Wednesday, August 29, 2012

The elderly's liver cirrhosis _ general knowledge

The elderly's liver cirrhosis _ general knowledge
Liver cirrhosis to continuously of filling the air etc. repeatedly for a long time, lead to the fact the intersection of liver and damage or extensive the intersection of liver and the intersection of essence and change, result that necrosis develops continuously of filling the air etc. repeatedly for a long time. About the elderly's liver cirrhosis, think, the elderly's liver cirrhosis case fatality rate increases, drops with age according to the Japanese materials, perhaps the elderly's ill toxic hepatitis is lower than the youth; The old liver cirrhosis in American-European countries increases with age, may relate to chronic alcoholism, diabetes. The reason for causing liver cirrhosis is varied, the following aspects put forward at present: (1)Virus hepatitis: Although the elderly morbidity low virus hepatitis have, infect with hepatitis when being between twenty and fifty old earlier stage, especially hepatitis B, can develop into liver cirrhosis by senescence phase. (2)Snail fever: Common in the rural snail fever prevailing area of the South of our country, mainly because the blood fluke hatches and deposits, stimulates the blood vessel area in the liver, make the fiber hyperplasia or worm hatch the small blood vessel of portal vein branch which enters liver, cause and block, cause high-pressure liver cirrhosis of the portal vein. (3)Alcoholism: The person drinking or getting drunk for a long time, because alcohol damages the liver directly, in addition it is malnutritive to cause after drinking for a long time, reduce arranging poisonous ability to the toxic material of liver, it is apt to form liver cirrhosis. This disease is seen in the western countries more. (4)Medicinal toxicity: The elderly suffer from a plurality of systematic diseases, take many many kinds of medicine chances for a long time, can cause the liver to damage, cause liver cirrhosis. (5)Bile silt is accumulated: There are medicines, bile duct hepatitis that make bile silt in the liver accumulate and exist enduringly, or because cholelithiasis, parasite, tumour,etc. oppress the bile duct, make the bile list the blockage. Bile and bile pigment of high density are harmful to hepatocyte, enable hepatocyte necrosis, form liver cirrhosis finally. (6)Circulate the obstacle: The elderly often suffer from coronary heart disease, lung worry, chronic and in heart failure, making the liver congest for a long time, oxygen deficiency, necrosis, liver cirrhosis that final to develop. (7)The liver wears out: Until age increase, liver wear out, the intersection of liver and weight lighten gradually, under the age of 70 to drop notably, the liver volume shrinks, the appearance takes the form of wavy abnormality, reduce because of liver essence cells, the liver reserve capacity is low, so 70-90 years old old persons can not have other reason but emergence liver cirrhosis. 20-50% of the elderly's liver cirrhosis have no symptom, but exist potentially. Splenomegaly can be the only important behaviour, the liver comes in different sizes, for instance, the liver loses while compensating ability, liver function appears unusually, become thin, weak, low-heat, edema of lower extremities, it is bronze-colored that complexion is gloomy and black, it is bad to digest strength, the upper abdomen is uncomfortable, glutted after the food, it is disgusting to enter the food with much oil, suffer from diarrhoea, the urine amount is reduced, edema,etc. is malnutritive. Some appear ascites, splenomegaly obvious, section, stomach line down piece and bottom of stomach variceal if snakelike under the gullet, if crack an intravenous blood vessel of above-mentioned song and can vomit suddenly the big blood is incessant.
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