After 20 years of alcoholism, drinking half a liter of alcohol every day, the 60-year-old male patient fell into cirrhosis.
Patient NVA (60 years old, Son La) came for a general health check-up at Medlatec Thanh Xuan General Clinic. At the time of the examination, the patient was tired and had dark yellow urine.
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Five years ago, Mr. A. was diagnosed with cirrhosis, but because he did not see any symptoms of decompensation, he subjectively did not seek treatment and did not comply with the doctor's instructions for follow-up examinations.
In addition, the patient also had a habit of drinking half a liter of alcohol every day for the past 20 years, even after receiving the results of cirrhosis.
After clinical examination and necessary tests and imaging, the patient's blood liver enzyme indexes AST, ALT, and Bilirubin increased at an alarming level, along with decompensated cirrhosis and ascites.
At the same time, the patient's test results also showed positive for hepatitis B. The doctor diagnosed the patient with decompensated cirrhosis with chronic hepatitis B.
Dr. Ngo Chi Cuong, Deputy Director of Medlatec General Hospital; Head of the Department of Infectious Diseases and Tropical Medicine, said that the patient had a history of cirrhosis but did not receive treatment, leading to severe decompensated cirrhosis.
Along with the accompanying chronic hepatitis B, if not treated promptly, it can cause the HBV virus to flare up with a large load and the patient's body will not have enough resistance to fight it, causing complications of acute and chronic liver failure, hepatic coma, complete loss of liver function and the serious consequence is death if not receiving a liver transplant.
Cirrhosis and chronic hepatitis B are both dangerous hepatobiliary diseases if not treated properly, persistently and with discipline. Failure to comply with treatment can lead to liver failure, liver dysfunction and the ultimate consequence is death without a liver transplant.
Chronic hepatitis B is caused by the HBV virus that persists in the human body for more than 6 months. This disease often progresses silently with vague clinical symptoms. By the time it is detected, the disease may have progressed to the stage of decompensated cirrhosis.
Up to now, there is still no complete cure for chronic hepatitis B, only drug regimens to inhibit the activity of the virus. Especially for patients with cirrhosis, treatment needs to be carried out for life to help patients "live peacefully" with the virus.
Dr. Ngo Chi Cuong emphasized that for patients with cirrhosis and chronic hepatitis B, it is very important to comply with the doctor's treatment regimen. Patients need to follow a scientific lifestyle, a nutritional regimen, take the right dose of medication and especially abstain from alcohol.
The doctor added that in reality, in many cases of cirrhosis and chronic hepatitis B, strict adherence to the regimen and good response to medication can help patients live a healthy life like normal people. Therefore, to successfully treat this disease, patients need to be persistent and closely and flexibly monitored by their treating physician.
According to health experts, drinking alcohol at a harmful level is defined as drinking 60g of alcohol or more at least once a month, equivalent to 4.5 cans of 330ml beer (5%); 6 glasses of 100ml wine (13.5%); 6 glasses of 330ml draft beer or 6 glasses of 30ml spirits (40%).
When drinking a lot of alcohol, the liver cannot convert all of the acetaldehyde into acetate. The excess acetaldehyde that cannot be converted will accumulate and be toxic to the liver.
The liver can only tolerate a certain amount of alcohol, but when the amount of alcohol increases, it will lead to metabolic dysfunction of the liver. From there, the liver reduces its ability to perform normal functions, which occurs when most of the liver tissue is damaged and unable to function.
Depending on the condition of each case, the doctor will have an appropriate treatment regimen. When the bilirubin index exceeds 250μmol/L, the patient with acute liver failure needs to have plasma exchange as soon as possible, otherwise it will progress to hepatic encephalopathy, cerebral edema, convulsions, kidney failure, pulmonary complications, and even death.
Doctor Khuong recommends that prevention is better than cure. Early prevention of liver failure is very necessary and important, especially for people with underlying diseases, people with viral hepatitis...
Everyone needs to limit alcohol consumption; get vaccinated against hepatitis B; maintain a reasonable weight and a healthy lifestyle. In addition, people with hepatitis B and C need to be monitored, managed and treated, combined with a nutritious diet with foods that are good for the liver such as coffee, garlic and berries.
Source: https://baodautu.vn/sau-20-nam-nghien-ruou-ket-qua-roi-vao-tinh-trang-xo-gan-d226470.html
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