Gasrtritis

Gastritis is gater mucous inflammation. chronis gastritis in the light until svere often is found in community, especially on adults. this inflammation sometimes happens in the only gaster mucous superfisial. so, not too fill pain, so not too disturb. but if inflammation hit until gaster mucous, so make feel pain in the epigastrium. if chronic gatritik is happened in the long time, so causes gaster mucous attrofi  along with the glands within. but sometimes, , gastritisch can be very accute and severe with ulceratif escoriasi of gaster mucous t that be caused by activity of peptic cell secretion in the own gaste, example pepsin enzymes

Nutrition Management in Liver Disease

The objetives of nutrition theraphy are to (1) maintain or improve nutritional status; (prevent furthher liver cell injury and enhance regeneration; (3) prevent or alleviate hepatic enchelophathy and other metabolic disturbances amenable to nutrition theraphy

Subjectives Global Assesment(SGA) Parameters for Nutritional Evaluation of Liver Transplant Candidates

History
Weight change (consider fluctuation from ascites and edema)
Appetite
Taste changes and early satiety
Dietary Recall (calories, protein, sodium)
Persistent gastrointestinal problems (nausea, vomiting, diarrhea, constipation, difficulty chewing)

Physical
Muscle wastings
Fat stores
Ascites or Edema

Existing conditions
Disease state and other problems that could influence nutritional status  such as hepatic encehepalopathy, gastrointestinal bleed, renal incufficiency, Infection

Nutritional Rating

Well nourished
Moderately malnourished
severely malnourished

Vitamin Deficits in Severe Hepatic Failurerahmirumaisha@rocketmail.com

• Dermatitis, The lack of Vitamin A
• Osteomlacia, The lack of Vitamin D
• Edema, peripheal neurophaty the lack of Vitamin E
• Bleeding, the lack of Vitamin K
• Megaloblatic Anemia, glossitis, orrotability The lack of Vitamin B12
• Dementia, Diarrhea, inflammation of mucous membranes are the lack of Niacin
• Immunodefficiency, impaired taste acuity, poor wound healing, decreased protein shynthesis are the lack of Zink
• Muscular weakness, malaise, respiratory or cardiac arrest are the lack of Potassium
• Anorexia, weaknessm cardiac failure, glucose intolerance are the lack of Phosphorus