Cirrhosis of the liver : treatment and prognosis

Category Liver Disease | August 17, 2016 23:10

Contents:

  • program of treatment of liver cirrhosis
  • Prognosis

Cirrhosis is a long-existing chronic process, striking parenchymal organ, which resulted in his becoming the substitution of functionally active connective tissue, which leads to a marked change in function.With long-term existence of cirrhosis of the liver cells are killed and replaced scar tissue is formed, so there is liver failure.

Learn more about the causes, symptoms and stages of cirrhosis read in a separate article.

Goals and medical problems, and the patient in the treatment of cirrhosis of the liver

It should be understood that the treatment of liver cirrhosis, unfortunately, does not allow the patient to get well, but just started therapy helps to slow down the pathological changes - it will be a reliable guarantee of the main functions of the liver (detoxification, blood, metabolic).

patient should understand that the initial stage of cirrhosis of the liver, which gives him the minimum inconvenience, allows you to act

ively carry out therapeutic measures and they will bring the desired effect.

If there are signs of liver failure, the most modern techniques and expensive drugs will not be allowed to reach the body of the former state, because no way to treat cirrhosis does not allow to convert the connective tissue in normal hepatocytes.

In severe hepatic insufficiency, occurs against a background of cirrhosis, only effective treatment becomes a liver transplant from a living donor - only in this case can be expected to patient recovery, but only if the termination of the factors that trigger the development of diseases (alcohol, toxic substances, the metabolic processes).

absence of cirrhosis treatment inevitably leads to death, and the timing of the terminal stage of the disease in different patients vary considerably and depend on the age of the patient, presence of concomitant diseases, the need to constantly take drugs that affect the liver, occupational hazards.

key to successful treatment of the disease becomes a timely diagnosis of cirrhosis - this treatment program depends.A diagnostic program must include:

  • ultrasound organs located in the abdominal cavity;
  • radionuclide scanning;
  • ultrasound Doppler vascular organ (hepatic artery and veins);
  • x-ray of the liver;
  • magnetic resonance imaging;
  • diagnostic laparoscopy.

These same techniques are used to monitor the effectiveness of the therapy and for the dynamic monitoring of the patient - in cirrhosis can only suspend the process of destroying the body, but does not cure it, so sooner or later the question will arise not only on the use of a sparing diet, and medicationtherapy, surgical treatment (elimination of complications and organ transplantation)

treatment program cirrhosis

Each patient suffering from cirrhosis of the liver, should:

  • change their way of life, to give up the physical and psychological overload;
  • refuse the use of any alcoholic beverage;
  • change diet;
  • observe the regime of work and rest;
  • necessarily take place the recommended physician examination and not to violate the terms of the meeting.

Nutrition in liver cirrhosis

Dietotherapy with cirrhotic liver disease requires abandoning large amounts of fat and protein in the diet, salty, fried and marinated food.Limited intake of animal fats to vegetable oils.Because the diet is necessary to completely eliminate the pickles, preserves, meats, marinades.Food should be taken fractional, small portions, from 4-5 to 7 times per day - the patient can not overeat.

Symptomatic treatment of cirrhosis

Drug therapy involves the use of cirrhosis hepatic - drugs that protect the liver cells from factors causing disease.For the treatment of the disease can be used gepatoprotektory plant and animal origin.

addition, may require the appointment of drugs that suppress the development of connective tissue (steroids and immunosuppressants are appointed only under constant medical supervision).

For the treatment may also be given medications to maintain normal digestive processes in the lumen of the digestive tract, inhibit the formation of ammonia in the intestine (these drugs may be required in the treatment of terminal stages of the disease, in which the onset of acute or chronic liver failure).

It is important to treat the underlying disease that caused the cirrhosis - treatment is required not only of pathological processes in the liver, but also the treatment of diseases of the circulatory system, metabolic disorders, diseases of the blood.

Surgical treatment of liver cirrhosis

Such techniques are in demand in the case where the patient has complications of cirrhosis, amenable to surgical correction - bleeding from esophageal varices or hemorrhoidal plexus or free fluid accumulates in the abdomen, require paracentesis.

to surgical methods of treatment and liver transplantation related diseases by living healthy donor - often enough to pick up a healthy donor families, which for transplantation take the left, a smaller proportion of the liver.

also possible to conduct operations in the case where the detected disease is potentially dangerous in relation to the development of cirrhosis, which can be cured with surgery - removal of stones from the gallbladder and bile ducts, dissection of adhesions in the biliary tract.

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Prognosis

final prognosis of the disease largely depends on timely diagnosis of cirrhosis - early treatment can reliably inhibit the pathological process in the liver cells and prevent the occurrence of connective tissue.If it succeeds, the disease is long enough to be in a relatively safe initial stage that will allow a person to lead a normal life and maintain the ability to work.