1、Case:Mr White,a 65 years old man,unlucky got the disease of cirrhosis.Now his wife wants to make some food for him,what kinds of food should she make?Diet for Cirrhosis of the LiverLecturer:Cynthia From:Guangzhou Medical collegeuOverviewuPrinciples of cirrhosis dietuMatters needing attention for cir
2、rhosis diet Definition：Cirrhosis is a consequence of chronic liver disease characterized by replacement of liver tissue by fibrosis,scar tissue and regenerative nodules leading to loss of liver function.VideoReasonable diet guidance is necessary for cirrhosis,in order to prolong their lives and impr
3、ove their lives quality.High energy High protein High vitamin Low fat Three high one lowReason:Energy can prevent protein decomposing as well as provide energy to compose protein.Source：Carbohydrate(50%55%)Amount：About 20002500cal a dayReason:High protein diet not only can protect the function of li
4、ver cells but also promote the damaged liver cells to repair and regenerate.Besides,high protein diet is good for the patients who have low plasma protein and ascites.Source:Lean meat,fish,eggs,milk,bean products and so on.Amount:1.8 g/kg a day,20%30%。Reason:Vitamin can protect the liver.VitC takes
5、part in the liver s metabolize directly,promoting hepatic glycogen(肝糖原）compose.VitK is connected with the compose of prothrombin（凝血酶原）.Lipid solubility VitA、D、E can help to protect the liver in a way.Source:Vegetables and fruitAmount：A large numberReason:The function of the liver cells is becoming v
6、ery weak when cirrhosis happened.Bile synthesis and secretion become little.The digestion and absorption of fat meet block,then too much fat intake would heaven the burden of the liver,finally,fatty liver happen.Source:Plant oil is the best,such as peanut oil,sesame oil（芝麻油）。Amount:About 4050g/day,2
7、0%25%No alcoholNo thrill foodmustardcurryshallotgingercayenne pepperNo rough and hard foodcelery芹菜芹菜,bamboo shoots竹笋竹笋,chives韭韭菜菜 and those hard to digest food,etc.What are the principles of cirrhosis diet?Could you make a diet for the cirrhosis?References 1叶任高,陆再英,刘厚钰.内科学M.5 版.北京:人民卫生出版社,2002:460.2
8、孙哗宏，乔秋阁.跟踪干预对门脉高压上消化道出血患者再出血的影响J.护理学杂志，2005，20(4):68一69.3孙兆翠.肝硬化患者的营养评估及饮食护理J中国民康医学,2010,(01).4Lochs H,Plauth M.Liver cirrhosis:rationale and modalities for nutritional support the European Society of Parenteral and Enteral Nutrition consensus and beyond.Curr Opin Clin Nutr Metab Care,1999,2,2:345-349.
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