END STAGE LIVER DISEASE
The end stage liver disease is a predictable survival of a patient and most probably the complication of portal hypertension. In today’s era liver disease is very common and seen in 6 out of 10 patients. The patients of liver diseases lead to the end stage of liver especially due to overexposure of alcoholism. This meld score is very helpful to measure the severity as well as the percentage of end stage liver disease of patients. The actual usage of this meld score is in liver transplant patients to check the severity and mortality rate of patients. So how this meld score works and takes data of liver patients let us discuss this in detail.
INTRODUCTION ON END STAGE LIVER DISEASE
However, the MELD score is also shown to predict survival in patients with cirrhosis who have infections and variceal bleeding and as well as in patients with fulminant hepatic failure and alcoholic hepatitis. MELD is also used in selection of patients for surgery for other than liver transplantations and in determining the optimal treatment for patients with hepatocellular carcinoma who are not the candidates for the liver transplantation. Rather than the many advantages of the MELD score, there are approximately 20%-25% of patients whose survival cannot be predicted by the MELD score. It is very possible that the addition of the variables that are better determinants of liver and renal function may improve the predictive accuracy of this model. Various Efforts and the refinement and validation of the MELD score will continue.
Now we will discuss about the MELD scoring system
MELD stands for the Model for End stage of Liver disease. This is a very good scoring system to assess liver damage or the severity of chronic liver disease. It is done to predict the mortality rate of the patient . It is found to be very useful in determining the prognosis of the disease and chance of the patient to survive in the next early months. MELD scoring system uses the values of patients given as under.
Serum Bilirubin levels
Serum Creatinine levels
International normalized ratio for prothrombin time
Serum Sodium levels
3 months mortality rate based on MELD scores:
40 71.3% mortality
30-39 52.6% mortality
20-29 19.6% mortality
10-19 6.0 % mortality
9 or less 1.9% mortality
This is how the meld score is important for all liver end stages so let us discuss how the patient reaches up to this meld score and how many stages the patient goes through to reach this score. Chronic liver diseases, hepatitis and alcoholic liver diseases are the stages by which a patient suffers and reaches up to this meld score. Liver disease and itching in the skin. The chronic liver disease which occurs or manifests from long duration of time and leads to liver cirrhosis and liver hampers its normal functioning. There are many patients of liver disease which develop sidewise many disorders like hepatic encephalopathy and other kidney related diseases and even hemorrhoids. Liver transplant is one of the treatments said in allopathy in this disease and even all the patients can not afford the liver transplant and its further expenses. Even the patients who are in end stage of liver disease have more and more sign and symptoms and other related complications which even affects the quality of life of patients and his well beings But in ayurveda we have no 1 treatment and as well as ayurvedic herbs which are very helpful in treating liver disorders of end stage.
HERBAL REMEDIES BY PLANET AYURVEDA ON END STAGE LIVER DISEASE
Planet ayurveda is providing a good therapeutic approach to this particular disease. The products of planet ayurveda are 100% safe and easy to use. These following products are made under the supervision of experts and also have good results in all type of disease planet Ayurveda provides the following herbal and pure product for the treatment of this disease.
1. Liver Detox Formula
Liver detox formula helps improve a person’s health as well as longevity as it is a great combination to clean and strengthen the most important organ of our body “liver”. This formulation is prepared from the herb such as Katuki (Picrorhiza kurroa), Punarnava (Boerhavia diffusa), Kalmegh (Andrographis paniculata), Makoy (solanum Nigrum). Digestion is improved leading to proper digestion and assimilation of nutrients and removal of toxins, better in controlling sugar and cholesterol levels. It helps in filtering the cancer producing toxins and eliminates most of the harmful drugs. The liver detox formula helps in cleansing the liver and maintains the level of healthy nutrients in the body and keeps it healthy and strong. The formulation has herbs for liver detoxification so as to revive the damaged liver cells and give new strength to the body. the herbs used are kutki, punarnava, kalmegh, makoy and kasni and role of these herbs on liver disorders like hepatitis – A,B,C etc. liver cirrhosis, alcoholic liver disease, jaundice, fatty liver, liver cancer is remarkable.
Dosage: 2 capsules twice daily after meals with warm water.
2. Yakrit Plihantak Churna
It helps in clearing all the toxins from the body, It is Useful in liver cirrhosis and all alcoholic patients. This herbal formulation is prepared from the herbs such as Bhumi amla(Phyllanthus niruri), kalmegh(Andrographis paniculata), Bhringraj(Eclipta alba), Sharpunkha(Tephrosia purpurea), remove excessive fat from the liver and help in regeneration of damaged liver cells. It is one of the rarest combinations of ayurvedic herb which is useful in liver detoxification, katuki in this product increases the bile production and improves liver function. Punarnava and bhumi amla are the best herbs to regenerate the power of liver cells.
Dosage: You can boil the powder 1 teaspoonful in 400 ml water, keep it boiling until it remains 50 ml. Strain it and drink the water. Leave the residue. Do it twice daily. Make fresh every time.
3. Indian Echinacea
This is a natural herb that works as an immune stimulant and immune booster which works well as anti parasitic. It is useful in common colds, gastritis, bowel disorders and cancers. It is a cardio protective and anti thrombotic agent. It is also known as the king of bitters. It works effectively in cases of viral, bacterial or parasitic infection and disease. Andrographis paniculata and its various components have demonstrated a variety of beneficial effects in the body. It has been reported to stimulate the general immune activities, inhibit the body’s inflammatory mechanism and antimicrobial activities. The active chemical that is andrographolide is very useful in skin ailments, digestive ailments, cardiac disorders, depressed immunity and various other ailments caused by causative agents like viruses, bacterias, parasites. It stimulates the production of antibodies and effective in healing colds, flu, sinusitis and upper respiratory tract infections.
Dosage: 2 capsules twice daily after meals with warm water.
4. Phyllantus Niruri
Phyllantus Niruri is the best herb in this disease. It helps in resolving the urinary calculi and even gallstones. This herb is also very useful in hepatitis of all types and enhances the proper functioning of the liver. Sometimes the patient has a low appetite but this herb enhances the appetite of the patient. Actually at all this herb is best in all liver diseases and improves the malfunctioning of the liver. It contains hepatotoxic properties which widely enhances the proper functioning of the liver. The whole plant is getting used, especially roots, leaves and fruit. It is a type of herbal supplement to the liver. These capsules are getting in use with other disorders also like asthma, leprosy and many others.
Dosage: 2 capsules twice daily after meals with warm water.
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