The liver is a chemical plant for human metabolism. It can synthesize many important substances needed by the human body, such as albumin and clotting factors. It can detoxify many “toxins”, such as bilirubin and ammonia. According to the body needs to convert or store energy, such as sugar, protein, fat, vitamins, hormones and so on; It also has immune functions.
But people with liver disease often see things like this:
Always weak, thin, and dark for no apparent reason?
Old occurrence low protein even ascites, again lose protein to lose plasma again, still do not see turn around?
Prone to infection, fever, endless antibiotic use?
Other people can safely cope with puncture, intervention, surgery and transplantation, but they always have various complications?
As the saying goes: “people are iron, rice is steel, do not eat a meal hungry to understand”, it shows that nutrition is important to the metabolism of the whole body. In the same way, if the liver is deficient in nutrients, the chemical plant can cause problems — low protein, decreased blood clotting, elevated bilirubin, elevated blood ammonia or hepatic encephalopathy, abnormal nutrient metabolism, immune dysfunction, and so on. Liver deficiency can occur for a number of reasons:
1, Eating less.
Many people with chronic liver disease suffer from anorexia, or lack of appetite for anything. If you have abdominal distension and ascites, even if you have a little appetite, you will feel full without eating much. Over time, the stomach volume is smaller and smaller, more can not eat much food.
2, Check or fast more on an empty stomach.
Patients often need to do laboratory tests, B ultrasound and even gastroscopy in the hospital. These examinations need to be on an empty stomach for more than 10 hours in advance, plus the loss of some nutrients by drawing blood, which is easy to appear nutritional insufficiency. If it is a patient in hospital, the examination is more frequent, the problem is more prominent, and the hospital food is always not as timely and delicious as at home, many patients hospitalized for a month, people will lose several catties or a circle.
3, Less nutrient synthesis and absorption.
Impaired liver function leads to reduced synthesis of proteins such as albumin and transferrin. Patients with liver disease often have digestive tract symptoms such as bloating, abdominal pain, and nausea, which can cause functional dyspepsia. Portal hypertension can also cause impaired nutrient absorption and digestive function. In addition, many patients with liver disease have A bad, cholestatic or abnormal gallbladder, which can lead to reduced absorption and deficiency of fat-soluble vitamins such as vitamin A, vitamin D, and vitamin K.
4, You need more.
Experts found that many patients with liver disease have fast heart rate, emotional excitement (sympathetic excitability), catabolic state higher than normal, and are prone to weight loss and malnutrition. If there is infection, fever, fatigue, it is easy to “make ends meet” nutrition situation, resulting in severe malnutrition and complications.
5, Nutrient metabolism is messed up.
Liver disease can cause many metabolic disorders, such as cholesterol, abnormal blood sugar, zinc, selenium, sodium, magnesium and phosphorus and other trace elements decreased. Abnormal blood glucose metabolism is particularly prominent. Chronic liver disease is prone to abnormal glucose tolerance and hepatogenic diabetes, but a little hunger is prone to hypoglycemic reaction, namely the phenomenon of “high when eating and low when hungry”, indicating that the liver’s ability to regulate blood glucose is greatly reduced. Secondly, the lack of selenium in vivo detoxification ability is reduced, and then aggravate liver cell damage, necrosis, can also cause resistance to decline and easy fatigue, infection.
6, Human-induced malnutrition.
Diuretic drugs and ascites will cause loss of electrolytes and nutrients; Too much emphasis on light diet can easily lead to insufficient protein and lipid intake; Surgery, interventional surgery, dialysis and so on are easy to cause nutrient intake deficiency, loss increase, decomposition increase; Oral administration of a variety of drugs at the same time often causes gastrointestinal and liver burden, stomach discomfort and affect the digestive and absorption function.