Liver coma
Liver coma, also known as hepatic encephalopathy or hepatotoxicity, is a neurological syndrome that affects the liver patient in the advanced stages of the disease, whether he suffers from a chronic disease such as cirrhosis of the liver or any acute liver disease, which can cause liver function disorders Public.
The coma of the liver occurs as a result of blood reaching the brain directly without undergoing complete purification stages in the liver due to several other diseases, such as respiratory failure.
Symptoms of coma of the liver
Primary symptoms
- Mental disorder and attention deficit disorder.
- Mood disorder.
- Lack of spatial perception or weakness.
- Recharge unpleasant odors in the mouth.
Advanced symptoms
- The casualty moves slowly without cause.
- Jaws in the hands and can not be installed.
- Speak slowly and in words that are incomprehensible.
- Full coma and non-response to pain.
Causes of liver coma
Although the exact cause of this is not yet known, there are some factors that increase the risk of infection:
- Hepatic portal vein hypertension: In this case, the blood does not pass easily from the intestine to the liver, and then reach the brain immediately and before purification of toxins, it is worth mentioning that the surgical treatment used to treat hypertension in the portal vein may be coma of the liver one of its complications.
- Accumulation of toxins in the body: There are many toxic substances that can accumulate in the body, including: Ammonia, which is the product of the process of protein digestion, which turns in the liver to urea and then graduated through the kidneys, and in the case of liver function disorders, ammonia accumulate in the blood, and Up to the brain even caused the liver coma.
- Some pathological conditions: Such as bleeding in the stomach and intestines due to the lack of clotting factors, and since the blood contains the plasma protein, its presence in the digestive system raises the rate of protein needed to convert to ammonia through the process of metabolism in the intestine, causing the amount of toxic ammonia.
Treatment of hepatic coma
Treatment of the hepatic coma depends mainly on the treatment of the coma; if the cause is gastrointestinal bleeding, for example, the treatment requires stopping this bleeding immediately, and treatment requires the patient’s reservation in the ICU to monitor his condition, and follow the rate of oxygen, sugar and salts in the blood In the case of drugs, the intestinal bacteria producing ammonia must be eliminated through antibiotics or enemas every six hours after consultation with the doctor.