Monday, February 23, 2009

Lung cancer patients with early nutritional support

Lung cancer in China for the top ten causes of death of the first, 2, and has increased year by year trend. Ages in terms of many over the age of 50. When determining the time of diagnosis, many have taken place for some time, and may even be transferred to other parts of the body and difficult to cure. 



 In the consultation exercise, a lot of patients are often worried about the families of patients with good nutrition will promote the growth of lung cancer. So, dare to patients with adequate nutrition, while at the same time and some folk say that a lot of food will "hair (Taiwanese)", therefore, such as chickens, ducks, fish do not eat such food. It was also so sick and even hunger, want to lung cancer cells "starve to death." Patients and their families have to live in fear, and fear of "eating mistake" led to accelerate the growth of lung cancer, treatment failure. In fact, the above statement is unfounded. 



 We have to understand early lung changes in the nutritional status of the human body, and early nutritional support on human cellular immune function and humoral immune function. The study pointed out that the existence of early stage lung cancer patients nutrition and immune dysfunction, especially the cellular immune dysfunction. Ordinary diet can not be effective in improving the nutritional status of patients, early nutritional support to correct the malnutrition at the same time, marked improvement in immune function, especially cellular immunity, cellular immunity may be shortened recovery time. 



 Malnutrition on the patient's treatment and rehabilitation of extremely unfavorable, such as restoration of slow post-operative patients, radiotherapy and chemotherapy for poor tolerance and lead to immunocompromised, causing infections or even failure deterioration. So lung cancer patients must pay attention to food and nutrition. Food and cancer patients are the material basis, importance of diet in cancer patients, provide reasonably sufficient nutrition, can enhance the body resistance, improve patient tolerance to treatment, and ensure the smooth completion of the treatment plan, and promote rehabilitation. 



 Lung cancer patients with swallowing difficulties, they should be free to choose food, without affecting the treatment of the case, it is necessary to eat some protein, carbohydrate-rich foods, such as lean meat, fish, soy products and a variety of cereals, there is generally no restrictions on appetite . Food should be light, soft, easy to digest absorbed mainly in the food choice and therefore tonic, do not be so anxious. Any time, we should eat more fresh vegetables and fruit. Do not eat or eat less irritating food, including fried foods. May regularly eat garlic, garlic contains anti-cancer substances; non-smokers and non-drinkers. 



 Lung cancer patients in addition to three meals a day, but also aids   specially formulated diet. Since lung cancer patients with large consumption and therefore demand more than the normal increase of 20% of protein and calories. This special formula contains a variety of essential nutrients, because nutrients in order to meet the complete needs of cancer patients. Currently in the Taiwan market has a lot of types, methods can be oral or tube feeding. Oral administration should pay attention to slow drink, drinking too fast, due to higher infiltration liquid, easy to produce diarrhea and vomiting. Attention should be paid to the appropriate temperature, to prevent diarrhea caused by too cold. In addition, attention to the selection of low-fat, low salt and rich in vitamins, minerals, food products, but also have sufficient heat supply, in order to promote the recycling of human tissues, which is lung cancer patient's treatment and rehabilitation benefit. 



 Because of the treatment of lung cancer patients receiving different diets on the basis of specific treatment methods but also with proper diet. Often after a chemotherapy cycle 1 ~ 2 weeks of rest, its purpose is to restore or rebuild the immune function of patients when bone marrow function returned to normal levels, but some chemotherapeutic drugs inhibit bone marrow time later, the resumption of a slower, doctors also will be proposed during this period of time some patients can improve immune function of drugs or nutritional medicine. Condition in accordance with the needs of the sick have enough "capital = manual" to enter the next cycle / course of chemotherapy / radiotherapy. To accept such as radiotherapy and chemotherapy patients often give rise to abnormal taste, anorexia, patients often become bitter to eat anything or "flavor is not correct (Taiwanese)." Treatment approach are: eat high-protein, high-nutrition food and fresh fruits, vegetables, etc.; the increase in food seasoning; many do "color, flavor and taste, shape," are good food to cause loss of appetite; fasting drink a small cup of acidic beverages (such as: Plum) can play the role of an appetizer, to add an appropriate amount of sick zinc and vitamin BC group, as well as improving the taste, increased appetite. Patient radiation therapy to reduce saliva, dry throat pain, difficulty swallowing, eating should bring water, and the main cooler. The so-called anti-cancer food, in general the role of its anti-cancer is extremely small, does not need to deliberately go to eat. 



 Previously, we (Changhua Christian Hospital) will be in lung cancer patients, the attention of this diet: eat before you take a break in order to reduce fatigue; first clean the mouth; likes to eat their own food, and attention to seasoning can increase gastric secretion can promote appetite, improve absorption of food utilization; way of eating mining in order to promote digestion; choice of high-nutrition food, food to avoid gas production (such as: sweet potatoes); place as far as possible away from the kitchen to avoid cooking arising smells trigger nausea and vomiting. Lung cancer patient's diet should not only focus on its content, the merits of eating environment can also affect the patient's appetite, the patient should be given to create a pleasant dining environment. If you can not eat and, if necessary, can be inserted to assist nasogastric tube feeding to supplement nutrition, to improve the nutritional status. 



 Lung cancer and its treatment may lead to malnutrition and should therefore be given adequate nutrition as soon as possible to arrange for lung cancer patients a good diet, should first evaluate their nutritional status, followed by patients should be targeted at which stage the disease and treatment measures in different to determine the quality and quantity of nutrients, diet form and supply channels.

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