Sudden liver failure

In language of health science sudden liver failure is called "Fulminant Hepatic Failure".It is a serious situation of  a disease.It will be useless due to quick activity of liver.

According to definition of health science if brain will get damaged or the patient becomes unconscious within two months,then it is called "Fulminant Hepatic Failure".

Causes:
The main cause of this disease is virus.In our country the most cases of sudden liver failure is due to virus.40% people are affected to hepatitis E virus and 25% to 30% people are affected due hepatitis B virus.It should not to say that if HBsAg is negative,only is not claimed hepatitis B virus.Sometimes it would be happened due to hepatitis C and hepatitis A virus.Besides this,it may be occurred due to digestive problem of medicines.

Alcohol/hooch is a dangerous cause.But in case of 20% to 30% have not found any causes.

Signs and symptoms:
The disease would be happened a sudden time of a fit person.After little sickness or nausea the patient becomes unconscious.The relatives of the patients  do not take it easy.In this case brain damage is an important symptoms of a patient.Besides this,the disease can be commenced with severe headache.The patient will fell dizziness,restless,even ferocious.Then eventually the patient becomes unconscious.If it is serious with unconscious,cerebral edema may be occurred.If cerebral edema is happened,then blood pressure increases and legs and hands will be rigid.

Hemorrhaging will be seen various pars of  the patient body.Amount of glucose,potassium and calcium may be reduced.In 99% cases infection may be seen.Even kidney failure also occurs.Besides this,heart,lung and pancreas will be damaged

Examinations and Tests:
Lots of examinations and tests should be done in this disease.Even blood tests should be done every after hours.Blood haemoglobin,TC,DC,platelet count,prothrombin time,grouping,glucose,bilirubin,transamilage,electrolite,urea,creatinine,albumin,amilage etcshould be need examination.Also virus test should be made.Chest x-ray,ecg,CT scan may be needed.

Treatment:
The treatment of this disease is very complicated and vulnerable.For this why,the patien should be observed by  a liver specialist  at a specified hospital.The condition of the patient may change quickly.For this why,the patient should be observed deeply and carefully.Food should be swallowed by a tube except protein free food.Catheter must be used.Ranitidin or omeprazol should be eaten.Antibiotic should be applied.Glucose should be given by testing glucose of blood.Oxygen is also applied.Besides this,vitamin K injection lactulose sytrup,mannitol injection should be given.If it is needed phenytoin should be given.Liver transplantation is popular treatnent in this case.But is very expensive.

Prognosis:
It is a serious disease when occurs sudden liver failure.After all efforts 20% patients remain live in rich countries.Death rates would be higher if prothrombin time is also higher.