Do patients with liver cirrhosis eat official food?

Contraindications of life for patients with liver cirrhosis Patients with decompensated liver cirrhosis should pay attention to and make choices in the process of daily recuperation and tonic. First, avoid eating a high-protein diet, and don't let the ammonia production in the human intestine suddenly increase. Second, try to avoid the use of sedative and hypnotic drugs, and avoid the liver coma directly caused by this. Third, you can eat bananas and other fruits, keep the stool unobstructed, 1-2 times a day, and always keep the ammonia produced in the intestines discharged in time. Fourth, properly supplement vitamins and probiotics, such as vitamin C, vitamin B2, vitamin K, lactobacillus acidophilus, etc., to stabilize the internal environment. Fifth, if there is loss of appetite, vomiting or diarrhea, potassium should be supplemented in time, such as drinking fresh cucumber juice and apple juice, so as to avoid hepatic encephalopathy caused by hypokalemic alkalosis. Sixth, unless there is obvious anemia after bleeding, patients with liver cirrhosis should avoid taking nutrients or minerals containing iron preparations, because iron preparations can aggravate liver cirrhosis. Seventh, especially don't eat a lot of animal protein. Metabolites of animal protein not only increase ammonia production, but also contain more aromatic amino acids, which can inhibit brain nerve conduction and induce hepatic coma in cirrhosis. Eighth, it is advisable for patients with decompensated cirrhosis to eat a small amount of plant protein. Because there are fewer aromatic amino acids and more branched-chain amino acids in plant proteins, branched-chain amino acids can antagonize the blocking of brain nerve function by some toxic substances. Ninth, people with esophageal varices should usually make food fine and rotten, avoid eating too rough food, and strictly prohibit eating hard and prickly food, such as fish with thorns, chickens with bones, nuts, etc., so as not to scratch the varicose esophageal veins or gastric fundus veins, causing massive bleeding in the upper digestive tract. Tenth, you can drink yogurt to promote digestion and avoid alcohol. Long-term drinking can lead to alcoholic gastritis and even alcoholic cirrhosis. Drinking alcohol can also lead to epigastric discomfort, loss of appetite and protein and vitamin B deficiency. In addition, alcohol has a direct toxic effect on liver cells. Liver cirrhosis should pay attention to 1 in diet. As long as you have liver disease, whether it is hepatitis, fatty liver, liver cirrhosis or liver cancer, the first thing you must stay away from is "alcohol", because alcohol is mainly metabolized by the liver, and when liver cells are damaged, the ability to metabolize alcohol is extremely low, and drinking alcohol can easily lead to deterioration of liver function. 2. Eat less greasy, fried, pickled products, moldy foods and foods containing artificial colors and artificial additives. The poor digestive ability of patients with liver cirrhosis is due to insufficient bile output, which affects the absorption of fatty foods and fat-soluble vitamins. Therefore, it is best to eat less greasy, fried, fermented foods and pickled products such as sausages and bacon. At the same time, it is best to take the principle of small amount and multiple meals to reduce the burden on the liver and gallbladder. 3. Patients with liver cirrhosis in protein eat digestible food, and they should establish a correct concept when choosing food, which can reduce fat, but the starch intake of sugar is essential, but not too much. Eating more digestible protein foods, such as deep-sea fish, low-fat milk, protein and tofu, is a good choice. Patients with liver cirrhosis should also pay attention to whether there is hepatic coma. In case of hepatic coma, measures must be taken to limit the intake of protein. P.S. Liver Coma: This is the phenomenon of liver coma in patients with end-stage cirrhosis, or in the case of liver failure. Because the function of liver cells is seriously damaged, or because of portal hypertension, portal vein blood can not directly enter the large circulation through the liver and pass through the collateral circulation, so it can not be treated in liver cells. Coma is caused by toxic substances or ammonia from the intestine. At this time, the function of the central nervous system is damaged, causing various neurological symptoms, and eventually losing consciousness and consciousness, becoming unconscious. Before or during the coma, you can often smell a sour and sweet taste near the patient, which is called "liver taste" and can also be used as identification. 4. In addition, in order to protect the liver, we must eat more vegetables with detoxification function and choleretic function, such as broccoli, cabbage, cabbage, peas, etc., because they have the richest fiber content and can excrete toxins from the body; In addition, eat less eggs, milk, cheese, wheat and other foods that are easy to cause allergies; We should also control the intake of high-fat and high-sugar foods. Some patients with liver cirrhosis were treated with integrated traditional Chinese and western medicine. The disease has improved or delayed development. Generally speaking, the prognosis of posthepatitic cirrhosis is poor and should be paid attention to. Patients diagnosed and treated in the compensatory period of liver function have a good prognosis. The prognosis of decompensated liver function is poor. Patients with ascites, jaundice, edema, fever or prolonged prothrombin time, hyponatremia, plasma albumin (2.5g/d 1, plasma protein electrophoresis gamma globulin > 30% indicate that liver function damage has reached a serious stage. If hepatorenal syndrome, hepatic encephalopathy, esophageal venous hemorrhage and severe infection occur again, the condition will be critical and the prognosis will be extremely poor. In addition to medication, it is also important to adhere to correct dietary guidance for the recovery of liver cirrhosis. I. Nutrient intake 1. Dietary calorie intake. The total daily calorie of patients with liver cirrhosis is not less than 2000-2500 calories. Protein's intake. A high-protein diet is beneficial to cell repair, especially for patients with hypoproteinemia and ascites. If the plasma protein is too low, it will aggravate the formation of ascites, so you can supply 1.5-2 grams of protein per kilogram of body weight every month, but little or no protein is used when liver cirrhosis has hepatic coma. 3. Fat intake. Due to abnormal liver function, bile synthesis and secretion are reduced, and fat digestion and absorption are affected. Patients with liver cirrhosis, especially patients with biliary cirrhosis, should not consume too much fat. 4. Vitamin intake. It is advisable for patients with liver cirrhosis to supplement 300-400 grams of carbohydrates every day. 5. Intake of water, inorganic salts and trace elements. Patients with ascites due to liver cirrhosis should adopt a low-salt diet, and in severe cases, they can eat without salt. The intake of sodium should be limited to about 400 mg per day, and attention should be paid to zinc supplementation. It is forbidden to drink alcohol, and the diet should be light, digestible and less irritating. 2. Common food 1. Beneficial food: milk, fish, eggs, lean meat, bean products and other foods rich in protein, yeast tablets and other foods rich in vitamins. 1. Unhelpful food: food containing too much cellulose, such as celery, leek, radish, etc. All kinds of wine, fried and spicy food. Third, diet remedies 1 turtle shell jujube soup: 20 grams of turtle shell, red dates 10, 2 spoonfuls of rice vinegar, and appropriate amount of rock sugar. Stir-fry Carapax Trionycis until brown, add fire vinegar, stir fry quickly, then put Carapax Trionycis in a casserole, add a big bowl of red dates and water, bring to a boil, simmer for 1 hour, add rock sugar, and when the red dates are ripe, discard Carapax Trionycis and eat jujube soup. Function of invigorating spleen, softening and resolving hard mass, suitable for patients with early liver cirrhosis. If the patient has ascites due to cirrhosis, red beans can be added to the soup. If you have obvious abdominal distension when taking this soup, you should stop taking it immediately. If there is no abdominal distension, two months is a course of treatment. 4. Pork belly porridge: pork belly 100g, rice 100g. Wash the pork belly, add water until it is 70% cooked, take it out and shred it for later use, then serve it with rice, shredded pork belly and pork belly soup (degreased). Function of regulating liver and spleen, benefiting qi and promoting blood circulation, suitable for patients with spleen deficiency, anorexia and dyspepsia in the early stage of liver cirrhosis. 3. Winter bamboo shoots and mushroom soup: 250 grams of winter bamboo shoots and 50 grams of mushrooms. Peel off the shell of winter bamboo shoots, wash and shred them, slice mushrooms, stir-fry them in a pot for about 20 minutes, and then add soup and seasoning to boil. It has the effects of invigorating spleen and soothing liver, and is suitable for patients with liver cirrhosis with symptoms such as fatigue, anorexia and abdominal distension. 4. Misgurnus anguillicaudatus stewed tofu: 500 grams of Misgurnus anguillicaudatus and 250 grams of tofu. Remove the intestines from the loach, wash it, add appropriate amount of water and salt, and stew until it is half cooked. Add tofu and stew until the loach is cooked and rotten. It has the function of promoting diuresis and diuresis, and is suitable for patients with ascites or jaundice due to liver cirrhosis. 5. Plum tea: fresh plums 100- 150g, green tea 2g and honey 20g. Cut plums into petals, add 40 0 ml of water, boil for 3 minutes, add green tea and honey, eat plums and drink tea, and take them three times. 10 day is a course of treatment. It has the effects of promoting blood circulation, relaxing bowels, strengthening body resistance and promoting diuresis, and is suitable for patients with cirrhosis and ascites. Danshen drink: 30 grams of Danshen, 5 red dates, and appropriate amount of sugar. After the jujube is pitted, put it in a pot with Salvia Miltiorrhiza, fry it in water to remove residues, take juice, and add fire sugar to taste, one dose a day. It has the effects of nourishing liver, invigorating spleen, promoting blood circulation and resolving hard mass, and is suitable for patients with liver stagnation and blood stasis due to liver cirrhosis. Third, diet remedies 1 turtle shell jujube soup: 20 grams of turtle shell, red dates 10, 2 spoonfuls of rice vinegar, and appropriate amount of rock sugar. Stir-fry Carapax Trionycis, pour in fire vinegar, stir fry quickly, then put Carapax Trionycis in a casserole, add a big bowl of red dates and water, boil, simmer 1 hour, add rock sugar, discard Carapax Trionycis when the red dates are ripe, and eat jujube soup. It has the functions of invigorating spleen, softening hard mass and resolving hard mass, and is suitable for patients with early cirrhosis. If the patient has ascites due to cirrhosis, red beans can be added to the soup. If you have obvious abdominal distension when taking this soup, you should stop taking it immediately. If there is no abdominal distension, two months is a course of treatment. 4. Pork belly porridge: pork belly 100g, rice 100g. Wash the pork belly, add water until it is 70% cooked, take it out and shred it for later use, then serve it with rice, shredded pork belly and pork belly soup (degreased). Function of regulating liver and spleen, benefiting qi and promoting blood circulation, suitable for patients with spleen deficiency, anorexia and dyspepsia in the early stage of liver cirrhosis. 3. Winter bamboo shoots and mushroom soup: 250 grams of winter bamboo shoots and 50 grams of mushrooms. Peel off the shell of winter bamboo shoots, wash and shred them, slice mushrooms, stir-fry them in a pot for about 20 minutes, and then add soup and seasoning to boil. It has the effects of invigorating spleen and soothing liver, and is suitable for patients with liver cirrhosis with symptoms such as fatigue, anorexia and abdominal distension. 4. Misgurnus anguillicaudatus stewed tofu: 500 grams of Misgurnus anguillicaudatus and 250 grams of tofu. Remove the intestines from the loach, wash it, add appropriate amount of water and salt, and stew until it is half cooked. Add tofu and stew until the loach is cooked and rotten. It has the function of promoting diuresis and diuresis, and is suitable for patients with ascites or jaundice due to liver cirrhosis. 5. Plum tea: fresh plums 100- 150g, green tea 2g and honey 20g. Cut plum into petals, add 400 ml of water, boil for 3 minutes, add green tea and honey, eat plum and drink tea, and take it three times. 10 day is a course of treatment. It has the effects of promoting blood circulation, relaxing bowels, strengthening body resistance and promoting diuresis, and is suitable for patients with cirrhosis and ascites. Danshen drink: 30 grams of Danshen, 5 red dates, and appropriate amount of sugar. After the jujube is pitted, put it in a pot with Salvia Miltiorrhiza, fry it in water to remove residues, take juice, and add fire sugar to taste, one dose a day. It has the effects of nourishing liver, invigorating spleen, promoting blood circulation and resolving hard mass, and is suitable for patients with liver stagnation and blood stasis due to liver cirrhosis. Data reference: How to control liver cirrhosis is a common disease in China, with many causes, but the main reasons are hepatitis virus infection (especially hepatitis B virus) and long-term drinking. It is an unacceptable fact that there is no cure for liver cirrhosis so far. At present, replacing diseased liver with liver transplantation is the fundamental solution to treat advanced cirrhosis. For most patients, the realistic approach is to control symptoms and complications by delaying the development of the disease and reducing the degree of the disease, so as to prolong the life of patients and improve the quality of life, even if patients are in a relatively static stage for a long time. Once you have cirrhosis, proper treatment is still necessary. Treatment should be based on the severity of the disease and the specific situation of the patient. For patients with no bleeding, ascites and other complications and basically normal liver function, health education should be taken first, so that patients can establish confidence and cooperate with treatment. Adopting low-salt diet is an important part and universal principle in the treatment of liver cirrhosis. Doing a good job can effectively reduce the chance of ascites and bleeding. Antiviral treatment With regard to antiviral treatment of liver cirrhosis caused by hepatitis B, lamivudine can be used for patients with mild illness. Even so, it can only inhibit virus replication and reduce virus level for some patients, but it can't clear the virus. For patients with bleeding, ascites and severe liver injury, antiviral therapy is not suitable, which may aggravate and complicate the condition. In addition, it should be noted that antiviral therapy is only one aspect of the etiological treatment of liver cirrhosis, and it can not solve the existing complications (such as bleeding and ascites), nor can it reverse the progress of liver cirrhosis. This is because there is a "vicious circle" between hepatocyte injury and fibrosis in the process of liver cirrhosis, and even if hepatitis virus does not exist at this time, the development of liver cirrhosis can continue. Therefore, at present, some commercial false propaganda, including television, deliberately confuses concepts and exaggerates curative effects, which are irresponsible behaviors. So how to control the disease? It turns out that cirrhosis involves a process called hepatic fibrosis. Controlling the occurrence and development of liver fibrosis can delay the occurrence and reduce the degree of liver cirrhosis. At present, the medical community is conducting a lot of scientific research on the treatment of liver fibrosis, and it is believed that effective therapeutic drugs will be developed in the future. The most realistic treatment for symptomatic treatment is the treatment of ascites and bleeding. As long as there is no ascites and bleeding, can't patients live a good life? When it comes to the treatment of ascites, people with mild symptoms actually want to put as little salt as possible in their food. According to some data, if the daily salt intake is as low as 1.5 ~ 2g, ascites is difficult to occur and mild ascites may disappear. Of course, there are also some patients with "stubborn" ascites who need hospitalization. At present, it is considered that the best method is to release ascites, which is simple and quick. Of course, it may be necessary to supplement albumin and use diuretics according to the patient's specific situation. Because the use of diuretics is very particular, you must follow the doctor's advice. At present, there is a better treatment technique called transjugular intrahepatic portosystemic stent shunt (TIPS), which has a good effect on refractory ascites, but it is only suitable for some qualified patients, and the later maintenance is troublesome. The bleeding of liver cirrhosis is different from peptic ulcer, which is often massive and life-threatening, so we should actively treat it. At present, esophageal variceal ligation combined with local sclerosing agent injection is the first choice to control bleeding, and the effect is good Where there are no conditions, you can also use an instrument called three-lumen and two-sac tube to compress the bleeding blood vessels to stop bleeding. Followed by drug therapy, commonly used pituitrin and somatostatin. The former is poor but cheap, the latter is the opposite. There are many surgical treatments for liver cirrhosis, mainly to solve the bleeding problem. However, with the development of medical technology, liver transplantation technology has matured and become the best method to treat liver cirrhosis.