Alcoholic hepatitis and cirrhosis


Alcoholic hepatitis and cirrhosisPractitioners and hepatologygastroenterologists known for a variety of diseases of the liver, alcoholic hepatitis, as a forerunner or the initial stage of liver cirrhosis, symptoms that indicate this condition, one of them. In 90% of cases of alcoholic hepatitis intake and alcohol abuse contribute to the formation of acetaldehyde, damaging liver cells, besides alcohol and its toxic metabolites provoke their death.

Alcoholic hepatitis - a chronic,a disease that is not immediately, and after 5-7 years after the onset of alcohol use, diffuse inflammation in the liver tissue. The severity of the condition linked to the dose consumed alcoholic beverage, its quality and the duration of the reception. Alcoholic hepatitis develops in two forms:

  • persistent form - stable state when there remains the ability and opportunity to the reversibility of the inflammatory process in the case of stopping the deadly potion;
  • progressive form, the three degrees of severity -mild, moderate, severe, it is microfocal liver disease, in which the outcome of the state in 20% of cases become cirrhosis, symptoms which indicate the doctor on the need for immediate treatment for alcoholism, as the only way to save the patient's life - hence the answer to the question whether cirrhosis is treated liver ?.

The forms of alcoholic hepatitis

Mild forms of hepatitis, includingalcohol, can be detected by laboratory examination, but due to the lack of specific manifestations, this almost never happens, because the patient a little alarming occasional pain in the right upper quadrant, slight nausea and a feeling of fullness. With moderate alcohol consumption, chronic-progressive hepatitis can remain undetected until 10-15 years, while it is not particularly concerned about the patient. Progressive form of alcoholic hepatitis is usually accompanied by vomiting and diarrhea, jaundice appears, bleeding, fever, severe pain in the right upper quadrant, ascites in liver cirrhosis with the possibility of death from liver failure.

Acute alcoholic hepatitis can occur 4 variants of the clinical course:

  • latent - without an independent clinical picture, only confirmed by liver biopsy;
  • jaundiced - the most common variant, expressed weakness, dull pain in the right upper quadrant, nausea, fever, increased liver and seal;
  • cholestatic variant accompanied by intolerable itching, discoloration of feces, dark urine, prolonged course;
  • fulminant with rapid progression of symptoms, hepatic coma and possible death.

Is cirrhosis treated?
The appearance of complications in the latter stages, contributes to ascites in liver cirrhosis - accumulation of fluid in the abdominal cavity, which can develop rapidly or slowly and slowly.

By the number of fluid are the following types of ascites in liver cirrhosis:

  • Small when the liquid volume is not more than 3 liters, no symptoms of cirrhosis and define it is possible only with the help of ultrasound or laparoscopy.
  • Middle at cluster 5 to 8 liters of fluid that may change the shape of the abdomen, but also causes difficulties of the diaphragm movement.
  • Large - 20-30 liters of fluid in the abdominal cavity, stomach prevents movements, but most importantly - there is respiratory failure.

Is cirrhosis treated?

The answer to such a question to be found in the patient's condition, depending on how one or the other appears volume of fluid in the abdominal cavity, i.e. the degree of ascites:

  • transient - has the ability to heal and disappear after treatment;
  • stationary when liquid remains in the stomach despite treatment;
  • stressful - is characterized by a constant increase in fluid in the abdominal cavity, despite treatment.

Ascites in its development may take up to 10years, which leads to the formation of hepatorenal syndrome. All these complications leave open the question: "Is cirrhosis treated?", Often progressive course of the disease, its complexity, deceit and danger can become a cause of death.

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