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Question
Hello doctor,
My father has compensated cirrhosis. The doctor told me how to treat compensated cirrhosis? Thank you doctor.
Le Huy Cuong (1952)
Answer
Answered by Master, Specialist II Phan Thi Minh Huong - Gastroenterologist - Department of Medical Examination & Internal Medicine, Vinmec Da Nang International Hospital .
Hello,
With the question “How to treat compensated cirrhosis? ", the doctor would like to answer as follows:
Compensated cirrhosis: The functional symptoms are often few or no, need to be examined carefully to find early signs. There is no ascites (abdominal fluid) or very little and usually occurs after a predisposing factor such as: Bleeding, infection; may therefore decrease or disappear afterwards. Other physical symptoms are few and mild. The tests for portal hypertension and liver failure are still little changed, it is necessary to rely on sensitive tests such as B.S.P radioisotope, galactoseuria. Ultrasound only shows a rough nodular liver, biopsies of fibrous tissue are few, normal lobules are >30%, or ultrasound examination of liver elastography.
Cirrhosis is a consequence of chronic liver disease due to many different causes but the clinical manifestations are quite similar and progresses through 2 stages of compensated cirrhosis and decompensated cirrhosis. According to WHO definition, cirrhosis is a process of diffuse liver damage with the establishment of fibrous organization and reversal of hepatocyte structure, then regenerated into nodules of liver parenchyma with loss of normal structure. Common causes: Hepatitis B, C virus infection, alcohol, fatty liver, prolonged biliary obstruction, metabolic disease, drug, ..
Depending on the cause of the disease, treat the causes. Cirrhosis; Drugs to support liver function in case of elevated liver enzymes, treat infections if present, diuretics, albumin infusion if ascites and hypoalbuminemia.
Diet and care for people with compensated cirrhosis: Healthy living, no alcohol, no tobacco, limit greasy foods in case of biliary obstruction, increase fruit intake, no use of toxic drugs for the liver, periodical examination specialized in Gastroenterology - hepatobiliary medicine to monitor the progress of the disease.
If you still have questions about the treatment for compensated cirrhosis, you can go to a hospital of Vinmec Health System for further examination and advice. Thank you for trusting and sending questions to Vinmec. Wishing you lots of health.
Best regards!
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