{"id":8736,"date":"2015-05-28T14:18:58","date_gmt":"2015-05-28T12:18:58","guid":{"rendered":"https:\/\/dev.93-93-113-41.plesk.page\/?page_id=8736"},"modified":"2024-06-01T12:13:24","modified_gmt":"2024-06-01T10:13:24","slug":"cirrosi-hepatica","status":"publish","type":"page","link":"https:\/\/dev.93-93-113-41.plesk.page\/ca\/serveis\/aparell-digestiu\/hepatologia\/cirrosi-hepatica\/","title":{"rendered":"Cirrosi Hep\u00e0tica"},"content":{"rendered":"

Qu\u00e8 \u00e9s la Cirrosi?<\/h2>\n

La Cirrosi \u00e9s la forma com es nomena la fase m\u00e9s avan\u00e7ada de dany al fetge, que es caracteritza per una disminuci\u00f3 de l’elasticitat del mateix secundari a un o m\u00e9s factors lesius com poden ser infeccions virals (virus hepatitis B, virus hepatitis C) , malalties autoimmunes, t\u00f2xics com l’alcohol, acumulaci\u00f3 de greix o problemes metab\u00f2lics, entre d’altres.<\/p>\n

Quins s\u00edmptomes pot presentar?<\/h2>\n

La Cirrosi hep\u00e0tica pot ser asimptom\u00e0tica a l’inici, si el fetge es troba en una fase compensada. No obstant aix\u00f2, el fetge es pot descompensar ja sigui per l’evoluci\u00f3 natural o per alguna infecci\u00f3 o dany intercurrent. Els s\u00edmptomes de descompensaci\u00f3 hep\u00e0tica poden ser:<\/p>\n

\u2022 Augment del per\u00edmetre abdominal per acumulaci\u00f3 de l\u00edquid, aix\u00ed com inflor de cames.
\n\u2022 Problemes per respirar en cas que s’acumuli l\u00edquid al t\u00f2rax.
\n\u2022 Augment de la grand\u00e0ria dels vasos sanguinis situats a l’es\u00f2fag que en cas de ruptura poden ocasionar un sagnat prof\u00fas.
\n\u2022 Debilitat general.
\n\u2022 Canvi del ritme natural del son amb insomni nocturn i somnol\u00e8ncia di\u00fcrna.
\n\u2022 Coloraci\u00f3 groguenca de la part blanca dels ulls o de la pell.
\n\u2022 Pres\u00e8ncia de blaus o sagnat espontani de genives o nas.
\n\u2022 Desorientaci\u00f3, confusi\u00f3 o fins i tot coma en fases m\u00e9s avan\u00e7ades.<\/p>\n

Com es diagnostica?<\/h2>\n

A trav\u00e9s d’an\u00e0lisis sanguinis on s’objectivin alteracions que suggereixin al seu metge una afectaci\u00f3 hep\u00e0tica. S’hauran sol\u2022licitar les proves pertinents per fer el diagn\u00f2stic de la causa o causes que comportin a l’afectaci\u00f3 del fetge.
\nA trav\u00e9s de les proves d’imatge com l’Ecografia abdominal (US), Resson\u00e0ncia magn\u00e8tica (RM) o Tomografia axial computada (TAC) es poden objectivar alteracions de la superf\u00edcie o de la mida del fetge, augment de la mida de la melsa, augment de la pressi\u00f3 dels vasos sanguinis venosos o l\u00edquid dins de l’abdomen (ascites).<\/p>\n

La elastograf\u00eda de transici\u00f3 hep\u00e0tica (FibroScan CAP \u00ae<\/a>) \u00e9s una t\u00e8cnica no invasiva que permet valorar l’elasticitat hep\u00e0tica i la quantitat de greix acumulat en el fetge. Ens proporciona important informaci\u00f3 del grau de fibrosi a nivell del fetge.<\/p>\n

La Bi\u00f2psia hep\u00e0tica pot ser necess\u00e0ria en alguns casos. Consisteix en la presa d’una mostra amb una agulla d’una petita porci\u00f3 del fetge. Aquesta mostra \u00e9s revisada al microscopi i ens d\u00f3na informaci\u00f3 de la causa i el grau de dany.<\/p>\n

Quin pron\u00f2stic t\u00e9?<\/h2>\n

El pron\u00f2stic dep\u00e8n de diversos factors, com serien la causa de la cirrosi hep\u00e0tica, del temps d’evoluci\u00f3 i de si es presenten complicacions inherents a la mateixa o per altres malalties coexistents, sent la m\u00e9s determinant el fet de presentar descompensacions.<\/p>\n

En presentar una cirrosi hep\u00e0tica augmenta el risc per al desenvolupament d’un tumor hep\u00e0tic (hepatocarcinoma), per la qual cosa el seu metge li far\u00e0 estudis i controls (Ecografia, RM, TAC) per al diagn\u00f2stic primerenc del mateix.<\/p>\n

Quin \u00e9s el tractament?<\/h2>\n

No hi ha cap tractament que aconsegueixi curar pr\u00f2piament la cirrosi, per la qual cosa el tractament anir\u00e0 dirigit principalment contra la causa inicial de l’afectaci\u00f3 del fetge per evitar la progressi\u00f3 o fins i tot en alguns casos per produir una regressi\u00f3 del mal. Una altra part del tractament es dirigeix per evitar o tractar les complicacions quan la malaltia est\u00e0 ja evolucionada com serien la infecci\u00f3 del l\u00edquid abdominal, encefalopatia hep\u00e0tica (confusi\u00f3, desorientaci\u00f3 o coma) o ruptura de varius esof\u00e0giques (hemorr\u00e0gia digestiva).<\/p>\n

El tractament de rescat per a pacients amb dany hep\u00e0tic avan\u00e7at (insufici\u00e8ncia hep\u00e0tica) i compleixin els criteris \u00e9s el trasplantament hep\u00e0tic.<\/p>\n","protected":false},"excerpt":{"rendered":"

Qu\u00e8 \u00e9s la Cirrosi? La Cirrosi \u00e9s la forma com es nomena la fase m\u00e9s avan\u00e7ada de dany al fetge, que es caracteritza per una disminuci\u00f3 de l’elasticitat del mateix secundari a un o m\u00e9s […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":0,"parent":7391,"menu_order":2,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-8736","page","type-page","status-publish"],"yoast_head":"\nCirrosi Hep\u00e0tica - Servidigest<\/title>\n<meta name=\"description\" content=\"Cirrosi Hep\u00e0tica\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/dev.93-93-113-41.plesk.page\/ca\/serveis\/aparell-digestiu\/hepatologia\/cirrosi-hepatica\/\" \/>\n<meta property=\"og:locale\" content=\"ca_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Cirrosi Hep\u00e0tica - Servidigest\" \/>\n<meta property=\"og:description\" content=\"Cirrosi Hep\u00e0tica\" \/>\n<meta property=\"og:url\" content=\"https:\/\/dev.93-93-113-41.plesk.page\/ca\/serveis\/aparell-digestiu\/hepatologia\/cirrosi-hepatica\/\" \/>\n<meta property=\"og:site_name\" content=\"Servidigest\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/servidigest\" \/>\n<meta property=\"article:modified_time\" content=\"2024-06-01T10:13:24+00:00\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:site\" content=\"@servidigest\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"3 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/dev.93-93-113-41.plesk.page\/ca\/serveis\/aparell-digestiu\/hepatologia\/cirrosi-hepatica\/\",\"url\":\"https:\/\/dev.93-93-113-41.plesk.page\/ca\/serveis\/aparell-digestiu\/hepatologia\/cirrosi-hepatica\/\",\"name\":\"Cirrosi Hep\u00e0tica - Servidigest\",\"isPartOf\":{\"@id\":\"https:\/\/dev.93-93-113-41.plesk.page\/ca\/#website\"},\"datePublished\":\"2015-05-28T12:18:58+00:00\",\"dateModified\":\"2024-06-01T10:13:24+00:00\",\"description\":\"Cirrosi Hep\u00e0tica\",\"breadcrumb\":{\"@id\":\"https:\/\/dev.93-93-113-41.plesk.page\/ca\/serveis\/aparell-digestiu\/hepatologia\/cirrosi-hepatica\/#breadcrumb\"},\"inLanguage\":\"ca\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/dev.93-93-113-41.plesk.page\/ca\/serveis\/aparell-digestiu\/hepatologia\/cirrosi-hepatica\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/dev.93-93-113-41.plesk.page\/ca\/serveis\/aparell-digestiu\/hepatologia\/cirrosi-hepatica\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Serveis M\u00e8dics de Cl\u00ednica ServiDigest\",\"item\":\"https:\/\/dev.93-93-113-41.plesk.page\/ca\/servicios\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Aparell digestiu\",\"item\":\"https:\/\/dev.93-93-113-41.plesk.page\/ca\/servicios\/aparato-digestivo\/\"},{\"@type\":\"ListItem\",\"position\":3,\"name\":\"Hepatologia. 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