Convalesce

Liver for metabolism and synthesis of protein in the body a major hub, when the proliferation of liver cells were separated by fibrous tissue to form a nodular pseudolobule, that cirrhosis will lead to loss of normal relations between the various types of blood vessels, liver cell dystrophy, leading to liver compensatory function insufficiency, and thus there was a series of physiological diseases, such as endocrine disorders, protein inverted … … and so on. If the overload of physical activity will increase the burden on the liver cells and increased the disease development. Therefore, in patients with decompensated should not overwork and decompensated patients should be bed rest, so in order to protect the liver.

Experts believe that resting better than drug therapy, can increase the liver’s own immune system.

Chinese medicine, the liver as a dirty overcast, active-hi static. LIVER blood but which due to raising and moving the blood line, static is the blood only, the ancients as “the blood of people lying attributed to the liver do.” When the violent activity or emotional body, the liver, its storage into peripheral blood to the body lose cloth for the body needs; When the body is at rest, general activities, less demand for blood outside the body is relatively less, partly hidden in the blood return liver, in order to achieve Yanggan and restore liver function and purpose.

Feeling

Wrath of liver injury, this is the first bad news. Easy irritability in patients with cirrhosis angered rage mood changes, will stimulate the body’s stress response occurs, so that the human endocrine system change. The liver and endocrine function of solidarity, can contribute to the synthesis of certain hormones to change and decomposition. Adrenaline secretion caused when angered, to stimulate the liver cells within the liver cells, secreted into the serum GPT, so that even more damage to liver cells.

In addition, depression, thorough consideration, sadness and other emotions may also lead to liver qi stagnation. Qi stagnation is blood stasis, caused by cholestasis of Health, mass (cirrhosis); Qi stagnation infrequent negative, then the body fluid is not cloth, watercourses do not lose health caused by swelling (ascites), both to make sicker. Patients must be accessible to protect the feelings to cope with medical treatment or a panacea though, is all in vain.

Temperance

In patients with cirrhosis must be an absolute prohibition. Is almost due to alcohol liver metabolism, decomposition of the only places. A large number of studies have shown that alcohol has a direct damage of the liver, the patient must not be taken lightly. Some people think that a small amount of drinking or occasional drinking is not all right, it is not. Any solution containing alcohol, even if the contents of a small re-enter the body needs after the decomposition of the liver. In its decomposition process, the coenzyme I changed the increase of reduced coenzyme I, so that the central region of liver-hour liver cells die due to oxygen ring and fibrosis. At the same time, laboratory shows that alcohol can inhibit the synthesis of glycoproteins and albumin secretion discharge, in the severely damaged liver cells, the liver itself has emerged fiber hardens, and then drinking heavier burden of the liver, is it insult to injury to the liver . In conclusion, in patients with cirrhosis alcohol consumption, 100 harm and no benefit should be taken with caution.

According to statistics, in cirrhotic patients, about 2 / 3 of people may experience hematemesis or melena, which we call upper gastrointestinal bleeding, which mainly due to cirrhosis of the liver leading to esophageal variceal bleeding, accounting for all gastrointestinal bleeding 60% to 75%.

Why will cause bleeding

The process of development of cirrhosis, organizational structure, alteration, makes the liver blood circulation disorder, portal vein pressure was significantly increased, from the gastrointestinal tract, spleen and other organs in the portal vein at the venous obstruction was forced to find another way out, and the circulation of the built up a wealth of “extra traffic” in order to return to the heart. Clinically, the formation of a few of the more important traffic branch, of which the bottom of the esophagus and stomach, the formation of varicose veins of the most important and also most likely to rupture. Rough diet, eat too much, agitation, constipation, etc. are often the reason for induced bleeding.

In case of patients variceal bleeding often occur vomiting blood, can be a big mouth spit blood, often mixed with blood clots, suggesting that large amount of bleeding, bleeding speed; like coffee grounds can also vomit or black with red blood. Some patients Although there is no vomiting blood, but basically they have a black, tarry stools can be as black and sticky; also be increased with the number of times, showing dark red bloody, often prompts a larger amount of bleeding, when patients often appear dizziness , vertigo, palpitation, nausea, and even fainted; accompanied by pale, cold extremities, cold sweat dripping and other performance.

If the shock symptoms, even if it has not yet appeared vomiting blood and black, should also be suspected to have gastrointestinal bleeding, particularly the elderly, or that there are constipation patients.

Hematemesis how to do

The event of hematemesis, the patient should be supine to the pillow, head to one side, vomit blood spit as far as possible clean, do not swallow, to keep the airway clear, to avoid choking the blood and vomit into the trachea caused by suffocation of patients.

At the same time to remain calm patients and their families is also very important. Variceal bleeding due to portal vein blood flow increased, the pressure rise caused by a certain amount of bleeding after the intravenous pressure has eased, bleeding slowed down, bleeding decreased, many patients stop bleeding on their own.

Remember that just because a patient says, thirst, stomach discomfort while the patient drink water or eat anything. Family members to do is call and emergency contact as soon as possible, as soon as possible evacuated to a nearby hospital for emergency treatment conditions.

If you are in hospital, while giving a positive rescue

1, all-the-job staff put down the live, active part in the rescue of patients to the ranks, so that busy but orderly, acute but not chaos, such as the individual on duty may be requested.

2, the patient admitted to hospital emergency rooms immediately after placement to avoid unnecessary movement and physical examination, absolute bed rest, head to one side to maintain airway patency, immediately oxygen, the establishment of 1-3 road access quickly added that blood volume, cut-off food, keep quiet. Should be given to stop bleeding was prescribed drugs, blood products or whole blood.

3, to enhance emotional care, will urge the spirit of relaxation, eliminating fear, anxiety and emotional tension and actively cooperate with the treatment.

4, close observation of vital signs, looking, urine output, pay attention to whether the skin pale, cold sweat and so on.

5, observe the color of vomit and faeces and the nature of the amount of accurate recording of access.

6, observed urine, continuous 2h urine output <30ml / h, to report physicians.

7, to keep room clean, fresh air pollution products vomit should be dealt with immediately so as to avoid a bloody evoked re-bleeding.

8, not hot pack, hot ironing, moxibustion, prevent blood heat Wang Xing.

9, good oral care and clean mouth two times, hematemesis, after timely and saline mouthwash to maintain oral hygiene and tasteless.

10, absolute bed rest, and then 2-4 times stand up once, massage pressure parts of the skin.

11, to help patients living expenses and avoid unnecessary visits to reduce the surrounding interference.

12, was prescribed intravenous high nutrition.

13,24 h is not reduced by the amount of bleeding, report physicians to enhance treatment measures, if required, surgery should be transferred to surgery.

How to prevent rebleeding

After active treatment in patients with bleeding after the cessation of failure to take preventive measures, most patients will be re-bleeding. Generally through the following measures to prevent variceal rebleeding:

Oral drug is to prevent re-bleeding of a simple method. Present more effective is the β-adrenergic receptor blockers, such as propranolol, nadolol, are used for the prevention of initial and re-bleeding of patients. The use of propranolol should start small dose and gradually increase the amount of the heart rate or pulse (Morning wake up) down to no medication prior to 75%. If the original heart rate 80 beats / min, dose added to the heart rate dropped to 60 beats / min or so, at this time for the patient required dose propranolol dose, the need for life to take, not arbitrary withdrawal.

Overall efficacy of drugs to prevent further bleeding is not ideal, only 20% ~ 25% of the patients effectively. Endoscopic treatment has recently developed rapidly, according to the patient specific choice of endoscopic therapy, such as esophageal varicose vein ligation.

A number of repeated bleeding of liver function better, but those who choose the right time to consider surgery. While a number of critically ill or lose the chance of operation with advanced cirrhosis of the liver repeated variceal bleeding, can be involved in ways to guide catheter placed through the jugular vein support tube between the hepatic vein and portal vein bridge, this method less traumatic, safer, lower gate pulse pressure more significantly, generally within 24 hours to control bleeding, but the long-term efficacy is not clear.

The above-mentioned measures to prevent further bleeding, do not fundamentally solve the problem of portal hypertension. Therefore, the patient’s self-care becomes particularly important. Should pay attention to eating light and cut out rough, hot and sour to stimulate food; to maintain the smooth bowel movement, if necessary, supplemented by Runchang laxative drugs; avoid breath holding and lifting heavy loads, can only do some minor moderate outdoor activities or physical exercise, do not doing sit-ups, etc. in any of the campaigns leading to increased abdominal pressure.

I became a doctor 20 years to treat many different types of patients with liver cirrhosis. I remember one night shifts have been, the emergency room with the carts brought a female patient suffering from cirrhosis of the liver. When we are measuring her blood pressure, pulse, the patient suddenly big mouth vomit bright red, and its speed and hematemesis hematemesis volume is enormous, suddenly vomit blood and a half basin. So he decided to take immediate surgery. Too much blood loss may be due to a short time, coupled with her a long time in a state of poor physical fitness, rescue ultimately did not succeed. There is a risk of hepatitis B patients, intermittent abdominal occur. I had many occasions to persuade them to look at out-patient hospital for the treatment, but because of delays for various reasons. Until the last ascites infection fever, he was admitted to the hospital put it down. Little do they know at this time has been terminally ill, the condition developed into refractory ascites. Even after more than 70 days hepatoprotective, diuretic, anti-infection treatment, the effect is unsatisfactory, persistent ascites. The patient should not have did not have any regret at this time really listen to doctor’s advice, so that the development of abdominal distention unbearable every day now every few days to fever, daily lives have been seriously affected.

There are many such patients, although the different causes of cirrhosis of the liver, such as schistosomiasis liver disease, hepatitis B, alcoholic hepatitis, liver, (a kind of copper metabolism disorders), etc., but the patient had a medical on liver known as the interstitial material and a large number of disorder accumulation and liver cell structure and liver function were changed. Figuratively speaking, like liver cells, a wall of bricks, connects to the hepatic mesenchymal tissue between the wall like a seam between the lime. For any reason, leading to liver cell damage and stimulate interstitial increase, as a decrease of wall tiles, an increase of lime seam, which naturally is not the original wall so strong, both by wind and rain could not stand, very easy to collapse. Cirrhosis of the liver so that the original liver metabolism, detoxification, synthesis, transformation, and many other important functions and hematopoietic restricted and destruction. Over time, the liver function of reduced protein synthesis, hypoalbuminemia could easily trigger ascites; synthesis of prothrombin decrease, coupled with hypersplenism to thrombocytopenia, coagulation disorder caused by two factors together, light occurring gums were bleeding, epistaxis, heavy cases have occurred where the aforementioned gastrointestinal bleeding, a more serious intracranial hemorrhage also can occur, giving the patient a fatal injury. Changes in liver function and structure, but also to make a substance called bilirubin uptake, integration, transfer, excretion in problems in clinical practice showed, yellow urine, such as tea water, skin, sclera is yellow.

Cirrhosis of the occult strong, early symptoms was not obvious, many people unknowingly have been developed to cirrhosis of the liver lesions in vivo; to wait until symptoms later hospital, they were often late has come to cirrhosis of the liver, thus losing the early treatment. If in the early stage of cirrhosis of the liver stages of treatment, reversed the chance is much greater. So, how early detection, early intervention? In China, the most important cause cirrhosis of the liver disease is hepatitis B, hepatitis C viral hepatitis and schistosomiasis-induced liver disease. Once diagnosed, these patients should not be taken lightly. First, the conditions should as soon as possible for the pathogen treatment, namely, anti-viral, insect, or treatment to kill eggs, remove the cause, from the root of the problem. Second, prevention, and actively combat liver fibrosis. Experts suggest that patients in early stage liver disease should check with the doctor-related, such as the full set of liver function checks, as well as the spleen and liver and gallbladder ultrasound, CT, MRI and other medical imaging examination; recently introduced checking serum markers of liver fibrosis, such as hyaluronic acid (HA ), laminin (LN) and so on, for the early diagnosis of cirrhosis of the liver very valuable. Been identified as suffering from hepatitis B, hepatitis C viral hepatitis, schistosomiasis-induced liver disease or alcoholic hepatitis, fatty liver, the best 3 to 6 months a check liver function and hepatobiliary ultrasound spleen, liver, damage to understand; 6 ~ 12 check once a month serum markers of liver fibrosis, understanding of liver stromal hyperplasia, and to facilitate the related medical treatment as early as possible. In addition, liver puncture under ultrasound examination, although there is a certain degree of damage, but the accuracy of the strong, high accuracy, to ascertain if there are and what causes cirrhosis of the liver caused by cirrhosis of the liver very valuable, this check is also possible to consider adopted.

With the development of medicine, scientists on the causes of cirrhosis of the liver has a new understanding. Animal experiments have shown that treatment of mice with liver cirrhosis can be implemented to achieve full reversal of liver tissue can be restored to normal structure. There are also a number of Clinical cure the disease. In China, using Chinese and Western medicine combine to remove the cause, reducing the formation of hepatic fibrosis integrated approach to clinical treatment of cirrhosis of the liver has been achieved some effects. We have reason to believe that dead trees can be in Spring tree cirrhosis, liver cirrhosis can be reversed recovery, but there are a prerequisite, that is early detection, early intervention.

Older ones were right film “being vitality” to reflect the liberation schistosomiasis cirrhosis lead to “thousands of people Yi Shi Village, Perak, 10000 Xiao Shu ghost singing” remember the tragic scene. Today, this village crash scene no longer exists, but for various reasons, cirrhosis of the liver caused by the damage to people is still high. In particular, advanced cirrhosis of the liver is caused by ascites, upper gastrointestinal bleeding and hypersplenism, greatly reducing the patient’s quality of life, and even life-threatening.

I became a doctor 20 years to treat many different types of patients with liver cirrhosis. I remember one night shifts have been, the emergency room with the carts brought a woman suffering from schistosomiasis patients with cirrhosis of the liver. When we are measuring her blood pressure, pulse, the patient suddenly big mouth vomit bright red blood, its speed and hematemesis hematemesis volume is enormous, suddenly vomit blood and a half basin. So he decided to take immediate surgery. Too much blood loss may be due to a short time, coupled with her long period of anemia status, poor physical fitness, rescue ultimately did not succeed. There is a risk of hepatitis B patients, intermittent abdominal occur. I had many occasions to persuade them to look at out-patient hospital for the treatment, but because of delays for various reasons. Until the last ascites infection fever, he was admitted to the hospital put it down. Little do they know at this time has been terminally ill, the condition developed into refractory ascites. Even after more than 70 days hepatoprotective, diuretic, anti-infection treatment, the effect is unsatisfactory, persistent ascites. The patient should not have did not have any regret at this time really listen to doctor’s advice, so that the development of abdominal distention unbearable every day now every few days to fever, daily lives have been seriously affected.

There are many such patients, although the different causes of cirrhosis of the liver, such as schistosomiasis-induced liver disease, hepatitis B hepatitis C viral hepatitis, alcoholic hepatitis, fatty liver, liver degeneration (a kind of copper metabolism disorders) and so on, but the patient had a medical within the liver known as interstitial material and a large number of disorder accumulation and liver cell structure and liver function were changed. Figuratively speaking, like liver cells, a wall of bricks, connects to the hepatic mesenchymal tissue between the wall like a seam between the lime. For any reason, leading to liver cell damage and stimulate interstitial increase, as a decrease of wall tiles, an increase of lime seam, which naturally is not the original wall so strong, both by wind and rain could not stand, very easy to collapse. Cirrhosis of the liver so that the original liver metabolism, detoxification, synthesis, transformation, and many other important functions and hematopoietic restricted and destruction. Over time, the liver function of reduced protein synthesis, hypoalbuminemia could easily trigger ascites; synthesis of prothrombin decrease, coupled with hypersplenism to thrombocytopenia, coagulation disorder caused by two factors together, light occurring gums were bleeding, epistaxis, heavy cases have occurred where the aforementioned gastrointestinal bleeding, a more serious intracranial hemorrhage also can occur, giving the patient a fatal injury. Changes in liver function and structure, but also to make a substance called bilirubin uptake, integration, transfer, excretion in problems of clinically manifested as jaundice, yellow urine, such as tea water, skin, sclera is yellow.

Cirrhosis of the occult strong, early symptoms was not obvious, many people unknowingly have been developed to cirrhosis of the liver lesions in vivo; to wait until symptoms later hospital, they were often late has come to cirrhosis of the liver, thus losing the early treatment. If in the early stage of liver fibrosis in liver cirrhosis treatment phase, reversing the chance is much greater. So, how early detection, early intervention? In China, the most important cause cirrhosis of the liver disease is hepatitis B, hepatitis C viral hepatitis and schistosomiasis-induced liver disease. Once diagnosed, these patients should not be taken lightly. First, the conditions should as soon as possible for the pathogen treatment, namely, anti-viral, insect, or treatment to kill eggs, remove the cause, from the root of the problem. Second, prevention, and actively combat liver fibrosis. Experts suggest that patients in early stage liver disease should check with the doctor-related, such as the full set of liver function checks, as well as the spleen and liver and gallbladder ultrasound, CT, MRI and other medical imaging examination; recently introduced checking serum markers of liver fibrosis, such as hyaluronic acid (HA ), laminin (LN) and so on, for the early diagnosis of cirrhosis of the liver very valuable. Been identified as suffering from hepatitis B, hepatitis C viral hepatitis, schistosomiasis-induced liver disease or alcoholic hepatitis, fatty liver, the best 3 to 6 months a check liver function and hepatobiliary ultrasound spleen, liver, damage to understand; 6 ~ 12 check once a month serum markers of liver fibrosis, understanding of liver stromal hyperplasia, and to facilitate the related medical treatment as early as possible. In addition, liver puncture under ultrasound examination, although there is a certain degree of damage, but the accuracy of the strong, high accuracy, to ascertain if there are and what causes cirrhosis of the liver caused by cirrhosis of the liver very valuable, this check is also possible to consider adopted.

With the development of medicine, scientists on the causes of cirrhosis of the liver has a new understanding. Animal experiments have shown that treatment of mice with liver cirrhosis can be implemented to achieve full reversal of liver tissue can be restored to normal structure. There are also a number of Clinical cure the disease. In China, using Chinese and Western medicine combine to remove the cause, reducing the formation of hepatic fibrosis integrated approach to clinical treatment of cirrhosis of the liver has been achieved some effects. We have reason to believe that dead trees can be in Spring tree cirrhosis, liver cirrhosis can be reversed recovery, but there are a prerequisite, that is early detection, early intervention.

Cirrhosis of the liver is the further development of various liver diseases. Once the diagnosis of cirrhosis of the liver to determine, generally considered to have access to advanced liver disease can not be reversed. Such a pessimistic conclusion, in the medical staff and patients is quite common, which is very harmful. Is not only delayed aggressive treatment, but also seriously affect the patients quality of life. Is cirrhosis of the liver is an incurable disease do? Conclusion is negative! The correct answer is: cirrhosis of the liver can be prevented! Can be treated! The key is to establish a scientific viewpoint and method to oppose bad ideas and false advertising.

Now sufficient evidence, with timely and alcohol, with effective anti-hepatitis B or C drugs or to correct metabolism (such as weight loss) such measures, it may suspend the formation and the development of cirrhosis of the liver, may eventually reverse the disease.

The formation of cirrhosis is due to the long-term harmful factors (such as alcohol, hepatitis virus, metabolic disorders) under the action of liver cell necrosis, degeneration and inflammation, thereby stimulating hepatic stellate cells, secretion of the formation of fibrosis in a lot of material, over time, From the development of liver fibrosis to cirrhosis. If you go In addition to these adverse factors, liver necrosis, degeneration and inflammation to reduce or remove, fibrosis is no longer development; There also appreciate some of the substances secreted enzymes, such as collagen can be gradually put fibrosis digestion, liver cirrhosis on some or all of the reversed. The earlier removal of the cause, the more thorough the better.

Effective anti-viral therapy can prevent and improve liver cirrhosis. But it must be pointed out that the interferon on the hepatitis C compensated cirrhosis and effective, but not for hepatitis B cirrhosis of the liver, there will be serious adverse reactions.

Therefore, we want to know if a better prevention of the liver become “hard”:

Through aggressive prevention and early cirrhosis can be reversed or is no longer made, but later it will seriously affect people’s quality of life, even life-threatening, so prevention and treatment of cirrhosis of the liver is very important.

First of all, prevention is the primary cause. Of chronic hepatitis B and hepatitis C is a major cause of cirrhosis, while the anti-viral treatment of chronic hepatitis B and hepatitis C is the most critical treatment measures. However, there is no completely eradicate hepatitis B and hepatitis C virus drugs, and not all have hepatitis B and hepatitis C will eventually develop into cirrhosis, liver cancer, and therefore, in determining the cause of treatment (ie antiretroviral therapy), you must predict cause the effectiveness of treatment. For the effect of antiretroviral therapy is expected to better patient should take active measures to antiretroviral therapy. For the expected effects of antiretroviral therapy in patients with poor, it is necessary to take further measures such as liver biopsy evaluation of the risk of developing cirrhosis of the liver biopsy confirmed the existence of severe liver fibrosis or early cirrhosis patients, regardless of how effective anti-viral treatment, must adhere to the long-term anti-viral therapy. Confirmed effective anti-viral drug lamivudine and interferon therapy. Should be noted that the current anti-viral treatment of hepatitis B virus carriers (ie, liver function tests normal) is invalid, such groups the incidence of cirrhosis and liver cancer is very low, and therefore do not recommend anti-viral treatment, but must be regular monitoring of liver function status, in order to the timely detection of hepatitis activity.

Second, regular medical examinations for the prevention of cirrhosis is also essential. Most no obvious clinical symptoms of hepatitis must be found by examining the hepatitis activity; recurrent hepatitis activity, in terms of patients must also have regular ultrasound scans, or other indicators of cirrhosis of the liver examination; for patients with cirrhosis of the liver must also be half-yearly ultrasound examination and Serum AFP testing for early detection of liver cancer, early treatment.

Thirdly, with regard to drug treatment cirrhosis of the liver. Of TCM in anti-hepatic fibrosis and cirrhosis has a wealth of experience, but must not be an alternative to traditional Chinese medicine treatment of antiretroviral therapy, or may be adversely affected by illness. Chinese and Western medicine combine to play each other’s merits, after all prevention and treatment of cirrhosis of the liver sound strategy.

Second, we must understand the factors that affect the prognosis of cirrhosis of the liver:

① According to the treatment of patients with response, if the patient hospitalized a month later, liver failure and still no significant improvement in those indicators, indicating a serious prognosis.

② we must consider the patient’s complications. In the mid-to late cirrhosis, there will be a variety of complications, these complications can resume on behalf of the patient withdrawal. For patients with concurrent electrolyte imbalance, if he is not a result of diuretics cause, but because of serum sodium <120mmol / L, caused by patients, prognosis will be very dangerous. For patients with digestive tract bleeding, if the compensatory liver function better tolerated bleeding, the prognosis is good, but if accompanied by liver failure, hepatic encephalopathy may arise which may cause death . For the concurrent hepatic encephalopathy patients, if occurring in the relevant incentives or door – body shunt, the prognosis is relatively good, limiting protein diet, elimination of incentives can be recovered consciousness, but had occurred at the progressive liver cell failure who the prognosis dangerous.

③ determine the most important prognostic factor is liver failure. Ascites is portal hypertension and liver failure in a combination of the results of the diuretic response to recurrent ascites gradually weakened by a poor prognosis; right diuretics appear resisters, the prognosis is ominous. If the protein in vivo in patients with less than 25g / L, then indicate poor prognosis, if the less than 20g / L, when, suggesting that the recent poor prognosis. When the patient’s body prothrombin activity less than 30% of the persons, indicates a poor prognosis, accompanied by bleeding tendencies (such as skin purpura Green) is a serious prognosis. If patients develop jaundice or serum bilirubin level no other incentives, but Hugan treatment of non-response, and continues to exist, suggesting that a serious condition, a poor prognosis.

Medicine, said: too much alcohol intake can cause acute alcoholism, but also cause gastric mucosal damage, manifested as mucosal inflammation, while stimulating the steady accumulation can lead to gastric erosions with epithelial hyperplasia, and may cause malignant transformation. This is mainly because of alcohol not only directly damage gastric mucosa, while making defense mechanisms of the damage also occurred.

Large and small restaurant San Huofan table is always filled with large and small bottles. Alcohol abuse have become a kind of fashion. Several drunk does not seem to show no parting sorrow. But the alcoholism-induced acute erosive gastritis, leading to one of the causes of upper gastrointestinal bleeding, and alcohol can cause alcoholic hepatitis, fatty liver, cirrhosis and other alcohol-induced liver disease. Gastric mucosal damage caused by alcohol, so that change gastric epithelium, destruction of epithelial top of the cytoplasm membrane, leading to cell detachment and gastric erosions, ulcers, such as involving the blood vessels can cause bleeding; and participate in ethanol metabolism in the stomach, gastric mucosa there are multi – kinds of alcohol dehydrogenase isozymes involved in ethanol’s “first-pass clearance.” All these physiological and pathological responses have no doubt do not take alcohol on the stomach of the damage is direct and powerful.

Moderate drinking, the body of alcohol have a certain ability to resolve. When the alcohol consumption in the context of this security, the human body still capable of withstand. Each person’s tolerance for alcohol varies, depending on the stomach and liver first-pass clearance of relief features.

Graduates will enter the community for the future already has a lot of pressure. Enormous spiritual pressure has constituted a stomach attack incentives. Should the big drink before graduation are also caused direct damage to the stomach, certainly not worse. Hope that graduates of friends will cherish their own bodies to avoid excessive drinking. With particular attention to a large number of alcohol not to fasting. If really have to drink, remember that drinking before the ingestion of protein and fat-rich foods, in order to avoid drunkenness.

As the saying goes “No feast of the feast,” Poly is not the beginning nor the end of casual. Over the past four years time there will always be a lot of sadness and nostalgia, but we should control their emotions well, enough is enough, must not be driven by a momentary excitement and stir up trouble drinking. To leave the university for their final time a beautiful time.

Cirrhosis 85.2% occurred in 21-50 years old, male and female incidence rate 3.6-8:1. Liver cirrhosis divided into early (that is, compensated liver function in period) and late (ie, hepatic decompensation period). The early clinical symptoms was not obvious, often showed only a mild indigestion, such as loss of appetite, chest tightness, belching, loose stools, etc.; signs are mainly enlargement of the liver is difficult in patients with chronic hepatitis or unexplained hepatomegaly distinguished. Late mainly manifested ascites, varices (stomach and esophagus, abdominal wall, Cullen, hemorrhoid veins), enlarged spleen, liver, and so hard to narrow. In addition, they can still have spider angioma, liver palm, anemia and bleeding tendency, nutritional deficiencies, endocrine system disorders such as performance. Laboratory examination: abnormal liver function, especially on the a-globulin increased, and the associated plasma protein, globulin ratio of inversion; as hypersplenism, the visible red blood cells, white blood cells and thrombocytopenia, especially white blood cells significantly decreased.

Recommended therapeutic side as follows:

(1) bergamot flowers Shugan Tang

[Materials] bergamot flowers 9 grams, Jasminum grandiflorum 9 grams, Radix Paeoniae Alba 30 g, Zhigancao 6 grams, 30 grams of Radix Codonopsis, 10 grams Atractylodes, Poria 15 grams.

[Practice] Shuijianbi, 1-2 doses per day.

[Effect] Shuganjianpi, Qi pain.

[Indications] Liver Stagnation and Spleen cirrhosis. Certificate See Shenpi fatigue, loss of appetite, nausea abdominal bulge, two threatening pain, belching is not Shu, irritability, when nausea and vomiting, pink tongue, white moss, pulse string.

(B) red flower decoction

[Materials] 6 grams saffron, peach kernel 9 grams, 30 grams of Salvia, pangolin 9 grams, angelica 10 grams, 10 grams of Radix Paeoniae Rubra, paeonol 6 grams, 10 grams Atractylodes, Alisma 9 grams, 9 grams of Jasminum grandiflorum, oysters 30 grams (Xian Jian).

[Practice] Shuijianbi day one.

[Effect] Qi blood circulation, stasis meridians.

[Indications] Qi stagnation blood stasis cirrhosis. Expansion card, see two threatening nausea, Xiexia lump in the abdomen, spider angioma, liver palm, or abdominal wall blue veins exposed, loss of appetite, dark purple tongue or petechia, ecchymosis, pulse string thin astringent.

(C) safflower stewed pig pancreas

[Materials] saffron 9 grams, 9 grams of Jasminum grandiflorum, porcine pancreas 1.

[Practice] pig pancreas clean, cuts, into the safflower, Jasminum grandiflorum Ge Shuidun cooked, Yin Tang fresh pig pancreas.

[Effect] [attending] with saffron soup stasis.

(D) four flowers Lishi Tang

[Materials] Kapok 15 grams, 9 grams of egg flower, herb 9 grams, 6 grams of Magnolia flower, Poria 30 grams, 9 grams Alismataceae, Wuhu spent 9 grams, 6 grams of licorice.

[Practice] Shuijianbi, 1-2 doses per day.

[Effect] Spleen dampness, qi-line water.

[Indications] moisture resistance of cirrhosis. Card See bloating like a drum, at least according to the Caine, such as the capsule wrapped in water, torpid intake, Zhongwan nausea, nausea and vomiting, urinating deficient, tongue pink, moss white, thin slow pulse.

(E) Yuanhua San

[Materials] Yuanhua 10 grams, 10 grams Kansui Root, Euphorbia 10 grams.

[Practice] on drug research to fine the morning fasting of 1.5 grams, in order to jujube 10 Jiantang send clothes, benefit only the clothes. Such as profit and the disease can not be eliminated, increased to 3 grams, but not Jiufu.

[Effect] [attending] with the four flowers Lishi soup.

(Vi) Osmanthus frog porridge

[Materials] 10 grams of sweet-scented osmanthus, frogs 3 (peeled, viscera), 50 grams of rice.

[Practice] Warou, with rice porridge, congee will become, the income of sweet-scented osmanthus, and then boil a moment, eating porridge and Warou seasoning. 1 material every day.

[Effect] Warming spleen.

[Indications] Spleen deficiency cirrhosis. Card See bloating like a drum, at least according to the Caine, dull complexion, aversion to cold, Shenpi fatigue, loose stools, urine deficient, pale tongue, white fur, pulse slim and fragile.

Chronic active hepatitis patients by younger, but also there may be mental and psychological factors, generally a normal sexual life; however, for the benefit of disease, recovery, sexual frequency should be reduced. In addition, hepatitis B is a sexually transmitted disease, use of condoms during sexual activity in order to avoid mutual communication between husband and wife. Light anxiety, improve patient response capability.

Sexual hygiene activities to minimize the amount of physical activity, for many patients benefit through the use of physical activity to minimize the position of sexual activity. And the assistance of a spouse, can be done.

Abroad there have been using the water-filled mattress, may promote sexual activity, without a significant increase in physical activity and reduce oxygen consumption.

More than 10 years ago, medical units, Chu Zhao Rui teacher was found to be “Hepatitis B carriers.” According to Nanjing Medical University, Dr. Su Chuan Ge, “carrier”, is infected with the hepatitis B virus, the immune system, while not able to wipe out the virus, but its development can be brought under control, if this balance is not broken, his whole life will not be suffering from hepatitis.

If you stay up all night, this balance will surely be broken. Reasons for a, in accordance with clock, 23 o’clock, after including all cells, including liver cells began to self-repair; 2, supine 25% increase of liver blood flow, reducing the liver’s function of blood loss, help repair and regeneration of liver cells.

However, strong Chu Zhao Rui enterprising teacher, was found to be hepatitis B carriers in the following night to write every day in Ao manuscript, and even holidays do not break. I remember once Chinese New Year, Chinese New Year interview experts in how to live, asked him, he said: “In writing a book, written late at night every day.” The case of liver injury, “carriers” finally in the five or six years ago, developed into “Liver hardening. ”

Cirrhosis of the liver after each examination, Chu teachers have normal liver function. This is his weakness, that his liver is protected very well. Therefore, the reservoir has repeatedly took up a number of teachers in the field radio counseling program, programming time for the whole two to three points in the night bell. Chu teachers do not know, if the liver cells are damaged severely, but as long as 10% -20% of liver cells in normal liver function will remain normal. He continued to stay up late, finally got the number of liver lesions than the warning line, in July last year, an outbreak of “liver with ascites.”

Liver ascites, indicating the capacity of the liver protein synthesis Buxing Le, a lack of blood protein, less than osmotic pressure, blood in the water infiltrated into the abdominal cavity.

Chu teachers serving traditional Chinese medicine under control liver ascites. Do not know whether he knew it was only control, modern medicine for liver cirrhosis is still powerless; do not know whether he is aware of liver disease must be “seven parts to support two-thirds rule,” In short, he went so far as soon heed the call of dedication and sense of responsibility , but also enthusiastically embarked on a cause of public relations for the province, bustling away.

Fatigue finally the collapse of his liver could no longer bundle not live blood, and early morning of July 25, the blood spray from his mouth and nose, so he took on the cause of infinite nostalgia, passed away.

Chu Zhao Rui teachers “Health is one, the remainder being zero” health awareness, why do I still make the development of liver disease all the way to such a hopeless state? This is not shows that other aspects of the vast knowledge and then, we should also learn something of medical knowledge? in particular, his own illness in medical knowledge?

◆ Liver drugs in the treatment of fatty liver disease, is merely a supplementary measure

◆ as long as a reasonable diet, less alcohol, more exercise, rational drug use, they can stay away from fatty liver

Fatty liver, liver cells refers to accumulation of excess fat. Degree of harm caused by their accumulation, divided into three types: simple fatty liver, fatty hepatitis, fatty. From the incidence of sub-factors, fatty liver is divided into alcoholic and nonalcoholic two kinds, the former is due to excessive intake of alcohol-attributable; the latter is mainly related to obesity, and dyslipidemia and other relevant.

Non-alcoholic fatty liver disease is also a lot of harm

We often see in various media, many of the alcoholic fatty liver articles, but rarely talk about non-alcoholic fatty liver. In fact, non-alcoholic fatty liver incidence rate is not low, and the incidence rate showed an upward trend year by year, the patient is becoming a younger age. According to a statistics show that Shanghai in school the incidence of fatty liver in obese children as high as 46.7%. Ago, everyone of their importance, it would be classified as sub-healthy state, in fact, it has a lot of harm:

● At least 20% of non-alcoholic fatty liver is not simple, and has developed into steatohepatitis, cryptogenic cirrhosis, and this is an important precancerous lesion, is also one of the causes of liver failure.

● Even the simple, and its liver as compared with normal liver, but also a number of fragile, more vulnerable to drugs, industrial toxins, alcohol, ischemia, and viral infections such as injury, leading to other types of liver disease occur. Non-alcoholic fatty liver disease has become a developed country (or region) the primary cause of chronic liver disease. In addition, if the fatty liver as the liver for liver transplantation, liver transplantation is also easy to place non-functional.

● For the overweight and obese persons, fatty liver occurs, it may prompt “a vicious obesity.” Such people are very easy to concurrent dyslipidemia and disorders, diabetes, so, the probability has increased significantly. “Non-alcoholic fatty liver disease” as a disease, should arouse enough attention. Even if no symptoms, and not associated with elevated transaminase (often as simple) and fatty liver, should be a timely prevention and treatment. Appropriate prevention and treatment in the “pure” when

Sow the seeds were either farming or Zaiyang, we must choose a season. Treatment of fatty liver is also the case, when the sights were. To seize the fatty liver “simple” the prevention and control, this will greatly assist.