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Liver Disease

Introduction:

The liver is the largest solid organ in the body. People may not know that the liver is also the largest gland in the body. The liver is actually two different types of gland. It is a secretory gland because it has a specialized structure that is designed to allow it to make and secrete bile into the bile ducts. It is also an endocrine gland since it makes and secretes chemicals directly into the blood that have effects on other organs in the body. Bile is a fluid that both aids in digestion and absorption of fats as well as carries waste products into the intestine.

Main Idea:

The liver is the largest glandular organ of the body. It weighs about 3 lb (1.36 kg). It is reddish brown in color and is divided into four lobes of unequal size and shape. The liver lies on the right side of the abdominal cavity beneath the diaphragm. Blood is carried to the liver via two large vessels called the hepatic artery and the portal vein.

The heptic artery carries oxygen-rich blood from the aorta (a major vessel in the heart). The portal vein carries blood containing digested food from the small intestine. These blood vessels subdivide in the liver repeatedly, terminating in very small capillaries. Each capillary leads to a lobule. Liver tissue is composed of thousands of lobules, and each lobule is made up of hepatic cells, the basic metabolic cells of the liver.

The liver is a large, meaty organ that sits on the right side of the belly. Weighing about 3 pounds, the liver is reddish-brown in color and feels rubbery to the touch. Normally you can't feel the liver, because it's protected by the rib cage.

The liver has two large sections, called the right and the left lobes. The gallbladder sits under the liver, along with parts of the pancreas and intestines. The liver and these organs work together to digest, absorb, and process food.

Liver problems include a wide range of diseases and conditions that can affect your liver. Your liver is an organ about the size of a football that sits just under your rib cage on the right side of your abdomen. Without your liver, you couldn't digest food and absorb nutrients, get rid of toxic substances from your body or stay alive.

Liver Conditions:

Hepatitis: Inflammation of the liver, usually caused by viruses like hepatitis A, B, and C. Hepatitis can have non-infectious causes too, including heavy drinking, drugs, allergic reactions, or obesity.

Cirrhosis: Long-term damage to the liver from any cause can lead to permanent scarring, called cirrhosis. The liver then becomes unable to function well.

Liver cancer: The most common type of liver cancer, hepatocellular carcinoma, almost always occurs after cirrhosis is present.

Liver failure: Liver failure has many causes including infection, genetic diseases, and excessive alcohol.

Functions of liver:

Manufacture (synthesize) proteins, including albumin (to help maintain the volume of blood) and blood clotting factors.

Synthesize, store, and process (metabolize) fats, including fatty acids (used for energy) and cholesterol.

Metabolize and store carbohydrates, which are used as the source for the sugar (glucose) in blood that red blood cells and the brain use.

Form and secrete bile that contains bile acids to aid in the intestinal absorption (taking in) of fats and the fat-soluble vitamins A, D, E, and K.

Eliminate, by metabolizing and/or secreting, the potentially harmful biochemical products produced by the body, such as bilirubin from the breakdown of old red blood cells, and ammonia from the breakdown of proteins.

Detoxify, by metabolizing and/or secreting, drugs, alcohol, and environmental toxins.

Imaging Tests:

Ultrasound: An abdominal ultrasound can test for many liver conditions, including cancer, cirrhosis, or problems from gallstones.

CT scan (computed tomography): A CT scan of the abdomen gives detailed pictures of the liver and other abdominal organs.

Liver biopsy: A liver biopsy is most commonly done after another test, such as a blood test or ultrasound, indicates a possible liver problem.

Liver and spleen scan: This nuclear scan uses radioactive material to help diagnose a number of conditions, including abscesses, tumors, and other liver function problems.

Signs and Symptoms:

Liver disease may not cause any symptoms at first or the symptoms may be vague, like weakness and loss of energy. In acute liver disease, symptoms related to problems handling bilirubin, including yellow skin and eyes (jaundice), dark urine, and light stools, along with loss of appetite, nausea, vomiting, and diarrhea are the most common. Chronic liver disease symptoms may include jaundice, dark urine, abdominal swelling (due to ascites), pruritus, unexplained weight loss or gain, and abdominal pain; these symptoms may not be present until the disease has reached an advanced stage.

Treatment:

The most important treatment for liver disease is prevention. Vaccines are available for hepatitis A and B, and many cases of hepatitis can be prevented by avoiding the risk factors that lead to their spread. Although liver inflammation may resolve over time, liver damage may also become permanent. Treatment of liver disease involves protecting and supporting remaining liver function, minimizing further damage and complications, and addressing the underlying cause of the damage. It may range from taking specific medications to surgery to, in severe cases, liver transplantation. Patients who are diagnosed with liver disease will often require long-term monitoring and should talk to their doctors to determine the best treatment options for their condition.

Conclusion:

The liver has an important role in many bodily functions from protein production and blood clotting to cholesterol, glucose and iron metabolism. A variety of illnesses can affect the liver. Cirrhosis occurs when normal liver cells are replaced by scar tissue as a result of chronic liver disease. Symptoms of liver diseases include weakness and fatigue, weight loss, nausea, vomiting, and yellow discoloration of the skin (jaundice). The treatment of a particular liver disease depends on its specific cause.

by: Seo Omics
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Liver Disease Vairano Patenora