Saturday, January 12, 2008
Patients with liver cirrhosis how to add protein?
Patients with cirrhosis due to the serious damage to the liver cells, so the ability of protein synthesis decline the plasma protein albumin synthesis by the liver, cirrhotic patients once entered decompensated, have resulted in significantly lower albumin, and further led to the formation of ascites, cirrhosis patients should periodically added protein. However, due to the decomposition of protein, some intestinal bacteria in the role under ammonia, in normal circumstances, liver cells can be adopted to eliminate the role of detoxification, chronic liver disease, cirrhosis patients Due to a large number of liver cell necrosis or effective cells decreased significantly and other reasons why these toxic substances bypassing the liver cells, not antitoxin, enters systemic circulation that cause brain dysfunction in patients thought to make fuzzy, emotional abnormalities, and even cause death. Clinical eating an egg as a result of hepatic coma is not uncommon. Therefore, in view of hepatic coma should strictly control the protein diet, a daily supply of at least 6,688 calories Bajur. glucose and branched-chain amino acid formulations. Convalescence first given 20g protein / d, increased after 40g, even if not completely sober for more than 50 g / d.
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