{"id":970,"date":"2025-07-29T09:57:46","date_gmt":"2025-07-29T06:57:46","guid":{"rendered":"https:\/\/wiki.dev.voka.io\/diseases\/uncategorized\/cirroz-pecheni\/"},"modified":"2025-07-30T14:09:23","modified_gmt":"2025-07-30T11:09:23","slug":"cirrosis","status":"publish","type":"diseases_post","link":"https:\/\/wiki.dev.voka.io\/es\/enfermedades\/hepaticas\/cirrosis\/","title":{"rendered":"Cirrosis hep\u00e1tica: Etiolog\u00eda, manifestaciones cl\u00ednicas, diagn\u00f3stico y tratamiento"},"content":{"rendered":"<p><?xml encoding=\"UTF-8\" ?><\/p>\n<p>La cirrosis hep\u00e1tica es una lesi\u00f3n generalizada del h\u00edgado caracterizada por la presencia de necrosis del par\u00e9nquima, fibrosis difusa, aparici\u00f3n de zonas anormales de regeneraci\u00f3n del tejido hep\u00e1tico, lo que provoca una alteraci\u00f3n de la estructura externa e interna del h\u00edgado, as\u00ed como un deterioro de su funci\u00f3n.<\/p>\n<h2 class=\"wp-block-heading\" id=\"clasificacion-de-la-cirrosis\"><strong>Clasificaci\u00f3n de la cirrosis<\/strong><\/h2>\n<p>Seg\u00fan la clasificaci\u00f3n, la cirrosis hep\u00e1tica puede dividirse en funci\u00f3n de la presencia de cambios estructurales, as\u00ed como de las fases de compensaci\u00f3n.<\/p>\n<p><strong>Por la presencia de cambios estructurales<\/strong>:<\/p>\n<ul class=\"wp-block-list\">\n<li>N\u00f3dulo peque\u00f1o (di\u00e1metro del n\u00f3dulo de 3 mm a 1 cm);<\/li>\n<li>N\u00f3dulo grande (di\u00e1metro del n\u00f3dulo superior a 1 cm);<\/li>\n<li>Mixto;<\/li>\n<li>Biliar.<\/li>\n<\/ul>\n<p><a href=\"https:\/\/catalog.voka.io\/en\/models\/1c16d781-5752-45cb-b117-892b748f62eb\/d1731c97-3c30-4fea-b42b-588241d49ef4\/82af969a-2464-48b5-8ec6-e76a88ff721c\/44a0c6b0-bd1b-46f1-af48-6e4d88a45e29\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">Modelos 3D<\/a> de formas de cirrosis hep\u00e1tica seg\u00fan la presencia de cambios estructurales:<\/p>\n<div class=\"carousel-block\">\n<div class=\"swiper carousel-swiper carousel-swiper-block_69f1cbd21f62a\">\n<div class=\"swiper-wrapper\">\n<div class=\"swiper-slide image-carousel-slide\"><img decoding=\"async\" class=\"carousel-image\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/articles\/en\/hepatology\/hepatic-cirrhosis\/micronodular-cirrhosis-of-liver.webp\" alt=\"Cirrosis hep\u00e1tica ganglionar peque\u00f1a\"><span class=\"small-text-article text-main-text-color\">Cirrosis hep\u00e1tica ganglionar peque\u00f1a<\/span><\/div>\n<div class=\"swiper-slide image-carousel-slide\"><img decoding=\"async\" class=\"carousel-image\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/articles\/en\/hepatology\/hepatic-cirrhosis\/macronodular-cirrhosis-of-liver.webp\" alt=\"Cirrosis hep\u00e1tica ganglionar grande\"><span class=\"small-text-article text-main-text-color\">Cirrosis hep\u00e1tica ganglionar grande<\/span><\/div>\n<div class=\"swiper-slide image-carousel-slide\"><img decoding=\"async\" class=\"carousel-image\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/articles\/en\/hepatology\/hepatic-cirrhosis\/mixed-cirrhosis-of-liver.webp\" alt=\"Cirrosis mixta\"><span class=\"small-text-article text-main-text-color\">Cirrosis mixta<\/span><\/div>\n<div class=\"swiper-slide image-carousel-slide\"><img decoding=\"async\" class=\"carousel-image\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/articles\/en\/hepatology\/hepatic-cirrhosis\/biliary-cirrhosis-of-liver.webp\" alt=\"Cirrosis biliar del h\u00edgado\"><span class=\"small-text-article text-main-text-color\">Cirrosis biliar del h\u00edgado<\/span><\/div>\n<\/div>\n<\/div>\n<div class=\"swiper-article-carousel__controls\">\n<div class=\"swiper-article-carousel__pagination-container swiper-article-carousel__pagination-container-block_69f1cbd21f62a\"><\/div>\n<div class=\"swiper-article-carousel__arrows\"><button class=\"swiper__arrow swiper__arrow--prev carousel-swiper-button-prev swiper__arrow swiper__arrow--prev carousel-swiper-button-prev-block_69f1cbd21f62a\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"40\" height=\"40\" viewbox=\"0 0 40 40\" fill=\"none\"><path d=\"M20 3.75C16.7861 3.75 13.6443 4.70305 10.972 6.48862C8.29969 8.27419 6.21689 10.8121 4.98696 13.7814C3.75704 16.7507 3.43524 20.018 4.06225 23.1702C4.68926 26.3224 6.23692 29.2179 8.50952 31.4905C10.7821 33.7631 13.6776 35.3107 16.8298 35.9378C19.982 36.5648 23.2493 36.243 26.2186 35.013C29.1879 33.7831 31.7258 31.7003 33.5114 29.028C35.297 26.3557 36.25 23.2139 36.25 20C36.2455 15.6916 34.5319 11.561 31.4855 8.51454C28.439 5.46806 24.3084 3.75455 20 3.75ZM23.3844 25.3656C23.5005 25.4818 23.5926 25.6196 23.6555 25.7714C23.7184 25.9231 23.7507 26.0858 23.7507 26.25C23.7507 26.4142 23.7184 26.5769 23.6555 26.7286C23.5926 26.8804 23.5005 27.0182 23.3844 27.1344C23.2682 27.2505 23.1304 27.3426 22.9786 27.4055C22.8269 27.4683 22.6643 27.5007 22.5 27.5007C22.3358 27.5007 22.1731 27.4683 22.0214 27.4055C21.8696 27.3426 21.7318 27.2505 21.6156 27.1344L15.3656 20.8844C15.2494 20.7683 15.1572 20.6304 15.0943 20.4787C15.0314 20.3269 14.999 20.1643 14.999 20C14.999 19.8357 15.0314 19.6731 15.0943 19.5213C15.1572 19.3696 15.2494 19.2317 15.3656 19.1156L21.6156 12.8656C21.7318 12.7495 21.8696 12.6574 22.0214 12.5945C22.1731 12.5317 22.3358 12.4993 22.5 12.4993C22.6643 12.4993 22.8269 12.5317 22.9786 12.5945C23.1304 12.6574 23.2682 12.7495 23.3844 12.8656C23.5005 12.9818 23.5926 13.1196 23.6555 13.2714C23.7184 13.4231 23.7507 13.5858 23.7507 13.75C23.7507 13.9142 23.7184 14.0769 23.6555 14.2286C23.5926 14.3804 23.5005 14.5182 23.3844 14.6344L18.0172 20L23.3844 25.3656Z\" fill=\"#B5C0CD\"><\/path><\/svg><\/button><button class=\"swiper__arrow swiper__arrow--next carousel-swiper-button-next swiper__arrow swiper__arrow--next carousel-swiper-button-next-block_69f1cbd21f62a\" tabindex=\"0\" aria-label=\"Next slide\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"40\" height=\"40\" viewbox=\"0 0 40 40\" fill=\"none\"><path d=\"M20 3.75C16.7861 3.75 13.6443 4.70305 10.972 6.48862C8.29969 8.27419 6.21689 10.8121 4.98696 13.7814C3.75704 16.7507 3.43524 20.018 4.06225 23.1702C4.68926 26.3224 6.23692 29.2179 8.50952 31.4905C10.7821 33.7631 13.6776 35.3107 16.8298 35.9378C19.982 36.5648 23.2493 36.243 26.2186 35.013C29.1879 33.7831 31.7258 31.7003 33.5114 29.028C35.297 26.3557 36.25 23.2139 36.25 20C36.2455 15.6916 34.5319 11.561 31.4855 8.51454C28.439 5.46806 24.3084 3.75455 20 3.75ZM23.3844 25.3656C23.5005 25.4818 23.5926 25.6196 23.6555 25.7714C23.7184 25.9231 23.7507 26.0858 23.7507 26.25C23.7507 26.4142 23.7184 26.5769 23.6555 26.7286C23.5926 26.8804 23.5005 27.0182 23.3844 27.1344C23.2682 27.2505 23.1304 27.3426 22.9786 27.4055C22.8269 27.4683 22.6643 27.5007 22.5 27.5007C22.3358 27.5007 22.1731 27.4683 22.0214 27.4055C21.8696 27.3426 21.7318 27.2505 21.6156 27.1344L15.3656 20.8844C15.2494 20.7683 15.1572 20.6304 15.0943 20.4787C15.0314 20.3269 14.999 20.1643 14.999 20C14.999 19.8357 15.0314 19.6731 15.0943 19.5213C15.1572 19.3696 15.2494 19.2317 15.3656 19.1156L21.6156 12.8656C21.7318 12.7495 21.8696 12.6574 22.0214 12.5945C22.1731 12.5317 22.3358 12.4993 22.5 12.4993C22.6643 12.4993 22.8269 12.5317 22.9786 12.5945C23.1304 12.6574 23.2682 12.7495 23.3844 12.8656C23.5005 12.9818 23.5926 13.1196 23.6555 13.2714C23.7184 13.4231 23.7507 13.5858 23.7507 13.75C23.7507 13.9142 23.7184 14.0769 23.6555 14.2286C23.5926 14.3804 23.5005 14.5182 23.3844 14.6344L18.0172 20L23.3844 25.3656Z\" fill=\"#B5C0CD\"><\/path><\/svg><\/button><\/div>\n<\/div>\n<\/div>\n<p><script defer>\n    document.addEventListener('DOMContentLoaded', function() {\n        const imagesCarouselSwiper = new Swiper('.carousel-swiper-block_69f1cbd21f62a', {\n            slidesPerView: 1,\n            spaceBetween: 20,\n            loop: true,\n            pagination: {\n                el: '.swiper-article-carousel__pagination-container-block_69f1cbd21f62a',\n                clickable: true,\n            },\n            navigation: {\n                nextEl: '.carousel-swiper-button-next-block_69f1cbd21f62a',\n                prevEl: '.carousel-swiper-button-prev-block_69f1cbd21f62a',\n            },\n        })\n    })\n<\/script><\/p>\n<p><strong>Por etapas de compensaci\u00f3n:<\/strong><\/p>\n<ul class=\"wp-block-list\">\n<li>Compensado;<\/li>\n<li>Subcompensada;<\/li>\n<li>Descompensada;<\/li>\n<li>Terminal.<\/li>\n<\/ul>\n<p>Existen clasificaciones cl\u00ednicas que tienen en cuenta las manifestaciones cl\u00ednicas y de laboratorio (Child-Pugh).<\/p>\n<p><strong>Clasificaci\u00f3n de Child-Pugh de la cirrosis hep\u00e1tica<\/strong><\/p>\n<figure class=\"wp-block-table table-to-cards\">\n<table class=\"has-fixed-layout\">\n<thead>\n<tr>\n<th class=\"has-text-align-center\" data-align=\"center\"><\/th>\n<th class=\"has-text-align-center\" data-align=\"center\">1 punto<\/th>\n<th class=\"has-text-align-center\" data-align=\"center\">2 puntos<\/th>\n<th class=\"has-text-align-center\" data-align=\"center\">3 puntos<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td class=\"has-text-align-center\" data-align=\"center\"><em>Ascitis<\/em><\/td>\n<td class=\"has-text-align-center\" data-align=\"center\"><em>no<\/em><\/td>\n<td class=\"has-text-align-center\" data-align=\"center\"><em>Leve (susceptible de tratamiento conservador)<\/em><\/td>\n<td class=\"has-text-align-center\" data-align=\"center\"><em>Grave (no susceptible de tratamiento conservador)<\/em><\/td>\n<\/tr>\n<tr>\n<td class=\"has-text-align-center\" data-align=\"center\">Alb\u00famina s\u00e9rica g\/l<\/td>\n<td class=\"has-text-align-center\" data-align=\"center\">>35<\/td>\n<td class=\"has-text-align-center\" data-align=\"center\">28-35<\/td>\n<td class=\"has-text-align-center\" data-align=\"center\"><28<\/td>\n<\/tr>\n<tr>\n<td class=\"has-text-align-center\" data-align=\"center\">INR (cociente internacional normalizado)<\/td>\n<td class=\"has-text-align-center\" data-align=\"center\"><1,7<\/td>\n<td class=\"has-text-align-center\" data-align=\"center\">1,7-2,3<\/td>\n<td class=\"has-text-align-center\" data-align=\"center\">>2,3<\/td>\n<\/tr>\n<tr>\n<td class=\"has-text-align-center\" data-align=\"center\">Bilirrubina total, \u00b5mol\/L<\/td>\n<td class=\"has-text-align-center\" data-align=\"center\"><34<\/td>\n<td class=\"has-text-align-center\" data-align=\"center\">34-51<\/td>\n<td class=\"has-text-align-center\" data-align=\"center\">>51<\/td>\n<\/tr>\n<tr>\n<td class=\"has-text-align-center\" data-align=\"center\">Encefalopat\u00eda hep\u00e1tica, grados.<\/td>\n<td class=\"has-text-align-center\" data-align=\"center\">no<\/td>\n<td class=\"has-text-align-center\" data-align=\"center\">Grado I-II<\/td>\n<td class=\"has-text-align-center\" data-align=\"center\">III-IV grados<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/figure>\n<p><strong>Resultados:<\/strong><\/p>\n<p>5-6 puntos \u2013 cirrosis compensada (clase A);<\/p>\n<p>7-9 puntos \u2013 subcompensado (clase B);<\/p>\n<p>10-12 puntos \u2013 cirrosis descompensada \/ terminal (clase C).<\/p>\n<h2 class=\"wp-block-heading\" id=\"etiologia-de-la-cirrosis-hepatica\"><strong>Etiolog\u00eda de la cirrosis hep\u00e1tica<\/strong><\/h2>\n<p>Seg\u00fan un informe de la Asociaci\u00f3n Europea para el Estudio del H\u00edgado, aproximadamente el 40% de los trasplantes de h\u00edgado en Europa se realizan por cirrosis hep\u00e1tica de etiolog\u00eda v\u00edrica (hepatitis v\u00edrica B, C, D), el 33% por cirrosis alcoh\u00f3lica y el 5% por una combinaci\u00f3n de estos factores etiol\u00f3gicos.<\/p>\n<p>Tambi\u00e9n la presencia de enfermedades autoinmunes o el efecto t\u00f3xico de algunos f\u00e1rmacos y venenos sist\u00e9micos que afectan al tejido hep\u00e1tico contribuyen al desarrollo de cirrosis biliar asociada a la alteraci\u00f3n de la salida de la bilis a trav\u00e9s del sistema de conductos intrahep\u00e1ticos y extrahep\u00e1ticos.<\/p>\n<h2 class=\"wp-block-heading\" id=\"patogenesis\"><strong>Patog\u00e9nesis<\/strong><\/h2>\n<p>El desarrollo de la cirrosis hep\u00e1tica se basa en el da\u00f1o directo del lobulillo hep\u00e1tico (unidad estructural y funcional) por uno de los factores etiol\u00f3gicos.<\/p>\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/articles\/en\/hepatology\/hepatic-cirrhosis\/liver-lobule-acinus.webp\" alt=\"L\u00f3bulo hep\u00e1tico (acino)\"><figcaption class=\"wp-element-caption\">L\u00f3bulo hep\u00e1tico (acino) \u2013 <a href=\"https:\/\/catalog.voka.io\/en\/models\/50d0ca36-c7c5-4ba0-bbd0-6cbcb5bb4c1a\/dda42b00-3504-421c-bcde-34bba6293593\/70111c28-ac18-43a2-9ac9-401ad1325779\/eb576ab3-0e26-43db-97c2-dd0693ea3cd4\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">Modelo 3D<\/a><\/figcaption><\/figure>\n<p>El proceso de lesi\u00f3n es largo y puede durar desde varios meses hasta varios a\u00f1os. Como consecuencia de la lesi\u00f3n, se forman zonas de necrosis del par\u00e9nquima hep\u00e1tico. Alrededor de las zonas de necrosis hay zonas (n\u00f3dulos) de regeneraci\u00f3n e inflamaci\u00f3n cr\u00f3nica con el resultado en fibrosis.  <\/p>\n<p>A su vez, los n\u00f3dulos de regeneraci\u00f3n comprimen las v\u00edas biliares, lo que provoca congesti\u00f3n en el sistema venoso del h\u00edgado con formaci\u00f3n de hipertensi\u00f3n portal.<\/p>\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/articles\/en\/hepatology\/hepatic-cirrhosis\/structure-of-liver-tissue-lobules-periportal-tracts.webp\" alt=\"Estructura del tejido hep\u00e1tico (lobulillos, tractos periportales)\"><figcaption class=\"wp-element-caption\">Estructura del tejido hep\u00e1tico (lobulillos, tractos periportales) \u2013 <a href=\"https:\/\/catalog.voka.io\/en\/models\/50d0ca36-c7c5-4ba0-bbd0-6cbcb5bb4c1a\/dda42b00-3504-421c-bcde-34bba6293593\/70111c28-ac18-43a2-9ac9-401ad1325779\/73b996c9-4a29-4125-b666-75bee0627f57\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">Modelo 3D<\/a><\/figcaption><\/figure>\n<h2 class=\"wp-block-heading\" id=\"manifestaciones-clinicas-de-la-cirrosis-hepatica\"><strong>Manifestaciones cl\u00ednicas de la cirrosis hep\u00e1tica<\/strong><\/h2>\n<p>En las primeras fases del desarrollo de la enfermedad, \u00e9sta puede ser asintom\u00e1tica.<\/p>\n<p>Con la progresi\u00f3n de la enfermedad, se distinguen los siguientes s\u00edndromes:  <\/p>\n<ol class=\"wp-block-list\">\n<li><strong>S\u00edndrome general<\/strong> caracterizado por debilidad, cefalea, n\u00e1useas, aumento de la temperatura corporal, artralgia, sensaci\u00f3n de amargura en la boca, astenia y dolor abdominal ocasional;<\/li>\n<li><strong>S\u00edndrome de ictericia<\/strong> por colestasis intrahep\u00e1tica (alteraci\u00f3n del flujo biliar, aumento de la concentraci\u00f3n sangu\u00ednea de bilirrubina directa, aumento de la concentraci\u00f3n de \u00e1cidos biliares). El aumento de la concentraci\u00f3n de \u00e1cidos biliares en la sangre va acompa\u00f1ado de picor en la piel; <\/li>\n<li><strong>Hepatomegalia<\/strong> y <strong>esplenomegalia<\/strong>;<\/li>\n<li><strong>El s\u00edndrome de hipertensi\u00f3n portal<\/strong> se produce en la fase de descompensaci\u00f3n. Se caracteriza por un aumento de la presi\u00f3n en el sistema venoso portal. Las manifestaciones cl\u00ednicas del s\u00edndrome de hipertensi\u00f3n portal son: ascitis, varices del es\u00f3fago, venas rectales, venas de la pared abdominal anterior. A menudo, en el fondo de las varices se producen hemorragias.   <\/li>\n<\/ol>\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/articles\/en\/hepatology\/hepatic-cirrhosis\/abdomen-appearance-in-liver-cirrhosis-ascites-vascular-dilation-of-abdominal-wall-veinswebp\" alt=\"Aspecto abdominal de un paciente con cirrosis hep\u00e1tica: ascitis y varices de la pared abdominal anterior\"><figcaption class=\"wp-element-caption\">Aspecto abdominal de un paciente con cirrosis hep\u00e1tica: ascitis y varices de la pared abdominal anterior \u2013 <a href=\"https:\/\/catalog.voka.io\/en\/models\/1c16d781-5752-45cb-b117-892b748f62eb\/d1731c97-3c30-4fea-b42b-588241d49ef4\/82af969a-2464-48b5-8ec6-e76a88ff721c\/fb7cfe13-5011-48b1-8e48-1f623b7ce18f\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">Modelo 3D<\/a><\/figcaption><\/figure>\n<ol start=\"5\" class=\"wp-block-list\">\n<li><strong>S\u00edndrome doloroso<\/strong> que surge en el contexto de una discinesia biliar;<\/li>\n<li><strong>Encefalopat\u00eda hep\u00e1tica<\/strong>, que se produce debido a concentraciones elevadas y prolongadas de bilirrubina directa. \u00c9sta, al penetrar en la barrera hematoencef\u00e1lica, da\u00f1a las c\u00e9lulas cerebrales; <\/li>\n<li><strong>Alteraci\u00f3n de la<\/strong><strong>funci\u00f3n<\/strong> sint\u00e9tica y protectora <strong>del h\u00edgado<\/strong>.<\/li>\n<\/ol>\n<p>Debe entenderse que la enfermedad tiene etapas y que las manifestaciones cl\u00ednicas cambiar\u00e1n con la progresi\u00f3n de la enfermedad. As\u00ed, en las fases de descompensaci\u00f3n y terminal, no s\u00f3lo el sistema hepatobiliar, sino tambi\u00e9n otros sistemas corporales (urinario, digestivo, nervioso, cardiovascular, etc.) est\u00e1n implicados en el proceso patol\u00f3gico. <\/p>\n<h2 class=\"wp-block-heading\" id=\"diagnostico-de-la-cirrosis-hepatica\"><strong>Diagn\u00f3stico de la cirrosis hep\u00e1tica<\/strong><\/h2>\n<p>El diagn\u00f3stico de la enfermedad se basa en la presencia de manifestaciones cl\u00ednicas, el factor etiol\u00f3gico, as\u00ed como los m\u00e9todos de investigaci\u00f3n instrumentales y de laboratorio.<\/p>\n<h3 class=\"wp-block-heading\" id=\"metodos-instrumentales-de-investigacion\"><strong>M\u00e9todos instrumentales de investigaci\u00f3n<\/strong><\/h3>\n<ol class=\"wp-block-list\">\n<li>Ecograf\u00eda (fibroelastometr\u00eda), ecograf\u00eda Doppler para evaluar el flujo sangu\u00edneo en el sistema venoso portal;<\/li>\n<li>Tomograf\u00eda computarizada (TC) y <span class=\"glossary-term\" data-title=\"IRM (imagen por resonancia magn\u00e9tica)\" data-tooltip=\"La imagen por resonancia magn\u00e9tica (IRM) es una t\u00e9cnica moderna no invasiva de diagn\u00f3stico por imagen que permite obtener im\u00e1genes seccionales de \u00f3rganos y tejidos internos con un alto nivel de detalle. Se basa en el fen\u00f3meno de la resonancia magn\u00e9tica nuclear. La ventaja clave de la IRM es la ausencia de radiaci\u00f3n ionizante.\" data-link=\"https:\/\/wiki.dev.voka.io\/es\/glosario\/irm\/\">resonancia magn\u00e9tica<\/span> (RM);<\/li>\n<li>Biopsia hep\u00e1tica;<\/li>\n<li>FGDS (fibrogastroduodenoscopia);<\/li>\n<li>Una radiograf\u00eda de revisi\u00f3n de la cavidad abdominal.<\/li>\n<\/ol>\n<h3 class=\"wp-block-heading\" id=\"metodos-de-investigacion-de-laboratorio\"><strong>M\u00e9todos de investigaci\u00f3n de laboratorio<\/strong><\/h3>\n<ol class=\"wp-block-list\">\n<li>Determinaci\u00f3n de anticuerpos frente a los virus de la hepatitis B,C,D,E;<\/li>\n<li>Determinaci\u00f3n de la alfa-fetoprote\u00edna en suero;<\/li>\n<li>BAC (perfil hep\u00e1tico);<\/li>\n<li>OAC;<\/li>\n<li>Coagulograma;<\/li>\n<li>OAM;<\/li>\n<li>Determinaci\u00f3n de la composici\u00f3n electrol\u00edtica.<\/li>\n<\/ol>\n<div class=\"social-banner-block\">\n<div class=\"social-banner-content\">\n<p class=\"h5-title text-black\">Encuentra m\u00e1s contenido cient\u00edficamente preciso en nuestras redes sociales<\/p>\n<p><span class=\"social-banner-text text-grey\">Suscr\u00edbete y no te pierdas los \u00faltimos recursos<\/span><\/p>\n<div class=\"social-links-wrapper\"><a class=\"social-icon-link\" href=\"https:\/\/www.facebook.com\/VOKA3DAnatomyAndPathology\/\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/facebook.svg\" alt=\"social link\"><\/a><a class=\"social-icon-link\" href=\"https:\/\/www.instagram.com\/voka.io\/\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/insta.svg\" alt=\"social link\"><\/a><a class=\"social-icon-link\" href=\"https:\/\/www.linkedin.com\/company\/voka-io\/posts\/?feedView=all\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/linkedin.svg\" alt=\"social link\"><\/a><a class=\"social-icon-link\" href=\"https:\/\/www.youtube.com\/@vokaio\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/youtube.svg\" alt=\"social link\"><\/a><a class=\"social-icon-link\" href=\"https:\/\/www.pinterest.com\/voka3danatomyandpathology\/\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/pinterest.svg\" alt=\"social link\"><\/a><a class=\"social-icon-link\" href=\"https:\/\/www.tiktok.com\/@voka.io\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/tiktok.svg\" alt=\"social link\"><\/a><a class=\"social-icon-link\" href=\"https:\/\/discord.gg\/7ejUpq8DRR\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/discord.svg\" alt=\"social link\"><\/a><\/div>\n<\/div>\n<p><img decoding=\"async\" class=\"social-banner-image\" loading=\"lazy\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/social-media-banner-mobile-image.webp\" alt=\"Banner background\"><\/div>\n<h2 class=\"wp-block-heading\" id=\"tratamiento-de-la-cirrosis-hepatica\"><strong>Tratamiento de la cirrosis hep\u00e1tica  <\/strong><\/h2>\n<p>El tratamiento de la cirrosis hep\u00e1tica debe ser integral e incluir las siguientes medidas:<\/p>\n<ol class=\"wp-block-list\">\n<li>Abstinencia de bebidas alcoh\u00f3licas;<\/li>\n<li>Dieta (tabla hep\u00e1tica), correcci\u00f3n de la composici\u00f3n electrol\u00edtica (sodio, potasio, cloro), correcci\u00f3n del desequilibrio proteico;<\/li>\n<li>Limitaci\u00f3n de los medicamentos que tienen hepatotoxicidad.<\/li>\n<\/ol>\n<h3 class=\"wp-block-heading\" id=\"tratamiento-farmacologico\"><strong>Tratamiento farmacol\u00f3gico<\/strong><\/h3>\n<ol class=\"wp-block-list\">\n<li>Terapia de infusi\u00f3n (en presencia de s\u00edntomas de intoxicaci\u00f3n);<\/li>\n<li>Uso de preparados de \u00e1cido ursodesoxic\u00f3lico;<\/li>\n<li>Preparados de S-adenosil-L-metionina;<\/li>\n<li>Glucocorticosteroides;<\/li>\n<li>Prevenci\u00f3n de las complicaciones hemorr\u00e1gicas;<\/li>\n<li>Tomar diur\u00e9ticos;<\/li>\n<li>Tratamiento dirigido a la eliminaci\u00f3n de los virus tr\u00f3picos al tejido hep\u00e1tico;<\/li>\n<li>Tratamiento de la patolog\u00eda asociada.<\/li>\n<\/ol>\n<p>Los tratamientos quir\u00fargicos incluyen la laparocentesis y el trasplante de h\u00edgado.<\/p>\n<p>Las <strong>indicaciones para el trasplante de h\u00edgado<\/strong> son:  <\/p>\n<ul class=\"wp-block-list\">\n<li>La presencia de un proceso patol\u00f3gico irreversible con un pron\u00f3stico vital inferior a 12 meses;<\/li>\n<li>Falta de efecto de la terapia conservadora;<\/li>\n<li>Cirrosis progresiva con una esperanza de vida inferior al trasplante.<\/li>\n<\/ul>\n<div>\n<h2 class=\"faq-title h2-article\" id=\"faq\">FAQ<\/h2>\n<div class=\"faq-section\">\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">1. \u00bfQu\u00e9 es la cirrosis hep\u00e1tica en palabras sencillas?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">La cirrosis hep\u00e1tica es el resultado de diversas enfermedades cr\u00f3nicas del h\u00edgado en las que las c\u00e9lulas hep\u00e1ticas normales son sustituidas por tejido cicatricial fibroso, lo que provoca el deterioro de todas las funciones del \u00f3rgano.<\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">2. \u00bfC\u00f3mo se manifiesta la cirrosis hep\u00e1tica?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">La cirrosis hep\u00e1tica puede presentarse con s\u00edntomas como aumento de la fatiga, n\u00e1useas, amargura en la boca, dolor abdominal (m\u00e1s a menudo subcostal derecho), ictericia (coloraci\u00f3n amarillenta de la piel y los ojos), ascitis (acumulaci\u00f3n de l\u00edquido en el abdomen) y agrandamiento del h\u00edgado y el bazo. En fases avanzadas de la enfermedad, aparecen s\u00edntomas m\u00e1s graves, como encefalopat\u00eda hep\u00e1tica, hemorragia, hepatarrea e insuficiencia hep\u00e1tica progresiva, que puede ser mortal. <\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">3. \u00bfPuede curarse la cirrosis hep\u00e1tica?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">La cirrosis hep\u00e1tica no puede curarse. Sin embargo, en las fases iniciales, con una dieta y un tratamiento adecuados, es posible ralentizar la progresi\u00f3n de la enfermedad y mejorar la calidad y la duraci\u00f3n de la vida. <\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">4. \u00bfC\u00f3mo establezco la presencia de cirrosis?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">El diagn\u00f3stico de la cirrosis hep\u00e1tica se basa en las manifestaciones cl\u00ednicas y en m\u00e9todos de investigaci\u00f3n de laboratorio e instrumentales, como an\u00e1lisis de sangre (an\u00e1lisis de sangre general, an\u00e1lisis de sangre bioqu\u00edmico, an\u00e1lisis de sangre para hepatitis v\u00edrica, etc.), ecograf\u00eda abdominal o tomograf\u00eda computarizada y, en casos dudosos, biopsia hep\u00e1tica.<\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">5. \u00bfCu\u00e1l es la diferencia entre cirrosis hep\u00e1tica y c\u00e1ncer de h\u00edgado?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">La cirrosis hep\u00e1tica es una enfermedad cr\u00f3nica del h\u00edgado asociada a la cicatrizaci\u00f3n del tejido hep\u00e1tico y al deterioro de la funci\u00f3n hep\u00e1tica, mientras que el c\u00e1ncer de h\u00edgado (carcinoma hepatocelular) es un tumor maligno.<\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">6. \u00bfCu\u00e1les son los estadios de la cirrosis hep\u00e1tica?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">La cirrosis hep\u00e1tica se divide en cuatro estadios seg\u00fan el grado de da\u00f1o hep\u00e1tico y la funci\u00f3n del \u00f3rgano: compensada, subcompensada, descompensada y terminal.<\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">7. Cirrosis hep\u00e1tica en mujeres y hombres: \u00bfhay diferencias?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">La cirrosis hep\u00e1tica en mujeres y hombres manifiesta s\u00edntomas similares, con trastornos hormonales que aparecen antes en las mujeres y s\u00edntomas de hipertensi\u00f3n portal en los hombres. Desde el punto de vista de las peculiaridades de origen, la cirrosis en las mujeres se desarrolla m\u00e1s a menudo en un contexto de enfermedades autoinmunes o exposici\u00f3n a toxinas (alcohol), y en los hombres m\u00e1s a menudo en un contexto de hepatitis v\u00edrica o alcoholismo. <\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">8. \u00bfCu\u00e1les son los peligros de la cirrosis hep\u00e1tica?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">La cirrosis hep\u00e1tica puede causar una serie de complicaciones graves, como insuficiencia hep\u00e1tica, hipertensi\u00f3n portal, ascitis, varices sangrantes, y aumenta significativamente el riesgo de carcinoma hepatocelular. En fases terminales, las complicaciones de la cirrosis pueden ser mortales. <\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"sources-list-block sources-list-hidden\" id=\"lista-de-fuentes\">\n<div class=\"sources-list-content\">\n<div class=\"sources-list-title\">\n<p class=\"small-text-bold text-black sources-list-title-text\">Lista de fuentes<\/p>\n<div class=\"sources-expand-button-wrapper-mobile\">\n<div class=\"sources-expand-button\"><svg width=\"32\" height=\"32\" viewbox=\"0 0 32 32\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M8 12L16 20L24 12\" stroke=\"#8C9AAB\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><\/path><\/svg><\/div>\n<\/div>\n<\/div>\n<div class=\"sources-list-items\">\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">1.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\">Cat\u00e1logo VOKA.<\/p>\n<p><span class=\"small-text-medium text-grey\">https:\/\/catalog.voka.io\/ <\/span><\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">2.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\">\u0410\u043f\u0440\u043e\u0441\u0438\u043d\u0430 \u0417.\u0413.. \u0425\u0440\u043e\u043d\u0438\u0447\u0435\u0441\u043a\u0438\u0435 \u0434\u0438\u0444\u0444\u0443\u0437\u043d\u044b\u0435 \u0437\u0430\u0431\u043e\u043b\u0435\u0432\u0430\u043d\u0438\u044f \u043f\u0435\u0447\u0435\u043d\u0438 (\u0441\u043e\u0432\u0440\u0435\u043c\u0435\u043d\u043d\u044b\u0435 \u0442\u0435\u043d\u0434\u0435\u043d\u0446\u0438\u0438). \u041a\u043b\u0438\u043d\u0438\u0447\u0435\u0441\u043a\u0430\u044f \u0444\u0430\u0440\u043c\u0430\u043a\u043e\u043b\u043e\u0433\u0438\u044f \u0438 \u0442\u0435\u0440\u0430\u043f\u0438\u044f. \u21161. \u0422\u043e\u043c 5. 1996. \u0421.14-18.<\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">3.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\">\u0411\u0430\u043a\u0443\u043b\u0438\u043d \u0418.\u0413., \u0412\u0430\u0440\u043b\u0430\u043c\u0438\u0447\u0435\u0432\u0430 \u0410.\u0410. \u0413\u0435\u043f\u0430\u0442\u043e\u0440\u0435\u043d\u0430\u043b\u044c\u043d\u044b\u0439 \u0441\u0438\u043d\u0434\u0440\u043e\u043c: \u043f\u0440\u0430\u043a\u0442\u0438\u0447\u0435\u0441\u043a\u0438\u0435 \u0440\u0435\u043a\u043e\u043c\u0435\u043d\u0434\u0430\u0446\u0438\u0438 \u043f\u043e \u0434\u0438\u0430\u0433\u043d\u043e\u0441\u0442\u0438\u043a\u0435 \u0438 \u043b\u0435\u0447\u0435\u043d\u0438\u044e. \u0410\u043b\u044c\u043c\u0430\u043d\u0430\u0445 \u043a\u043b\u0438\u043d\u0438\u0447\u0435\u0441\u043a\u043e\u0439 \u043c\u0435\u0434\u0438\u0446\u0438\u043d\u044b. 2014, \u2116 13, \u0441 23-31.<\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">4.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\">\u0418\u0432\u0430\u0448\u043a\u0438\u043d \u0412.\u0422., \u041b\u0430\u043f\u0438\u043d\u0430 \u0422.\u041b. \u0413\u0430\u0441\u0442\u0440\u043e\u044d\u043d\u0442\u0435\u0440\u043e\u043b\u043e\u0433\u0438\u044f. \u041d\u0430\u0446\u0438\u043e\u043d\u0430\u043b\u044c\u043d\u043e\u0435 \u0440\u0443\u043a\u043e\u0432\u043e\u0434\u0441\u0442\u0432\u043e. \u2013 \u041c.: \u0413\u042d\u041e\u0422\u0410\u0420-\u041c\u0435\u0434\u0438\u0430, 2015 \u2013 480 \u0441.<\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">5.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\">\u041c\u0435\u0445\u0442\u0438\u0435\u0432 \u0421.\u041d., \u0413\u0440\u0438\u043d\u0435\u0432\u0438\u0447 \u0412.\u0411., \u0427\u0435\u043f\u0443\u0440 \u0421.\u0412., \u0413\u0430\u043d\u0447\u043e \u0412.\u042e. \u041f\u043e\u0440\u0442\u0430\u043b\u044c\u043d\u0430\u044f \u0433\u0438\u043f\u0435\u0440\u0442\u0435\u043d\u0437\u0438\u044f \u0443 \u0431\u043e\u043b\u044c\u043d\u044b\u0445 \u0445\u0440\u043e\u043d\u0438\u0447\u0435\u0441\u043a\u0438\u043c \u0433\u0435\u043f\u0430\u0442\u0438\u0442\u043e\u043c \u0438 \u0446\u0438\u0440\u0440\u043e\u0437\u043e\u043c \u043f\u0435\u0447\u0435\u043d\u0438. \u2013 \u0421\u041f\u0431.: \u0411\u0440\u0435\u0441\u0442\u0430, 2004 \u2013 320 \u0441.<\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">6.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\">\u041d\u0438\u043a\u0438\u0442\u0438\u043d \u0418.\u0413., \u0421\u0442\u043e\u0440\u043e\u0436\u0430\u043a\u043e\u0432 \u0413.\u0418. \u0425\u0440\u043e\u043d\u0438\u0447\u0435\u0441\u043a\u0438\u0439 \u0433\u0435\u043f\u0430\u0442\u0438\u0442 \u0421; \u0430\u043a\u0442\u0443\u0430\u043b\u044c\u043d\u044b\u0435 \u0432\u043e\u043f\u0440\u043e\u0441\u044b \u0434\u0438\u0430\u0433\u043d\u043e\u0441\u0442\u0438\u043a\u0438 \u0438 \u043b\u0435\u0447\u0435\u043d\u0438\u044f. \u041a\u043b\u0438\u043d\u0438\u0447\u0435\u0441\u043a\u0438\u0435 \u043f\u0435\u0440\u0441\u043f\u0435\u043a\u0442\u0438\u0432\u044b \u0433\u0430\u0441\u0442\u0440\u043e\u044d\u043d\u0442\u0435\u0440\u043e\u043b\u043e\u0433\u0438\u0438, \u0433\u0435\u043f\u0430\u0442\u043e\u043b\u043e\u0433\u0438\u0438. \u21163, 2001. \u0421.7-11.<\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">7.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\">\u041f\u0430\u0432\u043b\u043e\u0432 \u0427.\u0421., \u0414\u0430\u043c\u0443\u043b\u0438\u043d \u0412.\u0414., \u0418\u0432\u0430\u0448\u043a\u0438\u043d \u0412.\u0422. \u041f\u0435\u0447\u0435\u043d\u043e\u0447\u043d\u0430\u044f \u044d\u043d\u0446\u0435\u0444\u0430\u043b\u043e\u043f\u0430\u0442\u0438\u044f: \u043f\u0430\u0442\u043e\u0433\u0435\u043d\u0435\u0437, \u043a\u043b\u0438\u043d\u0438\u043a\u0430, \u0434\u0438\u0430\u0433\u043d\u043e\u0441\u0442\u0438\u043a\u0430, \u0442\u0435\u0440\u0430\u043f\u0438\u044f. \u0420\u0416\u0413\u0413\u041a 2016, 1, \u0441 44-53.<\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">8.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\">\u041f\u0438\u043c\u0430\u043d\u043e\u0432 \u0421. \u0414\u0435\u043a\u043e\u043c\u043f\u0435\u043d\u0441\u0438\u0440\u043e\u0432\u0430\u043d\u043d\u044b\u0439 \u0446\u0438\u0440\u0440\u043e\u0437 \u043f\u0435\u0447\u0435\u043d\u0438: \u043b\u0435\u0447\u0435\u043d\u0438\u0435 \u0441 \u0443\u0447\u0435\u0442\u043e\u043c \u043c\u0435\u0436\u0434\u0443\u043d\u0430\u0440\u043e\u0434\u043d\u044b\u0445 \u0440\u0435\u043a\u043e\u043c\u0435\u043d\u0434\u0430\u0446\u0438\u0439. \u2013 \u041c.: \u041f\u0440\u0430\u043a\u0442\u0438\u0447\u0435\u0441\u043a\u0430\u044f \u043c\u0435\u0434\u0438\u0446\u0438\u043d\u0430, 2016 \u2013 88 \u0441. <\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">9.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\">\u042e\u0434\u0436\u0438\u043d \u0420. \u0428\u0438\u0444\u0444, \u041c\u0430\u0439\u043a\u043b\u0424. \u0421\u043e\u0440\u0440\u0435\u043b, \u0423\u0438\u043b\u043b\u0438\u0441\u0421.\u041c\u044d\u0434\u0434\u0440\u0435\u0439. \u0411\u043e\u043b\u0435\u0437\u043d\u0438 \u043f\u0435\u0447\u0435\u043d\u0438 \u043f\u043e \u0428\u0438\u0444\u0444\u0443. \u0426\u0438\u0440\u0440\u043e\u0437 \u043f\u0435\u0447\u0435\u043d\u0438 \u0438 \u0435\u0433\u043e \u043e\u0441\u043b\u043e\u0436\u043d\u0435\u043d\u0438\u044f. \u0422\u0440\u0430\u043d\u0441\u043f\u043b\u0430\u043d\u0442\u0430\u0446\u0438\u044f \u043f\u0435\u0447\u0435\u043d\u0438\/\/ \u2013\u041c.: \u0418\u0437\u0434. \u00ab\u0413\u042d\u041e\u0422\u0410\u0420- \u041c\u0435\u0434\u0438\u0430\u00bb, 2012.<\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">10.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\">Arroyo V., Moreau R., Jalan R., Gin\u00e8s P. EASL-CLIF Consortium CANONIC Study Acute-on-chronic liver failure: A new syndrome that will re-classify cirrhosis \/\/ J. Hepatol. \u20132015 \u2013 Vol. 62 (Suppl.). \u2013 P. S131\u2013S143.   <\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">11.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\">EASL Clinical Practice Guidelines: Wilson\u2019s disease. J Hepatol. 2012 Mar; 56(3):671-85. European Association for the Study of the Liver. EASL Clinical Practice Guidelines on the management of hepatic encephalopathy \/\/ J. Hepatol. \u2013 2022 \u2013 Vol. 77 \u2013P. 807\u2013824.       <\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">12.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\">European Association for the Study of the Liver. EASL Clinical Practice Guidelines: Autoimmune hepatitis. Journal of Hepatology 2015 vol. 63(4): 971\u20131004.   <\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">13.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\">Sanyal A., Mullen K., Bass N. The treatment of hepatic encephalopathy in the cirrhotic patient. Gastroenterol Hepatol (NY) 2010; 6(4 Suppl. 8):1-12. <\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"sources-expand-button-wrapper\">\n<div class=\"sources-expand-button\"><svg width=\"32\" height=\"32\" viewbox=\"0 0 32 32\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M8 12L16 20L24 12\" stroke=\"#8C9AAB\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><\/path><\/svg><\/div>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>La cirrosis hep\u00e1tica es una lesi\u00f3n generalizada del h\u00edgado caracterizada por la presencia de necrosis del par\u00e9nquima, fibrosis difusa, aparici\u00f3n de zonas anormales de regeneraci\u00f3n del tejido hep\u00e1tico, lo que provoca una alteraci\u00f3n de la estructura externa e interna del h\u00edgado, as\u00ed como un deterioro de su funci\u00f3n. Clasificaci\u00f3n de la cirrosis Seg\u00fan la clasificaci\u00f3n, [&hellip;]<\/p>\n","protected":false},"author":13,"featured_media":0,"template":"","diseases_category":[273],"class_list":["post-970","diseases_post","type-diseases_post","status-publish","hentry","diseases_category-hepaticas"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v25.0 (Yoast SEO v26.5) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Cirrosis hep\u00e1tica: Causas, etapas, s\u00edntomas, diagn\u00f3stico y tratamiento<\/title>\n<meta name=\"description\" content=\"Inf\u00f3rmate sobre la cirrosis hep\u00e1tica, una lesi\u00f3n generalizada que altera la estructura y la funci\u00f3n del \u00f3rgano. 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