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What is better to eat after advanced operation of rectal cancer?
Postoperative dietary care of rectal cancer is related to long-term high-fat and low-fiber diet, heredity, intestinal polyps, ulcerative colitis and other factors. Radical resection is the main treatment. If the rectal cancer is located in a low position, less than 7cm away from the anus, an artificial anus should be made after the tumor is removed, that is, a colostomy colon is made on the abdominal wall. Postoperative diet nursing plays a very important role in patients' early recovery. Specifically, patients should pay attention to the following points in diet. ★ After 3 ~ 4 days of fasting, intestinal peristalsis will recover after artificial anus is exhausted. When bubbles overflow from stoma, you can enter a liquid diet and choose digestible and nutritious foods, such as vegetable soup, rice soup and lotus root powder. It is best to eat less and eat more, once every 2 ~ 3 hours, 6 ~ 7 meals a day. ★ After one week, you can enter a semi-liquid diet and choose foods rich in protein and low in cellulose, such as noodles, porridge and wonton. And you have to eat a few meals, 5 ~ 6 meals a day. ★ After two weeks, you can eat digestible, low-residue, fast coarse grains and fiber-rich vegetables, such as celery, to reduce the burden on the intestines. ★ In order to facilitate ostomy care, it is best not to choose the following foods. Foods that are highly irritating to the intestines, such as cold drinks, raw or incompletely cooked foods; It is best not to drink alcoholic beverages; Foods that are easy to produce gas, such as onions, sweet potatoes, broccoli, beans, radishes, etc. Foods that are prone to odor, such as onions, eggs, chocolate, onions, shrimp, etc. ; Foods that are difficult to digest and easy to cause blockage, such as persimmons, raisins, dried fruits, walnuts, fried foods, etc. Loose stool's food, such as curry, coffee, garlic, essence, etc. ★ After discharge, patients should have a balanced diet, easy to digest nutrition, live a regular life, pay attention to food hygiene at ordinary times, do not eat raw, cold, hard, fried and pickled foods, avoid alcohol and tobacco, and form a good habit of regular defecation. Pay attention to eating liquid food after rectal cancer surgery, and eat more digestible foods with high protein and vitamins after recovery. Fasting spicy food. It's best to have a light diet and don't eat greasy food. After rectal surgery, patients will have intestinal dysfunction in the early stage, the most common is diarrhea, followed by constipation. Generally, it is obviously relieved within 3 ~ 6 months after operation, and no special treatment is needed. For those with frequent diarrhea, symptomatic treatment such as Zhixiening should be considered. The diet after enterotomy is low in fiber, lactose, fat and protein. Increase the amount of cellulose after the recovery of intestinal function. If diarrhea occurs after operation, high lactose should be avoided, including rice, bananas, applesauce, juice and so on. Constipation patients should increase the amount of cellulose, eat more fruits, vegetables, grains and juice, and need to supplement vitamin b 12 after operation. Nourish the body: pigeon, quail and snakehead make thick soup and put some ham slices. Fresh fruits and vegetables, preferably kiwi fruit and watermelon, are spicy foods taboo for cancer patients. Chili, Chili and other foods have a stimulating effect on the anus and must not be eaten. Second, one-day recipe example (recovery period after operation) Breakfast: millet porridge (50 grams of millet), corn flour cake (50 grams of corn flour), and cabbage (50 grams of cabbage). Meal: 1 apple (200g apple). Lunch: steamed stuffed bun (50g eggs, Chinese cabbage 100g, celery 100g, flour 100g) and soup (50g tomatoes, 50g cucumbers and starch 10g). Meal addition: make a small bowl of lotus root starch 1 (lotus root starch 30g, sugar 10g) and 2 vegetable biscuits (flour 20g). Dinner: 50 grams of rice porridge (50 grams of rice), steamed bread (50 grams of flour), mixed tofu (North tofu100g), and steamed garlic mixed with tomato sauce (eggplant100g). Meal: Sweet milk (fresh milk 250g, sugar 5g) and cake 50g. 10g edible oil, 6g salt. Because artificial anus has no sphincter and cannot be controlled by itself, patients often have mental burden. Therefore, more explanations and encouragement should be given to help and guide patients to do a good job in artificial anus nursing. Early postoperative sleep should be taken in the left lateral position to avoid infection caused by fecal contamination of the wound. The skin around the artificial anus should be kept clean. After defecation, scrub with warm water and apply vaseline ointment to protect the skin. The artificial anus is regularly expanded with finger cuffs. When the stool becomes thinner, expansion is more necessary. We should gradually get into the habit of defecating regularly. If there is no stool for a few days, you can take laxatives or go to the hospital for artificial anal enema. In order to prevent diarrhea, we should pay attention to food hygiene and eat less cellulose food or cold and greasy food. If the patient has emaciation, sacral pain, perineal mass, abdominal mass, ascites and hepatomegaly, he should go to the hospital in time. I can only help you find these. It is better to consult uncle's attending doctor for specific nursing methods. He knows the situation better. I sincerely wish you a speedy recovery!