CureFactor for Cirrhosis

Cirrhosis:
Cirrhosis is irreversible liver disease resulting in hepatic cell destruction,fibrosis and portal hypertension and characterised by shrunken liver,splenomegaly,haematemesis,jaundice and ascites. Cirrhosis affects the liver causes its destruction.

ETIOLOGY:

  • Cause of cirrhosis is unknown.
  • Chronic alcoholism,viral hepatitis,ICC(indian child cirrhosis).
  • Metabolic cause-haemochromatosis,wilson’s disease.
  • Iatrogenic cause-methotrexate,amiodarone.
  • Passive congestion-chronic cardiac failure,budd-chiari syndrome,sickle cell anaemia.
  • Age group above 30 years.
  • Common in males.

CLINICAL FEATURES:

  • Onset of symtoms are insidious and Clinically cirrhosis is characterised by anorexia,nausea,vomiting,diarrhea,weakness,weight loss,gradual swelling of feet or abdomen,bleeding piles,haematemesis,malaena,gynaecomastia,amenorrhea in females,impotence in males.
  • Signs of cirrhosis are hepatic face-prominent malar bone,complexion muddy,sunken eyes,yellow conjuctiva due to jaundice,ascites,oedema in severe stages of cirrhosis.

COMPLICATIONS:

  • Hepatocellular failure-severe haematemesis,malaena,severe jaundice,gross ascites,hepatic encephalopathy,hepatic coma,cardiac failure and renal failure.
  • Hepatocellular carcinoma,secondary infections.

GENERAL MANAGEMENT:

  • Complete bed rest in severe jaundice,patient over 50 years.
  • Eat well balanced,high carbohydrate diet.
  • Avoid eating food rich in proteins.
  • Fluid,salt restriction if ascites or oedema.

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