{"id":968,"date":"2025-07-29T09:57:46","date_gmt":"2025-07-29T06:57:46","guid":{"rendered":"https:\/\/wiki.voka.io\/diseases\/uncategorized\/cirroz-pecheni\/"},"modified":"2026-07-20T17:46:26","modified_gmt":"2026-07-20T14:46:26","slug":"cirrose-hepatica","status":"publish","type":"diseases_post","link":"https:\/\/wiki.voka.io\/pt\/doencas\/hepatologia\/cirrose-hepatica\/","title":{"rendered":"Cirrose hep\u00e1tica: Etiologia, manifesta\u00e7\u00f5es cl\u00ednicas, diagn\u00f3stico e tratamento"},"content":{"rendered":"<p><?xml encoding=\"UTF-8\" ?><\/p>\n<p class=\"wp-block-paragraph\">A cirrose hep\u00e1tica \u00e9 uma les\u00e3o generalizada do f\u00edgado, caracterizada pela necrose do par\u00eanquima, fibrose difusa e pelo surgimento de \u00e1reas anormais de regenera\u00e7\u00e3o do tecido hep\u00e1tico, resultando em altera\u00e7\u00f5es na estrutura externa e interna do f\u00edgado, bem como no comprometimento de sua fun\u00e7\u00e3o.<\/p>\n<h2 id=\"classificacao-da-cirrose\" class=\"wp-block-heading\"><strong>Classifica\u00e7\u00e3o da cirrose<\/strong><\/h2>\n<p class=\"wp-block-paragraph\">A cirrose hep\u00e1tica \u00e9 classificada de acordo com a presen\u00e7a de altera\u00e7\u00f5es estruturais e os est\u00e1gios de compensa\u00e7\u00e3o.<\/p>\n<p class=\"wp-block-paragraph\"><strong>De acordo com a presen\u00e7a de altera\u00e7\u00f5es estruturais<\/strong>:<\/p>\n<ul class=\"wp-block-list\">\n<li>Cirrose micronodular (n\u00f3dulos pequenos, com menos de 3 mm de di\u00e2metro);<\/li>\n<li>Cirrose macronodular (n\u00f3dulos com di\u00e2metro maior ou igual a 3 mm);<\/li>\n<li>Cirrose mista;<\/li>\n<li>Cirrose biliar.<\/li>\n<\/ul>\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/catalog.voka.io\/en\/models\/1c16d781-5752-45cb-b117-892b748f62eb\/d1731c97-3c30-4fea-b42b-588241d49ef4\/82af969a-2464-48b5-8ec6-e76a88ff721c\/44a0c6b0-bd1b-46f1-af48-6e4d88a45e29\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">Modelos 3D<\/a> das formas de cirrose hep\u00e1tica conforme as altera\u00e7\u00f5es estruturais presentes:<\/p>\n<div class=\"carousel-block\">\n<div class=\"swiper carousel-swiper carousel-swiper-block_6a6a346c173eb\">\n<div class=\"swiper-wrapper\">\n<div class=\"swiper-slide image-carousel-slide\"><img decoding=\"async\" class=\"carousel-image\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/articles\/en\/hepatology\/hepatic-cirrhosis\/micronodular-cirrhosis-of-liver.webp\" alt=\"Cirrose micronodular\"><span class=\"small-text-article text-main-text-color\">Cirrose micronodular<\/span><\/div>\n<div class=\"swiper-slide image-carousel-slide\"><img decoding=\"async\" class=\"carousel-image\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/articles\/en\/hepatology\/hepatic-cirrhosis\/macronodular-cirrhosis-of-liver.webp\" alt=\"Cirrose macronodular\"><span class=\"small-text-article text-main-text-color\">Cirrose macronodular<\/span><\/div>\n<div class=\"swiper-slide image-carousel-slide\"><img decoding=\"async\" class=\"carousel-image\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/articles\/en\/hepatology\/hepatic-cirrhosis\/mixed-cirrhosis-of-liver.webp\" alt=\"Cirrose mista\"><span class=\"small-text-article text-main-text-color\">Cirrose mista<\/span><\/div>\n<div class=\"swiper-slide image-carousel-slide\"><img decoding=\"async\" class=\"carousel-image\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/articles\/en\/hepatology\/hepatic-cirrhosis\/biliary-cirrhosis-of-liver.webp\" alt=\"Cirrose biliar\"><span class=\"small-text-article text-main-text-color\">Cirrose biliar<\/span><\/div>\n<\/div>\n<\/div>\n<div class=\"swiper-article-carousel__controls\">\n<div class=\"swiper-article-carousel__pagination-container swiper-article-carousel__pagination-container-block_6a6a346c173eb\"><\/div>\n<div class=\"swiper-article-carousel__arrows\"><button class=\"swiper__arrow swiper__arrow--prev carousel-swiper-button-prev swiper__arrow swiper__arrow--prev carousel-swiper-button-prev-block_6a6a346c173eb\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"40\" height=\"40\" viewbox=\"0 0 40 40\" fill=\"none\"><path d=\"M20 3.75C16.7861 3.75 13.6443 4.70305 10.972 6.48862C8.29969 8.27419 6.21689 10.8121 4.98696 13.7814C3.75704 16.7507 3.43524 20.018 4.06225 23.1702C4.68926 26.3224 6.23692 29.2179 8.50952 31.4905C10.7821 33.7631 13.6776 35.3107 16.8298 35.9378C19.982 36.5648 23.2493 36.243 26.2186 35.013C29.1879 33.7831 31.7258 31.7003 33.5114 29.028C35.297 26.3557 36.25 23.2139 36.25 20C36.2455 15.6916 34.5319 11.561 31.4855 8.51454C28.439 5.46806 24.3084 3.75455 20 3.75ZM23.3844 25.3656C23.5005 25.4818 23.5926 25.6196 23.6555 25.7714C23.7184 25.9231 23.7507 26.0858 23.7507 26.25C23.7507 26.4142 23.7184 26.5769 23.6555 26.7286C23.5926 26.8804 23.5005 27.0182 23.3844 27.1344C23.2682 27.2505 23.1304 27.3426 22.9786 27.4055C22.8269 27.4683 22.6643 27.5007 22.5 27.5007C22.3358 27.5007 22.1731 27.4683 22.0214 27.4055C21.8696 27.3426 21.7318 27.2505 21.6156 27.1344L15.3656 20.8844C15.2494 20.7683 15.1572 20.6304 15.0943 20.4787C15.0314 20.3269 14.999 20.1643 14.999 20C14.999 19.8357 15.0314 19.6731 15.0943 19.5213C15.1572 19.3696 15.2494 19.2317 15.3656 19.1156L21.6156 12.8656C21.7318 12.7495 21.8696 12.6574 22.0214 12.5945C22.1731 12.5317 22.3358 12.4993 22.5 12.4993C22.6643 12.4993 22.8269 12.5317 22.9786 12.5945C23.1304 12.6574 23.2682 12.7495 23.3844 12.8656C23.5005 12.9818 23.5926 13.1196 23.6555 13.2714C23.7184 13.4231 23.7507 13.5858 23.7507 13.75C23.7507 13.9142 23.7184 14.0769 23.6555 14.2286C23.5926 14.3804 23.5005 14.5182 23.3844 14.6344L18.0172 20L23.3844 25.3656Z\" fill=\"#B5C0CD\"><\/path><\/svg><\/button><button class=\"swiper__arrow swiper__arrow--next carousel-swiper-button-next swiper__arrow swiper__arrow--next carousel-swiper-button-next-block_6a6a346c173eb\" tabindex=\"0\" aria-label=\"Next slide\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"40\" height=\"40\" viewbox=\"0 0 40 40\" fill=\"none\"><path d=\"M20 3.75C16.7861 3.75 13.6443 4.70305 10.972 6.48862C8.29969 8.27419 6.21689 10.8121 4.98696 13.7814C3.75704 16.7507 3.43524 20.018 4.06225 23.1702C4.68926 26.3224 6.23692 29.2179 8.50952 31.4905C10.7821 33.7631 13.6776 35.3107 16.8298 35.9378C19.982 36.5648 23.2493 36.243 26.2186 35.013C29.1879 33.7831 31.7258 31.7003 33.5114 29.028C35.297 26.3557 36.25 23.2139 36.25 20C36.2455 15.6916 34.5319 11.561 31.4855 8.51454C28.439 5.46806 24.3084 3.75455 20 3.75ZM23.3844 25.3656C23.5005 25.4818 23.5926 25.6196 23.6555 25.7714C23.7184 25.9231 23.7507 26.0858 23.7507 26.25C23.7507 26.4142 23.7184 26.5769 23.6555 26.7286C23.5926 26.8804 23.5005 27.0182 23.3844 27.1344C23.2682 27.2505 23.1304 27.3426 22.9786 27.4055C22.8269 27.4683 22.6643 27.5007 22.5 27.5007C22.3358 27.5007 22.1731 27.4683 22.0214 27.4055C21.8696 27.3426 21.7318 27.2505 21.6156 27.1344L15.3656 20.8844C15.2494 20.7683 15.1572 20.6304 15.0943 20.4787C15.0314 20.3269 14.999 20.1643 14.999 20C14.999 19.8357 15.0314 19.6731 15.0943 19.5213C15.1572 19.3696 15.2494 19.2317 15.3656 19.1156L21.6156 12.8656C21.7318 12.7495 21.8696 12.6574 22.0214 12.5945C22.1731 12.5317 22.3358 12.4993 22.5 12.4993C22.6643 12.4993 22.8269 12.5317 22.9786 12.5945C23.1304 12.6574 23.2682 12.7495 23.3844 12.8656C23.5005 12.9818 23.5926 13.1196 23.6555 13.2714C23.7184 13.4231 23.7507 13.5858 23.7507 13.75C23.7507 13.9142 23.7184 14.0769 23.6555 14.2286C23.5926 14.3804 23.5005 14.5182 23.3844 14.6344L18.0172 20L23.3844 25.3656Z\" fill=\"#B5C0CD\"><\/path><\/svg><\/button><\/div>\n<\/div>\n<\/div>\n<p><script defer>\n    document.addEventListener('DOMContentLoaded', function() {\n        const imagesCarouselSwiper = new Swiper('.carousel-swiper-block_6a6a346c173eb', {\n            slidesPerView: 1,\n            spaceBetween: 20,\n            loop: true,\n            pagination: {\n                el: '.swiper-article-carousel__pagination-container-block_6a6a346c173eb',\n                clickable: true,\n            },\n            navigation: {\n                nextEl: '.carousel-swiper-button-next-block_6a6a346c173eb',\n                prevEl: '.carousel-swiper-button-prev-block_6a6a346c173eb',\n            },\n        })\n    })\n<\/script><\/p>\n<p class=\"wp-block-paragraph\"><strong>De acordo com os est\u00e1gios de compensa\u00e7\u00e3o:<\/strong><\/p>\n<ul class=\"wp-block-list\">\n<li>Compensada;<\/li>\n<li>Subcompensada;<\/li>\n<li>Descompensada;<\/li>\n<li>Terminal.<\/li>\n<\/ul>\n<p class=\"wp-block-paragraph\">Existe tamb\u00e9m uma classifica\u00e7\u00e3o cl\u00ednica que inclui os achados cl\u00ednicos e laboratoriais (Child-Pugh).<\/p>\n<p class=\"wp-block-paragraph\"><strong>Classifica\u00e7\u00e3o de Child-Pugh da cirrose hep\u00e1tica<\/strong><\/p>\n<figure class=\"wp-block-table table-to-cards\">\n<table class=\"has-fixed-layout\">\n<thead>\n<tr>\n<th class=\"has-text-align-center\" data-align=\"center\">Par\u00e2metro cl\u00ednico<\/th>\n<th class=\"has-text-align-center\" data-align=\"center\">1 ponto<\/th>\n<th class=\"has-text-align-center\" data-align=\"center\">2 pontos<\/th>\n<th class=\"has-text-align-center\" data-align=\"center\">3 pontos<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td class=\"has-text-align-center\" data-align=\"center\">Ascite<\/td>\n<td class=\"has-text-align-center\" data-align=\"center\"><em>n\u00e3o<\/em><\/td>\n<td class=\"has-text-align-center\" data-align=\"center\">Leve (que responde ao tratamento conservador)<\/td>\n<td class=\"has-text-align-center\" data-align=\"center\">Grave (que n\u00e3o responde ao tratamento conservador)<\/td>\n<\/tr>\n<tr>\n<td class=\"has-text-align-center\" data-align=\"center\">Albumina s\u00e9rica g\/l<\/td>\n<td class=\"has-text-align-center\" data-align=\"center\">>35<\/td>\n<td class=\"has-text-align-center\" data-align=\"center\">28-35<\/td>\n<td class=\"has-text-align-center\" data-align=\"center\"><28<\/td>\n<\/tr>\n<tr>\n<td class=\"has-text-align-center\" data-align=\"center\">RNI (Raz\u00e3o Normalizada Internacional)<\/td>\n<td class=\"has-text-align-center\" data-align=\"center\"><1,7<\/td>\n<td class=\"has-text-align-center\" data-align=\"center\">1,7-2,3<\/td>\n<td class=\"has-text-align-center\" data-align=\"center\">>2,3<\/td>\n<\/tr>\n<tr>\n<td class=\"has-text-align-center\" data-align=\"center\">Bilirrubina s\u00e9rica total, \u00b5mol\/L<\/td>\n<td class=\"has-text-align-center\" data-align=\"center\"><34<\/td>\n<td class=\"has-text-align-center\" data-align=\"center\">34-51<\/td>\n<td class=\"has-text-align-center\" data-align=\"center\">>51<\/td>\n<\/tr>\n<tr>\n<td class=\"has-text-align-center\" data-align=\"center\">Encefalopatia hep\u00e1tica<\/td>\n<td class=\"has-text-align-center\" data-align=\"center\">n\u00e3o<\/td>\n<td class=\"has-text-align-center\" data-align=\"center\">Grau I-II<\/td>\n<td class=\"has-text-align-center\" data-align=\"center\">Grau III-IV<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/figure>\n<p class=\"wp-block-paragraph\"><strong>Rresultados:<\/strong><\/p>\n<p class=\"wp-block-paragraph\">Escores 5 a 6 s\u00e3o a cirrose compensada (classe A);<\/p>\n<p class=\"wp-block-paragraph\">Escores 7 a 9 indicam a classe B, cirrose subcompensada;<\/p>\n<p class=\"wp-block-paragraph\">Escores 10 a 12 \u2013 a classe C, cirrose descopmpensada\/terminal.<\/p>\n<h2 id=\"etiologia-da-cirrose-hepatica\" class=\"wp-block-heading\"><strong>Etiologia da cirrose hep\u00e1tica<\/strong><\/h2>\n<p class=\"wp-block-paragraph\">Segundo relat\u00f3rio da Associa\u00e7\u00e3o europeia para o estudo do f\u00edgado, aproximadamente 40% dos transplantes de f\u00edgado na Europa s\u00e3o realizados devido \u00e0 cirrose hep\u00e1tica de etiologia viral (hepatite viral B, C e D), 33% devido \u00e0 doen\u00e7a hep\u00e1tica alco\u00f3lica e 5% como resultado da combina\u00e7\u00e3o desses fatores etiol\u00f3gicos.<\/p>\n<p class=\"wp-block-paragraph\">Al\u00e9m disso, a presen\u00e7a de doen\u00e7as autoimunes e efeitos t\u00f3xicos de certos medicamentos, toxinas e agentes qu\u00edmicos, que afetam o tecido hep\u00e1tico, contribuem para o desenvolvimento da cirrose biliar, associada ao comprometimento do transporte da bile pelos ductos biliares intra e extra-hep\u00e1ticos.<\/p>\n<h2 id=\"patogenese\" class=\"wp-block-heading\"><strong>Patog\u00eanese<\/strong><\/h2>\n<p class=\"wp-block-paragraph\">A cirrose hep\u00e1tica se desenvolve como resultado da les\u00e3o do l\u00f3bulo hep\u00e1tico (unidade estrutural e funcional) causada por um dos fatores etiol\u00f3gicos.<\/p>\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/articles\/en\/hepatology\/hepatic-cirrhosis\/liver-lobule-acinus.webp\" alt=\"L\u00f3bulo hep\u00e1tico (\u00e1cino)\"><figcaption class=\"wp-element-caption\">L\u00f3bulo hep\u00e1tico (\u00e1cino) \u2013 <a href=\"https:\/\/catalog.voka.io\/en\/models\/50d0ca36-c7c5-4ba0-bbd0-6cbcb5bb4c1a\/dda42b00-3504-421c-bcde-34bba6293593\/70111c28-ac18-43a2-9ac9-401ad1325779\/eb576ab3-0e26-43db-97c2-dd0693ea3cd4\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">Modelo 3D<\/a><\/figcaption><\/figure>\n<p class=\"wp-block-paragraph\">O processo de deteriora\u00e7\u00e3o \u00e9 longo e pode levar de alguns meses a v\u00e1rios anos. Deste processo resulta a forma\u00e7\u00e3o de \u00e1reas de necrose do par\u00eanquima hep\u00e1tico. Ao redor das \u00e1reas de necrose, existem zonas (n\u00f3dulos) de regenera\u00e7\u00e3o e inflama\u00e7\u00e3o cr\u00f4nica que evoluem para fibrose.<\/p>\n<p class=\"wp-block-paragraph\">Por sua vez, os n\u00f3dulos de regenera\u00e7\u00e3o comprimem as vias biliares, o que leva \u00e0 congest\u00e3o venosa do f\u00edgado com a forma\u00e7\u00e3o de hipertens\u00e3o portal.<\/p>\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/articles\/en\/hepatology\/hepatic-cirrhosis\/structure-of-liver-tissue-lobules-periportal-tracts.webp\" alt=\"Estrutura do tecido hep\u00e1tico (l\u00f3bulos, vias periportais)\"><figcaption class=\"wp-element-caption\">Estrutura do tecido hep\u00e1tico (l\u00f3bulos, vias periportais) \u2013 <a href=\"https:\/\/catalog.voka.io\/en\/models\/50d0ca36-c7c5-4ba0-bbd0-6cbcb5bb4c1a\/dda42b00-3504-421c-bcde-34bba6293593\/70111c28-ac18-43a2-9ac9-401ad1325779\/73b996c9-4a29-4125-b666-75bee0627f57\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">Modelo 3D<\/a><\/figcaption><\/figure>\n<h2 id=\"manifestacoes-clinicas-da-cirrose-hepatica\" class=\"wp-block-heading\"><strong>Manifesta\u00e7\u00f5es cl\u00ednicas da cirrose hep\u00e1tica<\/strong><\/h2>\n<p class=\"wp-block-paragraph\">Na fase inicial, a doen\u00e7a pode ser assintom\u00e1tica.<\/p>\n<p class=\"wp-block-paragraph\">\u00c0 medida que a doen\u00e7a progride, observam-se os seguintes sintomas: <\/p>\n<ol class=\"wp-block-list\">\n<li><strong>S\u00edndrome geral<\/strong>, caracterizada por fraqueza, dor de cabe\u00e7a, n\u00e1usea, aumento da temperatura corporal, artralgia, gosto amargo na boca, astenia e dor abdominal peri\u00f3dica;<\/li>\n<li><strong>A icter\u00edcia<\/strong> surge como resultado de uma colestase intra-hep\u00e1tica (dist\u00farbio do fluxo biliar, aumento da concentra\u00e7\u00e3o de bilirrubina direta no sangue e aumento da concentra\u00e7\u00e3o de \u00e1cidos biliares). O aumento da concentra\u00e7\u00e3o de \u00e1cidos biliares no sangue \u00e9 acompanhado pelo prurido cut\u00e2neo;<\/li>\n<li><strong>Hepatomegalia<\/strong> e <strong>esplenomegalia<\/strong>;<\/li>\n<li><strong>S\u00edndrome de hipertens\u00e3o portal<\/strong> surge na fase de descompensa\u00e7\u00e3o. Caracteriza-se pelo aumento da press\u00e3o na veia porta. O quadro cl\u00ednico da s\u00edndrome da hipertens\u00e3o portal pode incluir ascite, varizes do es\u00f4fago, varizes do reto e da parede abdominal anterior. A hemorragia digestiva geralmente ocorre em pacientes com varizes.<\/li>\n<\/ol>\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/articles\/en\/hepatology\/hepatic-cirrhosis\/abdomen-appearance-in-liver-cirrhosis-ascites-vascular-dilation-of-abdominal-wall-veinswebp\" alt=\"Abd\u00f4men de um paciente com cirrose hep\u00e1tica: ascite e varizes na parede abdominal anterior\"><figcaption class=\"wp-element-caption\">Abd\u00f4men de um paciente com cirrose hep\u00e1tica: ascite e varizes na parede abdominal anterior <a href=\"https:\/\/catalog.voka.io\/en\/models\/1c16d781-5752-45cb-b117-892b748f62eb\/d1731c97-3c30-4fea-b42b-588241d49ef4\/82af969a-2464-48b5-8ec6-e76a88ff721c\/fb7cfe13-5011-48b1-8e48-1f623b7ce18f\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">Modelo 3D<\/a><\/figcaption><\/figure>\n<ol start=\"5\" class=\"wp-block-list\">\n<li><strong>S\u00edndrome dolorosa<\/strong>, causada por discinesia das vias biliares;<\/li>\n<li><strong>Encefalopatia hep\u00e1tica<\/strong>, resultante de aumento prolongado da bilirrubina direta. Esta \u00faltima, ao atravessar a barreira hematoencef\u00e1lica, danifica as c\u00e9lulas cerebrais;<\/li>\n<li><strong>Comprometimento<\/strong> da fun\u00e7\u00e3o sint\u00e9tica e protetora do <strong>f\u00edgado<\/strong>.<\/li>\n<\/ol>\n<p class=\"wp-block-paragraph\">\u00c9 importante entender que a doen\u00e7a tem est\u00e1gios e as manifesta\u00e7\u00f5es cl\u00ednicas mudam \u00e0 medida que ela progride. Assim, na fase de descompensa\u00e7\u00e3o e na fase terminal, n\u00e3o apenas o sistema hepatobiliar, mas tamb\u00e9m outros sistemas do organismo (urin\u00e1rio, digestivo, nervoso, cardiovascular, etc.) est\u00e3o envolvidos no processo patol\u00f3gico.<\/p>\n<h2 id=\"diagnostico-de-cirrose-hepatica\" class=\"wp-block-heading\"><strong>Diagn\u00f3stico de cirrose hep\u00e1tica<\/strong><\/h2>\n<p class=\"wp-block-paragraph\">O diagn\u00f3stico da doen\u00e7a baseia-se nas manifesta\u00e7\u00f5es cl\u00ednicas, na identifica\u00e7\u00e3o do fator etiol\u00f3gico, bem como nos resultados de exames laboratoriais e de imagem.<\/p>\n<h3 id=\"metodos-de-diagnostico-por-imagem\" class=\"wp-block-heading\"><strong>M\u00e9todos de diagn\u00f3stico por imagem<\/strong><\/h3>\n<ol class=\"wp-block-list\">\n<li>Ultrassonografia (fibroelastometria), ultrassonografia com Doppler para avaliar o fluxo sangu\u00edneo na veia porta;<\/li>\n<li>Tomografia computadorizada (TC) e <span class=\"glossary-term\" data-title=\"RM (Resson\u00e2ncia magn\u00e9tica)\" data-tooltip=\"A resson\u00e2ncia magn\u00e9tica (RM) \u00e9 uma t\u00e9cnica de imagem moderna n\u00e3o invasiva que produz imagens em camadas altamente detalhadas de \u00f3rg\u00e3os e tecidos internos. O m\u00e9todo baseia-se no fen\u00f3meno da resson\u00e2ncia magn\u00e9tica nuclear. A principal vantagem da RM \u00e9 a aus\u00eancia de radia\u00e7\u00e3o ionizante.\" data-link=\"https:\/\/wiki.voka.io\/pt\/glossario\/rm\/\">resson\u00e2ncia magn\u00e9tica<\/span> (RM);<\/li>\n<li>Bi\u00f3psia do f\u00edgado;<\/li>\n<li>EDA (Endoscopia digestiva alta, esofagogastroduodenoscopia);<\/li>\n<li>Radiografia abdominal.<\/li>\n<\/ol>\n<h3 id=\"metodos-de-diagnostico-laboratorial\" class=\"wp-block-heading\"><strong>M\u00e9todos de diagn\u00f3stico laboratorial<\/strong><\/h3>\n<ol class=\"wp-block-list\">\n<li>Detec\u00e7\u00e3o de anticorpos contra os v\u00edrus da hepatite B, C, D e E;<\/li>\n<li>O teste AFP (alfa-fetoprote\u00edna) no sangue;<\/li>\n<li>Bioqu\u00edmica do sangue (perfil hep\u00e1tico);<\/li>\n<li>Hemograma completo;<\/li>\n<li>Coagulograma;<\/li>\n<li>Exame sum\u00e1rio de urina;<\/li>\n<li>Painel eletr\u00f3litos.<\/li>\n<\/ol>\n<div class=\"social-banner-block\">\n<div class=\"social-banner-content\">\n<p class=\"h5-title text-black\">Encontra mais conte\u00fados cientificamente exactos nas nossas redes sociais<\/p>\n<p><span class=\"social-banner-text text-grey\">Subscreve e n\u00e3o percas os recursos mais recentes<\/span><\/p>\n<div class=\"banner-icons-wrapper\"><a class=\"social-icon-link\" href=\"\" data-link=\"https:\/\/www.facebook.com\/VOKA3DAnatomyAndPathology\/\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/facebook.svg\" alt=\"social link\"><\/a><a class=\"social-icon-link\" href=\"\" data-link=\"https:\/\/www.instagram.com\/voka.io\/\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/insta.svg\" alt=\"social link\"><\/a><a class=\"social-icon-link\" href=\"\" data-link=\"https:\/\/www.linkedin.com\/company\/voka-io\/posts\/?feedView=all\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/linkedin.svg\" alt=\"social link\"><\/a><a class=\"social-icon-link\" href=\"\" data-link=\"https:\/\/www.youtube.com\/@vokaio\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/youtube.svg\" alt=\"social link\"><\/a><a class=\"social-icon-link\" href=\"\" data-link=\"https:\/\/www.pinterest.com\/voka3danatomyandpathology\/\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/pinterest.svg\" alt=\"social link\"><\/a><a class=\"social-icon-link\" href=\"\" data-link=\"https:\/\/www.tiktok.com\/@voka.io\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/tiktok.svg\" alt=\"social link\"><\/a><a class=\"social-icon-link\" href=\"\" data-link=\"https:\/\/discord.gg\/7ejUpq8DRR\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/discord.svg\" alt=\"social link\"><\/a><\/div>\n<\/div>\n<p><img decoding=\"async\" class=\"social-banner-image\" loading=\"lazy\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/social-media-banner-mobile-image.webp\" alt=\"Banner background\"><\/div>\n<h2 id=\"tratamento-da-cirrose-hepatica\" class=\"wp-block-heading\"><strong>Tratamento da cirrose hep\u00e1tica <\/strong><\/h2>\n<p class=\"wp-block-paragraph\">O tratamento da cirrose hep\u00e1tica requer abordagem multidisciplinar e deve incluir as seguintes medidas:<\/p>\n<ol class=\"wp-block-list\">\n<li>Abstin\u00eancia ao \u00e1lcool;<\/li>\n<li>Dieta (dieta hep\u00e1tica), corre\u00e7\u00e3o do equil\u00edbrio eletrol\u00edtico (s\u00f3dio, pot\u00e1ssio, cloro), corre\u00e7\u00e3o do desequil\u00edbrio proteico;<\/li>\n<li>\u00c9 necess\u00e1rio reduzir o uso de medicamentos com efeito hepatot\u00f3xico.<\/li>\n<\/ol>\n<h3 id=\"terapia-medicamentosa\" class=\"wp-block-heading\"><strong>Terapia medicamentosa<\/strong><\/h3>\n<ol class=\"wp-block-list\">\n<li>Terapia de infus\u00e3o (em caso de sintomas de intoxica\u00e7\u00e3o);<\/li>\n<li>Uso de medicamentos \u00e0 base de \u00e1cido ursodesoxic\u00f3lico;<\/li>\n<li>Metab\u00f3litos S-Adenosil-L-Metionina (SAM-e);<\/li>\n<li>Corticosteroides;<\/li>\n<li>Preven\u00e7\u00e3o de complica\u00e7\u00f5es hemorr\u00e1gicas;<\/li>\n<li>Uso de diur\u00e9ticos;<\/li>\n<li>Tratamento, destinado \u00e0 elimina\u00e7\u00e3o de v\u00edrus que afetam o tecido hep\u00e1tico;<\/li>\n<li>Tratamento de patologias associadas.<\/li>\n<\/ol>\n<p class=\"wp-block-paragraph\">Os m\u00e9todos de tratamento cir\u00fargico incluem a laparocentese e o transplante de f\u00edgado.<\/p>\n<p class=\"wp-block-paragraph\"><strong>O transplante de f\u00edgado<\/strong> \u00e9 indicado quando: <\/p>\n<ul class=\"wp-block-list\">\n<li>O processo patol\u00f3gico \u00e9 irrevers\u00edvel, com progn\u00f3stico de vida inferior a 12 meses;<\/li>\n<li>O tratamento conservador n\u00e3o surtiu efeito;<\/li>\n<li>Cirrose hep\u00e1tica em est\u00e1gio avan\u00e7ado, com expectativa de vida menor em compara\u00e7\u00e3o com o caso de transplante.<\/li>\n<\/ul>\n<div>\n<h2 class=\"faq-title h2-article\" id=\"faq\">FAQ<\/h2>\n<div class=\"faq-section\">\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">1. O que \u00e9 cirrose hep\u00e1tica, em termos simples?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">A cirrose hep\u00e1tica \u00e9 o resultado de diversas doen\u00e7as cr\u00f4nicas do f\u00edgado, nas quais as c\u00e9lulas hep\u00e1ticas normais s\u00e3o substitu\u00eddas por tecido cicatricial fibroso, o que leva ao comprometimento de todas as fun\u00e7\u00f5es do \u00f3rg\u00e3o.<\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">2. Como se manifesta a cirrose hep\u00e1tica?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">A cirrose hep\u00e1tica pode se manifestar por cansa\u00e7o excessivo, n\u00e1usea, sabor amargo na boca, dor abdominal (geralmente no hipocampo direito), icter\u00edcia (amarelamento da pele e dos olhos), ascite (ac\u00famulo de l\u00edquido na cavidade abdominal, que se manifesta pelo aumento do volume da barriga), bem como aumento do tamanho do f\u00edgado e do ba\u00e7o. Nos est\u00e1gios mais avan\u00e7ados da doen\u00e7a, desenvolvem-se sintomas mais graves, como encefalopatia hep\u00e1tica, hemorragias e insufici\u00eancia hep\u00e1tica progressiva, que podem levar \u00e0 morte.<\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">3. \u00c9 poss\u00edvel curar a cirrose hep\u00e1tica?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">A cirrose hep\u00e1tica n\u00e3o tem cura. No entanto, nos est\u00e1gios iniciais, uma dieta adequada e o tratamento podem retardar a evolu\u00e7\u00e3o da doen\u00e7a e melhorar a qualidade de vida e aumentar a sobrevida.<\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">4. Como diagnosticar a cirrose hep\u00e1tica?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">O diagn\u00f3stico da cirrose hep\u00e1tica baseia-se em manifesta\u00e7\u00f5es cl\u00ednicas, exames laboratoriais e exames de imagem, tais como an\u00e1lises ao sangue (hemograma completo, perfil bioqu\u00edmico, exames para hepatites virais, entre outros), ultrassonografia da cavidade abdominal ou tomografia computorizada e, em casos duvidosos, bi\u00f3psia hep\u00e1tica.<\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">5. Qual \u00e9 a diferen\u00e7a entre cirrose hep\u00e1tica e c\u00e2ncer de f\u00edgado?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">A cirrose hep\u00e1tica \u00e9 uma doen\u00e7a cr\u00f4nica do f\u00edgado associada \u00e0 cicatriza\u00e7\u00e3o do tecido e ao comprometimento de suas fun\u00e7\u00f5es, enquanto o c\u00e2ncer de f\u00edgado (carcinoma hepatocelular) \u00e9 um tumor maligno.<\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">6. Quais s\u00e3o os est\u00e1gios da cirrose hep\u00e1tica?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">A cirrose hep\u00e1tica \u00e9 classificada em quatro est\u00e1gios, dependendo do grau de les\u00e3o do f\u00edgado e do comprometimento de suas fun\u00e7\u00f5es: compensada, subcompensada, descompensada e terminal.<\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">7. A cirrose hep\u00e1tica nas mulheres difere da cirrose nos homens?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">A cirrose hep\u00e1tica em mulheres e homens apresenta sintomas semelhantes. No entanto, nas mulheres, os dist\u00farbios hormonais se manifestam mais cedo, enquanto os homens apresentam sintomas de hipertens\u00e3o portal. Quanto \u00e0 etiologia, nas mulheres, a cirrose desenvolve-se mais frequentemente devido a efeitos t\u00f3xicos (incluindo o \u00e1lcool), e nos homens, como resultado de hepatite viral ou alcoolismo.<\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">8. Por que a cirrose hep\u00e1tica \u00e9 perigosa?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">A cirrose hep\u00e1tica pode causar uma s\u00e9rie de complica\u00e7\u00f5es graves, incluindo insufici\u00eancia hep\u00e1tica, hipertens\u00e3o portal, ascite, varizes com sangramento e tamb\u00e9m aumentar significativamente o risco de desenvolvimento de carcinoma hepatocelular. Nos est\u00e1gios terminais, as complica\u00e7\u00f5es da cirrose hep\u00e1tica podem levar \u00e0 morte.<\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"sources-list-block sources-list-hidden\" id=\"referencias\">\n<div class=\"sources-list-content\">\n<div class=\"sources-list-title\">\n<p class=\"small-text-bold text-black sources-list-title-text\">Refer\u00eancias<\/p>\n<div class=\"sources-expand-button-wrapper-mobile\">\n<div class=\"sources-expand-button\"><svg width=\"32\" height=\"32\" viewbox=\"0 0 32 32\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M8 12L16 20L24 12\" stroke=\"#8C9AAB\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><\/path><\/svg><\/div>\n<\/div>\n<\/div>\n<div class=\"sources-list-items\">\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">1.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>VOKA 3D Anatomy & Pathology \u2013 Complete Anatomy and Pathology 3D Atlas [Internet]. VOKA 3D Anatomy & Pathology [VOKA 3D Anatomia & Patologia]. <\/cite><\/p>\n<p><span class=\"small-text-medium text-grey\">Available from: https:\/\/catalog.voka.io\/<\/span><\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">2.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>Aprosina ZG. Doen\u00e7as hep\u00e1ticas cr\u00f4nicas difusas (tend\u00eancias atuais). Clin Pharmacol Ther (Rus). 1996;5(1):14-18. [Em russo.]<\/cite><\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">3.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>Bakulin IG, Varlamicheva AA. S\u00edndrome hepatorrenal: recomenda\u00e7\u00f5es pr\u00e1ticas para diagn\u00f3stico e tratamento. Almanaque de Medicina Cl\u00ednica. 2014;(13):23-31. [Em russo.]<\/cite><\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">4.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>Ivashkin VT, Lapina TL, editores. Gastroenterology. Diretrizes nacionais. Moscow: GEOTAR-Media; 2015. 480 p. [Em russo.]<\/cite><\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">5.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>Mekhtiev SN, Grinevich VB, Chepur SV, Gancho VY. Hipertens\u00e3o portal em pacientes com hepatite cr\u00f4nica e cirrose hep\u00e1tica. St. S\u00e3o Petersburgo: Bresta; 2004. 320 p. [Em russo.]<\/cite><\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">6.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>Nikitin IG, Storozhakov GI. Hepatite C cr\u00f4nica: quest\u00f5es atuais sobre diagn\u00f3stico e tratamento. Perspectivas cl\u00ednicas em gastroenterologia e hepatologia (R\u00fassia). 2001;(3):7-11. [Em russo.]<\/cite><\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">7.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>Pavlov CS, Damulin VD, Ivashkin VT. Encefalopatia hep\u00e1tica: patog\u00eanese, caracter\u00edsticas cl\u00ednicas, diagn\u00f3stico e tratamento. Revista russa de gastroenterologia, hepatologia e coloproctologia. 2016;26(1):44-53. [Em russo.]<\/cite><\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">8.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>Pimanov S. Cirrose hep\u00e1tica descompensada: tratamento com base nas recomenda\u00e7\u00f5es internacionais. Moscou: Medicina Pr\u00e1tica; 2016. 88 p. [Em russo.]<\/cite><\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">9.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>Schiff ER, Sorrell MF, Maddrey WC, editores. Doen\u00e7as do f\u00edgado, de Schiff. Cirrose hep\u00e1tica e suas complica\u00e7\u00f5es. Transplante de f\u00edgado. Moscow: GEOTAR-Media; 2012. 592 p. [Em russo.]<\/cite><\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">10.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>Arroyo V, Moreau R, Jalan R, Gin\u00e8s P; Estudo CANONIC do Cons\u00f3rcio EASL-CLIF. Insufici\u00eancia hep\u00e1tica aguda sobre cr\u00f4nica: uma nova s\u00edndrome que reclassificar\u00e1 a cirrose. J Hepatol. 2015;62(Suppl):S131\u2013S143.<\/cite><\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">11.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>Associa\u00e7\u00e3o europeia para o estudo do f\u00edgado. Diretrizes de pr\u00e1tica cl\u00ednica da EASL: Doen\u00e7a de Wilson. J Hepatol. 2012 Mar;56(3):671-685.<\/cite><\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">12.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>Associa\u00e7\u00e3o europeia para o estudo do f\u00edgado. Diretrizes de pr\u00e1tica cl\u00ednica da EASL sobre o manejo da encefalopatia hep\u00e1tica. J Hepatol. 2022;77:807-824.<\/cite><\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">13.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>Associa\u00e7\u00e3o europeia para o estudo do f\u00edgado. Diretrizes de pr\u00e1tica cl\u00ednica da EASL: Hepatite autoimune. J Hepatol. 2015;63(4):971-1004.<\/cite><\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">14.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>Sanyal A, Mullen K, Bass N. O tratamento da encefalopatia hep\u00e1tica em pacientes com cirrose. Gastroenterologia e Hepatologia (NY). 2010;6(4 Suppl 8):1-12.<\/cite><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"sources-expand-button-wrapper\">\n<div class=\"sources-expand-button\"><svg width=\"32\" height=\"32\" viewbox=\"0 0 32 32\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M8 12L16 20L24 12\" stroke=\"#8C9AAB\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><\/path><\/svg><\/div>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>A cirrose hep\u00e1tica \u00e9 uma les\u00e3o generalizada do f\u00edgado, caracterizada pela necrose do par\u00eanquima, fibrose difusa e pelo surgimento de \u00e1reas anormais de regenera\u00e7\u00e3o do tecido hep\u00e1tico, resultando em altera\u00e7\u00f5es na estrutura externa e interna do f\u00edgado, bem como no comprometimento de sua fun\u00e7\u00e3o. Classifica\u00e7\u00e3o da cirrose A cirrose hep\u00e1tica \u00e9 classificada de acordo com [&hellip;]<\/p>\n","protected":false},"author":13,"featured_media":0,"template":"","diseases_category":[298],"class_list":["post-968","diseases_post","type-diseases_post","status-publish","hentry","diseases_category-hepatologia"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v25.0 (Yoast SEO v27.8) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Cirrose hep\u00e1tica: causas, est\u00e1gios, sintomas, diagn\u00f3stico e tratamento<\/title>\n<meta name=\"description\" content=\"Saiba mais sobre a cirrose hep\u00e1tica, uma les\u00e3o generalizada que afeta a estrutura e fun\u00e7\u00e3o do f\u00edgado. 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