Scientometrics | United States America (US)

Create: 2023-06-25 Update: 2024-06-07 00:27:17

دیگر از NAFLD (شایعترین بیماری مزمن کبدی با درگیری بیش از 30% از جمعیت دنیا) استفاده نمی کنیم. واژه جایگزین NAFLD الان MASLD است!

نامگذاری جدید برای NAFLD یا کبد چرب غیر الکلی/ انجمن بیماری های کبدی آمریکا:

بیماری استئاتوتیک کبد یا Steatotic Liver Disease یا SLD اصطلاح فراگیرتری برای دربرگرفتن علل مختلف استئاتوز است. اصطلاح steatohepatitis یک مفهوم پاتوفیزیولوژیکی مهم است که باید حفظ شود.

بیماری SLD می تواند شامل مواردی مختلفی باشد (دو تصویر پایین پست) از جمله:

1- از این به بعد، به جای Nonalcoholic fatty liver disease (NAFLD) از metabolic dysfunction-associated steatotic liver disease (MASLD) استفاده می کنیم. این MASLD شامل بیمارانی است که استئاتوز کبدی دارند و حداقل یکی از پنج عامل خطر کاردیومتابولیک (مواردی مربوط به شاخص توده بدنی، قندخون، فشار خون و چربی خون) را دارند. در ادامه به این ترتیب به جای NASH حالا از Metabolic dysfunction-associated steatohepatitis (MASH) استفاده می کنیم.

2- یک دسته بندی جدید، که شامل فقط پارامترهای MASLD نمی شود و در نتیجه جدای از MASLD، به نام MetALD (با تلفظ: Met A-L-D) برای توصیف افراد مبتلا به MASLD که مقادیر بیشتری الکل در هفته مصرف می کنند (به ترتیب 140 گرم در هفته و 210 گرم در هفته برای زنان و مردان) انتخاب شده است. در این تقسیم بندی برای MetALD هر چه میزان مصرف الکل بیشتر می شود از غالب بودن MASLD به سمت غالب بودن ALD یا همان Alcohol-Associated or Alcohol-related Liver Diseases پیش می رویم.

3- نوع ALD یا همان Alcohol-Associated or Alcohol-related Liver Diseases

4- نوع با دلیل اختصاصی یا Specific aetiology SLD مثل نوع دارویی (Drug-Induced Liver Injury)

5- افراد بدون پارامترهای متابولیک و همین طور بدون دلیل خاص، در دسته بندی cryptogenic SLD قرار می گیرند.

خلاصه:

Fatty Liver= SLD

NAFLD= MASLD

NASH=MASH

MASLD with weekly ethanol > 140 g for Female or 210 g for Male = MetALD

ALD = Alcohol related liver disease

کانال تلگرام @Scientometric

Scientometrics

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دیگر از NAFLD (شایعترین بیماری مزمن کبدی با درگیری بیش از 30% از جمعیت دنیا) استفاده نمی کنیم. واژه جایگزین NAFLD الان MASLD است!

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