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739 11 |
Ultima descărcare din IBN: 2024-01-16 11:44 |
Căutarea după subiecte similare conform CZU |
616.36-004:613.2 (1) |
Заболевания пищеварительной системы. Болезнь пищеварительного тракта (1698) |
Гигиена питания. Диетика. Принципы питания (179) |
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. |
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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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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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