1: At the initial stage of fracture, the injured part is swollen and blood stasis, the meridians are blocked, and qi and blood are blocked. At present, the treatment is mainly to promote blood circulation and remove blood stasis. Traditional Chinese medicine believes that "no blood stasis will lead to bone failure", which shows that swelling and blood stasis are the first priority for fracture healing. In principle, the diet is light, such as vegetables, eggs, bean products, fruits, fish soup, lean meat juice and so on.
Don't eat sour, hot and greasy food, especially don't apply greasy and nourishing products too early, such as bone soup, stewed chicken and stewed fish. Otherwise, blood stasis will be stagnant and difficult to dissipate, which will delay the course of disease, slow down the growth of callus and affect the recovery of joint function in the future.
2. The fracture recovered to the middle stage, and the swelling was partially absorbed. The treatment at this stage should be harmonious, with removing blood stasis and promoting tissue regeneration as the main method. Diet should be changed from light to appropriate high nutrition supplement to meet the needs of callus growth. You can add bone soup, Tianqi stewed chicken and animal liver to the initial diet to supplement more vitamin A, vitamin D, calcium and protein.
3. The bruise at the fracture is basically absorbed, and the callus begins to grow, which is the later stage of fracture. Treatment should be supplemented by nourishing liver and kidney, qi and blood, promoting the formation of firmer callus, relaxing tendons and activating collaterals, and making the adjacent joints at the fracture move freely and restore their original functions. Taboo can be lifted in diet, and recipes can be supplemented with old hen soup, chicken feet soup, pig bone soup, sheep bone soup, deer tendon soup, stewed water fish and so on. You can choose Eucommia ulmoides Oliv., Caulis Spatholobi wine, Tiger Bone papaya wine, etc.
Diet is only a supplement to treatment, not a substitute for treatment. While receiving treatment after fracture, under the guidance of doctors, choosing appropriate food according to the patient's condition development has a positive effect on promoting fracture healing.
food therapy
1 prescription is suitable for promoting blood circulation and removing blood stasis.
Party B: pork bone1000g, soybean 250g. Simmer with water, season with salt and ginger, and share.
Third party: Wash pig spine, red dates 120g, lotus seeds 90g, Dalbergia odorifera 9g, raw licorice 9g, simmer with water, season with ginger and salt, and drink it several times.
Party 4: 2 fresh lake crab, take meat (with yellow color), when the japonica rice porridge is cooked, add crab meat, and then add some ginger, vinegar and soy sauce to eat.
1 black rooster (about 500g) in Formula 5 was peeled, washed, sliced with 5g of Panax notoginseng, added with a little yellow wine, boiled in water, dipped in soy sauce when cooked, and eaten regularly.
Formula 6 Raw Astragalus membranaceus 30 ~ 60g, decocted to get juice, added with japonica rice 100g, boiled porridge, and taken in the morning and evening.
Formula 7: 20g of Angelica sinensis, 0/00g of Astragalus membranaceus and 0/00g of tender hen. Add water and make soup.
Formula 8 50g of Salvia Miltiorrhiza is washed, boiled and juice is taken. The juice is made of 1000g pig long bones and 250g soybeans. After cooking, add a little cinnamon and salt.
500 grams of 9 raw crabs were mashed, washed with 250 grams of hot yellow wine, and the residue was applied to the affected area for about half a day. "Take what you need" sounds good. Used for fractures.
Fracture should not eat more meat and bones.
It is generally believed that eating more meat and bones after fracture can make the fracture heal as soon as possible. Actually, it is not. Modern medicine has proved through many experiments that eating more meat and bones can not only promote the early healing of fractures, but also delay the healing of fractures.
The reason is that bone regeneration after injury mainly depends on the role of periosteum and bone marrow. Periosteum and bone marrow can only play a better role when bone collagen increases. Judging from the composition of meat and bones, it is mainly phosphorus and calcium. If a large amount of phosphorus and calcium are ingested after fracture, the inorganic components in bone will increase, and the ratio of organic matter to inorganic matter will be unbalanced, which will hinder the early healing of fracture.
In order to make the fracture heal as soon as possible, besides seeing a doctor as soon as possible, taking proper fixation, rational medication and early functional exercise, we should also eat more foods that can be converted into organic collagen, such as fresh vegetables, fruits and bean products. Of course, it is ok to eat some meat and bones in small or moderate amounts.
Pay attention to make food easy to digest and absorb, and use spicy products (pepper, raw onion, mustard, pepper) that have bad stimulation to respiratory tract and digestive tract with caution.
Patients with cerebral hemorrhage
Diet: If the patient's condition is stable, but he has different degrees of disturbance of consciousness and dysphagia, he should adopt a nasal feeding diet, and infuse a digestible juicy diet, such as thick rice soup, soybean milk, fresh vegetable juice, fruit juice, etc., or infuse 1000-2000ml mixed milk for 5-6 times. The brewed food should not be overheated or cooled to 37℃-3000ml. The raw materials for making mixed milk are 600 ml of fresh milk, 350 ml of concentrated rice soup, 2 eggs, 50 g of sugar, 0/0 g of sesame oil/kloc-0, and 3 g of salt. The preparation method is divided into three steps: (1) break the washed eggs, put them in a clean container, add sugar, salt and oil, and stir them evenly with chopsticks; (2) 600 ml of fresh milk and 350 ml of rice soup are mixed and boiled; (3) Pour the prepared egg liquid into the cooked milk-rice soup, and stir with chopsticks while pouring to obtain 1000 ml mixed milk. This 1000 ml mixed milk contains 40 grams of egg white, 40 grams of fat, 0/20 grams of sugar and 4 184 kilojoules (1000 kilocalories). If the patient is complicated with diabetes, no sugar is added.
If patients with cerebral hemorrhage are conscious, but sometimes they choke when eating, they should be given a pasty diet consisting of steamed egg soup, thick porridge with minced meat, rotten noodles with minced meat, lotus root starch washed with milk and fruit pulp, or mashed food with a masher and served to patients.
Patients with cerebral hemorrhage have no dysphagia in recovery period, and should adopt a soft and balanced diet that is light, less greasy and easy to digest.
The first is animal fat, such as lard, butter, cream and so on. And foods with high cholesterol content, such as egg yolk, roe, animal viscera, fat meat, etc. , should be limited, because the saturated fatty acids contained in these foods can significantly increase the blood cholesterol concentration and promote arteriosclerosis; Vegetable oils can be used, such as soybean oil, tea oil, sesame oil, peanut oil, etc. Because the unsaturated fat contained in it can promote cholesterol excretion and convert it into bile acid, so as to reduce the blood cholesterol content and delay and relieve arteriosclerosis.
Secondly, there should be proper protein in the diet, and we should always eat some egg whites, lean meat, fish and various beans and bean products to supply the body with ammonia and acid. Generally, drink a cup of milk and a cup of yogurt every day, because milk contains milk factor and orotic acid, which can inhibit the synthesis of cholesterol in the body and reduce the content of blood lipid and cholesterol. When drinking milk, you can remove the skin. Beans contain sterols, which can also promote cholesterol excretion.
Eat more fresh vegetables and fruits because they contain vitamin C, potassium and magnesium. Vitamin C can lower cholesterol, enhance the density of blood vessels and prevent bleeding. Potassium and magnesium have protective effects on the etiology of hypertension.
You can eat more foods rich in iodine, such as kelp, seaweed and shrimp. Iodine can reduce the deposition of cholesterol on the arterial wall and prevent arteriosclerosis.
It is advisable to keep the daily salt content below 6 grams, because salt contains a lot of sodium ions, which can increase blood volume and heart burden, increase blood viscosity, and thus raise blood pressure, which is not good for patients with cerebral hemorrhage.
Avoid foods that irritate the nervous system, such as wine, strong tea, coffee and spicy spices. In addition, eating less chicken soup and broth is beneficial to protect the cardiovascular and cerebrovascular systems and the nervous system, and overeating is also necessary.
Patients with cerebral hemorrhage can generally choose the following supplementary diet prescription at home: 1. 6 grams of auricularia auricula, soaked in water, with vegetables or steamed. It can reduce blood lipid, prevent thrombosis and prevent platelet aggregation. 2. Five celery roots and 10 red dates, decocted in water and eaten in jujube soup, can reduce blood cholesterol. 3. Eat fresh hawthorn or soak it in boiling water, add some honey, and let it cool to make tea. If cerebral hemorrhage is complicated with diabetes, do not add honey. 4. Eating raw garlic or onion 10- 15g can reduce blood lipid, enhance fibrin activity and prevent arteriosclerosis. 5. Patients with cerebral hemorrhage are jealous of 5- 10 ml after meals, which has the effect of softening blood vessels.
Gastric cancer patients
Patients with gastric cancer should avoid dieting.
The diet of patients with gastric cancer should be based on the severity of the disease, combined with the gender, age, physique and hobbies of the patients. According to the basic principles of "the cold is hot", "the heat is cold", "the weak supplement" and "the real diarrhea", the food distribution is comprehensively considered.
1. Most patients with gastric cancer show weakness and need to replenish qi and blood, but it is necessary to distinguish between yin deficiency and yang deficiency. People with yin deficiency can clear and tonify, while those with yang deficiency can warm and tonify. Tonic foods include yam, longan pulp, lotus seeds, fungus, mushrooms, lilies, crystal sugar, lotus roots, tofu, honey, mung beans, ducks, turtles, mussels, milk, coix seed, red dates, glutinous rice and frogs. Warm tonic foods include beef and mutton, chicken, dog meat, eel, sea cucumber, pig liver, goose, carp, silver carp, grass carp, yellow croaker, litchi, walnut, chestnut, carrot and brown sugar.
2. Diet anti-cancer is one of the characteristics of traditional Chinese medicine. The foods that have been proved to have definite anti-gastric cancer effects are astragalus, garlic and so on. There are shiitake mushrooms, shiitake mushrooms, ganoderma lucidum, coix seed, auricularia, ginseng, honey, royal jelly, yam, sea cucumber, toad, Lithospermum and so on. Vegetables, fruits and beans are rich in vitamin A, vitamin C and trace elements such as selenium and copper, and also have certain anti-gastric cancer effects.
3. Patients with gastric cancer should feel comfortable when eating; In order to avoid stagnation, the spleen is trapped in the middle.
4. Diet should conform to the four seasons. When the yang is rising in spring and summer, don't eat too much greasy food to avoid "trapping the spleen" and eat less cold food to avoid blocking the yang of the spleen and stomach. In hot and humid summer, you can eat mung bean soup, lotus leaf porridge and so on. When the sun shines brightly in autumn and winter, you need to eat soft food and eat more warm food.
Label: gastric cancer
According to estimates by the British Health Foundation and Cancer Research Institute, 50% of cancers are caused by diet. Experts point out that all cancers can be reduced by changing diet 1/3.
Lin Peizhong, a professor at Cancer Hospital of Cancer Institute of China Academy of Medical Sciences and vice chairman of the Council of Beijing Anti-Cancer Association, agreed with this in an interview. He believes that more than 90% of cancers are caused by external environmental factors. The environment here has two meanings: first, it refers to diet, and the external environment pollutes diet, which causes people to get sick after eating it. The second kind refers to air pollution, such as automobile exhaust and industrial pollution.
Professor Lin believes that the occurrence of tumors is closely related to the environment and diet, and a reasonable and healthy diet structure is very meaningful to the human body. For example, he said that in recent years, studies have found that the incidence of colon cancer is getting higher and higher, mainly because people's living standards are gradually improving and staple foods are eaten more carefully, which leads to an increase in the incidence. In addition, the incidence of breast cancer has also increased, although the cause is not very clear, but the industry believes that it is mainly affected by diet, hormones and so on. Foreign statistics show that breast cancer is mostly related to eating too much fatty food and coffee.
How to solve the imbalance of nutritional components in a considerable number of people's diets and establish a reasonable and healthy diet structure?
Professor Lin stressed that we should first adjust the diet structure, eat more green vegetables, fruits and whole grains, be careful not to eat too fine whole grains, eat more coarse grains and eat more soy products, which contain the best plant protein. In the past, everyone was always asked not to eat anything. This formulation has certain defects. Now, in turn, it is very positive to advocate that everyone eat more. In addition, it is necessary to change the diet structure and eat less or no fried, moldy, pickled and smoked foods, such as smoked sausages and sausages.
Gastric cancer is a high-incidence malignant tumor in China. The most common onset age is 40-60 years old, with more males than females. The treatment of gastric cancer is mainly a comprehensive treatment based on surgery. Nursing care of surgical operation plays an important role in recovering diseases, reducing complications and relieving pain. Among them, diet care is an extremely important nursing content after gastrectomy, and eating too quickly or too conservatively will lead to adverse consequences. Based on my clinical experience, this paper talks about the postoperative dietary care of gastric cancer.
According to the tumor stage, gastric cancer surgery includes radical resection, palliative resection and gastrojejunostomy. Generally, dietary care should be carried out about 3-4 days after natural exhaust, and different care should be taken after subtotal gastrectomy and total gastrectomy:
1. subtotal gastrectomy insists on a small number of meals. Drink a small amount of water on the day of extubation, 4-5 tablespoons each time, 1-2 hours. On the second day, eat half a liquid, that is, 50-8qnl per meal, and on the third day, eat whole liquid, loo- 15(lnl, slowly, 6-8 times a day. Eat more foods containing high protein, vitamins and various minerals to avoid flatulence, especially egg soup, vegetable market and lotus root starch. If the operation is normal, porridge can be eaten on the fourth day, and dry rice can be eaten after 10- 14 days. Staple food and side dishes should be soft and easy to digest. Do not eat spicy, fried, strong tea, wine and other irritating foods.
2. The general eating principle of total gastrectomy is: a small amount of multi-meal, gradual, light and digestible liquid food, and gradually transition to general food. Diet plan: Start to eat rice soup with sugar water 3qnl the next day after stopping gastrointestinal decompression, alternating every 2 hours; 60n 1 on the third day, alternating every 2 hours; On the fourth day, it is changed to 100t 1 1, alternating every 2 hours; Half of the liquid food was eaten on the fifth day, all the liquid food was eaten on the sixth, seventh, eighth and ninth days, and the liquid food was changed to semi-liquid food on the 10 day. The above plan is based on the principle that patients complain without discomfort. It can be modified at any time according to the specific conditions of the disease. If you feel abdominal distension and abdominal pain, you should stop eating and observe whether there are any symptoms of obstruction.
3. Precautions should be explained before operation, indicating that the postoperative diet must be strictly in accordance with the doctor's advice, and do not eat, drink or spit at will to prevent anastomotic leakage and dumping syndrome.
① Anastomotic fistula is easy to occur about 1 week after operation, whether there is anastomotic paralysis or not. Postoperative malnutrition in patients undergoing total gastrectomy is more likely to cause anastomotic leakage. Its symptoms are sudden and severe abdominal pain, abdominal muscle tension and elevated body temperature. Do not blindly take painkillers at this time, and report to the doctor in time for early diagnosis.
② Dumping syndrome is common after subtotal gastrectomy. Because the pyloric sphincter is out of control, food enters the jejunum too quickly. If you ingest liquid or food containing a lot of sputum, you can't mix it with gastrointestinal fluid and quickly enter the jejunum. In a short time, hypertonic food becomes isotonic, a large amount of extracellular fluid is sucked into the intestinal cavity, and the blood volume decreases. In addition, due to the sudden expansion of the intestinal cavity after a full meal, the intestinal peristalsis is aggravated, which causes the stimulation of the celiac plexus. After eating for half an hour, the patient appeared dizziness, pallor, dizziness, palpitation, sweating, nausea, vomiting, abdominal pain, abdominal distension, diarrhea and other symptoms. Patients should stay in bed immediately to relieve symptoms or inject isotonic solution intravenously to maintain blood volume. In order to prevent the occurrence of dumping syndrome, patients should be encouraged to eat a small amount and drink as little water as possible when eating, so as to prevent the liquid from rapidly dissolving food to form hypertonic solution and discharging it from the jejunum. It is advisable to lie down and eat, and continue to lie down for 20-30 minutes after meals to control or alleviate symptoms.
Text/Tang Lingguang A recent study by cancer epidemiologists found that the mortality rate of gastric cancer in China is on the rise. Compared with the 1970s, the mortality rate of men increased by 10.98% and that of women increased by 6.32%, which is always the first malignant tumor in China, accounting for about half of digestive system tumors. Early manifestations include epigastric discomfort, pain or fullness, loss of appetite, anorexia and emaciation. And in the late stage, the abdomen can touch the mass and has obvious tenderness. The clinical treatment is mainly radical resection of tumor, subtotal gastrectomy (more than 2/3), and radiotherapy and chemotherapy are needed for patients with metastasis. Postoperative nutritional complications can also be caused, so diet therapy is the key to rehabilitation. There are three tasks: 1. Providing adequate nutrition to ensure normal life and rehabilitation needs is a basic task; 2. If radiotherapy and chemotherapy are carried out, it will kill normal cells as well as cancer cells, so it is necessary to improve the body's resistance and increase the medicinal diet of white blood cells and red blood cells. 3. Improve the body's anti-cancer ability and ingest an anti-cancer medicated diet that can kill or inhibit cancer cells and protect normal cells. 1. Dietary methods to prevent postoperative dumping syndrome. After subtotal gastrectomy, patients should first eliminate psychological factors such as fear of eating and affecting incision healing, relax and trust the doctor's scientific arrangement. Eat in a semi-recumbent position. Lie on your back after meals 15-30 minutes before moving. This is to prevent dumping syndrome such as fullness, nausea, vomiting, diarrhea and palpitation in the upper abdomen caused by food in the remnant stomach suddenly entering the duodenum and jejunum. At first, the contents of eating were mainly liquid food, semi-liquid food and soft food with high nutrition and easy digestion. Food should be non-irritating. Quit smoking and drinking, eat more fruits and vegetables rich in carrots and vitamin C, avoid frying in cooking methods, and eat less and eat more meals. Second, the diet choice within seven days after operation, I started to eat half a dose of clean food about 72 hours after operation (after exhausting), and I gave a full dose of clean food on the 4 th to 5 th day after operation. On the fifth to sixth day, you can give general liquid food, and on the seventh day, you can take half a quantity of semi-liquid food, and then gradually increase the quality and quantity. Pay attention to the food intake at the beginning, generally starting from 60 ml at a time and gradually increasing to 100-200 ml. Gradually transition from clear liquid to diet 1 No.2, then change to semi-liquid food with less residue and low sugar, and then change to high-protein semi-liquid food. 1. postoperative liquid 1 meal time and content: 7: 00 am: 200 ml of 5% sweet rice soup; 9 o'clock: 40 grams of steamed egg custard; 1 1 point: 20g of malt extract and 40g of washed eggs; 14: 200 ml of 5% sweet soybean milk; 17:5% sweet rice soup 200 ml, washed eggs 40 g. Daily total: protein 2 1.3g, fat 30. 12g, sugar 64.62g, total calorie 2572kJ (6 14.8kC0 1). 2. Time and content of the 2nd meal after operation: 7: 00 am: 250ml； of 5% sweet rice soup; 9 o'clock: 250 ml of 5% sweet milk; 1 1 point: 20g minced meat, 200g bean curd14: 5% sweet soybean milk, 250ml; 17: 20g malt extract and 40g washed eggs; 20 o'clock: chicken soup (50 grams of chicken, 5 grams of water chestnut, 5 grams of cooking oil). Total amount of the whole day: protein is 5l.3, fat is 37.3g, sugar is 98.2g, and total heat is 3905kJ (933.3kC0 1). 3. Time and content of semi-liquid diet with less residue and low sugar after operation 7: 00 am: 40 grams of eggs and 50 grams of noodles; 9 o'clock: 250 ml of milk and 20 g of sugar; 1 1 point: 50g of noodles and 75g of fish balls; 14: 20g of minced meat and 200g of bean curd; 17: 40g of eggs, 30g of minced meat and 50g of noodles. Total amount of the whole day: protein 56.4g, fat 68.5g, sugar 24.8g, total heat 5600kJ (1338.8kc01). 4. Time and content of high-protein semi-liquid diet after operation 7: 00 am: 80 grams of eggs, noodles 100 grams; 9 o'clock: 250 grams of milk, sugar 15 grams; 1 1 point: vegetable paste 100g, noodles 100g, fried fish fillets150g; 14: 250g of soybean milk and 0/5g of sugar; 17 points: vegetable paste 100g, noodles 100g, minced meat 50g, scrambled eggs 40g. Total amount: protein 83.8g, fat 8l.3, sugar 229.9g The total calories are 8310kJ (1986kc01). Thirdly, after most gastric cancer is removed, health care, medicated diet, vitis amurensis root and kiwi root tea are given. Take 40 grams of each of the two herbs, decoct in water and season. Daily 1 dose, taken twice in the morning and evening. Recent studies have proved that Vitis amurensis and Actinidia chinensis not only contain a lot of vitamins and inorganic salts, but also have many medicinal functions such as anti-cancer, nourishing qi and blood, strengthening bones and muscles, clearing away heat and toxic materials, and diuresis. A small amount can be eaten as fruit, but because they contain more fruit acid, it is easy to make people's stomach acid reflux and damage their teeth, so they can't eat more. They can be made into decoction or soaked in a thermos cup as tea for treating gastric cancer or inhibiting cancer recurrence. Lycium barbarum and lean turtle soup. Lycium barbarum 40g, lean meat150g, turtle 500g. Wash Lycium barbarum, shred pork, gut turtle and cut into pieces. Put it all in the pot, stew it with water, sprinkle with salt and other seasonings, and eat it with meals. Bring appropriate clothes every day. This diet has the effects of nourishing yin and blood, nourishing liver and kidney, and treating asthenia and anemia after cancer surgery. Excerpt from Family Beauty and Fitness
As we all know, the stomach is the main digestive organ in the human body. Because of cancer, it is natural to remove most of the stomach, which has an impact on the human body.
After most of the stomach is removed, the nutrient absorption is obviously insufficient, and the lack of total calories will make people thin and tired. In order to avoid these situations, patients need to have a good three levels. The first level is the food processing level. Choose foods with high nutritional value and easy digestion and absorption, chop them up and stew them as much as possible to make them soft. But also cover all aspects of nutritional elements to ensure the supply of vitamin C, iron and liver preparations. The second level is to chew slowly. Most of these patients' original eating habits are fast and greedy, and it takes time to change them into chewing slowly. It is also a desirable form to have someone to accompany them to dinner, which can remind them from time to time. The third level is to limit the intake of foods containing a lot of vitamins, thus slowing down the peristalsis of the small intestine, prolonging the storage time of chyme in the small intestine, and facilitating the absorption of nutrients.
Secondly, a special disease may occur after most of the stomach is removed.