Cirrhosis vein bleeding hematochezia eat what drugs can stop bleeding
My mother suddenly blood twice earlier, the hospital was found ascites due to cirrhosis, ascites did not stay for a period of time, large discharge is black. The doctor said may be bleeding vein, I do not know how to treatment, eating what drugs can stop bleeding. To eat Buxue but what can be a tonic liver cirrhosis patient can eat.
Answer:
1, alcohol
2, to eat less digestible residue of soft food to prevent food across the bend of the venous plexus. To soft-chopped vegetables. Avoid the use of high-fiber vegetables roots. The use of meat tender pork minced meat system software and using methods such as steaming stew. Do not have oil fried food, soft food staples, such as by fermentation of bread, steamed bread and Fagao digestible for good. Rough hard to avoid eating the food, such as coarse cereals, fruit salad, as well as the spur to bring the chickens fish food. Eat less acid gas production of food: sweet potato, such as gastric acid can increase gas production of food such as carrots, and so easy to cause flatulence garlic. Fasting strong stimulating spices such as pepper, and so on.
3, to keep open stool, to avoid forced defecation, coughing, and other abdominal pressure increases.
(B) not do any work, emotional stability
1, the attention of rest, avoid over exertion.
2, attention should be paid to both the disease and actively cooperate with treatment, but also foster feelings of optimism; due to illness for a long time and repeated illness as well as worries about the prognosis, often heavy burden of mental and emotional instability. Modern medical science has discovered that emotions and the body’s immune system function. With optimistic, positive attitude towards the disease, the treatment of life, can often have a multiplier effect.
Cirrhosis upper gastrointestinal bleeding
1. Why would result in cirrhosis upper gastrointestinal bleeding?
Upper gastrointestinal bleeding led to a number of factors:
(1) esophageal varices
Esophageal, gastric varices lead to liver cancer is the most important cause gastrointestinal bleeding. The main mechanism for their occurrence are as follows: 80% of patients with liver cirrhosis, liver cirrhosis can lead to increased portal pressure, esophageal, gastric varices, when the portal vein or hepatic vein occlusion, may be exacerbated by portal hypertension, has led to the varicose Esophageal, gastric bleeding, caused by upper gastrointestinal bleeding; liver cancer may increase the liver damage, so increase the level of liver cirrhosis and portal vein leading to increased high; when liver lesions located in the hepatic portal, the portal can be the backbone of oppression, but also So that the portal vein pressure.
(2) of the clotting mechanism of obstacles
Liver cancer in patients with normal liver tissue due to the decrease in the liver to reduce the synthesis of clotting factor, the clotting mechanism obstacles. As the hypersplenism, platelet destruction of increase in the clotting mechanism will also obstacles. In addition, the tumor thrombus into the blood, they can cause acute disseminated intravascular coagulation (DIC), gastrointestinal hemorrhage caused by.
(3) of the gastrointestinal mucosa erosion
Patients with liver cancer as a result of portal hypertension, often caused by gastrointestinal stasis, the Erosive action film edema, hemorrhage caused by.
2. Cirrhosis complicated by the treatment of upper gastrointestinal bleeding
Cirrhosis complicated by esophageal, gastric bleeding occurred in the middle-aged men, the majority of patients with chronic liver disease, jaundice, or schistosomiasis history of chronic alcoholism. Morbidity, the vast majority of patients with no obvious discomfort or a sign that some patients in the upper hematemesis before a sense of fullness. Hematemesis caused by this disease more volume, mostly bright red, Chung spit out, and some cases of injection was hematemesis.
In the event of hematemesis, family members should be immediately taken to hospital in patients with first-aid measures to patients at the same time visions Lateral Horizontal pillow, thermal cut-protein food and other food.
Upper gastrointestinal bleeding to save the principles are: to support the therapy, transfusion, blood transfusion to prevent and correct the shock, the appropriate use of the drug to stop bleeding. The process of blood transfusion to save the most important and rich with new blood clotting factor. Another rescue is an important measure to stop bleeding. Including drug to stop bleeding, mechanical compression (two three-cavity tube oppression capsule) to stop bleeding, blood clots endoscopic surgery to stop bleeding and bleeding.
① drug to stop bleeding: cirrhosis portal hypertension lead to esophageal and gastric bleeding vein, should seek to reduce the pressure on the portal can be oral or intravenous drip propranolol pituitrin, eight-vasopressin and somatostatin. At the same time, the use of hemostatic agents, such as vitamin K, an network of blood, 6 - amino-acid, anti-acid and blood fibrinolysis Chinese medicine powder Baiji, Callicarpa grass, and so on.
② machinery to stop bleeding: the main chamber for the second three-sac of oppression tube stop bleeding. If there is no drug to stop bleeding the use of the above-mentioned results, and who can not immediately carry out surgery should be put to immediate use this method. If the air bag to place the right place, the effect can be achieved to stop bleeding. Application, inflatable Weinang more generally charge 200-400 ml; esophageal capsule filling relatively small (80 ml), as many from gastric esophageal varices vein, as long as the oppressed living gastric vein, Bleeding can only. If the bleeding can not be effectively stopped, should continue to increase the volume of air bag esophagus. Arguments in favor of saline into the stomach within plus norepinephrine 8 mg to gastric contraction of blood vessels, which continue to balloon after the oppression of those who have a bleeding effect. In order to avoid pressure on mucosal injury, should be oppressed every 12 hours that deflation 1-2 hours. Oppressive measures to stop bleeding in general are not more than 3 days, 3 days after the bleeding should still consider taking other measures.
③ endoscopic hemostasis: a conservative medical treatment of patients with ineffective use endoscopic hemostasis hardening agent. Acute hemorrhagic bleeding rate of 95% for the site to stop bleeding blood vessels to stop bleeding for embolization, such as the site of bleeding is not easy to determine, in endoscopic spraying thrombin to stop bleeding.
④ surgery: the above-mentioned method of treatment is still a large number of recurrent bleeding or bleeding, surgical treatment should be considered, they are: ligation of esophageal and gastric varices; cross at the bottom of the stomach, the stomach again - gastric bypass; body if the patient is still the case Stability, could be considered for the portal vein or the spleen and kidney match-pass surgery.
3. Cirrhosis of the prevention of upper gastrointestinal bleeding
Upper gastrointestinal bleeding liver is the most common and serious complications. Bleeding is the main reason for portal hypertension lead to esophageal varices bleeding. Once bleeding, ferocious, high mortality rates. The degree of esophageal varices, the more serious, occurred in the greater the risk of bleeding. As a result, patients with liver cirrhosis should be held in gastroscopy, esophageal varices understanding of the extent and scope of the understanding of Hemorrhage in the near future there.
Who has been bleeding occurred or gastroscopy have severe esophageal varices, especially in the near future the possibility of bleeding patients should be taken to prevent bleeding or bleeding again. There are many ways to prevent bleeding, clinical medicine is widely used to prevent bleeding. The most commonly used drug is propranolol (Punailuoer). Encore experience slower heart rate, lower cardiac output, to reduce pressure on the portal. For the treatment and prevention of hemorrhagic bleeding has better results. 10-40 mg dose used for each three times daily oral administration. Small doses should be started. Heart rate after treatment than the original heart rate of 25% to be effective. Propranolol to take a certain side effects, so, bronchial asthma, emphysema, diabetes, sinus bradycardia, and severe heart failure patients should be banned. Long-term drug use may reduce the blood supply to the liver, can be induced by a small number of hepatic encephalopathy (hepatic coma). Propranolol its metabolites after oral administration of most of the 48 hours through the Department of kidney row, Xing teams have accumulated in the body. To play a role in the prevention of bleeding, we must take a long time. In the course of medication should not suddenly stop, otherwise, all of a sudden pick-up in portal pressure may cause bleeding. If you need to stop should be a gradual reduction. Some heart patients De ineffective, can be added or nifedipine isosorbide dinitrate two drugs combined. De intentions if there is a taboo, can also be used alone or isosorbide dinitrate oral nifedipine. These two drugs also reduce portal pressure to prevent bleeding. It should be noted that these drugs should be applied under the guidance of doctors.
4. Cirrhosis upper gastrointestinal bleeding in patients with attention
(A) diet
1, alcohol
2, to eat less digestible residue of soft food to prevent food across the bend of the venous plexus. To soft-chopped vegetables. Avoid the use of high-fiber vegetables roots. The use of meat tender pork minced meat system software and using methods such as steaming stew. Do not have oil fried food, soft food staples, such as by fermentation of bread, steamed bread and Fagao digestible for good. Rough hard to avoid eating the food, such as coarse cereals, fruit salad, as well as the spur to bring the chickens fish food. Eat less acid gas production of food: sweet potato, such as gastric acid can increase gas production of food such as carrots, and so easy to cause flatulence garlic. Fasting strong stimulating spices such as pepper, and so on.
3, to keep open stool, to avoid forced defecation, coughing, and other abdominal pressure increases.
(B) not do any work, emotional stability
1, the attention of rest, avoid over exertion.
2, attention should be paid to both the disease and actively cooperate with treatment, but also foster feelings of optimism; due to illness for a long time and repeated illness as well as worries about the prognosis, often heavy burden of mental and emotional instability. Modern medical science has discovered that emotions and the body’s immune system function. With optimistic, positive attitude towards the disease, the treatment of life, can often have a multiplier effect.
