{"id":967,"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":"2025-07-30T14:07:29","modified_gmt":"2025-07-30T11:07:29","slug":"cirrhose-du-foie","status":"publish","type":"diseases_post","link":"https:\/\/wiki.dev.voka.io\/fr\/maladies\/hepatiques\/cirrhose-du-foie\/","title":{"rendered":"Cirrhose du foie : \u00e9tiologie, manifestations cliniques, diagnostic et traitement"},"content":{"rendered":"<p><?xml encoding=\"UTF-8\" ?><\/p>\n<p>La cirrhose du foie est une l\u00e9sion h\u00e9patique g\u00e9n\u00e9ralis\u00e9e caract\u00e9ris\u00e9e par la pr\u00e9sence d\u2019une n\u00e9crose du parenchyme, d\u2019une fibrose diffuse, de l\u2019apparition de zones anormales de r\u00e9g\u00e9n\u00e9ration du tissu h\u00e9patique, entra\u00eenant une perturbation de la structure externe et interne du foie, ainsi qu\u2019une alt\u00e9ration de sa fonction.<\/p>\n<h2 class=\"wp-block-heading\" id=\"classification-de-la-cirrhose\"><strong>Classification de la cirrhose<\/strong><\/h2>\n<p>Selon la classification, la cirrhose du foie peut \u00eatre divis\u00e9e en fonction de la pr\u00e9sence de changements structurels et des stades de compensation.<\/p>\n<p><strong>Par la pr\u00e9sence de changements structurels<\/strong>:<\/p>\n<ul class=\"wp-block-list\">\n<li>Petit n\u0153ud (diam\u00e8tre du n\u0153ud de 3 mm \u00e0 1 cm) ;<\/li>\n<li>Gros ganglions (diam\u00e8tre du ganglion sup\u00e9rieur \u00e0 1 cm) ;<\/li>\n<li>Mixte ;<\/li>\n<li>Biliaire.<\/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\">Mod\u00e8les 3D<\/a> des formes de cirrhose du foie en fonction de la pr\u00e9sence de changements structurels :<\/p>\n<div class=\"carousel-block\">\n<div class=\"swiper carousel-swiper carousel-swiper-block_69ef7f1181362\">\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=\"Cirrhose du foie \u00e0 petits ganglions\"><span class=\"small-text-article text-main-text-color\">Cirrhose du foie \u00e0 petits ganglions<\/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=\"Cirrhose h\u00e9patique \u00e0 gros ganglions\"><span class=\"small-text-article text-main-text-color\">Cirrhose h\u00e9patique \u00e0 gros ganglions<\/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=\"Cirrhose mixte\"><span class=\"small-text-article text-main-text-color\">Cirrhose mixte<\/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=\"Cirrhose biliaire du foie\"><span class=\"small-text-article text-main-text-color\">Cirrhose biliaire du foie<\/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_69ef7f1181362\"><\/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_69ef7f1181362\"><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_69ef7f1181362\" 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_69ef7f1181362', {\n            slidesPerView: 1,\n            spaceBetween: 20,\n            loop: true,\n            pagination: {\n                el: '.swiper-article-carousel__pagination-container-block_69ef7f1181362',\n                clickable: true,\n            },\n            navigation: {\n                nextEl: '.carousel-swiper-button-next-block_69ef7f1181362',\n                prevEl: '.carousel-swiper-button-prev-block_69ef7f1181362',\n            },\n        })\n    })\n<\/script><\/p>\n<p><strong>Par \u00e9tapes d\u2019indemnisation :<\/strong><\/p>\n<ul class=\"wp-block-list\">\n<li>Compens\u00e9e ;<\/li>\n<li>Sous-compens\u00e9s ;<\/li>\n<li>D\u00e9compens\u00e9e ;<\/li>\n<li>Terminal.<\/li>\n<\/ul>\n<p>Il existe des classifications cliniques qui prennent en compte les manifestations cliniques et biologiques (Child-Pugh).<\/p>\n<p><strong>Classification de Child-Pugh de la cirrhose du foie<\/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 point<\/th>\n<th class=\"has-text-align-center\" data-align=\"center\">2 points<\/th>\n<th class=\"has-text-align-center\" data-align=\"center\">3 points<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td class=\"has-text-align-center\" data-align=\"center\"><em>Ascite<\/em><\/td>\n<td class=\"has-text-align-center\" data-align=\"center\"><em>non<\/em><\/td>\n<td class=\"has-text-align-center\" data-align=\"center\"><em>L\u00e9ger (se pr\u00eatant \u00e0 un traitement conservateur)<\/em><\/td>\n<td class=\"has-text-align-center\" data-align=\"center\"><em>S\u00e9v\u00e8re (ne pouvant b\u00e9n\u00e9ficier d\u2019un traitement conservateur)<\/em><\/td>\n<\/tr>\n<tr>\n<td class=\"has-text-align-center\" data-align=\"center\">Albumine s\u00e9rique 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 (ratio international normalis\u00e9)<\/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\">Bilirubine totale, \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\">Enc\u00e9phalopathie h\u00e9patique, degr\u00e9s.<\/td>\n<td class=\"has-text-align-center\" data-align=\"center\">non<\/td>\n<td class=\"has-text-align-center\" data-align=\"center\">I-II degr\u00e9<\/td>\n<td class=\"has-text-align-center\" data-align=\"center\">III-IV degr\u00e9s<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/figure>\n<p><strong>R\u00e9sultats :<\/strong><\/p>\n<p>5-6 points \u2013 cirrhose compens\u00e9e (classe A) ;<\/p>\n<p>7-9 points \u2013 sous-compens\u00e9s (classe B) ;<\/p>\n<p>10-12 points \u2013 cirrhose d\u00e9compens\u00e9e \/ terminale (classe C).<\/p>\n<h2 class=\"wp-block-heading\" id=\"etiologie-de-la-cirrhose-du-foie\"><strong>\u00c9tiologie de la cirrhose du foie<\/strong><\/h2>\n<p>Selon un rapport de l\u2019Association europ\u00e9enne pour l\u2019\u00e9tude du foie, environ 40 % des greffes de foie en Europe sont r\u00e9alis\u00e9es pour une cirrhose h\u00e9patique d\u2019\u00e9tiologie virale (h\u00e9patite virale B, C, D), 33 % pour une cirrhose alcoolique et 5 % pour une combinaison de ces facteurs \u00e9tiologiques.<\/p>\n<p>La pr\u00e9sence de maladies auto-immunes ou l\u2019effet toxique de certains m\u00e9dicaments et poisons syst\u00e9miques affectant le tissu h\u00e9patique contribuent \u00e9galement au d\u00e9veloppement d\u2019une cirrhose biliaire associ\u00e9e \u00e0 une alt\u00e9ration de l\u2019\u00e9coulement de la bile par le syst\u00e8me de canaux intrah\u00e9patiques et extrah\u00e9patiques.<\/p>\n<h2 class=\"wp-block-heading\" id=\"pathogenese\"><strong>Pathogen\u00e8se<\/strong><\/h2>\n<p>Le d\u00e9veloppement de la cirrhose du foie est bas\u00e9 sur une atteinte directe du lobule h\u00e9patique (unit\u00e9 structurelle et fonctionnelle) par l\u2019un des facteurs \u00e9tiologiques.<\/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=\"Lobe du foie (acinus)\"><figcaption class=\"wp-element-caption\">Lobe du foie (acinus) \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\">Mod\u00e8le 3D<\/a><\/figcaption><\/figure>\n<p>Le processus de d\u00e9gradation est long et peut s\u2019\u00e9taler sur une p\u00e9riode allant de plusieurs mois \u00e0 plusieurs ann\u00e9es. La l\u00e9sion entra\u00eene la formation de zones de n\u00e9crose du parenchyme h\u00e9patique. Autour des zones de n\u00e9crose, il y a des zones (nodules) de r\u00e9g\u00e9n\u00e9ration et d\u2019inflammation chronique qui aboutissent \u00e0 une fibrose.  <\/p>\n<p>\u00c0 leur tour, les nodules de r\u00e9g\u00e9n\u00e9ration compriment les voies biliaires, ce qui entra\u00eene une congestion du syst\u00e8me veineux du foie et la formation d\u2019une hypertension portale.<\/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=\"Structure du tissu h\u00e9patique (lobules, voies p\u00e9riportales)\"><figcaption class=\"wp-element-caption\">Structure du tissu h\u00e9patique (lobules, voies p\u00e9riportales) \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\">Mod\u00e8le 3D<\/a><\/figcaption><\/figure>\n<h2 class=\"wp-block-heading\" id=\"manifestations-cliniques-de-la-cirrhose-du-foie\"><strong>Manifestations cliniques de la cirrhose du foie<\/strong><\/h2>\n<p>Dans les premiers stades de d\u00e9veloppement de la maladie, celle-ci peut \u00eatre asymptomatique.<\/p>\n<p>Avec l\u2019\u00e9volution de la maladie, on distingue les syndromes suivants :  <\/p>\n<ol class=\"wp-block-list\">\n<li><strong>Syndrome g\u00e9n\u00e9ral<\/strong> caract\u00e9ris\u00e9 par une faiblesse, des maux de t\u00eate, des naus\u00e9es, une augmentation de la temp\u00e9rature corporelle, des arthralgies, une sensation d\u2019amertume dans la bouche, une asth\u00e9nie et des douleurs abdominales occasionnelles ;<\/li>\n<li><strong>Syndrome de l\u2019ict\u00e8re<\/strong> r\u00e9sultant d\u2019une cholestase intrah\u00e9patique (alt\u00e9ration de l\u2019\u00e9coulement de la bile, augmentation de la concentration sanguine de bilirubine directe, augmentation de la concentration d\u2019acides biliaires). L\u2019augmentation de la concentration d\u2019acides biliaires dans le sang s\u2019accompagne de d\u00e9mangeaisons cutan\u00e9es ; <\/li>\n<li><strong>H\u00e9patom\u00e9galie<\/strong> et <strong>spl\u00e9nom\u00e9galie<\/strong>;<\/li>\n<li>Le <strong>syndrome d\u2019hypertension portale<\/strong> survient au stade de la d\u00e9compensation. Il se caract\u00e9rise par une augmentation de la pression dans le syst\u00e8me de la veine porte. Les manifestations cliniques du syndrome d\u2019hypertension portale sont les suivantes : ascite, varices de l\u2019\u0153sophage, des veines rectales, des veines de la paroi abdominale ant\u00e9rieure. Les varices sont souvent \u00e0 l\u2019origine d\u2019h\u00e9morragies.   <\/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=\"Aspect abdominal d'un patient atteint d'une cirrhose du foie : ascite et varices de la paroi abdominale ant\u00e9rieure\"><figcaption class=\"wp-element-caption\">Aspect abdominal d\u2019un patient atteint d\u2019une cirrhose du foie : ascite et varices de la paroi abdominale ant\u00e9rieure \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\">Mod\u00e8le 3D<\/a><\/figcaption><\/figure>\n<ol start=\"5\" class=\"wp-block-list\">\n<li><strong>Syndrome douloureux<\/strong> survenant sur fond de dyskin\u00e9sie biliaire ;<\/li>\n<li><strong>Enc\u00e9phalopathie h\u00e9patique<\/strong>, qui survient en raison de concentrations \u00e9lev\u00e9es et prolong\u00e9es de bilirubine directe. Cette derni\u00e8re, en p\u00e9n\u00e9trant la barri\u00e8re h\u00e9mato-enc\u00e9phalique, endommage les cellules c\u00e9r\u00e9brales ; <\/li>\n<li><strong>Perturbation de la<\/strong><strong>fonction de<\/strong> synth\u00e8se et de protection <strong>du foie<\/strong>.<\/li>\n<\/ol>\n<p>Il faut comprendre que la maladie a des stades et que les manifestations cliniques changent avec l\u2019\u00e9volution de la maladie. Ainsi, aux stades de d\u00e9compensation et terminal, non seulement le syst\u00e8me h\u00e9patobiliaire, mais aussi d\u2019autres syst\u00e8mes de l\u2019organisme (urinaire, digestif, nerveux, cardiovasculaire, etc.) sont impliqu\u00e9s dans le processus pathologique. <\/p>\n<h2 class=\"wp-block-heading\" id=\"diagnostic-de-la-cirrhose-du-foie\"><strong>Diagnostic de la cirrhose du foie<\/strong><\/h2>\n<p>Le diagnostic de la maladie repose sur la pr\u00e9sence de manifestations cliniques, d\u2019un facteur \u00e9tiologique, ainsi que sur des m\u00e9thodes d\u2019investigation instrumentales et de laboratoire.<\/p>\n<h3 class=\"wp-block-heading\" id=\"methodes-instrumentales-de-recherche\"><strong>M\u00e9thodes instrumentales de recherche<\/strong><\/h3>\n<ol class=\"wp-block-list\">\n<li>\u00c9chographie (fibro\u00e9lastom\u00e9trie), \u00e9chographie Doppler pour \u00e9valuer le flux sanguin dans le syst\u00e8me de la veine porte ;<\/li>\n<li>Tomodensitom\u00e9trie (CT) et imagerie par r\u00e9sonance magn\u00e9tique (<span class=\"glossary-term\" data-title=\"IRM (imagerie par r\u00e9sonance magn\u00e9tique)\" data-tooltip=\"L&#039;imagerie par r\u00e9sonance magn\u00e9tique (IRM) est une technique moderne et non invasive de radiodiagnostic qui permet d&#039;obtenir des images en coupe des organes et des tissus internes. Cet examen repose sur le ph\u00e9nom\u00e8ne de r\u00e9sonance magn\u00e9tique nucl\u00e9aire. Le principal avantage de l&#039;IRM est l&#039;absence de rayonnements ionisants (radiation).\" data-link=\"https:\/\/wiki.dev.voka.io\/fr\/glossaire\/irm\/\">IRM<\/span>) ;<\/li>\n<li>Biopsie du foie ;<\/li>\n<li>FGDS (fibrogastroduod\u00e9noscopie) ;<\/li>\n<li>Radiographie de la cavit\u00e9 abdominale.<\/li>\n<\/ol>\n<h3 class=\"wp-block-heading\" id=\"methodes-de-recherche-en-laboratoire\"><strong>M\u00e9thodes de recherche en laboratoire<\/strong><\/h3>\n<ol class=\"wp-block-list\">\n<li>D\u00e9termination des anticorps contre les virus de l\u2019h\u00e9patite B, C, D et E ;<\/li>\n<li>D\u00e9termination de l\u2019alpha-f\u0153toprot\u00e9ine dans le s\u00e9rum ;<\/li>\n<li>BAC (profil h\u00e9patique) ;<\/li>\n<li>OAC ;<\/li>\n<li>Coagulogramme ;<\/li>\n<li>OAM ;<\/li>\n<li>D\u00e9termination de la composition de l\u2019\u00e9lectrolyte.<\/li>\n<\/ol>\n<div class=\"social-banner-block\">\n<div class=\"social-banner-content\">\n<p class=\"h5-title text-black\">Retrouvez d\u2019autres contenus scientifiquement exacts sur nos m\u00e9dias sociaux<\/p>\n<p><span class=\"social-banner-text text-grey\">Abonnez-vous et ne manquez pas les derni\u00e8res ressources<\/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=\"traitement-de-la-cirrhose-du-foie\"><strong>Traitement de la cirrhose du foie  <\/strong><\/h2>\n<p>Le traitement de la cirrhose du foie doit \u00eatre complet et comprendre les mesures suivantes :<\/p>\n<ol class=\"wp-block-list\">\n<li>Sevrage de boissons alcoolis\u00e9es ;<\/li>\n<li>R\u00e9gime alimentaire (tableau du foie), correction de la composition en \u00e9lectrolytes (sodium, potassium, chlore), correction du d\u00e9s\u00e9quilibre prot\u00e9ique ;<\/li>\n<li>Limitation des m\u00e9dicaments ayant une h\u00e9patotoxicit\u00e9.<\/li>\n<\/ol>\n<h3 class=\"wp-block-heading\" id=\"traitement-medicamenteux\"><strong>Traitement m\u00e9dicamenteux<\/strong><\/h3>\n<ol class=\"wp-block-list\">\n<li>Traitement par perfusion (en pr\u00e9sence de sympt\u00f4mes d\u2019intoxication) ;<\/li>\n<li>Utilisation de pr\u00e9parations \u00e0 base d\u2019acide ursod\u00e9soxycholique ;<\/li>\n<li>Pr\u00e9parations \u00e0 base de S-ad\u00e9nosyl-L-m\u00e9thionine ;<\/li>\n<li>Glucocorticost\u00e9ro\u00efdes ;<\/li>\n<li>Pr\u00e9vention des complications h\u00e9morragiques ;<\/li>\n<li>Prise de diur\u00e9tiques ;<\/li>\n<li>Traitement visant \u00e0 \u00e9liminer les virus ayant un tropisme pour le tissu h\u00e9patique ;<\/li>\n<li>Traitement des pathologies associ\u00e9es.<\/li>\n<\/ol>\n<p>Les traitements chirurgicaux comprennent la laparocent\u00e8se et la transplantation du foie.<\/p>\n<p>Les <strong>indications pour une transplantation h\u00e9patique<\/strong> sont les suivantes :  <\/p>\n<ul class=\"wp-block-list\">\n<li>La pr\u00e9sence d\u2019un processus pathologique irr\u00e9versible dont le pronostic vital est inf\u00e9rieur \u00e0 12 mois ;<\/li>\n<li>Absence d\u2019effet du traitement conservateur ;<\/li>\n<li>Cirrhose progressive avec une esp\u00e9rance de vie plus courte que la transplantation.<\/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. Qu\u2019est-ce que la cirrhose du foie en quelques mots ?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">La cirrhose du foie est l\u2019aboutissement de diverses maladies chroniques du foie dans lesquelles les cellules h\u00e9patiques normales sont remplac\u00e9es par un tissu cicatriciel fibreux, ce qui entra\u00eene une alt\u00e9ration de toutes les fonctions de l\u2019organe.<\/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. Comment se manifeste la cirrhose du foie ?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">La cirrhose du foie peut se manifester par des sympt\u00f4mes tels qu\u2019une fatigue accrue, des naus\u00e9es, une sensation d\u2019amertume dans la bouche, des douleurs abdominales (le plus souvent sous-costales droites), une jaunisse (jaunissement de la peau et des yeux), une ascite (accumulation de liquide dans l\u2019abdomen) et une hypertrophie du foie et de la rate. \u00c0 un stade avanc\u00e9 de la maladie, des sympt\u00f4mes plus graves apparaissent, tels que l\u2019enc\u00e9phalopathie h\u00e9patique, l\u2019h\u00e9morragie, l\u2019h\u00e9pato-rh\u00e9e et l\u2019insuffisance h\u00e9patique progressive, qui peut \u00eatre fatale. <\/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. La cirrhose du foie peut-elle \u00eatre gu\u00e9rie ?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">La cirrhose du foie ne peut pas \u00eatre gu\u00e9rie. Toutefois, dans les premiers stades, il est possible de ralentir la progression de la maladie et d\u2019am\u00e9liorer la qualit\u00e9 et la dur\u00e9e de la vie gr\u00e2ce \u00e0 un r\u00e9gime alimentaire et \u00e0 un traitement ad\u00e9quats. <\/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. Comment \u00e9tablir la pr\u00e9sence d\u2019une cirrhose ?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">Le diagnostic de la cirrhose du foie repose sur les manifestations cliniques, les m\u00e9thodes d\u2019investigation instrumentales et de laboratoire, telles que les tests sanguins (test sanguin g\u00e9n\u00e9ral, test sanguin biochimique, test sanguin pour l\u2019h\u00e9patite virale, etc.), l\u2019\u00e9chographie abdominale ou la tomodensitom\u00e9trie et, dans les cas douteux, la biopsie du foie.<\/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. Quelle est la diff\u00e9rence entre une cirrhose du foie et un cancer du foie ?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">La cirrhose du foie est une maladie chronique du foie associ\u00e9e \u00e0 une cicatrisation du tissu h\u00e9patique et \u00e0 une alt\u00e9ration de la fonction h\u00e9patique, tandis que le cancer du foie (carcinome h\u00e9patocellulaire) est une tumeur maligne.<\/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. Quels sont les stades de la cirrhose du foie ?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">La cirrhose du foie est divis\u00e9e en quatre stades en fonction du degr\u00e9 d\u2019atteinte du foie et du fonctionnement des organes : compens\u00e9e, sous-compens\u00e9e, d\u00e9compens\u00e9e et terminale.<\/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. La cirrhose du foie chez les femmes et les hommes \u2013 y a-t-il des diff\u00e9rences ?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">La cirrhose du foie chez les femmes et les hommes pr\u00e9sente des sympt\u00f4mes similaires, les troubles hormonaux apparaissant plus t\u00f4t chez les femmes et les sympt\u00f4mes d\u2019hypertension portale chez les hommes. En ce qui concerne les particularit\u00e9s de l\u2019origine, la cirrhose se d\u00e9veloppe plus souvent chez les femmes dans le cadre de maladies auto-immunes ou d\u2019une exposition \u00e0 des toxines (alcool), et chez les hommes plus souvent dans le cadre d\u2019une h\u00e9patite virale ou de l\u2019alcoolisme. <\/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. Quels sont les dangers de la cirrhose du foie ?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">La cirrhose du foie peut entra\u00eener un certain nombre de complications graves, notamment une insuffisance h\u00e9patique, une hypertension portale, une ascite, des varices h\u00e9morragiques, et augmente consid\u00e9rablement le risque de carcinome h\u00e9patocellulaire. Au stade terminal, les complications de la cirrhose peuvent \u00eatre fatales. <\/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=\"liste-des-sources\">\n<div class=\"sources-list-content\">\n<div class=\"sources-list-title\">\n<p class=\"small-text-bold text-black sources-list-title-text\">Liste des sources<\/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\">Catalogue 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 cirrhose du foie est une l\u00e9sion h\u00e9patique g\u00e9n\u00e9ralis\u00e9e caract\u00e9ris\u00e9e par la pr\u00e9sence d&rsquo;une n\u00e9crose du parenchyme, d&rsquo;une fibrose diffuse, de l&rsquo;apparition de zones anormales de r\u00e9g\u00e9n\u00e9ration du tissu h\u00e9patique, entra\u00eenant une perturbation de la structure externe et interne du foie, ainsi qu&rsquo;une alt\u00e9ration de sa fonction. Classification de la cirrhose Selon la classification, la [&hellip;]<\/p>\n","protected":false},"author":13,"featured_media":0,"template":"","diseases_category":[254],"class_list":["post-967","diseases_post","type-diseases_post","status-publish","hentry","diseases_category-hepatiques"],"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>Cirrhose du foie : causes, stades, sympt\u00f4mes, diagnostic et traitement<\/title>\n<meta name=\"description\" content=\"D\u00e9couvrez la cirrhose du foie, une l\u00e9sion g\u00e9n\u00e9ralis\u00e9e qui perturbe la structure et la fonction de l&#039;organe. 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