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Sintomas de fígado gorduroso podem evoluir para sérios problemas de saúde se não forem tratados. Letargia ou mal-estar, até mesmo exaustão inexplicável, dor ou desconforto no canto superior direito do abdômen e perda de peso inexplicável são alguns sintomas comuns. Outros sintomas possíveis incluem icterícia, urina escura, fezes claras, descoloração da pele ou dos olhos e aumento do abdômen ou das pernas. Os afetados sofreram de náuseas, perda de apetite e confusão como resultado da insuficiência hepática. Se a esteatose hepática estiver avançada, um exame físico frequentemente revela um fígado aumentado. Devido à capacidade do fígado de produzir fatores de coagulação, as pessoas podem apresentar hematomas facilmente. A detecção precoce do problema hepático por meio de exames de imagem e/ou laboratoriais é a melhor maneira de tratá-lo.
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Ascite é o acúmulo de líquido na cavidade abdominal, frequentemente causado por doença hepática, insuficiência cardíaca ou câncer. O tratamento da ascite concentra-se em tratar a causa subjacente e controlar os sintomas. Diuréticos como espironolactona e furosemida são comumente usados ​​para reduzir o acúmulo de líquido. Em casos graves, a paracentese (um procedimento para remover o excesso de líquido) pode ser realizada. Para aqueles com cirrose, uma dieta com baixo teor de sódio é recomendada e, em alguns casos, o transplante de fígado pode ser considerado. Outros tratamentos incluem infusões de albumina para ajudar a manter o equilíbrio de fluidos e prevenir a insuficiência renal. Se ocorrer infecção (peritonite bacteriana espontânea), antibióticos são prescritos. O tratamento da ascite requer uma abordagem multidisciplinar, envolvendo monitoramento da função renal, eletrólitos e acompanhamento rigoroso.
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