The liver is the largest gland of the human body and reaches a weight of 1.2-1.5 kg.It performs a wide variety of functions, ranging from the production of bile, disposal of various toxic substances and finishing the synthesis of proteins of the organism (eg, albumin).
If the liver becomes enlarged, detailed examination of the body is necessary to find the causes, the diagnosis and the correct treatment strategy. Content
Increased liver is called hepatomegaly.The liver may be increased by a wide variety of diseases, sometimes reaching 20 kg in weight.However, at home to notice an increase in its rather difficult (especially if it is negligible), so it's best to go to the doctor and do an ultrasound of the liver, which will show not only its exact size, but also give
Signs of liver disease discussed in the popular TV program:
treatment of enlarged liver in viral hepatitis varies somewhat depending on the type of pathogen and the nature of hepatitis (acute, chronic).However, in all cases, the recommended diet, sparing the liver.
In the CIS diet for dietitian Pevzner developed liver and is known as a medical table 5 and 5a.In addition to liver disease, this table is also indicated for chronic cholecystitis, pancreatitis, cholelithiasis and urolithiasis, gout and other diseases.Diet №5 shown during remission of chronic hepatitis or in the process of recovery from the acute and №5 and - in acute forms and in exacerbation of chronic hepatitis.
In any case, the food should be delicious, as in hepatitis suffers appetite, warm, easily digestible, with a high content of protein, vitamins, minerals, fiber and reduced fat (especially animal), and foods that cause increase in the secretion of digestive juices.Multiplicity receiving pischi- 5-6 times a day at intervals of 3-4 hours.
constantly observe a diet provided balanced diet can be a long time, for example, one year or more.
By way of preparation
prohibited - all fried, smoked, "unnatural" with hot spices, marinated, canned (except the jam),
allowed - all boiled, steamed, stewed, baked inoven;meat and fish, preferably cooking.
In a set of products
diet differs from the previous in that it is appointed for 1.5-2 weeks during exacerbation of chronic hepatitis or early treatment of acute.It has more stringent restrictions on the method of preparation (preferably all rubbed) and a set of products (excludes fresh bread, and black, bold varieties of fish are allowed only starchy vegetables, butter is limited to 20-30 g. Per day, etc.).
about products that help the liver, see here:
Viral hepatitis A. In the beginning of the disease recommend bed rest, and during the appearance of jaundice - cholagogue preparations, unless contraindicated, for example, a decoction of Helichrysum, choleretic fees.To keep the liver is prescribed for 1-2 months essentiale, carry vitamin therapy (B1, B2, C, PP).
If diet and perform other doctor's recommendation then goes hepatitis and liver gradually reduced to normal size.
Viral hepatitis B. In general, acute forms of hepatitis B treated only in a hospital infection.In addition to diet, prescribers who have a greater or lesser degree of antiviral action: ribovirin, restrovir, gantsikrovir, acyclovir, lamivudine, α-interferon.As the inflammation subsided liver returns to normal size, but with chronicity of the final resolution of symptoms is almost impossible.
Viral hepatitis C. Depending on whether it is acute or chronic hepatitis, changing tactics and combat, and increased inflammation of the liver.However, common to all forms of the course is the appointment of diet, restriction of physical activities, receiving immunomodulators and interferons, and in the case of liver failure - using dezintoksikotsionnoy therapy.
Treatment of chronic hepatitis C therapy is similar to acute hepatitis C, however, is assigned not only to the age and general health, but also the duration of the disease, as well as data on the genotype of the virus.The important role played by the financial possibilities of the patient and individual tolerance of certain drugs.
Viral hepatitis D. This type of hepatitis is rare in itself, as the virus "prefers to act" in the company with the hepatitis B virus, causing chronic hepatitis.Compared with other types of viral hepatitis is a chronic Hepatitis D often leads to cirrhosis.Treatment of long-term (12 months or more), includes diet, the appointment of various interferons to be taken every day: α-interferon, pegylated interferon (Pegasys), etc.As a result of the treatment of about 20% of the patients noted a marked improvement in liver histology and blood biochemical parameters.
Viral hepatitis E. method of infection and the symptoms are very similar to hepatitis A. This type of hepatitis is rare and is treated the same way as hepatitis A.
following diseases may also be accompanied by an increase in liver size:
Inmost of these cases is assigned diet (Table №5, 5a), and the treatment is carried out in the framework of hepatomegaly treatment of the underlying disease that caused the enlargement of the liver, for example, are engaged in treatment of heart failure (salt restriction, diuretics, and the appointment of cardioprotective agents) operate on benign or malignant tumorsappoint supporting and disintoxication therapy of metabolic diseases, etc.
Whatever caused the disease or hepatomegaly, all the result of the treatment can be reduced to zero, if you do not adhere to the diet, which is an essential and indispensable component in the treatment of most cases of liver enlargement.