April 19, 2009

Liver disease with diabetes health care

Protracted course of the disease, recurrent disease, and age greater than simply the patients suffering from chronic liver disease have more anxiety and fear, a heavy psychological burden. Chronic hepatitis and cirrhosis of liver and diabetes combined, the two can interact and promote, severe hepatitis, liver cirrhosis may contribute to the development of diabetes, and poor diabetes control, then increase the lead to hepatitis and liver cirrhosis. Such as persistent severe jaundice, biliary enzyme separation, massive ascites, recurrent diarrhea, or even bleeding, recurrent disease. At the same time, easily associated with peritonitis, ineffective treatment with antibiotics.

Depth understanding of patients of various psychological problems, and timely solution, passing the relevant medical knowledge, is to enhance patient confidence and the key to the elimination of bad feelings.

Whether it is hepatitis or diabetes, which are critical to food. Should be beneficial not only to control and reduce the diabetes, but also conducive to the restoration of the liver. Therefore, we must guide the patient reasonable diet.

In principle, to add high protein, low salt, low fat, high vitamin digestible food, eating regularly, quantitative, eat three meals a day as early as in the late distribution of the 1 / 3. Daily glucose intake of 300 ~ 400g, so not only to meet the editor-in-chief Xu Hui liver cells need glucose, can not control blood sugar is too high, will also help repair regeneration of liver cells, which Hypoproteinemia and cirrhosis ascites in patients with diabetes more appropriate.

However, hepatic coma sign, yellow dye severe or persistent trend to deepen, as well as jaundice very period to limit the protein intake, but also avoid eating too hot food excellent, subject to pulverisation after pill should be taken so as not to induce digestion bleeding.

Severe hepatitis and cirrhosis due to lack of obvious weak constitution should be based absolute bed rest, supine position may be a more upright position to increase blood flow, can improve the nutrition and oxygen supply of the liver will help repair the liver. Yue be the restoration of liver function, may be appropriate to take a walk outdoors, exercise and so on. Regular exercise will help blood circulation and physical rehabilitation, promotion of gastrointestinal digestion and help the body use glucose conversion to Jiangtang purpose, but should avoid fatigue.

Hypoglycemic insulin to promote the role of glycogen synthase, the liver and is an ideal drug to treat diabetes. Should have accurate knowledge of the amount of use, to observe the post-drug response and efficacy, regular blood sugar, urine sugar, pay attention to the maintenance of water, electrolyte and acid-base balance and to avoid hypoglycemia reaction.

Low blood sugar reaction, first appeared hunger, palpitations followed by dizziness, limb weakness, whole body cold sweat, blood glucose less than 4mmol / L, should be given 50% glucose injection 40ml intravenous injection to alleviate the symptoms.

In addition to the liver and diabetes treatment for diabetes, chronic liver disease treatment is also very crucial. Therefore, it is necessary for different types of chronic liver disease with other doctors to give rational drug therapy, such as the liver Hugan, cholagogic Tuihuang, anti-fibrosis, anti-viral and immune therapy, such as when complications occur, it is necessary to promptly report and targeted therapy with the doctor.

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