What is the indication of cirrhosis?
Xiao Sanyang is a multi-year; recent district does not feel the liver, and sometimes pain. But do liver function tests to high ammonia sp only a little, turn Carex sp 2 times higher. Increasing the feeling of pain and arm some small bleeding points.
Ah well that these are not afraid of the performance of cirrhosis ah? But the test targets are not high!
Experts invited expert advice about ah! I was not the performance of cirrhosis?
Answer:
Cirrhosis of the attention on eating in
1. Alcohol
As long as there are aspects of liver disease, whether it is hepatitis, fatty liver, cirrhosis, liver cancer, first of all have to stay away from the “wine”, mainly because of alcohol metabolism by the liver, and when the liver cells have been damaged, alcohol metabolism Very low, easy to drink so that the deterioration of liver function.
2. Eat less greasy, fried, pickled products, moldy food and contain artificial coloring, artificial food additives in patients with liver cirrhosis because of their lack of bile output, the effects of fatty foods and fat-soluble vitamin absorption, so the ability to digest Poor, so greasy, fried, salted and fermented food products such as sausage, bacon, and so wonderful to eat the best; at the same time be able to take the best Shaoliangduocan principle, so as to reduce the load on the liver and gallbladder.
3. Digestible protein food to eat
Patients with liver cirrhosis in the selection of food should be built on the concept of the right, less fat, carbohydrate intake of starch essential, but not too much. Some eat more easily digestible protein food, such as deep-sea fish, low-fat milk, protein, tofu, are a good choice.
In patients with liver cirrhosis attention to the need to observe whether there is in a coma liver, liver in a coma when the situation must be taken to limit the intake of protein.
Hepatic coma PS: This is the end of the patients with liver cirrhosis, or liver failure, liver would be unconscious, because the function of the liver cell damage, or as a result of portal hypertension, resulting in portal vein through the liver can not directly enter the circle And by collateral circulation and can not be processed in the liver cells from the intestine to toxic substances or ammonia, which lead to a coma. At this time, the central nervous system function due to damage caused by a variety of neurological symptoms appear, will eventually lost consciousness, awareness, and become unconscious, lying in a coma or early period, patients often can be heard close to an acid Acid sweet taste, called “liver taste” can be used as identification.
4. In addition, the need to eat more liver detoxification function of the gallbladder and vegetables such as broccoli, cabbage, Chinese cabbage, peas, because they are the most abundant fiber content can be emitted toxins in the body; In addition, eat eggs, Milk, cheese, wheat, and so easily lead to food allergies; also have to control high-fat, high sugar food intake.
After some of the patients with liver cirrhosis in western medicine treatment. Machimura condition has been improved or delay the development. In general, liver cirrhosis poor prognosis, the child should be attached great importance.
In decompensated liver function has been to make the diagnosis, and health care, the better the prognosis. Decompensated liver function period of poor prognosis. Wherever it appears ascites, jaundice, swelling, fever or a high degree of extension of the prothrombin time, hyponatremia, serum albumin (2.5g/d1, plasma protein electrophoresis γ globulin> 30%, liver damage, said to have a serious stage . Recurrence, such as liver and kidney syndrome, hepatic encephalopathy, or esophagus complicated by a large number of venous bleeding, severe infection, and so on, in critical condition, the very poor prognosis.
According to the liver and its complications can be divided into decompensated cirrhosis and decompensated period. When the disease to the development of decompensation, particularly when accompanied by complications, treatment is very difficult. On the treatment of patients with cirrhosis to do the following:
1, to rest: in decompensated liver cirrhosis or asymptomatic, do light work, not for the degree of fatigue. Decompensation in the period, mainly to rest, can reduce the load on the liver, liver cells have a chance to make the repair and regeneration.
2, the treatment of eating: the general daily calorie intake should be 2500kcal. Should be high-protein diet in order to promote liver regeneration and recovery, particularly in patients with low protein ascites and when. However, the liver of patients in a coma, the protein intake should be lowered, even for the time being not to the protein. Should be given the appropriate amount of fat, too much fat restrictions will affect the appetite and affect the absorption of fat-soluble vitamins. Sugar consumption of properly, can be transformed into liver glycogen, liver cells to the new
Health, the increase in liver cells of resistance to the toxin.
3, “liver” drugs: a drug no real role in protecting liver. Currently on the market a variety of “liver” of drugs, certainly in the absence of reliable evidence of its efficacy, we must be used with caution. Because almost all are subject to drug metabolism in the liver, excessive use of the drug increased the burden on the liver. However, there are active liver inflammation should be used when Gan Li Yan, Li Gantai, Glucurolocatone drugs.
4, vitamins: vitamin A, B1, B2, B6, C, E, and so on, the body added. At present, both domestic and foreign multi-vitamin capsules or mixed supply of pills.
5, treatment complications: Once decompensated cirrhosis, ascites occurred, and esophageal varices bleeding, spleen, spontaneous bacterial peritonitis, liver function and kidney failure and coma (HRS), etc. Complications, the period of treatment is difficult, even life-threatening, often requiring hospitalization for treatment but under the guidance of a doctor in medicine. If the right deal, so that the disease can still be reversed, so that patients can be a fairly long time, in a steady state.
6, liver transplantation: end-stage chronic liver disease is the main indication for liver transplantation. With the transfer of technology to improve Kangpai Yi and effective drugs available, 1-year survival rate after liver transplantation has reached 70-80%. At present, liver transplantation has become a cure the only hope for patients with liver cirrhosis.
7, anti-fibrosis therapy: Recent studies of hepatic fibrosis of the liver is a factor in the damage under progressive pathological process. Prior to the formation in the liver, anti-fibrosis drug treatment is effective.
Recommended dietary side are as follows:
(A) bergamot flower liver soup
[Material to be used] to spend bergamot 9 grams Jasminum 9 grams peony flower 30g Zhigancao 6 g dangshen 30 g Atractylodes 10 grams Poria 15 grams.
[Practice] Shui Jianfu, a daily dose 1-2.
[Effectiveness] liver spleen, the gas pain.
[Attending] Liver depression and spleen-liver cirrhosis. Shenpi see weak evidence, loss of appetite, nausea chest expansion, the two threatened pain, do not belch Shu, impatient irritability, nausea and vomiting when, Dan Hong tongue, white moss, pulse string.
(B) red flower decoction
[Materials used] kernel 6 g safflower 9 Kodam Senate 30g pangolin 9 grams Angelica 10 grams Chishao 10 Kedan Pi 6 g Keze Atractylodes 10 Flower diarrhea 9 grams Jasminum 9 grams Oyster 30 grams (Xian Jian).
[Practice] Shui Jianfu, a day.
[Effectiveness] Qi and promoting blood circulation, removing Tongluo.
[Attending] Qizhixueyu-cirrhosis. See evidence of the two stuffy inflation threat, Xiexia lump in the abdomen, spider, liver palms, the abdominal wall or exposed Qing Jin, loss of appetite, dark purple tongue or blood, petechiae, small pulse string Shibuya.
(C) red stewed pig pancreas
[Material to be used] 9 grams red flowers Jasminum 9 grams of pig pancreas a.
[Practice] pig pancreatic washed, cut into the red, flower Jasminum Ge Shuidun cooked, fresh Yintang pig pancreas.
[Effectiveness] [charge] with the red blood soup.
(D) spent four wet soup
[The use of materials] Kapok 15 grams of egg flower 9 g Atractylodes 9 grams Magnolia flower 6 g spilled Smilax 30 Keze 9 g-wu spent 9 grams licorice 6 grams.
[Practice] Shui Jianfu, a daily dose 1-2.
[Effectiveness] Spleen dampness, Qi water line.
[Attending] wet-resistance cirrhosis. See evidence such as bloating drum, according to Kennedy’s age, such as the capsule wrapped water, Nadai, Wan nausea, vomiting, urinating short, tongue Danhong, moss white, thin veins ease.
(E) San Daphne
[The use of materials] Daphne 10 grams Gansui 10 grams Euphorbia 10 grams.
[Practice] on drug research Xi Mo, 1.5 g take on an empty stomach in the early morning, to date 10 Jiantang service delivery, benefit only service. If patients do not benefit and in addition to 3 grams, but not Jiufu.
[Effectiveness] [chief] spent wet soup with four.
(F) sweet-scented osmanthus frog porridge
[The use of materials] 10 grams of sweet-scented osmanthus frog 3 (skin, internal organs) 50 grams of rice.
[Practice] Warou, Zhuzhou with rice, soup will be, into the sweet-scented osmanthus, and then boiled for a while, eating porridge and Warou seasoning. 1 per day is expected.
[Effectiveness] spleen and kidney warming.
[Attending] spleen liver-kidney-yang deficiency. See evidence such as bloating drum, according to Kennedy’s age, gloomy face, chills Zhileng, Shenpi weak, it is Greed, urine short, whitish tongue, moss white, thin and delicate veins.
(C) red stewed pig pancreas [the material to be used] 9 grams red flowers Jasminum 9 grams of pig pancreas a.
[Practice] pig pancreatic washed, cut into the red, flower Jasminum Ge Shuidun cooked, fresh Yintang pig pancreas.
[Effectiveness] [charge] with the red blood soup.
(D) spent four wet soup [the use of materials] Kapok 15 grams of egg flower 9 g Atractylodes 9 grams Magnolia flower 6 g spilled Smilax 30 Keze 9 g-wu spent 9 grams licorice 6 grams.
[Practice] Shui Jianfu, a daily dose 1-2.
[Effectiveness] Spleen dampness, Qi water line.
[Attending] wet-resistance cirrhosis. See evidence such as bloating drum, according to Kennedy’s age, such as the capsule wrapped water, Nadai, Wan nausea, vomiting, urinating short, tongue Danhong, moss white, thin veins ease.
(E) San Daphne [the use of materials] Daphne 10 grams Gansui 10 grams Euphorbia 10 grams.
[Practice] on drug research Xi Mo, 1.5 g take on an empty stomach in the early morning, to date 10 Jiantang service delivery, benefit only service. If patients do not benefit and in addition to 3 grams, but not Jiufu.
[Effectiveness] [chief] spent wet soup with four.
(F) sweet-scented osmanthus frog porridge [the use of materials] 10 grams of sweet-scented osmanthus frog 3 (skin, internal organs) 50 grams of rice.
[Practice] Warou, Zhuzhou with rice, soup will be, into the sweet-scented osmanthus, and then boiled for a while, eating porridge and Warou seasoning. 1 per day is expected.
[Effectiveness] spleen and kidney warming.
[Attending] spleen liver-kidney-yang deficiency. See evidence such as bloating drum, according to Kennedy’s age, gloomy face, chills Zhileng, Shenpi weak, it is Greed, urine short, whitish tongue, moss white, thin and delicate veins.
Good treatment, attention to diet, be able to live a long time.
