What is cirrhosis of the liver?
It is a chronic liver disease. In this, fibrous tissue starts forming in excess inside the liver and starts taking the place of liver cells. Due to which, the liver becomes larger than normal at first, but shrinks and becomes smaller as the disease progresses. On its surface, a small lump is formed, which appears when the liver is touched.
In this disease, there is an increase of fibrous metal due to chronic abnormality within the liver. In the beginning. The disease progresses very slowly.
What is the cause of liver cirrhosis?
There is a definite relationship between long-term and high-dose drinking and cirrhosis, with high consumption of alcohol but relatively little intake of nutritious food and exercise.
The actual cause of this disease is not yet known.
It seems to be related to syphilis, malarial fever and the prefix of bacteria.
Dietary reasons.
Chronic active hepatitis.
Immunological reasons.
Metabolic disturbances.
Hepatic congestion.
Radiopathic or cryptogenic causes.
What are the symptoms of cirrhosis of the liver?
The symptoms of this disease do not appear for a long time. This is called Compensated Cirrhosis. When there is an increase in its symptoms, then they are symptoms of the following form.
The presence of anorexia, nausea, vomiting, convulsions is found.
Gradually, swelling occurs in the abdomen and legs.
Gradually physical weakness, physical capacity and body weight decrease.
There is blood in hematemesis and stools.
Presence of bloody piles.
Menstrual interruption in women.
Presence of constipation or diarrhea.
There are no symptoms in the beginning. But after some time there is no appetite. Apart from this, nausea, dizziness, pyrexia, constipation, sometimes there is blood in the vomit and sometimes the patient himself seems to have an enlarged liver in the form of a large lump.
Its various symptoms progress in the following way, sequentially.
It is more common in men than women at the age of 40 to 50 years.
It starts slowly, unknown for years. Initially the patient does not feel any pain.
Initially, the patient has symptoms of loss of appetite and anorexia.
Due to lack of appetite for several days, due to lack of nutrition in the body, the patient's body looks grumpy and pandumay (yellowing).
Krishta and shakti are the initial symptoms of the disease, the physical strength of the patient becomes weak.
After this the patient's stomach becomes heavy. There is column and chaos in his stomach, the stomach becomes heavy after taking even a little food.
Due to the presence of inflammation in the small intestine, the stool becomes thin, that is, there is a symptom of diarrhea or there is a complaint of obstruction.
Many times the symptom of pain is also found in the right side of the abdomen.
Due to less body weight, the body looks dry and the skin looks dry.
Above the liver, a network of many dilated veins in the skin of the body or a network of swollen subtle arteries is visible on the exposed skin.
A glimpse of peduncle can be found on the skin and nails.
The liver and spleen are enlarged, but the spleen is less than the liver. Even if the liver is not enlarged, its edge still comes in touch. Of course, something seems harsh.
The veins above and above the navel appear to be dilated. Sometimes a vein is also formed around the navel.
The veins of the lower part of the esophagus become thick and swollen. From time to time, when it bursts, there is a symptom of bleeding in this disease, which is terrible. Although not fatal. Blood emesis is usually found in 10% of the patients.
Due to the swelling of the existing inferior hemorrhoids in the wall of the anus, sometimes this disease causes bleeding from the anus. Therefore, if there is special bleeding from the anus, then the disease should be suspected.
Even if this disease persists for many years, there are no serious symptoms like dropsy and kala. But if this disease keeps on progressing, then this disease becomes painful or incurable when there are symptoms of ascites or when the chest becomes full of water and swelling occurs in the legs. Bleeding and eructation are also indicators of malignancy.
Along with ascites, there is also a symptom of gito, mild swelling on the legs and thighs. The water of ascites is not permanent, it dissolves and keeps on forming new.
When the cells of the liver are destroyed, due to the lack of digestion of fat, the body is unable to get fat, due to which the body becomes grumpy.
Due to the weakness of the heart and its lack of nourishment, the pulse becomes fast and low weight.
With the progression of the disease, in 40% of the patients, mild fever usually starts around 35.5 degree to 38.5 degree centigrade in the evening.
The amount of urine is less dark in color and contains some albumin. It contains high amount of urobilin.
Mild vertigo symptoms are also found in 50% of the patients.
Due to the disease of the liver cells, there is a tendency to bleed or bleed. Blood usually comes from the nose. There may also be bleeding from the gums.
The color of the body becomes some black color.
When the liver becomes more diseased then it stops its function. In such a situation, by toxemia, symptoms of sleepiness, tremors, unconsciousness etc.
In the beginning, due to fibrosis, the liver becomes somewhat enlarged in size but when its symptoms start disappearing then it becomes narrow.
In the beginning, the kala is light, but gradually it becomes darker. After that, vomiting also starts. Along with this there are symptoms of drowsiness, failure of the brain, restlessness, muscle tremors, delirium, convulsions, intensification of tendon reflexes.
Common treatment for cirrhosis of liver
Diet therapy There has been some evidence that this disease occurs especially due to some deficiency in food, so the main basis of therapy is to give such a diet to the patient, so that he can get the amount of protein. Whose nutritional value is not less than 3000 calories, as well as essential vitamins should be in full quantity and in digestible form.
Cirrhosis patients should get 100 grams of protein per day. In protein foods, it is best to give cow's milk, skim milk or lassi or creamed milk or caselan or lactodex milk protein with 20 to 40 grams of water. Due to the absence of salt in Kesilan, it is especially beneficial in the condition of ascites and swelling.
In addition to normal food, the patient should be given 1 liter of milk to drink daily. Due to this, the patient gets about 30 grams of protein. If 50 grams of Kesilan powder is mixed in 1 liter of milk and given to the patient, then he gets 80 grams of protein. In place of Kesilan, the patient can also take 2-3 rasgulla made from chenna. The remaining 20 grams of protein will be obtained by the patient from his normal diet.
In non-vegetarian people, the above protein is obtained from meat, fish.
It is best to give about 4 ounces of glucose and 6-8 ounces of any fruit juice and 10-15 units of insulin daily to the patient. Apart from this, soft vegetables, fruits and well-baked roti can also be given in small quantities. Up to 25 grams of butter can be given to the patient.
If the disease is more aggravated and the liver has become more impaired, then the amount of protein in the food should be reduced.
Rest- As long as there is bleeding, edema, ascites or its disturbance, the patient should be put on the bed.
But rest should be taken for a month or two.
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