1, what can't I eat when the wound heals?
1 Patients with wound healing should not eat soy sauce, which may cause scar formation.
Patients with wound healing should not eat spicy food, such as pepper. These foods are easy to cause excessive internal heat, which leads to inflammation of the wound.
Patients with wound healing should not eat edible fungi, such as mushrooms and shiitake mushrooms. Most of these foods are high-protein foods, and it is easy to get angry if you eat too much. People who usually have headaches, dizziness and other symptoms should try to eat less.
Patients with wound healing should not eat seafood such as hairtail, yellow croaker, pomfret, mussel, shrimp and crab. Most of them are cold and fishy, which affects wound healing to some extent.
Patients with wound healing should not eat fruits such as peaches and apricots. These fruits are easy to get angry when eaten too much, and apricots are easy to hurt muscles and bones when eaten too much, which will have a certain impact on wound healing.
Patients with wound healing should not eat chicken head, chicken wings, chicken feet, goose meat, pig head meat and other foods, which may easily cause liver fire and thus affect oral healing.
2. Food to help the wound heal
1 foods containing vitamin c
Vitamin C promotes wound healing and increases sensitivity to stress such as injury and infection. During infection and fever, the loss of this vitamin will also increase, so it plays an important role in the response to stimulation. At the same time, the process of wound healing after operation needs collagen filling, and the formation of collagen fibers needs the help of vitamin C.
As a reducing agent, vitamin C can also reduce the formation of melanin, and even reduce the melanin that has been generated into colorless substances, which has a good whitening effect. Vitamin C exists in all kinds of vegetables and fruits, mainly vegetables, spinach, oranges, red dates, kiwis, oranges, grapefruit and so on.
2 foods containing vitamin a
Vitamin A is also a nutrient, which can promote wound healing and whiten skin. Vitamin A plays an important role in cell differentiation, epithelial fibroblast proliferation and collagen synthesis. Vitamin A deficiency will hinder the healing of surgical wounds.
3 foods containing glucose
Sugar is the main energy provider of human body, and supplying sufficient energy is indispensable for wound healing. During the period of wound healing, you can eat more fruits rich in sugar, which not only increases sugar, but also absorbs enough vitamins.
4 Food containing protein.
Protein: Severe protein deficiency can cause poor or slow regeneration of tissues and cells, especially when methionine (such as methionine) is lacking, which often leads to disordered growth of wound tissues and cells, poor granulation tissue formation, failure of fibroblasts to mature into fibroblasts and reduction of collagen fiber synthesis.
Adding protein to the diet can promote wound healing and reduce the chance of infection. Foods rich in protein include all kinds of lean meat, milk and eggs.
Five kinds of foods containing zinc
Zinc can combine with vitamin C, participate in the synthesis of collagen in the body, increase resistance and promote wound healing. Foods containing zinc include corn, soybeans, radishes, mushrooms, nuts, animal livers, fungi, kelp, seafood, eggs, meat, whole grains and nuts.
Vitamin e can maintain animal reproductive function and promote wound healing; When vitamin E and vitamin C are used together, they will complement each other and enhance their functions. Foods containing vitamin E include cereals, green leafy vegetables, egg yolks, nuts, meat and dairy products.
6 kinds of high-fat foods
Lipid deficiency can lead to wound healing defects. Fish oil is rich in fatty acids, which has anti-inflammatory effect and is beneficial to wound healing.
3. Dietary taboos for wound healing
1 bass
Perch is rich in digestible protein, fat, vitamin B2, nicotinic acid, calcium, phosphorus, potassium, copper, iron and selenium.
Traditional Chinese medicine believes that perch is warm and sweet, and has the functions of invigorating spleen and stomach, nourishing liver and kidney, relieving cough and resolving phlegm. Drinking black fish soup is also good for the wound.
Two fast horses
Pig trotters are rich in zinc and collagen. Zinc deficiency will reduce the function of fibroblasts. Supplementing more collagen can promote the speed of wound healing.
3 kelp
Kelp contains several to dozens times more protein and carbohydrates than spinach. There are also many important vitamins such as carotene, riboflavin, thiamine and nicotinic acid.
Sodium alginate in kelp also has hemostatic effect on arterial bleeding.
4 agaric
Auricularia auricula is rich in iron and other minerals. The iron content in 100 g of auricularia auricula per day is as high as 185 mg, which is 20 times higher than celery with the highest iron content in green leafy vegetables, and it is also rich in zinc.
Five young pigeons
Pigeons are the only animals in poultry that have no gallbladder. It is rich in bile in liver, hemoglobin in blood and chondroitin in bone.
These special nutrients can regulate the nervous system of human brain, improve sleep, stimulate appetite and help digestion.
Activating gonadal secretion and pituitary secretion, even balancing human body functions, conditioning and strengthening the body, has a special dietotherapy effect. Do not eat irritating food and take sun protection measures.
4. Treatment of common wounds
1. Clean the wound and disinfect it with iodophor, which has little irritation and good effect; For clean new granulation wounds, vaseline gauze can also be used to cover them, so as to relieve the pain of patients during dressing change and reduce the leakage and loss of tissue fluid.
2. Wounds with abundant blood supply and little chance of infection can be simply moistened with normal saline and bandaged with sterile auxiliary materials.
3. For the wound with skin defect, the defect area should be washed repeatedly with salt water, and the surrounding area can be disinfected with iodophor. After disinfection, cover with saline gauze or vaseline gauze. Saline gauze is beneficial to keep the wound fresh and dry, while vaseline gauze is beneficial to the growth of granulation.
4. The principle of infection or pollution of wound is to discharge pus. If necessary, open the suture, enlarge the wound and drain thoroughly. The wound should be washed repeatedly with hydrogen peroxide and normal saline. If there is necrotic tissue, debridement is needed. Antibiotic gauze can also be used to fill wounds. It is best to use iodine twice and alcohol three times to deodorize the wound. Of course, dressing changes for infected wounds should be done every day. In addition, when dressing the suppurative incision, don't dislike the stench. Be sure to carefully wipe off the pus coating at the incision, and don't be afraid to touch the incision because of the patient's pain. After the pus coating is removed, there should be slight blood oozing, which will help the incision heal as soon as possible!
5. Infected wounds such as bedsore and suppurative osteomyelitis: iodophor is disinfected around the wound, and at the same time, the wound is washed with hydrogen peroxide and normal saline and covered with gentamicin dressing.
6. For osteomyelitis with bone exposure, dressing should be changed frequently first, because there is much exudation and dressing change. During dressing change, the necrotic tissue should be removed at any time, and gauze can be placed in the medullary cavity. The empirical method is to wash the wound with salt water first, then with 0. 1% iodophor, then with hydrogen peroxide, and finally wet compress it with gauze and cover the dressing. When the granulation of the wound surface is fresh and exudation is less, the dead bone and hardened bone are surgically removed, and the wound surface is covered with proper myocutaneous flap and fixed outside the external fixator. After the flap survived, the bones were elongated.
7. The dressing change of patients with open fracture treated by external fixation follows the following principles: firstly, iodophor disinfection (while cleaning to remove necrotic tissue), secondly, hydrogen peroxide disinfection, then physiological saline washing, and finally, nitrofuracilin packing to cover the wound. Wait for granulation to grow and cover it with free flap.
8. Incision fat liquefaction: Fat liquefaction is easy to occur in fat-rich places. At this time, extensive incision (all areas of fat liquefaction are opened), culture+drug sensitivity, and strengthening dressing change. This kind of incision needs long-term replacement. In order to shorten the time, gentamicin was injected subcutaneously after preliminary disinfection, and glucose powder was placed in the incision, and the dressing was changed every day. After the wound oozes less blood, use oil gauze to stimulate the growth of granulation, and sew it in the second stage after it is fresh or wrap it with butterfly tape.
9. Long-lasting wounds should be treated with traditional Chinese medicine. Traditional Chinese medicine dressing change has its own uniqueness, but there is usually no aseptic concept. For example, for refractory sinus (such as sinus caused by brain surgery, heart bypass surgery or chronic osteomyelitis), Berdan or Jiuyidan+red ointment is generally used to expel putrefaction and pus in the early stage, and Shengjisan+red ointment is used to close the mouth in the later stage. The effect is very good, even Pseudomonas aeruginosa or drug-resistant Staphylococcus aureus infection can be cured well.
10. For polluted oily wounds, we use turpentine to wash away oil stains.
1 1. For old granulation wounds: this granulation tissue has poor regeneration ability (dark red, old and uneven color, sometimes with old bleeding appearance), and the surrounding tissues are not easy to heal. Scrape or cut off the granulation tissue on the surface with a scraper to make it bleed, expose fresh granulation, and apply adhesive tape externally (this is the theory of removing putrefaction and promoting granulation in traditional Chinese medicine, and western medicine will rinse it with hydrogen peroxide). If there is pus, observe whether there is pus cavity or sinus, and pay attention to the change of patient's body temperature.
12. For the wound infected by Pseudomonas aeruginosa, it is characterized by a light green pus with a special sweet smell. If the wound scabs, pus accumulates under the scab and there is necrotic tissue, the scab skin, pus and necrotic tissue should be removed. Early suppurative infection of burn wounds can be removed by escharectomy and skin grafting. You can also wet compress with 1%~2% phenoxyethanol, or wet compress with 0. 1% gentamicin, 1% silver sulfadiazine, 10% methanesulfonic acid, etc. If the wound is small, it can be wet compressed with 3% acetic acid, 10% chloral hydrate and other solutions.