Hepatologist

The specialist who is engaged in diseases of a liver and bilious ways is a hepatologist.

Consultation of the hepatologist assumes collecting the anamnesis, diagnosing of a disease of a liver, purpose of treatment, selection of preventive measures for the prevention of further development of a disease.

Let's specify that the hepatologist is engaged in prevention and treatment of such diseases:

• cirrhosis;
• hepatitises acute and chronic: bacterial origin, enteroviral, herpetic, cytomegalic, nonspecific reactive, autoimmune, hepatitises A, B, C, D;
• toxoplasmosis;
• mononucleosis of an infectious origin;
• disease of legionaries;
• hay fever;
• steatogepatit not alcoholic origin;
• yellow fever;
• astenovegetativny syndrome.

Also the hepatologist is engaged in the liver diseases caused by an alcohol abuse.

In what cases it is necessary to go for reception to the hepatologist

Let's list symptoms of widespread diseases of a liver which emergence demands a visit to the hepatologist. It is always important to remember that the timely request for consultation can save to the person health and life, the liver is a body which at the correct treatment is recovered and continues to function. Therefore it is important also most to address the hepatologist in time and to manage to direct to him to reception of the loved one.

With, for example, can be symptoms of a viral hepatitis: deterioration in appetite, an abdominal pain, a skin itch, rashes or other abnormal manifestations on skin, weakness, loss of weight.

Cirrhosis is shown by increase in a stomach, abdominal pains, change of behavior – drowsiness is often felt, there is a fatigue, attentiveness decreases. Besides, hepatologists say that they can be observed bleeding of gums, deterioration in a libido, increase in a breast at men.

Such signs can be the general for cirrhosis and other diseases of a liver: urine darkening, lightening calla, yellowing of skin and eyeglobes.

The address to the hepatologist concerning at least one of the listed symptoms can help to reveal a disease in time.

As the hepatologist carries out diagnosis

Consultation of the hepatologist provides survey of the patient, acquaintance with symptomatology and purpose of such researches:

• General blood test;
• Research of exchange of iron, copper;
• Koagulogramma;
• Blood analysis by the PTsR method: a qualitative and quantitative research on HCVRNA and HBVDNA (hepatitises B and C), a qualitative research on HDVRNA (hepatitis D);
• Biochemical analysis of blood for determination of level of the general and direct bilirubin, sodium, potassium, protein, albumine, glucose, cholinesterase, ShchF, ALT, GGT, nuclear Heating Plant enzymes;
• Research of markers of hepatitis B and C on the IFA method;
• Studying of the AFP level – a marker of tumoral pathologies of a liver;
• Studying of autoantibodies.

Also comments on hepatologists confirm that except a blood analysis such types of inspections can be appointed:

• Kolonoskopiya – survey of a large intestine by means of the special device;
• Computer, magnetic and resonant tomography (KT and MPT) of bodies which are in an abdominal cavity;
• Ezofagoskopiya (in abbreviated form – EGDS) – survey of a gullet. During the research select biological material for check it on presence of a bacterium of H. Pylori (helikobakter).

Very often the hepatologist uses data of ultrasonography of abdominal organs.

How to choose the hepatologist

Contrary to the stereotypes which developed already, it is unimportant whether the hepatologist in the state or private policlinic works. The difference can be only in payment of reception of the hepatologist and inspections which he will appoint.

The most important, choosing the specialist, do not forget to look for comments on hepatologists. In a case with a disease of such body as a liver, the good hepatologist-diagnostician able to carry out differential diagnosis and to select the sparing treatment is necessary.

Pay attention at the choice of the hepatologist to his personal statistics – for percent of successfully recovered patients.