Concept Nutrition | Nutrition for Wound Healing

A. Nutrition understanding

Nutrition is an organic substance required for normal functioning of organism body systems, growth, maintenance of health. Nutrients obtained from food and liquids are then assimilated by the body.

B. Nutrition for Wound Healing

Nutritional needs of post-circumcision would have increased. Nutrients needed to accelerate post prosos circumcision wound healing. Nutrients are required as follows:

1) Protein

Protein is a food substance that is essential for the body, because these substances in addition to functioning as a fuel in the body also serves as a substance builders and regulators. Children post circumcision requires 20 grams of protein above normal requirements. Protein as a shaper enegi produces 4 calories per gram. And those who experienced trauma (injury) then the amount of protein needs of about 1.2 to 2 g / kg / day (Indonesian Wikipedia, the free encyclopedia: www.radartimika.com).
Based on the source, proteins are classified into vegetable protein and animal protein. Protein metabolism started from the proteins in plant foods are protected by cell walls composed of cellulose, which can not be digested by our digestive juices, so that the digestibility of vegetable protein sources are generally lower than the source of animal protein (Achmad Djaeni, 2004: 59).
Cooking food by heating it will damage and break the cell walls, so that the protein contained in the cells into the open and can be accomplished by the digestive fluids of the gastrointestinal tract. Protein is absorbed by the intestinal wall, into portal vein and liver, the heart is set in the general blood circulation and flow throughout the body tissue. These amino acids are particularly necessary for the formation of new tissue or replace the worn out (obsolete).

Tabel 2.1 Protein content of the food for the circumcision wound healing process

Foodstuff	Weight (gr)	Size
Fish Anchovy Chicken without skin Beef Chicken egg	40 20 40 35 55	1 cut was 1 tablespoon 1 cut was 1 cut was 1 grain

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2) Calorie

According Vinka Kumala (2009) in (http://oyont.blogspot.com/), nutrition is also required after the circumcision is calories, calories are usually found in many carbohydrate foods such as rice, cassava, potatoes, milk and other much needed calories to restore energy after a circumcision that circumcision wounds heal faster. To calculate caloric needs (calories you need for daily activities) can be determined by the following formula:

Men = 66 + (13.7 x weight) + (5 x height) – (6.8 x Age)

Woman= 65.5 + (9.6 x weight) + (1.7 x height) – (4.7 x Age)

Tabel 2.2 Calorie content in food to the process of wound healing

Foodstuff	Weight (gr)	Size
Rice	200	1 cup
White bread	70	3 small pieces
Cassava	120	1 cut was
Potato	210	2 cut was
Macaroni	50	½ cup

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3) Fluid

Other nutrients that are required after circumcision is fluid intake, which is a medium where all metabolic processes take place. Its function can not be replaced by other compounds. Recommended for children post circumcision ciran drink 2-3 liters, preferably in the form of water, milk and fruit juices instead of soft drinks (Achmad Djaeni, 2004: 172).

4) Vitamin

Vitamin C is indispensable in the process of wound healing, in this case is the injury circumcision. Vitamin C is natural that as an antioxidant, and is participating in metabolic processes that take place in the body. Vitamin C is required for the formation of collagen and usually need vitamin C for optimal wound healing ranged from 500-1000 mg / day. Vitamin C can be obtained from vegetables and fresh fruits. Fruits vitamins more easily than with the older and fruits that contain vitamin C are not always yellow (Achmad Djaeni, 2004: 131).

This vitamin is easily soluble in water so that when the vitamin is consumed than is needed, the excess is discarded in the urine. Because it is not stored in the body, vitamin C should be consumed every day.

Tabel 2.3 The content of vitamin C in fruit

Fruit	The content of vitamin C (gr/100gr)
Guava Longan Papaya Orange Melon wWne Mandarin oranges Toothless gum Mango Pineapple Banana Avocado	183 84 62 53 42 34 31 29 28 15 9 8