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High Vitamin
➢Reason : 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 : Vegetables and fruit ➢ Amount：A large number
• [4]Lochs H, Plauth M. Liver cirrhosis: rationale and modalities for nutritional support the
2011/E10uropean Society of Parenteral and Enteral 19
That’s all .
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Overview
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So,
Reasonable diet guidance is necessary for cirrhosis , in order to prolong their lives and improve their lives’ quality.
2011 the Liver
Lecturer:Cynthia From: Guangzhou Medical college
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Learning objectives
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Learning Contents
Overview Principles of cirrhosis diet Matters needing attention for
celery芹菜,bamboo shoots竹笋,chives韭 菜 and those hard to digest food,etc.
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When
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Thinking
• What are the principles of cirrhosis diet? • Could you make a diet for the cirrhosis?
Thank you！
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cirrhosis diet
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Overview
• 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.
➢Amount : About 40~50g/day ,20%~25%
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No alcohol
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No thrill food
mustard
curry
cayenne pepper shallot
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ginger
15
No rough and hard food
Low Fat
➢Reason : 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 liver happen.
➢Source : Plant oil is the best , such as peanut oil ,sesame oil（芝麻油）。
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?
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Principles of the diet
• High energy • High protein • High vitamin • Low fat
Three high one low
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High Energy
➢Reason : Energy can prevent protein decomposing as well as provide energy to compose protein.
Besides , high protein diet is good for the patients who have low plasma protein and ascites .
➢ Source : Lean meat , fish , eggs , milk , bean
2011/p10roducts and so on.
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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]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).
➢Source：Carbohydrate(50%~55%) ➢Amount：About 2000~2500cal a day
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High Protein
➢Reason : High protein diet not only can protect the function of liver cells but also promote the damaged liver cells to repair and regenerate .