What are the best treatments for splenomegaly?

What are the best treatments for splenomegaly?

Splenomegaly is not uncommon, and in many cases there are many causes of splenomegaly. Therefore, if patients want to find the best treatment method, they should pay attention to actively understand the primary disease. Only by understanding the cause and treating it symptomatically can the best effect be achieved. Here we will introduce the most common and effective treatments for splenomegaly.

1. Chinese medicine remedies for spleen enlargement:

The main ingredients are gecko, zelan, loofah, hawthorn, Liushenqu and malt. Gecko is salty and cold, and can eliminate accumulation and detoxify. "Compendium of Materia Medica" says: "It can treat blood stasis that causes abdominal distension", so it is the main medicine; Ze Lan is bitter and spicy with a fragrant smell, warm and flexible in nature, and is good at relieving liver and spleen depression, and promoting blood circulation and removing blood stasis, so it is the minister; Luffa loofah is sweet and flat in nature, and has the functions of purging heat and cooling blood, and dredge meridians, so it is the auxiliary; Jiao Sanxian can strengthen the spleen and harmonize the middle, and can prevent gecko from damaging the stomach, and hawthorn is good at entering the blood, and can remove blood stasis and eliminate accumulation, so it is the messenger. The whole formula is used together to achieve the effects of dredging meridians, eliminating accumulation, promoting blood circulation and detoxifying.

2. Shunt:

In order to relieve portal hypertension, especially extrahepatic portal hypertension and esophageal varices, surgical treatment should be given. Diverting the high-pressure portal vein blood flow directly to the lower-pressure inferior vena cava system (portosystemic shunt) is actually an effective way to reduce portal vein pressure. In the early stages of chronic congestive splenomegaly, liver function is normal and the patient will be clinically cured if surgical shunting is successful.

3. Splenectomy:

When chronic congestive splenomegaly presents with severe hypersplenism, splenectomy should be considered. The prognosis after surgery varies depending on the site of obstruction and the surgical method. If the obstruction is in the splenic vein, the effect is better after resection and the patient can be cured. In cases with intrahepatic or portal vein lesions as the main lesions, bleeding may still occur after splenectomy, but the hypersplenism can be alleviated.

4. Diet:

The diet structure should be reasonable. Eat more vegetables and fruits to supplement sufficient vitamins and fiber, which also helps promote digestive function. When liver function declines, fat metabolism is often affected, so many patients with chronic hepatitis will have post-hepatitis fatty liver. Therefore, the diet should be low in fat, low in sugar (too much sugar is easily converted into fat in the human body), and high in protein. The protein diet should include plant protein and animal protein, such as soy products, beef, chicken, fish, etc. Being a picky eater is not good for liver disease.

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