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Liver Biopsy

Liver biopsy is not necessary for diagnosis, but it is helpful for grading the severity of disease and staging the degree of fibrosis and permanent architectural damage. Hematoxylin and eosin stains and Masson's trichrome stain are used to grade the amount of necrosis and inflammation and to stage the degree of fibrosis. Specific immunohistochemical stains for HCV have not been developed for routine use. 

Liver biopsy is also helpful in ruling out other causes of liver disease, such as alcoholic liver injury or iron overload.
HCV causes the following changes in liver tissue:
Necrosis and inflammation around the portal areas, so-called "piecemeal necrosis."
Necrosis of hepatocytes and focal inflammation in the liver parenchyma.
Inflammatory cells in the portal areas ("portal inflammation").
Fibrosis, with early stages being confined to the portal tracts, intermediate stages being expansion of the portal tracts and bridging between portal areas or to the central area, and late stages being frank cirrhosis characterized by architectural disruption of the liver with fibrosis and regeneration.
Grading and Staging of hepatitis by assigning scores for severity are helpful in managing patients with chronic hepatitis. The degree of inflammation and necrosis can be assessed as none, minimal, mild, moderate, or severe. The degree of fibrosis can be assessed similarly. Scoring systems are particularly helpful in clinical studies on chronic hepatitis.

tags:Liver biopsy,HCV liver,Grading and Staging of hepatitis ,chronic hepatitis.the liver parenchyma

Viral hepatitis III

Viral hepatitis is a systemic disease often quite marked liver cell destruction, necrosis and decomposition, resulting in anorexia, jaundice, and hepatomegaly. In most patients, the liver cells regenerate at the end with little or no residual damage. However, age and serious disturbances basically make complications more frequently. The prognosis is poor, if the lungs and liver enceph-alopathy develop.
Hepatitis occurs in these forms:
-Type A (infectious or short-incubation hepatitis) is on the rise among gay men and in people with immunosuppression related to human immunodeficiency virus (HIV) infection.

-Type B (serum or long-incubation hepatitis) is also increasing among HIV-positive people. Routine screening of blood donors for hepatitis B surface antigen (HBsAg) has reduced the frequency of posttransfusion cases, but the transfer of needles shared by drug users remains a major problem.
-Type C accounts for about 20% of all cases of viral hepatitis and for most cases posttransfusion.
- Type D (delta hepatitis) is responsible for approximately 50% of all cases of fulminant hepatitis, which has a high mortality rate. Development in 1% of patients, fulminant hepatitis caused by persistent failure hepatic encephalopathy. It progresses into a coma, and usually results in death within 2 weeks. In the United States, type D is limited to people who are frequently exposed to blood and blood products, such as IV drug users and patients with haemophilia.
-Type E (formerly grouped under the name C-type non-A, non-B hepatitis) primarily occurs in patients who have recently returned from endemic areas (such as India, Africa, Asia, and Central America); It is more common in young adults and more severe in pregnant women women.-Hepatitis G is a newly discovered form of hepatitis. Transmission route blood and it is more common in those receiving blood transfusions.

tags: the frequency, viral hepatitis, Therefore, the liver virus, hepatitis type B, hepatitis A often results, ABCDE hepatitis, viral hepatitis, ABCDEFG

Hepa Merz granules in Hepatic Encephalopathy

 Hepa Merz per sachet granules L-ornithine-L-aspartate 3 g or Per amp infusion conc L-ornithine-L-aspartate 5 g

Negative Reactions

nausea and vomiting after infusion (uncommon). Granules: Leg pain; nausea, vomiting, stomachache, flatulence, and diarrhea (rare) (very rare).

Latent and apparent hepatic encephalopathy conc. Granules reduction of elevated blood ammonia levels in severe liver diseases with signs and symptoms of hepatic encephalopathy, both latent and manifest.

Dosage/Use Instructions

Fusion complete Typically, 4 amps per day. Coma and pre-coma On the first day, up to 8 amp. cases: 4 amps per day. A glass of water with 1-2 sachets of granules dissolved in it...treatment

– Treatment of concomitant disease and sequelae due to impaired detoxifcation activity (e.g. liver cirrhosis) with symptoms of latent and manifest HE1 – Hepa-Merz Infusion is indicated especially for the treatment of pre-coma and coma 1...


New method of liver biopsy

FibroScan is a new method of liver biopsy.In the Balkans, this newspaper is efficient.
Similar to ultrasound.The patient is eager to please.This method is fiery and reveals much in the liver.
The state hospitals are free of charge.While the private price is ok 250 eu.Figure 3. An elastogram demonstrating a liver stiffness of 26 kPa
This case highlights the important utility of FibroScan in the routine evaluation of patients with suspected liver disease. The test enabled the diagnosis of liver cirrhosis to be made, which in turn led to the establishment of key surveillance programs for varices and liver cancer. 
In addition, the detection of advanced liver disease facilitated the decision to undertake antiviral treatment to reduce the risk of developing complications in the longer term.


Mushroom Fever

Mushroom fever contains high levels of antioxidants to fight against free radicals (unstable molecules or high reactivity jones, which in the body undergo chemical reactions with cellular components, leading to biochemical, structural and functional disorders).Mushroom Fever this fungus improves liver function and also benefits the cardiovascular system.
 Smurfs are also used as dietary foods because they are rich in fiber. Vitamins and minerals, which are found in the rump, improve bone density, heartbeat and energy.

Tags:Mushroom fever ,antioxidants ,Vitamins,minerals,

Herbal Remedies for Liver Complaints

  • gentian (root)
  • dandelion (root)
  • milk thistle (seed)
-Gentian (root):Many gentians are difficult to grow outside of their natural habitat, but several cultivars are available. Gentians are fully hardy, preferring full sun or partial shade, as well as neutral to acidic soil that is rich in humus and well drained. They are widely used in inrock gardens.
Gentians have a unique combination of phytochemicals known as seco-iridoids and xanthones. The seco-iridoids are bitter, and the most bitter compound known is found in gentian. No gentians are extremely poisonous, but due to their bitterness, animals rarely consume them.

-Dandelion:In traditional medicine, dandelion roots and leaves were used to treat liver problems. Native Americans also used dandelion decoctions (liquid made by boiling down the herb in water) to treat kidney disease, swelling, skin problems, heartburn, and stomach upset. Chinese medicinal practitioners traditionally used dandelion to treat digestive disorders, appendicitis, and breast problems (such as inflammation or lack of milk flow). In Europe, herbalists incorporated it into remedies for fever, boils, eye problems, diabetes, and diarrhea.

Today, dandelion roots are mainly used as an appetite stimulant, digestive aid, and for liver and gallbladder function. Dandelion leaves are used as a diuretic to stimulate the excretion of urine.

milk thistle (seed):

Treatment of Liver Disease - Hepatitis and Beyond:

Milk Thistle has been found in recent years to be a major player in the treatment of Liver Disease. Because it helps lower enzyme levels and facilitates the liver in its process of detoxifying the body. Among all known herbal remedies, Milk Thistle finds its place as the leader in herbs to treat liver disease. Physicians have prescribed Milk Thistle for Hepatitis to keep down inflammation, Cirrhosis to soften the liver, Liver Cancer to aid in detoxification, and many dysfunctions of the Gall Bladder System. It also helps protect the liver for those individuals that are taking prescription medications known to elevate liver enzymes.

tag:Herbal Remedies for Liver Complaints,Treatment of Liver Disease, the liver, 

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