NON-PHARMACOLOGIC THERAPY Flashcards

1
Q

What are the recommended daily dietary fiber intake levels for adult women and men according to the American Dietetic Association, based on a 1000 kcal diet?

A

The American Dietetic Association recommends a daily dietary fiber intake of 25 grams for adult women and 38 grams for adult men, based on a 1000 kcal diet.

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2
Q

What is the role of dietary fiber in the digestive system?

A

Dietary fiber adds bulk to stool and normalizes bowel movement frequency.
Chất xơ trong thực phẩm gia tăng thể tích phân và điều chỉnh tần suất đi tiểu

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3
Q

What happens when stool is retained in the bowel for an extended period?

A

Prolonged retention of stool in the bowel leads to increased water absorption, resulting in hard stool and difficulty in passing stool.
Việc giữ phân lâu trong ruột dẫn đến việc hấp thụ nước tăng, dẫn đến phân cứng và khó đi tiểu.

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4
Q

What dietary recommendations are given to individuals with constipation to help alleviate their condition?

A

Individuals with constipation are advised to gradually increase their insoluble fiber intake by incorporating more whole grains, wheat bran, fruits, and vegetables into their meals.

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5
Q

What options are available if dietary changes do not effectively alleviate constipation?

A

If dietary changes don’t work, commercial fiber supplements can be considered. Some fiber supplements, such as inulin, are classified as dietary supplements, while others like psyllium and methylcellulose are FDA-approved nonprescription bulk-forming laxatives.

Một số thực phẩm bổ sung chất xơ như inulin được phân loại như thực phẩm bổ sung, trong khi những loại
khác (ví dụ như psyllium, methylcellulose) là thuốc xổ tạo sự phình to được FDA chấp thuận không cần đơn thuốc (xem phần “Therapy Dược lý”).

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6
Q

How long does it typically take for the effects of a high-fiber diet or supplement to become noticeable?

A

It might take 3-5 days or longer for the effects of a high-fiber diet or supplement to become noticeable.
Có thể mất từ 3-5 ngày hoặc lâu hơn để thấy hiệu quả của chế độ ăn giàu chất xơ hoặc thực phẩm bổ sung.

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7
Q

What are some potential side effects when significantly increasing dietary fiber intake, and how can tolerance be improved?

A

Initially, significantly increasing dietary fiber intake may lead to irregular bowel movements, flatulence, and abdominal discomfort. However, gradually increasing fiber intake over 1-2 weeks can improve tolerance to these side effects.

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8
Q

What is the recommended fluid intake when increasing fiber intake, and how does it differ for pregnant and lactating women?

A

When increasing fiber intake, fluid intake should also be increased to around eight 8-ounce glasses per day. Pregnant women require an additional 300 ml of fluid while lactating women need between 750 ml to 1000 ml of extra fluid intake.

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9
Q

How can behavior modifications, also known as “bowel training,” assist in encouraging bowel movements, and when are gastrocolic reflexes most active?

A

Behavior modifications, or “bowel training,” can encourage bowel movements. Gastrocolic reflexes are most active in the morning and about 30 minutes after a meal. Trying to have a bowel movement during these times aligns with the body’s natural physiological response and can aid in defecation.

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10
Q

When are gastrocolic reflexes most active, and how can this natural physiological response aid in the process of defecation?

A

Gastrocolic reflexes are most active in the morning and about 30 minutes after a meal. Trying to have a bowel movement during these times aligns with the body’s natural physiological response and can aid in defecation.

Phản xạ dạ dày - đại tràng tốt nhất vào buổi sáng và khoảng 30 phút sau bữa ăn. Cố gắng đi tiểu trong
những thời điểm này tương thích với phản ứng sinh lý tự nhiên của cơ thể và có thể hỗ trợ việc đi tiểu.

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