Patología Hepática y Manejo Odontológico

 

TO]CACKÉO @BTÏ]G @BT Ï]GFO FO W IOHBJC CMCH]CAÖKGFC NBUGH FAO\C KOL\GBA _RGJOHC

 

GH]\CMRFFGÖH Ba `ékomc bs uh gipcrtohtb örkohc poro ba ibtolcagsic y mbpurofgöh mb babibhtcs moÿghcs y töxgfcs bh ba crkohgsic> ombiïs bs ba rbspchsolab mb baolcror mgvbrsos prctbéhos paosiïtgfos, osé fcic mb prcmufgr eoftcrbs mb ao fcokuaofgöh. W mbpbhmgbhmc mbpbhmgbhmc mb ao ombfuomo oftgvgmom `bpïtgfo korohtgzo ao prbvoabhfgo mb euhfgchbs vgtoabs,mbbhvgmo foscmba fchtrorgc sb prcmufb uh kroh gipoftc içmgfc qub oebfto ao foagmom ghmgvgmuc.

 

GH]\CMRFFGÖH  Bh cmchtcackéo, aos mgseuhfgchbs `bpïtgfos pubmbh icmgegfor ba paoh mb trotoigbhtc, pcr ac qub ba faéhgfc pumgbro tbhbr qub tcior mbfgsgchbs bh ospbftcs fcic: ◃ Vbabffgöh eoriofcaökgfo. ◃ Icmgegfofgöh bh ao pcscackéo mb acs eïriofcs mb usc fciúh, poro

bvgtor tcxgfgmom. ◃ Fopofgmom `bicstïtgfo mb acs pofgbhtbs, yo qub mgvbrscs eoftcrbs mb fcokuaofgöh pubmbh bstor mgsighugmcs

 

GH]\CMRFFGÖH Ba iohbjc mb pofgbhtbs fch bhebribmombs ghebftcfchtokgcsos ghebftcfchtokgcsos bh ao fchsuato mbhtoa bs uho oftgvgmom faéhgfo mb kroh trosfbhmbhfgo pcr acs bebftcs qub  pubmbh cfosgchor cfosgchor bstb tgpc mb mb trostcrhcs bh acs pofgbhtbs, pofgbhtbs, ba cmchtöackc cmchtöackc y ba  pbrschoa ouxgagor ouxgagor.. Tcr baac, bs mb kroh gipcrtohfgo gipabibhtor ibmgmos mb prctbffgöh poro ao  prbvbhfgöh y fchtrca mb bhebribmombs bhebribmombs ghebftcfchtokgcsos ghebftcfchtokgcsos y `ofbr çheosgs bh ao ombfuomo bstbrgagzofgöh, mbsghebffgöh tohtc mba ghstruibhtoa fcic mba oilgbhtb mb trolojc, trolojc, osé fcic bh ba usc mb tçfhgfos tçfhgfos mb lorrbro y prctcfcacs mb lgcsbkurgmom.

 

 BHEB\IBMOMBV MBV W  BHEB\IBMO  OA]B\OFGCHBV  OA ]B\OFGCHBV  @BTÏ]GFOV 

 

FG\\CVGV Bstb pombfgigbhtc bs ao sustgtufgöh mba porçhqugio mb uh örkohc pcr uh bstrcio eglrcsc> bh ao fgrrcsgs `bpïtgfo aos fçauaos `bpïtgfos moÿomos c mbstrugmos sb fchvgbrtbh bh tbjgmc fgfotrgfgoa eglrcsc oeuhfgchoa mblgmc o mgvbrscs okrbscrbs gheaoiotcrgcs, töxgfcs, ibtolöagfcs.

 

FG\\CVGV

◃ ◃ ◃ ◃ ◃ ◃ ◃

Btgcackéo iïs fciuhbs: Btgagsic Ghkbsto mb ibmgfoibhtcs y eïriofcs `bpotctöxgfcs Clbsgmom Vclrbhutrgfgöh Trbsgöh fchkbstgvo mb ao sohkrb Örkohcs fgrfuhvbfghcs @bpotgtgs vgroabs, bh portgfuaor ao mb tgpc F

 

FG\\CVGV TO]CKBHGO: Bs ao mbstruffgöh hc rbkbhbrotgvo mb btgcackéo mgvbrso mb acs `bpotcfgtcs, sbkugmo mb uho rbporofgöh eglrcso qub acs sustgtuyb. Aos sbfubaos faéhgfos sbrïh prcpcrfgchoabs oa kromc mb mgseuhfgöh `bpotcfbauaor b `gpbrtbhsgöh pcrtoa clsbrvomc. 

 

FG\\CVGV IOHGEBV]OFGCHBV FAÉHGFOV:  

Osfgtgs: Ao séhtbsgs prctbgfo ibriomo prcvcfomo pcr ao `gpcoaluighbigo y çsto o su vbz ghmufb icmgegfofgchbs bh ao tbhsgöh chfötgfo ghtrovosfuaor, ac qub kbhbro bmbio acfoa c kbhbroagzomc.

 

FG\\CVGV  

 

Véhmrcib `bpotcrrbhoa: Vb prcmufb mblgmc o uho ghtbhso voscfchstrgffgöh rbhoa qub fchmufb o ghsuegfgbhfgo bh uh rgÿöh sohc. @oy mcs tgpcs: ?. fch fchaab aabvo vo uho rïp rïpgmo gmo y prck prckrbs rbsgvo gvo ghs ghsueg uegfgb fgbhfg hfgoo rbhoa juhtc fch ctrcs töxgfcs, ghkbrgmcs c ecriomcs bh aos véos mgkbstgvos, fchmufb oa mbtrgibhtc mb ao euhfgöh hburcaökgfo.

 

FG\\CVGV  

 

@gpbrtbhsgöh pcrtoa: Ao pçrmgmo mb `bpotcfgtcs y ao eglrcsgs ofcipoÿohtb  prcvcfoh uho ioycr ioycr rbsgstbhfgo rbsgstbhfgo oa trïhsgtc sohkuéhbc pcr ao vbho pcrto, mbhcighomo `gpbrtbhsgöh pcrtoa, bh ao fuoa sb ghfrbibhto ao prbsgöh `gmrcstïtgfo qub fchtrgluyb oa bmbio y osfgtgs. Gftbrgfgo: Ba ofúiuac mb lgagrrulgho frbo `gpbrlgagrrulghbigo, qub prcvcfo uh `gpbrlgagrrulghbigo, tghtb oiorgaabhtc mb pgba y iufcsos.

 

FG\\CVGV  

 

Uïrgfbs bsceïkgfos y `bicrrokgo mgkbstgvo: Aos vïrgfbs bsceïkgfos qub sb ecrioh bh bstb  prcfbsc sch susfbptglabs susfbptglabs o rupturo rupturo y pubmbh pubmbh  prcvcfor sohkromc sohkromc qub o vbfbs vbfbs bs abtoa, sclrb tcmc bh pofgbhtbs fch hgvbabs lojcs mb eoftcrbs mb ao fcokuaofgöh. Clstruffgöh lgagor: Bs sbfuhmorgo o prcfbscs fciprbsgvcs, prcvcfomo pcr clstruffgöh mb ao sbfrbfgöh lgagor. Bstc kbhbro uho oatbrofgöh mb ao olscrfgöh ghtbstghoa mb vgtoigho M y N.

 

FG\\CVGV  

Oatbrofgchbs `bicstïtgfo: sb clsbrvo uh mbfrbibhtc mb ao trcilcpcybtgho mb kbhbrofgöh `bpïtgfo, sustohfgo hbfbsorgo  poro ao bstgiuaofgöh bstgiuaofgöh y prcagebrofgöh prcagebrofgöh mb acs acs ibkoforgcfgtcs mb ao içmuao ösbo, acs fuoabs

 

iomuroh `ofgooatrcilcfgtcs (paoqubtos). Oatbrofgchbs sgstbio ghiuhgtorgc ghhotc: Bh ao fgrrcsgs pubmb oatbrorsb toilgçh ao prcmuffgöh mb aos prctbéhos mba sgstbio mba fcipabibhtc.

 

FG\\CVGV  GITOF]C GIT OF]C CMCH]CAÖKGFC: CMC H]CAÖKGFC: ]rolojc ghtbrmgsfgpaghorgc. Vb mblbh tbhbr bh fubhto mgvbrscs ospbftcs murohtb ba iohbjc mb uh ghmgvgmuc fch fgrrcsgs, yo qub pubmbh bhfchtrorsb vorgofgchbs o ao hcrioagmom bh ospbftcs fcic `bicstosgo (oatbrofgchbs bh ao fcokuaofgöh y icmgegfofgöh mb aos fubhtos paoqubtorgos), fopofgmom mbebhsgvo, ofbptofgöh eoriofcaökgfo, fcipcrtoigbhtc ghtbabftuoa y bicfgchoa.

 

FG\\CVGV Fcic acs sgkugbhtbs ospbftcs:  

Oatbrofgchbs `bicstïtgfos: Vufbmb pcr trbs rozchbs, pcr ao ao mgsighufgöh mb ao vgtoigho vgtoigho N, trcilcfgtcpbhgo trcilcfgtcpbhgo,, ao ghsuegfgbhfgo `bpïtgfo mgsighuyb ao ecriofgöh mb gh`glgmcrbs mb ao oftgvgmom ohtgpaosighckçhgfo. ohtgpaosighckçhgfo.

 

Vusfbptglgagmom ghebffgcso: ao pcsglgagmom mb clsbrvor uho rbspubsto ghiuhb oatbromo yo qub sb bhfubhtro icmgegfomc ba sgstbio mb fcipabibhtc.

 

FG\\CVGV  

 

 

Vbabffgöh eoriofcaökgfo: Ao fgrrcsgs fgrrcsgs ibrio ao oftgvgmom eoriofcaökgfo, eoriofcaökgfo, pcr acs qub ba `ékomc hc mblb sbr sclrbforkomc mb iohbro euhfgchoa. sb mblb ojustor ao  pcscackéo, mcsgs, mcsgs, c erbfubhfgo. Ohbigo: Eoftcrbs mb fcipagfofgöh sch acs sohkromcs mb aos vïrgfbs bsceïkgfos, qub fuohmc sch rbpbtgtgvcs pubmbh prcvcfor bstomcs mb ohbigo. Foilgcs ösbcs: Ba ibtolcagsic ösbc pubmb bstor oatbromc pcr rozchbs `bpïtgfos, mblgmc ibtolcagsic ghombfuomc mb ao vgtoigho M.

 

FG\\CVGV Gftbrgfgo: Bs ghmgfomcr mb fgrrcsgs ovohzomo c mb trotoigbhtc ghombfuomc otrgluglab oa iohbjc içmgfc c o ao fccpbrofgöh mba  pofgbhtb.

Fcipcrtoigbhtc, Fcipcrtoigbht c, fccpbrofgöh y fciprcig fciprcigsc: sc: Aos sustohfgos töxgfos hc ibtolcagzomos pcr ba `ékomc oebftoh acs prcfbscs ibhtoabs b ghtbabftuoabs, y kbhbroh bhfbeoacpotéo `bpïtgfo.

 

FG\\CVGV IOHBJC CMCH]CACKGFC: Vg fcic portb mba iohbjc mb uho pbrscho bh ao qub sb gmbhtgegfoh sb mbfgmb utgagzor vgtoigho N,mbegfgbhfgos, ba trotoigbhtc mblb opagforsb fch suegfgbhtb ohtgfgpofgöh y fctbjor ba ]T fch GH\ `osto mbspuçs mba tbrfbr méo: ◃ Fcipubstcs mb vgtoigho N (egacqughcho,

egtcibhomgcho c egtchomgcho)> sb  prbsfrglbh 6 o 5 tolabtos mgorgos mgorgos mb ?4 ik ik c ? o < oipcaabtos pcr véo ghtroiusfuaor (GI), c ghtrovbhcso (GU) mb ?4 ik oa méo

 

FG\\CVGV Toro prbvbhfgöh c fchtrca `bicrrïkgfc, pumgbro rbsuator fchvbhgbhtb ba usc mb sustohfgos ohtgeglrghcaétgfos ohtgeglrghcaétgfos pcr véo croa (UC) c pcr opagfofgöh acfoa, mchmb ao sustohfgo sb iohtgbhb mb iohbro  posgvo sclrb ao zcho cpbromo murohtb < o 6 ighutcs. Rho mb çstos bs ba ïfgmc trohbxïigfc, ïfgmc β-oighcfoprcgfc, β-oighcfoprcgfc, y Oprchgtgho. 

 

FG\\CVGV Opagfofgch mba ofgmc trohbxoigfc: Ao mcsgs `olgtuoa poro usc croa bh omuatcs bs mb ;24 o < 444 ❕

❕

ik, bh 6 c = mcsgs mgvgmgmos. Vu ghmgfofgöh pubmb sbr prbqugrúrkgfo ( y ◃ uh agkbrc ouibhtc mba toioÿc mba `ékomc (`bpotcibkoago), fch mcacr o ao ao  poapofgöh.

 

@BTO]G]GV B MGOKHÖV]GFC: Ba mgokhöstgfc mbeghgtgvc mb ao `bpotgtgs B subab losorsb bh ao mbtbffgöh bh ao sohkrb mb ohtgfubrpcs GkI bspbféegfcs fchtro bstb vgrus. Ctro prublo utgagzomo bs ao rboffgöh bh fombho mb ao pcagibroso fch rbtrctrohsfrgptoso (\FT-\]), qub pbrigtb mbtbftor ba O\H mba U@B bh ao sohkrb c aos `bfbs.

 

]]C IÇMGFC TO\O @BTO]G]GV UG\OABV ◃ ◃ ◃ ◃ ◃

\bpcsc bstrgftc (Hc clagkotcrgc) Mgbto `gpbrfoaörgfo Bh foscs U@L ]] ]]cc ohtgvgroa (Aoigvumgho) Bh foscs mb U@F omighgstror ghtbrebröh 6 vbfbs x sbioho Bh ao `bpotgtgs euaighohtbs euaighohtbs fchtrca bqugaglrgc bqugaglrgc babftrcaétgfc, babftrcaétgfc, äpcyc fgrfuaotcrgc y rbspgrotcrgc, fchtrca mb `bicrrokgos.

◃ Vb rbfcigbhmo ao opagfofgöh mb rgbskc fchtro ba U@L fch ghtbrvoacsmbaovofuho prgibrobhy pclaofgöh sbkuhmo mblbh bstor

sbporomos pcr uh ghtbrvoac iéhgic mb = sbiohos y,prbebrbhtbibhtb, uh pbrgcmc iïs aorkc mb 5 ibsbs bhtrb ao

sbkuhmo y ao tbrfbro mcsgs.

 

CMCH]CACKGFC MB TP FCH U@ IOHBJC CMCH]CACKGFC \bpbrfusgchbs bh ba iohbjc cmchtcaökgfc: ◃ Tx fch bh eosb okumo scac sb otbhmbrïh bibrkbhfgos bibrkbhfgos ◃ Eosb pcsgftbrgfo pcsgftbrgfo y px fröhgfcs fröhgfcs iohtbhbr fugmomc fugmomc pcr pcsglabs pcsglabs

`bicrrokgos. ◃ Tx fch ohtbfbmbhtbs U@L, U@F, ba cmchtöackc mblb ghmokor fgbrtcs ospbftcs poro bvgtor pcsglabs fchtokgcs. ◃ Acs px fch ohtbfbmbhtbs mb U@ hc fciprclolab sb ab mblb scagfgtor ao prublo mb @lsOk

 

FCHVGMB\OFGCHBV EO\IOFCAÖKGFOV ◃ Tx fch U@ y fcipagfofgöh mb ao euhfgöh `bpïtgfos mblbrï tcior

aos prbfoufgchbs eoriofcaökgfo eoriofcaökgfoss hbfbsorgos. ◃ Tx fch U@F ibmgfomcs fch ghtbrebröh pubmbh tbhbr bebftcs sbfuhmorgcs fcic absgchbs agqubhcgmbs, xbrcstciéo, ohbigo, qubgagtgs ohkuaor y lcfo ormcrcso.

     

LGLAGCK\OEÉO LGLAGCK\OEÉO AGL\C: ◃ Vuïrbz, F. J. A., Kuziïh, M. A. I., & Köibz, A. B. O. (