Monday, March 28, 2016

hepatic sclerosis Cirrhosis of the liver

Cirrhosis of the liver (hepatic sclerosis) is a common clinical chronic progressive liver disease, liver injury caused by diffuse from one or more causes of long-term or repeated role in the formation. There are a wide range of liver cell necrosis on pathology, the residual hepatocellular nodular regenerative hyperplasia of connective tissue and the formation of fibrous septa, lobular structural damage and lead to formation of false lobules, liver gradually deform, harden and develop cirrhosis. Clinically, liver dysfunction and portal hypertension as the main performance, and a number of systems involved, often appear late upper gastrointestinal hemorrhage, hepatic encephalopathy, secondary infections and other complications.
Cirrhosis is often due to complications and death, upper gastrointestinal bleeding was the most common complication of cirrhosis of the liver, cirrhosis and hepatic encephalopathy is the most common cause of death. Therefore, treatment and prevention of cirrhosis of the liver is the principle: reasonable diet, nutritional balance, improve liver function, hepatic fibrosis, and actively prevent complications. First, conventional Western medicine treatment 1, the general treatment: 1 rest: those with decompensated liver function, should be appropriately reduced activity, decompensated patients should be dominated by bed rest; 2 Catering: generally high-calorie, high-protein, vitamin-rich and delicious food is appropriate. 3 supportive therapy. 2, drug treatment: Currently, no cure, not drug abuse, otherwise, will increase the burden of the liver and counterproductive. 1 add a variety of vitamins. 2 drugs protect liver cells: the Soviet Union, such as wood pellets, Glucurolactone, Victoria hepatitis C, liver Ning, silymarin silymarin tablets, inosine, 10% glucose solution by adding vitamin CB6 potassium chloride, a soluble insulin. 3, anti-viral treatment: If liver cirrhosis due to viral hepatitis, according to the situation to decide whether antiviral therapy. Liver cirrhosis antiviral therapy consists of two parts: 1 decompensated cirrhosis: treatment goal is to delay and reduce hepatic decompensation and HCC occurs. Because of the need of longer-term treatment, the best selection of nucleotide analogues in treating low incidence of resistance. 2 decompensated liver cirrhosis: long-term treatment because of the need, the best selection of nucleotide analogues in treating low incidence of resistance and can not be discontinued in the event of resistance mutations, should be added to other already approved energy treatment resistance mutations of nucleotide analogs. 3 If it is hepatitis C leads to cirrhosis of the liver, is generally used pegylated interferon and ribavirin therapy. 4, liver transplantation: Whereas most patients with advanced liver disease no satisfactory treatment, is expected to be more and more in the future a variety of liver transplantation in patients with chronic liver disease. 5, treatment of complications of upper gastrointestinal bleeding 1: centered most common complication of the disease. Fasting, blood transfusion, vitamin K, application of vasopressin. When bleeding can not be controlled with a three-cavity tube hemostasis and norepinephrine with chilled saline local hemostasis. If necessary, splenectomy and portosystemic anastomosis. 2 ascites: limit sodium and water intake, appropriate potassium, diuretics available hydrochlorothiazide, spironolactone or furosemide; transfusion of whole blood, plasma or albumin, sodium-free, if necessary; as little as possible paracentesis; diuretics hanged hepatic coma. 3 hepatorenal syndrome: liver cirrhosis caused by reduction in renal perfusion, patients with renal failure. Second, the Chinese dialectical treatment of traditional Chinese medicine books, there is no cirrhosis disease name, only with cirrhosis of the liver disease with similar symptoms. Cirrhosis of modern medicine, or cirrhosis, is a Chinese "single bloating", "ascites" category. Cirrhosis mainly for large abdominal distension, jaundice and plot, according to the Chinese medicine waiting pathogenesis and clinical evidence, as dialectical basis, there is a common cause of food and wine is not, emotional trauma, infection cult poison like. In the treatment of cirrhosis of the liver, cirrhosis of the liver is the first to distinguish the vacuity of the disease. This is divided into virtual qi deficiency, blood deficiency, yin, yang, but clinically, Qi to spleen-deficiency is most common. Thus, spleen qi law should be consistent treatment of cirrhosis of the liver. Third, a commonly used Chinese medicine cirrhosis, liver and xiaozheng sheet main components: adult live cockroach extract. Function and Pharmacology: Po Yu plot, detoxification swelling, and pain. Pharmacological studies showed that the drug can enhance the body's defenses reticuloendothelial cells, in order to achieve the increase in immunity and cancer cells can significantly inhibit the growth and development of body fluids without affecting normal cells. Pain can be used for liver cirrhosis, hepatomegaly, loss of appetite and other symptoms. 2, hepatitis B Fuzheng capsule main components: Polygonum, Angelica, Polygonum cuspidatum, ginseng, Salvia, Guanzhong and the like. Function and Pharmacology: spermatogenic blood, liver and kidney tonic. This product has liver and enhance immune function. Can reduce the fat in the liver Gan three livestock product, promoting the ability of the liver excrete sodium bromine reef peptides, reduce carbon tetrachloride and ethionine and other poison damage to the liver, to strengthen the ability of the liver metabolism of drugs. 3, to Capsule Ingredients: cultivated Cordyceps mycelium. Function and Pharmacology: liver tonic. The product of cirrhosis in children a better role of adjuvant therapy.

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