The meal of the empress of the stomach cancer Shu adjusts a reason

The stomach cancer is one of the familiar cancers in the our country, its treatment policy because of equipments dissimilarity but have difference.We according to the last few years clinical experience also drew lessons from Japanese stomach cancer academic association establishment standard a treatment, and combine patient in my hospital's actual circumstance, after carrying on inquirying into stomach cancer Shu of humanize food to recover from illness instruction.Not only hope medical worker, and hope patient and its family the member be the nursing patient's reference.According to the guideline"make people the center", establishment and stomach cancer treatment have the stomach cancer Shu of direct relation after the alimentotherapy.

1.arrive from that day of surgical operation can drinking

Because the cent of stomach cancer expects a dissimilarity, the treatment method for correspond can include parts of stomach resections, stomach near carry a big department excision, stomach the distant and big department cut off or the whole stomach cut off and the stomach cancer extension cure for good and unite dirty machine excision.In order to after operation digesting a way to reconstruct a method, will have because of surgical operation different and similar dissimilarity.Again because of appetite individual difference very big, guide food to do some basic principle instruction.

Ignore the stomach cut off how scope is and we lay claim to let a patient to take"recover from illness on our own" as a principle.The Shu is a seat on the 1st day behind, on foot go to a health on the 2nd day, can set a certain on foot practice on the 3rd day, let the patient leave a bed soon, this period all in order to forbid a food water, but the patient can go to generally wash a Shu activity, can carry on a throat department medicine a treatment.Through nose stomach the tube pulls out for 4 days ～ 5 days after Shu, had better be after the stomach and intestines wriggle instauration(bowel way row spirit, stomach peristalsis instauration).Relieve after the stomach tube a first patient can drink about 200 milliliters of cold water, the patient carries on swallowing a practice under the doctor's present circumstance, patient have to double the feet hang in under the bed sit on the chair to practice but don't use to depend to carry on the back.Let patient's contain one big saliva first, then drink bottom, because water probably gets into windpipe, slightly lift a lower jaw while drink and insure cold water into stomach.Because sometimes air would with water swallow together bottom, wait a little while to eject spirit.Every a minute, the ～ drinks an one mouthful again after 2 minutes and repeat same action.Slightly make to wait for while also explaining toward the patient, being belly cavity to feel unwell, don't be nasty.Usually drink a cup water to use 5 minutes, ～ 10 minutes, for the sake of the instauration of food, carry on 500 milliliters of drinking practices everyday, divide 3-4 completion.If the condition disallow, seat can't drinking, or haven't ready to, can push backward for half day or few days, housebound feeling but settle.Above the procedure taken a meal for the beginning.Take patient as center in the nursing process, gradually carry out food to recover from illness for the patient, there is plan implement food a management procedure.

2.from take a meal hospital discharge

The stomach after operation and for a while can't take a meal, can pass whole bowel a way outside nourishment(TPN) to cure 5 days ～ for 7 days.

The Shu starts all flowing a food on the 5th day behind, the 7th day three cent gruel, the 9th day enter five cent gruel, the 11th day is whole gruels.Although drew up to unify to take a meal plan and food to take a method, if the drinking practice carry on the words come right, can also according to oneself get the path and pace carry on fulfillment.Slowly take a meal under the nurse's help first, the appetite depends on a patient of request but settle, generally regard high nourishment, high egg white, high vitamin food as principle, and with the fine easily digests for principle.Generally can use main factor food.Clinical up have Anne the plain nourishment blunt can be used as transition food's effect better, keep thermal balance.The protein, fat, carbohydrate comparison that absorb everyday are in keeping with.The food wants to certainly eat fixed amount after the stomach cancer Shu and the little food is many meal principles.Having a condition should at the nutritionist, medicine teacher of under the instruction have a meal and use a medicine, after have meal forerunner digest Mao of medicine, one by one in order anti- heart rate not and together medicine, anti- angina pectoris medicine, anti- blood platelets medicine etc..Decline to press a medicine and decline a blood sugar medicine, many warriors don't need to be use.

After operation two with in the week, because of remnants stomach sport be unwell, sew up part(fit together) dropsy, the food is detained, cause stomach Tan(the stomach peristalsis die down or disappear), at clinical up should cause a value.The stomachache, abdominal distension much disappears after stopping take a meal for 2~3 minutes.And, can't be immediately even to lie after take a meal, have to seat, let the food agreeable gravity keep mean.Manage nursing teacher instruction patient and its family members before get out of the hospital, to food of use to anticipate with the way of doing carry on elucidation.The gruel is agree with stomach iner keeping with, guide a patient to eat some a little amount of, nourishment the food of the Gao.In addition to take a meal to carry on 500 milliliters of drinking practices everyday.The vein lose after the liquid be over inside body water need from take orally complement.Drink very easily mean into the humidity, and the speed absorb be quicker than solid food, the drinking later on and in a short while takes a meal just the humidity in the food be not so many, so don't worry will produce negative influence into water.If can come right the words of drinking to take a meal also without difficulty.Can smoothly take a meal, practice to once and very easily know with cold water, not the important step be nasty and the training which has patience is very important.Everyday absorb egg white to measure for 100 grams of ～ is 150 grams, fat's ising 60 grams of ～ is 80 grams, the carbohydrate is 400 grams of ～ 500 gram is proper.In addition to eat some corns eat some Jing meat, birds, fish, egg, milk and bean food more.Eat rich contain abundant protein food, study a manifestation fat of absorb to become with stomach cancer death rate negative related.Therefore little eat Jing and the food like the condensed milk of the candy, chocolate, wheat milk, the in order to prevent produce sour, eat the glutinous rice system food, thick fiber less don't easily chew a vegetable, in order to prevent Geng Zu.The standard of hospital discharge is well the half quantity that can carry on absorbing or obtaining whole gruelses is standard.If is an old man over 75 years of age, because of at the hospital to take a meal to control have another, they got out of the hospital in early days of hope mightiness, can loosen standard, general 10 days, can get out of the hospital for ～ 14 days.

3.from get out of the hospital the empress of the Shu a till March

Persuade a patient to set out to toughen the ability of take care of ～ for oneself from own standpoint, follow a society to return to an own work post gradually in, and notice Lao Yi to combine.Usually keep in touch with hospital, the medical personnel takes a method to sufferer's food and have already had no complications etc. the symptom carry on inquiry and keep healthy nourishment to adjust a reason to give instruction to the sufferer.Along with living scope of extension, the need of nourishment measure also in the increment.Because took a meal quantity to reduce, want to take enough nourishment, have to enter some quantity little but nourishment value Gao of food, rich contain iron, copper, calcium, animality egg white...etc. to easily digest food.Like egg, beef, fish, greenery vegetable...etc..After get out of the hospital, enter the gruel can change to a soft food, the proper and little food is many meals, quality valuables, little residue, little greasy and easy digest food.Like edible liver, egg, pumpkin, mushroom, Xian monkey peach...etc..Hate a thing:Adjust to anticipate, the meat, goose meat...etc. of"hair thing", pig head.The stomach surgical operation patient usually eats some vegetables for cook soft to the meat and the oil tedium.These foods are agree with stomach of stimulate small, but the disadvantage is at the instauration of physical strength.Can enter snack complement,such as sweetmeat, noodles, to order etc..Can also taste a delicious food in hotel, can produce appetite, increment food of absorb.Can also apply a Chinese medicine Chinese herbal medicine food to adjust one effective.Like mountain medicine thin gruel, rice Ren thin gruel, green lentil thin gruel...etc..Instauration quick sufferer's a meals the quantity and appetite feels bulge full after being look like, but taking a meal before the Shu, food impassability(bowel Geng Zu) phenomenon have occurrence.Should adjust a food decrease bowel Geng the occurrence of the Zu.

4.after the Shu 1-2 years

Because the food habit slowly adapts, some symptoms of complications may once experience as well and the academic association regulated by one's own.Suddenly feel have no dint, cold sweat for the after meal 2 hours ～ 3 hours, languid etc. dump symptom, edible sweetmeat or dessert the symptom alleviates after 10 minutes.If take place in the sleep, will wake up, influence sleep.Therefore, the sleeping don'ted eat solid food ago.The attention keeps a weight growth, the patient gets out of the hospital after the stomach Shu the ex- weight descend 4 more kilogram ～ 6 kilograms.Should eat high egg white and the meat, fish...etc. of fat more to increase to put on weight.Reduce rice etc. carbohydrate quantity, opposite increment fish's etc. absorb quantity very important, fight for 2-3 years recovering an original weight.The things wanted to eat all can eat, can slightly control to the mordacity, coffee, wet goods food and take a meal for the sake of the increment of the fun be a little amount of enter that type of food.The little food is pickle and fume a food and once avoided cold, lead hot, lead hot and fry in oil to fry a food.No smoking, the Lao Yi combine.Take medicine time, method, amount of accurate, avoid taking agree with stomach mucosa harmful medicine.Want to periodically reexamine, check-up, unwell seek medical advice at any time, raise ego to recover from illness consciousness.Usually take a meal a meeting because surgical operation size, chemotherapy, put to treat a treatment etc. reason but be subjected to restriction, the most important is understand an own the foundation that the body change up, the mental state doesn't want excessively dismay, value regulate of ego motion, keep spirit to dulcify and heartily enjoy the fun that the food bring.