The old diabetic is constipated to attend to _'s general knowledge

The old diabetic is constipated to attend to _'s general knowledge
At present, diabetes and chronic complication have already become a kind of disease influencing human health seriously, serious complication is the important reason to cause death, disable. In chronic pathological change, independent neuropathy can present nerve constipation while changing, especially the old diabetic is more incident, so must deal with old diabetic's constipated problem. Will attend to and realize and introduce it as follows now.
A clinical materials our department is the inpatient area that cures the old disease specially, patients accepting for medical treatment it are mostly leaving a retired cadre over 70. The Communist Party of China accepted 93 cases of old diabetes for medical treatment in January of 2002 - June of 2003, among them: 67 men, 26 women, the age is mostly among 68-92 years old, mean age is 76.2 years old, constipation takes place to amount to 61, 43 men, 18 women.
Constipated reasons of two diabetics.
1 relates to the fact that diabetes erupts independent neuropathy simultaneously and changes the diabetic nerve complication can involve any part of the nervous system, diabetic peripheral nerve and independent neuropathy become common. Saccharify hyperglycemia, polyol route, non- enzyme, free radical should defy etc. to oxidize, it is the cause of disease that diabetic neuropathy changes. Become, develop into person who go on as diabetic neuropathy nerve of irreversibility damaged, can change neuropathy: Nerve constipation, light and paralysed, unusual sweat of the stomach,etc..
. 2 diet does not want to be patients because of suffering from diabetes, have many kinds of misunderstandings, such as taking food too few, often avoid the fruit. Because of the old diabetic, they have economic base, seldom eat vegetables and fibrous vegetarian diet product, the meal of often high lipoprotein is seen more, in addition, because sweat more, older, often with disease of blocking up etc., can't supplement the moisture in time. Most patients are relatively stubborn, the health education often can't reach the anticipated result.
3 lie in bed long time and activity reduce and abdominal muscle it shrinks unable to be high in age because of them, many kinds of diseases exist, even suffer from senile dementia, can not take care of oneself at all, lie in bed for a long time, it is unable to cause the abdominal muscle to shrink, the intestines wriggle and weaken; Some patients living and can take care of oneself partly, but their life has been often substituted by relatives or nurses, cause some patients defecate to need to open and fill in and reveal and fill in the anus each time.
3 attends to the measure
1 employs the medicine that influences neuropathy to change under the circumstances that their economic condition is permitted, but intravenous to choose the right person gamma globulin, nerve growth factor, the intersection of prostaglandin and E and thiamine clan,etc..
2 adopts various nutrient of meal of equilibrium to need to keep certain proportion, maintain the standard weight, take in the food keeping the same with their own standard weight and activity intensity looks. Follow the doctor's order to take food, the diabetic eats fruits, must know opportunity and quantity, when it is steady for blood glucose to control ' 2h blood glucose is under 180mg/dl after the meal) ,Can select fruits for use, charge the heat of the fruit to the total amount of heat of every day, select taking and deduct the quantity of the corresponding carbohydrate. It takes fruits to be had better among two meal, turn out blood glucose to be too high, can prevent the occurrence of hypoglycemia. The fruit one choice,such as water-melon, apple, pear, orange, last monkey the candy content such as the peacheses is getting lower relatively, can eat appropriately, and the banana, red date, litchi, persimmon, hawthorn,etc. are higher in candy amount content, try hard to eat few. The elderly it is inconvenient for vegetables to taste, can mince, cook rotten, the intersection of dish and porridge, can both flavour and supplement the fiber the dish. Because the fruit, vegetables contain the meal fiber, the pectin that the soluble fiber exists in the fruit, the insoluble fiber exists in stem leaf, peels, cores of the fruit of the vegetables. The meal fiber can delay the fat of blood of blood glucose to absorb, keep the stool can be unobstructed and reducing the hungry sense
3 diabetics mustn't exercise restraint in drinking the water, right amount of drinking water, help discharge and blood glucose of the internal supersession product to dilute.
4 the intersection of increase and the intersection of activity and old age lie in bed patient, instruct at the bed moving, the belly of massage, stand up regularly, promote the intestines and stomach to wriggle. Patient who can leave the bed, relatives and the nurse assist life to arrange, supervise patient's going on in the room 2- 3 times a day or slight activity of taking a walk etc. around the ward, get used to defecating regularly.
5 choose appropriate the intersection of ease constipation and medicine offer slow cathartic and relax bowel medicine, clinical practice fruit lead, the intersection of pockmark and the intersection of benevolence and pill, four rub soup,etc., take orally, open and fill in and reveal and fill in the anus if necessary.
6 can adopt and defecate to take medicine invalid manually, try hard to avoid enema, because the patient is the patient at advanced age, in clinic works, often after clean enema, it is apt to cause a large amount of diarrhoea, collapse even suffer from shock, so take prudently.
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