Chronic cholestatic hepatitis

Disease of the liver is of a diffuse nature as a result of inflammation along the small bile ducts, stagnation of bile in the liver tissue. Manifestations and complaints are the same as with other chronic hepatitis, but jaundice is more pronounced, which causes more pronounced itching, sometimes even before the icterus of the skin. Yellow, dense spots-xanthomas and xanthelas appear in the corners of the eyes under the skin. With a biochemical blood test, a higher level of bilirubin alkaline phosphatase (5 or more times higher than normal), cholesterol. The principles of dietary nutrition and treatment are the same as for chronic active hepatitis, as well as vitamins A, E, B, Vikasol, to reduce itching
- drugs that bind bile acids (bilignin, cholestyramine), choleretic.
Hepatosis fat (fatty liver disease). Chronic liver disease, characterized by fatty liver cell dystrophy. It occurs quite often, it develops under the influence of alcohol, toxic substances (medicines), diabetes mellitus, anemia, lung diseases, severe pancreatitis and enteritis, malnutrition, obesity. Patients complain of fickle nausea, dull aching pain or heaviness in the right upper quadrant and epigastrium (under the spoon), the phenomenon of flatulence. The liver is enlarged slightly, usually painless, with a smooth surface, its edge is rounded. Sometimes the spleen is enlarged.
With ultrasound of the abdominal cavity - increased echogenicity of the liver, increasing its size. In a biochemical blood test, a slight increase in the activity of liver samples and changes in protein fractions (for more details, see Chronic hepatitis).
Diet No. 5. Vitamins of group B, methionine, lipocaine, Essentiale, karsil, legalon - by courses.
Hepatoses are hereditary pigment (benign gniperbnlnrubinsm). A group of hereditary transmissible diseases, the main feature of which is an increase in the level of bilirubin in the blood, hyperbilirubinemia.