代谢疾病和肝脏:一篇综述
Márcia Vargas1, Sheila de Castro Cardoso Toniasso2, Patricia G Riedel2
1Program of Graduate Science in Gastroenterology and Hepatology, Federal University of Rio Grande do Sul, Porto Alegre 90040-060, Rio Grande do Sul, Brazil.
与代谢功能障碍相关的脂肪性肝病 (MASLD) 影响超过30%的拉丁美洲人,由肥胖和2型糖尿病驱动. 通过非侵入性评分进行早期检测至关重要,因为缺乏有效的治疗方法.
科学领域:
- 肝病学 肝病学是一种肝病学.
- 代谢疾病 代谢疾病
- 公共卫生 公共卫生
背景情况:
- 与代谢功能障碍相关的脂肪性肝病 (MASLD) 是一个全球性的健康问题,在拉丁美洲非常普遍.
- 肥胖和2型糖尿病是增加MASLD负担的关键驱动因素.
- 非酒精性脂肪肝炎是一种严重的MASLD形式,涉及慢性肝炎.
研究的目的:
- 突出MASLD的流行情况和促成因素.
- 强调非侵入性诊断工具对于纤维化评估的重要性.
- 在MASLD预防方面倡导公共卫生政策.
主要方法:
- 诊断依赖于识别肥胖症,利用非侵入性得分和监测肝功能测试.
- 非侵入性纤维化得分,包括血清生物标志物,建议用于初级保健机构.
- 目前的指导方针支持用于发现病例和管理高风险MASLD患者的非侵入性策略.
主要成果:
- MASLD的患病率很高,特别是在拉丁美洲.
- 非侵入性评分是有效的,可访问的工具,用于排除晚期纤维化.
- 国际指导方针促进了MASLD管理的非侵入性方法.
结论:
- MASLD是一种广泛的疾病,与代谢并发症有关.
- 非侵入性方法对于早期检测和初级保健中的管理至关重要.
- 针对风险因素的积极公共卫生政策对于预防MASLD至关重要,因为缺乏特定的药理疗法.
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