Gastroenterologist: Drunk once is equivalent to suffering from a hepatitis

Everyone in life often attends parties, entertains, and other activities. Drinking seems essential, but experts in digestible science have to tell you mercilessly. I'm sorry that hurting the liver is hurting the liver. More than just the right amount of alcohol, each cup is One damage to alcohol. And for those who work, for business, or who are dependent on alcohol, the experts are trying to persuade them to take advantage of the opportunity of "7, 28 World Hepatitis Day": don't be silly, every drunk is equivalent to hepatitis, Is it really regretful that hepatitis will develop into cirrhosis?

Recently, in the "World Hepatitis Day" health science activities, Yan Ji Hospital, Gastroenterology Professor Mao Yimin advised alcoholics: drinking needs to be appropriate, especially for alcohol-sensitive people, drinking more cautious. Intoxication, like viral infection, can lead to liver cell damage and affect liver function. If repeatedly drunk, it is likely to cause hepatitis, cirrhosis, and even liver cancer.

Relevant data show that China’s overall and average per capita consumption of alcohol have been increasing year by year, and per capita annual alcohol intake has increased from 4.9 liters in 2005 to 6.7 liters in 2010. During the same period, “rich diseases” such as alcohol liver, fatty liver, and liver cirrhosis caused by heavy drinking have rapidly entered the homes of ordinary people and caused many irreversible health injuries. According to relevant surveys, the proportion of patients with chronic liver disease in China who have alcoholic liver disease in China has increased year by year. This percentage rose by 20% from 1990 to 2005.

How much alcohol does he drink?

One problem that puzzles many people is that experts often emphasize “moderate drinking”, but how much is the right amount?

Professor Mao Yimin said: Excessive alcohol consumption can easily lead to alcoholic liver disease, and 70% of alcoholic hepatitis patients will progress to cirrhosis, but not every alcoholic person will develop alcoholic liver disease. To determine whether alcohol consumption is excessive or not, it needs to be converted into alcohol content according to the amount of alcohol and alcohol content, that is, equivalent to alcohol males greater than 40 grams per day, females greater than 20 grams per day, and the duration of more than 5 years, the risk of developing alcoholic liver disease. .

However, it is not only the person who drinks alcohol every day is at risk of developing alcoholic liver disease, and heavy drinking in the short term can also cause huge damage to the liver. If alcohol is converted into alcohol for more than 80 grams per day within 2 weeks, it will be no less severe than the liver damage caused by a viral hepatitis (Digestive and Infectious Diseases).

Prof. Mao Yimin said that liver damage will not occur if the alcohol intake is less than 20g per day (hepatobiliary surgery and gastroenterology), and the risk of alcoholic liver disease will increase significantly if it exceeds 40g. If more than 3 days of continuous drinking, more than 200g per day, can cause acute alcoholic hepatitis, resulting in sputum, bleeding, ascites and other symptoms, and even cause acute alcoholism (neurology emergency department) death.

This shows that the daily amount of alcohol is very important to grasp, is the so-called "diet, love drink," how to calculate the amount of alcohol consumption, is the necessary protection of the liver every wine fairy "magic." Ethanol amount (g) conversion formula = drinking capacity (mL) × ethanol content (%) × 0.8, such as 125ml, 40 degrees of white liquor, calculated ethanol content of 40g.

Injury Trilogy

“Drip into a river and drip into cancer”, Jiuqing’s hazard to the liver is gradually accumulating. With the increase of the amount and the prolonged drinking time, “alcoholic fatty liver” → “alcoholic hepatitis” → “alcoholic liver” Hardening, eventually leading to liver cancer.

The first stage: alcoholic fatty liver, daily drinking is more harmful than intermittent drinking, and a large amount of drinking is more harmful than a small amount of drinking on a daily basis. In other words, the longer the time of drinking, the more the amount, the more severe the fatty changes of the liver. According to statistics, nearly 60% of chronic alcoholics will develop fatty liver, and 10%-20% will eventually develop into liver cirrhosis.

The second stage: the development of alcoholic hepatitis, inflammation will increase the damage of the liver. At the same time, nausea, vomiting, jaundice, hepatomegaly, and tenderness are common symptoms. In severe cases, liver failure and upper gastrointestinal bleeding may also occur, which may endanger life.

The third stage: leading to alcoholic liver cirrhosis, the development of liver cirrhosis, the damage to the liver is already irreversible. If you do not add scientific treatment to control the development of the disease, then it is likely to develop liver cancer.

From "alcoholic fatty liver" to "liver cancer", it seems to be "as far away as the sky", but in reality it is "close to the limit". If there is no healthy way of life, enough self-protection of the liver can not do the right amount of drinking, "liver cancer "I will knock at any time.

How to protect the liver when drinking

It is well-known that drinking alcohol damages the liver, so how can the damage to the liver be minimized when drinking alcohol?

Here are some tips for protecting the liver when drinking alcohol. People who love to drink can try it.

Liver protection before drinking: half an hour before drinking, drinking bottle of milk can prevent drunken gastritis and dehydration, and can not drink plenty of water. At the same time, remember to avoid drinking alcohol on an empty stomach because fasting alcohol is fast and people are easy to get drunk. You can eat meat and rice properly and use the non-digestible properties of the food to protect the stomach from alcohol penetration.

Liver protection when drinking: When drinking, you can not drink icy water, lemonade and other irritating drinks at the same time. The ingredients in this type of drink can accelerate the body's absorption of alcohol, and due to the greater damage of alcohol to the liver, you should eat more green leaves when drinking alcohol. Vegetables, which contain antioxidants and vitamins, protect the liver.

At the same time, drinking alcohol should not be fast, alcohol can enter the blood in five minutes after drinking, and the blood alcohol concentration can reach its peak at 30 to 120 minutes. If you drink fast, you will soon get drunk. If you drink slowly, you have enough time to decompose the ethanol and it is not easy to get drunk.

Shugan after drinking: it is best not to drink strong tea after drunk, but you can drink light tea because tea polyphenols in tea have a certain hepatoprotective effect. At the same time, fruits such as sweet persimmons contain a lot of fructose, which can oxidize ethanol and accelerate the catabolism of ethanol.

Drug protection liver

Susceptible populations In case of occasional drinking, it is recommended to use drugs to reduce alcohol damage to the liver. "Guide to the treatment of alcoholic liver disease 2010" recommends the use of metadoxine (Gentiana) to reduce liver damage, before and after drinking, can activate aldehyde dehydrogenase, accelerate the decomposition of alcohol, and reduce fat synthesis, reducing the risk of fatty liver. Patients with acute alcoholism or alcohol dependence also have some improvement.

In addition, after drinking, try to choose hot drinks or hot soup noodles in order to reduce the stimulation of gastric mucosa by alcohol, because the hot soup noodles with salt is rich in sodium ion salts, sodium ions can neutralize stomach acid, protect The stomach is protected from injury while hot noodle soup can dilute the alcohol concentration in the stomach.

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