What is good to eat after comminuted fracture surgery? What are the dietary taboos of fracture patients
Sihaiwang: comminuted fracture is the most serious kind of fracture. After the operation, we need to cultivate ourselves. What's good for maintaining the body and bones? Is there any taboo in diet? Today's editor will introduce you what we need to supplement for comminuted fracture and what's the taboo in diet.
I. what to eat for comminuted fracture
Diet is very important for us. It is also very important for patients with comminuted fractures. What should patients with comminuted fracture eat?
1, fat
Lack of lipids can lead to wound healing. Fish oil is rich in fatty acids, has anti-inflammatory effect, and is beneficial to wound healing.
2. Glucose
Sugar is the main energy supplier of human body, and it is indispensable to supply sufficient energy for wound healing. In the wound healing period, you can eat more fruits rich in sugar, which can not only increase the sugar content, but also take enough vitamins.
3. Protein
Because protein can promote wound healing and reduce the risk of infection, you can eat more protein rich foods, such as lean meat, milk, eggs, etc.
4. Vitamin A
Can promote wound healing, it mainly exists in fish oil, carrots, tomatoes and other food.
5. Vitamin C
It can promote wound healing and exists in various vegetables and fruits. Jujube and pepper are the treasure house of vitamin C.
2. Diet taboo of comminuted fracture
1. Do not blindly supplement calcium
Calcium is an important raw material for bone formation. Some people think that more calcium can accelerate the healing of broken bone after fracture. However, scientific research has found that increasing calcium intake does not accelerate the healing of broken bones, and for long-term bedridden patients with fractures, there is a potential risk of increased blood calcium, accompanied by decreased blood phosphorus.
This is due to the long-term bed rest, on the one hand inhibit the absorption and utilization of calcium, on the other hand increase the re absorption of calcium by renal tubules. Therefore, for fracture patients, there is no lack of calcium in the body. As long as we strengthen functional exercise and early activities according to the condition and the doctor's instructions, we can promote the absorption and utilization of calcium in bone and accelerate the healing of broken bone.
Especially for the bedridden patients in the late stage of comminuted fracture, it is not only useless but also harmful to eat calcium supplement food blindly.
2. Avoid eating more meat and bones
Some people think that eating more meat and bones after fracture can make the fracture heal early. In fact, modern medicine has proved many times that fracture patients eat more meat and bones, not only can't heal early, but will delay the time of fracture healing.
The reason is that the regeneration of the injured bone mainly depends on the function of periosteum and bone marrow. Only when the collagen of bone is increased, the periosteum and bone marrow can play a better role.
If a large amount of bone is ingested after fracture, it will increase the content of inorganic matter in bone and lead to the imbalance of the proportion of organic matter in bone, so it will hinder the early healing of fracture. But the fresh meat bone soup is delicious and has the effect of stimulating appetite. It's OK to eat less.
3. Avoid partial food
Fracture patients are often accompanied by local edema, hyperemia, bleeding, muscle tissue damage and other conditions. The body itself has the ability to resist the repair of these conditions. The raw materials for the repair of tissue, the growth of muscle by long bone, the formation of callus and the elimination of stasis and swelling depend on various nutrients. Therefore, the key to ensure the smooth healing of fracture is nutrition.
4. Avoid indigestion
Fracture patient because of fixed plaster or splint and activity limit, add injury place swelling pain, mental worry, so appetite is often not good, sometimes have constipation. Therefore, the food should be nutritious, easy to digest and defecate, avoid eating taro, taro, glutinous rice and other foods that are prone to flatulence or indigestion, and should eat more fruits and vegetables.
5. Avoid drinking less water
Patients with bed fracture, especially those with fracture of spine, pelvis and lower limbs, are very inconvenient to move. Therefore, they should drink less water as much as possible to reduce the number of urination. Although the number of urination is reduced, more troubles are also caused.
If bedridden patients have less activity, intestinal peristalsis is weakened, and drinking water is reduced, it is easy to cause constipation. Long term bed rest * urine retention is also easy to induce urinary calculi and urinary tract infections. Therefore, bed fracture patients want to drink water, do not have to worry about heavy.
6. Avoid eating too much sugar
After a large amount of white sugar is ingested, it will cause the rapid metabolism of glucose, thus producing metabolic intermediates, such as pyruvate, lactate, etc., which will make the body in an acid toxic state. At this time, alkaline calcium, magnesium, sodium plasma, will be immediately mobilized to participate in the neutralization, to prevent the occurrence of acid blood.
Such a large amount of calcium consumption will not be conducive to the rehabilitation of fracture patients. At the same time, too much white sugar will also reduce the content of vitamin B1 in the body, which is because vitamin B1 is a necessary substance for the transformation of sugar into energy in the body.
Vitamin B1 deficiency, greatly reduces the nerve and muscle activity, but also affects the recovery of function. Therefore, fracture patients should not eat too much sugar.
7. Avoid taking three or seven tablets for a long time
In the early stage of fracture, local internal bleeding, blood stasis, swelling and pain occur. At this time, taking Sanqi tablet can shrink local blood vessels, shorten coagulation time and increase thrombin, which is very appropriate.
However, one week after the fracture is restored, the bleeding has stopped, and the damaged tissue begins to repair, and the repair must have a large amount of blood supply. If you continue to take three or seven tablets, the local blood vessels are in a state of contraction, and the blood flow is not smooth, which is not good for fracture healing.
8. No fruit juice for fracture
Different from the general skin and flesh injury, the healing time of hard bone is longer, shorter is 1 month, longer is more than half a year. After fixing the good position in the hospital, we often need to rest and recover at home. It is particularly important to do a good job in home care and promote healing.
What to do with comminuted fracture
1. Splints, wooden sticks and bamboo poles can be used to fix the upper and lower joints of the broken bone. If there is no fixed object, the injured upper limb can be tied to the chest, and the injured lower limb can be tied together with the healthy limb to avoid the movement of the fracture part, so as to reduce the pain and prevent the injury from worsening.
2. For open fracture with massive bleeding, stop bleeding first, then fix it, cover the wound with clean cloth or gauze, and then send it to the hospital for treatment. Do not push the exposed broken bone back into the wound. If the fracture end has slipped back to the wound itself when bandaging the wound, it must be explained to the doctor in charge after arriving at the hospital to draw attention.
3. In case of suspected cervical spine injury, after lying the wounded on the ground, sand bags (or other substitutes) shall be placed on both sides of the head to fix the neck.
4. For lumbar fracture, the wounded should lie on the hard board (or door plate), and fix the trunk and two lower limbs together to prevent paralysis. When moving, several people should cooperate to keep it stable and not distorted. The head of the wounded is at the back when carrying on flat ground, and at the top when going upstairs, downstairs and downhill. During carrying, the wounded shall be closely observed to prevent sudden change of injury.
5. Send to the hospital for treatment.