Hepatomegaly called enlargement of the liver caused by a disease affecting the function of the body. fine
the liver has a soft consistency. It is located under the bottom edge of the right costal arch. When liver damage in it begin to accumulate decay products, there is swelling of the tissue. As a result of this process, the liver begins to increase, and it can be felt easily through the anterior abdominal wall to palpation.
For colds frequently observed increase in liver. In this case, the treatment does not require hepatomegaly and passes on their own after a full recovery of the patient.
Hepatomegaly and liver can be observed in children with eating disorders, or certain autoimmune processes.
All the reasons leading to the development of liver hepatomegaly can be divided into three groups:
1. Diseases of the liver. In this case, a loss of hepatocytes (liver cells), which triggers a tissue edema or regeneration. The increase in the liver as a result of swelling goes after removal of inflammation. When enhanced regeneration of hepatocytes all the more complicated. In this process, recovering only a portion of the liver cells, and replaced by connective rest (scar) tissue. As a result, the liver is gradually increased in size and becomes rough, thick. Causes of hepatomegaly may be a variety of liver diseases: autoimmune and viral hepatitis, hydatid disease, polycystic, cirrhosis and fibrosis, cancer and others.
2. storage diseases. As a result of metabolic disorders begin to accumulate in the liver glycogen, iron, carbohydrates, fat and other substances that increase the size of the organ. Examples of these diseases include hepatolenticular degeneration, amyloidosis, steatosis, hemochromatosis. Many of them are hereditary. But some, such zhirovoygepatoz may arise as a result of general obesity, alcohol abuse, long-term use of certain medications.
3. Cardiovascular diseases associated with circulatory failure and lead to oxygen starvation and hepatocytes in the liver blood stagnation. Hepatomegaly reason in this case is the death of liver cells and the development of their site of connective tissue.
Signs of hepatomegaly
Symptoms of liver hepatomegaly are to increase the size of the body. Patients may notice that they have a protrusion in the right hypochondrium. But more often the first sign of hepatomegaly a complaint about a feeling of heaviness and discomfort in the upper right quadrant of the abdomen.
further progression of the disease symptoms of hepatomegaly are becoming more noticeable and unpleasant. By the discomfort in his right side joined nausea, vomiting, heartburn, yellowness of the skin and mucous membranes, bad breath, petechial rash and itchy skin. The most recent development is a sign of hepatomegaly ascites - fluid accumulation in the abdominal cavity.
Since the causes of hepatomegaly are different, and the therapy is started only after you apply the exact etiological factor that led to the development of this symptom. Hepatomegaly Treatment is carried out only under the supervision of a physician and is complex.
The goal of drug therapy is to suppress the pathological processes that lead to an increase in the liver. In addition, necessary to observe a special diet with reduced fat and carbohydrates. In cases where the cause of the disease is the accumulation hepatomegaly, then from the diet should be possible to exclude those products that can not be properly metabolized by the body.
With the development of severe hepatic insufficiency perform transplant (transplant) liver.