The diet of liver encephalopathy treats _'s treatment

The diet of liver encephalopathy treats _'s treatment
Should supply enough heat energy to meet physiology of the organism's needs with carbon hydrate, when there are hepatic coma omensing, should stop taking in protein immediately, does not have liquid diet of the albumen. Can use the nastal feed instead by the person who eats mouth, the diet of liquid food should take carbohydrate as the core, for example: Glucose, vitamin, energy mixture,etc.. But the patient offers protein progressively after reviving, but should the intaking amount of full-time protein be in 20 grams? 30 grams, carbon hydrate is still the main source of the heat energy, about 75%.
Why control protein? In normal cases, production ammonia that the internal supersession is constant, constant clearance ammonia again, make ammonia of blood keep at the normal level. But in the hepatic coma, the ability that the liver removes ammonia drops, has destroyed the stability of ammonia of blood, make ammonia of blood raise notably, produce toxicity to the nervous system, bring out liver encephalopathy. The other source that the source of internal ammonia is mainly and endogenous, control the absorption of protein, reduce the source of other source ammonia. The source of controlling protein from diet is to prevent the raised basic measure of ammonia of blood. How to adjust protein in the diet after the patient wakes up? Can't overly worry about to adjust protein in the diet, some households are anxious for success, see, have albumen take in several, become thin prominent supplementing a large number of proteins quickly, make patients enter hepatic coma again. The intaking amount that should follow the doctor's advice and adjust protein in time, increase progressively 10 grams of proteins in the diet progressively every 2- 3 days, during this period should measure blood often flat ammonia water the same as normal people until adjust daily intaking amount of protein to, per kilogram of weight is about 10 grams every day. When the hepatic coma appears againing, the intaking amount of protein should drop to every day 20 grams - 30 grams immediately.
Study abroad,it produce by the ones most in ammonia the amino acids is for glycine, through amino acid, threonine, last amino acid, 2,6-diaminocaproic acid, glutaminic acid and Tianmen amide winter; Secondly it is leucine, third amino acid, valine, third amino acid of benzene, isoleucine, hydroxyphenylaminopropionic acid and proline; It is amino acid, glutaminic acid and tryptophane of winter arginine, Tianmen to form a minimum one of ammonia. Should be selected in the diet for use and had the ammonia few food, plant food includes more arginine, Tianmen winter amino acids, and digest and the absorption rate is low, and can change the bacterium clump of the intestine, in order to reduce the production of endogenous ammonia. In animal's food, the egg, milk have ammonia less than the meat, the yoghurt can reduce pH of the intestine, reduce the reproduction of the bacterium. Fish and chicken include more amino acids, can also eat.
The quantity that every solar eclipse enters protein should be for not increase the liver and bear and not cause ammonia of blood to increase ing, high-quality protein of prior choice, such as egg, milk, fish, chicken. Fat quantity does not need excessive control. Because the fat can offer essential fatty acid and lipid-soluble vitamin, can relax bowel. Have biliary tract amalgamate disease, ingestive the intersection of fat and every day can in 50 gram about.
Should confirm the absorption of sodium salt according to the patient's ascites situation, notice water, electrolyte are balanced, prevent a large amount of glucose from input, appear low the intersection of blood and potassium and low potassium nature alkalosis, thus aggravate the hepatic coma. Should supplement potassium, sodium, chlorine, zinc, magnesium, calcium, iron,etc. in time according to examining the index.
When the liver is depleted, various vitamin intaking amount are little, absorb the obstacle, lose and increase but store and exhaust. While supplementing vitamins, want various sufficient vitamins. The constipation person is very harmful at the time of the hepatic coma, the bacterium of the intestine can produce ammonia, and is absorbed into the blood, and increase the ammonia density of blood. Meanwhile, produce the harmful substance such as being discredited and plain of indole and excrement in the intestines, will aggravate the liver supersession. Patients that can eat by the mouth should eat more qualities softly and not having amazing food fiber. Should mince the fresh dish leaf, the fruit is peeled and minced, boil softly, remove the thick hard fiber, make it soften. Edible pectin, marine alga and the intersection of beans and the intersection of glue,etc. and food Ke in the beans, so as to have an ease constipation. Daily meal want large meal of small quantity. Produce ammonia little food as follows, rice, bread, corn bits, cheese, milk, cream, egg white, apple, fragrant and burnt, grapefruit, grape, peach, pear, lemon juice, orange juice, raisins, cowpea, sweet potato, cabbage, carrot, cauliflower, celery, cucumber, spinach, tomato, pumpkin, potato, lettuce, fresh mushroom, onion, radish, French salad dressing, margarine, mayonnaise,etc..
Produce ammonia large food as follows, bacon, chicken, ham, hamburger, Italian sausage, egg yolk, various types of cheese, peanut butter, gelatin, yeast,etc..
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