Cov txheej txheem:
Video: Yuav kho tus mob hepatic encephalopathy li cas nrog cov as-ham?
2024 Tus sau: Michael Samuels | [email protected]. Kawg hloov kho: 2023-12-16 01:44
Lub hom phiaj tseem ceeb rau tus neeg mob uas muaj lub siab tsis ua haujlwm kawg yog kom zam dhau los ntawm txhua txoj kev ua kom poob phaus thiab txhawb nqa kev noj zaub mov nplua nuj. cov as-ham . Kev noj zaub mov zoo ntawm 35-40 kcal/kg/hnub tau pom zoo. Kev noj zaub mov tsis muaj protein ntau yuav tsum raug zam thiab noj cov protein kom tsawg ntawm 1.2-1.5 g / kg / hnub.
Hais txog qhov no, cov zaub mov dab tsi yuav tsum tsis txhob yog tias koj muaj kab mob siab hepatic encephalopathy?
Cov zaub mov muaj protein ntau kom tsis txhob muaj xws li:
- nqaij qaib.
- nqaij liab
- qe.
- ntses.
Tsis tas li ntawd, lub luag haujlwm ntawm daim siab hauv kev noj haus yog dab tsi? Cov daim siab yog ib qho ntawm cov kabmob loj tshaj plaws hauv lub cev. Nws muaj ntau yam tseem ceeb metabolic kev ua haujlwm . Nws converts cov cov as-ham hauv peb cov zaub mov noj rau hauv cov tshuaj uas lub cev siv tau, khaws cov tshuaj no, thiab muab cov cell nrog lawv thaum xav tau. Muaj ntau cov kwj dej nqa ntshav thiab cov kua tsib khiav nruab nrab ntawm cov daim siab hlwb.
Qhov thib ob, vim li cas koj thiaj txwv tsis pub muaj protein ntau nyob rau hauv hepatic encephalopathy?
Lub hom phiaj ntawm qhov qis- protein ntau kev noj haus yog txo cov plab hnyuv ammonia thiab yog li tiv thaiv exacerbation ntawm hepatic encephalopathy . Qhov teeb meem rau kev xyaum cov kws kho mob yog uas so zog siv yog nce hauv cov neeg mob cirrhosis txheeb ze rau lawv lub cev hnyav [14].
Puas yog protein nce qib ammonia?
Ammonia qib nce ntxiv nrog nce noj zaub mov protein ntau noj thiab nrog txo lub siab ua haujlwm. Rau kev simulation ntawm daim siab tsis muaj kab mob, nce cov protein noj los ntawm qhov pom zoo protein ntau kev nkag mus rau qhov siab protein ntau kev noj haus nce qib ammonia los ntawm kwv yees li 59%.
Pom zoo:
Ntev npaum li cas ib tus neeg nyob nrog tus mob hepatic encephalopathy?
Qhov tshwm sim ntawm tus mob encephalopathy hnyav txaus los coj mus pw hauv tsev kho mob yog cuam tshuam nrog qhov muaj peev xwm muaj sia nyob ntawm 42% ntawm 1 xyoos ntawm kev taug qab thiab 23% ntawm 3 xyoos. Kwv yees li 30% ntawm cov neeg mob tuag thaum kawg ntawm daim siab mob ua rau muaj tus mob encephalopathy, nce mus rau qhov tsis nco qab
Koj yuav ntsuas tus mob hepatic encephalopathy li cas?
Cov tsos mob: Tus cwj pwm lossis tus cwj pwm hloov pauv
Kev kho tus kab mob vais lav sib txawv li cas nrog kev kho tus kab mob kab mob?
Raws li koj tuaj yeem xav, kab mob kis tau los ntawm cov kab mob, thiab cov kab mob kis tau los ntawm cov kab mob. Tej zaum qhov sib txawv tseem ceeb tshaj plaws ntawm cov kab mob thiab cov kab mob yog tias cov tshuaj tua kab mob feem ntau tua cov kab mob, tab sis lawv tsis zoo rau cov kab mob
Thaum tus kws kho mob tau tso cai tso cai ntau npaum li cas yuav tsum muaj kev sib ntsib tim ntsej tim muag tshwm sim ntawm tus kws kho mob thiab cov kws kho mob qib siab uas tau sau npe rau tus nais maum?
Txawm li cas los xij, yog tias APRN lossis PA tau nyob hauv daim ntawv pom zoo tso cai nrog kws saib xyuas kws kho mob tsawg kawg tsib ntawm xya xyoo dhau los, cov rooj sib tham tim ntsej tim muag yuav tsum tshwm sim tsawg kawg ib hlis txog rau thawj hnub ntawm hnub uas tau pom zoo kos npe
Rifaximin kho tus mob hepatic encephalopathy li cas?
Tus qauv ntawm kev saib xyuas rau kev kho mob ntawm tus mob HE yog lactulose, ib qho tsis nqus tau cov tshuaj disaccharide uas xav tias yuav ua rau kom tshem tawm thiab txo qhov nqus ntawm ammonia. Rifaximin yog cov tshuaj tua kab mob tsis zoo uas tau xav tias yuav txo qis cov tshuaj ammonia los ntawm kev tshem tawm cov kab mob ammonia-ua rau cov kab mob colonic