Prevention
Preventive
measures in patients with primary biliary cirrhosis are reduced to
the prevention of disease progression.
For
this purpose, treatment of the disease must begin at stage I (stage
of inflammation) or, in extreme cases, stage II (stage of progressive
inflammation).
In
the late stages of the disease, when liver cirrhosis and portal
hypertension have developed , preventive measures
should be aimed at preventing bleeding from varicose veins. For
this purpose, all patients with cirrhosis of the liver undergo
esophagogastroduodenoscopy.
If
the risk of bleeding is high, then the patient should be prescribed
beta-blocker therapy. With intolerance to these drugs,
sclerotherapy or ligation of varicose veins is carried
out. Subsequently, repeated examinations are carried out every 6
months.
If
the sizes of varicose veins are small, then a re-examination is
carried out after 2-3 years to assess the dynamics of the progression
of the pathological process.
If
the patient has no varicose veins, then re-examination is carried out
after 3-5 years.