Wednesday, April 18, 2018

Liver disease










                    What Is Liver Disease 

Liver disease is any disturbance of liver function that causes illness. The liver is responsible for many critical functions within the body and should it become diseased or injured, the loss of those functions can cause significant damage to the body.

Liver disease is also referred to as hepatic disease.
Liver disease is a broad term that covers all the potential problems that cause the liver to fail to perform its designated functions. Usually, more than 75% or three quarters of liver tissue needs to be affected before a decrease in function occurs.

The liver is the largest solid organ in the body; and is also considered a gland because among its many functions, it makes and secretes bile. The liver is located in the upper right portion of the abdomen protected by the rib cage. It has two main lobes that are made up of tiny lobules.

The liver cells have two different sources of blood supply. The hepatic artery supplies oxygen rich blood that is pumped from the heart, while the portal vein supplies nutrients from the intestine and the spleen.


                  
                Causes Of Liver Disease 

The liver can be damaged in a variety of ways.

1.Cells can become inflamed, for example, hepatitis

2.Bile flow can be obstructed, for example, cholestasis).

3.Cholesterol or triglycerides can accumulate, for example,steatosis ).

4.Blood flow to the liver may be compromised.

5.Liver tissue can be damaged by chemicals and minerals , or infiltrated by abnormal cells, like cancer cells.

The abuse of alcohol 



Alcohol abuse is the most common cause of liver disease in North America. Alcohol is directly toxic to liver cells and can cause liver inflammation. Alcohol has caused so many diseases with it large consumption rate.

Cirrhosis

Cirrhosis is a late-stage of liver disease. Scarring of the liver and loss of functioning liver cells cause the liver to fail. Significant amounts of liver cells need to be damaged before the hole organ fails to function.


Drug-induced liver disease



Liver cells may become temporarily inflamed or permanently damaged by exposure to medications or drugs. Some medications or drugs require an overdose to cause liver injury while others may cause the damage even when taken in the appropriately prescribed dosage.

Taking excess amounts of acetaminophen ( Tylenol , Panadol) can cause liver failure. This is the reason that warning labels exist on many over-the-counter medications that contain acetaminophen and why prescription narcotic acetaminophen combination medications (for example, Vicodin, Lortab , Norco, Tylenol #3) limit the numbers of tablets to be taken in a day. For patients with underlying liver disease or those who abuse alcohol, that daily limit is lower and acetaminophen may be contra-indicated in those individuals.

Statins are drugs commonly prescribed to control elevated blood levels of cholesterol. Even when taken in the appropriately prescribed dose, liver inflammation may occur. This inflammation can be detected by blood tests that measure liver enzymes. Stopping the medication usually results in return of the liver function to normal.

Niacin is another medication used to control elevated blood levels of cholesterol, but liver inflammation with this medication is related to the dose taken. Similarly, patients with underlying liver disease may be at higher risk of developing liver disease due to medications such as niacin. Recent studies have found that niacin may not be as effective as previously thought in controlling high cholesterol . Patients who take niacin may want to see their health care professional to determine if other treatment options may be appropriate.