護(hù)理英文小講課課件

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?2011/101Case: Mr White, a 65 years olDiet for Cirrhosis of the LiverLecturer:Cynthia From: Guangzhou Medical college2011/102Diet for Cirrhosis o

2、f the LiveLearning objectives2011/103Learning objectives2011/103Learning ContentsOverviewPrinciples of cirrhosis dietMatters needing attention for cirrhosis diet2011/104Learning ContentsOverview2011/Definition： Cirrhosis is a consequence of chronic liver disease characterized by replacement of liver

3、 tissue by fibrosis, scar tissue and regenerative nodules leading to loss of liver function. OverviewVideo2011/105Definition： Cirrhosis is a conOverview2011/106Overview2011/106Reasonable diet guidance is necessary for cirrhosis , in order to prolong their lives and improve their lives quality. So,20

4、11/107Reasonable diet guidance is nePrinciples of the diet High energyHigh proteinHigh vitaminLow fat Three high one low2011/108Principles of the diet High enHigh EnergyReason : Energy can prevent protein decomposing as well as provide energy to compose protein.Source：Carbohydrate(50%55%)Amount：Abou

5、t 20002500cal a day2011/109High EnergyReason : Energy canHigh 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 . Besides , high protein diet is good for the patients who have low plasma protein and a

6、scites . Source : Lean meat , fish , eggs , milk , bean products and so on.Amount : 1.8 g /kg a day ,20%30%。2011/1010High Protein 2011/10102011/10112011/1011High VitaminReason : Vitamin can protect the liver. VitC takes part in the liver s metabolize directly, promoting hepatic glycogen(肝糖原） compose

7、 . 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 fruitAmount：A large number2011/1012High VitaminReason : Vitamin cLow FatReason : The function of the liver cells is becoming very weak when cirrhosis h

8、appened. 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）。Amount : About 4050g/day ,20%25%2011/

9、1013Low FatReason : The function oNo alcohol2011/1014No alcohol2011/1014No thrill foodmustardcurryshallotgingercayenne pepper2011/1015No thrill foodmustardcurryshalNo rough and hard foodcelery芹菜,bamboo shoots竹筍,chives韭菜 and those hard to digest food,etc.2011/1016No rough and hard foodcelery芹菜When201

10、1/1017When2011/1017What are the principles of cirrhosis diet?Could you make a diet for the cirrhosis? Thinking2011/1018 Thinking2011/1018References1葉任高,陸再英,劉厚鈺.內(nèi)科學(xué)M.5 版.北京:人民衛(wèi)生出版社,2002:460. 2孫嘩宏，喬秋閣.跟蹤干預(yù)對(duì)門脈高壓上消化道出血患者再出血的影響J.護(hù)理學(xué)雜志，2005，20(4):68一69.3孫兆翠. 肝硬化患者的營養(yǎng)評(píng)估及飲食護(hù)理J中國民康醫(yī)學(xué),2010,(01).4Lochs H, Plauth M. Liver cirrhosis: rationale and modalities for nutritional support the European Society of Parenteral and Enteral Nutrition consen