Medical follow-up in patients with cirrhosis
Regular medical follow-up is needed
to control and prevent complications.
Regular medical follow-up
Regular medical follow-up is needed
to control and prevent complications.
Specialist visit regularly. The
hepato-gastroenterologist is a physician who has expertise in diseases of the
liver.
Hepatic ultrasonography and serum
alpha-fetoprotein should be regular (every 6 months) in order to detect the
time to progression to cirrhosis and liver cancer.
Detection and prevention of
complications:
- Gastrointestinal endoscopy for
early detection of esophageal varices and prevent fractures
- Eviction of taking psychotropic
drugs (antidepressants, antipsychotics, stimulants, ...) in the prevention of
hepatic encephalopathy.
Total and lifetime alcohol whatever
the cause of cirrhosis.
Tips
It is recommended to ensure proper
balanced diet, especially at the beginning stage of the disease:
- Carbohydrate intake,
- Intake of foods rich in vitamins,
trace elements and minerals (fruits, vegetables)
- Lower fat intake.
Deficiency of B vitamins and protein
aggravate the destruction of liver cells.
It is advisable to be cautious in
taking any medication (drugs being processed in the liver). It is therefore
recommended to always comply with medical advice.
Strictly prohibited drugs:
- Anticoagulants
- Neurosedatives and psychotropic
- NSAIDs
- Aspirin
Alternative: liver transplant
Liver transplantation is recommended
and indicated:
- In patients with severe hepatic
failure and the subject's life is threatened
- When all drug treatments have not
yielded satisfactory results.
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