Liver cirrhosis takes precautions against _'s prevention and health care of the whole attack strategy of the ascites

Liver cirrhosis takes precautions against _'s prevention and health care of the whole attack strategy of the ascites
Liver cirrhosis causes the main disease of ascites, once liver cirrhosis patient presents the ascites, compensation function that be indicated on liver lose already basically,it shouts that if you can't lose, compensate issue in medical science(in later period) . Generally speaking, the ones that present ascites are in early days, the patient only has slight abdominal distension, very easy to think by mistake to digest well. So, if chronic hepatitis, especially liver cirrhosis patient felt recently abdominal distension was obvious, waistline increasing, weight increasing, lower extremities edema, should go to the hospital to check in time.
The ascites can not be hereditary
"My father was when I am 10 years old because the liver ascites is dead, will I suffer from the ascites? " Cherishing such a question, Xiao Wang comes to the hospital to doctor's consultation. In fact, the person who has doubt as Xiao Wang does is numerous. With the improvement of life quality, people pay attention to one's own health more and more, while preventing outside disease, many people anxious, disease of former generation will reach oneself while being hereditary. In fact, if has known " true features " of the liver ascites ,There are answers naturally.
The ascites is the most common in liver cirrhosis mainly amalgamates disease, it is relatively complicated for it to form the factor, mainly liver cirrhosis leads to the fact the pressure of portal vein is too high, effective blood capacity of the artery drops, activate some the intersection of nerve and humoral factor and factor in the kidney subsequently, and cause functional kidney unusually and the intersection of water and the intersection of sodium and retention cause ascites.
Under the high pressure, " dam " Breach a dyke
Door pulse and high pressure are the main reason that the liver cirrhosis ascites is formed, it is the liver cirrhosis portal vein that loses the important sign of compensating ability under high pressure too. If liken intravenous blood to the rivers, the intravenous blood vessel is likened into a waterproof dam, the ascites is reduced after treating, the blood volume of flowing back to the portal vein increases. Just like a dam water storage is too much, exceed the limit that the dam bears, slowly, the dam will present the situation corroded. So, when the patient controls the pressure of portal vein under 12 millimetres of mercury columns, seldom form the ascites.
The a thousand li dyke is destroyed in ant's cave
The liver formates the albuminous place. At the time of liver cirrhosis, because the chronic, continuation damage of liver function, and the liver essence is reduced and liver cellular metabolism obstacle, the albumin is formated and obviously reduced, the patient will present the low albuminous blood disease of blood plasma, and low albuminous blood disease will cause the ascites to take shape.
It is that the earliest renal function of liver cirrhosis changes, cause the ascites to produce directly that sodium retention sodium is held up in. Arrange sodium with diuretic, can make ascites disappear through the intersection of limit and sodium generally, high the intersection of sodium and diet, or diuretic remove can make ascites reproduce.
About 75% of the ascites patients in water retention have function obstacle of water drainage of kidney, this relates to the fact that secrete vasopressin, increases. Usually the water drainage obstacle appears after sodium retention, the lighter can still drain off water normally, but overload take a photograph of water can present the intersection of hyponatremia and disease and low to permeate, pigeonhole of diluting etc.. About 1% have spontaneous hyponatremia diseases in the ascites patient of liver cirrhosis, only use diuretic, vascular pitressin medicine, or the ascites is put in a large amount, does not carry on dilatation, will make patient's water drainage ability further damage, form more ascites.
Provide for a rainy day, take precautions against " flood " Come to attack
In fact, the ascites can be caused by different diseases, besides liver cirrhosis ascites, heart disease, tuberculosis peritonitis, tumour,etc. can cause the ascites too. So appear ascites come, attack, should find out, cause the arch-criminal of the ascites at first, take the corresponding precautionary measures.
The person who appears ascites of physical examination, except that the belly has voiced sounds of mobility, and the physical sign having illness coming on originally. For example, the ascites caused by heart disease, can see edema, neck intravenous anger one, cardiac dilatation, liver splenomegaly, arrhythmia around,etc. while checking the body; The ascites caused by liver disease, often have dark and gloomy or sallow complexion, it is dyed that the skin, sclera are yellow, facial shank or chest can have the intersection of spider and mole or appear the intersection of liver and palm, belly wall variceal, liver splenomegaly,etc.; There can be pale complexion, edema around,etc. in the ascites that kidney trouble causes. In addition if patient flush complexion have, generate heat and the intersection of belly and tenderness, belly wall there is a flexible sense, consideration is tuberculosis peritonitis; If there is becoming thin, enlargement of lymph nodes, or the belly has lump, are mostly malignant tumour.
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