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Nutritional Care In Peptic Ulce

In every human life, you can feel the pain caused by duodenal ulcers up to 10%. There are between 1 and 3% of people in developed countries suffering from stomach ulcers.

1. Stomach ulcer disease

Stomach - one of the most important organs of the digestive system, it has the shape of a food bag. A strong acidic lining of the gastric mucosa - hydrochloric acid with a pH of 0.8 to convert food when ingested. However, when the acidity rises, the lining of the stomach is no longer resistant, the phenomenon of ulceration will begin to take place.

Up to 50% of cases of stomach pain appear clearly, but up to 10% of patients do not feel anything, until complications appear.

It can be mentioned the specific signs: epigastric pain, hot, ... or include heartburn, belching, bloating, flatulence, indigestion, nausea, ... Painful and constant pain from ulcers, sometimes painful cramps.

Ulcerative pain occurs cyclically, when it is too full or when it is too hungry, it can also occur seasonally and in episodes during the year. In particular, you feel the most obvious pain when eating spicy, sour ... or when your body is stressed, thinking, worried ...

2. Diet for people with peptic ulcer

In the process of digesting the food system, starting the study is also called chewing raw food in the oral cavity, into small pieces, small pieces, and then put down into the stomach to contract. chemistry and absorption become effective, you should note the following:

  • Food should be cooked soft, cooked
  • Avoid maximizing raw, unprocessed food
  • Eat slowly, eat slowly, chew carefully, this is an important factor in digesting food.
  • Avoid eating a meal that is too full, but instead divide up small meals throughout the day. This limits the stomach's fullness, and keeps the stomach neutralized when there is always food.
  • Limit eating rice and soup, making food not chew well, it's best to eat separate soup and at a moderate level, help digestive enzymes in the intestine not be diluted
  • Avoid all physical activities, or run and jump, work immediately after eating.

For people who treat duodenal stomach pain , a suitable and nutritious food supply regime should be divided into 3 steps, corresponding to 3 specific stages:

First stage : When you first enter the treatment, you should only use milk at each meal, can separate milk for 1 to 2 hours, each time only take 1⁄3 to 1⁄2 cups of milk equivalent to 100ml milk, the energy we provide for the body is only about 1200Kcal. Gradually after 2-3 days, you can add cream in the diet, mixing cream and milk will increase energy for meals.

Stage 2 : The stomach gradually recovers, there is no more painful phenomenon, you can switch to soft foods such as crushed soup, dilute porridge, and each time should only eat 100ml, then slowly increase the amount of food eat up, can use 5-6 meals a day. Gradually, you can switch to more solid foods such as biscuits, bread, sticky rice or fish meat ...

Stage 3 : During this period, the stomach has lessened the lesions, however, you should still maintain a diet with 5-6 meals a day with solid foods, soft cooking until the stomach Stable.

3. What is peptic ulcer disease should eat?

In addition to using drugs as prescribed to overcome stomach pain, you should pay much attention to the diet. What to eat to improve stomach ulcers?

  • Sweet, high-fat foods: they cause stomach to limit acid secretion, helping to absorb gastric juice such as biscuits, egg white, milk ...
  • Starchy foods, easy to digest, less smell like: cassava flour, sticky rice, bread ...
  • Soft, mashed food is either chopped, ground, crushed. Eat more steamed, boiled, limited fried dishes, stir-fry grease ...
  • Foods that increase protein, beneficial bacteria, easy to digest: lean fish, lean meat ...
  • Fresh vegetables, preferably cruciferous vegetables.

4. What is duodenal gastritis to abstain from?

In addition to dealing with the disease with drugs, you should improve immediately from the daily diet, they will help reduce acid secretion, and reduce mucosal lesions of the stomach.

Some foods and drinks that people with duodenal gastritis should limit, should abstain from:

  • First, mention the foods, foods with high acid content: orange, lemon, grapefruit, batch, vinegar, chili sauce ...
  • Foods that make the stomach full of air: all kinds of beans, salted, pickled, onions ...
  • Foods with damage to the lining of the stomach: garlic, chili, beer, wine, tea, coffee ...
  • Foods that increase gastric acid secretion: a dense sauce for fish sauce, meat sauce ...
  • The fruits should be limited: apple, papaya, banana pepper ...
  • Pre-processed, pre-processed products should be more limited: sausages, sausages, ham ...
  • Drinks should be limited: products made from fermented milk such as yogurt, live yeast, yogurt drinks, or carbonated and soft drinks of all kinds.

The above are small notes for people with peptic ulcers. In fact, when you have peptic ulcers you should pay more attention to the daily diet, reasonable digestion, should not let the body be too hungry or too full.

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In every human life, you can feel the pain caused by duodenal ulcers up to 10%. There are between 1 and 3% of people in developed countries suffering from stomach ulcers.

1. Stomach ulcer disease

Stomach – one of the most important organs of the digestive system, it has the shape of a food bag. A strong acidic lining of the gastric mucosa – hydrochloric acid with a pH of 0.8 to convert food when ingested. However, when the acidity rises, the lining of the stomach is no longer resistant, the phenomenon of ulceration will begin to take place.

Up to 50% of cases of stomach pain appear clearly, but up to 10% of patients do not feel anything, until complications appear.

It can be mentioned the specific signs: epigastric pain, hot, … or include heartburn, belching, bloating, flatulence, indigestion, nausea, … Painful and constant pain from ulcers, sometimes painful cramps. Ulcerative pain occurs cyclically, when it is too full or when it is too hungry, it can also occur seasonally and in episodes during the year. In particular, you feel the most obvious pain when eating spicy, sour … or when your body is stressed, thinking, worried …

2. Diet for people with peptic ulcer

In the process of digesting the food system, starting the study is also called chewing raw food in the oral cavity, into small pieces, small pieces, and then put down into the stomach to contract. chemistry and absorption become effective, you should note the following:

  • Food should be cooked soft, cooked
  • Avoid maximizing raw, unprocessed food
  • Eat slowly, eat slowly, chew carefully, this is an important factor in digesting food.
  • Avoid eating a meal that is too full, but instead divide up small meals throughout the day. This limits the stomach’s fullness, and keeps the stomach neutralized when there is always food.
  • Limit eating rice and soup, making food not chew well, it’s best to eat separate soup and at a moderate level, help digestive enzymes in the intestine not be diluted
  • Avoid all physical activities, or run and jump, work immediately after eating.

For people who treat duodenal stomach pain , a suitable and nutritious food supply regime should be divided into 3 steps, corresponding to 3 specific stages:

First stage : When you first enter the treatment, you should only use milk at each meal, can separate milk for 1 to 2 hours, each time only take 1⁄3 to 1⁄2 cups of milk equivalent to 100ml milk, the energy we provide for the body is only about 1200Kcal. Gradually after 2-3 days, you can add cream in the diet, mixing cream and milk will increase energy for meals.

Stage 2 : The stomach gradually recovers, there is no more painful phenomenon, you can switch to soft foods such as crushed soup, dilute porridge, and each time should only eat 100ml, then slowly increase the amount of food eat up, can use 5-6 meals a day. Gradually, you can switch to more solid foods such as biscuits, bread, sticky rice or fish meat …

Stage 3 : During this period, the stomach has lessened the lesions, however, you should still maintain a diet with 5-6 meals a day with solid foods, soft cooking until the stomach Stable.

3. What is peptic ulcer disease should eat?

In addition to using drugs as prescribed to overcome stomach pain, you should pay much attention to the diet. What to eat to improve stomach ulcers?

  • Sweet, high-fat foods: they cause stomach to limit acid secretion, helping to absorb gastric juice such as biscuits, egg white, milk …
  • Starchy foods, easy to digest, less smell like: cassava flour, sticky rice, bread …
  • Soft, mashed food is either chopped, ground, crushed. Eat more steamed, boiled, limited fried dishes, stir-fry grease …
  • Foods that increase protein, beneficial bacteria, easy to digest: lean fish, lean meat …
  • Fresh vegetables, preferably cruciferous vegetables.

4. What is duodenal gastritis to abstain from?

In addition to dealing with the disease with drugs, you should improve immediately from the daily diet, they will help reduce acid secretion, and reduce mucosal lesions of the stomach.

Some foods and drinks that people with duodenal gastritis should limit, should abstain from:

  • First, mention the foods, foods with high acid content: orange, lemon, grapefruit, batch, vinegar, chili sauce …
  • Foods that make the stomach full of air: all kinds of beans, salted, pickled, onions …
  • Foods with damage to the lining of the stomach: garlic, chili, beer, wine, tea, coffee …
  • Foods that increase gastric acid secretion: a dense sauce for fish sauce, meat sauce …
  • The fruits should be limited: apple, papaya, banana pepper …
  • Pre-processed, pre-processed products should be more limited: sausages, sausages, ham …
  • Drinks should be limited: products made from fermented milk such as yogurt, live yeast, yogurt drinks, or carbonated and soft drinks of all kinds.

The above are small notes for people with peptic ulcers. In fact, when you have peptic ulcers you should pay more attention to the daily diet, reasonable digestion, should not let the body be too hungry or too full.

SEE MORE:

Can You Have Hepatitis And Not Know It?

When hepatitis C is present, patients often do not notice the typical symptoms of the disease. If it lasts for many years, it can lead to cirrhosis, liver failure or complications of liver cancer. to detect disease.

1. Subjects at risk of hepatitis C

Hepatitis C is a disease that spreads from a person who carries the hepatitis C virus to a healthy person according to three routes: Blood sugar, sexual pathways, and mother giving it to children. In particular, the risk of transmission of hepatitis C virus by blood sugar accounted for the highest rate, the mother's route to the child accounted for about 5%.

The highest risk groups include:

People who have organ transplants or blood transfusions

You can catch the hepatitis C virus if you have performed an organ transplant or simply have a blood transfusion, use a common needle or tattoo in an unclean environment with non-sterile equipment.

Frequently exposed to specimens containing hepatitis C virus

If you work regularly in a medical environment such as a clinic, a hospital, and have a lot of exposure to needles, infected blood, a dialysis machine is very likely to become a victim of hepatitis C virus.

Infection from other sources

The groups of injecting drug users are at high risk because they share the same injection equipment without being sterilized, so they can spread the disease. Or people who have sex with many different subjects such as prostitutes, homosexuals or people with multiple partners ...

Therefore, for healthy normal people, without risk, should be screened once a year. For those who are at risk such as infected husband or wife, people who are exposed to blood products, health workers, have surgery, injections ... should be screened every 3 to 6 months. 

In particular, for regular hemodialysis people, drug addicts, indiscriminate sexual intercourse should be tested every 1 to 3 months to soon detect the disease and have a treatment regimen.

2. Can hepatitis C be fatal?

Hepatitis C has 2 phases: acute hepatitis C and hepatitis C chronic . In fact, chronic hepatitis C leads to cirrhosis, liver failure or complication of liver cancer, which is the cause of death in people with hepatitis C.

However, currently there are drugs to treat with very high efficiency (over 95%) and safe (almost no side effects), so if treated early, it can heal completely. But if treatment in the stage of cirrhosis is less effective, complications may still occur because of cirrhosis.

3. Symptoms of hepatitis C

Hepatitis C is called "silent killer" because the virus is often hidden in the body for many years. Most people do not show signs of warning for hepatitis C. They will not treat it until many years later. By the time the hepatitis C symptoms appear or the diagnosis is made, damage is usually carried out.

  • Symptoms of acute hepatitis C:

People with acute hepatitis C often do not have any symptoms (symptoms). However, some people will experience mild to severe symptoms after being infected with the virus, including:

Fatigue, loss of appetite : This is quite common in people with acute hepatitis C. People infected with this symptom are caused by the hepatitis C virus that attacks directly into the immune system, thereby making the sick, lazy and active, afraid to move even when lying down.

Mild fever : This is one of the manifestations of hepatitis C, which can be prolonged or episodic. Usually, the patient is quite negligent when there is this sign because he thinks it is only due to normal weather or emotions.

Yellow skin, itching or yellow eyes: In the early stages, this symptom rarely appears. The cause of this symptom is that the hepatitis C virus causes liver activity to stagnate, affecting the ability to remove harmful toxins from the body, thereby causing high levels of bilirubin in the blood. so it will cause yellow eyes and jaundice in patients.

In addition to the above symptoms, patients may also have some other manifestations of hepatitis C, such as: muscle pain; Pain in the right upper part of the abdomen; Muscle or joint pain; Nausea or Vomiting; Stomach pain, weight loss; Urine is dark yellow, pale stools; Easy bleeding, easy bruising.

  • Chronic hepatitis C symptoms:

Most chronic hepatitis C patients have no symptoms. People who have been infected with hepatitis C virus for many years may be damaged. In many cases, the disease does not show symptoms until complications appear.

In asymptomatic patients, hepatitis C is often detected by elevated liver enzymes (ALT, AST), and a quarter of people with chronic hepatitis C continue to develop fibrosis. Liver, or severe scarring in the liver. These people may also have other symptoms, including swelling in the legs and abdomen, accumulation of toxins in the blood that can lead to brain damage.

However, symptoms of hepatitis C vary from person to person. There are people who get sick but do not have any symptoms or symptoms are very faint, not enough to recognize. In fact, many cases get sick for years without knowing it. Therefore, only specialized tests allow the diagnosis and classification of hepatitis C-induced hepatitis.

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When Is the Best Time To Take Your Blood Pressure?

Blood pressure is one of the basic parameters that reflects the health condition. Today, with the popularity of electronic devices that help measure blood pressure at home, everyone can monitor their own blood pressure and themselves.

However, how the blood pressure changes during the day, when the blood pressure measurement is the most accurate, ... are not well understood by everyone.

1. What is blood pressure?

Blood pressure is the blood pressure in the arteries to bring blood to nourish organs in the body. Blood pressure is created by the force of contraction of the heart and arterial resistance.

When measuring blood pressure, especially with electronic devices, we often see two indicators of maximum blood pressure (also called systolic blood pressure) and minimum blood pressure (also known as diastolic blood pressure). ).

The doctor will diagnose high blood pressure when systolic blood pressure from 140 mmHg or more or diastolic pressure of 90 mmHg or more. If our blood pressure index is always lower than 90/60 mmHg, it is considered low blood pressure.

Thus, our systolic blood pressure fluctuates between 90 and 140 mmHg, diastolic blood pressure fluctuates between 60 and 90 mmHg, which is considered normal.

2. How does blood pressure develop during the day?

Blood pressure is an indicator of the kinetic equilibrium of physiological processes in the body. Therefore, our blood pressure is not always stable or keeps the same index but will vary according to our activity, emotions or health condition at that time. Just a small activity such as changing position, posture, drinking coffee or smoking, being touched ... will also increase blood pressure.

Normally, blood pressure tends to be higher in the morning and lower in the evening. The lowest peak usually falls in the deepest sleep. Meanwhile, the highest index of blood pressure marks many different peaks, that is, every time we act exertively or think, stress, and then the body will adjust to the state of balance.

If the body does not have this ability, the blood pressure reading is always high or low, which is the true medical condition.

3. What is the most accurate measurement of blood pressure?

Because of frequent fluctuations in blood pressure, knowledge of the time of blood pressure measurement is essential. From there, to conclude if we have hypertension, or low blood pressure or normal blood pressure, we need to base on the blood pressure value of many days, different times in a day. Understanding and remembering those milestones, recording blood pressure readings, including systolic and diastolic blood pressure, heart rate and a diary will make home health monitoring more convenient.

Home blood pressure measurement is often advised to be done in the morning after getting up and before getting out of bed. If required to monitor blood pressure several times a day, choose fixed, easy-to-remember and easy-to-compare times.

However, the measurements were done after the body was rested for at least 15 minutes in a spirit of complete comfort. Absolutely not measuring blood pressure after a full meal or being too hungry, too tired, urinating, after smoking or drinking coffee or being in a stressful, angry state.

Blood pressure measurements can be taken while sitting and when lying in a pregnant position and the condition is that the position of the measuring device on the upper arm or on the right wrist is equal to the heart.

At this time, the sick person should sit in a chair with a chair, hands on a table or lying on his back, his hands down to his body; At the same time, not wearing too tight or too tight clothes makes artificial blood pressure rise artificially.

It is best to measure twice a time, every 5 minutes apart and take the average number of measurements. Measure both hands at the same time and choose hands with higher blood pressure readings.

If you know how to measure your blood pressure at homecorrectly, that index will be of greater trust in diagnosing hypertension and monitoring treatment in the long term. Because when patients go to the clinic, hospital, the blood pressure readings here tend to be higher at home. It is a consequence of white-faced hypertension.

This is explained when contact with health workers, white blouse color often makes patients anxious and stressful, causing blood pressure to rise more than usual. In the opposite case, if home blood pressure is higher at the clinic, it is suspected that concealed hypertension.

This is very dangerous because it is easy to miss the diagnosis, prone to complications when sudden high blood pressure. Therefore, in both cases, the solution to be addressed is to measure blood pressure Holter. The device will attach to the biceps and record blood pressure every 30 minutes to 1 hour during 24 hours.

In summary, understanding the dangers of blood pressure diseases as well as knowing the time of day blood pressure measurement is essential to protect overall health. Since then, coordination, cooperation and adherence to treatment with physicians will help stabilize blood pressure for yourself and your loved ones.

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Tips For Caring For Someone After Knee Replacement Surgery

Full knee replacement is a treatment to replace a damaged knee joint. The patient after this surgery should apply ice around the knee, rehabilitate and take care of the instructions to recover soon.

1. When to replace knee joint?

Knee replacement full as final treatment used to regenerate knee was severely damaged, can not respond to conservative treatment methods other.

2. How long does it take to recover from the knee?

After artificial knee joint replacement surgery for about 3 months, the patients travel almost normal; after 12 months of artificial joints are perceived as true joints of patients.

3. Follow what instructions after knee replacement surgery?

3.1. Apply ice around the knee (6 weeks after surgery)

Apply ice packs around the knee joints for 20 minutes every hour; days can be done many times (minimum 3 times), apply until you feel comfortable and pain; reduce joint swelling.

3.2. Wound care - bath after surgery

  • Sit in a chair, take a shower after surgery on the 4th day.
  • The incision must be covered with a waterproof bandage before bathing.
  • Be aware of the risk of slipping and slipping.
  • Avoid putting too much force on the surgery leg.
  • Cut only 14 days after surgery at the orthopedic injury clinic.

3.3. Rehabilitation (02 sessions / day)

In order to increase quadriceps strength, prevent thromboembolism according to the doctor's prescription.

3.4. How to exercise properly?

Only change the weight slowly down to the side of the surgical side as indicated

  • When practicing, use the armpit / walker to create safety.
  • Only wear a knee brace when you get up, practice and evening before bed.
  • Just sit on a chair with handrails. Do not kneel, squat, twist, jump or overwork after surgery.
  • Use an open toilet bowl for easier toileting. In a public place, use a toilet for people with disabilities.
  • When entering the car, sit on the front seat, slide your butt back and then ask someone to support you with both feet in the car at the same time.
  • Do not lift anything more than 10 kg in the first 3 months after surgery.

3.5. How to control pain?

If you feel that your pain level exceeds your tolerance, you should use a doctor's prescription medication to help you exercise more effectively and increase your intensity.

3.6. How is diet reasonable?

  • Eat a variety of foods to maintain your daily diet. Help the wound heal.
  • Constipation can occur due to side effects of painkillers, or less activity after surgery. Eat high-fiber foods to help prevent constipation.

4. When should surgery be re-examined after surgery?

  • High fever (> 380 C).
  • Unusual knee pain and pain before surgery and medication are also less painful.
  • The incision has redness, soreness, and drainage.
  • The color and temperature of the operating procedure's legs change.
  • Nosebleed or blood in the urine (Because you are receiving thromboprophylaxis ).
  • When you fall.

5. When to drive?

After 6 weeks of surgery, you can drive yourself.

6. How is postoperative sexual activity?

After 2 weeks of surgery, they are allowed to have sex, but must choose the appropriate posture, without causing pain, to avoid dislocating.

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