How to eat and maintain the health of cirrhotic patients in winter?

  Since the winter, the ward has admitted a number of patients with hepatitis B cirrhosis combined with upper gastrointestinal bleeding, mostly due to improper diet, life does not regulate the cause, it is understood that these patients generally lack knowledge of cirrhosis and common sense life, do not know what to do in life, in view of this, I talk to the majority of patients with cirrhosis of the liver should pay attention to several issues in the life of patients with cirrhosis.  The general principle of the diet of cirrhotic patients is to low fat, high protein, high vitamin and easy to digest diet is appropriate, to achieve regular, quantitative, moderate. In the early stage, we can eat more soy products, fruits, fresh vegetables, appropriate sugar, eggs, fish, lean meat; when liver function is significantly reduced and there is aura of liver coma, protein intake should be properly controlled, and advocate low-salt diet or salt avoidance diet salt daily intake of no more than 1 to 1.5 grams, water intake within 2000 ml, in severe ascites, salt intake should be controlled within 500 mg, water intake in 1000 ml or less.  In order to prevent bleeding, we should also pay attention to the regularity of life, avoid excessive fatigue, and always have some stomach acid drugs at home, such as omeprazole, ranitidine, etc. Once the symptoms of heartburn and acid reflux appear, we can effectively prevent the risk of bleeding, because excessive stomach acid is one of the direct causes of gastrointestinal bleeding.  Protein supply should be appropriate: hypoproteinemia is an important mechanism for the occurrence of ascites. Cirrhotic ascites is mostly accompanied by hypoproteinemia. Giving a high protein diet to patients with cirrhosis can increase the plasma protein content and protect the liver, prompting the recovery of damaged liver cells and promoting the regeneration of liver cells.  Under stable condition, it is better to supply 1.2~5g protein per kg body weight, and 80~100 protein for the whole day, half of which should come from lean meat, fish, milk, eggs and soybean products with high physiological value, paying attention to the meat and vegetable mix. However, it should be noted that in patients with significantly reduced liver function or aura of hepatic coma, in order to reduce the burden on the liver and reduce the concentration of ammonia in the blood, so as to avoid further deterioration of the disease. The protein intake should be strictly limited to no more than 20g per day. Carbohydrate supply should be moderate: they include grains, vegetables, fruits and sugars. Providing enough carbohydrates can reduce the consumption of protein and reduce the burden on the liver; carbohydrates can maintain the glycogen content in liver cells, so that they can be used for the composition and proliferation of liver tissue to protect the liver. Therefore, patients with cirrhotic ascites, under the condition of complete rest, the daily dietary calories to 2100-2400 kcal is appropriate, the daily supply of carbohydrate amount of 350-400g Meguchi can ensure the needs of the body, but the patient should not force oral too much sugar in addition to diet.  Control fat intake: The supply of fat should not be too much hard change of the liver so that the synthesis and secretion of bile is reduced, so that the digestion and absorption of fat is seriously affected. Too much dietary fat, not only hinder digestion, and easy to deposit in the liver, causing liver function decompensation. Fat per day to 40-50g, to contain unsaturated fatty acids of vegetable oils is good.  Vitamin supply should be abundant: Patients are very vulnerable to various vitamin deficiencies. Therefore, patients should be allowed to eat more vitamin-rich vegetables, fruits, coarse grains, egg yolk, lean meat, animal liver and other foods regularly.  Restrict the intake of water and sodium: Restricting the intake of water and sodium is an important measure for the treatment of ascites. For patients with a large amount of ascites and little urine, they can eat a salt-free diet. After the disease improves, ascites decreases and urine volume increases, a low-salt diet of 2-3 g of sodium salt per day can be eaten. Patients with large amount of ascites, the intake of water, in addition to the water contained in the main and side dishes and fruits every day, can no longer drink water, such as feeling mouth thousand, thirsty, can drink a little. The total daily intake of water, including infusion, should not exceed 1500nd.  Diet is fine and soft, alcohol is strictly prohibited: patients with cirrhotic ascites, often accompanied by esophageal varices, prone to esophageal vein rupture bleeding. Therefore, the food that patients usually eat should be soft, light and easy to digest, with semi-liquid or soft rice as the best. Adopt the diet system of small amount and multiple meals. Forbid to eat fried, greasy, hard and easy to swell food, avoid all kinds of alcohol.