Tuesday, January 22, 2013

How is the therapeutic situation of liver encephalopathy? 's treatment

How is the therapeutic situation of liver encephalopathy? 's treatment
The treatment of liver encephalopathy should adopt the comprehensive measure. (1)The intersection of liver cirrhosis and patient infect often and gastrointestinal tract bleed and the intersection of diet and albumen pass, load, use sedative or diuretic treat and cause obvious liver encephalopathy on the clinic. Only correct and inspire the factor to most this kind of patient, add to and support the treatment with a large number of milk fructose, in order to improve liver encephalopathy, can try out the experimental treatment (input a chain amino acid, benzene third two nitrogen antagonist and urea and circulate metabolites) to the invalid one . (2)In liver acute break out, with door - the intersection of body and person who shunt in the encephalopathy patient encephalopathy, that necessary long term administration does not digest synthetic disaccharose ' Fructose of milk) With (or) With antibiotic (neomycin) that is not absorbed . Fructose of milk and neomycin act on to reduce the synthetic ammonia of intestinal bacterium and acidifying intestine and suppress the production of ammonia. Because of side effects such as ear toxicity of neomycin and kidney toxicity,etc., the neomycin treatment does not exceed one month. And the main side effect of milk fructose (such as the bloated air) Disappear after long term administration more. The dosage of fructose of milk should be suitable for patient's needs, the capacity that should also give, make excrement and urine pH value lower than 6. Other effective medicine including sodium benzoic acid (bind with ammonia, produce the benzoylaminoacetic acid salt, discharged by the urine) , two nitrogen s of benzene first resist pharmaceuticals (such as Fluorine Matheny) short of moneyly With circulate metabolite (such as the intersection of ornithine and the intersection of door and winter amino acid salt) . Diet protein quantity to each patient should determine, should not exceed daily 70g, the plant albumen has better tolerance than proteins from meat, fish, if the tolerating amount of albumen is less than daily 60g, can supplementary to prop up the intersection of chain and amino acid in diet, in order to keep sufficient amino acid, supply with.
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