How to do if ascites due to cirrhosis?
Diagnosed with cirrhosis of the liver, if the recurrence of ascites, is undoubtedly worse. Number of patients resulting in a pessimistic mood that has entered a terminal illness phase. In fact, the situation is not so terrible imagination.
Patients with liver cirrhosis ascites, indicating poor liver function, the body of sodium and water retention more, and then cause a series of issues, such as to promote upper gastrointestinal bleeding; to the intra-abdominal infections provide the conditions for bacterial growth; a large number of ascites, it can cause respiratory problems, renal failure. These problems, if handled properly, can cause the body electrolyte, acid-base balance disorders or hepatic encephalopathy. However, this does not mean cirrhosis of the liver to the terminally ill stage. A lot of experience has shown that treatment of clinical cases, as long as a reasonable treatment, patients and doctors be able to cooperate closely with ascites can be significantly reduced or completely disappear.
Cha ascites preferred B –
Usually, there is a small amount of ascites (300 ~ 500 ml), the patients without any symptoms; when the amount of ascites up to above the middle (medium volume of 500 to 3000 milliliters, 3000 milliliters of a large number of ascites and above), the most common symptoms of is bloating, sometimes accompanied by generalized edema or weight gain with no known cause. If the ascites is bacterial infection, patients will develop fever, pain and other symptoms when you press the abdomen. Doctors generally use percussion to determine whether the ascites, which is the easiest way. However, in the ascites volume less than 2000 ml, this method is not easy to detect. The B-ultrasonic examination, both objective and accurate nor pain, as long as about 300 milliliters of ascites, can be found, but also can identify other similar ascites diseases. As for CT, although superior than the B-, but check the more complex, and the costs are large, it is not appropriate as a regular or preferred way of checking.
Ascites time salt is the key
To be good “against” ascites, first of all need to avoid a sharp deterioration in liver function and a few to make the “trap”: drink, too much medication, a variety of infections, mental and physical fatigue, as well as over-nutrition. This number can be summarized as “wine, medicine, inflammation, labor, fertilizer,” stressing.
Patients with ascites has emerged to be an absolute bed rest. Because the bed can improve the liver and kidney blood supply. Some patients with mild ascites, as long as bed and limit sodium intake, without special treatment, but also get treatment.
In particular, is to limit sodium intake, is critical, which is the basis of treatment. Without this foundation, other treatment is difficult to receive satisfactory results. Here that the sodium salt, not only refers to salt, but also soy sauce, pickled vegetables, chili sauce, monosodium glutamate and so on.
A normal diet, the amount of salt per day should generally be controlled at below 5 grams; and low-salt diet requires a daily consumption of 2 grams of sodium; if salt-free diet, the salt should be below 0.5 grams. A small to moderate amount of ascites, to low-salt diet; moderate or large amount of ascites, and they should limit salt in 1 g below; refractory ascites who will have no-salt diet had. As for the water intake is generally unrestricted. Unless serum sodium is low, into the water should only be limited to 1500 milliliters below. When a patient to limit sodium, only seasoned with vinegar or sugar, although this may affect the appetite, but it should strive to overcome.