Preventive care for hepatobiliary disease

  As the saying goes, “good treatment is better than good nutrition, three points of medicine, seven points of recuperation”. Chronic liver and gallbladder disease patients, in the treatment at the same time, if you can carry out effective self-conditioning, and can be consistent, to improve the treatment effect, to promote recovery from the disease.
  A. Spiritual recuperation Gan
  Spirituality refers to people’s consciousness, thinking activities and general mental state. Spiritual recuperation is mainly to nourish the mind and spirit, soothe the emotions, etc., to maintain the body’s psychological balance, so as to reduce the psychological pressure brought about by disease, to ensure mental health. To nourish the mind, first of all, we must establish the confidence to overcome the disease and the concept of peace if it comes, and try to “control the spirit, collect the soul, adapt to the cold and temperature, and harmonize with the joy and anger” (Ling Shu – this organ). The will is weak, more than the spirit of weakness, weak resistance to disease, vulnerable to disease and evil, must pay attention to spiritual conditioning, always pay attention to prevent the occurrence of disease; strong-willed people also need to avoid adverse external stimuli, to enhance the ability to resist disease. Chinese medicine believes that the liver is the main drainage, liver disease patients are most afraid of irritation and other adverse emotional stimulation, emotional disorder, most of the disease is more serious or complex performance; and the results of emotional disorder, it further reduces the body’s resistance. To lift the bad stimulus, you can use the cathartic method, such as to acquaintances, friends and relatives to reasonably talk about their moods and establish good interpersonal relationships. You can also use the transfer method, such as travel, study of qin, chess, books, paintings, etc. Sun Simiao of the Tang Dynasty said in the “Thousand Gold Essentials”: “Play the qin and the serenade, tune your mind, harmonize your temperament, and moderate your appetite”. Another example is Wu Shiji’s “Rie boiling parallel text” said: “the seven emotions of the disease, read a book to relieve boredom, listen to the song to dispel sorrow, there is better than taking medicine.” Therefore, when depressed, appropriate emotional mediation methods can be used to complement drug therapy to eliminate the effects of adverse factors and promote early physical recovery.
  1, to prevent anger injury to the liver: liver for the just organ, like to strip (smooth) and evil depression. Anger will hurt the liver, depression for a long time or sudden, strong anger can lead to the liver’s qi and blood imbalance, affecting the liver’s drainage function, triggering liver disease aggravation. Therefore, patients with liver disease should be free of emotions and appetites, and avoid the stimulation of excessive adverse mental factors, especially anger.
  2, avoid excessive thinking: worrying about the spleen, the spleen injury is eating water and grain transport and abnormal, dampness and turbidity, most likely to lead to internal dampness and damp heat and epidemic toxicity together, so that liver disease aggravated or relapse. If the liver disease is not deficient in the spleen, the condition is relatively single and easy to treat; if the spleen is injured by worries and thoughts, the liver disease can easily spread to the spleen, resulting in the same disease in the liver and spleen, which makes the condition more complicated and treatment becomes more difficult. Therefore, it is advisable to maintain a calm state of mind, calm and quiet, to avoid aggravating the disease with long thinking and worry.
  3, keep optimistic: a relaxed mood, full of emotion, can enhance the body’s immune function, improve the ability to resist disease. Patients with liver disease should maintain a relaxed mood, optimistic mood, build up the confidence and courage to live. Do not be pessimistic, depressed and fearful because of the disease. You should take part in sports and cultural activities to lift your spirits, so as to effectively dispel the negative emotions such as depression, frustration and sadness.
  Second, the diet should be avoided
  1, avoid eating hot and spicy stimulating food: hepatitis to damp-heat-based, due to damp-heat contained in the body, regardless of the length of the disease, as long as the hepatitis is not healed, damp toxicity is not clear. The food is hot, hot sauce, onion, pepper, coffee, tea, etc. It is easy to enter the body to help heat and moisture, aggravating the disease, so should not eat.
  In winter, people like to eat hot pot, hot pot with its numb, spicy, hot and half-cooked for its characteristics, not only help wet heat, increase the burden on the liver, and easily lead to viral bacterial parasites infection. In addition, shabu-shabu food is often something coarse and hard fiber, which can easily cause ruptured bleeding in the varices of the esophagogastric fundus in patients with cirrhosis.
  2, avoid drinking alcohol. The main component of alcohol is ethanol, ethanol and its metabolite acetaldehyde are metabolized by the liver, and damage to the liver, leading to hepatocyte degeneration and necrosis, aggravating the disease. At the same time hepatitis patients detoxification capacity is reduced, alcohol can promote the generation and accumulation of fat in the liver, the occurrence of fatty liver.
  3, do not eat fried fried food: in the frying fried and other cooking process, due to fat oxidation of acrolein, through the blood circulation to the liver, damage to liver parenchymal cells, aggravating liver disease. In addition, fried and fried food is relatively hard, is also an important factor leading to upper gastrointestinal bleeding in patients with cirrhosis.
  4, it is advisable to eat high-protein, high vitamin diet: chronic hepatitis, cirrhosis patients should be mainly high-protein, high vitamin diet, patients with cholecystitis should enter a low-fat diet. High protein diet should be milk and eggs. Milk is rich in nutrition, containing high-quality protein, easily absorbed lactose and milk fat, a variety of vitamins, rich in calcium, phosphorus and a variety of trace elements. It can directly promote the secretion of digestive juices without being affected by the patient’s appetite, so it is an almost “perfect” natural food for hepatitis patients. Some patients who have had too much gas and bloating after drinking fresh milk can switch to yogurt, which is more nutritious and easier to digest and absorb.
  The main components of fruits are glucose and fructose, which can be directly absorbed by the body. They also contain a variety of inorganic salts and trace elements, which are similar to the components in human blood and have a good tonic effect. Patients with liver disease eat different fruits appropriately, can supplement the necessary vitamins, trace elements, beneficial to the recovery of liver disease, but be careful not to overdo it, so as not to affect the appetite, and even lead to abdominal pain, diarrhea, etc.; cirrhosis esophagogastric fundic varices should pay attention to peel, remove the core, chew slowly to prevent damage to the blood vessels induced bleeding.
  5, diet should be moderate: the “diet since the times, the stomach and intestines are hurt. If patients with liver disease do not eat properly, hunger and satiety are not normal, resulting in the spleen and stomach function is not normal, the source of biochemical energy is affected, the liver is not nourished, it will aggravate or induce liver disease. Therefore, it is important to eat moderately and in moderation, and avoid overeating, in order to benefit the recovery of liver disease.
  Three, living conditioning
  1, avoid strain: the liver is the main tendon, the whole body tendons and joints of the movement, overwork will consume blood and loss of gas and injury to the liver, resulting in the deficiency of evil love, the disease is difficult to heal. Therefore, proper rest is very necessary for patients with liver disease. For example, hepatitis B patients, in the acute stage should be bed rest, avoid too much activity; chronic hepatitis B patients, should pay attention to the combination of work and rest, appropriate rest, as light work; hepatitis B recovery period or hepatitis B virus carriers, when the activity to no fatigue.
  2, on time rest: sleep is the element of liver protection can not be replaced by diet or any other health food. Various nutrients in the human body mainly exist in the blood, and the blood flow to the liver can increase by 1,000 to 2,000 milliliters after a person falls asleep in a flat position. According to Chinese medicine, “the liver collects blood”, and “when people sleep, blood returns to the liver”, 11:00 p.m. to 3:00 a.m. is the time of liver and gallbladder meridian, which can nourish liver blood. However, if you sleep too late or have restless sleep at night, it will be difficult for blood to be collected in the liver, and the liver will lose its moistening, which will easily lead to internal incandescence of liver fire and hyperactivity of liver yang, thus aggravating the existing liver disease. Therefore, patients with liver disease need to ensure 8 hours of sleep every day, so that the liver can get sufficient rest and recuperation.
  3, careful to avoid external evil: “where evil comes together, its gas will be deficient”, liver disease patients, most of the physical weakness, easily attacked by external evil and the onset of disease, so that changes in the condition, affecting the effectiveness of treatment, or make the course of the disease is delayed. Therefore, in winter, we should not only do a good job to prevent cold and keep warm, but also pay attention to the ventilation of the living room, appropriate increase and decrease clothing, so that “false evil thief wind, avoid the sometimes”.
  Fourth, reasonable exercise
  Exercise according to each person’s age, health level, gender to choose a suitable project and exercise for their own exercise, to do according to their ability, do not force. Also can not be based on interest and enthusiasm, if only blindly exercise, not only can not promote the growth and development of the body, but will hinder health, and even injuries can occur, affecting health. In order to make physical exercise to achieve the effect of strengthening physical fitness, exercise should be carried out in accordance with the following requirements.
  First, we should pay attention to the overall exercise of the body. According to their health and physical fitness, choose easy and effective exercise program. Pay attention to the overall exercise to improve the quality.
  Second, to develop the habit of regular exercise. Physical exercise to achieve the purpose of strengthening physical fitness, must be persistent. Three days to fish, two days to sunbathe, will not achieve a good exercise effect.
  Third, to reasonable arrangements, step by step. Should be purposeful, planned, step by step, to accumulate, gradually and gradually improve. The amount of exercise should be based on their own conditions from small to large, a combination of small and large, rhythmic increase. Increasing the amount of exercise and continuously improve the difficulty of the action, in order to get a good exercise effect.
  In addition, as the elderly more and more advocate sports fitness, how to exercise scientifically and reasonably to reduce the occurrence of sports injuries is increasingly important. After the age of 60, the function of various systems are beginning to decline, including responsiveness, balance, coordination, sensitivity; muscle strength is significantly weakened, and a series of degenerative changes in the locomotor organs, such as muscle atrophy, reduced excitability, slowdown, brittle bones, etc.. In addition, after entering old age, it is easy to suffer from a variety of diseases, especially some diseases usually not easy to find, the disease is easy to attack during exercise, resulting in accidents. Therefore, attention should be paid to strengthening the functional exercise of muscles and joints to improve the strength of muscles and flexibility of joints. It is best to wear sportswear and sports shoes when exercising, and avoid sports venues that are uneven, too hard, too slippery, with more ground debris and aging equipment. Do a proper warm-up before exercise, concentrate when exercising, do self-monitoring when exercising, frequently observe, record and evaluate the health situation, adjust the exercise prescription and exercise plan at the right time, prevent excessive fatigue, which can effectively avoid sports injuries and hypoglycemia.