Can liver cirrhosis manage _'s treatment

Can liver cirrhosis manage _'s treatment
Liver cirrhosis is very common, it is the common result that much chronic hepatopathy develops into advanced stage. Hepatocyte changing the sex extensively, necrosis in the liver hardened, the fibrous tissue fills hyperplasia, make normal liver little leaf structure and blood vessel dissected and destroyed, make the liver harden, shrink graduallied, and thereupon bring a series of amalgamation disease, can jeopardize the life when being serious. Then what due to reasons is liver cirrhosis? What danger does liver cirrhosis have on people? Can liver cirrhosis treat? How to control its development? Bringing this line of questions, the reporter interviewed recently. Hepatopathy director of research center Dr. Jia JiDong of Friendship Hospital in Beijing of Capital University of Medical Sciences. Liver cirrhosis is the result that many kinds of causes of disease cause About the cause of disease, Dr. Jia JiDong introduces, a lot of reasons can cause liver cirrhosis. In our country, by virus hepatitis, especially liver cirrhosis due to chronic hepatitis B is in the majority, in some countries and regions such as North America, western Europe,etc., more common with liver cirrhosis due to alcoholism. Liver cirrhosis of due to chronic virus hepatitis such as hepatitis B, the third liver, is called hepatitis liver cirrhosis. Mainly caused by the fact that the lasting or repeated liver is damaged, courses of disease are many and relatively long. The emergence mechanism of alcohol liver cirrhosis, it is mainly a damage to the liver of acetic aldehyde of the supersession product among alcohol. The statistics show, if one drinks 40-80 grams every day on average, will increase greatly if the danger of liver cirrhosis takes place. Besides above-mentioned two o'clock, many factors can cause liver cirrhosis: Taking some for a long time has the toxic medicine of liver (such as phenol tincture, first Quito bar for a pair of vinegar) ,Contact some chemical poisonous substance such as phosphorus, arsenic, tetrachloromethane,etc. repeatedly for a long time, can cause poisoning hepatitis, develop into liver cirrhosis. Animal's experiment indicates, the food lacks protein, B clan vitamin, Vitamin E,etc. in midium or long term, can cause fatty liver, enable hepatocyte necrosis, develop into liver cirrhosis finally too. Suffer from chronic and congestive and in heart failure chronic to contract getting narrow pericarditis and liver intravenous to block syndrome,etc., can make liver because of long-term blood stasis, oxygen deficiency, silt and courageous and upright liver cirrhosis take place gradually. Some hereditary diseases and supersession diseases, change the sex by the intersection of blood color and disease, the intersection of liver and lenticular nucleus, galactose the intersection of blood and disease, glycogenic to store up disease, hydroxyphenylaminopropionic acid the intersection of supersession and the intersection of disorder and disease, heredity person who bleed capillary expand disease,etc., can make the patient's liver pathological change develop into supersession liver cirrhosis gradually. In addition, there is some patients' still clear cause of disease of liver cirrhosis. Liver cirrhosis is endangered much Ask liver cirrhosis to the danger of the human body, Dr. Jia JiDong answers: Too much. He says, the liver is an important organ of the human body, it not merely participates in the formation of important materials such as protein, blood coagulation factor,etc., it is still human at the same time " Detoxify in the factory " . Liver cirrhosis has taken place, has meant that there are extensive hepatocytes that are destroyed, will inevitablely make the physiological function of the liver give a great discount, and with the aggravating of the condition, this kind of " discount " Also hit the greater. In early days at liver cirrhosis, liver function compensates one, the patient's symptom and physical sign is relatively slight, it may be unusual slightly that liver function is checked. After liver cirrhosis is developed to certain extent, enter liver function to lose, compensate one, the patient will present the appetite decline, become thin weak, abdominal pain, diarrhoea, the intersection of gingivae and bleed, nosebleed, fever, jaundice, splenomegaly, the intersection of belly and the intersection of wall and the intersection of variceal, ascites,etc. and all sorts of physical sign. Wear at this moment, make, test, check, can find the patient's bilirubin, fat and protein metabolism take place unusually, if albumin drop and bilirubin raise and thrombinogen time lengthen etc.. Complication of liver cirrhosis has very great threats on patient. It is upper digestive tract massive haemorrhage at first, mostly cause the portal vein high pressure of liver because of liver cirrhosis, the oesophageal fundus of stomach is variceal, press and rise when the factor is stimulated in receiving coarse food, chemical material or belly, the blood vessel of one of song is extremely apt to break, massive haemorrhage takes place. Secondly it is the bacterial peritonitis of ascites, spontaneity. Third, liver encephalopathy takes place. Hepatic coma, liver kidney syndrome, renal function are depleted. Prognosis of these complications is extremely bad, it is the important reason for liver cirrhosis patient's death. In addition, liver cirrhosis patient function hyperfunction spleen have, organism immunological function fail, the intersection of door and foundation of collateral circulation under intravenous an organic whole, have offered more opportunities that infected with the microorganism, apt bronchitis, pneumonia, peritonitis, biliary tract take place and infect etc.. Because patient's resistance is reduced, these infect and tantamount to disasters pile up on one another, make the patient's life threatened. Liver cirrhosis is early and reversible to rotate Dr. Jia JiDong emphasizes after recommending all sorts of danger of liver cirrhosis, lacking disease that the specially good effect treats the medicine again at present because liver cirrhosis a endangered human health seriously, so should add and take precautions against it severely. For the person of liver cirrhosis has not taken place ing, should avoid causing the factor of liver cirrhosis, such as preventing and curing virus hepatitis, does not get drunk, avoid taking and having the toxic medicine of liver for a long time, avoid, contact chemical poisonous substance, keep nutrition to be balanced sufficient, prevent from malnutritive, etc. Once find that there is possibility of liver cirrhosis, should treat positively, but can't let matters drift. The medical experts at home and abroad verify through a large number of basic research and clinical experiment in recent years, hyperplasia and degradation of collagenous thread are the course of a dynamic equilibrium in the liver, formate and degrade who who it is strong weak, determine the intersection of liver and development speed that fiber take. If Yes correctly " Formate " Inhibit artificially, to " degrade " Promote, can make the fiber reverse: This result of study has changed and regarded liver fiber and liver cirrhosis as the traditional idea of incurable disease without exception fundamentally. If can find in early days and treat actively, the liver fiber can be reversed, early liver cirrhosis can be controlled. So long as treat in early days, Dr. Jia JiDong emphasizes, carries on the treatment of cause of disease actively at first, cause the cause of disease of liver cirrhosis in order to remove, such as hepatitis B, the third liver patient carry on the antiviral treatment actively, the persons who get drunk want stopping drinking strictly, medicine hepatitis patient should stop abusing medicines,etc.. Still at studying stage at present to the liver fiber medicine, some foreign medicines are carrying on animal's experiment, the physician of our country gives play to the advantage of Traditional Chinese medicine, has developed some traditional Chinese medicine preparation, through animal's experiment and preliminary clinical trial, verify that can delay, block the development of the fiber liver, promote the reversion of the fiber liver, so there is better curative effect on early liver cirrhosis patient. What medicine as to selecting for use specifically, should send for a doctor to deal with to the ill, but should avoid using too many medicines, so as not to aggravate the liver burden, promote the fiber process of liver. Jia JiDong says, besides drug therapy, it is a very important respect too that life is recuperated. First of all, patients must stop drinking, in order to the further damage to the hepatocyte of preventing alcohol. Secondly, should strike a proper balance between work and rest, right amount of activities. Dr. Jia says, the liver cirrhosis patient should avoid being overworked, but does not want to absolutely lie in bed, the appropriate activity is beneficial. The diet can't be ignored while nursing one's health. The early liver cirrhosis patient does not have liver nature encephalopathy more, should guarantee sufficient protein, it is more suitable that per kilogram of weight takes in l-2 one gram of high-quality proteins every day. The so-called high-quality protein, including fish, red meat, egg,etc.. In addition, patients can eat more beans, soyfood, fresh vegetables and fruit appropriately, keep the sufficient equilibrium of nutrition. Dr. Jia especially reminds, because liver cirrhosis patient's oesophageal fundus of stomach is variceal, should pay attention to rejecting the fishbone, bone, and it is rotten to cook the food, prevent the overly coarse thing from scratching the blood vessel of the oesophageal wall, cause fatal massive haemorrhage. Treated actively, the development of liver cirrhosis should be able to be controlled. Taking a favorable turn or worsening then how the patient could understand one's own condition? How should the intensity to liver cirrhosis be judged? About this, Dr. Jia JiDong answers, diagnoses liver cirrhosis has no problem at present, checked and can be diagnosed through the formation of image of inquiring the medical history, checking body, testing and Ultrasonography B, CT etc.. It observe on liver it is that fiber take test index, peptides collagenic commonly used having type ago, type collagen, sour and not connecting by albumenning,etc. with at layer qualities transparent, they and liver fiber intensity have straight relevance, but there is no precise diagnosis demarcation line, so can only be regarded as the reference index of judging the fiber intensity of liver. Reagent box in this respect at present, because of not having unified standard which country makes, repetitiveness, stability demand urgently, improve, so Jia continue east doctor, think most direct, most precise diagnosis basis, liver live examine. There are very great improvements in the medical apparatus in recent years, the puncture needle triggered automatically, puncture the liver under the circumstances that Ultrasonography B is guided, only takes several seconds to finish, the agony is little, complication of bleeding etc. is reduced greatly too. This kind can implement to check the large hospitals of all parts. In order to diagnose clearly, treat correctly, Dr. Jia proposes, in essential cases, patient can go terms large hospital fine make liver, organize, examine while being alive, needn't check, fear to this item excessively. Treat and amalgamate disease actively Dr. Jia JiDong says, as to already presenting the liver cirrhosis patient who amalgamates disease, should treat actively too. If patients have already presented the sign of liver encephalopathy, for instance behavior disorder, personality have changed, need to limit the intaking amount of protein. In addition, the liver cirrhosis patient should be used to the diet of less salt gradually, in order to prevent water and sodium retention from causing the ascites. The patient will make every year once the gastroscope or X-ray barium meal will be perspected, will observe the esophagus, variceal situation of fundus of stomach, if an intensity of song reaches intermediate the above, prevent from bleeding and treating on answering, such as doing intravenous ligature under the inner mirror, take medicines appropriately (such as fitting diligently, single different mountain pear alcohol nitric acid,etc.) . If has already presented the ascites, should restrict the salt, use diuretic, if the blood sodium is lower than 135 fine long hair More liter, also restrict water supply, daily drinking water, total amount of infusion should restrict in 1000-1500 ml, need to smoke the ascites if necessary, and supplement protein through being intravenous; Or take the ascites out, concentrate, lose waiting in the body. Because liver cirrhosis has possibility to erupt hepatocarcinoma simultaneously, the patient should enhance vigilance. You had better make liver work, first child albumen, B inspection of superior grade every 4-6 months.
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