hepática Lipidosis

Majorities
Predisponentes and/or determining factors
Symptoms
Diagnosis
Treatment
Prognosis

Majorities:
The hepática lipidosis is a lipid infiltration (greasy) in the cells of the liver. The hepática lipidosis is a secondary disease to a primary disease (they will see soon that this is very easy to understand).
The cause of the hepática lipidosis, in most of the cats, is not to ingest foods by a certain period of time (anyone is the cause: a respiratory disease, a surgery, a traumatismo, etc.), in some cats, this condition can be developed in few days, even, often the original cause of not eating disappears when the hepática lipidosis becomes a severe problem. When not receiving energy of the food, the organism begins to metabolizar its own fats of reserve (in the obese cats he is abundant) and one will take place like result, accumulation of excessive fat at hepático level (the feline liver is not very good to synthesize fats), that is called hepatica lipidosis! (it is understood).

This fat infiltration causes that the liver lets work correctly and the sintomatología is developed, and if we did not revert the picture, takes to the animal to the death.
The liver has many vital metabolic functions, these include, the protein synthesis and sugars, the elimination of undone of the sanguineous torrent, vitamin synthesis (B, D, and and K), also elaborates enzyme and proteins (including which they cause that the blood coagulates) and the chemical decontamination of many drugs and toxics.

Predisponentes and/or determining factors:
1. Presence of obesity (is but the important one! since it is promoted I accumulate of triglicéridos in the hepatocitos)
2. Deficiencies of carnitina (necessary for the oxidation of triglicéridos).
3. Diseases endócrinas (diabetes or hiperadrenocorticismo and the severe undernourishment)
4. Stress (catabolism of proteins when the reserves of glycogen without suitably taking advantage of these triglicéridos hepáticas reserves are exhausted).

Symptoms
The clinical signs of hepática disease usually are not evident until the disease is restored outpost and, most frequent are:

* Depression
* Total anorexy
* Dehydration
* Muscular atrophy
* Ictericia
* Signs of hepática encefalopatía (stupor, comma,)
* Signs of coagulopatía (hemorrhages).

Diagnosis:
One arrives with the anamnesis (history of the disease) and the clinic but even though one suspects the diagnosis, he is advisable to resort to laboratory tests, tests of hepática function, ecografías or biopsies to make a correct diagnosis and to establish adapted the medical and dietetic treatment more.

Treatment:
The only treatment guessed right for the hepática lipidosis is to make sure that the feline ingests sufficient calories to block this excessive mobilization and reserve depot to him of fats in the liver.
In general, the cats with hepática lipidosis, generally, do not have desires to eat, therefore, it is necessary to place and to feed them through soundings (tubes that go directly or indirectly to the stomach). Often for weeks or months until the cat eats again by its own means. (we know that the proprietors are reluctant to implant the stomach tubes and try by their own means to force the oral feeding or to use stimulating of the appetite of all ways this gives very little or nothing of result).

Prognosis:
The prognosis of reserved bad, improving in case enteral nutrition by means of gastric or nasogástrica sounding is restored urgently to avoid the negative balance and in addition, to cure or to treat the primary disease.

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