Idiopathic non-sclerosing portal hypertension syndrome is also known as pre-sinusoidal obstructive portal hypertension syndrome. Portal vein thrombosis, portal vein stenosis, and other factors are important causes of the disease. Clinical manifestations include recurrent hematemesis and melena, without the manifestations of liver decompensation. Patients without bleeding should receive conservative treatment; for those who require surgery, splenectomy combined with splenorenal venous anastomosis can be performed.
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Idiopathic non-sclerosing portal hypertension syndrome
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1. What are the causes of idiopathic non-sclerosing portal hypertension syndrome?
2. What complications can idiopathic non-sclerosing portal hypertension syndrome easily lead to
3. What are the typical symptoms of idiopathic non-sclerosing portal hypertension syndrome
4. How to prevent idiopathic non-sclerosing portal hypertension syndrome
5. What kind of laboratory tests should be done for idiopathic non-sclerosing portal hypertension syndrome
6. Diet taboos for patients with idiopathic non-sclerosing portal hypertension syndrome
7. The conventional methods of Western medicine for the treatment of idiopathic non-sclerosing portal hypertension syndrome
1. What are the causes of idiopathic non-sclerosing portal hypertension syndrome?
The main cause of idiopathic non-sclerosing portal hypertension syndrome is portal vein thrombosis. Portal vein thrombosis (PT) can occur at any segment of the portal vein, referring to the thrombosis in the main trunk of the portal vein, superior mesenteric vein, inferior mesenteric vein, or splenic vein. Portal vein thrombosis can cause obstruction of the portal vein, leading to increased portal venous pressure, intestinal congestion, and is the main disease causing extrahepatic portal hypertension. Portal vein stenosis, portal vein hemangioma, and intrahepatic venoarterial fistula, etc., can cause partial or complete obstruction of the portal vein or increased portal venous blood flow, and are important causes of non-cirrhotic portal hypertension syndrome.
2. What complications can idiopathic non-sclerosing portal hypertension syndrome lead to
Idiopathic non-sclerosing portal hypertension syndrome can complicate portal vein thrombosis, portal vein stenosis, portal vein hemangioma, and intrahepatic veno-arterial fistula, etc., so it is necessary to treat them in a timely manner.
3. What are the typical symptoms of idiopathic non-sclerosing portal hypertension syndrome
Idiopathic non-sclerosing portal hypertension syndrome has clinical manifestations of portal hypertension, can repeatedly vomit blood and black stools, has a good tolerance to gastrointestinal bleeding, without the manifestation of compensatory disorders such as ascites, jaundice, and coma; liver function tests in the laboratory can be normal.
4. How to prevent idiopathic non-sclerosing portal hypertension syndrome
How to prevent idiopathic non-sclerosing portal hypertension syndrome? Briefly described as follows:
1. Regular health check-ups, regular follow-up, early detection and early treatment, actively treating the primary disease, and preventing complications.
2. Pay attention to hygiene, moderate alcohol consumption, to avoid exacerbating liver damage. Maintain a reasonable diet, avoid spicy and刺激性 foods. It should be noted to avoid drugs that damage the liver, and for patients who have been diagnosed, appropriate protective measures should be taken, such as moderately reducing the intensity of labor, preventing the occurrence of complications, maintaining health, and extending life.
5. What laboratory tests should be done for idiopathic non-sclerosing portal hypertension syndrome
What examinations should be done for idiopathic non-sclerosing portal hypertension syndrome? Briefly described as follows:
One, laboratory examination
Liver function, blood routine, coagulation function, biochemical examination, MRI examination.
Two, portal vein angiography
Portography shows no obstruction and stenosis of the extrahepatic portal vein.
Three, ultrasound examination
Whether the liver and spleen are enlarged.
Four, liver tissue biopsy
1. Irregular thickening of the liver capsule.
2. There is hyperplasia of fibrous tissue in the portal area, with fibrous septa extending into the lobules, which can only be found by reticulation staining.
3. The lobular structure is slightly deformed, the central vein is compressed or irregular.
6. Dietary taboo for patients with idiopathic non-sclerosing portal hypertension syndrome
What should be paid attention to in the dietary care of patients with idiopathic non-sclerosing portal hypertension syndrome? Briefly described as follows:
First, it is advisable to eat
1. Reasonably apply protein, you can mix cheese with moderate amounts of chicken, fish, lean meat, and eggs, and have a reasonable and moderate protein diet every day.
2. Consume an appropriate amount of fat daily.
3. Maintain an adequate intake of carbohydrates.
4. Consume foods rich in zinc and magnesium. Appropriately eat lean pork, beef, eggs, fish, and other foods high in zinc content. To prevent a deficiency of magnesium ions, it is advisable to eat more green leafy vegetables, peas, dairy products, and grains.
5, Supplement vitamin C, peel the fruit or squeeze it into juice when eating fruit.
Second, Avoid eating
1, Limit the water and sodium in the diet.
2, Avoid alcohol and all spicy and刺激性 foods.
3, Avoid fried and dry and hard foods.
4, Eat less or no fibrous foods and foods that produce a lot of gas, such as celery, chives, soybean sprouts, sweet potatoes, dried beans, sodas, radishes, etc.
Third, Therapeutic diet for portal hypertension
1, Jujube turtle shell soup
(1) Characteristics. It nourishes the Yin and Yang, softens hardness and dissipates nodules, suitable for early liver cirrhosis patients to eat, but it is forbidden to eat animal oil, and smoking and drinking are strictly prohibited.
(2) Ingredients. Main ingredient: 15 grams of turtle shell. Accessories: 10 jujubes. Seasoning: 5 grams of vinegar, a moderate amount of sugar.
(3) Preparation process. Crush the turtle shell, wash the jujube, and cook them together in a pot with an appropriate amount of water over low heat for 1 hour. Add sugar and vinegar, and cook for a while.
2, Red bean crucian carp soup
(1) Characteristics. It is suitable for the treatment of liver cirrhosis, ascites, and can also be used as an auxiliary treatment for jaundice hepatitis, chronic cholecystitis, and pancreatitis.
(2) Ingredients. Main ingredient: 1 crucian carp, about 500 grams in weight. Accessories: 120 grams of red beans, 6 grams of tangerine peel. Seasoning: a moderate amount of sugar.
(3) Preparation process. Remove the scales and internal organs of the crucian carp, wash it clean, add tangerine peel and red beans, and cook until soft. You can add a moderate amount of sugar, eat the meat and drink the soup.
3, Red bean winter melon stewed black fish
(1) Characteristics. It is suitable for the treatment of liver cirrhosis and edema caused by chronic nephritis, and can be eaten by patients with these symptoms.
(2) Ingredients. Main ingredient: 250 grams of fresh black fish. Accessories: 500 grams of winter melon with skin, 100 grams of red beans, 3 scallions.
(3) Preparation process. Remove the scales and internal organs of the fresh black fish, wash it clean. Wash the winter melon, slice it, and slice the scallion. Put the black fish, scallion, winter melon, and red beans in a pot, add a sufficient amount of water, and cook until soft and tender.
7. Conventional methods of Western medicine for the treatment of idiopathic non-sclerosing portal hypertension syndrome
The following is a brief description of the treatment methods for idiopathic non-sclerosing portal hypertension syndrome:
For patients with no bleeding or only slight bleeding, conservative treatment can be adopted; for those who need surgery, splenectomy with splenic renal vein anastomosis is superior to portocaval shunt, as the latter has a higher incidence of portal venous shunt encephalopathy.
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