2007 ? 07 ? 22 ?
mood: sad Date: 07/07/21 12:08 dietary conditioning:
tuberculosis is a chronic, wasting disease, the most common The symptoms are fever, night sweats, loss of appetite, weight loss and weakness. Tuberculosis patients in particular are generally not good appetite, to compensate for diseases caused by consumption, increase endurance, strengthen nutrition in the diet has very important significance.
should be given high protein and energy. any symptoms of TB will cause severe tissue protein and energy consumption, and therefore the supply of food protein and energy, and are higher than normal, the daily supply of protein is 1.5 ~ 2.0g/kg, to milk, eggs, animal offal, fish, lean meat, soy and other foods as a protein source. Milk contains casein and calcium rich, is the ideal TB nutritious food. Energy supply to maintain the principle of normal weight patients, per kg of body weight can be 40 to 50 kcal supply, according to food intake to meet the carbohydrate staple food supply, and do not have to be restricted, but the fat should not eat, so as not to cause indigestion and obesity.
vitamins and inorganic salts promote the rehabilitation of TB greatly. Including vitamin A, has enhanced the role of the body resistance to diseases; vitamin B and C can improve the metabolism of the body, increase appetite, improve the function of lung and blood vessels and other tissues; if repeated hemoptysis patients, but also increase the iron supply. Promote eating green leafy vegetables, fruits and grains.
1. Tuberculosis is a chronic infectious disease, the treatment time is long, slow recovery, at work, life, and so the patient will have a negative impact and the whole family, family to right treatment of these problems, the patient can not abandon, to give psychological support to patients, to create a good environment to foster the confidence to overcome the disease, peace of mind rest, actively cooperate with treatment, ultimately achieving a real cure.
2. TB is mainly transmitted through the respiratory tract, followed by tuberculosis through contaminated food or utensils caused by intestinal infections, and therefore do a good job of disinfection and isolation of tuberculosis patients. ? the patient coughing, sneezing and loud speech, others can not be straight, at the same time cover your mouth and nose with hand or handkerchief, the handkerchief should be boiled for sterilization. ? do not spit, do a good job of disinfection treatment of patients sputum, spit on the paper and wipe your nose and mouth secretions of paper with burned, spit or sputum cup in Riga 2% soap solution of phenol coal disinfected once a day . ? utensils should be used in patients with postprandial boiled disinfection. ? indoor air conditions were 1 or 2 times daily disinfection, will be used by the patient bedding, books, daily sun exposure 2 hours, can kill Mycobacterium tuberculosis. ? close contact with patients should be BCG vaccination.
3. Advanced tuberculosis patients should stay in bed, especially with fever, hemoptysis and pulmonary compensatory dysfunction; no obvious symptoms of poisoning can be general activities, but should limit activity to ensure adequate rest time; improvement of the transition to a stable, should be gradual, increase in activity, may participate in certain services, should not overworked, reduce recurrence.
4. Tuberculosis is a chronic wasting disease, the progress of the patient is often very weak, the diet to increase nutrition, increased protein, high calorie, high vitamin food intake, increase physical fitness, increase their immune system function.
5. Bloody sputum or a small amount of hemoptysis is a common symptom of tuberculosis, care should note the following points. ? attention and patiently explained to them, remain calm, to eliminate the patient stress, fear. ? patients should be quiet and rest, advised to the affected side lying position. ? caution antitussives, sedatives, cough effectively guide the patient to ensure the airway open. ? diet should be given liquid or semi-liquid digestible food, every meal should be cool and not too much, while keeping a stool. ? patient suddenly hemoptysis occurred during chest tightness, irritability, difficulty in breathing or poor hemoptysis, the patient should immediately pick up your feet, was inverted position, pat back, to facilitate the discharge blood clots, or smoke as soon as possible export of the nose dug in situ . Blood clots in the throat, but as soon as possible emergency center or community health staff, the rescue place, to be stable condition after the move or transfer.
6. Application of anti-TB drugs TB treatment, the principle is that early, regular, full, together with and the amount of medication, treatment time is longer, usually 1 to 2 years, the key to successful treatment prescribed time There are regular medication, to avoid omissions and interruptions. Therefore, the program provided patients adhere to treatment according to the importance of the family should play the role of assistance and supervision, keeping in mind the side effects of drugs: isoniazid could easily lead to peripheral neuritis, can be served vitamin B1, vitamin B6 prevention; streptomycin easy to produce hearing and kidney damage, hearing whether the patient should pay attention to changes in renal function regularly reviewed; rifampicin can cause gastrointestinal reaction; ethambutol cause retrobulbar optic neuritis. in addition, almost all anti-TB drugs have different degrees of liver damage during treatment referral liver function should be regular, detailed reports to the doctor’s response to medication and to adjust medication, to improve the therapeutic effect.
7. Tuberculosis patients in poor body resistance, should maintain a happy mood, physical exercises step by step in order to enhance physical fitness, attention to personal protection, to prevent respiratory infections.
8. Elderly people suffering from tuberculosis, the symptoms often than young adults typical cases, fever is not obvious, moderate fever less than 1 / 4, hemoptysis, who account for only 1 / 4, and cough, slightly sputum, palpitation, chest tightness, shortness of breath, fatigue, anorexia, thin, swelling and other symptoms and signs there are relatively large, easily misdiagnosed. Recently, the proportion of elderly tuberculosis is increasing, mortality is also high, so the original suffered from tuberculosis, family members or close contacts of tuberculosis in the elderly, low fever, unexplained weight loss, cough, fatigue, shortness of breath and other suspicious symptoms of tuberculosis should be alert to take the initiative to hospital. once diagnosed, under the guidance of a doctor in time, adhere to the formal, systematic treatment, do not think that old age without treatment, the delay time.
focuses on the prevention of tuberculosis, to protect and enhance the body’s resistance, the specific measures are:
? life often, that way of life rationalization and regulated, careful living, shelter from the wind cold, quit alcohol, much intercourse, work and rest appropriately.
? Diet, nutrient-rich, avoid spicy.
? always a breath of fresh air.
? maintain optimism, because the bad feelings can affect the body’s resistance.
? regular participation in sports, exercise, enhance physical fitness.
? Mycobacterium tuberculosis infection is the direct cause of Benbingfasheng, so patients with tuberculosis should be minimized, especially in active tuberculosis patient contacts.
Tuberculosis is a chronic wasting disease. Allergy and necrotic tissue because the formation of lesions, patients often have long-term low-grade fever, night sweats, fatigue, weight loss, chronic anemia and other symptoms, known as TB symptoms, in essence, is an expression of malnutrition. Plus the treatment of tuberculosis, the drug must be fully absorbed in order to play the best effect, if the food properly, may make the condition worse or affect the patient recovered. So, for the treatment of tuberculosis, not only should pay attention to the formal, systematic treatment, but also pay attention to diet to restore.
First, in patients receiving anti-tuberculosis treatment of tuberculosis at the same time, food should be consistent with high-calorie, high protein, high in vitamins and trace elements requirements, so as to better complement the body’s consumption. As patients are generally poor gastrointestinal function, and thus should be light food and avoid oily Gan fertilizer, but it must be nutritious diet. Therefore, patients do not have to limit the 3 meals per day, meals can also be 4 or 5 meals, small meals often helps digestion, especially in elderly patients and even more so.
deployment in the diet than the main meal of rice, flour, there should be sufficient quantities of protein, dietary total calories should be accounted for 1 / 3 or more, not less than 75 grams per day. Protein supply to the high quality protein foods, such as lean meat, fish, eggs, milk and beans and bean products. if you drink 500 ml of milk per day, not only supply enough protein and calcium supplement, can promote lesion calcification. Best to eat an egg a day, plus tofu, tofu, etc., in order to get enough protein in vivo. With more types of vitamin-rich foods, especially fresh vegetables and fresh fruit, can provide a rich body of vitamin B group and C. Liver rich in vitamins A, pork ribs soup is rich in vitamin D. Patients 2 to 3 a day to eat fruit, such as citrus, bananas, apples, etc., plus 400 to 500 grams of fresh vegetables such as cabbage, radish, cauliflower, leeks, tomatoes, 1 or 2 times a week to eat Zhugan Tang or ribs soup, you can get enough vitamins and trace elements.
second, to make timely patient nutritional supplement to reduce the adverse effects of chronic consumption of the body, in addition to pay attention to food of high nutritional principles, but also note that of diet, so food diversification, with meat and vegetables and color, smell, and taste. Deployment of such a diet can stimulate the appetite of patients, increased food intake to ensure adequate nutrient intake, promote the body to get rich in nutrients.
as a patient, should recognize the importance of a rich diet. Note also that aside ideological burden, to maintain a good attitude, I believe that the formal system, coupled with scientific and rational diet therapy should be able to effectively control the disease, to cure purposes.
Third, not only to achieve dietary diversification, but also to further understand the role of nourishing food and some taboos, her condition improved and more help to improve the effectiveness of anti-TB.
start with diet tonic ways, this is a traditional major medical Tuberculosis is a Chinese medicine, yin and Hot injury, it can be used in the diet of some of Yin and cooling foods such as eel, turtle, squid, duck eggs, sugar, black fungus, yam, soy milk, bananas, pears, watermelons. most of these foods popular food, and the source wide, the patient may be selected according to the actual situation of food, or with the help of traditional Chinese medicine, some drugs increase the formation of the appropriate therapeutic side, the better. some foods may have a negative impact on the disease should be considered taboo, such as a variety of spicy food, fried, dry food, from traditional Chinese medicine theory, these foods have phlegm to help the fire effect, may increase the patient’s symptoms and stimulation of cough.
In addition, patients should eat spinach, avoid alcohol and tobacco. because spinach is rich in oxalic acid, the formation of calcium oxalate and calcium easily affect calcium absorption, tissue calcification is not conducive to healing of lesions. Alcohol can make blood vessels to dilate, increasing exudation lesion. When coupled with smoking, will increase the respiratory stimulation, increased cough, and can make the disease worse. Therefore, TB patients must abstain from alcohol and tobacco.
tuberculosis patients diet to restore
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2005-12-10 of: Wu Ailian
TB is a chronic infectious disease is a chronic wasting disease, while ill, the majority of tuberculosis patients in a nutritional imbalance will state, so tuberculosis patients in the chemotherapy at the same time, it is necessary to meet the doctor’s treatment, but also to pay more attention in the diet, increase nutrition, in order to compensate for the disease due to consumption, and promote the repair of body tissue, reasonable nutrition diet tuberculosis patients during the treatment and rehabilitation can not be ignored important part.
tuberculosis patients is mainly diet to restore the supply of adequate calories, protein supplies high-quality quantitative eggs, calcium supplement food, adequate intake of vitamins and minerals and carbohydrates, promoting calcification, reduce anti- TB drug side effects and help calcium absorption. Conducive to the rehabilitation of the main body of food, the chicken, lean meat, eggs, fish, animal liver, dairy products, honey, millet, dates, lily, white fungus, lotus seeds, millet, rice and fresh vegetables and fruits, such as cabbage, rapeseed , celery, tomatoes, carrots, apple, pear, apricot, orange, peach. Food intake should be based on individual circumstances, tuberculosis patients are often poor appetite, so diet should be light, digestible, Eat small meals often do not eclipse, so the food diversification, with meat and vegetables, but also color, smell, and taste to stimulate the patient’s appetite, increase food intake. Cooking methods generally steaming, boiling, stewing, boil for a short and so is better, fried, fried, explosion, braised, broiled, fried and other methods are not appropriate in selecting nutritious food, with particular emphasis on diet, smoking, alcohol, and spicy , phlegm to help the fire of the fennel, cinnamon, star anise, pepper, onion, ginger, pepper, vinegar, lamb, smoked and dry should not eat or eat other foods.