Window of severe illnesses | Randy medicine Be careful of acute liver failure

Author:Guangdong Provincial Hospital Time:2022.07.26

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Guard the life oasis and care for health with your heart. The "Window of Severe" column is a science popularization column opened by the Department of Critical Medicine of Guangdong Provincial Hospital of Traditional Chinese Medicine. It regularly pushs you the knowledge of critical critical illness and unveiled the mysterious veil of intensive medicine.

Medicine cannot be eaten randomly

Mr. Wang usually lives in his hometown. Recently, because of the hot weather, Mr. Wang has a fever. He went to a local hospital to send a hot kidnapi for the kidney. Drink more water. After returning home, Mr. Wang felt weak and had an appetite to eat. He thought about it, and thought about it, so he only took the doctor's antipyretic medicine, and then fell asleep. The next day, Mr. Wang found that he was still very weak and had no appetite at all. As soon as the body temperature was still fever, he took the doctor's antipyretic medicine, and regardless of his family's opposition, he turned out the rest of the antipyretics left by the doctor, and took it in one breath.

In the evening, the family came back from get off work and found that Mr. Wang was lying on the bed. He had no energy at all, his eyes were dull, and his eyes were yellow. The family quickly sent Mr. Wang to the hospital. After the doctor's consultation, the inspection found that Mr. Wang's blood bilirubin was very high, and it was considered acute liver failure. Asked whether there were any special medicines or foods for the past two days, the family told the doctor that Mr. Wang himself took the heavier fever medicine. After seeing the medicine, the doctor sighed: "How can antipyretic medicine be increased privately? This drug is mainly to acetaminol, and taking measures will cause serious damage to the liver!"

Local hospital physicians contact the collaborative unit, the Department of Critical Medicine, Guangdong Provincial Hospital of Traditional Chinese Medicine, after sufficient communication, patients were transferred to the severe medical department of the severe medical department of Guangdong Traditional Chinese Medicine Hospital. After evaluating the condition of intensive medical physicians, the "artificial liver" technology used "artificial liver" technology to quickly remove bilirubin to patients, and gives liver protection, bile, anti -infection and other treatment. Mr. Wang finally turned to danger.

What is liver failure?

As one of the important organs of the human body, the liver has functions such as synthesis, detoxification, metabolism, secretion, biological conversion, and immune defense. When suffering from hepatitis virus, alcohol, drugs and other factors, damage causes damage, which will cause a large amount of liver cells to be quickly necrotic. Liver function will cause severe obstacles, and then symptoms such as fatigue, jaundice, nausea, and ascites will occur. This is liver failure. Patients with liver failure are the main symptoms of extreme fatigue, decreased appetite, abdominal distension, nausea, vomiting, and changes in consciousness. Liver failure is a life killer that cannot be ignored. Once acute liver failure occurs, its condition is progressing rapidly, high treatment, and expensive medical expenses.

What causes liver failure?

1. Hepatitis of various types

Viral hepatitis is the most common cause of liver failure in my country. Due to the virus's infringement and damage to the liver, liver failure, such as A, B, C, Ding, and Bulu viral hepatitis. It can also be caused by two or more hepatitis virus mixed or overlapping infections.

2. Drug

Studies from the University of Washington University of the United States show that 42%of acute liver failure in the United States is caused by acetaminol. Among them, excessive misunderstanding is the main reason. Different from my country, drug damage represented by acetylphenol is the main cause of liver failure in the United States. In addition to the acetaminol, other heat -relieving analgesic drugs such as soreness, aspirin, etc.; Anti -tuberculosis drugs such as lamima, Lifepiping, other such as fluoropane, methylbaba, crickets, arsenic agents, arsenic agents Sulfa medicine, etc. can cause liver failure.

3. Poisonous poisoning

The liver is the "detoxification" organ of the human body. When accidentally intake of poisonous poisoning, stinky rice noodles, tetrachloride poisoning, etc., it will cause serious damage to the liver.

4. Oxygen liver injury

Such as the liver stasis, blood stasis, and hypoxia caused by heart failure, shock for a certain period of time.

5. Others

The onset of liver failure and some congenital metabolic diseases also have a very close connection. Common congenital metabolic diseases that cause liver failure include hyperthyllrochemore, galactose ledmia, and fructose intolerance.

How to treat liver failure?

The disease of the liver failure is serious. Once fatigue, decreased appetite, and deepening urine should be seen as soon as possible. After the diagnosis of liver failure is clear, doctors will be treated according to different periods of disease development, including comprehensive treatment of internal medicine, artificial liver treatment, and liver transplantation. At present, artificial liver is one of the effective methods for treating liver failure. Artificial liver treatment can remove bilirubin and other harmful substances. Temporarily replacing part of the function of the liver for the liver, for the regeneration of liver cells or liver transplantation.

How to prevent liver failure?

1. Check hepatitis

It is recommended to go to the hospital to take a blood test and check whether there is a hepatitis virus infection. If there is infection, it is necessary to conduct systemic diagnosis and treatment in a regular hospital. If you need antiviral treatment, you need to follow the doctor's advice. Remember not to stop the drug blindly. Because hepatitis is recurred or even progressing to liver failure, it is not a minority. In addition, it is necessary to check it regularly. The liver is a silent organs. It is often asymptomatic. Once symptoms occur, the condition is relatively severe.

2. Avoid random medication

Usually pay attention not to use the medicine blindly, because other diseases must be used for medicine, and they should also pay attention to whether these drugs have liver toxicity.

3. Good living habits

Bad habits such as quit smoke and alcohol, staying up late, and unprecedented anger, pay attention to diet hygiene to prevent hepatitis A and pental virus infections caused by unclean or cold foods.

Huang Yuxin

Master of Medicine, residents of severe medical medicine department in Dade Road Hospital, Guangdong Province.

Good at: coronary heart disease, heart failure, hypertension, purulent disease, severe pneumonia, and postoperative severe patients with Chinese and Western medicine.Supply: Discipline of Critical Medicine, Dade Road General Hospital of Guangdong Provincial Hospital of Traditional Chinese Medicine

Executive editor: Wu Yuan Tuan

Audit school pair: Zhuang Yingge

Editor in charge: Song Liping

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