With the development and progress of society, people's health awareness is constantly improving, and the importance of family members, especially children is increasing. Children will strengthen the physical examination procedures before entering school .
Before, a parent came to the clinic with his family and said, "Doctor, today I found that my child's aminotransferase was a bit high in . The doctor asked him to go to the hospital for some liver tests. After listening to her mother's story, I looked at the child again and found that the child was not very high, but his body mass index looked much higher than that of children of the same age.
Finally, Xiaomei's mother said that she was only 10 years old and that everyone in her family spoiled her. She ate whatever she wanted. She had never stopped in , big fish, meat and snacks, which led to her weight like she is now. Then I first did a physical examination for Xiaomei. The physical examination found that the liver can reach about 2cm of under the ribs. Then I asked them to do further liver-related examinations, and the examination results showed that moderate fatty liver .
However, imaging examinations showed that Xiaomei's liver has exceeded the size of adult liver , and because she is fatter than , in order to further clarify the reason, I suggested that her have liver puncture , and the final liver puncture result pointed out that Xiaomei had severe cirrhosis in .
When she heard the test result, her mother couldn't believe it and said excitedly: "How is it possible? My child is still so young, why is it cirrhosis ? Isn't cirrhosis all for adults? Doctor, take a look."
while comforting her and said: "This test result is confirmed to be like this. It may be related to Xiaomei's 's usual living habits . The most important thing now is to clarify the cause of and treat as soon as possible."
Because Xiaomei is young, she finally treated with drugs after consultation. A year later, Xiaomei's severe cirrhosis significantly reduced , and her weight also decreased . If she insisted on treatment, she believed that Xiaomei's condition would be completely cured.
I believe many people are incredible about children suffering from cirrhosis like Xiaomei's mother, believing that cirrhosis is a disease that only adults with long-term smoking, drinking, and obesity will get. But this is not the case. Today, through this article, I hope you will have a basic understanding of children with cirrhosis .
1. How much do you know about cirrhosis in children?
cirrhosis is the late stage of various chronic and progressive liver disease , manifested as diffuse fibrosis of the liver parenchymal , regenerating nodules and ultimately leading to the formation of pseudo-lobitus . Cirrhosis is one of the main causes of death worldwide, bringing heavy burdens to countries and families.
The causes and clinical characteristics of cirrhosis in adults have been widely known. type B and type C viral hepatitis , alcoholic liver disease , non-alcoholic fatty liver disease , etc. are the most common causes. The incidence of cirrhosis in children is rarer than that in adults, and because children are in a unique growth and development state, their nutritional status is more susceptible to the chronic diseases of . Therefore, the manifestations and influencing factors of cirrhosis in children are also different from those in adults.
Among the clinical manifestations of cirrhosis in children, the most common manifestations are the same as those in adults, and the skin mucosa and scleral yellow staining , which is what is clinically called jaundice . This is because after cirrhosis occurs, the structure in the liver will change accordingly, which will cause the bile in the bile duct to flow back to , causing the bilirubin in the blood to increase , which will eventually cause jaundice.
Secondly, pediatric patients with cirrhosis will also experience digestive tract symptoms such as anorexia, loss of appetite, nausea, and abdominal distension in the early stage. This is because during cirrhosis, children's liver function is in the decompensation period. will lead to increased bile secretion in the liver, which will cause edema of gastrointestinal tract, reducing gastrointestinal digestion ability, and eventually anorexia, nausea, and other phenomena.
So when children experience symptoms such as anorexia, loss of appetite, and yellowing of the skin, parents should pay attention to Seek medical treatment as soon as possible to clarify the cause of the disease. If is not treated effectively, it may cause a series of serious complications such as esophageal and gastric varicocele bleeding.
Portal hypertension in cirrhosis is the main reason for varicose veins bleeding , because when the liver is in the decompensated period, the blood in in the venous blood vessels continues to increase , but because the liver capacity of weakens , blood accumulation and failure to flow out will cause the pressure in in the blood vessels to continue to rise . When it reaches a certain level, rupture and bleeding will occur. is often clinically manifested as vomiting blood and black stools.
Spontaneous peritonitis is also one of the most common infectious complications of cirrhosis in children. It is not an acute bacterial periton inflammation caused by direct infection of the abdominal organs. Instead, when cirrhosis occurs, the ascites in the abdominal cavity of the child increases a lot, and the bacteria continue to grow and reproduce , soaking the abdominal mucosa, erodes a lot, and then leads to abdominal infection of , and eventually spontaneous abdominal inflammation.
To sum up, it is some basic knowledge of cirrhosis in children. However, the occurrence of cirrhosis in children is largely related to 's living habits and methods . Some parents believe that good things may be the main reason why causes cirrhosis in children in certain aspects.
2. These three "good habits" are the murderer of children's cirrhosis
Children can be said to be the most concerned member in every family. When a child cries and makes a fuss, four to six people may coax and hold them, and all the good things that parents think will be given to the child . But do you know that some of the "good habits" of that parents may think is , the murderer of , causing cirrhosis in children.
The most common way for parents to express their love for their children is "What do you want to eat? I will buy it for you. Children can eat more to grow faster and grow well." Therefore, all kinds of high-calorie, high-fat fried chicken, hamburger and other favorite foods will be bought by parents for children to eat.
However, these high-calorie and high-fat foods cannot be completely absorbed and metabolized by for growing and developing children. They may also cause to overnutrition , which will burden the children's liver. In the long run, it will cause problems with 's liver function and cause liver diseases. In addition, it will cause fat accumulation in to cause obesity , which will disrupt the endocrine system of children and lead to premature puberty in children.
Secondly, it is a problem that every family may encounter. When children are not having a good meal at meal time, some parents say, " will watch TV for you, you should eat quickly."
This will indeed make children eat obediently, but eating while watching TV will cause children to not focus on when eating. There may be problems such as eating too much or unbalanced or eating unbalanced . In addition, I have been watching TV after a meal, and the amount of exercise in decreases . In the end, increases the burden of liver metabolic fats , reduces the normal function of the liver, and causes liver disease.
Finally, when the weather turns colder or cooler, parents are always worried that their children will be cold, so they immediately take out thermal underwear to put on . Sometimes they think it is not enough, so they add layer after layer of clothing . In fact, such excessive warmth will reduce children's resistance.
Because children have better metabolic ability than adults , children also sweat a lot during exercise. At this time, thick clothing will cause sweat to not emit , and may also cause sweat to penetrate and wet the clothing, which will eventually cause cold . Children's long-term cold resistance will naturally decrease. In the long run, bacterial viruses continue to invade , which will increase the chance of disease in children.
To sum up, these are three "good habits" that can cause cirrhosis in children.In life, everyone must pay attention to to avoid these habits , so that their children have a healthy body . In addition to the three habits mentioned above, there are several ways to prevent cirrhosis.
3. Do you know the prevention of cirrhosis?
For the prevention of cirrhosis in children, should control the mouth and move the legs.
Parents should also make their children's diet light, reducing the intake of fried, spicy and irritating, and salt. Because these foods are all high in calories and high fat, fat will cause fat accumulation and inability to be excreted, increases the liver load and , increasing the chance of liver lesions. In addition, spicy and irritating foods can also cause damage to the gastric mucosa of patients with cirrhosis and in gastric ulcers and , which aggravates the risk of gastrointestinal bleeding in patients with .
Also pay attention to intake more vitamin-rich foods such as fresh vegetables, fruit , etc., and appropriately supplement foods rich in unsaturated fatty acid , such as walnuts, flower raw, etc. These foods can supplement the body's minerals and trace element , enhance the body's metabolic ability and resistance, and reduce the risk of disease.
moves to move your legs to exercise more , strengthen the body's metabolic ability, let the excess fat in in the body excrete , and reduce the incidence of fatty liver and cirrhosis. Parents can let their children participate in the hygiene process in their daily lives, which not only achieves the role of exercise, but also enhances their children's sense of family responsibility.
The type of exercise does not depend on what kind of exercise you have to choose, as long as the child insists on for a long time. The easiest thing to implement is that when parents and children choose to ride bicycles, walk , etc. when they go to school, they will effectively achieve the purpose of exercise. In addition, should reduce the sitting time for children to watch TV and play games.
Finally, parents can consciously tell their children that obesity is harmful to , so that they can understand the relevant consequences, so that will enhance their enthusiasm for exercise. If you have anything else you want to know about cirrhosis in children, you can communicate with me.
References:
[1] Ma Junmei. How to prevent malnutrition in patients with cirrhosis [J]. Modern Health, 2021, 21(19):37.
[2] Shang Jia, Li Wei. Diagnosis of complications of cirrhosis [J]. Diagnosis of Diagnostic Theory and Practice , 2015, 14(04)
[3] Wang Zhonglin, Zhu Qirong. Pediatric Cirrhosis [J]. Journal of Clinical Hepatobiliary Diseases , 2005(04):250-251
