Primary Biliary Cirrhosis в Causes, Symptoms and Treatment
Primary biliary cirrhosis is a rare form of biliary cirrhosis of hidden origin, occurring without obstruction or infection of the major bile ducts, sometimes developing after the polity of such drugs as chlorpromazine and arsenicals. Affecting chiefly middle-aged women, it is characterized by chronic cholestasis (accumulation of bile in the liver) with pruritis, jaundice, and hypercholesterolemia with xanthomas, and malabsorption.
Cirrhosis is a action of modern scarring of the liver.. The fibrosis or scarring of the liver seen in cirrhosis leads to obstruction of blood flow down the liver. This prevents the liver from performing its critical functions of purifying the blood and nutrients absorbed from the intestines. The end consequence is liver failure.
Primary biliary cirrhosis, or PBC, is a chronic, or long-term, disease of the liver that slowly destroys the medium-sized bile ducts within the liver. Bile is a digestive liquid that is prepared in the liver. It travels through the bile ducts to the small intestine, where it helps digest fats and fatty vitamins.
Causes
The cause of inflamed bile ducts within the liver in this condition is not known. The disease more commonly affects middle-aged women. The attack of symptoms is gradual, with fatigue and itching skin as the most common cardinal symptom.
Autoimmune hepatitis. This disease appears to be caused by the unaffected method attacking the liver and causing inflammation, damage, and eventually scarring and cirrhosis.
Inherited diseases. Alpha-1 antitrypsin deficiency, hemochromatosis, Wilson's disease, galactosemia, and glycogen storage diseases are among the inherited diseases that interfere with the system the liver produces, processes, and stores enzymes, proteins, metals, and other substances the target needs to function properly.
Symptoms
PBC occurs in both men and women, nevertheless women get the disease 10 times augmented generally than men. It normally begins between the ages of 30 and 60. Early in the disease, lousy with patients keep no symptoms. The by oneself findings may be abnormal blood laboratory results. For example, a great level of the liver enzyme called alkaline phosphatase may be father in the blood. Itching and fatigue are commonplace symptoms later in the disease. Itching is caused by bile entering the bloodstream.
Treatment
Diagnosis is easily make-believe using a blood assessment for anti-mitochondrial antibody (AMA), which is nearly always positive, combined with the mannequin of symptoms.
The current treatment for primary biliary cirrhosis is a bile acid medication, called ursodeoxycholate. Although this medication does not cure the condition, it slows its progression. For advanced staged primary biliary cirrhosis, in which the liver is severely damaged, a liver transplant is the only option.
Liver transplant. When treatments no longer curb primary biliary cirrhosis and the liver begins to fail, a liver transplant may help prolong life. Many doctors use a mathematical model to facilitate drive who testament asset from a liver transplant. People with primary biliary cirrhosis who have liver transplants often do very well, although the disease may recur in the au courant liver.
Some patients compass besides benefitted from ursodeoxycholic acid (Urso 250 and URSO Forte), which is the matchless drug approved by the U.S. Food and Narcotic Control for the treatment of primary biliary cirrhosis.
The treatment of liver cirrhosis depends upon the root intention of its development. In more severe process one may corner to undergo liver transplant.
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Added: June 6, 2008
Source: http://articlealley.com/article_552313_17.html
Added: June 6, 2008
Source: http://articlealley.com/article_552313_17.html
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