Cirrhosis of the liver is a growth of connective tissue in the body because of prolonged inflammation. A unified approach to the classification of this pathology is not, because there is no consensus about what is available are the most appropriate for diagnostic problems and therapy of cirrhosis.
This classification of liver cirrhosis used to assess the severity of the disease in a patient.
On the basis of it evaluate the survival of patients with this pathology and determine the percentage of mortality after surgery. Determines how necessary liver transplant.
The Disease is divided into three classes. The parameters that define these classes indicate the severity of cirrhosis, and what is the life expectancy of the patient person with cirrhosis. Child-Pugh degree of compensation of the disease is defined as:
Each class child-Pugh assigned to certain points which are calculated based on the sum of several parameters. So, class, And belongs to the range of 5 to 6 points, respectively, from 7 to 9 points. And the last class is the largest value from 10 to 15 points.
The Minimum severity of the cirrhosis belongs to A. the duration of life of the patient will be a maximum of 15 to 20 years. In the second she is about 10 years. Class C means the short life expectancy of a patient with cirrhosis of the liver – only one, a maximum of three years.
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After surgery, the highest percentage of mortality belongs to class – 80%; 30% respectively, and – only 10%.
The Need for liver transplants with different degrees of severity is defined as:
What parameters affect the grouping? First of all, take into account the presence of:
As well As hepatic encephalopathy, PTI, PTV, and multilingual staff.
The System child-Pugh cannot be considered as a reference, since the evaluation takes into account not all parameters of the patient. The sharp exacerbation of the disease and its complications change the picture, and this classification is no longer used.
In addition to the described system, cirrhosis also takes into account morphological and etiological features.
There are about twenty forms of cirrhosis. Depending known the cause or not, the disease divided into three groups:
About the known established causes pathology say in the following cases:
Possible and unclear, unknown etiology manifests itself in the presence of:
Unknown etiological factors – is most often cryptogenic forms of liver cirrhosis. In primary biliary and Indian childhood cirrhosis, too, speak of unknown etiology.
Morphological classification of liver damage is first proposed and approved, based on biopsies (a piece of the body, taken in vivo). Allocate pathology 4 forms:
Exhibited a class of liver cirrhosis child-Pugh gives the opportunity not only to make a diagnosis, predict the survival of patient, but also to select appropriate treatment and supportive therapy.
So, compensated liver (if class A) involves basic therapy aimed at addressing the root causes of the disease. You also need to find supportive drugs. Their task is to eliminate the dyspepsia. Great importance in this case, enzyme agents such as “Pancreatin”, “CREON”, “Help”. The standard dosage is taken three times a day, mostly before meals. Courses are assigned on average 2-3 weeks, which is periodically repeated.
When subcompensated cirrhosis of the liver (with class B cirrhosis child-Pugh) requires the appointment of an enhanced supportive therapy. For this purpose, use nizkosoleva diet (not more than 2 g of salt per day), is further restricted protein. Of drugs prescribed “Furosemide” and “Spironolactone". Receiving diuretics inhibits developing portal hypertension and decreases ascites. The function of the gastrointestinal tract can be improved “Lactulose" of 50-70 ml per day, but the reception should be permanent.
In the case of decompensated liver disease (when class C child-Pugh) is for life threatening patient condition. Required immediate intensive therapy. Paracentesis provides the removal of fluid from the peritoneum, introduced intravenous albumin and crystalloids, compensating the volume of circulating blood and protein in the body. Actively used diuretic: the same "Spironolactone” and “Furosemide”. Prescribed diet with low salt content. To a balanced parenteral nutrition, come when hepatic encephalopathy and other serious conditions.
Prevention of the pathology, is also based on the classification of severity of liver cirrhosis child-Pugh.
The compensated course of disease do not require prophylactic. When classes B and C patients can develop anemia, therefore very frequently prescribed erythropoietin. In addition, the frequently prescribed beta-blockers (such as "Metoprolol", "Inderal"), which could prevent the rupture of the veins of the esophagus.
Article in other languages:
BE: https://tostpost.com/be/zdaro-e/29334-klas-f-kacyya-cyazharu-cyrozu-pechan-pa-chayld-p-yu.html
TR: https://tostpost.com/tr/sa-l-k/27423-s-n-fland-rma-iddeti-karaci-er-sirozu-ve-ocuk-pugh.html
Alin Trodden - author of the article, editor
"Hi, I'm Alin Trodden. I write texts, read books, and look for impressions. And I'm not bad at telling you about it. I am always happy to participate in interesting projects."
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