Example: Wang Da Ma eating Gengye, retrosternal pain does not apply, for the diagnosis of esophageal cancer middle and done a radical esophageal cancer surgery, the operation was successful. After 23 days, Wang Tai Ma to eat things, children stewing chicken soup, Wei Laobie can be taken to hospital by the doctors and nurses Dangjia outside. This under-Dama children of the children wonder: esophageal tumor removed, replaced with gastric esophageal reconstruction of the digestive tract, is infarction can not eat before, but now patients want to eat after surgery, and Why do not eat » After doctors and nurses after a esophageal cancer patients how to "eat well," the missionaries, so that only one-Dama understand the Suoyi Ran.
Esophagus and stomach is an important component of the human digestive system, transmission, transportation, food accommodate the organ. And esophageal cancer, cardiac cancer patients most of all for the esophagus, stomach, the whole or part with the aim to achieve radical, and then using replacement for stomach or intestine transplant, reconstruction digestive tract. The entire process of trauma surgery, is often easy to cause digestive disorders. To this end, esophageal cancer patients after cardiac cancer and how to "eat well" very important, can be broadly classified into four stages.
Nasal feeding stages: 1 to 5 days after the patient just in the trauma of surgery, anastomotic have not yet healed, and gastrointestinal function is not very good recovery, poor digestion. Which can only take nasal feeding. The nose is a very small place and is a special feeding tube direct jejunum to transport nutrients. Nasal feeding stage patients can be fed mixed milk, Cai Zhi, fruit juice, Mi Tang, can be injected into the first day of the 500 ml, 2 to 3 minutes, drip, after a day in accordance with the patient's tolerance to increase to 1,500 to 2,000 milliliters. Infusion at the approximate temperature to body temperature and suitable. Nasal feeding nutrition requirements as far as possible to contain protein, fat, carbohydrate, vitamins, salt and water requirements of the appropriate ratio.
Fresh-stage: that after five to ten days. Here, the patient has basically spent the trauma of surgery, gastrointestinal function started to gradually resume, for the performance of appetite, anal exhaust (commonly known as Fangpi). Could be given a small amount of water (3 to 5 tablespoons), gradually increasing to 30 to 50 ml, without obvious discomfort, to give Mi Tang, Dan Tang, fresh milk, fish soup and the various types of poultry Wei Tang, each 100 ~ 200 ml per day 5 to 7 Dayton.
A half-eating stage: after the second week from the start. Here, patients were kept in various drainage tube has been removed, the infusion of liquid is also gradually stop, in addition to individual super-aged or elderly patients can not get out of bed activities, most can walk, food intake gradually increase. However, this period can only Shaosiduocan to Yi Xiaohua non-Java-based food (such as rice gruel, noodles, eggs, soup, tofu, etc.), especially some of the food intake before a large number of patients must not eat, so as not to cause gastrointestinal complications Or anastomotic leakage.
Normal diet stage: this stage generally from the fourth week after the start. Here, the majority of patients have been discharged rest at home, take care of their loved ones. At this time can maximize the scope of diet (except fried and sweets), with the exception of the special emphasis that the doctor can not be discharged from the consumption of food can be consumed, and guide patients to do some appropriate physical activity, to facilitate digestion and absorption. The period of a small number of patients may experience abdominal Baozhang, diarrhea, vomit Acid Hydrolysis, and other symptoms, can take motilium 20 mg (2), three times a day; Acetophenone piperazine compound for two, three times a day. If symptoms do not ease after treatment, patients can to hospitals for treatment.
4/24/2008
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