以下任何一项符合,就值得检查
脂肪肝在存在很久之前几乎不会引起任何不适。它是因为有人去查才被发现,而不是因为有人感觉到。
- 血液检查肝指数偏高,哪怕只是轻微
- 第二型糖尿病、糖尿病前期或胰岛素阻抗
- 过重,尤其是腰腹的脂肪
- 胆固醇或三酸甘油酯偏高
- 规律饮酒,只要您自己会形容为规律,不论量多少
- 持续疲倦,或右肋下隐痛
第一项是最常见的发现方式。一次不相干的抽血里轻微异常的肝指数,值得追查,而不是重验一次就忘了。
脂肪肝到底是什么
脂肪肝,医学上称为肝脂肪变性,是脂肪堆积在肝细胞里。它分成两类:与饮酒量相关的酒精性脂肪肝,以及发生在几乎不喝酒的人身上、由体重、血糖与血脂驱动的非酒精性脂肪肝。
全球约四分之一的成年人有这个问题。放着不管,脂肪会引起发炎,发炎会导致纤维化,纤维化可能走向肝硬化。重要的是反方向:在脂肪阶段、还没结疤之前,它是最有机会逆转的慢性病之一。
怎么发现与评估
血液检查
先验肝指数,再验背后的推手:血糖、糖化血色素、胆固醇与三酸甘油酯。单看肝指数,说不出原因。
腹部超声波
这是真正「看见」肝脏脂肪的一般方式。无痛,几分钟完成,包含在诊所较完整的健康检查配套内。
排除其他原因
B 型与 C 型肝炎、如实交代的饮酒量,以及会影响肝脏的药物。脂肪肝很常见,所以容易被假定,也所以值得确认。
一个计划,加上复查日期
肝指数与体重是重新量出来的,不是假定已经改善。这是一个以数字、以月为单位管理的病。
什么能改变它,什么不能
这一点值得直说,因为这个领域的营销比证据多。
证据支持的
- 减去体重的 7% 到 10%,这是单一最有效的治疗
- 减少饮酒,不论是哪一种脂肪肝
- 一并治疗糖尿病、胆固醇与血压
- 规律运动,与减重的效果各自独立
- 复验血液,才知道有没有用
任何点滴都做不到的
- 单靠它逆转脂肪肝
- 取代减重或减少饮酒
- 逆转已形成的纤维化或肝硬化
- 成为跳过血液检查的理由,而那些检查才显示有没有效
谷胱甘肽点滴的定位
诊所提供含谷胱甘肽的肝脏排毒点滴,值得直接说明它是什么、不是什么。谷胱甘肽是身体最主要的抗氧化物,肝脏高度依赖它;补充它的理由是合理的,早期研究也令人期待。
目前不存在的,是点滴能逆转脂肪肝的临床试验证据。它是搭配上述体重、饮酒与代谢方面的改变一起做的事,而不是取代它们。任何把它当成治疗本身来介绍的诊所,卖给您的是证据并不支持的东西。
诊所针对这个问题还能做什么
为您看诊的是谁
- 您的医生
- 诊所每一位医生都在本网站列出姓名与资历,其中一位是名列国家专科医生名册的家庭医学专科医生。为您看诊的是医生,不是柜台。
- 您的病历
- 保存在诊所自己的加密系统里,不是放在抽屉里的纸本,所以为您看诊的医生能看到您完整的病史。
- 您的复诊
- 之后有问题或需要续药,直接用 WhatsApp 联系为您看诊的医生,不必经过前台。
- 您的时间
- 每天开到晚上8点,可不预约直接到诊。诊所自1981年起在甲洞峇鲁服务,这一页的大部分事情一次到诊就能完成。
直接来,或先问清楚
营业时间内(每日 上午9点至晚上8点)可不预约直接到诊,也可以先传讯息,把想问的都问清楚再来。
病人的话
甲洞与吉隆坡一带病人的评价
4.9来自 785 则 Google 评价
Fei Ru OohGoogle 在地向导 · a month agoI have been visiting this clinic since I was a kid, and now my children already reached adulthood! It has gone through 3 generations from Dr Chye to Dr Lee and now Dr Chan. A true family clinic, specialized in family health. Dr Chan carries the same trait of his predecessors, very caring, knowledgeable, patient and goes above and beyond to help his patients. He truly invests his time in knowing his patients' family, know every family members and remember everyone well. He spends extra hours even beyond the official working hours. Highly recommend this clinic, especially Dr Chan.来自 Google
Vidhya Naira month agoI recently had two cysts removed by Dr. Richard Ngu at Clinic Chye in Kepong. I had an excellent experience. Dr Richard was professional, skilled, and made me feel comfortable throughout the entire procedure. The surgery was smooth, and the results were clean and neat. Thank you, Dr. Richard Ngu, for your excellent care and dedication. I truly appreciate your professionalism and kindness. I highly recommend Dr. Richard Ngu to anyone looking for a trustworthy and excellent experienced doctor.来自 Google
ParrotGoogle 在地向导 · a month agoThank you Dr.Chan for your amazing care and support during a difficult time. Forever grateful for Dr.Chan for your dedication and expertise. Dr.Chan for your compassionate care made all the difference in my recovery. Thank you Dr.Chan for helping me stay strong and hopeful. Dr.Chan for your hard work and commitment truly saved lives.来自 Google
June Lee2 months agoI had a great experience at this clinic. The staff were friendly, professional, and welcoming. The doctor was patient, listened carefully to my concerns, and explained everything clearly. The clinic was clean, well-organized, and the waiting time was reasonable. I felt well cared for throughout my visit. I highly recommend this clinic to anyone looking for quality medical care.来自 Google
Lee JinHao4 months agoFirst and foremost, I would like to express my sincere gratitude to Dr. Chan, Dr. Hoo, and the nursing team. I am deeply impressed by their dedication and high sense of responsibility. They were incredibly patient and professional when explaining my medical condition, ensuring I fully understood every detail. Furthermore, they were proactive in providing an effective treatment plan that addressed my symptoms immediately. I truly appreciate their exceptional care.来自 Google
Maryam Aziz2 months agoI choose this clinic when i moved to Kepong because of the good reviews. And once i attend this clinic, i experienced it myself. The clinic is clean, the staff are professional and welcoming, incredibly efficient. The clinic interior design also calming and made my visits less anxious. The doctors here (Dr. Chan & Dr. Kon - sorry if misspelled) are very attentive, explain briefly to me what the do's and don'ts on after care treatments and for future preventions. I also just learned that this clinic is specialized in skin problems and i refer my dry and ictchy skin problems on my fingers. I've been put some plasters to hide the crack and dry skin for months. Thanks for the advise, now my skin is getting better. I will always come here for treatment and medical advises in future.来自 Google
Lye kok fai4 months agoSome clinics treat patients, but this clinic truly cares for people. Every visit here reminds me why trust matters so much in healthcare. Dr Chan is incredibly patient, detailed, and attentive, no matter how busy the clinic gets, he never makes you feel rushed. He listens, explains, and reassures, which makes a big difference when you’re not feeling your best. Carmen and the entire team deserve just as much recognition. From the moment you walk in, you’re welcomed with warmth and kindness. Even on the busiest days, the staff remain calm, friendly, and professional, something that is not easy to maintain. The clinic is always full, and honestly, that speaks for itself. It’s not just about treatment, it’s about the trust they’ve built with every patient who walks through their doors. For me, this is a place where I feel safe, heard, and genuinely cared for. At the same time, I hope the team, especially Dr Chan, will remember to take care of their own health too. Behind the dedication and long hours, I can see the tiredness , and it just shows how much effort is being put into caring for others. Thank you for your unwavering dedication, compassion, and excellent service. This is more than just a clinic , it’s a place people can rely on.来自 Google
joey liew7 months agoDoc tor here is professional with good attitude toward patients. Environment is new and clean. Suggest to put a little playground for kids in case of long waiting time.来自 Google
LeeminGoogle 在地向导 · 2 months agoDr Ivan is a very reliable and humble doctor. The atmosphere of the office is clean and quiet. The staffs are kind too. I highly recommend this clinic when you need to consult a doctor.👍👍来自 Google
yuen szhi7 months agoI am truly grateful to Dr Chan for his marvellous diagnosis and attentive care during the few difficult days when I was down with dengue. He was very thorough, patient, and reassuring, and his medical advice was clear and genuinely helpful throughout my recovery. He took the time to monitor my condition closely and explained everything in a way that gave me confidence and peace of mind. On top of that, the charges were very reasonable, which I deeply appreciate. Thank you Dr Chan for his dedication, professionalism, and kindness. I highly recommend him to anyone seeking a trustworthy and caring doctor.来自 Google
Kristina JGoogle 在地向导 · 2 years agoDr Chye and his fellow associates along with his admin staffs has always been helpful and knowledgeable. They always act with urgency and they consult in detail. You’ll always be satisfied. They always listen to your concerns and advise for each of your concerns. Good sets of meds. I’ve been coming here for more than 2 years plus and also my family members and we’re always delighted with the doctors treatments来自 Google
Michael CheongGoogle 在地向导 · 7 months agoEver since my bro told me about this place, this is my go to when I feel unwell or want medical advice. When im here I feel safe and the doctors here give very good consultations and treatments. The price is also affordable and they don't simply do things. Super reccomended 👍🏼👍🏼👍🏼👍🏼👍🏼来自 Google
Jessy Ooi9 months agoVery friendly and kindly responsible klinic dr. detial is much help me. Explain and teach you how to do thnext step. Help you balance life, take more vitamins ect...来自 Google
Yong Chuen Choi7 months agoHighly recommend for their outstanding service. The entire team was professional, welcoming, and incredibly efficient. The level of care provided was excellent, and the treatment received was highly effective. Healthcare environments can sometimes feel stressful, but this clinic has a wonderful, relaxing atmosphere. The interior design is tasteful and calming, using warm colors and great lighting that made my visit much less anxious. It felt more like a wellness center than a clinic. Wouldn't hesitate to return here for any future medical needs.来自 Google
Mohan Das2 years agoDr. chan is very friendly and knowledgeable. He gave proper advice and gave a lots of tips on how to overcome my dry cough. The clinic ambiance is so good and the nurses are so friendly. Since this is my panel clinic and nearby my house , I always prefer this clinic for my medication and for my family.来自 Google
Lee Daphane4 months agoVery happy with the service here. The doctors and nurses are friendly, kind, and patient. The place is clean, and the pricing is reasonable too. Highly recommended!👍🏻来自 Google
Zo EeGoogle 在地向导 · 2 years agoThe clinic admins were friendly and polite. The atmosphere of the clinic is clean and neat, I don't feel uncomfortable or sickly being here. Doctor is very good, he explained my medical situation and patiently explained what I needed to be precautions of. Highly recommend this clinic.来自 Google
Aqilah NizarGoogle 在地向导 · 2 months agoNice sraff, clean clinic and efficient live numbering waiting queing system. Dr Kon is really helpful. Explanations is detailed but easily understamdable. Recommended.来自 Google
Asmine Nga year agoOur family have been with Chye Clinic for many years. Dr Chan is a very caring doctor. Well explained things to us, he even answered our questions by whatsapp. Nurses are friendly & helpful. Clean and comfortable waiting area and toilets. The best clinic by far.来自 Google
murny razi7 months agoI had a very pleasant experience at this clinic. The staff were friendly. The doctor took time to listen, explained everything clearly, and made me feel comfortable and well taken care of. The clinic is clean and well-organized. Highly recommended to anyone looking for great service and genuine care. Thank you so much! Keep up the great work and excellent service! Worth every penny. Important is affordable price! ❤️❤️❤️❤️来自 Google
常见问题
- 脂肪肝会有症状吗?
- 在相当晚期之前通常没有。有些人会觉得持续疲倦,或右侧肋骨下方隐隐作痛。多数是因为其他原因抽血或做超声波才发现。
- 脂肪肝可以逆转吗?
- 在还只是脂肪的阶段可以,这正是及早发现的意义。一旦出现纤维化或肝硬化,已经造成的损伤就无法回复。
- 我不喝酒,也会有脂肪肝吗?
- 会。非酒精性脂肪肝反而更常见,主要由体重、血糖与血脂造成,与酒精无关。
- 打谷胱甘肽点滴就能治好吗?
- 不能,我们宁可直说。肝脏依赖谷胱甘肽,补充它是合理的想法,但目前没有试验证据显示点滴能逆转脂肪肝。它应搭配体重与饮酒的改变,而不是取代。
- 我需要做哪些检查?
- 肝指数与腹部超声波,加上血糖与血脂以找出成因。实际项目在看诊时决定。
- 脂肪肝检查费用多少?
- 基础健康检查 RM 60 已含肝功能、血糖与血脂;RM 230 的配套加上腹部扫描。单独的腹部超声波费用,来诊前可以先问我们。
- 脂肪肝要吃药吗?
- 目前没有专门治疗脂肪肝的药物是常规使用的。治疗的核心是减重、戒酒与控制糖尿病和血脂。有糖尿病的人,部分降糖药对脂肪肝也有帮助,医生会一并考虑。
- 脂肪肝要多久复查一次?
- 开始改变生活方式后,一般三至六个月复验肝指数与体重,看方向对不对。超声波一年左右复查一次。有纤维化迹象的人,医生会安排更密的追踪或转介。
- 脂肪肝会变成肝癌吗?
- 少数会。路径是脂肪、发炎、纤维化、肝硬化,肝硬化才是肝癌的主要风险。在脂肪阶段逆转它,这条路就走不下去。这正是及早处理的理由。
脂肪肝相关文章
在甲洞检查肝脏,每天开到晚上8点
48, Jalan Lang Kuning, 52100 Kepong Baru, Kuala Lumpur.
Chye Clinic