Forecasts for various chronic diseases depend on many factors, but the defining evaluation criterion is the stage of the development of the disease. The higher it is, the lower the probability of 5-year survival. Therefore, the first thing that patients are interested in when cirrhosis of the 4th degree is diagnosed is how many live with such a diagnosis, because this stage of disease progression is characterized by almost complete loss of the body's functions.
Symptoms of cirrhosis of the 4th degree
This stage of cirrhosis is also called decompensation. This means that the liver does not actually work, since most of the cells of its parenchyma (hepatocytes) are replaced by a fibrous connective tissue.
Signs of this pathology:
- Constant intestinal disorders;
- rapid loss of body weight;
- strong weakness;
- vomiting;
- atrophy of the muscles of the intercostal spaces and the upper zone;
- severe pain syndrome;
- loss of appetite;
- high body temperature;
- icterus of the skin.
In addition to the listed clinical manifestations, cirrhosis of the 4th degree is accompanied by a number of dangerous complications, among which:
- ascites;
- internal bleeding;
- hepatogenic ulcers;
- cancerous tumors;
- infection;
- hepatic encephalopathy ;
- biochemical blood disorders;
- confluence in coma.
The stage of decompensation proceeds rapidly, the patient literally "melts", and therefore needs emergency medical care.
Treatment of cirrhosis of the 4th degree
A comprehensive approach is used to treat the described stage of pathology progression. A person needs to completely change the way of life in favor of a healthy diet and the rejection of all bad habits. At the same time, several groups of medicines are prescribed:
- hepatoprotectors (organic and synthetic);
- diuretics;
- steroidal anti-inflammatory drugs (hormonal);
- vitamins and amino acids;
- essential phospholipids;
- antiviral (prevention of hepatitis).
Patients with cirrhosis at the stage of decompensation are recommended to comply with bed rest and a special diet. From the diet will have to be deleted:
- alcohol;
- canned food;
- pickling;
- spices;
- fatty meat and fish;
- smoked products;
- Dessert;
- fried food;
- whole milk;
- broths.
Limit to a minimum:
- eggs;
- fatty fermented milk products;
- sour berries and fruits (only as part of ready meals and drinks);
- salt;
- tea and coffee;
- glucose;
- flour products.
Preference should be given to:
- cereals;
- "White" fish and meat, it is better for a bird;
- vegetable broth;
- fruit drinks, compotes;
- herbal decoctions and infusion;
- Natural sweets (jelly, marshmallow, pastille, jam and others).
Strict and constant compliance with the diet helps to improve overall health and quality of life.
It is important to note that the conservative approach is not effective for long, in the end it ceases to function. Therefore, during treatment it is necessary to discuss with a doctor the possibility of a surgical operation for a liver transplant. Today this technique is the only
How many live with cirrhosis of the liver in 4 stages?
Given that the stage of decompensation is characterized by the absence of hepatic activity and liver dysfunction, the prognosis for cirrhosis of grade 4 is disappointing. The parameters of 5-year survival do not exceed 20%, more than half of the patients die even earlier, within the first year from the date of diagnosis, the rest - for two to three years. The main cause of death is not cirrhosis itself, but its complications, especially malignant tumors, ascites and hepatic encephalopathy with confluence in coma.