance the body has to eliminate
[493.74s] a lot more insulin because it is not able to use it well normally who has it is who have some
[499.68s] genetic predisposition or who have type 2 diabetes or who are obese or overweight
[505.98s] so when you are overweight overweight or obese there is this insulin resistance
[512.04s] because of this insulin resistance and also because of the increase in the volume of sugar in the diet
[517.92s] then it ends creating this fat in the liver this hepatic steatosis due to several mechanisms
[525.18s] But there is a curiosity here, not all obesity is strongly associated with
[531.66s] hepatic steatosis with fat in the liver What is the most dangerous obesity, let's say,
[536.94s] when the fat is in the abdominal region that we call a more visceral obesity, that
[543.18s] is, most of the fat you have is overweight when it is concentrated there in the belly
[548.16s] with a large abdominal volume there, it poses a greater danger because it is a disease that has to do with this
[554.16s] resistance insulin and when we increase the abdominal volume enough, there is a
[559.50s] facilitation of the occurrence of fatty liver disease is a curiosity that is now the 10
[566.58s] causes of liver diseases of non-alcoholic liver disease I will cite here and explain one by
[571.86s] one there is a type of surgery that today is kind of abolished among surgeons who it's a
[578.22s] bypass surgery Ilha do regional that used to treat those people with obesity using this technique today
[583.68s] It's more like abol another thing is those who have a tumor in the pancreas and need to do a
[590.46s] digestive glow derivation It's a specific type of surgery that ends Having like a complication
[595.80s] hepatic steatosis fat in the liver over time of course you have to do it because the tumor is much
[600.96s] more serious at that time in the patient's life ok Another factor that causes fatty
[606.30s] liver disease not related to alcohol is steroids anabolic steroids who use anabolic steroids some
[613.08s] medicines also influence the occurrence of fat in the liver such as mildarone
[618.48s] which is a medicine to control the cardiac rhythm corticoid estrogen and Tamoxifen which is for the
[627.12s] treatment of breast cancer but it is logical that the doctor who will to write this he
[632.64s] will check what is better to take this medicine to have the risk of having fatty liver disease
[639.06s] in the future or not to take the medicine So the doctors already know that they are aware these medicines
[646.44s] are only prescribed when the benefit of using them los is much greater than the risk of having fat in the liver,
[651.30s] so when the doctor prescribes, respect the
[655.44s] prescription
[661.20s] . you have to make this agreement with the doctor to see what the risk and
[665.52s] benefit of it are but they have some relation to the occurrence of fat in the liver another thing is
[670.74s] environmental toxins in some jobs where people are exposed to toxins some types of
[676.56s] industries there that toxin causes the liver to generate hepatic steatosis, that is,
[683.16s] fat, prolonged parenteral nutrition, those people who are hospitalized in the ICU for weeks
[688.92s] or even months may have this risk of hepatic steatosis, hepatitis C is also associated with
[695.88s] polycystic ovary syndrome, which cause women to increase in prison have hair here
[703.08s] in this region And then there is a specific treatment I'm going to put a video about it here on the channel but
[708.60s] it's Top right, those who have hypothyroidism, especially untreated, have the risk of having non-
[715.50s] alcoholic liver disease greasy person who has obstructive sleep apnea also that person who keeps waking up
[720.72s] at night can't sleep right which makes breathing stop and also who has
[726.06s] hypogonadism right that in the gondolas men and women or several and testicles produce hormones and if they
[733.56s] are not producing properly it can be associated with the generation of fat in the liver So these are the
[738.84s] 10 causes I'm going to talk about the treatment but basically we have to consider
[743.70s] these causes to remove what is possible from these causes so that the liver recovers but there is the
[750.24s] treatment I already told you which has a strong relationship with obesity So you have to talk about it here
[754.80s] I'm going to tell you about the treatment to eliminate this fat in the liver first element is the one I
[760.62s] mentioned which is to eliminate the causal factors whenever possible, right there won't be a remedy if the doctor
[765.72s] prescribed Unless you have an agreement with him but the interesting fact is that
[771.30s] progressive weight loss really helps a lot in removing fat from the liver and The interesting thing is that it is
[778.56s] a progressive weight loss I'll tell you what the difference is of losing weight very quickly and
[784.50s] losing it
[789.78s] little by little What is better, fast or little by little
[797.16s] ? it is an excellent factor that motivates weight loss exercise is important
[803.58s] but it is essential here for this disease that reviewing your diet if you manage to lose between 7 and
[812.22s] 10% of your weight in a year is a great step that you take as long as it is a progressive loss For
[819.66s] example, this week you lost a few grams the next week another one and you lose until you reach the
[825.00s] ideal weight for your height, so between 10 and 7 to 10%, you already start to notice a benefit
[832.08s] for example if you have 100 kg and lose between 7 to 10% that is between 7 to 10 kg progressively it is
[840.84s] great if you do this losing around half a kilo a kilo a week is something beneficial
[849.36s] for your health because it is a loss gradually, this is considered safe, right, for
[855.60s] nutrition, if you have a caloric deficit, that is, during your meals during the day, you consume a
[862.14s] volume of calories if you reduce between 500 thousand calories from the volume and calories you need
[867.36s] to stay alive. you will be able to lose between 500 and 1 kg a week ok 500 grams or
[874.50s] a kilo a week this is very important there is a follow-up with a nutritionist who
[879.60s] will calculate the energy volume now that question I asked you is better to lose it
[884.82s] fast like in one week I lost five kilos or lose 5 kg in two in four weeks Which is
[893.28s] better do you think science says the following those who lose slowly have more benefits in reducing fat
[900.66s] in the liver than those who lose fast because those who lose fast the body responds in a way
[906.24s] with increased inflammation and increased liver fibrosis which is worsening the health of the liver and health
[912.66s] as a whole and still has a side effect which is overeating when you restrict
[917.34s] your diet too much to lose 5 kg in a week there comes a very strong hunger there it is called
[923.22s] super food then you eat a lot afterwards so that is why the ideal is that it is a gradual loss you lose
[929.22s] 500 which is half a kilo a week a kilo a week which is already healthy and then when
[935.88s] scientists evaluated What is the best benefit if this gradual loss has become much better then it is
[942.96s] an important insight it is very important and for you to reduce this weight what do you have to do
[947.64s] have good food choices to generate this calorie deficiency then if you need
[953.28s] a volume of calories per day, gradually you reduce these calories and this deficiency throughout
[959.40s] the day causes you to reduce weight, so once again it reinforces that
[964.44s] the nutritionist here is important to do the calculations of recommend some food But you
[969.42s] can go on your own now you can go making the most appropriate food choices you know that
[975.12s] it is a bad food what is a good food is that You already have some perception of what the
[980.82s] Brazilian Society of Hepatology, right that the Society Brazilian medicine that talks about a study on
[986.40s] liver diseases says the following the ideal to have this fat in the liver has to have a low
[991.38s] carbohydrate content, that is to say consume a little less sugar during the day to have cookies and crackers
[999.30s] to reduce the amount of processed drinks such as sodas juices in boxes powdered juices,
[1006.62s] which have a lot of sugar, this
[1013.10s] makes the fat in the liver a lot worse
[1019.22s] . I'm going to mention here that they are saturated fats and trans fats
[1024.38s] I'm even going to show you a label here so that you can understand how you make the choice
[1028.28s] of food based on the food label there I'm going to tell you just that in addition to these less
[1034.94s] recommendations carbohydrates that are less sugar, right less soft drinks, juices and canned foods and these things and
[1042.56s] reducing trans fats the Mediterranean diet can also be beneficial according to some
[1047.78s] medical societies in the world so I'm even going to get a book in PDF so you can download it I'll leave it in the
[1054.56s] area description with the diet talking about the underground diet so if I find a
[1059.42s] good one Take a look at the description area of ​​this content here so you can find out
[1064.46s] more about how this Mediterranean diet is good or else I record another video already take a look
[1069.74s] at the description look look how you analyze a label So I got it here from Doctor Flávia and
[1077.24s] he helps you choose good foods you don't have to reduce carbohydrates and reduce trans fat
[1084.62s] and saturated fat So you go there on the label and see the carbohydrate just that care sometimes doesn't have
[1090.98s] that name there may be syrup there may be glucose glucose or names that are synonyms So you
[1097.52s] have to see how many grams of carbohydrates and how many percent of the day so here it is I
[1102.86s] 'll get one soda here for us to analyze protein, good thing, right, here you have it
[1109.34s] what to look at saturated fat the less the better saturated fat and trans fat the less the better
[1114.26s] Beauty sodium too but it is already for other conditions but mainly evaluate carbohydrate
[1119.90s] saturated fat and trans fat the less the better there for your food throughout the day
[1125.72s] to lose weight let's go this example here, this one is for a soft drink, it has 33 grams of sugar,
[1132.14s] a lot, you know, normally we consume 200 grams of sugar a day, some people even less and only
[1138.08s] a 300 ml can has 33, so that's a lot there, in the case of soda there isn't Total fat doesn't have fat,
[1144.56s] right ?
[1150.80s] Then I took a bag of those potato chips that we buy
[1158.78s] . it's a type of sugar because here sugar is zero right because no
[1164.66s] sugar was added but there is total fat in the potato you go here in saturated fat 3.8 17% of the
[1172.04s] day is a lot of trans fat there is no so ok so if there is a lot of saturated fat it is bad
[1178.82s] if it has a lot of carbohydrates it's bad these very processed foods all have a lot so better abandon it
[1185.12s] there before answering the quiz here I'll give you a summary and I'll give you the answer
[1191.00s] from How many doses how many cans can a man and a woman hold ok today's summary is as
[1196.82s] follows to improve this liver disease not caused by alcohol is to lose weight gradually,
[1202.64s] follow up with a nutrition medicine professional and take care of those 10 factors that
[1209.90s] cause this disease, right, talk to your doctor about those 10 factors there that cause this disease
[1214.40s] So that's today's summary now it's from How many doses of alcohol per week does the liver start
[1219.62s] to not support anymore so men from 14 cans per week the liver already starts to show
[1225.80s] the liver and women from out of 7, that is, a woman can handle half the volume of alcohol
[1231.56s] that a man does. Did you know that, put it here if you drink how many cans You drink, you start to get
[1238.88s] drunk, right, put it here Possibly Men will say more than women will be curious
[1245.72s] understand this here in the comments I ask you to click on subscribe ok subscribe
[1250.82s] to the channel and I will leave here in the comments area also another video talking about the 15
[1255.26s] signs of fat in the liver that you already have the signs of I talked about treatment there I talk
[1260.48s] about the signs, including this video that I'm going to show you
[1265.46s] , it already has more than a million hits .
[1271.16s] that you liked the content that you learned more And if you have any
[1275.42s] questions, put them there and I'll answer you in text format or even record another video to explain
[1280.10s] your doubt better, okay Here Daniel Coriolano, big hug, we'll see you in the next

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