无啦啦被抽书: Fatty Liver

最近，我被问一个很直截了当的问题，什么是Fatty Liver? 他是怎样的？

And so here I'm going to briefly tell about fatty liver and alcoholic liver disease, for my dear friends who occasionally consume alcohol.

Alcoholic Liver Diseases
Q1: Why and How alcohol hurt the liver? How to link alcohol and fat?
The liver the the organ that processes many "chemical" we consumed and so Alcohol, is processed in the liver.
if we consume 100units of alcohol

80 units will be brought into an enzyme cycle "A", and in this enzyme cycle, they used up one of the important substance that is required for Fatty Acid processing, and so this has caused the Fatty Acid to be so unprocessed and they live in the liver...

Another 20 units enter another enzyme cycle "B" and they also used up some substances that has a role in protecting our liver cell, and so our liver will be susceptible to the other damage (Even panadol may harm the liver now)

Q2: Gosh, I drank a can of beer yesterday night, will I get fatty liver?!
No, you will not get fatty liver that is caused by excess alcohol.
There is a certain criteria for u to get fatty liver, binge drinking has a lesser chance to get fatty liver but continuous drinking will.
https://www.drinkaware.co.uk/understand-your-drinking/unit-calculator
I found the above website is quite nice! It allows you to calculate how many units u have drank
Alcoholic liver disease does not occur in :
Male drinking less than 28 units a week
Female drinking less than 21 units a week

Q3: I have got a family member with diagnosed Alcoholic Liver disease, Any advice for him?
Well, complete abstinence from alcohol is the key of treatment as long as he is in fatty liver state, but once he had a Cirrhotic Liver（肝硬化）, I'm sorry, he will leave you within 10~15 years or maybe lesser than that...

Q4: Can I get Fatty Liver even I did not consume any alcohol?
Yes! There is a group of disease call Non-Alcoholic Fatty Liver Disease
Those who are having Metabolic Syndrome are at risk of getting this.
Metabolic Syndrome (Diagnosed when having any 2 of this...):
BMI>28kg/m2
Blood Pressure >140/90mmHg

Fasting Blood Sugar> 5.6mmol/L
HDL- cholesterol < 1.03mmol/L