In the complex therapy of cirrhosis of the liverThe patient is prescribed a therapeutic diet. The diet is selected taking into account the type of disease, the functional capacity of the liver, the presence of concomitant pathologies and complications.
Treatment with cirrhosis warnsProgression of the disease, improves the recovery capacity of hepatocytes, normalizes metabolism, activates immunity, prevents the development of complications. In the case of compensated cirrhosis, the ability of the liver to neutralize ammonia is maintained, so the diet should include full-length proteins (up to 120-130 g) containing lipotropic substances and essential amino acids. Proteins help increase the body's defenses and improve the recovery functions of liver cells.
It is recommended that the patient take milk andFermented milk products, cottage cheese, low-fat fish, beef, egg white. Will be useful for buckwheat, millet, soy flour, oatmeal. An increase in the amount of protein in the diet is necessary when cirrhosis develops against the backdrop of unbalanced diet, alcohol abuse and a decreased level of proteins in the blood. With decompensated flow of cirrhosis with a violation of the function of neutralizing ammonia, as well as in the pre-coma, the use of proteins should be significantly limited (up to 20-30 g per day). If the patient's condition does not improve, the proteins are completely excluded from the diet.
The amount of fat in the diet is set, based onFrom the patient's condition. It is allowed to use them up to 90 g per day. A significant part should be vegetable fats, the rest - dairy. Animal fats should be completely excluded from the diet. With dyspeptic disorders (vomiting, nausea, diarrhea, jaundice), the fat content of the diet is limited to 30 g or excluded completely. The daily amount of carbohydrates can reach up to 400-450 g, including simple - up to 100 g. They are limited for cirrhosis of the liver against obesity.
Prohibited are: Beans, biscuits, coffee, strong tea, cocoa, alcohol, spices, spicy dishes, vegetables containing essential oils (garlic, onion, radish, radish), cold food and drinks. In the presence of edema and ascites (fluid in the abdomen) restrict the use of water and salt (up to 2-5 g). With a lack of potassium in the body, especially during the intake of diuretics, it is necessary to enrich the diet with foods containing a sufficient amount of this microelement (fruits, vegetables, raisins, prunes, figs, etc.).
When constipation should be included in the diet of beets,Raw carrots, prunes, apricots, one-day kefir, milk, honey. With a tendency to diarrhea, these foods can not be eaten. Patients in serious condition in the diet include digestible carbohydrates, vitamins and increased amounts of water. Food is given in small portions every 2-3 hours in the form of berry, fruit, vegetable juices, fruit and berry compotes, tinctures of dogrose, weak sweet tea with lemon, jam, kissels, honey. As the health improves, rubbed soups, milk, butter, cottage cheese and other products are allowed.