The defending of liver cirrhosis ascites " Big" 's prevention and health care of the tactics

The defending of liver cirrhosis ascites " Big" 's prevention and health care of the tactics
After making a definite diagnosis of liver cirrhosis, if the ascites appears, undoubtedly disasters pile up on one another. Many patients present pessimistic mood, think that has entered hopeless case stage. In fact, the situation is not so terrible in the imagination.
The liver cirrhosis patient presents the ascites, prove liver function is not good, there are more internal sodium, water retention, then cause a series of question, such as impelling the upper digestive tract to bleed; Give abdominal cavity bacterium breed, infect, offer terms; When present a large amount of ascites, can cause dyspnea, renal function to be depleted, etc. If these problems are dealt with improperly, can cause internal electrolyte, acid-base balance disorder even liver encephalopathy. However, this does not mean the hopeless case stage that liver cirrhosis gets either. Many clinical the intersection of treatment and experience of case prove, treat rational, patient can with the intersection of doctor and close cooperation, the ascites can obviously reduce or totally disappear.
Check first-selected Ultrasonography B of the ascites
Usually, there is a small amount of ascites (300- 500 ml) When, the patient does not have any symptom; When the ascites reaches above medium-sized quantity (medium-sized quantity is 500- 3000 ml, a large amount of ascites is more than 3000 ml) ,Most common symptom abdominal distension, have weight of reason increase with the intersection of whole body and the intersection of and edema sometimes. If the ascites is bacterial infection, symptoms such as pain,etc. when the patient will also generate heat, press belly. The doctor generally judges with percussion whether there is ascites, this is the simplest method. However, when the water yield of belly is less than 2000 ml, this method is difficult to find. Check with Ultrasonography B, have agony also while being accurate while being objective, have 300 ml about ascites, can find, can also distinguish the diseases of other similar ascites. As for CT, have an advantage over Ultrasonography B, check relatively complicated, spend too great, should not check way as routine or a first-selected one.
There is time limit salt of ascites that is a key
Want it well " Resist " Ascites, must avoid several " traps " making liver function worsen sharply at first : Drink, take medicine, various infection, spirit and physical power and overwork too much, and nutrition is excessive. These items can be summarized " Wine, medicine, inflammation, working, fat " Five words.
The patient who has already presented the ascites, must absolutely lie in bed. Because lying in bed can improve the blood supplt of the liver, kidney. Some light disease ascites patients, so long as lie in bed and limit the absorption of sodium salt, does not need to especially treat, can also obtain the therapeutic effect.
Especially limit the absorption of sodium salt, very crucial, this is a therapeutic foundation. There is not these foundation, other very difficult to treat to achieve the satisfactory result. Sodium salt talked about herein, not merely point the salt, include soy sauce, salted vegetables, thick chilli sauce, gourmet powder,etc. too.
Normal people's diet, the salt amount should be controlled below 5 grams the same every day; But less salt diet, require sodium salt eaten every day in under 2 grams; If on diet, salt quantity should be in under 0.5 grams. Persons who reach the medium-sized quantity ascites on a small quantity, want the diet of less salt; Medium-sized quantity or a large number of ascites person, want the salt of limit in under 1 gram; Obstinate ascites person, on diet. As for the amount of drinking water, generally unrestricted. Only when blood sodium low, inflow should limit in 1500 ml following. When the patient wants to limit sodium salt, can only flavour with vinegar or candy, may although it is so influence the appetite, but should overcome hard.
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