There are many pathogenesis mechanisms of liver cirrhosis, and liver cirrhosis caused by schistosomiasis is also common and can be seen. The pathogenesis is that the eggs stimulate the connective tissue in the portal area, leading to connective tissue hyperplasia, which will slowly form schistosomiasis-related liver fibrosis. This type of schistosomiasis-related liver cirrhosis is more obvious in the formation of portal hypertension. Great vigilance is required during the treatment of schistosomiasis. The condition of patients with early liver cirrhosis will not be obvious, but in the late stage, a series of typical complications will appear, such as ascites, hypersplenism, hepatic encephalopathy, upper gastrointestinal bleeding, infection, cancer, etc. So what should we do to treat cirrhosis caused by schistosomiasis?

Steps/Methods:

1. Auxiliary examinations 1. Laboratory examinations: routine blood tests, liver function tests, etiological examinations, immunological examinations, fibrosis examinations, and peritoneal effusion Examination; 2. Imaging examination: X-ray examination, B-type and color Doppler ultrasound examination, CT examination; 3. Endoscopy; 4. Liver biopsy (can observe whether there is cancer); 5. Laparoscopy; 6. Portal vein pressure measurement.

2. Supportive treatment cannot completely cure patients with liver cirrhosis, but some auxiliary treatments can be used to delay the patient's vitality and maintain the patient's labor force. For patients in the late stages of liver cirrhosis, they should supplement their calories as much as possible and infuse hypertonic glucose solution. At the same time, some vitamin C can be added to the infusion. The balance of electrolytes needs to be paid attention to. Patients with severe conditions need to infuse fresh plasma and albumin.

3. Comprehensive treatment 1. Oral administration of appropriate amounts of drugs that reduce portal pressure, such as: propranolol, nitrates (cardiac pain), calcium channel blockers (cardiac pain), B-complex supplements Vitamins and digestive enzymes (Weikangfu, Daji); 2. Treatment of hypersplenism: Take drugs to increase leukocytes and platelets (Lexuesheng, Shartylin, Aminopeptin). If the effect is not obvious, splenectomy is required. Surgery for treatment; 3. Liver transplant: suitable for advanced patients.

Notes:

Patients with liver cirrhosis have a very hard time during the advanced treatment process, and their bodies and minds will become very negative. The patient’s family members need to provide understanding and comfort. It should also help patients build self-confidence. Patients need to pay attention to a reasonable diet, avoid eating too much fish and meat, and at the same time moderate tobacco and alcohol. It is best not to develop bad living habits and avoid staying up late.