Many people know little about liver cirrhosis. It is a complex disease of the liver. Once this disease occurs, it becomes impossible to cure. The only permanent solution is a liver transplant or a liver transplant. Liver transplantation is an expensive treatment. Not only sound education but his alertness and dedication too are most required.
So prevention of liver cirrhosis is better than treatment. Because, in many cases, it is possible to prevent the disease.
What is the function of the liver
The location of the liver on the right side of the upper part of the human abdomen, which performs metabolism in the human body.
Excess glucose in the diet is stored in the liver as glycogen, which can provide energy when needed later. The liver is the main supplier of essential albumin and other proteins to the body. Several components that keep blood flowing are made in the liver. The liver also plays an important role in expelling many contaminants from our body, wastes, and metabolic wastes of medicines. Therefore, in case of cirrhosis of the liver, all the functions of the liver are disrupted.Liver cirrhosis can present with a variety of symptoms. Fatigue and weakness, loss of appetite, weight loss are very early symptoms. May cause jaundice. Sometimes jaundice is so mild that routine tests can detect sudden liver function tests updatelike.
Why is cirrhosis of the liver
Under normal conditions, the liver tissue is soft and smooth. When cirrhosis occurs, the tissues of the liver become hard and granular. With the structural changes of the liver, its function gradually loses its function and at times becomes dysfunctional.
Liver cirrhosis can occur for a variety of reasons. Excessive alcohol consumption is the leading cause of liver cirrhosis in the developed world. In underdeveloped and developing countries, long-term transmission of hepatitis B, hepatitis C and hepatitis D viruses usually causes liver cirrhosis. Hepatitis B virus is the leading cause of liver cirrhosis in Bangladesh.
Nash (non-alcoholic steatohepatitis) is one of the most important causes of liver cirrhosis worldwide. There are many patients with fatty liver in our country. Other rare causes of liver cirrhosis include Wilson’s disease, hemochromatosis, and alpha-one antripsin deficiency.
Hepatitis B and C are blood-borne diseases. These are usually spread through unsafe blood transfusions. Therefore, if blood transfusion is required, it must be checked whether the blood donor has hepatitis B and C virus in his blood. Blood cannot be taken from professional blood donors. Even using the same needle-syringe can spread these two viruses. Even using salon scissors, razors, etc. without disinfection can spread these viruses. Unprotected sex also causes hepatitis B and C virus infections.
Symptoms
- Liver cirrhosis can present with a variety of symptoms. Fatigue and weakness, loss of appetite, weight loss are very early symptoms. May cause jaundice. Sometimes jaundice is so mild that it can be detected by a routine liver test.
- If the situation is complicated, water accumulates in the abdomen and swells, water may also come in the legs. Patients with cirrhosis develop encephalopathy in the brain due to the accumulation of metabolic wastes in their blood, which can result in the patient becoming unconscious. Many may have vomiting and black blood in the stool.
- It is not uncommon for liver cancer to develop gradually from cirrhosis of the liver. In that case there is a hard wheel in the stomach and water accumulates.
What is the treatment?
The treatment of liver cirrhosis is quite complex. The treatment is also frustrating. This is because, in most cases, only symptomatic treatment (such as removal of abdominal water, prevention of hemorrhage, etc.) is done. This is because the specific treatment is liver health transplant, which is very expensive. Apart from that, it is very difficult to find a liver donor in our country.
If more water accumulates in the stomach, it has to be expelled from time to time through a needle. If there are varicose veins (swollen blood vessels, from which there is a risk of bleeding) after endoscopy, bleeding from them is stopped in certain ways. Patients with cirrhosis need a special diet. Constipation causes encephalopathy, so try to keep the stool soft at all times. The blood pressure in the blood vessels inside the abdomen is high. This is called portal hypertension. Medications are given to reduce this blood pressure. However, most medications such as sleeping pills, painkillers, etc. are harmful for cirrhosis patients.
Resistance is better
Liver cirrhosis can be largely prevented. It is only possible to prevent the causes of liver cirrhosis.
- There are currently effective vaccines to prevent the hepatitis B virus. Everyone, big or small, has to take it. In the expanded immunization program in the country, children are vaccinated free of cost. Adults who have not taken it can buy the vaccine.
- It is very important to ensure safe blood circulation. If you need to take blood, you must take a blood test from a safe blood donor. Blood trafficking is completely illegal and dangerous.
- Disposable syringes, razors etc. should be used. Intravenous drug addicts have the highest risk of developing cirrhosis. Because, they often use a few of the same syringes. So avoid drugs and alcohol.
- Unprotected sexual intercourse should be avoided.
- Anyone infected with the hepatitis B or C virus should seek immediate medical attention and treatment from a gastroenterologist. There are currently effective treatments for these infections. This is because cirrhosis is caused by a long-term infection.
- Weight and blood sugar and fat should be controlled so that fattyliver does not occur. Not all fatty liver can lead to cirrhosis, but fatty liver can be controlled by lifestyle changes.
