Jaundice, including parenchymal, is diagnosed if the skin and sclera of the eyes acquire a yellowish tinge. This phenomenon is observed when too much substance of bilirubin accumulates in tissues.
Causes of parenchymal jaundice
As a rule, parenchymal jaundice is caused by infection of the hepatic cells. Because of this, in the blood serum in most cases, direct bilirubin is detected. The latter should penetrate the bile capillaries, but it does so with difficulty, so most of it returns to the bloodstream again.
The reasons preceding the development of true jaundice are:
- cirrhosis;
- hepatitis;
- leptospirosis ;
- Infectious mononucleosis;
- hepatocellular carcinoma;
- alcoholic, medicamentous or toxic liver damage;
- aggressive hepatitis in chronic form.
Symptoms of parenchymal jaundice
So:
- The most basic manifestation of the disease is the dyeing of the skin and mucous membranes. Covers become yellow with a ruby or reddish tinge.
- At palpation and on US it is visible, that the liver slightly increases in size and becomes hardly more dense.
- The patient suffers severe itching.
- At a certain stage, there is pain in the liver.
- In the diagnosis of parenchymal jaundice in a chronic form, venous collateral circulation can be detected.
- The spleen is perfectly palpable.
- The disease also manifests itself as the main signs of hepatic-cell insufficiency.
Treatment of parenchymal jaundice
To restore the process of exchange of liver cells and return bilirubin to normal with parenchymal jaundice appoint:
- vitamins of group B;
- vitamin C;
- amino acids;
- lipoic acid.
If cholestatic or hepatic-cellular jaundice is diagnosed, which is caused by an actively developing pathological process, specialists turn to the help of glucocorticoids. Contrary to popular belief, sanatorium treatment for patients with parenchymal jaundice will not benefit.
The prognosis of the disease depends on when exactly it was discovered. If the disease is diagnosed at an early stage, it is quite possible to get rid of it. Chronic parenchymal jaundice is considered very dangerous. A disease that has taken this form may indicate hepatic insufficiency, as well as the development of irreversible processes in the body.