Qhov sib txawv tseem ceeb ntawm kev them nyiaj thiab decompensated daim siab cirrhosis yog tias daim siab ua haujlwm siab yog qhov asymptomatic ntawm daim siab cirrhosis, thaum decompensated daim siab cirrhosis yog cov tsos mob ntawm daim siab cirrhosis.
Daim siab mob siab ua rau maj mam hloov ntawm daim siab noj qab haus huv nrog cov ntaub so ntswg caws pliav. Cirrhosis feem ntau tshwm sim nyob rau lub sijhawm ntev vim muaj kev kis kab mob lossis kev quav cawv. Cirrhosis yog theem kawg ntawm txhua yam kab mob siab. Muaj ob theem sib txawv ntawm kev kho mob cirrhosis li compensated thiab decompensated. Compensated daim siab cirrhosis yog thawj theem, thaum decompensated daim siab cirrhosis yog qhov nyuaj dua.
Yuav ua li cas thiaj li Compensated Liver Cirrhosis?
Compensated daim siab cirrhosis yog theem asymptomatic ntawm daim siab cirrhosis. Yog tias ib tug neeg tau them nyiaj rau cirrhosis, lawv yuav tsis pom cov tsos mob. Tab sis qee zaus, qee cov tsos mob xws li khaus, qaug zog, tsis qab los noj mov, plab, poob phaus, bruising, o / tuav cov kua dej hauv ob txhais ceg lossis hauv plab, tsis meej pem, thiab poob ntawm cov leeg nqaij tawm. Nyob rau theem no, lub siab tseem ua haujlwm ntawm nws txoj haujlwm vim tias muaj cov hlwb noj qab haus huv los coj mus rau cov hlwb puas thiab cov caws pliav los ntawm cirrhosis. Yog li ntawd, cov neeg uas raug kev txom nyem los ntawm kev them nyiaj rau daim siab cirrhosis tuaj yeem nyob rau theem no tau ntau xyoo. Ib theem nyuaj hu ua decompensated cirrhosis los tom qab them nyiaj cirrhosis. Txawm li cas los xij, muaj peev xwm thim rov qab los ntawm decompensated mus rau theem them nyiaj.
Qhov muaj varices yog qhov tseem ceeb prognostic yam rau cov neeg mob them nyiaj thiab qhia tias muaj feem ntau dua ntawm decompensation. Ntxiv mus, lub sij hawm ciaj sia nruab nrab ntawm cov neeg mob uas them nyiaj cirrhosis yog > 12 xyoo. Kev kuaj mob ntawm daim siab ua haujlwm siab yog qhov nyuaj dua vim tias cov neeg mob yuav tsis muaj chaw kho mob, chaw kuaj mob, thiab kev tshawb pom radiologic. Tej zaum lawv yuav xav tau kev kuaj ntshav biopsy.
Txoj kev tswj hwm kev them nyiaj rau daim siab mob siab tuaj yeem suav nrog kev kho mob rau hauv qab (kev kho mob rau HBV thiab HCV, kev tsis haus cawv), tshuaj xyuas varices (tiv thaiv varices haemorrhage), tshuaj xyuas kab mob hepatocellular, thiab tiv thaiv decompensation (ua kom tiav kev haus dej haus cawv, tswj kev rog rog, ua tib zoo noj thiab xaiv cov tshuaj, tshuaj tiv thaiv tsim nyog, tsis txhob zam statins, txhim kho kev tswj ntshav qab zib mellitus).
Dab tsi yog Decompensated Liver Cirrhosis?
Decompensated daim siab cirrhosis yog cov tsos mob ntawm daim siab cirrhosis. Cirrhosis ib txwm tsis pom cov tsos mob ntawm cov theem ua ntej. Txawm li cas los xij, thaum nws nce mus rau decompensated daim siab cirrhosis, nws tuaj yeem ua rau cov tsos mob xws li jaundice, qaug zog, poob phaus, yooj yim los ntshav thiab bruising, plab plab plab vim muaj kua qaub, o ceg, tsis meej pem, hais lus tsis txaus siab lossis tsaug zog, xeev siab, tsis qab los noj mov., kab laug sab veins, redness ntawm ob txhais tes, shrinking testicles, lub mis loj hlob nyob rau hauv cov txiv neej, thiab unexplained khaus khaus. Kev kuaj mob ntawm daim siab decompensated cirrhosis yog yooj yim dua thiab tuaj yeem ua tau los ntawm cov neeg mob keeb kwm, kev kuaj lub cev, kev kuaj pom (CT scan, MRI, thiab ultrasound), thiab kuaj pom (kev kuaj ntshav).
Txoj kev tswj hwm rau decompensated daim siab cirrhosis tuaj yeem suav nrog kev noj zaub mov tsawg, tsis siv tshuaj lom neeg lossis cawv, noj tshuaj diuretics, noj tshuaj tiv thaiv kab mob los tswj kab mob siab B lossis C, txwv tsis pub haus dej, noj tshuaj tua kab mob los kho. txhua yam kab mob hauv qab los yog tiv thaiv cov tshiab, noj tshuaj los txhim kho cov ntshav ntws mus rau lub siab, tshuaj xyuas varices (tiv thaiv varices haemorrhage), tshuaj xyuas kab mob hepatocellular carcinoma, ascites (noj diuretics), encephalopathy (siv lactulose lossis rifaximin), Kev tiv thaiv ntawm kev decompensation thiab tuag ntxiv, tiv thaiv kev rov qab los ntawm variceal hemorrhage (beta-blockers thiab ligation), kev hloov lub siab thiab lwm cov lus qhia rau cov tsos mob tshwm sim (ua tiav kev haus cawv, tswj kev rog, ceev faj noj tshuaj thiab xaiv cov tshuaj, tshuaj tiv thaiv tsim nyog, vasodilators, zam. ntawm NSAIDs, siv cov tshuaj qis dua ntawm statins, txhim kho kev tswj ntshav qab zib mellitus).
Dab tsi yog qhov Zoo sib xws ntawm Kev Xauv thiab Decompensated Liver Cirrhosis?
- Compensated thiab decompensated daim siab cirrhosis yog ob theem tseem ceeb ntawm daim siab cirrhosis.
- Qhov ua rau ob lub siab cirrhosis yog tib yam.
- Cov ntaub so ntswg hloov lub siab lub cev tuaj yeem pom nyob rau hauv ob theem ntawm daim siab cirrhosis.
- Ob theem ntawm daim siab cirrhosis tuaj yeem tswj tau los ntawm kev kho tshuaj tiv thaiv kab mob thiab haus cawv.
Dab tsi yog qhov txawv ntawm Compensated thiab Decompensated Liver Cirrhosis?
Compensated daim siab cirrhosis yog theem asymptomatic ntawm daim siab cirrhosis, thaum decompensated daim siab cirrhosis yog cov tsos mob ntawm daim siab cirrhosis. Yog li, qhov no yog qhov sib txawv tseem ceeb ntawm kev them nyiaj thiab decompensated daim siab cirrhosis. Tsis tas li ntawd, lub sijhawm muaj sia nyob nruab nrab ntawm cov neeg mob uas tau them nyiaj rau cirrhosis yog > 12 xyoo, thaum lub sijhawm nyob nruab nrab ntawm cov neeg mob uas muaj decompensated cirrhosis yog kwv yees li 2 xyoos.
Cov hauv qab no qhia txog qhov sib txawv ntawm kev them nyiaj thiab decompensated daim siab cirrhosis hauv daim ntawv teev npe rau kev sib piv ntawm ib sab.
Summary – Compensated vs Decompensated Liver Cirrhosis
Cirrhosis yog qhov caws pliav ntawm daim siab vim lub siab ua haujlwm ntev. Compensated thiab decompensated daim siab cirrhosis yog ob theem ntawm daim siab cirrhosis. Compensated daim siab cirrhosis yog hais txog lub asymptomatic theem ntawm daim siab cirrhosis, thaum decompensated daim siab cirrhosis hais txog cov tsos mob ntawm daim siab cirrhosis. Yog li, qhov no yog qhov sib txawv tseem ceeb ntawm kev them nyiaj thiab decompensated daim siab cirrhosis.
