{"id":50615,"date":"2018-01-19T13:18:33","date_gmt":"2018-01-19T10:18:33","guid":{"rendered":"https:\/\/sanatate.md\/?page_id=50615"},"modified":"2018-01-19T13:18:33","modified_gmt":"2018-01-19T10:18:33","slug":"hepatita-pe-fon-de-alcool","status":"publish","type":"page","link":"https:\/\/sanatate.md\/ro\/boli-si-tratament\/boli-narcologice\/hepatita-pe-fon-de-alcool\/","title":{"rendered":"Hepatita pe fon de alcool"},"content":{"rendered":"<p>Hepatita pe fon de alcool este o maladie a ficatului care este provocat\u0103 de consumul excesiv de alcool. Aceasta este una din cazele esen\u0163iale care duce la ciroza ficatului.<\/p>\n<p>Atunci c\u00eend se \u00eentrebuin\u0163eaz\u0103 b\u0103uturile alcoolice, \u00een ficat se formeaz\u0103 acetaldehida care afecteaz\u0103 celulele ficatului care, la r\u00eendul s\u0103u, este unul din organele vitale ale organismului uman.<\/p>\n<p>Alcoolul \u015fi produsele sale de defalcare sunt cauza reac\u0163iilor chimice care nefast influen\u0163eaz\u0103 asupra celulelor ficatuli.<\/p>\n<p>De regul\u0103 aceast\u0103 stare boln\u0103vicioas\u0103 este cronic\u0103 \u015fi apare pe fonul consumului excesiv de alcool. Gravitatea maladiei depinde de:<\/p>\n<ul>\n<li>Calitatea alcoolului;<\/li>\n<li>Doz\u0103;<\/li>\n<li>Frecven\u0163a de consumare.<\/li>\n<\/ul>\n<p>Cercet\u0103rile au ar\u0103tat c\u0103 starea boln\u0103vicioas\u0103 este generat\u0103 de \u00eentrebuin\u0163area a 50-80 de ml. de alcool pe zi de un b\u0103rbat s\u0103n\u0103tos \u015fi 30-40 de ml. de o femeie, iar pentru adolescen\u0163i doza o constitue 20 de ml. de alcool adic\u0103 0,5 litri de bere \u00een fiecare zi.<\/p>\n<h3>Forme ale st\u0103rii boln\u0103vicioase<\/h3>\n<p>Speciali\u015ftii remarc\u0103 2 forme ale acestei maladii:<\/p>\n<ul>\n<li>Progresiv\u0103-are un grad de \u00eemboln\u0103vire simplu,mediu \u015fi grav; organul este afectat de focare mici \u015fi progresia bolii duce la ciroz\u0103; 20 de % din persoanele bolnave de toate gradele de \u00eemboln\u0103vire au trecut mai \u00eent\u00eei prin aceast\u0103 stare boln\u0103vicioas\u0103; dac\u0103 se va \u00eenceta la timp s\u0103 nu s\u0103 se mai consume alcool de loc \u015fi s\u0103 se ia un tratament adecvat atunci vom putea ob\u0163ine stabilizarea inflama\u0163iei, totu\u015fi modific\u0103rile reziduale vor r\u0103m\u00eene pentru tot restul vie\u0163ii;<\/li>\n<li>Forma persistent\u0103-se caracterizeaz\u0103 prin stabilitate, interdic\u0163ia consumului de alcool poate duce la reversibilitatea proceselor inflamatorii.<\/li>\n<\/ul>\n<h3>Simptomele st\u0103rii boln\u0103vicioase<\/h3>\n<p>Simptomele maladiei \u00een cauz\u0103 practic nu se manifest\u0103, am putea men\u0163iona doar unele: pacientul simte greutate sub coasta dreapt\u0103, gre\u0163uri, apare r\u00eeg\u00eeitul, stomacul \u00eentotdeauna este inflamat \u015fi apare senza\u0163ia de preaplin.<\/p>\n<p>Forma progresiv\u0103 a st\u0103rii boln\u0103vicioase se manifest\u0103 prin diaree \u015fi vom\u0103. Forma medie \u015fi grav\u0103 se caracterizeaz\u0103 prin febr\u0103, stratul cutanat este de culoarea galben\u0103, adeseori apar s\u00eenger\u0103ri \u015fi dureri \u00een partea dreapt\u0103. Cazurile grave duc la insuficien\u0163a hepatic\u0103 \u015fi la un rezultat fatal. Analizele arat\u0103 un nivel ridicat de bilirubin\u0103 \u015fi imunoglobulina A.<\/p>\n<h3>Forma Acut\u0103 a st\u0103rii boln\u0103vicioase<\/h3>\n<p>Maladia progreseaz\u0103 foarte repede, ficatul se inflameaz\u0103 \u015fi se distruge.<\/p>\n<p>Aceast\u0103 form\u0103 este de 4 tipuri:<\/p>\n<ul>\n<li>G\u0103lbui care se caracterizeaz\u0103 prin sl\u0103biciuni foarte puternice, anorexie, icter, vom\u0103 \u015fi gre\u0163uri; se observ\u0103 m\u0103rirea \u015fi etan\u015farea ficatului;<\/li>\n<li>Latent, e necesar de a face biopsia pentru a stabili diagnoza \u00een cauz\u0103;<\/li>\n<li>Galopant care se caracterizeaz\u0103 prin hemoragie, sl\u0103biciune, insuficien\u0163\u0103 renal\u0103 \u015fi encefalopatie;<\/li>\n<li>Colestazic-masele fecale sunt incolore, urina are o culoare \u00eentunecat\u0103, apar m\u00eenc\u0103rimile, stratul cutanat \u015fi sclerele ochilor sunt de culoare g\u0103lbuie.<\/li>\n<\/ul>\n<p>\u00cen cazul \u00een care alcoolul se consum\u0103 excesiv \u015fi un timp \u00eendelungat apare forma acut\u0103 a maladiei \u00een cauz\u0103. Aceast\u0103 form\u0103 apare la 70 de % de consumatori \u00eenr\u0103i\u0163i. La 4 % din ace\u015ftia starea boln\u0103vicioas\u0103 trece \u00een ciroz\u0103. Tabloul clinic \u015fi prognoza depind de gravitatea de afectare a ficatului.<\/p>\n<p>Semnele formei acute \u00eencep s\u0103 se manifeste pe fonul be\u0163iilor infinite la pacien\u0163ii care sufer\u0103 de ciroz\u0103.<\/p>\n<h3>Forma cronic\u0103 a bolii<\/h3>\n<p>De regul\u0103 aceast\u0103 maladie nu prezint\u0103 nici o simptom\u0103, totu\u015fi exist\u0103 o caracteristic\u0103 dominant\u0103 a acestei forme este ridicat nivelul de taransaminaz\u0103 unde ACT este predominant fa\u0163\u0103 de ALT. \u00cen unele cazuri se observ\u0103 ridicarea neesen\u0163ial\u0103 a nivelului de colestaz\u0103. Simptomele apari\u0163iei hipertensiunii arteriale portale nu se manifest\u0103 de loc. Diagnostica se efectuiaz\u0103 prin metoda morfologic\u0103-specialistul depisteaz\u0103 schimb\u0103rile histologice \u015fi procesul inflamator. Simptomele transform\u0103rii cirotice nu se manifest\u0103 de loc.<\/p>\n<h3>Diagnosticarea st\u0103rii boln\u0103vicioase<\/h3>\n<p>Aceast\u0103 maladie poate fi depistat\u0103 doar \u00een condi\u0163ii de laborator.<\/p>\n<p>Maladia \u00een cauz\u0103 nu se depisteaz\u0103 at\u00eet de u\u015for deoarece pacientul poate ascunde anumite informa\u0163ii, av\u00eend \u00een vedere motivele bine\u00een\u0163elese. Dac\u0103 persoana consum\u0103 alcool \u00een cantit\u0103\u0163i excesive atunci cauza bolii devine evident\u0103.<\/p>\n<p>Specialistul diagnostific\u0103 dependen\u0163a de alcool. Persoana este considerat\u0103 dependent\u0103 \u00een cazul \u00een care se depisteaz\u0103 urm\u0103toarele criterii:<\/p>\n<ul>\n<li>Consumul permanent de b\u0103uturi alcoolice;<\/li>\n<li>Consumul \u00een cantit\u0103\u0163i enorme.<\/li>\n<\/ul>\n<h3>Tratament<\/h3>\n<p>Tratarea maladiei \u00een cauz\u0103 presupune un tratament complex care include:<\/p>\n<ul>\n<li>Dieta care const\u0103 \u00een consumul produselor ce con\u0163in un nivel \u00eenalt de proteine;<\/li>\n<li>Tratamentul chirurgical \u015fi medicamentos care include terapia hepatoprotectoric\u0103;<\/li>\n<li>Excluderea agen\u0163ilor provocatori.<\/li>\n<\/ul>\n<p>Tratamentul este eficient atunci c\u00eend pacientul exclude total \u00eentrebuin\u0163area b\u0103uturilor alcoolice. Totu\u015fi datele statistice ne indic\u0103 c\u0103 la aceasta recurg doar 1\/3 din pacien\u0163i. Alt\u0103 treime continu\u0103 s\u0103 consume, dar \u00een doze mai mici, iar al\u0163ii \u00een genere ignor\u0103 cerin\u0163ele medicului. Persoanele care ignor\u0103 cerin\u0163ele medicului sunt dependente de alcool \u015fi de aceea hepatologul insist\u0103 ca ace\u015ftia s\u0103 fac\u0103 o vizit\u0103 medicului narcolog.<\/p>\n<p>\u00cen cazul \u00een care pacientul nu refuz\u0103 pe deplin de alcool atunci ne putem a\u015ftepta la o prognoz\u0103 nefavorabil\u0103.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Hepatita pe fon de alcool este o maladie a ficatului care este provocat\u0103 de consumul excesiv de alcool. Aceasta este una din cazele esen\u0163iale care duce la ciroza ficatului. Atunci c\u00eend se \u00eentrebuin\u0163eaz\u0103 b\u0103uturile alcoolice, \u00een ficat se formeaz\u0103 acetaldehida care afecteaz\u0103 celulele ficatului care, la r\u00eendul s\u0103u, este unul din organele vitale ale organismului [&hellip;]<\/p>\n","protected":false},"author":28,"featured_media":0,"parent":44105,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"inline_featured_image":false,"footnotes":""},"class_list":["post-50615","page","type-page","status-publish"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Hepatita pe fon de alcool<\/title>\n<meta name=\"description\" content=\"Hepatita pe fon de alcool este o maladie a ficatului care este provocat\u0103 de consumul excesiv de alcool .Aceasta este una din cazele esen\u0163iale care duce la ciroza ficatului.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, 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