Dietary taboos of acute appendicitis
1, non-surgical flatulence g such as milk, processed products, soybeans, silkworm beds, sweet animals, potatoes, peas, wheat, etc.
2, non-surgical total fiber food. Such as celery, spinach, Chinese cabbage, Toona sinensis, total seedlings, leeks, Huang Ye, potherb mustard, winter bamboo shoots, stalagmites, pineapples, etc.
3. Do not eat greasy food during non-surgical period. Such as hen soup, meat culvert, mutton soup, fat meat, sparerib soup, Chinese fish, ham, pigeon meat and so on.
4, the total hair. Such as dog meat, mutton, sparrow meat, sparrow eggs, dried bamboo shoots, green onions, pumpkins, beef, peppers, garlic and so on. Avoid hair during non-operation and after operation. Two weeks after operation, although the recovery was good and the stitches were removed, the resistance was still weak during this period, and the risk of inflammation still existed.
5, 24 hours of surgery, should be fasting. This is one of the dietary taboos of acute appendicitis.
6, avoid coarse food after water. If the anus exhausts after operation, it is suggested that the intestinal function begin to recover, and a small amount of liquid diet can be given at this time; After 5-6 days, give a semi-liquid diet with less slag. Don't eat chicken, ham, pigeon and soup of various vegetables. The above foods can be administered after 10.
Proper diet for acute appendicitis
1, it is advisable to eat products that clear away heat, detoxify and promote diuresis. Such as mung beans, bean sprouts, bitter gourd, etc. can be explored and eaten.
2. Eat more liquid diet or semi-liquid diet after operation. Such as milk, soybean milk, rice soup, rice soup or porridge, soft noodles, etc.
3. Drink more melon juice. Such as barrel juice, pear juice, orange juice, apple juice, celery juice, lotus root juice and watermelon juice.
Treatment of acute appendicitis
Surgical treatment of appendicitis;
1, acute simple appendicitis: when conditions permit, non-surgical treatment of integrated traditional Chinese and western medicine can be carried out first, but careful observation must be made.
2, suppurative and perforated appendicitis; In principle, emergency surgery should be performed immediately to remove the diseased appendix.
3. Appendicitis with inflammatory mass for several days: conservative treatment for the time being. If there are still symptoms after 3-6 months, consider removing the appendix.
4, elderly patients, children and acute appendicitis during pregnancy, in principle, should be the same as adult appendicitis, emergency surgery.
Non-surgical treatment: mainly suitable for acute simple appendicitis, appendiceal abscess, acute appendicitis in early and late pregnancy, appendicitis with major organ diseases in the elderly.
Basic treatment: including bed rest, diet control, proper fluid replacement and symptomatic treatment.
2. Antibacterial treatment: broad-spectrum antibiotics (such as ampicillin and cephalosporin) and anti-anaerobic drugs (such as metronidazole and texazole) were selected.
3. Acupuncture treatment.
4. Chinese medicine treatment.
Symptoms of acute appendicitis
The main manifestations are abdominal pain, gastrointestinal reaction and systemic reaction.
Abdominal pain: Abdominal pain is the main reason forcing patients with acute appendicitis to seek medical treatment as soon as possible. Except for a few patients with transverse myelitis who have abdominal pain.
(1) Roche's sign (also known as indirect tenderness): The positive result of Roche's sign can only indicate that there is infection in the right lower abdomen, and it cannot judge the pathological type and degree of appendicitis. When pain in the right lower abdomen needs to be differentiated from diseases such as right ureteral calculi, the examination of Roche's sign may be helpful.
(2) psoas major sign: psoas major sign is positive, suggesting that appendix may be located in cecum or retroperitoneum. When the lower limbs are overstretched, the psoas muscles can be squeezed into the inflamed appendix.
(3) The sign of obturator internus: A positive sign indicates that the appendix is in a low position and the inflammation spreads to the obturator internus;
Location of abdominal pain: typical acute appendicitis patients, the location where abdominal pain begins is mostly upper abdominal pain, under xiphoid process or around umbilicus. After about 6-8 hours or more, the position of abdominal pain gradually moved down and finally fixed in the right lower abdomen.
Characteristics of abdominal pain: most patients with acute appendicitis have sudden and persistent abdominal pain, and a few may have paroxysmal abdominal pain first, and then gradually worsen.
Gastrointestinal reactions: nausea and vomiting are the most common. Early vomiting is mostly reflex and often occurs at the peak of abdominal pain. Vomiting is food residue and gastric juice, and late vomiting is related to peritonitis.
Systemic reaction: fever occurs during the course of the disease, and the temperature of simple appendicitis is mostly between 37.5 and 38.0℃. Purulent and perforated appendicitis, the body temperature is high, which can reach about 39℃. A few patients have chills and high fever, and the body temperature can rise above 40℃.
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