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773 11 |
Ultima descărcare din IBN: 2024-01-16 11:44 |
Căutarea după subiecte similare conform CZU |
616.36-004:613.2 (1) |
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SM ISO690:2012 ROMANCIUC (VENGHER), Inna, CONDRATCHI, Ludmila, LUPAŞCO, Iulianna, LUPAŞCO, Daniella. Aspecte nutriţionale în encefalopatia hepatica. In: Sănătate Publică, Economie şi Management în Medicină , 2016, nr. 4(68), pp. 48-54. ISSN 1729-8687. |
EXPORT metadate: Google Scholar Crossref CERIF DataCite Dublin Core |
Sănătate Publică, Economie şi Management în Medicină | ||||||
Numărul 4(68) / 2016 / ISSN 1729-8687 /ISSNe 2587-3873 | ||||||
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CZU: 616.36-004:613.2 | ||||||
Pag. 48-54 | ||||||
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Rezumat | ||||||
Management of hepatic enceohalopathy (HE) should include actions to normalization of nitrogen mentabolism. The assessment of nutritional status in patients with cirrhosis is problematic but patients with HE should undergo nutritional assessment because many patients are malnourished. Optimization of nutritional status could improve management of HE. Dietary protein restriction should be avoided, except for very short periods in patients with gastrointestinal bleeding. The latest guidelines recommend energy and protein intake to be 35-40 kcal/kg and 1.2-1.5 g/kg ideal body weight; small meals evenly distributed throughout the day and a late-night snack of complex carbohydrate should be encouraged; dietary nitrogen sources are preferable to be from vegetable and dairy protein. Oral branched-chain amino acids (BCAAs) supplementation may benefit patients who are intolerant of dietary protein. Fiber-enriched diets (25-45 g) may benefit patients with cirrhosis and HE. For malnourished patients or those with decompensated cirrhosis could be justified multivitamins preparation. Hyponatremia should always be corrected slowly. |
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Cuvinte-cheie hepatic encephalopathy, energy intake, protein intake, nutritional status |
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Cerif XML Export
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The assessment of nutritional status in patients with cirrhosis is problematic but patients with HE should undergo nutritional assessment because many patients are malnourished. Optimization of nutritional status could improve management of HE. Dietary protein restriction should be avoided, except for very short periods in patients with gastrointestinal bleeding. The latest guidelines recommend energy and protein intake to be 35-40 kcal/kg and 1.2-1.5 g/kg ideal body weight; small meals evenly distributed throughout the day and a late-night snack of complex carbohydrate should be encouraged; dietary nitrogen sources are preferable to be from vegetable and dairy protein. Oral branched-chain amino acids (BCAAs) supplementation may benefit patients who are intolerant of dietary protein. Fiber-enriched diets (25-45 g) may benefit patients with cirrhosis and HE. For malnourished patients or those with decompensated cirrhosis could be justified multivitamins preparation. Hyponatremia should always be corrected slowly.</em></p></cfAbstr> <cfAbstr cfLangCode='RU' cfTrans='o'><p><em>Нормализация азотного баланса в организме является обязательной составляющей комплекса лечебных мероприятий при печеночной энцефалопатии (ПЭ). Существуют сложности в оценке нутриционального статуса больных с циррозом, но такая оценка необходима для проведения коррекции питания. Следует избегать назначения безбелковой диеты, кроме коротких периодов после кровотечения из ЖКТ. Гиды последних лет рекомендуют поступление с пищей 35-40 ккал/кг и 1,2-1,5 г белка/кг в день, частый прием пищи в небольшом количестве, в том числе и перед сном, отдается предпочтение белкам растительного и молочного происхождения. Аминокислоты с разветвленной боковой цепью могут назначаться пациентам с непереносимостью цельного белка. Приветствуется диета богатая клетчаткой (25-45 г/день). При декомпенсированном циррозе и пониженном питании целесообразно назначение </em><em>поливитаминных препаратов. 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