■Patients after gastric surgery to prepare for eating
In order to promote the patient's appetite after surgery, non-urgent treatments, inspections and nursing care should be suspended before eating, to assist the patient to wash their hands, rinse their mouths, and to take a comfortable eating position and get rid of all the bad smells and bad visual images, such as removing the commode, etc. The patient's favorite methods and methods can be used as appropriate. Food may be chosen in the patient's preferred manner and taste, as appropriate. For those who are in pain, appropriate painkillers should be given
■Gastric postoperative feeding points
After removing the gastric tube, you can drink a small amount of water or rice broth, and on the second day, you can eat half of a liquid diet, and on the third day, you can eat a full liquid diet, such as soymilk, lotus root powder, and fruit juice; if you don't have any abdominal pain or bloating, you can eat a semi-liquid diet on the fourth day, such as egg custard, thin rice, and vegetable broth, etc. On the 10th-14th day, you can eat a soft food, avoiding cakes, milk, beans and other easy food. Cake, milk, beans and other easy to produce gas food, avoid raw, cold, hard and stimulating food, pay attention to small meals, the beginning of 5 to 6 meals, to 7, 8 into full. The patient's recovery, encountered different situations, need to take a different diet.
★ Postoperative diarrhea. Eat more fresh fruits and vegetables rich in vitamin C. The amount of fruit should not be too much for a single intake, and it can be properly soaked in warm water for a few moments or press the fruit into juice to facilitate digestion and absorption. Fiber-containing foods should not be eaten more, such as oranges, nuts, celery, soybean sprouts, leeks, etc. These foods should not be digested, easy to cause intestinal obstruction after entering the intestinal tract.
★The emergence of constipation. Because of the postoperative gastrointestinal peristalsis significantly weakened, coupled with less activity, food is too fine, etc. can cause constipation. At this time, should be appropriate to increase the amount of food containing fiber, such as sweet potatoes, bananas, pears, and many times to drink water, should be avoided drinking tea, because the tannins in the tea and protein combination can slow down and inhibit gastrointestinal peristalsis, aggravate the constipation.
★ For those who have dumping syndrome. With nausea, vomiting, profuse sweating, palpitations as the main symptoms, mostly occurring in 10 to 30 minutes after meals, lasting 60 to 90 minutes, can be relieved on their own. When eating, pay attention to the separation of dry and thin, lying down for 10 to 20 minutes after eating, and only after 30 minutes can you eat liquid food. Late dumping syndrome, also known as hypoglycemia, with panic, dizziness, hand tremor, drowsiness as the main symptoms, occurring 2 to 4 hours after a meal, there can be a sense of hunger, the appearance of symptoms, a little food, especially sugar can be relieved. Diet, reduce the content of carbohydrates, increase the proportion of protein, a small number of meals can prevent the occurrence of the above symptoms.
★ For those who have undergone subtotal gastrectomy. The day after the extraction of the tube to give a small amount of water, 4 to 5 tablespoons each time, every 1 to 2 hours. On the second day, half-volume liquid food, i.e., 50~80ml per meal, and on the third day, full-volume liquid food, 100~150ml per meal, 6~8 times a day, and intake of food containing high protein, high vitamins and a variety of minerals should be avoided to avoid food that is easy to flatulence, and egg broth, vegetable broth, lotus root powder is preferred. If the postoperative recovery is normal, thin rice can be fed on the fourth day, and dry rice can be fed after 10 to 14 days. The main food and side dishes should be soft and easy to digest, avoid eating raw, hard, fried, strong tea, wine and other stimulating foods.
★ For those who have undergone total gastrectomy. The general principle of eating is: a small amount of meals, step by step, into the light and easy to digest the flow of food, and gradually transition to the general food. Diet plan: stop gastrointestinal decompression after the second day to start eating sugar water, rice soup 30 ml, alternating every 2 hours; the third day of 60 ml, alternating every 2 hours; the fourth day to 100 ml, alternating every 2 hours; the fifth day of half of the amount of fluids, the sixth, seventh, eight, nine days into the full amount of fluids, the tenth day to half fluids. The above plan is based on the principle that the patient complains of no discomfort. It can be modified at any time according to the patient's specific situation.