Each of us at least once in my life heard about such a disease as cirrhosis baking. But not everyone knows that the disease is of several varieties. In this article we will talk about the biliary form. So, biliary cirrhosis, what is it?
- Causes of biliary cirrhosis
- Symptoms of the disease
- Stages of
- Primary biliary cirrhosis of the liver
- Secondary biliary cirrhosis
- Home Treatment
- Treatment with medicines
- Folk remedies
- Calendula
- Milk thistle infusion
- Birch tea
- Diet in case of disease
- Prevention
Cirrhosis of the liver at the last stage: treatment and photos of people Cirrhosis of the liver: diet and its characteristics Cirrhosis in women: symptoms and treatment Cirrhosis in men: symptoms and treatment Signs and treatment of liver cirrhosis
Biliary cirrhosis (BCP) is a type of cirrhosis that develops as a result of the influence of negative factors on the biliary tract accompanied by cholestasis. This is one of the most common cholestatic chronic liver diseases in the adult population.
Important!There are 2 forms: primary and secondary cirrhosis.
Patients suffering from BCP are found all over the world. However, the prevalence of the disease varies considerably between countries and regions. This is due to the level of education of doctors and improved diagnostics, which can reveal the disease at the earliest stages.
Causes of biliary cirrhosis
At the moment, the exact causes of the pathology are not established. At the same time, scientists proved the non-infectious nature of the disease. Today, doctors are inclined to the idea that the disease is due to violations in the immune system, resulting in the body begins to produce autoantibodies, which attack their own bile ducts.
Among the alleged causes, genetic factors also stand out. This fact is proved by the presence of cases of family illness.
The factors predisposing to the disease include:
- congenital pathologies of the liver and gallbladder;
- presence of stones in the gallbladder;
- complications after operations in the form of reducing the biliary tract;
- presence of tumors;
- narrowing of the bile ducts as a result of enlarged lymph nodes;
- presence of cysts in the gallbladder;
- reduction of the biliary tract as a consequence of chronic pancreatitis;
- suppuration in the liver;
- inflammation of the gallbladder;
- infectious diseases of the genitourinary sphere;
- arthritis;
Symptoms of the disease
In 30-50% of patients, biliary cirrhosis occurs without any symptoms. The disease in them is detected with hepatic tests. Usually in this case, the assays show a high level of alkaline phosphatase.
Symptoms BCP does not matter at what stage the disease is, may include increased fatigue and symptoms accompanying cholestasis. Usually during the course of the disease they are aggravated. At 50% of patients in the initial stages there is skin itch and chronic fatigue, can accompany the patient for many years.
Another important symptom is an increase in liver size and pain, a spleen increase, a violation of the pigmentation of the skin, the formation of tumors on the eyelids, and yellowing of the mucous membranes.
At the last stages of the disease, all the symptoms appear at once. In addition, they can join complications of cirrhosis, peripheral nerve disease, as well as some autoimmune pathologies.
Stages of
There are 4 stages of biliary cirrhosis:
- At the initial stage, there is lymphoplasmic impregnation of the hepatic canals, destruction of the upper layer of the bile ducts.
- In the second stage, small bile ducts are affected.
- After this, the hepatic canals are emptied and scars are formed in them. The parenchyma withers away.
- At the fourth stage, cirrhotic changes occur in the liver.
Primary biliary cirrhosis of the liver
PBCP is a slowly occurring pathology of the liver caused by autoimmune processes. This disease is most often diagnosed in women aged 40 years. The disease is infrequent, only 25-150 cases per 1 million of the population. PBC is 7-11% of all clinical cases of cirrhosis.
In the patient with PBNP, the body produces autoimmune antibodies that begin to destroy the bile ducts. As a result, inflammation of the gallbladder occurs. With the progression of the disease, this process extends to other liver cells. The result of all this is cirrhosis.
Note!In the early stages of the disease, a person has signs of gallbladder inflammation without the presence of symptoms of cirrhosis.
For this reason, many scientists consider the name of the disease "primary biliary cirrhosis of the liver" to be incorrect.
Secondary biliary cirrhosis
To date, put forward a version according to which VBPP occurs as a result of a prolonged violation of the outflow of bile in the major bile ducts.
Important!This disease in men is diagnosed 2 times more often than in women.
Due to the violation of the outflow of bile, the bile ducts begin to increase in size and swell. After some time, the bile is squeezed out into the liver tissue. Subsequently, tissue deaths occur in these areas, as a result of which the healthy tissue of the liver is replaced by scar tissue. This process can last as several months, and several years. During this period, cases of infection are not uncommon, which only complicates the course of the disease and speeds up the development of cirrhosis.
Note!An autoimmune reaction is not the cause of the development of VBWP.
Home Treatment
At home, the patient must continue taking medications prescribed by the doctor at the hospital. To eliminate the unpleasant symptoms of the disease you can use the advice of traditional medicine. But you need to do this only after consulting with your doctor.
Patients should comply with a strict diet and completely abandon the use of alcoholic beverages. With painful sensations in the liver, you can apply poultices from boiled pounded potatoes. Apply such compresses to the right edge.
Treatment with medicines
The essence of the treatment is the observance of the therapeutic diet, the relief of unpleasant symptoms, the elimination of the pathology that provoked the disease.
- During treatment, the patient should consume as much food as possible with high levels of vitamins and minerals.
- Symptomatic treatment consists in taking medications that reduce severe itching of the skin. For this purpose, the doctor can prescribe cholestyramine or bilignin.
- In addition, the doctor prescribes drugs containing pancreatic enzymes (creon, pancreatin).
In order to eliminate the causes of the disease (impaired immunity), the therapist prescribes drugs that depress human immunity, anti-inflammatory drugs and antifibrotic substances. The latter have a number of contraindications and side effects.
Some doctors prescribe to their patients preparations of bile acids. They are very effective and have virtually no side effects. In the event that therapy has not helped and the disease continues to progress, doctors perform liver transplantation.
With VBTC physicians eliminate the causes that caused the violation of the passage of bile through the biliary tract. To this end, the most frequent intervention is operative. After it, the patients feel much better.
If the cause of blockage of the bile ducts can not be eliminated, the therapist will prescribe medications to stop the symptoms of the disease and the medicine for removing toxins.
Important!In severe cases, liver transplantation is indicated.
Folk remedies
Attention!Folk remedies in the treatment of BCP should always be in second place after drug therapy.
For the treatment of cirrhosis, anti-inflammatory herbs and stimulating bile production, soothing and accelerating the process of cell renewal of the plant are used.
To this end, it is also recommended to use herbs-immunomodulators. To such plants it is possible to carry an elephant, a sage, angelica.
Attention!Before using traditional methods of cirrhosis treatment, consult a doctor.
Calendula
To prepare the medicine 2 tbsp. l. dry crushed marigold flowers, pour 250 ml of boiling water and boil, the medium on low heat for 5-10 minutes. After this, the broth should be put in a warm place for 30 minutes. Strain and pour into a dark bottle. Drink 2 tablespoons. l. 3 times a day for half an hour before meals.
Milk thistle infusion
- For the preparation of infusion 1 h. l. seeds of the plant, pour 250 ml of boiling water.
- Allow to stand for 30 minutes, then strain.
- Drink infusion of 100 ml 3 times a day for half an hour before meals. The course of treatment is 2 weeks.
Birch tea
To make this tea 1 tbsp. l. birch buds or 2 tbsp. l. dry leaves of birch ground into a powder pour 2 cups of boiling water. After this, add the soda (at the tip of the knife) to the tea and let it brew in a warm place for an hour. Tea to drink and drink 4 times a day, half a glass for half an hour before meals.
Diet in case of disease
In BCP, the patient must follow a strict diet, while the number of calories consumed per day should be 2500-2900 kcal.
- It is necessary to give up fatty foods, spices, foods high in cholesterol, dairy products, honey.
- It is recommended to eat a lot of vegetables and fruits.
- In BCP all dishes should be warm and in no case cold.
- Eat small meals at least 5 times a day.
- Ideally, all products should be cooked or cooked for a couple, sometimes you can bake in the oven.
A patient with cirrhosis should drink at least 2 liters of water per day.
As a rule, a doctor prescribes a diet based on diet No. 5a to patients suffering from BCP. In this diet are made some adjustments based on the individual characteristics of the organism of a particular patient.
Attention!If the first symptoms of ascites occur, tell your doctor about it. In this case, it is possible to transfer the patient to diet No. 10.
With cirrhosis it is useful to arrange unloading days. For example, vegetable or fruit 1 time in 2 weeks.
Prevention
Prevention of biliary cirrhosis in healthy people is reduced to the elimination of conditions leading to this disease (alcoholism, gallstones).
Prevention in patients with PBC is to prevent the aggravation of the course of the disease. For this, cirrhosis therapy should be started at the earliest possible date. It is desirable that the treatment of cirrhosis begins at the 1 st maximum at the 2 nd stage.
At the last stages of prevention is to prevent bleeding from the veins with varicose dilatation. To do this, doctors prescribe a gastroscopy. If the patient has a high probability of bleeding, the doctor will prescribe drugs whose action is aimed at blocking beta-adrenergic receptors.
Important!If the patient has an individual intolerance to these drugs, then he is assigned sclerosing. After this, the patient should be observed regularly at the doctor for six months.
If the patient has a small varicose veins, then a second examination should be carried out 2-3 years later to assess the patient's condition. If the patient does not have varicose veins, the next examination is carried out 3-5 years after the gastroscopy.