When she was young, Ms. Wang liked to eat hot pot and barbecue with heavy flavors. She often skipped breakfast because she was sleepy in the morning. But in the past two years, she found that she always felt bloated, uncomfortable, and occasionally painful after eating greasy food. For this reason, Ms. Wang decided to control her diet, but she often insisted on a light diet yesterday. Today, she could not resist the temptation of delicious food and began to overeating. One day, Ms. Wang feasted at the barbecue stall again, but she suddenly felt cramps in her upper abdomen while eating. With the idea of ”it might not hurt for a while”, Ms. Wang decided to go home and lie down for a rest.
But half an hour later, Ms. Wang’s abdominal pain did not alleviate, and even began to vomit. Seeing this, her family rushed her to the hospital. Ms. Wang was finally diagnosed with gallbladder stones and chronic cholecystitis. After comprehensive consideration, laparoscopic (lower) cholecystectomy was required. After the operation, Ms. Wang’s daughter brought her a cup of thick chicken soup, and wanted her to replenish her body, but was stopped by the doctor in the ward round. How is this going?
Cholecystectomy, as the name suggests, is the operation to remove the gallbladder. Laparoscopic surgery is a newly developed minimally invasive surgery. Simply put, several small incisions with a diameter of 5-12 mm are made in different parts of the abdomen, and the camera lens and various special surgical instruments are inserted through these small incisions. , Transmit the images of various organs taken by the camera inserted into the abdominal cavity to the display screen. The doctor can clearly see the situation in the abdominal cavity on the display screen through the belly, and the operation can be completed by manipulating the surgical instruments outside the abdominal cavity.
The gallbladder is removed, what effect does it have on the human body? It should be known that the gallbladder has the function of concentrating and storing bile, and bile can be directly discharged into the intestine to participate in digestion. Therefore, after laparoscopic cholecystectomy, it will definitely affect the body’s digestion and absorption for a period of time. This is why patients need to pay attention to diet and care after surgery.
8 hours after the operation, if the patient does not vomit, drink 30-50 ml of water first; then decide whether to fast according to the situation. If there are no special restrictions, you can start eating the next day. Depending on the patient’s recovery, rationally choose liquid foods, such as rice soup, soy milk, fruit juice, etc., gradually change to foods such as gruel, soup, jujube puree and rice paste, and then slowly transition to a normal diet.
After the gallbladder is removed, without the “middleman” of the gallbladder, the bile secreted by the liver will flow directly into the intestine, which may cause insufficient bile flowing into the intestine during digestion after eating, or the bile secreted during the non-digestive period cannot be stored and cannot be used. effect. Therefore, the patient’s digestive ability is poor at this time, especially the digestion of fat will be greatly affected. If you eat too much high-fat food at once, it is likely to cause indigestion, diarrhea, etc. Therefore, within 1 month after laparoscopic cholecystectomy, patients should pay attention to reducing the intake of fatty foods, such as fried foods (such as French fries, fried crispy meat), sweets (such as cakes, chocolate, cream), and high cholesterol Food (such as animal offal), whole milk, etc., so as not to increase the burden on the intestines. At the same time, you should eat less or avoid raw, cold, hard and spicy foods. Tobacco and alcohol are absolutely taboo.
Patients should take a low-fat, low-cholesterol, and light diet daily, and it is best to choose steamed and stewed cooking methods. When cooking food, try to choose vegetable oils such as peanut oil, olive oil, tea oil, etc., with a total daily amount of 10-15 grams. It is best to cook the food of the family and the patient separately. This can ensure that the patient’s food contains less seasonings without affecting the taste of the family’s food, thereby reducing the burden on the patient’s digestive system.
Of course, while eating a light diet, you must also pay attention to strengthening nutrition, and pay attention to choosing high-protein, high-vitamin foods, such as skimmed or low-fat milk, lean meat, low-fiber vegetables (such as tomatoes, peeled winter melon), medium or low-sugar fruits ( Such as kiwi, strawberry) and so on. Give at least 500 grams of vegetables a day, and maintain intake of two or more digestible fruits. Because vegetables and fruits contain more vitamins and minerals, they can help improve the patient’s metabolic disorders and help the patient’s body recovery. Because the removal of the gallbladder will affect the absorption of fat-soluble vitamins (such as vitamin A), the patient can supplement it under the guidance of a doctor.
In short, laparoscopic cholecystectomy will have a certain impact on human digestion, and patients must pay more attention. It is recommended to choose high-protein, high-vitamin foods on the basis of low-fat, low-cholesterol, and light diet to strengthen nutrition.
