Recovery after bowel surgery - diet, physiotherapy and suture care

Postoperative period after intestinal surgery

The main task of the postoperative period, regardless of the type of intervention, is the most complete restoration of the functions of the organs on which the operation was performed. To accomplish this task, the following goals are set for rehabilitation therapy:

• prevention of complications;
• anesthesia;
• removal of mobility restrictions;
• acceleration of recovery;
• psychological recovery after illness;
• return to an active healthy life.

The postoperative period is divided into 3 types - early, late and long-term. Early is considered to be the period from the completion of the operation to 6 days of hospital treatment. The late postoperative period includes the period from 7 days until the patient is discharged from the hospital. Long-term postoperative period is considered to be the period from discharge until the patient’s complete recovery. For a speedy recovery, all patients who have undergone surgery should follow simple rules:

• Carefully follow all recommendations of your doctor.
• Follow the regime.
• Eat according to the prescribed diet.
• Avoid physical activity.
• Don't drink alcohol.
• Stop smoking.
• Get medical examinations regularly.
• If you experience discomfort, abdominal pain or other symptoms of illness, you should consult a doctor immediately.

We use the installation and recovery disk

Now let's look at the question of how to restore the system on your computer using recovery discs and a Windows 7 installation disc.

So let's get straight to the point.

1. We insert the disc we need into the DVD drive.
2. Reboot or start the computer from scratch. Go into the BIOS and check if you are not sure that the boot starts from the DVD drive and not from the hard drive.
3. Again, as in the third method, select the keyboard and click Next.
4. We choose to restore the computer and then select options for restoring the system on the computer.
5. Click next and proceed according to the instructions.

As you can see, restoring the system on a computer is not difficult, the main thing is to have a little knowledge, the necessary disks and self-confidence.

We will discuss how to create such disks for system recovery on a computer in the following articles.

Diet

After intestinal surgery, depending on the time that has passed since the intervention and its type, patients consistently adhere to several tables. Therapeutic diets are aimed at restoring intestinal function after surgery:

Table No. 0 – assigned to patients after surgery. Divided into 3 types:

• No. 0A – liquid jelly, light low-fat meat broth. Daily calorie content – ​​1200 kcal. Number of meals – 6-8. The maximum single serving is 300 ml.
• No. 0B - in addition to the foods allowed by diet No. 0A, the diet includes pureed rice, buckwheat or oatmeal porridge in water, fish or meat puree, steamed egg white omelette, soft-boiled eggs, and vegetable jelly-like soups. Calorie content increases to 1700 kcal. The number of meals is reduced to 5, and the serving size is increased to 400 ml.
• No. 0B – after restoring the functions of the digestive system, add fermented milk and dairy products (low-fat cottage cheese, sour cream, low-fat milk), boiled or steamed main courses from lean meat and fish, white bread crackers (up to 100 g per day) to the already permitted products ). The number of calories increases to 2000-2500 kcal.

Articles on the topic

• Diet after an intestinal infection - diet, prohibited and permitted foods
• Recovery after a nervous breakdown at home - comprehensive treatment measures
• Surgery for cerebral stroke - in what cases and to whom is it prescribed, contraindications for the procedure

Gymnastics

Physical therapy in the postoperative period is important to speed up the patient’s rehabilitation. Breathing exercises used to prevent pneumonia in the postoperative period include inflating a balloon and forced inhalations and exhalations. In the early postoperative period during bed rest, therapeutic exercises are performed while lying in bed:

• The patient lies on his back. He places one hand on his stomach and the other on his chest. On the count of 1, the patient inhales at a calm, medium depth, and on the count of 2, exhales. The exercise should be repeated 8-10 times daily.
• The patient lies on his back, arms along the body. On count 1, the patient bends his leg at the knee, sliding his foot along the bed, and on count 2, straightens his leg. Breathing should be calm and of moderate depth. Repeat the exercise 5-7 times for each leg.
• The patient lies on his back, legs bent at the knees, arms along the body. On the count of 1, the patient pulls the socks toward himself, on the count of 2, away from himself. Repeat the exercise 5-7 times.

All physical therapy exercises should be performed at a slow pace. Patients' breathing should be calm. After transferring the patient to the ward mode, the physical therapy complex includes walking around the ward and exercises in a standing position:

• Starting position – the patient stands, arms extended forward. On count 1, spread your arms to the sides and inhale; on count 2, exhale and return to the starting position. Perform 5-7 repetitions.
• Starting position – standing with your hands behind your head. On the count of 1, inhale and arms up, 2 – starting position and exhale.

Physiotherapy

To speed up intestinal recovery after surgery, patients are prescribed physiotherapeutic procedures. The most popular methods are:

• UHF therapy is ultra-high frequency therapy with electromagnetic fields.
• Darsonvalization is exposure to high-frequency pulsed currents.
• Ultratonotherapy is treatment with alternating current of supra-tonal frequency.
• Laser therapy is exposure to a concentrated beam of light with a fixed wavelength.
• Magnetotherapy is exposure to a static magnetic field of various frequencies, durations and shapes.
• Diadynamic therapy is a physiotherapeutic treatment procedure based on the impact of electric current on a person with a frequency of 50 to 100 Hz.
• Electrophoresis is the administration of drugs through the skin using a direct electric current.

Using the recovery panel

To do this, you will need a previously created system image.

Go to the Computer Control Panel and simply enter the word recovery in the search field located in the upper right corner.

Next, you will go to the “Restore a previously saved state of this computer” section.

Click “advanced recovery methods” and go here.

Click the first item, use the image.

After clicking, you will be redirected to a page where the system will prompt you to archive the user’s files - skip it.

Next, you will be asked to restart the PC and continue restoring the system; select restart.

The computer restarts, and then we follow the instructions that will appear on the monitor screen.

Anesthesia

One of the goals of treatment during the recovery period is adequate pain relief. For this purpose, many medications are used, which include:

• Droperidol is an antipsychotic used for pain relief and sedation during surgical and endoscopic interventions. Reduces the risk of nausea and vomiting during surgery, prevents shock and enhances the effect of anesthesia drugs, but, according to unconfirmed data, it has a carcinogenic and mutagenic effect and affects fertility.
• Ketorolac (Ketanov) is a non-steroidal anti-inflammatory drug (NSAID) with analgesic, antipyretic and anti-inflammatory effects. Contraindicated in the presence of erosive and ulcerative diseases of the digestive system in the acute stage, increases the risk of internal bleeding.
• Diclofenac is an NSAID with a good analgesic effect. It has a gastropathic effect, causing ulceration of the mucous membrane of the stomach and intestines, drug-induced hepatitis, pancreatitis, and gastrointestinal bleeding.

Possible ways to restore the system

1. The first and easiest way is to restore the system by rolling it back, or rather using restore points.
2. The second method, more complex, is to restore the system using the recovery panel, where you will need to use advanced OS recovery methods. I would like to note that the first two methods are relevant only when the OS boots and access to these tools is possible.
3. The third method allows you to restore the system on your computer if you do not have a system recovery disk or the installation disk itself. The computer system is restored using an image that you must first create, or, when you set the necessary settings, the system image will be created automatically.
4. The fourth method allows you to restore the system on your computer using the installation disk or from a system recovery disk.

Here I would also like to note that the third and fourth methods are used in cases where the system does not boot for some reason or the first two methods did not produce results.

Caring for seams

While the patient is in the hospital, suture care is almost entirely provided by medical personnel. After discharge, this responsibility falls on the patient. Recommendations for the care of postoperative sutures:

• The seams should not be wet or scratched.
• Physical activity should be limited.
• Contact sports and swimming should be excluded.
• If pain, redness or swelling occurs, seek medical attention immediately.

Rehabilitation after rectal surgery has some peculiarities, since after each act of defecation the patient needs a sitz bath with potassium permanganate before dressing.

FORCED ENFORCEMENT

Note! The employer is obliged to issue an order to cancel the dismissal order and notify the employee about this no later than the next day after receiving a copy of the bailiff's decision to initiate enforcement proceedings

However, if reinstatement at work has not taken place (the documents have not been completed, the employee is not allowed to work), the bailiff will begin to apply sanctions, while simultaneously explaining to the employee his right to go to court with a request for a ruling on the payment of average earnings or the difference in earnings for all delay time for execution of the decision.

According to the provisions of the Law on Enforcement Proceedings, the bailiff initiates proceedings on the basis of a writ of execution at the request of the claimant. In other words, if the employer does not comply with the decision to reinstate the employee voluntarily, the employee turns to the bailiff service to enforce the court decision.

We strongly recommend that you implement the court's decision to reinstate you immediately. Otherwise, the amount of fines to be paid may be many times greater than the amount of payments due to the employee in connection with the decision to reinstate him.

Folk remedies

Folk remedies can be a good help in rehabilitation therapy if they are selected correctly and with caution. Patients who have undergone surgery are advised to:

• Fruit and berry collection of rose hips, black currants and raspberries: mix the ingredients in equal proportions and pour 2 tablespoons of the collection with 250 ml of boiling water. Heat the mixture for at least 5 minutes in a water bath. Leave covered for 2 hours, strain and take 1/2 cup twice a day.
• Boil 500 g of pitted plums for 1 hour in 1 liter of water. Take 1/2 cup of the cooled drink 3 times a day.

Herbs after intestinal surgery

Herbal medicine can be considered as an adjuvant. The selection of herbs and infusions should be coordinated with a competent specialist. Vitamin-rich medicinal herbs to restore intestinal function:

• 1 teaspoon of cumin is poured into 1 glass of boiling water and taken chilled instead of tea during meals.
• 1 tablespoon of chamomile flowers is brewed with 250 ml of boiling water and left for 10 minutes. Take with meals 3 times a day.