The concept of "nurturing" is deeply rooted in people's hearts, especially after a serious illness. However, many understandings of "nurturing" do not conform to modern medical concepts. For example, some people think that the postoperative diet should be light, and the food with clear soup and little water can meet the needs of human body heat and protein? If you are not satisfied, you must be hungry. How can you not be thin? Can immunity be good?
After the operation, you need something with high calorie and high nutrition, but it is not unlimited. If it is too much, the body should be able to digest it! Therefore,
For surgical trauma, many patients have undergone chemotherapy, and their food intake may be less than before. This requires increasing the proportion of high-calorie and high-protein foods, which is simply meat, and expanding the scope is animal food, meat, eggs and milk!
Healthy people need to consume about 40-75g of meat every day, and cancer patients need to double it! At rest, people need about 1500 calories a day, and 1g fat has 9 calories, which is much higher than 4 calories of carbohydrates!
Protein is the basic unit of life substance, and it is also the basic substance that affects immunity. Healthy people need protein 1.0- 1.2g per kilogram of body weight every day, and the consumption of tumor patients is greater than that of healthy people, and it is much higher in protein. What foods are rich in protein? Meat, eggs, milk! The protein content of beans is also good, but the utilization rate is much lower than that of animal food.
Therefore, after gastric cancer surgery, it is still necessary to be "sloppy"! You can't just eat soup, but also eat meat. Nutrition is in meat.
It is also said that patients should be able to eat! Yes, it's no use saying anything else if you can't eat.
There are also many reasons that affect the appetite of patients. Postoperative pain, nausea and vomiting caused by chemotherapy and other discomfort caused by treatment all need symptomatic treatment to make patients feel better or change their diet.
There are also some patients who do not want to eat or have no appetite for psychological reasons. Please give them more comfort, encouragement and demands! Moderate exercise can increase appetite when physical conditions permit.
After gastric cancer surgery, especially after total gastrectomy, the patient's physiological function will change, and the patient's residual stomach or small intestine will gradually adapt to replace the function of the stomach! First liquid food, semi-liquid food, then digestible food, normal diet, a small number of meals gradually adapt, can not be anxious, otherwise the worse you eat, the more irritable you are!
That is, encourage patients to eat more and eat well, or can many patients meet their needs only by food supply? What shall we do? Nutritional supplements will come in handy. Choose products with the right price, most of them taste bad, so patients should work hard! Parenteral nutrition support is generally not needed.
The digestive system of patients with gastric cancer after operation is "brand-new", which usually takes 3-6 months "running-in period", and it is also a period that needs special attention to the nutritional status of patients!
After total gastrectomy, jejunum will be anastomosed with esophagus. Without the original cardia to prevent reflux, some digestive juices such as bile may flow back to the esophagus, causing heartburn and acid reflux! In order to reduce this postoperative discomfort, although doctors have thought of many methods of digestive tract reconstruction, there are still many cases of heartburn and acid reflux. What should I do?
First of all, we should rule out whether the anastomosis is narrow. How about peristalsis? Poor food flow can also increase heartburn and acid reflux. Drugs can choose some acid inhibitors and drugs that promote gastrointestinal peristalsis. Changing posture is also a measure to deal with heartburn and acid reflux. It is not suitable to lie down for at least half an hour after a meal. In severe cases, the upper body head should be higher when sleeping later. The action of gravity!
Good nutrition will make the prognosis better, so we should pay attention to the situation of iron and folic acid after gastrectomy. I'm Dr. @ Liu Yongyi, thank you for reading!
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