迴腸造口手術後的飲食指南 這裡的飲食資訊只是一個 指南 您不須要因為有一個造口而改變飲食 您現在也許可以吃您在手術前有問題的食物 每一個人對所吃食物種類有不同反應 如果您的糞便一直含過多水份, 告訴您的醫生或迴腸造口治療護士, 您可能需要服用藥物來使糞便變厚 在施行手術後, 迴腸造口開始會有流質排泄物, 不過以後會變成濃厚膏狀 可能會造成排氣的食物 黃瓜 青豆 豆類 橙汁 洋蔥 蛋類 卷心菜 發粉 蘑菇 烤豆 火腿 口香糖 起泡飲料 西蘭菜 椰菜花 低卡洛里甜食及糖果 如何減少排氣? 吃東西時將速度放慢 咀嚼食物時將嘴閉上, 避免狼吞虎嚥 一次不要吃太多食物 按時進餐, 省過一餐很可能增加排氣 可能會產生臭氣的食物乳酪 豆類 洋蔥 卷心菜 魚 蘆筍 香口膠 蛋類 大蒜 扁豆 火腿 Supported by the Ivor Ronald Evans Foundation, as administered by Equity Trustees Chinese/English A guide to eating and drinking if you have an ileostomy - Page 1 of 6
A guide to eating and drinking if you have an ileostomy This information about your diet is a Guide Only. You do not have to change what you eat because you have a stoma You may now be able to eat foods you had trouble with before surgery Every person will react, to each food type, differently If your faeces remain watery speak to your Doctor or Stomal Therapy Nurse. You may require medication to thicken the faeces After your operation the ileostomy will start to work with a fluid output. This will later become a thick paste. Foods that may cause gas Cucumber Peas Beans Orange juice Onions Eggs Cabbage Yeast Mushrooms Baked beans Ham Chewing gum Fizzy drinks Broccoli Cauliflower Low calorie sweets and lollies How can I reduce gas? Eat your food slowly. Chew with your mouth closed and avoid gulping your food Don t eat too much food at the one time Eat regular meals, skipping meals is more likely to increase gas. Foods that may produce odour Cheese Beans Onions Cabbage Fish Asparagus Chewing gum Eggs Garlic Lentils Ham Supported by the Ivor Ronald Evans Foundation, as administered by Equity Trustees Chinese/English A guide to eating and drinking if you have an ileostomy - Page 2 of 6
迴腸造口手術後的飲食指南 可能會減少臭氣的食物 酸奶小紅梅汁脫脂奶油新鮮香菜煮爛或碾碎蘋果 ( 去皮 ) 使糞便變厚的食物 意粉 南瓜 水餃 蛋奶凍 木薯粉 薄煎餅 椒鹽脆餅 米飯 香蕉 烤麵包 搗碎的馬鈴薯 蘋果汁 未煮玉米粉 棉花糖 豆形軟糖 無仁花生漿 可能會造成阻塞的食物 白麵包 ( 不是新鮮的 ) 碾碎新鮮蘋果 ( 去皮 ) 大量高纖維食物可能很難通過迴腸造口, 這樣會造成小腸阻塞 建議您不吃這些食物, 或者只吃少量 芒果 蘑菇 青豆 鳳梨 大黃根 芹菜 椰子 爆米花 果仁 玉米 卷心菜沙拉 無花果 某些香腸腸衣 有種子的麵包或包類 乾果 ** 特別注意所有這些食物 Supported by the Ivor Ronald Evans Foundation, as administered by Equity Trustees Chinese/English A guide to eating and drinking if you have an ileostomy - Page 3 of 6
A guide to eating and drinking if you have an ileostomy Foods that may reduce odour Yoghurt Cranberry juice Buttermilk Fresh parsley Stewed or grated apple (no skin) Foods to help thicken your stomal faeces Pasta Pumpkin Dumplings Custard Tapioca Pancakes Pretzels Rice Bananas Toast Mashed potato Apple sauce Uncooked corn Marshmallows Jelly babies flour Smooth peanut butter White bread (not fresh) Foods that may cause a blockage Fresh grated apple (no skin) A large amount of highly fibrous food may have difficulty passing through your stoma. This can cause a blockage in the small bowel It is advisable not to eat these foods or only eat in small quantities. Mango Mushrooms Peas Pineapple Rhubarb Celery Coconut Popcorn Nuts Corn Coleslaw Figs Some sausage casings Breads / buns with seeds ** Take special care with all these foods Dried fruits Supported by the Ivor Ronald Evans Foundation, as administered by Equity Trustees Chinese/English A guide to eating and drinking if you have an ileostomy - Page 4 of 6
迴腸造口手術後的飲食指南 如果發生阻塞該怎麼辦? 停止進食但繼續喝液體 洗熱水澡, 服用適當的止痛藥 把熱水袋放在肚子上休息 以順時鐘的方向按摩腹部 絕對不可以吃瀉藥 如果疼痛不止, 或者嘔吐, 或者沒有糞便, 呼叫救護車 我應該喝液體嗎? 每天有規律地喝液體 每天的目標是喝 8 杯液體 ( 不必都是水 )..包括湯 果膠 雪糕 半濃果汁 茶, 運動飲料 ( 由於糖份過高, 不適於糖尿病患者 ) 熱天時增加液體攝取量 進食前不要飲用過多液體 喝運動飲料代替失去的鹽份 每天一根香蕉能幫助您保持正常鉀含量 如果造口持續流出水狀物, 喝大量的液體來防止脫水, 並且去看醫生 Supported by the Ivor Ronald Evans Foundation, as administered by Equity Trustees Chinese/English A guide to eating and drinking if you have an ileostomy - Page 5 of 6
A guide to eating and drinking if you have an ileostomy What should I do if a blockage occurs? Don t eat food but continue to drink fluids Have a warm bath and take an appropriate pain reliever Rest with a hot water bottle on your abdomen Massage your abdomen in a clockwise motion Never take laxatives If pain continues, or you vomit or there is no faeces call an ambulance. Should I drink fluids? Drink regularly throughout the day Aim to drink 8 glasses (not all water) of fluid per day. Include soups, jellies, ice cream, half strength fruit juice, tea, sports drinks (not suitable for people with diabetes due to sugar content) Increase your fluid intake on hot days Do not drink a lot of fluid before a meal Replace lost salts by drinking sports drinks A banana a day will assist to keep your potassium levels normal If you have a continuous watery output from your stoma, drink plenty of fluids to prevent dehydration and speak to your Doctor. Supported by the Ivor Ronald Evans Foundation, as administered by Equity Trustees Chinese/English A guide to eating and drinking if you have an ileostomy - Page 6 of 6