()  
   ! !" Triglyceride !
,,-
./0 1 2 /3/45 
,,- 62 3
7/
4
 8 89:!3";  
<3
7/
8,89

 

  


 () 68/3
"= 4 ? 7/ ./8@7
?72
42 / 2
? 7/ 1 ? 7/ 268 0
,,-
/ 8
 /3
? 7/ 2 ? 7/ 26 0
,,- 

,9 3
? 7/ 3 ? 7/ 26 0
,,- 8,.
,,-
? 7/ 4 6
"= 8? 7/ 3 8,5
,,- 8,6:4/ /3
? 7/ 1 8, 2 6/ 8367/"
"= 
, 10-20 "F 9"7/.0
42
7/2 8
 0  ? 7/ 3 8, 4 6/<
7 .06
7/89/33, 20-28 
, 10 "F




1. 
5"I
!7 (Primary)
/427 !,7
"= "M66<0 
7/
 0 
2. 
5 Secondary /3 04 6/4 5 alcoholic liver disease (ALD) 
   .083
!7
Autoimmune hepatitis ? 7/
? prednisolone, amiodarone (Cordarone), tamoxifen (Nolvadex), methotrexate (Rheumatrex,
Trexall), 8, nonsteroidal anti-inflammatory drugs (NSAIDS).

:!3";  6 66./
7 6
6
,4/
?905
  6"/
8  7
a3?.0  66
,
4.0
"= 8,3 6:!3";6!

ab-"7
3 66:!3"; 66 3 6
"= 3 8,5 8, a:!3"; 898,3966
6
,ca.0
424 89/3 
6
,4//!< 660 AST 0 ALT !"7
"a 1.5
  4
 660ALP !2
,9 3 04 1 6!
ab-"7

   !"#$
1. ./
6
,4//!< 
 (0 AST, ALT !"7) /!/ 2<,, / 
,4/
!"7
2. /
56<3
7/
 0 "
? /45, " , 
6
8,
"= 3
3. 6,/- 66 /.2 8,,ca2 8,3
4. 6./7@
9-
- 07
- (CT SCAN) 4
9-
-  8
,9 (MRI)
5.
6?72
426@77
./"
6<7 76f./7@ 3 8, 4 38 676a
6?72
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f 

/3 8, c
423
44  7 76f.0 8,"
7 05 8.04 a
07/

66
7/ 
54 /3
%&'"(
1. Silymarin
Silymarin
"= /64? ! g-  ?4 Milk Thistle 4 St, Maryis Thistle ?47g- Silybum
marianum (L.) Gaertin. 
,9/  ,l@7m""n
,,- Silymarin /38 3  5!,7 53
3." 
,,- 3 
8,
7/:4/ 
 / Silymarin  <?3
4c
76c, :!"3 ;
"= .0
   / 210-420 . 
  :,3
06 :!3"; /38 3

 Silymarin :,
7,8,, 2</
 "
g 2 
 Silymarin  !"88: "M665 3?3/ 2
1. 
? 7/
f,
2. .089 .0 
42 .0
? 7/
42
3. 
4
467c
?403 "
g
1. Legalon70/ Lagalon 140 (Madaus)

5. Miltis (Millimed)

2. Leveron (Vesco Pharma)

6. Pharmarin 70/140 (Pharmaland)

3. Liverin (Pharmasant Lab)

7. Samarin (Berlin pharm)

4. Marina-70 (T. man pharma)

8. Silymarin

2. Essentiale / Hepacap
Essentiale "/3 Essential phospholipids 175 mg, vit B1 3 mg, vit B2 3 mg, vit B6 3 mg, vit B12 3
mcg, vit E 3.3 mg, nicotinamide (vitamin B3) 15 mg
2

 Hepacap "/3 Essential phospholipids 175 mg, vit B1 10 mg, vit B2 3 mg, vit
B6 3 mg, vit B12 5 mcg, nicotinamide 15 mg, vit E 10 mg

' =%&' ?3c, :!3";

 "= .0

? 

f,
42 89 

 
6 
 (alcoholic fatty liver) :/ ./3 " 02, 1
9/  , 3 02

4
7/
 4
"= .0 6<3
7/<,
42
42 <3
7/!
< 
membrane
"=  <0  <3 ,!
"7 ./ phospholipids
"=  "
,,- membrane 6?
<3
,,-
7/,04 
"7/3/ 2
6 2
3 
0- 8, metabolism 77 1 / 2
4<,
42
4
 <3
7//77 /3
3. Ursodexycholic Acid (UDCA) (Ursolin)
ursodeoxycholic acid
"= / 2</? 7/ 3
/3@?78,!
93 5 2</ l@7m/3
,/30
,
,8,,,0
,
, 2</3

"= 3 7 <?3
4,,3 7 2</
7/
6.0
,
, 6 2 96!566 
9 6
"=  7,,8,!
 2?3<
- 2?3
4c 7 45 2</<:!3";3:/4://3
-?3"n 
7/ 7 5 2</ 0 3 ,/ 2< 
9
7 "
- :!"3 ; 8-6?3c
 /3
? 
(#"=%&'"
1. ,/ 2< 
"= 7<0 8,/3".? -5/ 0,/ 2< ./005"7a8,05a
,04
2. ,
,  !
? 
 7 
,8/ 8,
46 Triglyceride
"= <0 0
 93
3. ,
," 8"n8, 2<,
7 "
4. 0,/"7a,/3./
f7 42
9 2 2 0,/ 2< /37@/
5. 0,/ 2< 
9
7 " ./" 8  <3,/ 2< ,"a 1-2 7., /
/4
,/ 2< ,
/
9.//63
7/
 5 8/3 ,/ 2<  2 0,/, 33, 15 6 2< 

73 46 2< !

ab-I
6. <,<

7. c/ 2<,8, 
,4/3,3
0"75/
8. ,
,/45
3


'
. .?v - "/7cI- 58-:!3
?? /3 
/7  0
:80!3
4 .0/
 (fatty liver)

. /. 

 6577!,-5. 2555. ,77 6@?7c.0 0

??5? .0. 2555

 3 32-35