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Case:MrWhite,a65yearsoldman,unluckygotthediseaseofcirrhosis.Nowhiswifewantstomakesomefoodforhim,whatkindsoffoodshouldshemake/101
DietforCirrhosisoftheLiverLecturer:CynthiaFrom:GuangzhouMedicalcollege/102
Learningobjectives/103
LearningContentsOverviewPrinciplesofcirrhosisdietMattersneedingattentionforcirrhosisdiet/104
Definition:Cirrhosisisaconsequenceofchronicliverdiseasecharacterizedbyreplacementoflivertissuebyfibrosis,scartissueandregenerativenodulesleadingtolossofliverfunction.OverviewVideo/105
Overview
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Reasonabledietguidanceisnecessaryforcirrhosis,inordertoprolongtheirlivesandimprovetheirlives’quality.So,/107
PrinciplesofthedietHighenergyHighproteinHighvitaminLowfatThreehighonelow/108
HighEnergyReason:Energycanpreventproteindecomposingaswellasprovideenergytocomposeprotein.Source:Carbohydrate(50%~55%)Amount:About~2500caladay/109
HighProteinReason:Highproteindietnotonlycanprotectthefunctionoflivercellsbutalsopromotethedamagedlivercellstorepairandregenerate.Besides,highproteindietisgoodforthepatientswhohavelowplasmaproteinandascites.Source:Leanmeat,fish,eggs,milk,beanproductsandsoon.Amount:1.8g/kgaday,20%~30%。/1010
/1011
HighVitaminReason:Vitamincanprotecttheliver.VitCtakespartintheliver‘smetabolizedirectly,promotinghepaticglycogen(肝糖原)compose.VitKisconnectedwiththecomposeofprothrombin(凝血酶原).LipidsolubilityVitA、D、Ecanhelptoprotecttheliverinaway.Source:VegetablesandfruitAmount:Alargenumber/1012
LowFatReason:Thefunctionofthelivercellsisbecomingveryweakwhencirrhosishappened.Bilesynthesisandsecretionbecomelittle.Thedigestionandabsorptionoffatmeetblock,thentoomuchfatintakewouldheaventheburdenoftheliver,finally,fattyliverhappen.Source:Plan
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