subota, 28.11.2009.
Advice on treatment of liver cirrhosis
Unfortunately, the typical morphological changes of cirrhosis of the liver did not undergo the reverse change. The main challenge for the physician and patient, slow down the progression of these changes and react to emerging signs of disease. At the same time - Cirrhosis is not a deadly disease, and in some cases, for example, when addressing the impact of alcohol on the liver may significantly slow down its progression.
That is why the use of alcohol in any type and number of patients with cirrhosis (regardless of the cause of the disease) is prohibited. In the case of fulfillment of this condition preserved the viability of liver cells may be largely compensated liver function.
The choice of treatment regimens for patients with cirrhosis of the liver remains with the doctor. <
An important aspect of treating a patient suffering from cirrhosis of the liver is its mode of life and nutrition.
Here are some general tips that can positively affect the quality of life of patients
* The best remedy for fatigue is a feeling of rest, especially sleep
* Because of the threat of bleeding from varices (hemorrhoids, esophageal) should not lift weights
* Control the frequency of bowel movements - best to do it twice a day, with tendency to constipation should be increased in the diet of vegetable fibers (wheat bran), with the ineffectiveness of honey - Add lactulose. This drug is a synthetic carbohydrate, which is not digested and not absorbed in the intestine. Due to this, lactulose has aperient effect. In addition, the regular chair in a patient with cirrhosis is the basis of prevention in the home of violations of the brain that bring together specialists of the term "hepatic encephalopathy". This is achieved by another important property of lactulose - the ability to facilitate the vital activity of the normal intestinal microflora (bifidobacteria and lactic acid) and by inhibiting the processes of decay, worsen the conditions of "life" of pathogenic bacteria. Thus, on the one hand, the lactulose, possessing aperient effect, removes toxins from the body, on the other hand, reduces their education, and thus the absorption in the intestine. Average therapeutic dose of lactulose ranged from 1 teaspoon to 1 tablespoon 2-3 times daily, preferably on an empty stomach. In some cases, may require even higher doses. The criterion of adequacy of dose of lactulose is mushy stools 2-3 times a day. The drug is well tolerated. The appearance of bloating can lower the dose
* To facilitate the digestion of protein, and particularly fatty foods patients should be periodically multienzyme preparations, of which approximately the same, but the difference is mainly determined by the amount they contain digestive enzymes and / or additional components (bile, gastric pepsin, etc.) <
* Regular measurement of body weight, the volume of the abdomen at the umbilicus allows, in case of an increase of one and two above-mentioned parameters, quickly identify the retention of excess fluid in the body and, therefore, quickly respond to the tightening of control consumption of salt to 0.5 grams per day, and liquid - until 1000 - 1500ml per day, more precise control of consumption and the selected fluid is controlled by a daily water balance: counting the number of accepted inside the liquid (drinks, including water, first courses, vegetables, etc.) and to provide urine . For patients with cirrhosis of the liver, with minor swelling of limbs and the absence / low kolichesvtom fluid in the abdominal cavity (ascites) should strive for such a water balance that he singled out for 200 - 400 cc more than they consumed (so-called ecuresis). When expressed extremity edema, ascites, which leads to an increase in the abdomen, should strive to have a positive urine output was 700 - 1000 ml / day and maintained at this level to reduce the severity of edematous syndrome. Usually ecuresis achieved through the use of diuretic drugs (their choice, form and frequency of introduction are determined by a doctor). The most common use of furosemide, which has potent diuretic dose-dependent effect and a wide "therapeutic window" (the possibility of receiving from 40 mg to several grams a day). However, excessive exudation (higher values of positive urine output) is undesirable because it can provoke the appearance / progression of hepatic encephalopathy in patients with liver cirrhosis. In such cases, you should immediately contact a doctor and discuss with him the number and frequency of taking diuretics
* Simple and sensitive way to monitor the degree of severity of hepatic encephalopathy is a test to assess the patient's handwriting. To do this, he is asked to write daily in a notebook the same short phrase. It is important that the handwriting was assessed not by the patient himself and his surroundings. Deterioration of handwriting - witness the growth of hepatic encephalopathy, and therefore a signal for correcting the diet (see below), and increasing doses of lactulose. If the situation is not improving - should discuss it with your doctor.
Features diet <
Daily kalorazh food for patients with cirrhosis of the liver, as a rule, is 2500 kcal, while in the diet are limited to products rich in protein. This is due to the fact that the inherent difficulty of such patients digestion and absorption of protein contributes to the intensity of processes of decay in the gut. As a result of increased absorption of toxic to the liver, brain decay products of protein with the exacerbation of liver failure. That is why for most of the patients' daily need for protein is 80-100 g, preferably in the form of food rich in this component of plants.
In the case of a patient's hepatic encephalopathy protein intake is limited to 50 grams a day, sometimes useful to be doing "protein-free" days to make up the calories at the expense of easily digestible carbohydrates. Due to the feasibility of limiting salt in cooking it is not specifically add some salt. To avoid the temptation - the salt should be absent on the table during the meal the patient with liver cirrhosis. Excludes sodium and rich in mineral water.
Excluded are any products containing baking powder and baking soda (cakes, sponge cakes, pies, pastries, and ordinary bread), as well as pickles, olives, ham, bacon, corned beef, tongue, oysters, mussels, smoked herring, canned meat and fish, fish and meat pie, sausage, mayonnaise, various sauces jars (except the salt-free), all types of cheeses, ice cream.
Preference should be given to salt-free products. To improve the taste of food (which should bring an appetite), it is prepared with the addition of various spices and seasonings: lemon juice, orange zest, onions, garlic, pepper, mustard, sage, thyme, parsley, oregano, bay leaf, cloves, etc. ..
Of the approved for patients with cirrhosis of the liver products should be called veal or poultry meat, rabbit to 100 g per day, low-fat varieties of fish. One egg is equivalent to 50 grams of meat. <
Milk is limited to 1 cup per day. Perhaps nereguryanoe consumption of low-fat sour cream. Cooked rice is consumed only without the salt. Any fruits and vegetables in fresh form or in the form of dishes prepared at home, should form the basis of dietary intake of the patient with liver cirrhosis.
Cirrhosis
Before using folk remedies, consult a physician
Good results in the treatment of cirrhosis of the liver gives a welcome infusion celandine 1st. spoon grass pour 0.5L. boiling water and insist in a thermos 5 o'clock. Tool to drink 200ml. morning before breakfast and evening before bedtime.
Take equal parts inula, mint leaves, dandelion root, fruit, coriander, clean, "tbsp collection grind in a coffee grinder or a grinder, pour in a thermos .0.5 liters. boiling water and insist night. Take-thirds cup 3-4 times a day for 2-3 months.
Daily basis to drink a cup of juice of red beet and radish (half).
Nettle leaves - 10 grams, dog rose hips - 20 g, rhizome quack grass - 20 g
Diet for liver cirrhosis. It is important to limit salt intake. If there is a tendency to ascites, recommended having diuretic effect watermelons, grapes, black currant and mountain ash. Recommended products with high content of lipotropic substances, cellulose, pectin, liquid. Contraindicated foods rich in nitrogenous extractive substances, purine, cholesterol, oxalic acid and products of oxidation of fats that occur when frying.
In liver cirrhosis pour 0.5 liters. vodka 5 large dried in the shade leaves of horseradish and Design your 5-day digest in the shade. Strain and drink for 1. Art. l. 3 times a day for 30 minutes. before eating during the kneading
Three art. spoon Repeshko (grass) pour two glasses poured two cups of boiling water and boil at low heat with the lid for five minutes. Then insist in a thermos 12 hours, strain and diluted in broth a tablespoon of honey. Take hundred grams of 4 times a day (preheated) for 15-20 minutes before a meal by adding 20 drops of an alcohol tincture of hops.
Take 5 parts raspberry leaf, and 3 of the flowers of meadowsweet, herb succession, 2 parts plantain leaves, grasses, clover, kipreya, birch buds, nettle leaves, chamomile flowers, grasses, yarrow, wormwood, dandelion roots and calamus, and 1 part of the root bergenia , leaves of blackberry, St. John's wort, wild cherry fruit, root elecampane. 2 tablespoons collection grind and brew 0.5 liters of boiling water, leave overnight in a thermos and take on a third cup 3-4 times a day for 2-3 months.
Vitamins for eyes
Eyes - one of the principal organs of the human perception, is a source of visual information. It is difficult to overestimate the importance of vision for humans, it is through his eyes we experience the fullness of life, we see the beauty of nature, the brightness of colors, the sun, the smiles of others. Caring for the eyes - an essential element for the health of the organ of vision, but in everyday life we often forget the need for special treatment to his eyes, and yet for the normal functioning of the eyes needed vitamins and regular rest.
Vitamins for the eyes - it is all known vitamins, which we know from childhood, carotene, thiamin, riboflavin, ascorbic acid. To get these vitamins in the right quantities, can be a balanced diet or taking a special vitamin complex for the eyes.
Vitamin A - carotene, a fat-soluble vitamin, it is absorbed by the body only in the presence of fatty acids. Carotene is required for normal functioning of the retina, the first sign of a lack of this vitamin is the deterioration of vision in twilight and poor lighting. The daily need for carotene 1, 5 - 2, 0 mg.
Sources of vitamin A: liver, chicken egg yolk, milk, cream, cod liver oil, carrots, tomatoes, parsley, apricots, mountain ash, sunflower seeds.
Vitamin B (B1, B2, B3, B6, B12) - participate in the processes of the nervous system, in particular, are responsible for the innervation of the eye. Deficiency of B vitamins causes damage to nerve cells, reduced visual acuity, increases the risk of developing glaucoma.
Sources of B vitamins: legumes (beans, peas, beans), nuts, pork, beef and pork liver, kidney, cheese, cottage cheese, yogurt, eggs, brewer's yeast.
Vitamin C - supports the muscles in tone, with its shortages, reduced muscle tone, accelerates the fatigue of eyes, hemorrhages occur in the eyes. Daily demand ascorbic acid 70 - 100 mg.
The source of vitamin C are: rose hips, black currant, Bulgarian pepper, leafy vegetables, chokeberry.
Vitamin D - is involved in the transport and assimilation of calcium, which is necessary for muscle contraction. Vitamin D deficiency leads to myopia, with his lack of muscles that hold the lens, convulsions occur, worsening mobility eyes.
Vitamin D is synthesized in the organism under the influence of sunlight and with enough calcium, eat dairy products and expose themselves under the sun.
Vitamin E - reduces the risk of retinal detachment eyes, vitamin E is precisely this disease.
For newborns sources of vitamin E is breast milk, in which it is contained, and in any other form of milk, vitamin E was not found. For replenishment of vitamin E in the body eat vegetable oil, nuts, sunflower seeds, cereals.
Folic acid - one of the most important substances involved in blood and in the metabolic processes of amino acids. Ophthalmologists say that folic acid improves vision.
A large number of folic acid contained in fresh herbs: parsley, lettuce, spinach, heat treatment folic acid is destroyed.
Also, to maintain normal vision and to ensure normal supply of eyes are needed, calcium, potassium, sodium and other micro and macro. Eating fresh vegetables, fruits, vegetables, various kinds of meat and liver, that is, the most balanced your diet, you can not worry about the health of their eyes. Remember that fat-soluble vitamins (A, E, D) poorly absorbed without fat, so chew on raw carrots, three times a day just useless, it is better to rub it on a grater and flavor sunflower or olive oil.
To maintain the organ of vision in the normal state must do exercises regularly for the eye muscles and give your eyes rest. <
If you can not eat certain foods all year round, you can take advantage of special complex vitamins for the eyes, which are sold in pharmacies. The main thing to choose a proven, certified complex, which includes all the necessary vitamins for the eyes. In using the vitamins separately, you should not be carried away, a surplus of vitamin A is not less harmful than its scarcity.
Low placentation
Pregnancy - is undoubtedly the most exciting and important stage in the life of every woman. All efforts and all attention shifted to preparations for the birth of the future child, including taking care that the child was born healthy and sturdy. In this regard, some expectant mothers are very concerned about the issue of the poor location of the placenta on the internal os of the uterine cervix. Before continuing this exciting topic for many women, let us recall some of the terms slightly. Thus, the placenta - thickened part of the embryonic shell, designed for feeding and respiration of the fruit and its immunological protection.
Blastoderm is formed around the fertilized egg, which has successfully "prizhivilas" in the uterine wall. Cervix - a tubular organ that connects the uterus to the vulva. It was for her during labor and delivery and is emerging into the light baby. From this it follows that the cervix opens outward into the vagina, and the inside - in the uterine cavity. These anatomical areas are called, respectively, external and internal os of the uterus.
Normally, the fertilized egg attaches to the top of the uterus, close to its bottom (because the bottom of the uterus drawn up). So often it is here that the placenta is formed. However, in some cases the egg is embedded in the lower part of the uterine wall, resulting in growing and increasing in the size of the placenta is too close to the inner zevu adjoins the uterine cervix. Why did the egg is attached, not where she put it? The reasons are different: the infectious-inflammatory pathology of the uterus, vascular diseases of the pelvic organs, a history of abortions, congenital anomalies of uterine development, elderly women, and more. The more of these risk factors, the higher the probability of forming a low placenta. Low placentation diagnosed when the distance from the placenta to the internal os of the uterine cervix opening is less than six centimeters. Usually it is clearly seen on the monitors devices for ultrasonography (U.S.). Sometimes the placenta is situated so close to the inner zevu uterine cervix, which can partially or even completely block it is a natural anatomic opening. In these cases, talk about the so-called placental fetal presentation. Under these pathological conditions, such as low placentation or placental previa increases the risk of excessive bleeding, detachment of placental membranes and pregnancy termination.
Nevertheless, no need to panic. In obstetrics and gynecology is such a thing as "placental migration". This means that during pregnancy the placenta gradually rises and reaches those "standard" six inches, which should separate it from the internal uterine os. So by the time of emergence of tribal clashes placenta takes the normal position. Fortunately, this migration of the placenta is observed in nine cases out of ten. Often placenta recovers its normal position by the middle of pregnancy, but it can happen much later until the end of pregnancy. However, while there is a low placentation, be sure to follow some simple restrictions: avoid physical exertion, avoid fatigue, to abstain from sexual intercourse. In addition, highly undesirable sharp movements, "shaking" the whole body (eg, jumping), even sit down in a chair should be slowly and carefully. For the same reason to avoid travel in transport, which noticeably "shakes". In other words, you need to secure the most gentle treatment. You should also closely monitor whether there is bleeding from the genital tract, since placental abruption is often quite painlessly. With their appearance should immediately seek medical attention.
If at the time of delivery approaches placenta did not get up, further medical tactics depends on the position of the child in the womb. If a child is head of zevu uterus (which is the norm), then we can do without a Caesarean section. If the fetal presentation, or breech foot, or there is partial or complete closure of the internal os of the uterine cervix placenta, doctors have to resort to excision of the abdominal wall and uterus. In the latter case a high probability that such an operation would be planned.
Serbian diet healthy feet
Summer in Serbia is very hot. In the streets of Belgrade girls are flying in light dresses, sumptuous skirts in shoes on high heels or soft "Ballet Shoes", and the men looking at them, they forget where to go.
On the girls' legs have someone take care. The Serbian national cuisine is rich in products that are useful for the veins and help to fight
with varicose veins.
This beet, citrus fruits, fish, garlic and beans.
Warning Serbian diet includes the following ingredients:
• Vegetables and fruits in an unusual culinary performance
• experimentation and imagination
• Surprises for herself and family
• flirt
... Taste and desire can reduce or increase the number of these components, each time listening to him.
Why not arrange a short trip to Serbia?
For this, we invite you to the kitchen!
"Great culinary discoveries" starting right now!
Refreshing Balkan salad
One of the most useful products for the health of our body,
and especially to the veins, is the beet. Here is the easiest beet salad:
4 small beets
kefir - 0,5 l
sour cream - 250 gr
pickles - 2 pcs.
Coriander - 100 gr
hard-boiled eggs - 3 pc.
Boiled beets cut straws. Kefir and sour mix, add
in beets, then put in a dish of finely chopped cilantro, diced eggs and cucumbers. Add salt to taste. Before you apply, leave the lettuce in the refrigerator for 1-2 hours.
Serbian fruit dessert
rice (boiled) - 200g
Milk - 1 liter
sugar - 4 tablespoons. l.
orange (juice and chopped zest) --
1 pc.
Gelatin - 5 g
egg (protein) - 2 pcs.
sour cream - 150g
orange (juice) - 1 cup
pineapple (rings) - 3 pcs.
Pear - 1 pc.
Grapes (wrist) - 1 pc.
Cook rice in milk for 5 minutes, add sugar and orange zest. Dissolve gelatin in water, strain and add to rice along with orange juice.
Simmer on a quiet heat, stirring constantly, then leave to cool. Wash fruit, remove seeds and finely chop and place in Fig.
Whip sour cream with the whites, add the rice, spread into the form and put
in the refrigerator. When cooled, turn the form and lay out the contents on a plate, garnish with fruit.
Giving food to the table, offer surprise household knowledge of Serbian language:
Zdravo! - Hello
Kako si? - How are you?
Dobro! odlichno! - Good! Excellent!
Hvala! - Thank you!
Izvolite! - Please!
Prijatno! - Bon Appetit!
Ciao! - Bye!
Summer - a good time to unload his little body
from the heavy "winter" foods, and think only of rest, travel and beauty.
Enjoy the summer, sun and well-being!
Urolithiasis
After the inflammatory pathology of the urinary tract urolithiasis is the second step on the "pedestal" of the most common urological diseases. Urolithiasis - is first and foremost, a violation of the metabolic processes that result in dissolved salts begin to precipitate, leading first to the appearance of fine sand, and then the larger solid deposits in mocheprovodyaschih ways, from the renal calyx and ending with the bladder. However stone pathology can not be regarded as a disease one cause.
On the contrary, this whole set of factors which include the unfavorable heredity, and the geographic area of residence, and especially the salt composition of consumed food and water, and the presence of concomitant diseases (especially urinary tract), and much more. Furthermore, the major trigger that promotes the formation of the disease is still unknown.
At the same time, modern medicine has gained a lot of information to help conduct a successful diagnosis, treatment and prevention of urolithiasis. The clinical picture of the disease prevalent pain syndrome. This pain depends on the size of the formed stone, its localization and stability of a given organ. Sometimes the pain may occur in the solar plexus, which sometimes sends physicians a false path, forcing suspected gastric pathology. Often, however urolithiasis can occur, and asymptomatic. The presence of conglomerates is found by accident or as a result of planned survey about a completely different disease. If a doctor is suspected of urolithiasis, the most reliable diagnostic methods are X-ray and ultrasound, the latter method is more perfect, because some stones on X-ray image invisible (often called rentgenonegativnymi stones).
Effective diagnostic procedure is the so-called intravenous urography. The method is based on the introduction of contrast material into the bloodstream and monitor the speed and nature of the elimination of this substance through the urinary system. With the help of intravenous urography can clearly see the localization of the stones, their number, size and other important characteristics. No less significant for the diagnosis of clinical studies of urine. Thus, with stone disease detected in urine red blood cells, which normally should not be general, and the number of which increased after the pain attack, large numbers of leukocytes, which may indicate the accession of pyelonephritis, ie, inflammation of the kidney tubules as a result of violations of the outflow of urine. But most importantly, through the analysis of urine can determine what constitutes rocky sediments. The fact that the transition in the undissolved state basically can salt of uric, oxalic or phosphoric acid, at least in the precipitated magnesium or protein compounds. The composition of the stones allows the doctor to not only elucidate the causes of urolithiasis, but also the appropriate treatment. Thus, urate (salts of uric acid) talking about the "acidification" of the organism that the laboratory confirmed the shift urinary pH to the acid side. On the contrary, the appearance of phosphates and oxalates shows "alkalinization" internal biological environment. Therefore, a critical role in the prevention and treatment of urolithiasis is proper nutrition and patient compliance with physician recommended diet. By the way, monitor the state of the acidity of urine and can be at home, with the help of special indicator papers. Thus, in the presence of urate stones should strive to ensure that the acidity of the urine was not below 5.5, and if the conglomerates are composed of phosphates - not higher than 7,0.
If the crystals are sufficiently small, then (in the absence of other contraindications) can try to drive them special water stress, when in one step is taken not less liters of liquid. Such procedures are recommended even for healthy people, at least three times a month.
As of drugs often prescribed fitoterapevticheskie drugs, normalize the metabolism and assists in the removal of small fragments (fitolizin, marelin, Urals, etc.). An important role is also played by vitamin (A, E, B1, B6, etc.). In the absence of positive dynamics or the presence of acute indications resorted to physiotherapy fragmentation of stones or their surgical removal.
