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medicalmeds.eu Gastroenterology Liver polycystosis

Liver polycystosis


Description:


The polycystosis of a liver is not parasitic disease which quite often can be combined with a polycystosis of other bodies (kidneys or a pancreas, for example). The polycystosis of a liver is an inborn disease, proceeds without any external symptoms, is diagnosed in a random way at inspection of an organism regarding existence of other diseases.


Liver Polycystosis symptoms:


ist at a polycystosis are located on the surface of a liver, can have different size, are localized most often on all front surface of a liver, hanging down in a bottom as grapes clusters. As a part of the filling cyst of liquid albumine, cholesterol, pigments and bile acids, fatty acids and blood cells enters. Cysts on a liver grow throughout all human life therefore are found most often at the age of 30-50 years when begin to cause the person problems. But problems not in pain, and in the increased liver size. Separate cysts can have 5-7 centimeters a diameter, then there is a threat of its gap, spontaneous or as an injury effect because of what bleeding in an abdominal cavity can begin. The liver polycystosis can also begin regeneration in a malignant tumor. The most frequency complication is the empyema of cyst.
Cysts on a liver do not prove in any way, but at growth at the patient moderate pains in the center of a stomach and the right side, increase in the right side will begin to develop. Cysts can sometimes squeeze bilious channels, and then at patients jaundice can begin. In a stomach and a duodenum there can be pains at a palpation, and also nausea and vomiting. If pain acute, pristupoobrazny, then it can be a sign of a rupture of a cyst, bleeding in an abdominal cavity. At the giving birth women of a cyst can reach the huge sizes. If there was a gap, then the emergency operative measure is carried out. The polycystosis does not affect functioning of a liver in any way, but treatment is always carried out by means of operational measures as there is always a possibility of complications in the form of suppuration or a gap. At multiple small cysts treatment is carried out under ultrasonography control, low-traumatic endoscopic operations on excision of walls of cysts are performed. If cysts small, do not cause problems to the patient, then do not perform operation, but the patient is under constant control of the doctor.


Liver Polycystosis reasons:


The liver can have several types of cysts. First of all, cysts share on parasitic and not parasitic. Cysts of not parasitic type share on true (inborn) and false (are formed of hematomas at injuries). True cysts, as a rule, develop from rudiments of the bilious courses which stretch the liquid collecting in them. Their main difference from adventitious cysts – an internal vystilka an epithelium, transparent or muddy liquid inside. True cysts happen autonomous and connected with bilious channels. Autonomous true cysts can be single or multiple. A polycystosis of a liver are multiple autonomous true cysts which form at a fruit during the dorodovy period.
The polycystosis of a liver is caused by a mutation in genes, is often combined with a polycystosis of a pancreas and kidneys.


Treatment of the Polycystosis of a liver:


Problem of drug treatment at a polycystosis of a liver is, preferential, delay of growth of a cyst. Reception of inhibitors of the proton pump is for this purpose appointed, recommend to limit consumption of dairy products and caffeine, and reduce estrogen level in an organism. Dietary changes often, though not always are an important component of successful treatment. Though this method of treatment did not pass all necessary clinical tests yet, there are already data that somatostatin injections reduce each 28 days a cystous liver by 3-39%. So far such use of somatostatin is not approved as a way of treatment of a polycystosis of a liver. Also it must be kept in mind that aggravation of symptoms of a polycystosis of a liver can be promoted by chemicals which are used in dry-cleaners, bleaches, ammonia, growth hormones, yeast, alcohol, the concentrated sugar, ksenoestrogena.

Sometimes treatment of a polycystosis of a liver requires surgical intervention; as a rule, such methods as a resection of a liver or liver transplantation are applied. Simple aspiration of a cyst of a liver at a polycystosis is absolutely inefficient.




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