To surrender cirrhosis of the liver must first soft-off
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.
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.