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?2011/101Diet for Cirrhosis of the LiverLecturer:Cynthia From:Guangzhou Medical college2011/1022011/103uOverviewuPrinciples of cirrhosis dietuMatters n
2、eeding attention for cirrhosis diet2011/104 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.Video2011/1052011/106Reasonable diet guidance is necessary for ci
3、rrhosis,in order to prolong their lives and improve their lives quality.2011/107 High energy High protein High vitamin Low fat Three high one low2011/108Reason:Energy can prevent protein decomposing as well as provide energy to compose protein.Source：Carbohydrate(50%55%)Amount：About 20002500cal a da
4、y2011/109Reason:High protein diet not only can protect the function of liver 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.Amou
5、nt:1.8 g/kg a day,20%30%。2011/10102011/1011Reason:Vitamin can protect the liver.VitC takes 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:Ve
6、getables and fruitAmount：A large number2011/1012Reason:The function of the liver cells is becoming very 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 l
7、iver happen.Source:Plant oil is the best,such as peanut oil,sesame oil（芝麻油）。Amount:About 4050g/day,20%25%2011/1013No alcohol2011/1014No thrill foodmustardcurryshallotgingercayenne pepper2011/1015No 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.2011/1016
8、2011/1017 What are the principles of cirrhosis diet?Could you make a diet for the cirrhosis?2011/1018References 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,1999,2,2:345-349.2011/10192011/1020
