Traditional Culture Encyclopedia - Traditional stories - Does the appendicitis operation hurt? I'm worried ~ ~ ~
Does the appendicitis operation hurt? I'm worried ~ ~ ~
Family maintenance
Acute appendicitis can subside, but about a quarter of patients will relapse after it subsides. At present, the surgical methods are relatively safe, and most of the operations have good results. Non-surgical treatment is mainly anti-infection (that is, anti-inflammation). However, we should be prepared to be hospitalized at any time, so as not to delay the treatment, make the disease develop to a serious degree, and lead to difficulties in treatment.
1. Family medication: Take medicine early, and it is best to control the inflammation before it develops into peritonitis. You can choose the following drugs:
(1) penicillin, 800,000 units each time, 6 hours 1 intramuscular injection. You must have an allergy test before using it.
(2) Streptomycin, 0.5g each time, 1 2h,1intramuscular injection. Should be used together with penicillin.
(3) Gentamicin, 80,000 units each time, intramuscular injection within 8 hours 1 time.
(4) Xianfeng No.4, 0.5g each time, taken orally four times a day.
(5) Spiramycin, 0.2g each time, taken orally 4-6 times a day.
2. Traditional Chinese medicine and folk prescription
50g of honeysuckle, 50g of dandelion, 20g of cortex moutan, 0g of rhubarb15g, 0g of radix paeoniae rubra12g, 9g of toosendan fruit, 9g of peach kernel and 9g of liquorice, and decocted in water for 2-4 times every day.
(2) Spatholobus suberectus 1 00g, Herba Violae 50g and Fructus Toosendan 20g, once a day1dose, decocted in water twice, and taken twice.
(3) Acupuncture Zusanli, Appendices and Ashi points. Add Neiguan point to spit.
(4) 50 grams of Coicis Semen, 25 grams of wax gourd seed, 0/5g of peony bark/kloc-,0/5g of peach kernel/kloc-,0/00g of viola yedoensis/kloc-and 300 ml of water (6 Liang), and decocted to 100 ml. Decoct twice, mix, and take twice, daily 1 dose.
(5) Caulis Sargentodoxae, Caulis Lonicerae each 1 00g, Radix et Rhizoma Rhei 1 5g, decocted in water, and added with yellow wine1,taken twice, daily1dose.
3. Nutrition and diet
Should be given a liquid diet, such as milk, soybean milk, rice soup, broth and so on. Or semi-liquid diet, such as porridge, soft noodles and so on. If you want to be hospitalized for surgery, you should abstain from water.
4. Home care
(1) preoperative: closely observe the patient's abdominal pain, stool, temperature and pulse. The patient should have a good rest. Patients with peritonitis should take a semi-sitting position (that is, the patient sits on the bed with his back leaning against the quilt). Applying a hot towel or hot water bag to abdominal pain can promote the absorption of inflammation.
(2) Postoperative: Gastrointestinal activities were temporarily stopped after intestinal surgery. Drinking water entering the gastrointestinal tract cannot drop, and it accumulates in the stomach, causing bloating. So you can't eat or drink after the operation. You can't eat until your gastrointestinal activity is restored. The sign of the recovery of gastrointestinal activity is that you can hear bowel sounds in the abdomen (that is, purring or purring) or anal exhaust (farting). After operation, the intestine is inactive, and the surgical wound is easy to adhere. Therefore, patients should be encouraged to participate in more activities. On the one hand, it can prevent intestinal adhesion, on the other hand, it can also promote the recovery of gastrointestinal activities. Cough after abdominal surgery is a painful thing for patients. You can use some antitussive and expectorant drugs, such as compound licorice tablets 3 tablets, taken orally three times a day. Or take kebiqing 50 mg orally three times a day. The patient must cough up phlegm. In order to alleviate the pain of patients, nurses can assist patients. That is, when coughing, put your hands on both sides of the incision and apply force to the middle, which can relieve the pain of patients when coughing. Some complications may occur after appendectomy. Therefore, if the caregiver finds that the patient has abnormal changes, such as full of pain; On the third day after operation, the body temperature increased; Abdominal distension and poor anal exhaust; Incision bleeding, pus, etc. You should contact the doctor in time and get timely treatment. If the doctor instructs the patient to sit half-sitting, the chaperone should cooperate with the doctor to make the patient insist on sitting half-sitting. It is not advisable to do strenuous exercise or heavy physical labor within half a month after discharge. Such as carrying water and playing basketball.
(4) Precautions
1. Abdominal pain should not be treated with painkillers without definite diagnosis. Because the condition is covered up after analgesia, it is easy to delay the diagnosis and cause serious consequences.
2. After suffering from acute appendicitis, if the family treatment has no effect, send it to the hospital in time.
3. According to the current medical level and technical conditions, the surgical treatment of acute appendicitis is effective, and even conservative treatment is easy to relapse. Therefore, under the condition of conditional clearance, acute appendicitis is mainly treated by surgery.
4. Non-surgical treatment, medication should be thorough. After the symptoms and signs disappear, the drug should continue to be used for one week to consolidate the curative effect and reduce the recurrence.
The hospitalization should be arranged by the doctor. The accompanying staff should cooperate with the medical staff to do the patient's work well.
6. The condition and signs of appendicitis have changed greatly, and many patients are atypical. You'd better go to the hospital when you're not sure. So as not to delay diagnosis and treatment.
(5) common sense of prevention
1. Enhance physical fitness and pay attention to hygiene.
Be careful not to catch cold and eat improperly.
3. Timely treatment of constipation and intestinal parasites.
Dietary taboos after appendectomy
Digestive tract and abdominal surgery are closely related to dietary taboos and must be paid attention to.
1. Do not eat. After digestive tract and abdominal surgery, the intestine is in a low function state and must be fasted. After surgery
After 2-3 days, if the anus exhausts, it means that the intestinal function begins to recover, and a small amount of liquid diet can be given at this time. After 5-6 days, it can be changed to less slag.
Semi-liquid diet, during which the liquid should be light and nutritious, and warm clothes should be taken to avoid bringing coarse food residues into the liquid. correct
When eating semi-liquid food with little residue, avoid chicken, ham and soup of various vegetables, even if these foods are poorly cooked, they must wait.
It can only be given after 10 days.
2. Avoid greasy food Even on the first 10 day after surgery, when the body can bear soft meals, it is not allowed to eat greasy food too early.
After two weeks of hair removal surgery, although the recovery is very good and the stitches have been removed, the body's resistance is still very weak during this time.
The risk of inflammation still exists, so it must be banned.
Digestive tract and abdominal surgery includes operations on esophagus, stomach, intestine, liver and gallbladder, but there are also some minor operations such as appendicitis in progress.
After that, you only need to fast for one day, and you can give liquid food on the second day, liquid food on the third and a half days, and soft rice on the fifth day. Anorectal surgery must be banned.
Eat for 2-3 days, and then clear liquid and semi-clear liquid are produced, with little residue. Limit foods containing crude cellulose in the diet, such as celery, Chinese cabbage, coriander, garlic, etc.
Miao, leek, Toona sinensis, winter bamboo shoots, hairy bamboo shoots, pineapple, etc. Reduce the frequency of defecation and the friction of undigested crude fiber on the wound; Oral cavity and throat
For some operations, the patients were fasted within 6 hours after operation, and hot liquid was fasted within 1-2 days, mainly cold liquid.
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