夏季谨防肠道传染病,饮食应注意什么

2017-06-13 张晓天/上海中医药大学附属曙光医院治未病中心主任 澎湃新闻

俗话说“病从口入”,夏季人们爱吃生冷蔬菜、瓜果,如不注意消毒,就增加了病原微生物入侵身体的机会,是肠炎、痢疾等肠道传染病的高发期,而有一种腹泻病是病毒导致的,经水源传播扩散,会引起“流行性腹泻”。那么,夏季在饮食上应注意什么?如何预防肠道性传染病?肠道传染病的防治夏季人们爱吃生冷蔬菜、瓜果,如不注意消毒,就增加了病原微生物入侵身体的机会。而由于人们在夏天喝水较多,胃酸又被稀释,杀灭病菌的能力减弱,

俗话说“病从口入”,夏季人们爱吃生冷蔬菜、瓜果,如不注意消毒,就增加了病原微生物入侵身体的机会,是肠炎、痢疾等肠道传染病的高发期,而有一种腹泻病是病毒导致的,经水源传播扩散,会引起“流行性腹泻”。那么,夏季在饮食上应注意什么?如何预防肠道性传染病?

肠道传染病的防治

夏季人们爱吃生冷蔬菜、瓜果,如不注意消毒,就增加了病原微生物入侵身体的机会。而由于人们在夏天喝水较多,胃酸又被稀释,杀灭病菌的能力减弱,如果再饮食不节、劳逸失调造成抵抗力下降就很容易发生肠炎、痢疾等肠道传染病。

预防肠道传染病,首先要严把 “病从口入”这一关。生吃的瓜果蔬菜要洗净,不吃腐烂变质的食物;不喝生水;饭前便后应认真洗手,接触痢疾病人后更要注意洗手和消毒。饮食要清淡,不要过食辛辣油腻食物,保持消化道的清洁和通畅。加强锻炼,增强体质,使脾气旺盛,不受外邪。

饮食应注意什么

痢疾及肠炎患者忌肉类、肉汤及动物内脏。痢疾病人肠道有炎症,消化吸收能力差。肉汤尤其是浓汤含有大量的含氮浸出物,如嘌呤碱和氨基酸等,有刺激胃液分泌的作用,汁越浓作用越强,加重了消化道负担。

忌性寒滑肠食物 如荸荠、甲鱼、生梨、花生等物,性寒伤脾胃或易滑肠致泻,故忌用。

忌辛热刺激食物 如辣椒、浓茶、咖啡、酒及各种饮料。

忌刺激类食物 如煎、炸及腌、熏的大块鱼肉,这些食物难以消化,会加重消化道负担。

另外,恢复期由于肠胃功能较弱,仍应禁食生冷、坚硬、寒凉、滑腻之物,如凉拌蔬菜、豆类、冷饮、酒类、瓜果等。

流行性腹泻是什么

腹泻是肠道传染病的常见症状。多种肠道传染病的病原体都是细菌,而有一种腹泻病的病原体却是病毒(柯萨奇病毒)。这种致病菌可经过水源传播扩散,引起局部地区流行,故名“流行性腹泻”;因其由感染病毒所致,又称“病毒性肠炎”。夏秋季是该病的易发时节,必须引起大家的高度重视。

此病的潜伏期平均为 2~4天。发病初期有全身不适、食欲减退、腹胀等症状,持续二三天后,突然出现全身酸痛、头痛、头昏、发热等中毒症状及腹痛、腹泻、呕吐等急性胃肠炎样症状。腹泻以水样便和黄色稀便为主,每天三四次至二十余次,无脓血、黏液,无里急后重感。部分病人可有不同程度的脱水现象,严重者会休克。

目前,对流行性腹泻一般以对症治疗为主。如早期控制饮食,吃易消化的食物,以减轻胃肠的负担;有脱水现象者,可以口服补液或静脉注射葡萄糖盐水;腹痛时可酌情使用颠茄片等解痉药。

中医对此病疗效较好,常用药方有:小叶冬青 (鲜品) 15~30克,煎服,一日一次;或用丝瓜叶 2~3叶,捣烂取汁内服,一日二次;或用藿香正气片,每日二次,每次二片;还可注射板蓝根针剂等,若治疗及时,腹泻可在数日内得到控制,一般预后较好。

尽管流行性腹泻来势凶、蔓延快,但是可以预防的。首先 ,发现腹泻病人要早治疗、早隔离,病人粪便要加入漂白粉,保护好水源,不在河塘里、井边洗刷病人衣物、食具和便器,防止水源被污染。

其次,注意饮食卫生,不吃腐败变质和生冷不洁的食品,水果要洗净、削皮后再吃;不喝生水,不用可能被污染的河水、井水洗菜、淘米和洗涤碗筷;没有自来水的地区,饮用水需用漂白粉消毒。

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encodeId=2cd921066e8d, content=科普一下还是很有必要, beContent=null, objectType=article, channel=null, level=null, likeNumber=51, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/04/24/1c2dbd6706e64df33befd6663f1d6b37.jpg, createdBy=94f61661779, createdName=lyh994, createdTime=Wed Jun 14 13:35:36 CST 2017, time=2017-06-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=210664, encodeId=a1c9210664dd, content=很好,不错,以后会多学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=40, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzUn81b5CF5ibVPib8jWI92iciaxmqGHlwruOnK4SVZykd4iahqo1hicklIibyZoxm55X7EM8BW9eX1h1hQ2/0, createdBy=8aa81937526, createdName=李东泽, createdTime=Wed Jun 14 13:33:41 CST 2017, time=2017-06-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=210607, encodeId=e78121060ee1, content=学习了。。。。, beContent=null, objectType=article, channel=null, level=null, likeNumber=52, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/icyLhIGqru6gIknBJqfuPhYUE4da7HxQiaMRRk8Ix0r6sfdeeibLPNib7H5IoNf4kYsecwUsmQC1eUMKsNb65twN7epPZaicdLRCu/0, createdBy=ba1a1999418, createdName=Norene, createdTime=Wed Jun 14 09:44:42 CST 2017, time=2017-06-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=210558, encodeId=775f21055840, content=不错的,学习了,谢谢分享!, beContent=null, objectType=article, channel=null, level=null, likeNumber=26, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NdqKgfW3nMpOkC3jXxiaW2po0PtglY5ZuVjERqKADW4HyMI8bcZXWlKgH7tEP9ULBoBzuQMibia4pr1s9rQPqLvqQJ/0, 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    2017-06-20 大爰

    学习了谢谢分享

    0

  2. 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    2017-06-15 thlabcde

    科普有必要,学习了!

    0

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ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=210607, encodeId=e78121060ee1, content=学习了。。。。, beContent=null, objectType=article, channel=null, level=null, likeNumber=52, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/icyLhIGqru6gIknBJqfuPhYUE4da7HxQiaMRRk8Ix0r6sfdeeibLPNib7H5IoNf4kYsecwUsmQC1eUMKsNb65twN7epPZaicdLRCu/0, createdBy=ba1a1999418, createdName=Norene, createdTime=Wed Jun 14 09:44:42 CST 2017, time=2017-06-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=210558, encodeId=775f21055840, content=不错的,学习了,谢谢分享!, beContent=null, objectType=article, channel=null, level=null, likeNumber=26, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NdqKgfW3nMpOkC3jXxiaW2po0PtglY5ZuVjERqKADW4HyMI8bcZXWlKgH7tEP9ULBoBzuQMibia4pr1s9rQPqLvqQJ/0, 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topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/ajNVdqHZLLDcohE5MKT1FYlH69x7qib45icLgBDMANxIiauEA62nuQI1eE8Ez2rO3yqOkRLH6ha6Lw0x1IBRm0N7g/0, createdBy=e1ff2033933, createdName=187****0626, createdTime=Wed Jun 14 05:49:48 CST 2017, time=2017-06-14, status=1, ipAttribution=)]
    2017-06-14 lyh994

    科普一下还是很有必要

    0

  4. 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topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/ajNVdqHZLLDcohE5MKT1FYlH69x7qib45icLgBDMANxIiauEA62nuQI1eE8Ez2rO3yqOkRLH6ha6Lw0x1IBRm0N7g/0, createdBy=e1ff2033933, createdName=187****0626, createdTime=Wed Jun 14 05:49:48 CST 2017, time=2017-06-14, status=1, ipAttribution=)]
    2017-06-14 李东泽

    很好,不错,以后会多学习

    0

  5. 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topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/ajNVdqHZLLDcohE5MKT1FYlH69x7qib45icLgBDMANxIiauEA62nuQI1eE8Ez2rO3yqOkRLH6ha6Lw0x1IBRm0N7g/0, createdBy=e1ff2033933, createdName=187****0626, createdTime=Wed Jun 14 05:49:48 CST 2017, time=2017-06-14, status=1, ipAttribution=)]
    2017-06-14 Norene

    学习了。。。。

    0

  6. 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createdAvatar=https://wx.qlogo.cn/mmopen/ajNVdqHZLLDcohE5MKT1FYlH69x7qib45icLgBDMANxIiauEA62nuQI1eE8Ez2rO3yqOkRLH6ha6Lw0x1IBRm0N7g/0, createdBy=e1ff2033933, createdName=187****0626, createdTime=Wed Jun 14 05:50:01 CST 2017, time=2017-06-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=210433, encodeId=4299210433d9, content=讲解的非常好,受益匪浅, beContent=null, objectType=article, channel=null, level=null, likeNumber=23, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/ajNVdqHZLLDcohE5MKT1FYlH69x7qib45icLgBDMANxIiauEA62nuQI1eE8Ez2rO3yqOkRLH6ha6Lw0x1IBRm0N7g/0, createdBy=e1ff2033933, createdName=187****0626, createdTime=Wed Jun 14 05:49:56 CST 2017, time=2017-06-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=210432, encodeId=944b210432d8, content=讲解的非常好,受益匪浅, beContent=null, objectType=article, channel=null, level=null, likeNumber=25, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/ajNVdqHZLLDcohE5MKT1FYlH69x7qib45icLgBDMANxIiauEA62nuQI1eE8Ez2rO3yqOkRLH6ha6Lw0x1IBRm0N7g/0, createdBy=e1ff2033933, createdName=187****0626, createdTime=Wed Jun 14 05:49:48 CST 2017, time=2017-06-14, status=1, ipAttribution=)]
    2017-06-14 中医痴

    不错的,学习了,谢谢分享!

    0

  7. 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ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=210607, encodeId=e78121060ee1, content=学习了。。。。, beContent=null, objectType=article, channel=null, level=null, likeNumber=52, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/icyLhIGqru6gIknBJqfuPhYUE4da7HxQiaMRRk8Ix0r6sfdeeibLPNib7H5IoNf4kYsecwUsmQC1eUMKsNb65twN7epPZaicdLRCu/0, createdBy=ba1a1999418, createdName=Norene, createdTime=Wed Jun 14 09:44:42 CST 2017, time=2017-06-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=210558, encodeId=775f21055840, content=不错的,学习了,谢谢分享!, beContent=null, objectType=article, channel=null, level=null, likeNumber=26, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NdqKgfW3nMpOkC3jXxiaW2po0PtglY5ZuVjERqKADW4HyMI8bcZXWlKgH7tEP9ULBoBzuQMibia4pr1s9rQPqLvqQJ/0, 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topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/ajNVdqHZLLDcohE5MKT1FYlH69x7qib45icLgBDMANxIiauEA62nuQI1eE8Ez2rO3yqOkRLH6ha6Lw0x1IBRm0N7g/0, createdBy=e1ff2033933, createdName=187****0626, createdTime=Wed Jun 14 05:49:48 CST 2017, time=2017-06-14, status=1, ipAttribution=)]
    2017-06-14 187****0626

    讲解的非常好,受益匪浅

    0

  8. 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topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/ajNVdqHZLLDcohE5MKT1FYlH69x7qib45icLgBDMANxIiauEA62nuQI1eE8Ez2rO3yqOkRLH6ha6Lw0x1IBRm0N7g/0, createdBy=e1ff2033933, createdName=187****0626, createdTime=Wed Jun 14 05:49:48 CST 2017, time=2017-06-14, status=1, ipAttribution=)]
    2017-06-14 187****0626

    讲解的非常好,受益匪浅

    0

  9. 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createdAvatar=https://wx.qlogo.cn/mmopen/ajNVdqHZLLDcohE5MKT1FYlH69x7qib45icLgBDMANxIiauEA62nuQI1eE8Ez2rO3yqOkRLH6ha6Lw0x1IBRm0N7g/0, createdBy=e1ff2033933, createdName=187****0626, createdTime=Wed Jun 14 05:50:01 CST 2017, time=2017-06-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=210433, encodeId=4299210433d9, content=讲解的非常好,受益匪浅, beContent=null, objectType=article, channel=null, level=null, likeNumber=23, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/ajNVdqHZLLDcohE5MKT1FYlH69x7qib45icLgBDMANxIiauEA62nuQI1eE8Ez2rO3yqOkRLH6ha6Lw0x1IBRm0N7g/0, createdBy=e1ff2033933, createdName=187****0626, createdTime=Wed Jun 14 05:49:56 CST 2017, time=2017-06-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=210432, encodeId=944b210432d8, content=讲解的非常好,受益匪浅, beContent=null, objectType=article, channel=null, level=null, likeNumber=25, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/ajNVdqHZLLDcohE5MKT1FYlH69x7qib45icLgBDMANxIiauEA62nuQI1eE8Ez2rO3yqOkRLH6ha6Lw0x1IBRm0N7g/0, createdBy=e1ff2033933, createdName=187****0626, createdTime=Wed Jun 14 05:49:48 CST 2017, time=2017-06-14, status=1, ipAttribution=)]
    2017-06-14 187****0626

    讲解的非常好,受益匪浅

    0

  10. 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    2017-06-14 187****0626

    讲解的非常好,受益匪浅

    0