Situaciones clínicas que contraindican cirugía bucal en pacientes hepáticos
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2014-07
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Universidad de Guayaquil. Facultad Piloto de Odontología
Resumen
El hígado es el órgano más grande del organismo que juega un papel muy importante en la digestión, en el metabolismo del azúcar y las grasas, e inclusive en el sistema inmunitario, transformarlos alimentos en energía y produce la eliminación del alcohol y las toxinas de la sangre entre otras. Existen muchos tipos de enfermedades hepáticas, algunas de ellas son causadas por virus, como las diferentes hepatitis, otras pueden ser a consecuencia de medicamentos, o por la ingestión excesiva de bebidas alcohólicas como la cirrosis. Para saber ante qué enfermedad hepática nos enfrentamos odontológicamente nos valdremos de la anamnesis siguiendo los signos, síntomas y examinando la cavidad bucal por la presencia de patologías que presentan cada una de ellas haciendo la historia clínica de cada paciente, para establecer el manejo odontológico y tomar las medidas correctas al momento de realizar una extracción o cualquier otro procedimiento ya sea quirúrgico o no, para evitar tener complicaciones como hemorragias e infecciones en los casos de lesiones hepáticas de mayor riesgo así como también prevenir el riesgo de contagio en especial con pacientes que padecen hepatitis principalmente la B que es con la que mayor precaución debemos tener a la hora de realizar un manejo odontológico usando los métodos de barrera: como guantes, mascarilla, protectores oculares y el manejo adecuado de cada instrumental utilizado en cada paciente.
The liver is the largest organ of the body that plays a very important role in digestion, metabolism of sugar and fat, and even in the immune system, converts food into energy and results in the elimination of alcohol and toxins blood and others. There are many types of liver diseases, some of which are caused by viruses, such as hepatitis different, others may be a result of drugs or excessive alcohol intake and cirrhosis. To know that liver disease before we face dentally we will use anamnesis following the signs, symptoms and examining the oral cavity by the presence of pathologies presenting each making medical history of each patient, to establish the dental management and take correct at the time of removal or any other procedure either surgical or not, to avoid complications such as bleeding and infection in cases of liver lesions at risk and also prevent the risk of infection especially in patients measures suffer hepatitis B is mainly with the greatest caution that we must have when making a dental management using barrier methods: such as gloves, mask, eye protection and proper management of each instrument used in each patient.
The liver is the largest organ of the body that plays a very important role in digestion, metabolism of sugar and fat, and even in the immune system, converts food into energy and results in the elimination of alcohol and toxins blood and others. There are many types of liver diseases, some of which are caused by viruses, such as hepatitis different, others may be a result of drugs or excessive alcohol intake and cirrhosis. To know that liver disease before we face dentally we will use anamnesis following the signs, symptoms and examining the oral cavity by the presence of pathologies presenting each making medical history of each patient, to establish the dental management and take correct at the time of removal or any other procedure either surgical or not, to avoid complications such as bleeding and infection in cases of liver lesions at risk and also prevent the risk of infection especially in patients measures suffer hepatitis B is mainly with the greatest caution that we must have when making a dental management using barrier methods: such as gloves, mask, eye protection and proper management of each instrument used in each patient.
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Palabras clave
ATENCION AL PACIENTE, HEPATITIS, CIRUGIA BUCAL
Citación
Marcillo Choez, Mery Helen (2014) :