• Published on: Jun 29, 2020
  • 1 minute read
  • By: Dr Rakesh Rai

Alcoholic Liver Disease Alcohol That Damages The Liver

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Do you drink alcohol? You need to know how alcohol may silently damage your liver.

People might consider themselves as asocial drinker but studies have shown that even a single drink in a day is going to be harmful to your health. Consuming no alcohol in a day minimizes the overall risk of health loss. To be more specific, adults who consumed a single alcoholic beverage in a day increase their risk of around 23 health problems caused by alcohol.

Alcohol is the most common cause of liver cirrhosis in most parts of the world. Alcohol-related liver injury passes through three distinct clinical phases such as acute fatty liver, alcoholic hepatitis, and alcoholic cirrhosis. In a given patient these may occur in varying combinations. Acute fatty change in alcohol abuse may progress to cirrhosis in 20% of patients. Alcoholic hepatitis develops only in a small proportion of patients after decades of abuse. This condition may progress to cirrhosis. Once cirrhosis develops it is irreversible and progresses at the rate of 10% annum if there is no further insult. Liver cancer can develop in 20% of these cirrhotic.

Alcoholic fatty liver disease

Fatty change occurs after the consumption of large amounts of alcohol over a short period of time. The liver tests and clinical liver swelling returns to normal after abstaining from alcohol. The fat clearance from the liver takes place in 2–6 weeks. With continued abuse of alcohol, this may progress to hepatitis and cirrhosis. Fatty change may persist in some after abstaining from alcohol when they have obesity, diabetes, or pancreatitis.

Alcoholic Hepatitis

This is a state with a wide spectrum of presentations ranging from mild swelling of the liver to severe jaundice, fluid in the abdomen including hepatic coma. The symptoms include lethargy, anorexia, fatigue, vague abdominal pain, and rarely jaundice. Women tend to have a more florid illness. Approximately 50% may have a fluid collection in the abdomen. The bleeding tendency may manifest as easy bruising of the skin. Blood tests will reveal a rise in liver enzymes, bilirubin, and alkaline phosphatase. Low hemoglobin and high white cell counts are common. In the more severely ill, the platelet count will be low and the prothrombin time will be elevated and incompletely corrected with treatment.

Alcoholic Liver Cirrhosis

This is end-stage of alcohol-induced liver disease and many patients will need liver transplantation.

Dr. Rakesh Rai. MS, FRCS, MD, CCST, ASTS Fellow (USA).

Senior Consultant HPB & Transplant Surgery

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Nanorobots: The Future of Targeted Cancer Therapy

Nanorobots: The Future of Targeted Cancer Therapy

Cancer remains one of the most challenging diseases to treat. Despite significant advancements in medicine, traditional cancer therapies such as chemotherapy and radiation often come with severe side effects. However, the emergence of nanorobots in cancer treatment is revolutionizing oncology, offering targeted, efficient, and less harmful solutions.

Understanding Nanorobots in Cancer Treatment

Nanorobots in cancer treatment are microscopic machines engineered to navigate the human body and deliver medication directly to cancerous cells. These minuscule devices are part of nanomedicine for cancer, a cutting-edge field that integrates nanotechnology to diagnose, monitor, and treat cancer. Unlike conventional methods, nanorobots can precisely locate and attack tumor cells without damaging surrounding healthy tissue.

How Nanorobots Work in Cancer Therapy

The concept of nanotechnology in oncology involves designing nanorobots that can circulate through the bloodstream, identifying cancer cells based on specific biological markers. Once detected, they release a controlled dose of chemotherapy or other therapeutic agents. This targeted drug delivery system significantly reduces toxicity, minimizing side effects such as nausea, fatigue, and immune suppression.

Additionally, nanorobots can be programmed to perform specific tasks such as:

  • Detecting and binding to cancer cells with high specificity.

  • Destroying tumor tissues using thermal or chemical mechanisms.

  • Monitoring cancer progression in real time.

  • Enhancing immune system response to fight cancer naturally.

Advancements in Cancer Nanorobotics

The development of advancements in cancer nanorobotics is accelerating due to breakthroughs in materials science, artificial intelligence, and biomedical engineering. Researchers are continuously improving the efficiency, biocompatibility, and safety of these nanodevices.

Latest Developments in Nanorobotics

  1. DNA-Based Nanorobots: Scientists have successfully designed nanorobots made from folded strands of DNA, allowing for highly precise drug delivery.

  2. Magnetic Nanoparticles: These can be guided using external magnetic fields to navigate and target tumor sites.

  3. Self-Propelled Nanorobots: These use biological enzymes or chemical reactions to move autonomously within the body.

  4. Smart Biosensors: Integrated within nanorobots, these sensors detect cancer cells at an early stage, increasing the chances of successful treatment.

  5. Biodegradable Nanorobots: These dissolve harmlessly in the body after completing their therapeutic mission.

Such advancements in cancer nanorobotics are paving the way for precision medicine, where treatments are personalized based on a patient’s genetic and molecular profile.

Benefits of Nanorobot-Based Cancer Therapy

The integration of nanomedicine for cancer presents several advantages over conventional therapies:

  • Higher Accuracy: Nanorobots ensure that drugs are delivered directly to cancerous cells, reducing damage to healthy tissues.

  • Lower Dosage Requirements: Since the drugs are targeted, lower doses are needed, reducing toxicity and adverse reactions.

  • Faster Recovery Times: Targeted treatment allows for quicker elimination of tumors, leading to faster patient recovery.

  • Minimized Side Effects: Unlike chemotherapy, which affects the entire body, nanorobots limit exposure to harmful chemicals.

  • Real-Time Monitoring: These tiny machines can provide continuous feedback on treatment efficacy, allowing doctors to make immediate adjustments.

Challenges and Limitations

Despite their promising potential, the use of nanorobots in cancer treatment faces certain challenges:

  • Production Complexity: Manufacturing nanorobots at a large scale with precision and consistency remains a challenge.

  • Regulatory Approval: Ensuring safety and efficacy through clinical trials is time-consuming and expensive.

  • Possible Immune Reactions: Some patients may experience immune responses to foreign nanorobots in their bodies.

  • Navigation Difficulties: Effective targeting and movement within the body require further refinements.

Cost of Nanorobot Cancer Therapy

One of the biggest concerns surrounding this technology is the cost of nanorobot cancer therapy. Since nanomedicine involves sophisticated research, production, and clinical testing, treatment costs can be high. However, as technology matures and production scales up, the expenses are expected to decrease, making nanorobot-based cancer therapy more accessible to a broader population.

Factors Influencing the Cost:

  • Research and Development: Extensive scientific studies and clinical trials require significant investment.

  • Manufacturing Costs: Precision engineering of nanorobots is expensive.

  • Personalized Treatment Plans: Each patient may require a unique approach, adding to costs.

  • Regulatory and Approval Costs: Meeting health regulations and obtaining necessary approvals contribute to high initial costs.

Despite the current expenses, experts believe that in the long run, nanotechnology in oncology will become a cost-effective alternative to traditional cancer treatments, ultimately reducing the financial burden on patients.

Future Outlook

As research in nanomedicine for cancer progresses, the hope is to create fully autonomous nanorobots capable of detecting and treating cancer without human intervention. With continuous advancements, the cost of nanorobot cancer therapy is expected to become more affordable, allowing more patients to benefit from this revolutionary treatment.

What’s Next?

  1. Integration with AI: Artificial intelligence will enable smarter decision-making in nanorobotics, enhancing precision and efficiency.

  2. Wider Clinical Trials: More human trials will be conducted to ensure the safety and effectiveness of nanorobot-based treatments.

  3. Commercial Availability: As technology advances, nanorobot treatments will become a viable option in mainstream healthcare.

  4. Multifunctional Nanorobots: Future developments may see nanorobots capable of diagnosing and treating multiple diseases simultaneously.

Conclusion

Nanorobots represent a revolutionary step forward in cancer treatment. By integrating nanotechnology in oncology, these microscopic machines provide a targeted, efficient, and less invasive approach to combating cancer. With ongoing advancements in cancer nanorobotics, the potential for improved patient outcomes is immense. While the cost of nanorobot cancer therapy remains high, it is expected to decrease over time, making this groundbreaking treatment accessible to many. As science continues to push boundaries, nanorobots could become the cornerstone of precision medicine, offering new hope to millions of cancer patients worldwide.

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