末期肝病的脆弱性:了解病理生理学,评估工具和管理策略
Mazen Elsheikh1, Ahmed El Sabagh2, Islam B Mohamed2
1Department of Gastroenterology and Hepatology, Baylor College of Medicine, Houston, TX 77030, United States. dr_mazenelsheikh@hotmail.com.
World journal of gastroenterology
|December 22, 2023
概括
脆弱性在末期肝病中很常见,增加了住院和死亡等风险. 早期评估和管理,专注于营养和治疗肝脏并发症,对于肝硬化患者至关重要.
科学领域:
- 老年病的医生 老年病的医生
- 肝病学 肝病学是一种肝病学.
- 内部医学 内部医学
背景情况:
- 在末期肝病中,虚弱和肉是普遍存在的.
- 虚弱,生理系统的衰退,降低了弹性,增加了对不利结果的脆弱性.
- 在肝硬化中,诸如血高血压,荷尔蒙失衡和营养不良等因素会导致虚弱.
研究的目的:
- 审查肝病理生理学和肝病虚弱的临床评估.
- 通过管理肝脏并发症来讨论预防虚弱的策略.
- 探索新的评估和管理方法,包括技术辅助方法.
主要方法:
- 文献综述专注于肝脏疾病中的脆弱性.
- 分析导致肝硬化患者虚弱的因素.
- 探索当前和新兴的评估和管理策略.
主要成果:
- 脆弱性评估对于预测肝硬化患者的发病率和死亡率至关重要.
- 在重症监护和移植资格决策中识别脆弱性辅助.
- 个性化治疗计划应优先考虑运动,营养和肝脏并发症管理.
结论:
- 虚弱显著影响肝病患者的结果.
- 肝脏并发症的有效管理是预防虚弱的关键.
- 可穿戴技术和远程医疗为未来的脆弱性评估和管理提供了有希望的途径.
相关概念视频
Esophageal Varices-II: Clinical Features and Management
71
Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
71
Chronic Pancreatitis II: Collaborative Care
92
The management of chronic pancreatitis is multifaceted, involving a comprehensive approach that includes thorough assessment, diagnostic testing, and a variety of management strategies.
Assessment:
Assessment:
92
Ultrasound II: Endoscopic Ultrasound and FibroScan
108
Endoscopic Ultrasound (EUS) and FibroScan are valuable diagnostic tools in gastroenterology and hepatology, each with specific applications and techniques.
Endoscopic Ultrasound (EUS):
Endoscopic Ultrasound (EUS):
108
Liver Physiology
563
The liver, an essential organ in the human body, performs over 200 vital functions that can be broadly categorized into metabolic, hematological, endocrine regulation, and bile production.
Metabolic Regulation:
The liver is the central organ involved in regulating blood composition. It stabilizes blood glucose levels, maintaining them within the range of 70–110 mg/dL. When these levels drop, the liver breaks down glycogen reserves and releases glucose into the bloodstream. It can...
Metabolic Regulation:
The liver is the central organ involved in regulating blood composition. It stabilizes blood glucose levels, maintaining them within the range of 70–110 mg/dL. When these levels drop, the liver breaks down glycogen reserves and releases glucose into the bloodstream. It can...
563
Liver Regeneration
3.3K
The liver is an important organ in vertebrates that plays an essential role in metabolism. It is also responsible for storing and redistributing nutrients such as carbohydrates, fats, and vitamins in the body. Additionally, the liver releases bile salts which are critical for digesting food and eliminating toxic metabolites from the body.
Cells of Liver
The liver comprises four major types of cells— hepatocytes, stellate, Kupffer, and sinusoidal endothelial cells. The hepatocytes are...
Cells of Liver
The liver comprises four major types of cells— hepatocytes, stellate, Kupffer, and sinusoidal endothelial cells. The hepatocytes are...
3.3K
Diseases of the Liver and Gallbladder
555
Liver and gallbladder diseases are a significant health concern, with prominent conditions including cirrhosis, hepatitis, non-alcoholic fatty liver disease (NAFLD), and gallstones. Jaundice is a common manifestation of liver and biliary disease.
Cirrhosis is characterized by the scarring of hepatic lobules in the liver, which are replaced by fibrous tissue, affecting the liver's normal functioning. NAFLD, on the other hand, is caused by an excessive build-up of fat in the liver, not...
Cirrhosis is characterized by the scarring of hepatic lobules in the liver, which are replaced by fibrous tissue, affecting the liver's normal functioning. NAFLD, on the other hand, is caused by an excessive build-up of fat in the liver, not...
555


