Liver Cirrhosis| jigar ka sukdna| скачать в хорошем качестве

Liver Cirrhosis| jigar ka sukdna|

I. What is Liver Cirrhosis? Liver cirrhosis is a condition where the liver has shrunken due to significant damage. It is also referred to as Chronic Liver Disease. The source emphasizes its complexity and prevalence, noting that it often affects individuals in their youth, impacting their ability to live full lives. II. Causes of Liver Cirrhosis: The primary causes of liver cirrhosis are: Viral Infections: Hepatitis B and C viruses are responsible for approximately 80% of cases worldwide. Alcohol Consumption: Excessive alcohol intake is a significant global cause. Fatty Liver Disease (FLD): Currently, FLD is becoming the most common cause globally. Over time, FLD can progress from simple fatty liver to fatty inflammation and eventually to cirrhosis over several years. III. Symptoms and Diagnosis: Cirrhosis often presents with a range of complications. Diagnosis is typically made when these complications arise, indicating the liver has already shrunken. Key symptoms include: Ascites (Fluid in the Abdomen): Patients often report a swollen abdomen, clothes feeling tight, and a persistently bloated stomach. This is confirmed by examination and ultrasound. Vomiting Blood: This is another serious symptom, though the source notes it can have other causes. Drowsiness/Unconsciousness: While having multiple causes, it can be a sign of liver failure. Jaundice (Pilia): Yellowing of the skin and eyes. Spider Nevi: Red spider-like marks on the body. The source highlights that these symptoms often lead people to seek medical attention, at which point the disease has already progressed to the cirrhotic stage. IV. Prevention and Screening: Preventing cirrhosis before it develops is crucial. The source advises screening for individuals who: Have a family history of hepatitis. Have a history of alcohol consumption. Are obese. Suffer from diabetes or high blood pressure. Routine basic tests (screening) are recommended, especially for individuals around 30 years old, even in the absence of symptoms, to detect any liver abnormalities early. V. Management and Common Misconceptions: The source strongly emphasizes that "every patient is different. The severity of their disease is different. The cause is different. Their treatment and precautions are also different for everyone." Therefore, generalized advice should be avoided. Common Misconceptions (Myths) and Clarifications: Dietary Restrictions: There are many misconceptions regarding strict dietary restrictions (e.g., banning chicken, meat, eggs, salt, water). Salt: Strict salt restriction (maximum 2 grams per day) is generally agreed upon if there is fluid in the abdomen and cirrhosis. Water: Even patients with fluid in the abdomen can consume moderate amounts of water; strict restrictions are often unnecessary. Meat: Meat restriction is only necessary if the patient has experienced hepatic encephalopathy (drowsiness/unconsciousness due to liver failure). Even then, a small amount of protein (1-2 grams per kg body weight, roughly 20 grams total protein for a day) may be allowed for about a week. The general advice is to consume a small portion, not to overindulge. General Diet: If a patient only has a hepatitis virus and no inflammation, no special dietary changes are needed. Constipation: Preventing constipation is crucial for cirrhotic patients. Patients should ensure 2-3 bowel movements per day, using medication if necessary. Unproven Remedies: The source strongly warns against relying on "phaki, hakeem, dum darood, and tying amulets," advocating for scientifically established and medically proven treatments. "God's word certainly has blessings, believe in it and hope for good from Allah, but it is also your duty to act upon what is researched and proven." Individualized Treatment: A competent doctor tailors treatment plans based on: The nature and stage of the disease. Severity of the illness. Patient's lifestyle, profession, and education level. Availability of caretakers and financial resources. VI. Liver Transplant: The Ultimate Solution The most important message conveyed is that if liver cirrhosis is diagnosed, liver transplantation is the "best treatment" and "the only solution" for decompensated cirrhotic patients (those in the last stage of liver failure). Other treatments primarily aim to manage complications, reduce symptom severity, improve quality of life, and extend life. Patients should discuss and prepare for the possibility of a liver transplant, especially before the disease progresses to liver cancer. While a significant decision requiring resources, the source strongly recommends considering and pursuing a liver transplant if feasible. However, in cases of extreme complexity, old age, or multiple severe co-morbidities where risks are high, consultation with a doctor is crucial for personalized decision-making.