The elderly's liver cirrhosis candy supersession disorder _ general knowledge
The liver stores and carries on the different main place that catches of candy, maintain one of the main organs with relatively invariable blood glucose. Can continue and take place the candy supersession disorderlily at the time of filling the air liver pathological change, is shown as damaging or liver source diabetes of able to bearing amount of glucose. Because the liver, pancreas shape and change of the function of the elderly make it apter to lead to the fact the candy supersession is disorderly while suffering from hepatopathy.
1. Emergence principle of liver source diabetes Emergence on liver source is diabetic might enzyme as liver ( Kinase of glucose, glycogenic synthetic enzyme, hexokinase, phosphofructokinase,etc.) Active decline, insulin resists the hormone density to increase short of moneyly, insulin lowers function glucose of candy and fetches the diet of high candy as protecting the liver measure, low blood at the time of the use of cortical hormone and diuretic, chronic hepatopathy potassium,etc. has something to do.
2. Liver source diabetes of the elderly of clinical characteristic of the elderly's liver source diabetes often conceals the clinic of diabetes because the clinic of the chronic liver cirrhosis did very well Form,either become thin, not weaking, do, last hepatopathy at nutritional status symptom such as being low at mouth. Some patients have obvious mouth drinking dry and more, many urine symptoms. Because liver function fails, the manifestation eaten more is rare; It is being rare that liver source diabetes is erupting the ketone disease and acidosis and high oozing stupor person of of non- ketone simultaneously; It is extremely low to send rate to oxen the ones that change in retinal pathological change and neuropathy; It is relatively rare to amalgamate diabetic nephropathy; And hypertension, atherosclerosis morbidity are the same as person who didn't get diabetes and old liver cirrhosis, it is lower than the primary diabetic.
3. Treat the principle
The therapeutic focal point of the elderly's liver prototype diabetes is to treat hepatopathy actively. The diet controls very appropriate angry sense widely, in order to prevent nutrition from taking in insufficiently. Though liver cirrhosis patients of the elderly are treated by various, the course of disease often delays and does not heal.
In a word the old liver cirrhosis prognosis is higher than difference, case fatality rate. Should carry on the overall and careful inspection to the old liver cirrhosis patient, accomplish and diagnose in early days, treat in early days, monitor the internal organs function, it is depleted to prevent the function, strengthen the support treatment, use medicine rationally, so as to lengthen the patient's life.
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