Sunday, April 7, 2013

The nutrition of liver cirrhosis supports to treat _'s treatment

The nutrition of liver cirrhosis supports to treat _'s treatment
The liver is the important organ of substance metabolism of nutrition. Liver cirrhosis is lost, compensated a synthetic and supersession obstacle that can present candy, protein, fatty acid, disorders of digestion such as in addition, apocleisis, vomiting, suffering from diarrhoea and smoking and putting the emergence of complications such as ascites, digestive tract bleeding, bacterial peritonitis,etc. in a large amount, make the patient's nutritional status further worsen, is shown as the body stores energy and decomposes increasing, fat and decomposes and oxidizes and increases albumens, glycogenic to mobilize to increase, increase the incidence of complication, cause the further deterioration of liver function, make survival rate drop. So, it is very essential for liver cirrhosis patient to support to treat the nutrition outside the pointed intestines and stomach. Each chronic the intersection of hepatopathy and patient with in various degree malnutritive, out-of-balance nutrition the intersection of liver cirrhosis and early characteristic nature behavior of patient, the serious synthetic and supersession disorder will increase the incidence of complication, cause liver function to further worsen, influence prognosis of patient, make survival rate drop, so carry on to the intersection of liver cirrhosis and patient nutrition support, treat, favorable to to improve liver function outside the pointed, not reasonable intestines, prevent and cure complication. In liver cirrhosis, the total amount consumed of energy fluctuates with the progress of course of disease greatly, very great difference exists because of the individual difference in the supersession route, so nutrition is supported needs individuals in scheme. Detailed conditions on patient,it for a certain amount of candy every day, in chain milks fats long, last chain nutriment such as the amino acids, it is balanced to reduce and is defeated by nitrogen. However, people think for a long time, it is not suitable to infuse fat emulsion to the bad patient of liver function, the other nutrition of intestine only for the monosaccharide supports to treat, but a scholar thinks at present, patient offers nutrition of the intestines and stomach including fat emulsion liver cirrhosis, have not made its liver function worsen, and is favorable to improvement and hepatocyte regeneration of liver function. This group of cases have liver function at various degrees that is damaged, support to treat for 3 weeks through the nutrition outside the intestines, treat the group ALT, TBIL, PPGB2h to obviously drop, AST, ALB, FBG, CHOL, TG can not be changed obviously; The control group TBIL and ALT still keeps higher level, and ALB obviously reduces. It brief on if you can't last liver function emulsion, resume,especially in can utilize chain milks fats long liver directly without storing among them. Because the liver work is bad, utilize ability to drop to glucose, the liver can fully use glucose as the ground substance to power, therefore the monosaccharide treatment is unfavorable to liver function to resume, can reduce the input of glucose while employing fat emulsion, can prevent the high candy from stimulating insulin to secrete, help to correct the candy supersession disorderlily. Foreign literature report, the liver cirrhosis patient is relatively strong to the wide clear ability of the fat. Treat the rising that the group offered fat emulsion not to cause TG, CHOL level. This research proves, nutrition is very essential to carry on the liver cirrhosis patient outside the intestines of pertinence, it is disorderly can improve liver function state and candy supersession to power to and utilize fat emulsion, and will not cause the lipoprotein supersession to be disorderly, it is safe, reliable.
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