Recognizing liver disease
It is estimated that in Taiwan there are about 5000 people each year die from liver cancer, while those who die each year from cirrhosis of the liver as many as about 4000. Department of Health's leading cause of death statistics, liver, male cancer death Naishi people first and the second cause of cancer death of women. Therefore, liver disease can be said that in Taiwan the most common local diseases, but also our national disease.
Types of liver disease
Viral liver disease: the virus caused by hepatitis, cirrhosis and liver cancer
Alcoholic liver disease: long-term liver disease caused by alcohol abuse.
Drugs or poison-induced liver disease: drugs, chemicals or other substances toxic to the liver caused by liver disease
Metabolic abnormalities in liver disease: in vivo metabolism of a substance liver disease caused by bad
Fatty liver: liver cell fat content increased, probably because there is alcohol abuse, poorly controlled diabetes, high blood fat, overweight, etc.
Symptoms of liver disease
Because the liver itself has no nerves, so liver is not pain, the early symptoms of liver disease or simply nothing. Therefore, the patient does not easily found in the early stages of illness symptoms. Liver disease patients clinical symptoms are not all the same symptoms appeared in each time and also tend to vary the degree, but not every symptom will appear, the following are the more common clinical symptoms: loss of appetite sluggish, tired feeling, right upper abdominal discomfort and pain, bloating, nausea and so on.
How to detect
Liver test
1. Liver function tests (GOT, GPT):
When the liver cell necrosis, GOT, GPT before being released to the blood, and therefore, it was considered as "indicators of liver inflammation," referred to as liver function than the more appropriate. The GOT, GPT values high or low, and liver disease severity and prognosis do not have a certain relationship, sometimes the immune system in order to clear the virus, which led to liver cell necrosis, this time GOT, GPT values will rise, so can not simply GOT, GPT to judge whether a problem with the liver.
2. Hepatitis Tags:
When the liver cell necrosis, GOT, GPT before being released to the blood, and therefore, it was considered as "indicators of liver inflammation," referred to as liver function than the more appropriate. The GOT, GPT values high or low, and liver disease severity and prognosis do not have a certain relationship, sometimes the immune system in order to clear the virus, which led to liver cell necrosis, this time GOT, GPT values will rise, so can not simply GOT, GPT to judge whether a problem with the liver.
A hepatitis B virus markers:
* IgG-A anti-HAV (IgG anti-HAV): is mainly diagnosed if they have been infected by hepatitis A
* IgM-A type hepatitis C virus antibody (IgM anti-HAV): mainly whether the recent diagnosis of hepatitis A are being infected, the incidence of acute hepatitis A period of indicators
A hepatitis B virus markers:
* B-type hepatitis B virus surface antigen (HBsAg): if positive, indicating the body had hepatitis B virus, there is
* B-type hepatitis B virus surface antibody (anti-HBs): If positive, indicating infected with hepatitis B virus, have been cured and the antibody will not be re-infection
* B-type hepatitis B virus e-antigen (HBeAg): If positive, indicating strong proliferation of the virus, infection and strong
* B-type hepatitis B virus core antibody (anti-HBc): If positive, indicating the body has been infected or the presence of the virus hepatitis B
* IgM-B-type hepatitis B virus core antibody (anti-HBc-IgM): is acute HBV hepatitis
Hepatitis C virus markers:
* C-type hepatitis C virus antibody (anit-HCV): if it was positive, indicating a C-type hepatitis C virus in vivo existence of
3. Abdominal ultrasound examination:
Although blood tests can reflect the status of liver function of patients, but for liver cirrhosis or liver cancer can not provide a clear message, especially some of cirrhosis and liver cancer patients, their liver function test results were still within the normal range and sometimes and, moreover, may have no symptoms. So, with the blood test and ultrasound examination is essential to nature.
4. Blood-fetoprotein check:
Fetal liver protein is an important indicator of inspection.
Preventive health care
Periodic inspection
Vaccination
Any medication not
Do not eat too much
Not drinking too much
Attention to food hygiene
Smoking need to be limited
Reduce the intake of processed foods
Avoid contact with blood
To avoid late at night, fatigue
Disease, health
Medication
Drug interactions side effects & Precautions
Liver pieces 1. Amino acids and vitamin B group
2. The liver deal with alien chemical substances related enzymes, such as "sulfur g liver" in the glutathion
3. With special ingredients, claims to have a stable cell membrane or to replace the toxic ingredients of the drug in bile, such as: Silymarin, Urso and so on.
Vitamin B group: It is beneficial to the liver of normal metabolism, reducing liver damage caused by fatigue, indigestion, etc. can also help repair the liver and reduce the harmful substances on the liver caused by toxicity.
Glutathion: to promote the hepatic drug metabolism in the more polar metabolites, whereas the excretion out of the body.
Silymarin:
1. On the liver cells to form protective film, you can block toxic substances
2. An antioxidant function, can protect liver cells from free radical damage to
3. Promote protein synthesis, accelerate the production of new liver cells, or cause has been damaged liver cells to repair itself.
Ursodesoxycholic Acid: For an increase in liver blood flow to the role, would also improve liver function. Silymarin: An overdose occurs when headache, feelings of irritability, stomach upset and other side-effects
Ursodesoxycholic Acid: the stomach is not pleasure, itching, rash, general malaise flu
IFN-a. Inhibit viral replication
2. Activator to enhance the immune system to fight the virus. Cold symptoms (fatigue, fever, chills, muscle aches, joint pain), depression, pruritus, weight loss, etc.
Mikiyasu can Zeffix (lamivudine) suppression of hepatitis B virus reverse transcriptase (reverse transcriptase) and DNA polymerase (HBV RNA-dependent DNA polymerase), thereby inhibiting replication of hepatitis B, depression, fatigue, respiratory infections, headache, abdominal discomfort, nausea, vomiting, diarrhea
Dry fitness Hepsera (Adefovir) can inhibit the hepatitis B virus reverse transcriptase and HBV DNA polymerase, can effectively inhibit wild-type virus and drug-resistant virus can be dry-an (YMDD mutants) the growth of replication. Blood in urine, abdominal pain, headache, inability to
Diet
1. Acute hepatitis attack, in order to promote liver tissue repair can be more than usual intake of 1.5 to 2 times the protein, such as fish, meat, milk and so on, to avoid excessive intake of animal fats and cholesterol. In addition, you can also eat fruit, to enhance the vitamin intake.
2. Cirrhotic patients, in the early and mid-term, to more intake of protein, because of liver cirrhosis, liver insufficiency of protein synthesis, so need more to add meat, beans and other protein-rich food. However, once in the late cirrhosis, hepatic coma, but this time to limit the amount of protein to avoid too much ammonia and other toxins to have got worse, and be mindful of restrictions on salt and water intake.
3. Fatty liver patients to limit high-calorie food. Fatty liver produced by a variety of reasons, if caused by obesity or high blood lipid fatty liver, we must control the daily food intake of calories, eating less fatty food.
4. Healthy carriers and chronic hepatitis in patients with normal intake of food required by the fresh and natural, processed foods and pickled foods should be avoided as far as possible in order to avoid excess chemicals piling up in the liver increased the burden on the liver.