What therapeutic method does liver cirrhosis ascites have? 's treatment

What therapeutic method does liver cirrhosis ascites have? 's treatment
The ascites is that liver cirrhosis loses one of the main manifestation which compensates one, it is relatively complicated that the mechanism takes place, treating the ascites at present has the following methods. (1)Persons who ascites or a small amount of ascites appears for the first time, pay attention to staying in bed, the diet of less salt (the salt amount 2- 4g of every solar eclipse) . The intaking amount of water of appropriate restriction (about 1 of entrying into water amount of every day- 1.5L) . The nutrition that it should be rational, strengthen and protect the liver treatment, often check liver work, kidney work and blood electrolyte, as to low albumen blood disease person, supplement albumin, blood plasma in right amount, so can make some patient ascites disappear. (2)Drug therapy: Through the obvious one of curative effect of measures such as rest, limit salt,etc., should consider using diuretic, sodium is discharged to impel water, reduce the ascites. A commonly used one have, protect the intersection of potassium and diuretic such as spironolactone, the intersection of ammonia and benzene, talk endlessly pyridine. Because emergence of ascites relate to aldosterone level in the blood plasma, and spironolactone can competitiveness inhibit aldosterone to the intersection of water and the intersection of retention and function of sodium, increasing the kidney generates a diuretic impact on and the discharge of sodium, so often regard spironolactone as the ascites of first-selected drug therapy. Arrange the intersection of potassium and the intersection of diuresis and medicine, have speed sour in the intersection of urea and amine, diuresis in urine, man, can inhibit kidney to sodium, absorption of chlorine, discharge potassium at the same time, diuresis function is strong, function emerges promptly to take for 30 minutes. Oh, like pairs of hydrogen chlorothiazide, as intensity diuresis medicines medium-sized, let's more promote potassium not to be discharged at the same time piperazines diuresis medicine. The application of diuretic is a small amount of adding amount progressively first, the single administration jointly uses medicine first. (3)Discharge the ascites treatment: Puncture through the abdominal cavity, emit the ascites. In order to prevent the occurrence of complication, the liquid put in a small amount to adopt more in the past, research showed in recent years, put the ascites and add the vein and infuse the appropriate dosage albumin in a large amount, it is prominent to treat the obstinate curative effect of ascites. (4)Since the body ascites concentrates the vein to lose the treatment: Adopt the special device, after taking the ascites out, through dealing with and concentrating, then is defeated by a patient. It causes the lost situation of albumen to overcome and put the ascites simply in advantage. The shortcoming is that numerous belly are worn, increase and infect the chance, it is apt to present bacterial peritonitis,etc.. (5)The abdominal cavity - neck vein transfers the skill to flowing: Adopt the purpose-built device, utilize pressing difference of abdominal cavity's pressure and venous pressure of centre, make ascites flow into the intersection of neck and vein along pipeline, use for treating the obstinate ascites at being clinical. (6)The by-pass surgery of the chest conduit: Liver lymphocytic liquid it increases to be reason that ascites produce one of, utilize surgery fit with vein in the neck the chest conduit, accelerate the excretion of the lymphocytic liquid, promote the ascites to disappear. (7)Pass intravenous by-pass surgery (TIPSS) of the body in the intravenous liver of neck : This method is utilizing and getting involved to radiate technology to set up and shunt the passway in the liver, to reduce the door pulse pressure, as to having variceal patients that also has obstinate ascites of oesophageal fundus of stomach who are a comparatively effective method. (8)Traditional Chinese medicine treatment: Traditional Chinese medicine has a lot of valuable experiences on liver cirrhosis ascites. As to the thing that ascites can select for use, rush down, down, relieve abdominal distension through purgation medicine, discharge the moisture of the volume from the stool, can often make the good result. But the medical history, hepatic coma patient for there is chronic intestines and stomach illness, spittinging blood and having blood in one's stool, it is unsuitable to employ.
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