Alcoholic cirrhosis – what is this, treatment of disease. Symptoms and prevention of the disease Alcoholic Cirrhosis
Alcoholic cirrhosis – What is this disease? Alcoholic cirrhosis-liver disease, developing due to prolonged toxic effects of alcohol on the body. Toxic effect of alcohol does not depend on the type of alcoholic beverage, and is determined by the number of pure ethyl alcohol in them.
When this happens the death disease liver tissue with its subsequent replacement of rough fibrous tissue. The connective tissue are formed specific nodes, that violates the normal structure of the liver. Thus, the liver ceases to fulfil their functions.
Alcoholic cirrhosis: the cause of the
The main cause of alcoholic cirrhosis is the prolonged use of alcoholic beverages. The speed of development of the disease depends on the frequency and alcohol intake.
Adverse risk factors for alcoholic cirrhosis are:
- daily drinking;
- genetic predisposition;
- long-term systematic use of alcohol;
- malnutrition.
Alcoholic cirrhosis: symptoms
Usually, alcoholic cirrhosis develops very slowly, almost imperceptible to the patient. Since the advent of fibrosis runs about five years before the appearance of the first symptoms of the disease.
Among the large number of alcoholic cirrhosis symptoms include:
- asthenic syndrome (increased fatigue, decreased performance, weakness, dejection, drowsiness);
- attrition, the rapid decrease in body mass index;
- hypotension;
- Small signs of liver syndrome (Telangiectasia, эritema, total feminization appearance, hypertrophy of salivary glands, tendency to bruise, icteric color skin, lejkonihii, symptom "drumsticks" and "watch glasses" and other symptoms);
- digestive disorders (poor appetite, abdominal distention, nausea, vomiting);
- Portal hypertension syndrome (splenomegaly, ascites, esophageal varices, expansion of the upper prjamokishechnyh of veins);
- polyneuropathy;
- muscular atrophy;
- tachycardia;
- other symptoms.
When you stop receiving alcohol the patient's condition improves.
Alcoholic cirrhosis: diagnostics
In the first stage of the analysis of the complaints of the patient and the medical history of the disease and the patient's life history.
When a physical examination is determined by the zheltushnost' skin, increasing the size of the abdomen, the presence of vascular asterisks on the body. By palpation indicated pain of some parts of the abdomen. Using percussion clinician evaluates the size of liver and spleen.
Laboratory research methods:
- general blood analysis;
- biochemical blood analysis;
- determination of serum markers of fibrosis;
- coagulogram;
- definition of markers of viral hepatitis;
- general urine analysis;
- coprogram.
Instrumental research methods:
- ultrasound examination of abdominal cavity organs;
- esophagogastroduodenoscopy;
- puncture biopsy of liver;
- spiral computed tomography;
- Magnetic resonance imaging;
- elastography;
- retrograde c cholangiogram;
- other research methods.
Alcoholic cirrhosis: types of disease
Alcoholic cirrhosis happens:
- compensated;
- subkompensirovannym;
- decompensated.
Alcoholic cirrhosis: patient actions
In case of pathological changes in the liver, you must consult a physician-gastroenterologist.
Alcoholic cirrhosis: treatment
Foundation treatment for alcoholic cirrhosis of the liver is a complete abandonment of the consumption of alcoholic beverages.
When the alcoholic liver cirrhosis patient prescribed diet # 5, providing for a fractional power (5-6 once a day), limit consumption of salt, increased intake of protein foods, as well as foods with a high content of vitamins and minerals.
Conservative treatment of alcoholic cirrhosis involves accepting the following groups of medications:
- hepatoprotection;
- adenomethionine preparations;
- preparations of Ursodeoxycholic acid;
- vitamins and, IN, FROM, E;
- angiotensin-converting enzyme;
- glucocorticoids;
- tissue protease inhibitors.
With alcoholic cirrhosis of the liver is also home to the symptomatic treatment of related syndromes, raised when this disease.
Alcoholic cirrhosis: complications
With alcoholic cirrhosis of the liver may develop the following complications:
- ascites;
- peritonitis;
- varicose veins of the esophagus and intestines;
- confusion;
- hepatorenal syndrome;
- hepatic-pulmonary syndrome;
- pechenochnaya kolopatiya;
- infertility.
Alcoholic cirrhosis: prevention
- refusal to take alcoholic beverages;
- timely treatment of alcoholic hepatitis;
- adherence to the principles of rational healthy nutrition.