Як лікувати цироз печінки

Як лікувати цироз печінки

Як лікувати цироз печінки

Цироз печінки виражається в заміщенні нормальних клітин сполучною тканиною. Відбувається це внаслідок ускладнень деяких патологій печінки (холестаз, гепатит тощо). Основні симптоми цирозу печінки – це зменшення маси тіла, загальна слабкість, свербіж шкіри, жовтяниця, збільшення в обсязі живота та ін. Як лікувати цироз печінки? Повернути нормальні клітини, на жаль, неможливо. Лікування цирозу направлено на підтримку функцій печінки та усунення ознак захворювання. Радикальний метод – це пересадка печінки.

Основні принципи і напрями лікування наступні:

    1.Устранение причин, через які розвинулася хвороба.

Причини різноманітні, тому й напрямки лікування різні. Це може бути відмова від алкоголю (при алкогольному цирозі), лікування вірусного гепатиту, скасування деяких лікарських препаратів (при токсичному цирозі).

    2.Установленіе щадного режиму.

Так як при цирозі пацієнти швидко втомлюються, слід обмежити фізичне навантаження. При прогресуванні захворювання показаний постільний режим: горизонтальне положення сприяє посиленню кровопостачання печінки та активізації регенераторних процесів.

    3.Предпісаніе суворої дієти.

З раціону прибирають копченості, соління, смажене, алкоголь. Обмежують кількість білкових продуктів.

    4.Медікаментозная терапія.

Призначають такі групи препаратів:

    активізують метаболізм клітин печінки; стабілізуючі гепатоцітние мембрани; кровозамінники, препарати компонентів крові, розчини електролітів (призначаються при печінковій недостатності, геморагічному синдромі, асциті, порушенні електролітного балансу); глюкокортікоїдниє гормональні препарати (призначаються на компенсованій стадії біліарного та вірусного цирозу; при важкому перебігу захворювання інших видів).
    5. Проти інтоксикаційна терапія.

Застосовуються ферментні препарати і адсорбенти для усунення запорів і диспепсичних розладів.

    6. Пересадка печінки.

Чи виліковний цироз печінки? Ні. Навіть пересадка не дає гарантії повного відновлення всіх функцій. Але дотримання всіх приписів лікаря дозволяє зупинити дегенеративний процес.

Види цирозу печінки

Щоб визначитися, як лікувати цироз печінки, необхідно з’ясувати його причини і, відповідно, вид цирозу. Існує кілька класифікацій патології:

    1.В залежності від походження:

      алкогольний цироз (як правило, розвивається у людей, страждаючих алкоголізмом; лікування алкогольного цирозу починається з повної відмови від спиртного; тільки на цих умовах може настати помітне поліпшення); аутоімунний цироз (розвивається через збій в роботі імунної системи, яка вбиває власні клітини печінки, приймаючи їх за чужорідні); токсичний цироз печінки (розвивається в результаті отруєння організму токсичними речовинами і лікарськими препаратами); цироз, спровокований вірусним гепатитом; цироз, спровокований порушенням обміну речовин і захворюваннями жовчних шляхів (у тому числі вродженими); кардіальний цироз печінки (інша назва – застійний; розвивається в результаті недостатнього кровообігу при захворюваннях серця); криптогенний цироз (незрозумілої етіології).

    2. За морфологічними факторам і клінічними ознаками:

      дрібновузловий цироз печінки (найбільш часта форма патології; її інша назва – портальний цироз печінки; головний фактор розвитку – здавлення гілок портальної вени сполучною тканиною); великовузлового цироз (вузли регенерації – більше трьох міліметрів у діаметрі); змішана форма цирозу.

    3. За клінічними даними:

      активний; неактивний.

    4. Щодо збереження функцій печінки:

      компенсований; декомпенсований.

Це далеко не повний перелік класифікацій. Множинність видів пов’язана з бажанням фахівців об’єднати різні клінічні та прогностичні фактори. Поєднати ці класифікації неможливо, так як одна і та ж хвороба може спровокувати різні зміни; а один і той же варіант цирозу можливий при різних захворюваннях.

Діагностика цирозу печінки

Як виявляється цироз печінки? Клінічна картина захворювання досить різноманітна. Крім того, на початкових стадіях симптомів може і не бути. Тому для постановки точного діагнозу проводяться наступні дослідження:

    біохімічний аналіз крові (на цироз вказує підвищений рівень білірубіну і печінкових ферментів); біопсія (дозволяє діагностувати хворобу при виявленні вогнищ розростання на невеликій ділянці печінки сполучної тканини).

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