- Why
- is formed
- liver calcification symptoms How to detect a violation of
- How to eliminate calcifications
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Calcinates in the liver are deposited much less frequently than cholesterol or bilirubin stones. As a rule, they accumulate after a disease, if the tissue of the gland has been injured or inflamed, but can also be detected in newborns as a result of systemic diseases. Not always their detection entails therapy, as they do not grow and do not cause discomfort, but it is still required to monitor them.
Why
is formed Calcification is a condition characterized by the formation in the parenchyma or vessels of calcium deposits. Calcium should be in a dissolved state, but if the metabolism is disturbed, it precipitates and forms solid formations. Provoke a pathology of many factors that can affect the physiological processes in tissues. First of all, it is the dysfunction of the endocrine system responsible for the synthesis of hormones calcitonin and parathyroid hormone, as well as an increase in the level of calcium and a shift in blood pH, a deterioration in physiological reactions, a decrease in the formation of chondroitin sulfate. Pathological formation can be caused by a chronic disease, for example, myeloma, tumor, polycystosis, nephritis, endocrine system diseases, or it can be the result of a damaging factor( excess vitamin D, mechanical trauma, dystrophic changes).
Calcification can occur against the background of an infectious disease, neoplasm in the liver, infection with helminths. Calcification is susceptible to scar tissue( and cartilaginous), calcareous conglomerates can be formed around atherosclerotic plaques, parasites. It is believed that calcification can appear as a result of frequent stresses, irrational nutrition, bad habits.
The cause of deposition is called tumor and inflammatory processes of
. In the liver, parenchymal and cancalicular calcification is isolated. At the first, the deposit of calcareous salts occurs in the tissues of the liver, and at the second, the calcareous concretions are in the biliary tract. Calcinates can form in the left or right lobe of the liver, in the vessels of the gland or its ducts. Concrements disrupt the functioning of the liver cells and can be dangerous if formed next to the ducts.
Of parasitic calcifications, echinocaccus occurs most often in the liver. When a parasite infects liver cells, the echinococcus bubble grows, which is a cyst. Education increases by about 1 mm per month and can become very large. The cyst is pressing on surrounding tissues and disrupting the liver, and if it breaks, the contents expire into the abdominal cavity, which can cause anaphylactic shock.
Over time, the walls of the cyst thicken, are fibroticized and calcified. Degenerative processes take place in places, so cysts in the pictures do not have clear contours. Calcification of the cyst indicates an inactive form of echinococcosis. Clear dense shadows occur with nonparasitic cysts. Thus, the cause of calcification can be any pathology that provokes inflammation in the liver parenchyma.
The probability of formation of salt deposits in the gland exists if a person has transferred:
- malaria;
- amebiosis;
- echinococcosis;
- tuberculosis;
- viral or alcoholic hepatitis.
Calcium can be detected in a fetus or newborn, although this is a rarity. Pathology indicates a violation of the function of the heart or other organs. Calcified echinococcal cysts can be suppurated, and the pathological process proceeds without a fever or acute clinic. In the cyst, gas and liquid accumulate, which means that there are conditions for the development of anaerobic infection.
Calcifications in the liver interfere with the normal functioning of the gland, they can block the duct and provoke renal colic
Signs of calcification of the liver
Not always a violation occurs with clinical manifestations. In most cases, patients learn about the pathology only when addressing another issue or after a planned study.
Calcium is not an independent disease, therefore it has no specific signs. Pathology is detected using objective research methods. It is possible to suggest a violation according to the clinical picture that arises in the inflammatory processes in the liver.
If calcifications in the liver are many, they can cause the following symptoms:
- nausea, vomiting;
- decreased appetite;
- painful sensations in the right hypochondrium;
- skin yellowness;
- disorder of stools;
- decreased efficiency, emotional lability.
With parasitic lesions of the gland, there are symptoms of intoxication and allergic reactions, characterized by hepatosplenomegaly( enlargement of the liver and spleen).
With liver echinococcosis, it is possible to feel a rounded dense formation( cyst).The patient does not sleep well, often experiences headaches, acne and eruptions appear on the skin, an unpleasant smell is felt from the mouth.
If calcification has developed against tuberculosis, the patient quickly loses weight, feels constant weakness, pain in the right hypochondrium, first a dry cough appears, and then sputum with blood clots departs. The liver and spleen are significantly enlarged in size.
How to detect a violation of
Calcium salts can accumulate in the gland for a long time after the inflammatory process, parasitic invasion or mechanical trauma, with the clinic completely absent or weakly expressed, so that calcifications are often found during a preventive examination.
Magnetic resonance imaging allows you to see a three-dimensional image of a stone. X-ray examination also makes it possible to detect deposits. In the picture, the calculus looks like a high-density formation. Ultrasound examination allows to reveal compaction in the liver.
Concrements can be seen with the help of ultrasound, MRI, CT
Calcinates look like multiple or single dense formations, behind which there is an acoustic shadow. Computer tomography determines the exact position and size of the sediment. As a supplement to instrumental research, a biochemical blood test can be used. It makes it possible to track the level of calcium in the blood.
How to eliminate calcifications
Calcium deposition is a consequence of the underlying disease, and it is necessary to treat it. Therefore, before deciding on the tactics of treatment, the specialist should conduct a comprehensive examination of the patient, determine where the deposits are located and what they are, determine the cause of their appearance. The cause of calcification can be assumed by the number of formations, their size and shape, according to in which parts of the gland they are.
If calcifications were formed as a result of an already cured disease, the doctor decides whether to conduct therapy. If the cause of calcification in the inflammation of the liver parenchyma of the viral etiology, then it is necessary to drink antiviral drugs and immunomodulating, as well as hepatoprotectors and vitamins. Only after the elimination of viral hepatitis must be taken for the elimination of concrements.
Treatment is carried out with the help of Ringer's solution, glucose and rheosorbylact. Medicines are administered intravenously. For the dissolution of concrements, preparations containing acids, which need to be used for a long time, can be used. The doctor may appoint Ursosan or Ursofalk.
Hepatoprotectors( Carcil, Essentiale, Heptral, Liv 52) can also be prescribed, which will help to normalize the liver cells. If there is dyspeptic disorder( nausea, vomiting, abdominal pain, stool disorder), then No5 nutritional therapy will be recommended, which removes the functional load from the hepatobiliary system and enables the affected organ to recover.
Surgical treatment is not advisable, since removal of the calculus does not affect the cause of its occurrence and it is traumatic for surrounding tissues
If calcifications formed against the background of a long-term illness and they do not cause unpleasant symptoms, there is no need to remove them. If calcifications are formed as a result of a chronic disease, then it is necessary to undergo therapy, which will help restore the digestive system. During remission, it is necessary to periodically take a blood test to determine the biochemical parameters to monitor the level of calcium.
With normal operation of the gland eliminating calcification is not necessary, but it is recommended to undergo an ultrasound scan every three months to control the size of the organ and the formation. Therapy is prescribed only if calcifications grow or advance to the bile ducts. If there is discomfort in the liver, violation of the digestive function, it is necessary to consult a hepatologist.