Chapter 448: Just six weeks

Chapter 448: Six Weeks
The liver, regardless of its position in the human body or its function, has a stance that links up and down, blending left and right. If the brain is a king, then the liver is the prime minister.
From a macro perspective, the liver is lying next to the stomach like a snail, like a snail eating hot pot, and the stomach is hot pot.
The snail's head is next to the stomach, this is the left lobe of the liver, and the back of the snail is the right lobe of the liver. In this way, the liver can be roughly divided into two leaves.
On the micro level, what does the liver look like, like a hive or a large office building. The central vein of the liver is the elevator in the middle of the office building.
Then various structures form a hepatic lobule around the central vein, which is like the floor of an office building with many offices in it.
These offices are liver cells, and the fire passages around the office buildings are the interlobular arteries of the liver.
Then there are countless floors of this liver lobe in this building.
Venous blood from the stomach, large intestine, small intestine, pancreas, and spleen is pooled into the liver.
After the various foods absorbed by the body are absorbed by the stomach, small intestine, and large intestine, various substances, including nutrients, enter the liver through the blood vessels. The liver breaks down and combines, and then transports it out.
How to decompose the combination, it is very simple and vulgar. Protein, a sweet and sour pork fillet alone. This is rich in protein, but these are all proteins that make up a pig. The liver is like a disassembler, which breaks the protein into parts and then combines it into the protein that makes up the human body.
If there is no liver, how is this protein eaten and when it is absorbed? This is a bad thing. After eating pork for a few years, how do you start to become a pig?
Continue to eat, eat for five or six years, okay, you are a pig! Although exaggerated, this is one of the functions of the liver.
The various venous blood in the digestive tract is not only nutritious, but also toxins, such as pesticides, such as harmful substances that are decomposed and absorbed by various substances.
All these will be eliminated by the liver, detoxification and detoxification. Without this prime minister, these harmful substances, let alone entering other organs, would be very troublesome to enter the brain.
For example, after eating an egg, the ammonia molecule produced by the protein breakdown directly enters the brain. Well, people start talking nonsense, all kinds of weirdness, and even streaking.
Therefore, the liver is important. How does a liver tumor come from? To be honest, many have not been studied clearly. However, the current research is relatively clear.
For example, a person who is very fat eating or a long-term heavy drinker, how much is it, 80g of white wine per day is even more.
Not to mention other related diseases. But with just one liver, fatty liver appears first. In other words, fat people and people who drink alcohol are prone to fatty liver.
If you are a fat man and love to drink, then your fatty liver will not run away. Not to mention alcoholic fatty and non-alcoholic fatty liver.
Let's talk about fatty liver in general. In fact, it is very simple. In the large office building of the liver, many fat employees are stuffed by the faint. These fat are fat particles.
These guys don't work, they don't do any decomposition and combination, they are all uncles. Without work, he still squeezes the living space of lean liver cells.
After more and more fat people were stuffed into the office building. The large office building of the liver becomes a piece of fat, which is fatty liver. At this time, the liver cells can still work, so there are no obvious symptoms.
If the liver is only here, there is still salvation. Quit alcohol and lose weight, and the fatty liver slowly recovered. It doesn't take long, as long as you quit drinking, quit meat and lose weight scientifically, you can recover as usual in six weeks.
As long as six weeks, not nine hundred and eight, or six or six, as long as six weeks, these fat people will be slowly catabolized by liver cells in the liver. The liver can still return to the original, and continue to be his little fresh meat.
If you continue to eat, continue to drink. Well, more and more fat people will enter these writing rooms, and they will use the fat body to kill the weak liver cells.
Fatty to death for no reason, can liver cells be willing? No, so this guy will become fibrotic. That is, it was originally small fresh meat.
Because he was unwilling, when Xiao Xianrou died, the corpse changed. It turns into dehydrated beef jerky, exactly the same.
Immediately after that, the liver, which had become a fat office building, became a hard meat block with no channels and no function, with an oily exterior and fibrosis inside.
At this stage, fatty liver changed its name, and the very tall one became cirrhosis.
At this time, the disease also came, and at this step, it is impossible to restore the liver to the original small fresh meat, that is, it can only be postponed but not cured!
The disease followed, and the first was ascites. The veins in the lower abdomen could not pass through the liver and could not return to the heart. Blood containing a large amount of protein leaked out of the blood vessels, and the body's stomach began to grow larger.
Because of the strike of the liver, various hormones and poisons in the body cannot be inactivated, and the skin becomes yellow directly. The skin is like the turmeric in earlier years, and the wax is yellow and yellow, like the wax image without bleaching.
Men can also develop breast (a) atrial development, and women can't get pregnant without menstruation. What bleeding tendency, hypoproteinemia, immediately followed.
Because the liver is not working and is not transparent, the associated vascular pressure starts to increase, like holding a rubber hose at the water outlet.
The most common is esophageal varices. Oriole, usually crispy. Oriole is a sharp blade for esophageal veins.
A stroke of light is just like a fountain, and blood can be sprayed from the mouth of the person, either spit or directly, which is also a common cause of death in patients with liver cirrhosis.
If none of these diseases have killed the person, after going through various advanced surgery, various advanced drugs, and money like water.
This person lived for seven years. At this time, the liver had become enlarged dehydrated beef jerky. BOSS, cancer, and liver cancer in the disease came.
Therefore, in modern society, such a high-energy diet today, eating less meat and drinking less alcohol will not choke. Run two more steps, nothing to walk, tired.
There are many cancers in the liver. If there is no known cause, we will not say what can't be prevented. If you can't prevent it, you can't justify it.
The surgical incision for liver cancer is very huge. What is the incision of the appendix surgery, what is the incision of the gallbladder?
"Enter the plasma directly." Zhang Fan said to the visiting nurse when he was going to open his belly.
The itinerant nurse hesitated a little, looked at Professor Zhao Jingjin, and Old Nod hurriedly nodded. After all, it was a provincial top three hospital, and the nurses in the operating room were somewhat proud.
Fan Zhang didn't care about it either, he just started to do it!
Instead of beating people, I started making surgical incisions. The skin of the old man had turned yellow and bright, and the color of iodophor was no longer visible on the skin.
Because the patient was a huge liver center tumor, Zhang Fan made a large incision directly. How big is the incision starting from under the xiphoid along the costal arch?
Pulling the lens up, looking at the shadowless lamp, the patient's right abdomen, let Zhang Fan reveal it all. As a vulgar metaphor, like a laparotomy pig in a meat case, the belly was completely opened.
One side was cut, the other was hemostasis and ligation. Zhang Fan's technique could not be mastered anymore, the size of the bleeding point, the ligation of the ligation, the electrocoagulation, and no obvious bleeding in the surgical field.
In the science and education hall, the director who had called the old one recovered a little, looked at Zhang Fan's method, and said to another director around him: "It's interesting, there is a hand, this age can do this step, it is already Very rare. What is the origin of this guy, and the surname Zhao did not leak a bit?
"Old Zhao was so afraid that others would take his credit for it, he didn't say it at all. He just waited for others to do nothing, then jumped out, did you not look at the dean's face at the time!" At this time, these directors were a little convinced that Zhang Fan could do it This operation is done.
Everyone is engaged in this industry. Is there any kung fu under the hand, is it a connoisseur, everyone knows it as soon as he takes it.
Open the abdominal cavity and start exploration. The tumor thing is awful. There are too many ways to transfer this stuff. From the blood, I can run elsewhere to develop.
From the lymph, it can run to other developments, and it can also be transmitted directly through nearby tissues. And can escape through ascites. It can also be like a fruit tree, where mature cancer cells fall and where the deep roots germinate.
For other operations, a surgical plan is generally prepared before the operation, and it can be performed directly. However, cancer surgery is not feasible. Although modern inspection equipment is advanced, it has not been inspected on the ground.
"There is no ascites, and there is no transfer on the greater omentum, mesentery, or peritoneum!" Zhang Fan explored a little, and was a little relaxed. Once transferred, the surgery changes accordingly.
"It has been saved, otherwise it would be difficult for a person of this age to expand the scope of cleaning." Zhao Jingjin also breathed a sigh of relief.
He knew that today the operation was successful, and the hospital's internal affairs about his experiment will be dispersed. After his experiment is successful, he will start to charge the hospital's peak.
Therefore, the operation cannot fail, nor is it allowed to fail. When Zhang Fan said that no ascites was produced, he really felt as comfortable as if he had entered a heating room for three or nine days.
God help me too!
Liver cancer surgery is not easy to do. Other than that, the liver originally has a blood storage function, which is directly like a beef filled with water or a sponge soaked in water. If you break it a little, the blood flow will be like a note, let alone cut a large part.
So hemostasis is important. "Although the tumor is not very large, it is too close to the center, and it is ligated." After the investigation, Zhang Fan looked at the tumor protruding from the liver and said to Zhao Jingjin gently.
"Okay, start timing now?" Professor Zhao Jingjin asked Zhang Fan. Although he was an expert, Zhang Fan was the main surgeon, and Zhang Fan did better than this for this operation.
"Gloves." Zhang Fan took a pair of unused gloves from the equipment nurse. When he saw them, he cut the gloves and took out the rubber bands in the gloves.
"I ligate." Professor Zhao Jingjin reached out and wanted to take the rubber band for ligation. As a result, Zhang Fan directly refused. Once in surgery, Zhang Fan can never do it to others.
Ligation of the liver is simple. It is really simple to say. It is OK to ligate the blood vessels going up and down with rubber bands. What is it like? In fact, it is like an apple on a branch. The small branch of the apple that is connected to the tree is tied with a rope.
That's what it means. However, the blood vessels are not branches, and the ligation can not stop the blood, and the ligation is tight. Maybe the blood vessels will be broken. The blood vessels here are not small blood vessels, but very large inferior vena cava. Once broken, it will kill people. of.
"Oh! You see, this guy doesn't even believe Lao Zhao, and he won't let Lao Zhao do the connection." The directors in the Science and Education Department began to laugh at Lao Zhao.
"Yeah, look, what's the best thing, so that the proud old Zhao can bow his head."
"Timing!" Zhang Fan ligated the upper and lower blood vessels gently and vigorously, which sounded contradictory. This is a degree, a suitable intensity.
The intensity of ligating blood vessels, without five years of practice, the senior doctor of hepatobiliary surgery will never let the lower doctor to get started.
Blood vessels cannot be ligated for too long, and if it is too long, the liver will become necrotic. Therefore, the ligation time cannot exceed 20 minutes, and patients with significant cirrhosis cannot exceed 15 minutes.
In other words, every 15 minutes of surgery, the ligature must be released to allow blood to enter the liver for three to five minutes.
Itinerant nurse, turn on the timer. Speaking to Zhang Fan and Zhao Jingjin, "Begin timing."
In fact, it is not the excision that is difficult to remove, but the dislocation. First of all, free blood vessels, various nerves, ligaments, and various channels above the liver.
Surgery is done to save people, not to cut and cut, so as little damage as possible, this is a manifestation of the level of a doctor.
If the injury is not taken into account, it is estimated that a person who is slightly trained can pull out the tumor, but once the injury is involved, it will be very troublesome.
The liver is suspended in the abdominal cavity. This thing is pulled up by many ligaments. Then blood vessels and hepatobiliary channels pass along these ligaments. If you want to remove the tumor, you must first remove these ligament vessels and various hepatobiliary channels Points left.
Because it is a central tumor, Zhang Fan immediately removed the gallbladder after ligating the blood vessels, because the bile duct was damaged after the tumor was removed, and the gallbladder was useless, and it would only be a bad thing to stay.
Therefore, if you want to remove the tumor, you must first clean up the surroundings, just like the annihilation war, you must first clear the surroundings before you can launch the total attack.
(End of this chapter)