Sunday, March 17, 2013

How do liver cirrhosis and complication treat _'s treatment

How do liver cirrhosis and complication treat _'s treatment
Liver cirrhosis is a kind of chronic going on hepatopathy caused by various reasons. There are extensive hepatocyte sex change necrosis, hepatocyte nodular regeneration, hyperplasia of connective tissue and fiber that separate, take shape on pathologic histology, cause the little leaf structure of liver to destroy and take shape with the false small leaf, the liver is out of shape, changes hard and development into liver cirrhosis gradually. Sex, alcohol, blood fluke, bile, poisoning, taking the place of high thanking, nutrition, extravasated blood and latent and original after the common cause of disease has hepatitis.
Diagnose the main point
1, medical history: The patient often has virus hepatitis, poisoning hepatitis, getting drunk, and Tubifex's disease, biliary tract disease, medicine hepatopathy when the medical history, see at most with virus hepatitis.
2, clinical manifestation
( 1 ) It is low to taste one: Early patient's symptom is hidden, often lack the specificity. The model person is shown as: The intersection of digestive tract and symptom have the intersection of appetite and fail, uncomfortable sick to vomit, become thin weak, etc abdominal distension; Complexion is dark and gloomy, pigmentation, spider's mole, liver palm, the cheek department or shank has capillaries that is expanded, it is dyed that the scleral skin is yellow; The endocrine is disorderly, shown as male breast development, the testis withers, the sexual desire fails, women often have amenorrhea, period is reduced, water and sodium retention; Bleed and incline to be shown as gingivae bleeding, nose nasal hemorrhage, purpura,etc.; The liver is very swelling in early period, the edge is not whole, in can touch and festival, the anaphase liver shrinks, can't touch tubercle, the anaphase liver shrinks, can't touch, the spleen is swelling.
( 2 ) Lose and compensate one: The above-mentioned symptom becomes more serious, and following symptoms appear: Ascites, jaundice becomes more serious, bleed and is inclined to seriously, the huge spleen function is hyperfunction, the cachexia.
( 3 ) Complication: Esophagus, fundus of stomach are aggravated, and following symptoms break massive haemorrhage; It causes the liver stupor that liver function is depleted; Primary bacterial peritonitis; Liver kidney syndrome; Hepatocarcinoma.
( 4 ) The dividing type of pathology: Small tubercle type; Big tubercle type; All kinds of tubercle phenotype; Not totally separating type.
3, auxiliary examination
( 1 ) Liver function is checked: A G proportion inverts, y globulin increases, l g G raises, the time of thrombinogen is lengthened, serum bilirubin and transaminase rise.
( 2 ) X Line and gastrocopy: Can find out about the esophagus, variceal intensity of fundus of stomach and range.
( 3 ) B Exceed the inspection: The liver district presents filling the air, tiny luminous point and only rolling small. The spleen increases.
( 4 ) The liver is examined vivid: Can be seen the histologic change of pathology of the above-mentioned liver cirrhosis.
( 5 ) The ascites is checked: Present and leak more the liquid appears and minority are the courage and uprightness or chyle ascites. While erupting primary peritonitis simultaneously, the ascites mixes worms, presents and oozes out the liquid, it is positive that Hou is tested.
Treat
1st, generally treat: The diet should be the high heat, it is apt to digest the food to limit the fat to rich in protein and vitamin,etc., avoid drinking. Should limit every sodium salt
|

0 comments:

Post a Comment