{"id":968,"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":"2025-07-30T14:08:50","modified_gmt":"2025-07-30T11:08:50","slug":"cirrose-hepatica","status":"publish","type":"diseases_post","link":"https:\/\/wiki.dev.voka.io\/pt\/doencas\/hepatologia\/cirrose-hepatica\/","title":{"rendered":"Cirrose hep\u00e1tica: Etiologia, manifesta\u00e7\u00f5es cl\u00ednicas, diagn\u00f3stico e tratamento"},"content":{"rendered":"<p><?xml encoding=\"UTF-8\" ?><\/p>\n<p>A cirrose hep\u00e1tica \u00e9 uma les\u00e3o hep\u00e1tica generalizada caracterizada pela presen\u00e7a de necrose do par\u00eanquima, fibrose difusa, aparecimento de zonas anormais de regenera\u00e7\u00e3o do tecido hep\u00e1tico, resultando na rutura da estrutura externa e interna do f\u00edgado, bem como no comprometimento da sua fun\u00e7\u00e3o.<\/p>\n<h2 class=\"wp-block-heading\" id=\"classificacao-da-cirrose\"><strong>Classifica\u00e7\u00e3o da cirrose<\/strong><\/h2>\n<p>De acordo com a classifica\u00e7\u00e3o, a cirrose hep\u00e1tica pode ser dividida de acordo com a presen\u00e7a de altera\u00e7\u00f5es estruturais, bem como com as fases de compensa\u00e7\u00e3o.<\/p>\n<p><strong>Pela presen\u00e7a de mudan\u00e7as estruturais<\/strong>:<\/p>\n<ul class=\"wp-block-list\">\n<li>Nodal pequeno (di\u00e2metro do n\u00f3dulo de 3 mm a 1 cm);<\/li>\n<li>Nodal grande (di\u00e2metro do n\u00f3dulo superior a 1 cm);<\/li>\n<li>Mistura;<\/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 cirrose hep\u00e1tica de acordo com a presen\u00e7a de altera\u00e7\u00f5es estruturais:<\/p>\n<div class=\"carousel-block\">\n<div class=\"swiper carousel-swiper carousel-swiper-block_69f0150773368\">\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=\"Cirrose hep\u00e1tica de pequenos n\u00f3dulos\"><span class=\"small-text-article text-main-text-color\">Cirrose hep\u00e1tica de pequenos n\u00f3dulos<\/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=\"Cirrose hep\u00e1tica nodal de grandes dimens\u00f5es\"><span class=\"small-text-article text-main-text-color\">Cirrose hep\u00e1tica nodal de grandes dimens\u00f5es<\/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=\"Cirrose mista\"><span class=\"small-text-article text-main-text-color\">Cirrose mista<\/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=\"Cirrose biliar do f\u00edgado\"><span class=\"small-text-article text-main-text-color\">Cirrose biliar do f\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_69f0150773368\"><\/div>\n<div class=\"swiper-article-carousel__arrows\"><button 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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_69f0150773368\" 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_69f0150773368', {\n            slidesPerView: 1,\n            spaceBetween: 20,\n            loop: true,\n            pagination: {\n                el: '.swiper-article-carousel__pagination-container-block_69f0150773368',\n                clickable: true,\n            },\n            navigation: {\n                nextEl: '.carousel-swiper-button-next-block_69f0150773368',\n                prevEl: '.carousel-swiper-button-prev-block_69f0150773368',\n            },\n        })\n    })\n<\/script><\/p>\n<p><strong>Por fases de compensa\u00e7\u00e3o:<\/strong><\/p>\n<ul class=\"wp-block-list\">\n<li>Compensado;<\/li>\n<li>Subcompensado;<\/li>\n<li>Descompensado;<\/li>\n<li>Terminal.<\/li>\n<\/ul>\n<p>Existem classifica\u00e7\u00f5es cl\u00ednicas que t\u00eam em conta as manifesta\u00e7\u00f5es cl\u00ednicas e laboratoriais (Child-Pugh).<\/p>\n<p><strong>Classifica\u00e7\u00e3o de Child-Pugh da cirrose 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 ponto<\/th>\n<th class=\"has-text-align-center\" data-align=\"center\">2 pontos<\/th>\n<th class=\"has-text-align-center\" data-align=\"center\">3 pontos<\/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>n\u00e3o<\/em><\/td>\n<td class=\"has-text-align-center\" data-align=\"center\"><em>Ligeiro (pass\u00edvel de tratamento conservador)<\/em><\/td>\n<td class=\"has-text-align-center\" data-align=\"center\"><em>Grave (n\u00e3o pass\u00edvel de tratamento conservador)<\/em><\/td>\n<\/tr>\n<tr>\n<td class=\"has-text-align-center\" data-align=\"center\">Albumina 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 (raz\u00e3o normalizada<br \/>internacional)<\/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\">Encefalopatia hep\u00e1tica, graus.<\/td>\n<td class=\"has-text-align-center\" data-align=\"center\">n\u00e3o<\/td>\n<td class=\"has-text-align-center\" data-align=\"center\">I-II grau<\/td>\n<td class=\"has-text-align-center\" data-align=\"center\">III-IV graus<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/figure>\n<p><strong>Resultados:<\/strong><\/p>\n<p>5-6 pontos \u2013 cirrose compensada (classe A);<\/p>\n<p>7-9 pontos \u2013 subcompensado (classe B);<\/p>\n<p>10-12 pontos \u2013 Cirrose descompensada \/ terminal (classe C).<\/p>\n<h2 class=\"wp-block-heading\" id=\"etiologia-da-cirrose-hepatica\"><strong>Etiologia da cirrose hep\u00e1tica<\/strong><\/h2>\n<p>De acordo com um relat\u00f3rio da Associa\u00e7\u00e3o Europeia para o Estudo do F\u00edgado, aproximadamente 40% dos transplantes de f\u00edgado na Europa s\u00e3o realizados para cirrose hep\u00e1tica de etiologia viral (hepatite viral B, C, D), 33% para cirrose alco\u00f3lica e 5% para uma combina\u00e7\u00e3o destes factores etiol\u00f3gicos.<\/p>\n<p>Al\u00e9m disso, a presen\u00e7a de doen\u00e7as auto-imunes ou o efeito t\u00f3xico de alguns medicamentos e venenos sist\u00e9micos que afectam o tecido hep\u00e1tico contribuem para o desenvolvimento de cirrose biliar associada a uma diminui\u00e7\u00e3o do fluxo de b\u00edlis atrav\u00e9s do sistema de ductos intra-hep\u00e1ticos e extra-hep\u00e1ticos.<\/p>\n<h2 class=\"wp-block-heading\" id=\"patogenese\"><strong>Patog\u00e9nese<\/strong><\/h2>\n<p>O desenvolvimento da cirrose hep\u00e1tica baseia-se na les\u00e3o direta do l\u00f3bulo hep\u00e1tico (unidade estrutural e funcional) por um dos 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 do f\u00edgado (acinus)\"><figcaption class=\"wp-element-caption\">L\u00f3bulo do f\u00edgado (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\">Modelo 3D<\/a><\/figcaption><\/figure>\n<p>O processo de les\u00e3o \u00e9 longo e pode durar de v\u00e1rios meses a v\u00e1rios anos. Como resultado da les\u00e3o, formam-se \u00e1reas de necrose do par\u00eanquima hep\u00e1tico. \u00c0 volta das \u00e1reas de necrose existem zonas (n\u00f3dulos) de regenera\u00e7\u00e3o e inflama\u00e7\u00e3o cr\u00f3nica que resultam em fibrose.  <\/p>\n<p>Por sua vez, os n\u00f3dulos de regenera\u00e7\u00e3o comprimem as vias biliares, o que leva \u00e0 congest\u00e3o do sistema venoso do f\u00edgado com a forma\u00e7\u00e3o de hipertens\u00e3o 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=\"Estrutura do tecido hep\u00e1tico (l\u00f3bulos, trajectos periportais)\"><figcaption class=\"wp-element-caption\">Estrutura do tecido hep\u00e1tico (l\u00f3bulos, trajectos periportais) \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=\"manifestacoes-clinicas-da-cirrose-hepatica\"><strong>Manifesta\u00e7\u00f5es cl\u00ednicas da cirrose hep\u00e1tica<\/strong><\/h2>\n<p>Nas fases iniciais do desenvolvimento da doen\u00e7a, esta pode ser assintom\u00e1tica.<\/p>\n<p>Com a progress\u00e3o da doen\u00e7a, distinguem-se as seguintes s\u00edndromes:  <\/p>\n<ol class=\"wp-block-list\">\n<li><strong>S\u00edndrome geral<\/strong> caracterizada por fraqueza, dores de cabe\u00e7a, n\u00e1useas, aumento da temperatura corporal, artralgia, sensa\u00e7\u00e3o de amargura na boca, astenia e, ocasionalmente, dores abdominais;<\/li>\n<li><strong>S\u00edndrome de iter\u00edcia<\/strong> resultante de colestase intra-hep\u00e1tica (diminui\u00e7\u00e3o do fluxo de b\u00edlis, aumento da concentra\u00e7\u00e3o sangu\u00ednea de bilirrubina direta, aumento da concentra\u00e7\u00e3o de \u00e1cidos biliares). O aumento da concentra\u00e7\u00e3o de \u00e1cidos biliares no sangue \u00e9 acompanhado de comich\u00e3o na pele; <\/li>\n<li><strong>Hepatomegalia<\/strong> e <strong>esplenomegalia<\/strong>;<\/li>\n<li><strong>A s\u00edndrome de hipertens\u00e3o portal<\/strong> ocorre na fase de descompensa\u00e7\u00e3o. Caracteriza-se por um aumento da press\u00e3o no sistema da veia porta. As manifesta\u00e7\u00f5es cl\u00ednicas da s\u00edndrome de hipertens\u00e3o portal s\u00e3o: ascite, veias varicosas do es\u00f3fago, veias rectais, veias da parede abdominal anterior. Muitas vezes, no contexto das varizes, ocorre uma hemorragia.   <\/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=\"Aspeto abdominal de um doente com cirrose hep\u00e1tica: ascite e varizes da parede abdominal anterior\"><figcaption class=\"wp-element-caption\">Aspeto abdominal de um paciente com cirrose hep\u00e1tica: ascite e varizes da parede 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 de dor<\/strong> que surge no contexto de uma discinesia biliar;<\/li>\n<li><strong>Encefalopatia hep\u00e1tica<\/strong>, que ocorre devido a concentra\u00e7\u00f5es elevadas e prolongadas de bilirrubina direta. Esta \u00faltima, ao penetrar na barreira hemato-encef\u00e1lica, danifica as c\u00e9lulas cerebrais; <\/li>\n<li><strong>Perturba\u00e7\u00e3o da<\/strong><strong>fun\u00e7\u00e3o<\/strong> sint\u00e9tica e protetora <strong>do f\u00edgado<\/strong>.<\/li>\n<\/ol>\n<p>\u00c9 preciso compreender que a doen\u00e7a tem fases e que as manifesta\u00e7\u00f5es cl\u00ednicas se v\u00e3o alterando com a progress\u00e3o da doen\u00e7a. Assim, nas fases de descompensa\u00e7\u00e3o e terminal, n\u00e3o s\u00f3 o sistema hepatobiliar, mas tamb\u00e9m outros sistemas do corpo (urin\u00e1rio, digestivo, nervoso, cardiovascular, etc.) est\u00e3o envolvidos no processo patol\u00f3gico. <\/p>\n<h2 class=\"wp-block-heading\" id=\"diagnostico-de-cirrose-hepatica\"><strong>Diagn\u00f3stico de cirrose hep\u00e1tica<\/strong><\/h2>\n<p>O diagn\u00f3stico da doen\u00e7a baseia-se na presen\u00e7a de manifesta\u00e7\u00f5es cl\u00ednicas, no fator etiol\u00f3gico, bem como nos m\u00e9todos instrumentais e laboratoriais de investiga\u00e7\u00e3o.<\/p>\n<h3 class=\"wp-block-heading\" id=\"metodos-instrumentais-de-investigacao\"><strong>M\u00e9todos instrumentais de investiga\u00e7\u00e3o<\/strong><\/h3>\n<ol class=\"wp-block-list\">\n<li>Ultrassom (fibroelastometria), ultrassom Doppler para avaliar o fluxo sangu\u00edneo no sistema da veia porta;<\/li>\n<li>Tomografia computorizada (TC) e <span class=\"glossary-term\" data-title=\"RM (Resson\u00e2ncia magn\u00e9tica)\" data-tooltip=\"A resson\u00e2ncia magn\u00e9tica (RM) \u00e9 uma t\u00e9cnica de imagem moderna n\u00e3o invasiva que produz imagens em camadas altamente detalhadas de \u00f3rg\u00e3os e tecidos internos. O m\u00e9todo baseia-se no fen\u00f3meno da resson\u00e2ncia magn\u00e9tica nuclear. A principal vantagem da RM \u00e9 a aus\u00eancia de radia\u00e7\u00e3o ionizante.\" data-link=\"https:\/\/wiki.dev.voka.io\/pt\/glossario\/rm\/\">resson\u00e2ncia magn\u00e9tica<\/span> (RM);<\/li>\n<li>Bi\u00f3psia hep\u00e1tica;<\/li>\n<li>FGDS (fibrogastroduodenoscopia);<\/li>\n<li>Faz uma radiografia de revis\u00e3o da cavidade abdominal.<\/li>\n<\/ol>\n<h3 class=\"wp-block-heading\" id=\"metodos-laboratoriais-de-investigacao\"><strong>M\u00e9todos laboratoriais de investiga\u00e7\u00e3o<\/strong><\/h3>\n<ol class=\"wp-block-list\">\n<li>Determina\u00e7\u00e3o dos anticorpos contra os v\u00edrus da hepatite B, C, D e E;<\/li>\n<li>Determina\u00e7\u00e3o da alfa-fetoprote\u00edna no soro;<\/li>\n<li>BAC (perfil hep\u00e1tico);<\/li>\n<li>OAC;<\/li>\n<li>Coagulograma;<\/li>\n<li>OAM;<\/li>\n<li>Determina\u00e7\u00e3o da composi\u00e7\u00e3o do eletr\u00f3lito.<\/li>\n<\/ol>\n<div class=\"social-banner-block\">\n<div class=\"social-banner-content\">\n<p class=\"h5-title text-black\">Encontra mais conte\u00fados cientificamente exactos nas nossas redes sociais<\/p>\n<p><span class=\"social-banner-text text-grey\">Subscreve e n\u00e3o percas os recursos mais recentes<\/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=\"tratamento-da-cirrose-hepatica\"><strong>Tratamento da cirrose hep\u00e1tica  <\/strong><\/h2>\n<p>O tratamento da cirrose hep\u00e1tica deve ser abrangente e incluir as seguintes medidas:<\/p>\n<ol class=\"wp-block-list\">\n<li>Abstin\u00eancia de bebidas alco\u00f3licas;<\/li>\n<li>Dieta (tabela hep\u00e1tica), corre\u00e7\u00e3o da composi\u00e7\u00e3o electrol\u00edtica (s\u00f3dio, pot\u00e1ssio, cloro), corre\u00e7\u00e3o do desequil\u00edbrio proteico;<\/li>\n<li>Limita\u00e7\u00e3o de medicamentos com hepatotoxicidade.<\/li>\n<\/ol>\n<h3 class=\"wp-block-heading\" id=\"tratamento-medicamentoso\"><strong>Tratamento medicamentoso<\/strong><\/h3>\n<ol class=\"wp-block-list\">\n<li>Terapia de infus\u00e3o (na presen\u00e7a de sintomas de intoxica\u00e7\u00e3o);<\/li>\n<li>Utiliza\u00e7\u00e3o de prepara\u00e7\u00f5es de \u00e1cido ursodeoxic\u00f3lico;<\/li>\n<li>Prepara\u00e7\u00f5es de S-adenosil-L-metionina;<\/li>\n<li>Glucocorticoster\u00f3ides;<\/li>\n<li>Preven\u00e7\u00e3o de complica\u00e7\u00f5es hemorr\u00e1gicas;<\/li>\n<li>Toma diur\u00e9ticos;<\/li>\n<li>Tratamento destinado \u00e0 elimina\u00e7\u00e3o de v\u00edrus tr\u00f3picos para o tecido hep\u00e1tico;<\/li>\n<li>Tratamento da patologia associada.<\/li>\n<\/ol>\n<p>Os tratamentos cir\u00fargicos incluem laparocentese e transplante de f\u00edgado.<\/p>\n<p><strong>As indica\u00e7\u00f5es para o transplante de f\u00edgado<\/strong> s\u00e3o:  <\/p>\n<ul class=\"wp-block-list\">\n<li>A presen\u00e7a de um processo patol\u00f3gico irrevers\u00edvel com um progn\u00f3stico de vida inferior a 12 meses;<\/li>\n<li>Falta de efeito da terapia conservadora;<\/li>\n<li>Cirrose progressiva com uma esperan\u00e7a de vida inferior \u00e0 do transplante.<\/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. O que \u00e9 a cirrose hep\u00e1tica em palavras simples?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">A cirrose hep\u00e1tica \u00e9 o resultado de v\u00e1rias doen\u00e7as cr\u00f3nicas do f\u00edgado, em que as c\u00e9lulas normais do f\u00edgado s\u00e3o substitu\u00eddas por tecido fibroso cicatricial, resultando na incapacidade de todas as fun\u00e7\u00f5es do \u00f3rg\u00e3o.<\/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. Como \u00e9 que a cirrose hep\u00e1tica se manifesta?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">A cirrose hep\u00e1tica pode apresentar sintomas como aumento da fadiga, n\u00e1useas, amargor na boca, dor abdominal (mais frequentemente subcostal direita), iter\u00edcia (amarelecimento da pele e dos olhos), ascite (acumula\u00e7\u00e3o de l\u00edquido no abd\u00f3men) e aumento do f\u00edgado e do ba\u00e7o. Em fases avan\u00e7adas da doen\u00e7a, surgem sintomas mais graves, como encefalopatia hep\u00e1tica, hemorragia, hepatarreia e insufici\u00eancia hep\u00e1tica progressiva, que pode ser fatal. <\/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. A cirrose hep\u00e1tica pode ser curada?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">A cirrose hep\u00e1tica n\u00e3o pode ser curada. No entanto, nas fases iniciais, com uma dieta e tratamento adequados, \u00e9 poss\u00edvel retardar a progress\u00e3o da doen\u00e7a e melhorar a qualidade e a dura\u00e7\u00e3o da 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. Como \u00e9 que posso determinar a presen\u00e7a de cirrose?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">O diagn\u00f3stico da cirrose hep\u00e1tica baseia-se nas manifesta\u00e7\u00f5es cl\u00ednicas, nos m\u00e9todos laboratoriais e instrumentais de investiga\u00e7\u00e3o, tais como an\u00e1lises ao sangue (an\u00e1lises ao sangue em geral, an\u00e1lises bioqu\u00edmicas ao sangue, an\u00e1lises ao sangue para dete\u00e7\u00e3o de hepatites virais, etc.), ecografia abdominal ou TAC e, em casos duvidosos, bi\u00f3psia 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. Qual \u00e9 a diferen\u00e7a entre cirrose hep\u00e1tica e cancro do f\u00edgado?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">A cirrose hep\u00e1tica \u00e9 uma doen\u00e7a hep\u00e1tica cr\u00f3nica associada \u00e0 forma\u00e7\u00e3o de cicatrizes no tecido hep\u00e1tico e a uma fun\u00e7\u00e3o hep\u00e1tica deficiente, enquanto o cancro do f\u00edgado (carcinoma hepatocelular) \u00e9 um 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. Quais s\u00e3o as fases da cirrose hep\u00e1tica?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">A cirrose hep\u00e1tica divide-se em quatro fases, consoante o grau de les\u00e3o hep\u00e1tica e a fun\u00e7\u00e3o do \u00f3rg\u00e3o: compensada, subcompensada, descompensada e 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. Cirrose hep\u00e1tica em mulheres e homens \u2013 existem diferen\u00e7as?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">A cirrose hep\u00e1tica nas mulheres e nos homens manifesta sintomas semelhantes, sendo que as perturba\u00e7\u00f5es hormonais aparecem mais cedo nas mulheres e os sintomas de hipertens\u00e3o portal nos homens. Quanto \u00e0s particularidades de origem, a cirrose nas mulheres desenvolve-se mais frequentemente no contexto de doen\u00e7as auto-imunes ou de exposi\u00e7\u00e3o a toxinas (\u00e1lcool), e nos homens mais frequentemente no contexto de hepatite viral ou alcoolismo. <\/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. Quais s\u00e3o os perigos da cirrose hep\u00e1tica?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">A cirrose hep\u00e1tica pode causar uma s\u00e9rie de complica\u00e7\u00f5es graves, incluindo insufici\u00eancia hep\u00e1tica, hipertens\u00e3o portal, ascite, varizes hemorr\u00e1gicas e aumenta significativamente o risco de carcinoma hepatocelular. Em fases terminais, as complica\u00e7\u00f5es da cirrose podem ser fatais. <\/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-fontes\">\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 fontes<\/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>A cirrose hep\u00e1tica \u00e9 uma les\u00e3o hep\u00e1tica generalizada caracterizada pela presen\u00e7a de necrose do par\u00eanquima, fibrose difusa, aparecimento de zonas anormais de regenera\u00e7\u00e3o do tecido hep\u00e1tico, resultando na rutura da estrutura externa e interna do f\u00edgado, bem como no comprometimento da sua fun\u00e7\u00e3o. Classifica\u00e7\u00e3o da cirrose De acordo com a classifica\u00e7\u00e3o, a cirrose hep\u00e1tica pode [&hellip;]<\/p>\n","protected":false},"author":13,"featured_media":0,"template":"","diseases_category":[298],"class_list":["post-968","diseases_post","type-diseases_post","status-publish","hentry","diseases_category-hepatologia"],"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>Cirrose hep\u00e1tica: Causas, fases, sintomas, diagn\u00f3stico e tratamento<\/title>\n<meta name=\"description\" content=\"Aprende sobre a cirrose hep\u00e1tica - uma les\u00e3o generalizada que perturba a estrutura e a fun\u00e7\u00e3o do \u00f3rg\u00e3o. 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