一位病人被診斷為病毒性肝炎,護理師應推薦何種飲食?
A client is diagnosed with viral hepatitis. What diet should the nurse recommend?
- AHigh-carbohydrate, low-fat✓ 正解高碳水化合物、低脂肪
- BHigh-fat, low-protein高脂肪、低蛋白質
- CLow-carbohydrate, high-protein低碳水化合物、高蛋白質
- DHigh-protein, high-fat高蛋白質、高脂肪
病毒性肝炎(Viral Hepatitis)導致肝細胞發炎壞死,肝臟代謝脂肪的功能嚴重受損。因此,飲食應採「高碳水化合物(提供能量)」與「低脂肪(減少肝臟代謝負荷)」的原則。蛋白質攝取需適量,因為肝臟也是蛋白質代謝的重要器官,過量攝取可能增加肝臟負擔並在嚴重病例中增加肝昏迷風險。高脂肪會導致消化不良並加重肝臟負擔,故應嚴格限制。
Viral hepatitis causes inflammation and necrosis of hepatocytes, severely impairing the liver's capacity to metabolize fat. Therefore, the diet should follow the principle of 'high carbohydrate (for energy)' and 'low fat (to reduce hepatic metabolic load).' Protein intake should be moderate because the liver is also a key organ for protein metabolism, and excess protein may increase hepatic burden and, in severe cases, raise the risk of hepatic coma. High-fat intake causes indigestion and increases hepatic burden and must be strictly limited.