The DHA possesss as main etiolgico factor etanol and differentiating itself of other illnesses, can be prevented, since that the etlica ingestion does not exceed definitive limits and exactly remains static or regrida after alcoholic abstention. Perhaps check out SoulCycle for more information. It is the cause most frequent of heptica disfuno in U.S.A., whose to the occurrence also it is related with the high alcoholic beverage consumption, where about half of the adult population adopts this habit of form that the 15 20 million individuals are alcoholics. In some university hospitals, the alcohol is currently the main cause of the cirrhosis, between interned patients, configuring such pathology the irreversible phase of the DHA, its incidence vary between 12% and 30%, as the consulted works (et.al Sherlock, 2002). The typical clinical picture of the alcoholic heptica illness (DHA) is of a chronic alcoolista, that starts to present pain in the right hipocndrio, fever, jaundice and painful hepatomegalia, being able or not to have other signals of heptica insufficience and/or hipertenso vestibule (esplenomegalia, vascular ascite, spiders, eritema to palmar, esofagianas varizes, etc.). Although the malnutrition is very common in this type of patient, in one room of the cases the nutricional state was considered regular or good at the moment of the diagnosis (Gonalves, 2006), however Szelin et al.
(2007) it demonstrated high indices of proteinic depletion in patients Child C. According to Son (2006), in the advanced phase, the patient presents digestive hemorrhages (hematmese and/or melena), collateral circulation, hlito heptico, edema in inferior members, ascite and manifestations of heptica encefalopatia (lethargy, sleepiness, slow reasoning, apathy). The disgnostic analysis of the DHA must be based on a data set: anamnese, physical examination, laboratoriais examinations, disgnostic methods for image, morphologic data and alcoholic abstention improves marcante after. In the study of enzymes it was verified that, if the AST/ALT will be equal or bigger that 2, constitutes indicative picture of hepatitis or alcoholic cirrhosis.