Cirrhosis: symptoms, diagnosis and treatment
Cirrhosis: symptoms, diagnosis and treatment
Cirrhosis of the liver is a chronic disease with a rapidprogression, which affects not only the parenchyma, but also the stroma of a vital organ. The patient is concerned about certain symptoms, on the basis of which it is worth to see a doctor and undergo a comprehensive medical examination.
Cirrhosis - the main causes and symptoms of the disease
Cirrhosis often develops aftertransferred viral, toxic or allergic hepatitis, against a background of chronic alcoholism, cholestasis, the use of a large number of drugs. In medical practice, cirrhosis is divided into primary and secondary, in which liver damage is only one of numerous manifestations in the clinical picture of the underlying disease.
The main symptoms of liver cirrhosis are: enlargement and consolidation of the organ, jaundice, portal hypertension, splenomegaly. The patient feels an acute or dull pain in the right hypochondrium. With violation and inaccuracies in the diet, the pain intensifies. Also worried about dyspepsia, itching of the skin.
Upon examination, the doctor discovers vasculartelangiectasia, which are mainly located in the upper part of the trunk. In a patient with cirrhosis, the tongue becomes crimson and lacquered, fingers and toes swelling, hair growth in the armpits and on the chin is disrupted as a result of gynecomastia.
Cirrhosis of the liver
When carrying out laboratory blood testsidentify anemia, thrombocytopenia, hyperbilirubinemia, the level of ESR is significantly increased. In the urine there are bilirubin, urobilin, protein and sediment samples are changed. In addition, an x-ray study of the liver with the use of barium sulfate suspension is prescribed. With portal and mixed cirrhosis, varicose veins of the esophagus are revealed. Puncture biopsy, angiography, computed tomography, echography, laparoscopy - these findings give the most accurate results and allow you to put the most reliable diagnosis.
Cirrhosis treatment
With complicated and active decompensatedCirrhosis is prescribed to inpatient treatment. The doctor recommends diet number 5, glucocorticosteroid hormones, diuretics, antacid and astringent drugs, paracentesis. In the presence of biliary cirrhosis, which is complicated by cholangitis, I use antibiotics. With secondary biliary cirrhosis, surgical treatment is recommended to eliminate blockage of the bile ducts.
Inactive form of cirrhosis can continuedecades. If you follow a diet and supportive treatment, the patient feels satisfactory. The terminal period of cirrhosis inevitably entails hepatic coma and death.
