What materials are needed to make homogenates for patients after gastrostomy?

Patients should be given liquid or thinner semi-liquid food, pay attention to the temperature of the food, do not eat hot food, and control the temperature of the food at 38-40 degrees. Maintain a balanced diet with foods that are easy to digest. For patients with difficulty eating, the food is chewed by mouth and then diluted into the patient's stomach, which is conducive to the digestion of the food and thus satisfies the patient's taste.

After surgery, a liquid diet can be perfused after intestinal peristalsis is restored. Once the incision has healed, the catheter can be removed and temporarily inserted later while the diet is perfused.

Water intake should be increased to prevent dehydration. Food should be chewed well to aid digestion. Avoid eating too quickly and swallowing air, avoid eating too much food at one time, and eat regularly.

Avoid foods high in fiber. The food intake should be varied and the diet should be balanced. Use normal meals and consume adequate amounts of dietary fiber.

Drink plenty of fluids and limit alcoholic beverages. Avoid foods that are high in fat. Increasing fluid intake to maintain healthy kidneys and reducing the risk of infection, diluted urine can reduce damage to the outlet**, and the daily water intake should be 1500 to 2000ml.

Eat plenty of fresh vegetables and fruits, do not need to abstain, and eat a balanced diet.

1. Breakfast.

1. Staple food: high-fiber staple food such as high-fiber steamed bread or cake.

2. Non-staple food: a boiled egg or poached egg.

Choose one of light soy milk, milk or millet porridge.

Mixed vegetables? 2. Lunch.

1. Staple food: high-fiber rice, high-fiber steamed bread, high-fiber noodles or other high-fiber staple foods 2. Non-staple food:

Lean meat, fish, chicken, duck can be selected according to the situation.

Stir-fried vegetables, cold vegetables, soy products, etc.

3. Dinner. 1. Staple food:

High-fiber staples such as high-fiber steamed buns and high-fiber rice.

Those who like to drink porridge can choose millet porridge, mung bean porridge, red bean porridge, etc. according to their personal habits.

2. Non-staple food: vegetables, soy products, etc.

Chicken, duck, meat, fish, etc. can be selected according to personal preference.

4. Drink a glass of pure milk before going to bed at night, about 300 ml.

This is related to the safety of the patient, you can't give random advice, it is recommended that you ask the doctor better, I wish him health!

For gastrostomy surgery, the following three aspects should be emphasized:

1) Pay attention to keep the abdominal wall wound clean to prevent infection. The area around the ostomy tube** should be cleaned and disinfected regularly, with special care to keep it dry.

2) Pay attention to maintaining the proper tightness of the ostomy tube: if it is too loose, it is easy to leak gastric contents along the side of the tube to the abdominal wall; If it is too tight, it is easy to cause ischemia, and then redness and swelling, and even local tissue necrosis.

3) Pay attention to keep the lumen unobstructed. The lumen should be irrigated with water after each food infusion, and water should be injected between meals to ensure its smoothness.

In terms of diet, patients with gastrostomy should be given a liquid diet or a dilute semi-liquid diet, and the temperature should not be too high, 38 40The food should be rich in nutrients and easy to digest, and if necessary, the food can be chewed by mouth and diluted into the stomach to help digestion and satisfy the patient's taste. The tube should be kept clean, a small amount of warm water should be injected before each infusion of food, and the pipes should be flushed with an appropriate amount of warm water to prevent food from blocking the pipes.

It is suitable to eat rice, lotus root flour, beans, sesame seeds, asparagus, kelp, mushrooms, eggplant, green onions, fungus, milk, freshwater fish, animal liver, kidney, etc.

Avoid smoking, frying, and salted foods.

Wishing you good health!

The diet is mainly through the gastrostomy tube, which sends nutrients to the stomach, and then enters the intestine for absorption, and is generally dominated by liquid, nutrient-rich, vitamin-rich foods. However, the thicker ones contain more cellulose, which is easy to cause the blockage of the ostomy tube, so it is mainly a high-nutrition, liquid and semi-liquid diet, and it should be flushed after each meal.

Choose foods that are easy to digest and don't eat spicy ones.

In terms of nursing, it is necessary to pay attention to the patient's hygiene, keep the wound around dry and hygienic, and eat a diet that is easy to digest and high in nutrients.

In general, these foods are liquid, nutritious, and vitamin-rich. However, the thicker ones contain more cellulose, which is easy to cause the blockage of the ostomy tube, so it is mainly a high-nutrition, liquid and semi-liquid diet, and the tube should be flushed after each meal.

1.The incision is the same as a poached gastrostomy.

2.Make a gastric wall flap Make a flap between the large and small curvatures in the middle of the stomach, 5 cm wide and 7 cm long. The base of the valve should be made on the proximal curve side to ensure blood circulation and facilitate access to the outside of the body.

Cut the seromuscle layer first; The submucosal blood vessels are sutured to stop bleeding, and then the mucosa is cut open to suck out the gastric contents.

3.Suture the gastric wall incision The wall flap is opened to the greater curvature, starting from the midpoint of the apex of the gastric notch, and the gastric wall incision is sutured with a full-thickness intermittent suture with No. 4 silk suture.

4.Make a "gastric tube" A F18 tube is inserted into the gastric cavity 5 7cm, the incision margin of the gastric wall flap is intermittently sutured along the whole thickness of the catheter, and a layer of serous muscle layer is added to intermittently suture to complete the gastric wall pedicled "gastric tube".

5.Draw out the "gastric tube" and poke a small infusion in the abdominal wall below the lateral edge of the left rectus abdominis muscle, preferably above the base of the "gastric tube" to avoid spillage of gastric contents. The "gastric tube" is drawn out through a small incision, and its stump should be exposed, and the wall of the tube and the surrounding peritoneum, fascia and ** are fixed with several stitches intermittently sutured with silk threads.

Finally, the abdominal wall incision is sutured.

First of all, it is necessary to take different measures depending on the timing of the ostomy surgery and the current presentation. If the time is short, it is definitely necessary to change the dressing under the guidance of a doctor, if the time is very long, and there is no redness, swelling and oozing from the stoma site, you can scrub it with warm boiled water, pay attention to keep it dry; If you have redness, swelling or other symptoms, it is recommended to consult a doctor.