Life maintenance and medical guidance for patients with cirrhosis

  First, active prevention: cirrhosis is a chronic liver disease process caused by the substantial degeneration and gradual development of the liver from different causes. Therefore, we should pay attention to the prevention and treatment of various primary diseases, actively prevent and treat chronic hepatitis, schistosomiasis, gastrointestinal infections, avoid contact and application of substances toxic to the liver, and reduce pathogenic factors.  Second, learn to self-stabilize emotions: the liver and the relationship between mental and emotional are very close. Poor mood, depression, anger and excitement can affect the function of the liver and accelerate the development of lesions. Establish a strong will, cheerful mood, cheer up the spirit, eliminate the burden of thought, will be beneficial to the improvement of the disease.  Third, the combination of static and dynamic: cirrhosis of the liver compensatory function is reduced, the complication of ascites or infection should be absolute bed rest. In the period of compensated function and stable disease, you can do some easy work or appropriate activities, such as walking, health exercises, taijiquan, qigong, etc. The amount of activity should not feel fatigue.  Fourth, the use of drugs from simple or not: blindly too much abuse of general drugs, will increase the burden on the liver, is not conducive to liver recovery. Drugs harmful to the liver such as isoniazid and barbiturates should be used with caution or avoided.  Fifth, quit smoking and avoid alcohol: wine can help fire and blood, long-term drinking, especially strong wine, because long-term alcoholism itself can lead to alcoholic cirrhosis of the liver. Therefore, drinking alcohol can aggravate the condition of patients with liver cirrhosis and can easily cause bleeding. Long-term smoking is not conducive to the stability and recovery of liver disease, and can accelerate the process of cirrhosis, the risk of promoting liver cancer.  Six, dietary conditioning: low fat, high protein, high vitamin and easy to digest diet is appropriate. Do regular, quantitative and moderate. In the early stage, we can eat more soy products, fruits and fresh vegetables, and appropriate sugar, eggs, fish and lean meat; when liver function is significantly reduced and there is aura of liver coma, protein intake should be controlled appropriately, and low salt diet or salt avoidance diet is advocated. Daily salt intake should not exceed 1 to 1.5 grams, and water intake should be within 2000 ml. In severe ascites, salt intake should be controlled within 500 mg and water intake within 1000 ml.  Spicy and stimulating products and hard and cold food should be avoided, and overheated food should not be eaten to prevent complications of bleeding. Cirrhosis is a chronic progressive liver disease caused by a variety of factors that damage the liver, such as chronic active hepatitis, long-term alcohol abuse and other long-term damage to the liver. It is mainly manifested by loss of appetite, weakness, bleeding gums, liver palms, spider nevus, jaundice, low albumin, splenomegaly, abdominal wall varices, esophagogastric fundic varices, ascites, etc. In the late stage, serious complications such as gastrointestinal bleeding, hepatic coma and secondary infection often occur.  Patients with cirrhosis are also at high risk for primary liver cancer and should pay attention to regular checkups.  1.Body and mind regimen: patients with cirrhosis should pay attention to rest and avoid strenuous exercise; they should maintain an optimistic mood and establish confidence to overcome the disease.  2.Ordinary diet: it should be easy to digest and rich in nutrition. High protein, high sugar, high vitamin, low fat for cirrhosis patients to choose the principle of diet.  3.When there is ascites, bed rest, increase nutrition, and limit the intake of salt, it is best to use salt-free or low-salt diet, the daily amount of salt to not more than 5 grams (1 money) is appropriate.  4, ascites when obvious also limit the intake of water, general water intake to control the daily 1000 ml (equivalent to 2 bottles of saline bottles used in hospitals). Severe hyponatremia, should be limited to 500 ml.  5, with esophageal varices, should avoid irritating and hard food, so as not to damage the varicose esophageal veins and cause hemorrhage.  6.When there is a possibility of liver coma, the protein intake should be limited, and three meals should be mainly vegetables.  7.No alcohol, no smoking, no abuse of “liver” drugs.  8, should go to the hospital regularly for liver function, methemoglobin measurement, ultrasound and other tests. If necessary, please follow the doctor’s instructions for further examination to rule out early malignant liver lesions in a timely manner.