El tratamiento nutritional form part of multidisciplinary la atención that get the overweight or obese patient who comes to our Center.
The first contact is the patient with the Nutritionist is prior to its operation. In the first interview is conducted medical history - personal and detailed nutritional patient. Which allows us to determine the patient's eating habits, the frequency of consumption of certain foods, and anthropometric data of the same (weight, height, BMI,% fat,% muscle mass, waist, hip, waist-hip , taper ratio,% ideal weight, ideal weight, weight recommended) in order to obtain a nutritional evaluation.
Once completed the assessment, the patient takes the recommendations in the type of food that will bring the first 15 days after his speech. In the event that the patient is not candidate for surgery, it takes a customized nutritional regimen, which must be accompanied by counseling and monitored weekly or fortnightly as appropriate.
Once the patient undergoes gastric band surgery, the patient begins the first stage of free liquid carbohydrates, rapidly absorbed, and subsequently re-evaluation after the start Nutritionist pureed diet phase, the which is the first contact of semi-solid food after the operation phase which suggests a good chew, and take small bites to his mouth, which can be facilitated by use baby covered.
Finally and after a new assessment with the nutritionist, the solids are introduced. Importantly, despite the absence of a diet as such for the patient undergoing this surgery, attention to nutrition is very important, this healthcare professional will tell you how to be fed properly to ensure weight loss satisfactory on time while maintaining a good nutritional status.
What about the macro and micro nutrients after this type of intervention?
human nutrition has many components. Called macronutrients proteins, lipids (fats) and carbohydrates, because they are required at a higher rate and micronutrients are vitamins and minerals and trace elements needed in small quantities. All these components are of vital importance in the general context of nutrition. Protein
: Proteins are part of good nutrition. Protein is the material used to build the body structure. Splits into amino acids and they form the basis for the synthesis of body parts, bones and muscles, skin and brain. The amount of protein needed after surgery are still of 1 gram per kilogram of ideal body weight which corresponds to an average of 50 - 60 grs. of protein daily. Lipids
: These fatty acids which are divided into monoglycerides, diglycerides, triglycerides and free fatty acids. The post-surgery patient feels a natural aversion for saturated fats (fried food, mayonnaise, creams, high fat, margarine, butter, pork, etc..). His contribution is 30% of total caloric requirement.
Carbohydrates: Carbohydrates are the most important energy source in the diet. These are divided into complex carbohydrates (bread, pasta, rice, bananas, sweet potatoes, yams, taro, cassava) and simple (sugars). After the surgery is recommended to drink 150 grams. complex carbohydrates and simple substitute for sweeteners.
Vitamins, Minerals, Trace Elements : Not required to inject or supplement vitamins, minerals or trace elements mouth. This operation is not involved in the physiological process of absorption.
What is the capacity after gastric surgery?
The stomach in normal (adult) has a capacity of 1200 cc, equivalent to 40 ounces (5 cups), with gastric banding reservoir capacity is reduced to 30 cc (1 / 8 cup).
What are the changes in eating habits that must be performed after placement of the band?
1.Se Eat slowly, meal time should be 30 - 45 minutes.
2.Se chew food thoroughly to see if you're doing well you should count to 30 then you swallow chewing. Remind family, friends and coworkers or study you should eat slowly for your good health and should not rush. 3.Debes
eat in a quiet, relaxed, no noise, no TV.
4. The pieces of food into the mouth should be small. Maybe you find it useful to baby eating with utensils.
5. Water should be consumed separately from food, ie at least one hour before or after eating food, and never with food. The amount of water to consume is on demand will depend on when you feel the need to drink water, the ideal is 6 to 8 glasses a day to stay properly hydrated.
6. The most common symptoms of satiety or fullness post-prandial (after eating) are feeling in abdomen or chest, at chest pain, nausea, vomiting, reflux, heartburn, if you experience any of these symptoms do not go walking by eating for a while. If symptoms persist, contact your nutritionist.
7. Do not lie or lie down to sleep immediately after eating.
8. Must be made three (3) meals: Breakfast - Lunch and Dinner. You should not miss any of them. Should be organized at the same time every day.
9. You must follow a balanced and varied diet of good quality to ensure an adequate supply of macronutrients (protein, fat, carbohydrates) and micronutrients (vitamins, minerals and trace elements). Remember that the amount food that can now eat very little and should be of high nutritional quality that is not based on empty calorie foods (soft drinks, cool stuff, fast food, desserts, etc.)..
10. Remember to start and maintain your physical activity is extremely important for success in weight loss.
How many checks do I have with the nutritionist?
The first is the initial assessment which must be prior to the intervention, the second control is the 6 to 8 days after surgery, the third is at 15 days of operation, then the controls are monthly.
Do I feel satiety with such a small amount of food?
Yes, the food reaches the reservoir which functions as an hourglass, so as not to drain the person does not return to feel sensations of hunger.
eat in a quiet, relaxed, no noise, no TV.
4. The pieces of food into the mouth should be small. Maybe you find it useful to baby eating with utensils.
5. Water should be consumed separately from food, ie at least one hour before or after eating food, and never with food. The amount of water to consume is on demand will depend on when you feel the need to drink water, the ideal is 6 to 8 glasses a day to stay properly hydrated.
6. The most common symptoms of satiety or fullness post-prandial (after eating) are feeling in abdomen or chest, at chest pain, nausea, vomiting, reflux, heartburn, if you experience any of these symptoms do not go walking by eating for a while. If symptoms persist, contact your nutritionist.
7. Do not lie or lie down to sleep immediately after eating.
8. Must be made three (3) meals: Breakfast - Lunch and Dinner. You should not miss any of them. Should be organized at the same time every day.
9. You must follow a balanced and varied diet of good quality to ensure an adequate supply of macronutrients (protein, fat, carbohydrates) and micronutrients (vitamins, minerals and trace elements). Remember that the amount food that can now eat very little and should be of high nutritional quality that is not based on empty calorie foods (soft drinks, cool stuff, fast food, desserts, etc.)..
10. Remember to start and maintain your physical activity is extremely important for success in weight loss.
How many checks do I have with the nutritionist?
The first is the initial assessment which must be prior to the intervention, the second control is the 6 to 8 days after surgery, the third is at 15 days of operation, then the controls are monthly.
Do I feel satiety with such a small amount of food?
Yes, the food reaches the reservoir which functions as an hourglass, so as not to drain the person does not return to feel sensations of hunger.
0 comments:
Post a Comment