Patient's question:
How is the treatment for hepatic encephalopathy carried out?Doctor's answer:
The goal of hepatic encephalopathy treatment is to establish and restore normal neurological function, promote thorough recovery of consciousness. Due to its complex pathogenesis, comprehensive evaluation measures should be adopted in treatment. Completely eliminating triggers, such as anesthetics, blood-activating drugs, sedatives, etc., can induce and alleviate encephalopathy. Increasing the excretion and absorption of intestinal toxins. The diet should be based on carbohydrates. If it has been going on for several months, protein intake should be suspended. Cleaning and acidifying the intestines can be achieved using lactulose and lactitol. Inhibiting intestinal bacteria, such as metronidazole and kanamycin, can be taken orally or selected. Additionally, medications need to be used to enhance the decomposition and metabolism of toxic substances. Ammonia-lowering drugs can include glutamate, arginine, acetylglutamate, to correct amino acid imbalance, and use an amino acid mixture based on branched-chain amino acids.