The content of the article
- Зачем нужна диета после удаления аппендицита 1 What is the need for a diet after removal of appendicitis
- Особенности рациона 2 Features of the diet
In addition, after the operation on the intestine, the absorption of basic substances is violated. This leads to the development of protein deficiency and slows the process of tissue repair. This is especially true in the case of phlegmonous appendicitis (suppurative appendix) or gangrenous appendicitis (necrosis of the appendage).
Why you need a diet after removal of appendicitis
Compliance with diet in the early and late postoperative period solves several problems at once:
- provides mechanical and chemical bowel movement;
- restores metabolism in the body;
- promotes the increase of immune forces;
- improves the regeneration of tissues at the site of surgery.
Features of the diet
According to the existing medical recommendations, the postoperative diet presupposes a gradual appointment of a sparing diet with a gradual expansion of the list and way of preparing the dishes.
In the early postoperative period
In the first days after the operation, the patient is assigned a diet No. 0a. It assumes a complete exclusion from the diet of any products in the first day. This is due to the fact that the body during this period is stressed, and in the intestine the absorption of nutrients is severely impaired. In addition, in this period there is a great risk of traumatization of postoperative sutures on the intestinal wall.
The first 12-24 hours the patient is administered intravenously electrolyte solutions, drinking is not allowed, but you can moisten the lips with water. At the end of this period, in the absence of contraindications, you can start taking liquid dishes:
- sweetened tea;
- non-ferrous broth;
- broth of dogrose.
The second-third day
On the second-third day, the diet is slightly enlarged, and the patient can eat the following foods and dishes after the appendicitis removal operation:
- chicken or fish broth of low concentration;
- a decoction of rice or oatmeal;
- Fruit, berry jelly on potato or rice starch;
- Diluted with water one to one juice from fruits, berries;
- green tea with a little milk.
It should be borne in mind that in people with lactase deficiency, the addition of dairy products can provoke bloating. Such patients are recommended to add a small amount of vegetable oil (sunflower, olive) to the dishes.
Diet after surgery to remove appendicitis requires frequent and fractional meals. That is, take food at least every two hours. Portions should be small, almost half the amount that the patient ate before surgery. The patient these days eats without meat and fish.
After the operation to remove appendicitis, one can not eat the following dishes:
- meat products;
- fatty dairy products (sour cream, cream);
- spicy and pickled;
- vegetables with coarse fiber;
- cocoa, strong tea, coffee.
It is not recommended to give the patient fried and smoked products. The postoperative menu also excludes any spices and condiments.
In the subacute phase
With a good course of the postoperative period on the fourth or fifth day, the patient is transferred to a sparing diet - table number 1a. It includes a wider range of dishes and more complete by main nutrients. The peculiarity of this type of diet is the maximum mechanical and chemical shudder of the gastrointestinal tract. Starting from the fourth day, the menu allows the patient to add boiled soft boiled eggs, but not more than one per day.
Dishes that are offered to the patient, necessarily grind or grind. Culinary recipes suggest boiling or steaming. Also it is necessary to eat all dishes in a warm form, it is not allowed to give cold food directly from the refrigerator. In the diet should be present such products:
- rubbed and liquid soups or broths;
- steam sticks and kneli from low-fat poultry;
- liquid porridge (semolina, oatmeal);
- steam omelettes;
- vegetable mashed potatoes (potato, carrot);
- fruits without coarse fiber and bones (banana, peaches);
- low-fat dairy products;
- fruit jelly, baked apples;
- not strong tea, diluted juices without dyes.
After discharge from the hospital
Even after discharge from the surgical department, the patient still needs to follow a diet for a while. Usually the diet after removal of appendicitis lasts about a month. This food eliminates too fatty, fried foods, smoked foods, spicy food. It is recommended to cook steamed dishes, boiled or baked in the oven without fat.
The diet includes all products that were given to the patient in the postoperative period. You can also give boiled soft meat, cottage cheese, a small amount of sour cream and cream. Vegetables with coarse fiber, nuts and seeds, smoked meat products, carbonated drinks are not recommended.
Gradually, in the menu, one dish is introduced unprotected. They need to eat in small amounts and be guided by the state of health. With good portability, you can gradually add new products. The table below shows the approximate diet after removal of appendicitis by day, which is suitable for both children and adults.
Table - Postoperative menu by day
|1||- Weak tea with a little sugar|| - Water; |
- weak tea
|- Rice or oat broth||- Tea or broth of dog rose||Broth from the dog rose|
|2|| - Mucous porridge (oatmeal or semolina); |
|- Water or diluted fresh juice|| - Necrone broth; |
- mashed potatoes
| - Kissel; |
- macerated cookies
|Liquid porridge without coarse fiber|
|3|| - Liquid semolina porridge with vegetable oil; |
- Galette cookies;
| - Divorced juice; |
| - Soup with mashed vegetable broth; |
- broth of a dogrose
|- Low-fat kefir|| - Liquid porridge; |
- steam omelet;
- not strong tea;
|4|| - Porridge with butter (vegetable); |
- low-fat kefir
|- Juice or jelly|| - Soup-puree; |
- vegetable puree;
- steam cutlets;
- tea or juice
| - Kefir or yoghurt; |
- biscuit biscuits
| - Porridge or vegetable puree; |
- boiled lean fish
|5|| - Porridge; |
- bread with low-fat kefir;
- tea or broth of a dogrose
|- Juice with biscuits|| - Broth or cream soup; |
- steamed meat or fish cutlets;
| - Casserole of mashed vegetables with cottage cheese; |
- jelly or juice
| - Vegetable puree; |
- Fish cutlets for a couple;
|6th|| - Porridge (semolina, oatmeal, from ground buckwheat groats) with butter; |
| - Juice or tea; |
| - Soup with mashed vegetables; |
- chicken steam meatballs;
- potato casserole;
| - Yogurt; |
| - Casserole from potatoes and chopped meat; |
- dried fruits compote;
Such an exemplary menu is recommended for an uncomplicated variant of the disease. It significantly accelerates recovery after removal of acute appendicitis and promotes faster tissue healing.
Later, the patient moves to a common diet (table number 15), but in the presence of hypoxecretory function of the stomach is recommended to adhere to the table number 2. If there are concomitant violations on the part of the liver, then nutrition after removal of appendicitis involves the appointment of diet number 5.