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Nutrisi - Liver 1 Han Out [Compatibility Mode]

Nutrisi - Liver 1 Han Out [Compatibility Mode]

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Published by Emir Afif
Slide gizi 17 [dr. Luciana]
Slide gizi 17 [dr. Luciana]

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Published by: Emir Afif on Jun 30, 2010
Copyright:Attribution Non-commercial

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04/16/2014

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1
NUTRISI PADA GANGGUAN HATI
Dr. Luciana B Sutanto, MS, SpGK.
FungsiHatiSintesis dan metabolisme sebagianbesar nutrien, termasuk metabolismekarbohidrat, protein dan lemak Tujuan Dukungan NutrisiPada Gangguan Hati
1.Meningkatkan & mempertahankanstatusizi
 
2.Mencegah & memperbaiki ensefalopatihepatik 3.Mencegah degenerasi hati & merangsang regenerasi sel baru
 
2
Topik 
1.Hepatitis2.Sirosis Hati3.KolesistitisHEPATITIS Akut
Gizi seimbang
Jika perlu dukungan nutrisi: nutrisi enteral
Oral: makanan cair –makanan lunak dengan
 
frekuensi sering porsi kecil
Parenteral hanya bila perlu
Kalori: 30 –35/kg BB
Karbohidrat: 50 –55%
Protein: 1-1,2 g/kg BB
Lemak: tergantung toleransi
HEPATITIS Akut
Suplemen:
B kompleks (tu. Tiamin, folat, B 12)
 
 
Zn
Cairan cukup, kecuali dibatasi
 
3
SIROSIS HATI
Tujuan pemberian nutrisi
Dukungan hati yang masih berfungsi
Masalah; asites, edema, hilang massa otot,berat-badan turun, varises esofagus, hipertensiportal
Steatore
 Asupan kurang
Ensefalopati hepatik 
Glukosa
untuk metabolisme otak 
intoleransi glukosa
SIROSIS HATI
Nutrisi:
Kalori: 1,5 –1,75 x KebutuhanBasal
Protein: 1 –1,5 g /kg BB
Lemak:
40 –50% kalorinon protein
Steatore: batasiLCT
Karbohidratkompleks
45 –55%
Sukrosa< 30 g/hari
Frekuensisering, ekstramalamhari
SIROSIS HATI
Protein:
-
BCAA (valin, leusin, isoleusin)
-
Protein nabati
-
Mengandung serat
-
Laktulosa
-
Neomycin

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