DINH DƯỠNG TRONG ĐIỀU TRỊ
BỆNH NHÂN XƠ GAN
Ts. Bs. Lưu Ngân Tâm
Bệnh viện Chợ rẫy
NỘI DUNG
1. Ảnh hưởng của xơ gan lên dinh dưỡng bệnh
nhân
2. Khuyến nghị dinh dưỡng trong điều trị bệnh
nhân xơ gan
3. Hướng dẫn áp dụng trong thực hành lâm sàng
NỘI DUNG
1. Ảnh hưởng của xơ gan lên dinh dưỡng bệnh
nhân
2. Khuyến nghị dinh dưỡng trong điều trị bệnh
nhân xơ gan
3. Hướng dẫn áp dụng trong thực hành lâm sàng
Giảm
cung
cấp DD
Kém
tiêu
hóa/hấp
thu
Thay
đổi
chuyển
hóa
Chế độ
DD sai!
Thiếu hụt DD do giảm cung cấp
dinh dưỡng
•Nghiện rượu
•Mau no
•Chán ăn (buồn nôn, chướng bụng, nôn…)
•Giảm vị giác (thiếu kẽm)
•Khả năng ăn uống do bệnh não gan
![Bài giảng thực phẩm chức năng chống khối U [mới nhất]](https://cdn.tailieu.vn/images/document/thumbnail/2025/20250402/laphongtrang0906/135x160/3771743590143.jpg)
![Cẩm nang Huyết học [Chuẩn nhất]](https://cdn.tailieu.vn/images/document/thumbnail/2026/20260513/baobinh_011/135x160/6151778671287.jpg)
%20--%3e%3cdefs%3e%3cstyle%3e%20.st0%20{%20fill:%20%23fff;%20}%20.st1%20{%20fill:%20%237800fa;%20}%20%3c/style%3e%3c/defs%3e%3cpath%20class='st1'%20d='M117.78,12.18H43.11c2.9,3.47,4.65,7.94,4.65,12.82,0,5.6-2.3,10.66-6.01,14.29h76.02l7.22-13.56-7.22-13.56Z'/%3e%3cg%3e%3cpath%20class='st0'%20d='M53.58,26.17h-.59v-1.46h.59v-4.96h2.83c1.78,0,2.67.94,2.67,2.82v5.76c0,1.87-.89,2.81-2.67,2.81h-2.83v-4.96ZM55.36,21.37v3.34h1.1v1.46h-1.1v3.34h1.01c.61,0,.91-.37.91-1.1v-5.93c0-.74-.3-1.1-.91-1.1h-1.01Z'/%3e%3cpath%20class='st0'%20d='M65.99,31.14h-1.8l-.31-2.07h-2.19l-.31,2.07h-1.64l1.82-11.39h2.62l1.82,11.39ZM65.28,18.04c-.25.46-.51.77-.75.94-.21.15-.47.22-.79.22-.26,0-.57-.07-.92-.22l-.38-.15c-.14-.05-.26-.07-.37-.07-.3,0-.53.18-.71.54l-.91-.68c.25-.46.51-.77.75-.94.21-.14.48-.21.79-.21.26,0,.57.07.92.21l.38.15c.14.05.26.07.37.07.3,0,.53-.18.71-.54l.91.68ZM61.91,27.52h1.73l-.87-5.76-.87,5.76Z'/%3e%3cpath%20class='st0'%20d='M74.53,26.89v1.52c0,1.91-.89,2.86-2.67,2.86s-2.67-.95-2.67-2.86v-5.93c0-1.91.89-2.86,2.67-2.86s2.67.95,2.67,2.86v1.11h-1.69v-1.22c0-.75-.31-1.12-.93-1.12s-.93.37-.93,1.12v6.15c0,.74.31,1.11.93,1.11s.93-.37.93-1.11v-1.63h1.69Z'/%3e%3cpath%20class='st0'%20d='M81.4,31.14h-1.8l-.31-2.07h-2.19l-.31,2.07h-1.64l1.82-11.39h2.62l1.82,11.39ZM75.9,19.2l1.52-1.91h1.71l1.51,1.91h-1.61l-.76-.95-.75.95h-1.61ZM77.32,27.52h1.73l-.87-5.76-.87,5.76ZM83.1,15.99l-1.76,1.91h-1.26l1.17-1.91h1.86Z'/%3e%3cpath%20class='st0'%20d='M84.86,19.75c1.78,0,2.67.94,2.67,2.82v1.48c0,1.87-.89,2.81-2.67,2.81h-.85v4.28h-1.79v-11.39h2.64ZM84.01,21.37v3.86h.85c.58,0,.87-.36.87-1.08v-1.71c0-.71-.29-1.07-.87-1.07h-.85Z'/%3e%3cpath%20class='st0'%20d='M93.51,19.75c1.78,0,2.67.94,2.67,2.82v1.48c0,1.87-.89,2.81-2.67,2.81h-.85v4.28h-1.79v-11.39h2.64ZM92.66,21.37v3.86h.85c.58,0,.87-.36.87-1.08v-1.71c0-.71-.29-1.07-.87-1.07h-.85Z'/%3e%3cpath%20class='st0'%20d='M98.8,31.14h-1.79v-11.39h1.79v4.88h2.03v-4.88h1.83v11.39h-1.83v-4.88h-2.03v4.88Z'/%3e%3cpath%20class='st0'%20d='M105.36,24.55h2.46v1.62h-2.46v3.34h3.09v1.63h-4.88v-11.39h4.88v1.63h-3.09v3.18ZM108.17,17.29l-1.76,1.91h-1.26l1.17-1.91h1.86Z'/%3e%3cpath%20class='st0'%20d='M112.2,19.75c1.78,0,2.67.94,2.67,2.82v1.48c0,1.87-.89,2.81-2.67,2.81h-.85v4.28h-1.79v-11.39h2.64ZM111.35,21.37v3.86h.85c.58,0,.87-.36.87-1.08v-1.71c0-.71-.29-1.07-.87-1.07h-.85Z'/%3e%3c/g%3e%3ccircle%20class='st1'%20cx='25'%20cy='25'%20r='20'/%3e%3cpath%20class='st0'%20d='M32.78,19.27c2.92,0,4.43,2.55,5.28,5.33l.71,2.17c.14.38-.33.75-.71.75h-5.61c.19-.33.24-.71.09-1.08l-.75-2.45c-.43-1.32-.99-2.64-1.79-3.77.75-.57,1.65-.94,2.78-.94h0ZM25,18.38c3.25,0,4.9,2.78,5.89,5.89l.76,2.45c.14.42-.33.8-.8.8h-11.69c-.42,0-.94-.38-.8-.8l.75-2.45c.99-3.11,2.64-5.89,5.89-5.89h0ZM25,11.35c1.74,0,3.11,1.37,3.11,3.11s-1.37,3.11-3.11,3.11-3.11-1.41-3.11-3.11,1.41-3.11,3.11-3.11h0ZM17.27,19.27c1.08,0,1.98.38,2.73.94-.8,1.13-1.37,2.45-1.74,3.77l-.8,2.45c-.14.38-.05.75.09,1.08h-5.56c-.42,0-.9-.38-.75-.75l.71-2.17c.9-2.78,2.41-5.33,5.33-5.33h0ZM17.27,12.91c1.51,0,2.78,1.27,2.78,2.83s-1.27,2.83-2.78,2.83-2.83-1.27-2.83-2.83,1.27-2.83,2.83-2.83h0ZM32.78,12.91c1.56,0,2.78,1.27,2.78,2.83s-1.23,2.83-2.78,2.83-2.83-1.27-2.83-2.83,1.27-2.83,2.83-2.83h0ZM27.07,28.56v.09c0,.57-.24,1.08-.61,1.46h0v.05c-.38.33-.9.57-1.46.57s-1.08-.24-1.46-.61h0c-.38-.38-.61-.9-.61-1.46v-.09h1.41v.09c0,.19.05.38.19.47v.05c.09.09.28.19.47.19s.38-.09.47-.19v-.05c.14-.09.24-.28.24-.47t-.05-.09h1.41ZM30.99,28.56v.09c0,1.65-.66,3.16-1.74,4.24-1.08,1.08-2.59,1.79-4.24,1.79s-3.16-.71-4.24-1.79l-.05-.05c-1.04-1.08-1.7-2.55-1.7-4.2v-.09h1.41v.09c0,1.27.47,2.4,1.27,3.25h.05c.85.85,1.98,1.37,3.25,1.37s2.4-.52,3.25-1.37c.85-.8,1.37-1.98,1.37-3.25v-.09h1.37ZM34.99,28.56v.09c0,2.78-1.13,5.28-2.92,7.07-1.79,1.79-4.29,2.92-7.07,2.92s-5.23-1.13-7.07-2.92c-1.79-1.79-2.92-4.29-2.92-7.07v-.09h1.41v.09c0,2.4.94,4.53,2.5,6.08,1.56,1.56,3.72,2.5,6.08,2.5s4.52-.94,6.08-2.5c1.56-1.56,2.5-3.68,2.5-6.08v-.09h1.41Z'/%3e%3c/svg%3e)