{"id":8764,"date":"2015-05-28T15:27:44","date_gmt":"2015-05-28T13:27:44","guid":{"rendered":"https:\/\/dev.93-93-113-41.plesk.page\/?page_id=8764"},"modified":"2024-02-26T17:11:54","modified_gmt":"2024-02-26T16:11:54","slug":"esteatosi-i-esteatohepatitis-no-alcoholica","status":"publish","type":"page","link":"https:\/\/dev.93-93-113-41.plesk.page\/ca\/serveis\/aparell-digestiu\/hepatologia\/esteatosi-i-esteatohepatitis-no-alcoholica\/","title":{"rendered":"Esteatosi i Esteatohepatitis no Alcoh\u00f2lica"},"content":{"rendered":"<p><span style=\"color: #3366ff;\">Qu\u00e8 \u00e9s la Esteatosi i la Esteatohepatitis no alcoh\u00f2lica?<\/span><\/p>\n<p>La Esteatosi no alcoh\u00f2lica \u00e9s una malaltia del fetge que apareix quan hi ha una acumulaci\u00f3 anormal de greix a aquest nivell.<br \/>\nQuan a m\u00e9s del greix hi ha inflamaci\u00f3, es diu Esteatohepatitis.<\/p>\n<p>Hi ha molts factors que contribueixen a aquest acumulaci\u00f3 de greix al fetge com ara l&#8217;obesitat, la diabetis o l&#8217;elevaci\u00f3 de colesterol i triglic\u00e8rids en plasma. El poden presentar amb la mateixa proporci\u00f3 homes i dones, a qualsevol edat.<\/p>\n<p><span style=\"color: #3366ff;\">Quins s\u00edmptomes t\u00e9?<\/span><\/p>\n<p>En la majoria dels casos la malaltia \u00e9s totalment asimptom\u00e0tica passant desapercebuda. A vegades pot produir cansament, malestar general o mol\u00e8sties a la zona on es troba el fetge.<\/p>\n<p><span style=\"color: #3366ff;\">Com es diagnostica?<\/span><\/p>\n<p>Es pot diagnosticar amb proves d&#8217;imatge (ecografia, Resson\u00e0ncia magn\u00e8tica o tomografia axial computeritzada) acompanyat d&#8217;elevaci\u00f3 dels enzims hep\u00e0tics en l&#8217;anal\u00edtica (caracter\u00edsticament GOT i GPT), encara que poden ser normals.<\/p>\n<p>A la bi\u00f2psia hep\u00e0tica es poden objectivar les caracter\u00edstiques gotes de greix dins de les c\u00e8l\u2022lules hep\u00e0tiques. La bi\u00f2psia hep\u00e0tica tamb\u00e9 serveix per veure el grau d&#8217;inflamaci\u00f3 i d&#8217;afectaci\u00f3 (fibrosi).<\/p>\n<p>La elastograf\u00eda de transici\u00f3 hep\u00e0tica (<a title=\"FibroScan 502 Touch-CAP\" href=\"\/?page_id=7399\">FibroScan CAP\u00ae<\/a>) \u00e9s una eina molt \u00fatil i validada per poder veure el grau d&#8217;afectaci\u00f3 (fibrosi) i el percentatge d&#8217;infiltraci\u00f3 grassa, sense necessitat de realitzar bi\u00f2psia hep\u00e0tica.<\/p>\n<p><span style=\"color: #3366ff;\">Quin pron\u00f2stic t\u00e9?<\/span><\/p>\n<p>El greix en el fetge pot produir una inflamaci\u00f3 (esteatohepatitis) que si es mant\u00e9 en el temps pot evolucionar a malaltia hep\u00e0tica avan\u00e7ada o terminal (cirrosi hep\u00e0tica) i fins i tot a c\u00e0ncer de fetge (hepatocarcinoma). At\u00e8s que els pacients que tenen fetge gras solen tenir altres problemes greus de salut (obesitat, problemes card\u00edacs per acumulaci\u00f3 de greix a les art\u00e8ries, diabetis &#8230;) aquests condicionen de manera important el pron\u00f2stic de la malaltia en molts casos.<\/p>\n<p><span style=\"color: #3366ff;\">Quin tractament t\u00e9?<\/span><\/p>\n<p>La principal eina per al tractament \u00e9s la p\u00e8rdua de pes, ja que no existeixen f\u00e0rmacs que hagin demostrat efic\u00e0cia. S&#8217;ha d&#8217;evitar la ingesta d&#8217;alcohol en quantitats abusives. La p\u00e8rdua de pes s&#8217;ha d&#8217;aconseguir combinant una dieta adequada que ha de ser baixa en greix, amb porcions adequades i menjar sa i exercici f\u00edsic procurant augmentar la musculatura i disminuir el greix. En els pacients en qu\u00e8 estigui indicat, s&#8217;haur\u00e0 de plantejar la cirurgia bari\u00e0trica.<\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>Qu\u00e8 \u00e9s la Esteatosi i la Esteatohepatitis no alcoh\u00f2lica? La Esteatosi no alcoh\u00f2lica \u00e9s una malaltia del fetge que apareix quan hi ha una acumulaci\u00f3 anormal de greix a aquest nivell. Quan a m\u00e9s del <a class=\"mh-excerpt-more\" href=\"https:\/\/dev.93-93-113-41.plesk.page\/ca\/serveis\/aparell-digestiu\/hepatologia\/esteatosi-i-esteatohepatitis-no-alcoholica\/\" title=\"Esteatosi i Esteatohepatitis no Alcoh\u00f2lica\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":0,"parent":7391,"menu_order":12,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-8764","page","type-page","status-publish"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.6 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Esteatosi i Esteatohepatitis no Alcoh\u00f2lica - Servidigest<\/title>\n<meta name=\"description\" content=\"Esteatosi i Esteatohepatitis no Alcoh\u00f2lica\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/dev.93-93-113-41.plesk.page\/ca\/serveis\/aparell-digestiu\/hepatologia\/esteatosi-i-esteatohepatitis-no-alcoholica\/\" \/>\n<meta property=\"og:locale\" content=\"ca_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Esteatosi i Esteatohepatitis no Alcoh\u00f2lica - Servidigest\" \/>\n<meta property=\"og:description\" content=\"Esteatosi i Esteatohepatitis no Alcoh\u00f2lica\" \/>\n<meta property=\"og:url\" content=\"https:\/\/dev.93-93-113-41.plesk.page\/ca\/serveis\/aparell-digestiu\/hepatologia\/esteatosi-i-esteatohepatitis-no-alcoholica\/\" \/>\n<meta property=\"og:site_name\" content=\"Servidigest\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/servidigest\" \/>\n<meta property=\"article:modified_time\" content=\"2024-02-26T16:11:54+00:00\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:site\" content=\"@servidigest\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"2 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/dev.93-93-113-41.plesk.page\/ca\/serveis\/aparell-digestiu\/hepatologia\/esteatosi-i-esteatohepatitis-no-alcoholica\/\",\"url\":\"https:\/\/dev.93-93-113-41.plesk.page\/ca\/serveis\/aparell-digestiu\/hepatologia\/esteatosi-i-esteatohepatitis-no-alcoholica\/\",\"name\":\"Esteatosi i Esteatohepatitis no Alcoh\u00f2lica - Servidigest\",\"isPartOf\":{\"@id\":\"https:\/\/dev.93-93-113-41.plesk.page\/ca\/#website\"},\"datePublished\":\"2015-05-28T13:27:44+00:00\",\"dateModified\":\"2024-02-26T16:11:54+00:00\",\"description\":\"Esteatosi i Esteatohepatitis no Alcoh\u00f2lica\",\"breadcrumb\":{\"@id\":\"https:\/\/dev.93-93-113-41.plesk.page\/ca\/serveis\/aparell-digestiu\/hepatologia\/esteatosi-i-esteatohepatitis-no-alcoholica\/#breadcrumb\"},\"inLanguage\":\"ca\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/dev.93-93-113-41.plesk.page\/ca\/serveis\/aparell-digestiu\/hepatologia\/esteatosi-i-esteatohepatitis-no-alcoholica\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/dev.93-93-113-41.plesk.page\/ca\/serveis\/aparell-digestiu\/hepatologia\/esteatosi-i-esteatohepatitis-no-alcoholica\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Serveis M\u00e8dics de Cl\u00ednica ServiDigest\",\"item\":\"https:\/\/dev.93-93-113-41.plesk.page\/ca\/servicios\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Aparell digestiu\",\"item\":\"https:\/\/dev.93-93-113-41.plesk.page\/ca\/servicios\/aparato-digestivo\/\"},{\"@type\":\"ListItem\",\"position\":3,\"name\":\"Hepatologia. Malalties del fetge\",\"item\":\"https:\/\/dev.93-93-113-41.plesk.page\/ca\/servicios\/aparato-digestivo\/hepatologia\/\"},{\"@type\":\"ListItem\",\"position\":4,\"name\":\"Esteatosi i Esteatohepatitis no Alcoh\u00f2lica\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/dev.93-93-113-41.plesk.page\/ca\/#website\",\"url\":\"https:\/\/dev.93-93-113-41.plesk.page\/ca\/\",\"name\":\"Servidigest\",\"description\":\"\",\"publisher\":{\"@id\":\"https:\/\/dev.93-93-113-41.plesk.page\/ca\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/dev.93-93-113-41.plesk.page\/ca\/?s={search_term_string}\"},\"query-input\":\"required name=search_term_string\"}],\"inLanguage\":\"ca\"},{\"@type\":\"Organization\",\"@id\":\"https:\/\/dev.93-93-113-41.plesk.page\/ca\/#organization\",\"name\":\"Servidigest\",\"url\":\"https:\/\/dev.93-93-113-41.plesk.page\/ca\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"ca\",\"@id\":\"https:\/\/dev.93-93-113-41.plesk.page\/ca\/#\/schema\/logo\/image\/\",\"url\":\"https:\/\/dev.93-93-113-41.plesk.page\/wp-content\/uploads\/2024\/01\/servidigest.png\",\"contentUrl\":\"https:\/\/dev.93-93-113-41.plesk.page\/wp-content\/uploads\/2024\/01\/servidigest.png\",\"width\":808,\"height\":88,\"caption\":\"Servidigest\"},\"image\":{\"@id\":\"https:\/\/dev.93-93-113-41.plesk.page\/ca\/#\/schema\/logo\/image\/\"},\"sameAs\":[\"https:\/\/www.facebook.com\/servidigest\",\"https:\/\/x.com\/servidigest\"]}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Esteatosi i Esteatohepatitis no Alcoh\u00f2lica - Servidigest","description":"Esteatosi i Esteatohepatitis no Alcoh\u00f2lica","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/dev.93-93-113-41.plesk.page\/ca\/serveis\/aparell-digestiu\/hepatologia\/esteatosi-i-esteatohepatitis-no-alcoholica\/","og_locale":"ca_ES","og_type":"article","og_title":"Esteatosi i Esteatohepatitis no Alcoh\u00f2lica - Servidigest","og_description":"Esteatosi i Esteatohepatitis no Alcoh\u00f2lica","og_url":"https:\/\/dev.93-93-113-41.plesk.page\/ca\/serveis\/aparell-digestiu\/hepatologia\/esteatosi-i-esteatohepatitis-no-alcoholica\/","og_site_name":"Servidigest","article_publisher":"https:\/\/www.facebook.com\/servidigest","article_modified_time":"2024-02-26T16:11:54+00:00","twitter_card":"summary_large_image","twitter_site":"@servidigest","twitter_misc":{"Est. reading time":"2 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/dev.93-93-113-41.plesk.page\/ca\/serveis\/aparell-digestiu\/hepatologia\/esteatosi-i-esteatohepatitis-no-alcoholica\/","url":"https:\/\/dev.93-93-113-41.plesk.page\/ca\/serveis\/aparell-digestiu\/hepatologia\/esteatosi-i-esteatohepatitis-no-alcoholica\/","name":"Esteatosi i Esteatohepatitis no Alcoh\u00f2lica - Servidigest","isPartOf":{"@id":"https:\/\/dev.93-93-113-41.plesk.page\/ca\/#website"},"datePublished":"2015-05-28T13:27:44+00:00","dateModified":"2024-02-26T16:11:54+00:00","description":"Esteatosi i Esteatohepatitis no Alcoh\u00f2lica","breadcrumb":{"@id":"https:\/\/dev.93-93-113-41.plesk.page\/ca\/serveis\/aparell-digestiu\/hepatologia\/esteatosi-i-esteatohepatitis-no-alcoholica\/#breadcrumb"},"inLanguage":"ca","potentialAction":[{"@type":"ReadAction","target":["https:\/\/dev.93-93-113-41.plesk.page\/ca\/serveis\/aparell-digestiu\/hepatologia\/esteatosi-i-esteatohepatitis-no-alcoholica\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/dev.93-93-113-41.plesk.page\/ca\/serveis\/aparell-digestiu\/hepatologia\/esteatosi-i-esteatohepatitis-no-alcoholica\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Serveis M\u00e8dics de Cl\u00ednica ServiDigest","item":"https:\/\/dev.93-93-113-41.plesk.page\/ca\/servicios\/"},{"@type":"ListItem","position":2,"name":"Aparell digestiu","item":"https:\/\/dev.93-93-113-41.plesk.page\/ca\/servicios\/aparato-digestivo\/"},{"@type":"ListItem","position":3,"name":"Hepatologia. Malalties del fetge","item":"https:\/\/dev.93-93-113-41.plesk.page\/ca\/servicios\/aparato-digestivo\/hepatologia\/"},{"@type":"ListItem","position":4,"name":"Esteatosi i Esteatohepatitis no Alcoh\u00f2lica"}]},{"@type":"WebSite","@id":"https:\/\/dev.93-93-113-41.plesk.page\/ca\/#website","url":"https:\/\/dev.93-93-113-41.plesk.page\/ca\/","name":"Servidigest","description":"","publisher":{"@id":"https:\/\/dev.93-93-113-41.plesk.page\/ca\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/dev.93-93-113-41.plesk.page\/ca\/?s={search_term_string}"},"query-input":"required name=search_term_string"}],"inLanguage":"ca"},{"@type":"Organization","@id":"https:\/\/dev.93-93-113-41.plesk.page\/ca\/#organization","name":"Servidigest","url":"https:\/\/dev.93-93-113-41.plesk.page\/ca\/","logo":{"@type":"ImageObject","inLanguage":"ca","@id":"https:\/\/dev.93-93-113-41.plesk.page\/ca\/#\/schema\/logo\/image\/","url":"https:\/\/dev.93-93-113-41.plesk.page\/wp-content\/uploads\/2024\/01\/servidigest.png","contentUrl":"https:\/\/dev.93-93-113-41.plesk.page\/wp-content\/uploads\/2024\/01\/servidigest.png","width":808,"height":88,"caption":"Servidigest"},"image":{"@id":"https:\/\/dev.93-93-113-41.plesk.page\/ca\/#\/schema\/logo\/image\/"},"sameAs":["https:\/\/www.facebook.com\/servidigest","https:\/\/x.com\/servidigest"]}]}},"_links":{"self":[{"href":"https:\/\/dev.93-93-113-41.plesk.page\/ca\/wp-json\/wp\/v2\/pages\/8764","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/dev.93-93-113-41.plesk.page\/ca\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/dev.93-93-113-41.plesk.page\/ca\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/dev.93-93-113-41.plesk.page\/ca\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/dev.93-93-113-41.plesk.page\/ca\/wp-json\/wp\/v2\/comments?post=8764"}],"version-history":[{"count":1,"href":"https:\/\/dev.93-93-113-41.plesk.page\/ca\/wp-json\/wp\/v2\/pages\/8764\/revisions"}],"predecessor-version":[{"id":34932,"href":"https:\/\/dev.93-93-113-41.plesk.page\/ca\/wp-json\/wp\/v2\/pages\/8764\/revisions\/34932"}],"up":[{"embeddable":true,"href":"https:\/\/dev.93-93-113-41.plesk.page\/ca\/wp-json\/wp\/v2\/pages\/7391"}],"wp:attachment":[{"href":"https:\/\/dev.93-93-113-41.plesk.page\/ca\/wp-json\/wp\/v2\/media?parent=8764"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}