Lao Chen suffering from chronic hepatitis for some years, and recently always felt some abdominal discomfort, abdominal distension, abdomina
Lao Chen suffering from chronic hepatitis for some years, and recently always felt some abdominal discomfort, abdominal distension, abdominal pain, a faint attack, accompanied by appetite is not good, not a few people on thin.
Old Chen accompanied the family to the hospital, the doctor suspected of chronic hepatitis chronic liver cirrhosis. The doctor suggested that Lao Chen for gastroscopy, but the old man thought, that gastroscope is not used to check gastrointestinal disease, how can be used to diagnose cirrhosis? Because of cirrhosis of the liver, esophagus and fundus of the stomach into the liver vein back to slow down, the result will swell the varicose veins, when the venous pressure to a certain extent will cause bleeding. Upper gastrointestinal bleeding is the most common complication of liver cirrhosis, is most likely to cause sudden death is the culprit, the main cause of death in liver cirrhosis.
In fact, whatever the cause of cirrhosis, the pathological changes are the same. Cirrhosis of the liver and the formation of portal hypertension, portal hypertension from the development of esophageal varices is one of the most common complications (40%-90%). The varix of esophageal and gastric varices easily due to various causes (eating, overwork, forced defecation and even weight-bearing) rupture, resulting in massive hemorrhage of upper digestive tract, endanger life, this is the main reason for patients with cirrhosis hematemesis.
In addition, as long as the esophageal varices at the bottom of the stomach, there must be portal hypertension and cirrhosis, the doctor will be diagnosed by endoscopy suspected liver cirrhosis patients. So it is of great significance for the diagnosis and treatment of liver cirrhosis and chronic liver disease. At the same time, gastroscope is also the most simple, effective, safe and economical method for the treatment of upper gastrointestinal bleeding in patients with liver cirrhosis.
For gastroscopy, predict bleeding may
It is understood that esophageal variceal bleeding often ferocious, bleeding mortality is high and the risk of survival in patients with recurrent bleeding within 2 years of higher. Therefore, it is very important to control the esophageal and gastric varices and prevent and control the bleeding.
So, patients should be how to prevent it?
Patients with cirrhosis of the liver to do gastroscope, endoscopy to assess the risk of esophageal and gastric varices and bleeding, and then decide whether further treatment. If the esophageal varices or have obvious bleeding, the doctor will implement in painless endoscopic minimally invasive treatment (including ligation and sclerotherapy, or tissue glue injection of vein) to achieve, gastric and esophageal varices disappeared.
Some of the minimally invasive endoscopic treatment were followed up patients at 3-5 years after surgery, re bleeding probability is very low, so, not only the quality of life of patients with increased incident death due to acute hemorrhage is greatly reduced. Of course, patients need regular follow-up, hepatitis B and hepatitis C patients to antiviral treatment and liver protection treatment, and regular follow-up endoscopy should be at least once a year.
Early cirrhosis can cure you
Many people think that liver cirrhosis is incurable, no leeway, but that is not wholly so.
There is an opportunity to reverse the early stage of cirrhosis, the etiology of cirrhosis is different, the prognosis is not the same. For example, alcoholic liver, fatty liver, and so lead to cirrhosis of the liver, after a strict abstinence, weight loss after the removal of the cause, cirrhosis may be reversed. Therefore, it is necessary to abstain from alcohol, if you do not drink, it is impossible to reverse the trend of cirrhosis.
As for hepatitis B, hepatitis C cirrhosis, although antiviral therapy can not reverse the course of liver cirrhosis, but can effectively delay the development, on the contrary, if you do not control the replication of hepatitis virus, cirrhosis of the course will be faster. The more early intervention, the greater the chance of early cirrhosis reversal or disease progression.
In addition, patients do not critically ill patients or abuse of some drugs called can cure cirrhosis or health care products. Although there are a number of drugs for liver fibrosis, but the effect is not very accurate; western countries have been studying liver cirrhosis for 100 years, but has not studied what the effect of the drug is accurate. Indiscriminate use of drugs will increase the burden on the liver, but it may accelerate the progress of the disease.
In addition, patients with liver cirrhosis should regularly review the liver B ultrasound or CT examination, in order to do early detection and early treatment of cirrhosis of the liver, so that the survival rate of patients with liver cirrhosis has been fundamentally improved.