《护理英文小讲课》PPT课件

Case:,MrWhite,a65yearsoldman,unluckygotthediseaseofcirrhosis.Nowhiswifewantstomakesomefoodforhim,whatkindsoffoodshouldshemake?,1,2011/10,DietforCirrhosisoftheLiver,Lecturer:CynthiaFrom:GuangzhouMedicalcollege,2,2011/10,Learningobjectives,3,2011/10,LearningContents,OverviewPrinciplesofcirrhosisdietMattersneedingattentionforcirrhosisdiet,4,2011/10,Definition：Cirrhosisisaconsequenceofchronicliverdiseasecharacterizedbyreplacementoflivertissuebyfibrosis,scartissueandregenerativenodulesleadingtolossofliverfunction.,Overview,Video,5,2011/10,Overview,6,2011/10,Reasonabledietguidanceisnecessaryforcirrhosis,inordertoprolongtheirlivesandimprovetheirlivesquality.,So,7,2011/10,Principlesofthediet,HighenergyHighproteinHighvitaminLowfat,Threehighonelow,8,2011/10,HighEnergy,Reason:Energycanpreventproteindecomposingaswellasprovideenergytocomposeprotein.Source：Carbohydrate(50%55%)Amount：About20002500caladay,9,2011/10,HighProtein,Reason:Highproteindietnotonlycanprotectthefunctionoflivercellsbutalsopromotethedamagedlivercellstorepairandregenerate.Besides,highproteindietisgoodforthepatientswhohavelowplasmaproteinandascites.Source:Leanmeat,fish,eggs,milk,beanproductsandsoon.Amount:1.8g/kgaday,20%30%。,10,2011/10,11,2011/10,HighVitamin,Reason:Vitamincanprotecttheliver.VitCtakespartintheliversmetabolizedirectly,promotinghepaticglycogen(肝糖原）compose.VitKisconnectedwiththecomposeofprothrombin（凝血酶原）.LipidsolubilityVitA、D、Ecanhelptoprotecttheliverinaway.Source:VegetablesandfruitAmount：Alargenumber,12,2011/10,LowFat,Reason:Thefunctionofthelivercellsisbecomingveryweakwhencirrhosishappened.Bilesynthesisandsecretionbecomelittle.Thedigestionandabsorptionoffatmeetblock,thentoomuchfatintakewouldheaventheburdenoftheliver,finally,fattyliverhappen.Source:Plantoilisthebest,suchaspeanutoil,sesameoil（芝麻油）。Amount:About4050g/day,20%25%,13,2011/10,Noalcohol,14,2011/10,Nothrillfood,mustard,curry,shallot,ginger,cayennepepper,15,2011/10,Noroughandhardfood,celery芹菜,bambooshoots竹笋,chives韭菜andthosehardtodigestfood,etc.,16,2011/10,When,17,2011/10,Whataretheprinciplesofcirrhosisdiet?Couldyoumakeadietforthecirrhosis?,Thinking,18,2011/10,References,1叶任高,陆再英,刘厚钰.内科学M.5版.北京:人民卫生出版社,2002:460.2孙哗宏，乔秋阁.跟踪干预对门脉高压上消化道出血患者再出血的影响J.护理学杂志，2005，20(4):68一69.3孙兆翠.肝硬化患者的营养评估及饮食护理J中国民康医学,2010,(01).4LochsH,PlauthM.Livercirrhosis:rationaleandmodalitiesfornutritionalsupporttheEuropeanSocietyofParenteral