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Title:Prehranska podpora bolnika z rakom
Authors:ID Rotovnik-Kozjek, Nada (Author)
Files:.pdf PDF - Presentation file, download (563,62 KB)
MD5: DB06863D16BE5AC5249F214D69C6A72D
PID: 20.500.12556/dirros/a58fc68f-d2cb-4da4-a56c-349e365e90b4
 
Language:Slovenian
Typology:1.08 - Published Scientific Conference Contribution
Organization:Logo OI - Institute of Oncology
Abstract:Bolniki z rakom požiralnika in želodca zelo pogosto izgubljajo telesno maso, kar vodi v podhranjenost ter pospešuje razvoj kaheksije. Hujšanje in razvoj podhranjenosti pospešujeta razvoj kaheksije, znižujeta funkcionalno stanje bolnikov ter njihovo kakovost življenja. Funkcionalno stanje in kakovost življenja bolnikov sta slabša. Slabši je odziv tumorja na zdravljenje, to spremlja več neželenih sopojavov in slabše preživetje. Vzroki za hujšanje in razvoj podhranjenosti so pri bolnikih s tumorji zgornjih prebavil številni ter se pogosto pojavijo že ob začetku bolezni. Zato naj diagnostika kaheksije in prehranska obravnava bolnika potekata vzporedno z zdravljenjem rakaste bolezni. Izvajata se na enak način kot vsaka druga medicinska terapija. Prehransko intervencijo, kot osnovni ukrep preprečevanja podhranjenosti in razvoja kaheksije, je treba pričeti dovolj zgodaj, da preprečimo in/ali zmanjšamo nadaljnjo izgubo telesne celične mase. Energetske potrebe bolnikov z rakom so primerljive z energetskimi potrebami bolnikov, ki nimajo raka. Potrebe po beljakovinah so 1,2 do 2,0 g/kg telesne teže/dan. Pri bolnikih s kaheksijo lahko uporabimo modulacijo presnove z omega-3 maščobnimi kislinami.
Keywords:prehrana, onkologija, prehranska podpora, rak prebavil
Publication status:Published
Publication version:Version of Record
Year of publishing:2014
Number of pages:str. 56-59, 76
Numbering:Letn. 18, št. 1
PID:20.500.12556/DiRROS-8964 New window
UDC:613.2
ISSN on article:1408-1741
URN:URN:NBN:SI:doc-N1ED15OM
COBISS.SI-ID:1809275 New window
Copyright:by Authors
Publication date in DiRROS:31.08.2018
Views:4144
Downloads:1017
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ROTOVNIK-KOZJEK, Nada, 2014, Prehranska podpora bolnika z rakom. In : Šola: tumorji prebavil II, Ljubljana, 15. 11. 2013 [online]. Published Scientific Conference Contribution. 2014. p. 56–59, 76. [Accessed 1 April 2025]. Retrieved from: https://dirros.openscience.si/IzpisGradiva.php?lang=eng&id=8964
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Record is a part of a journal

Title:Šola: tumorji prebavil II, Ljubljana, 15. 11. 2013
Publisher:Onkološki inštitut
COBISS.SI-ID:1807227 New window

Licences

License:CC BY 4.0, Creative Commons Attribution 4.0 International
Link:http://creativecommons.org/licenses/by/4.0/
Description:This is the standard Creative Commons license that gives others maximum freedom to do what they want with the work as long as they credit the author.
Licensing start date:31.08.2018

Secondary language

Language:English
Title:[Nutritional support for a cancer patient]
Abstract:Oesophageal cancer patients very frequently lose their body weight, which leads to malnutrition and accelerates the development of cachexia. Weight loss and development of malnutrition accelerate the development of cachexia and deteriorate the functional state of patients and their quality of life. Functional state and quality of life of patients thus become worse. This also results in poorer tumour response to treatment, which is accompanied by adverse events and decreased survival. There are numerous causes of weight loss and development of malnutrition in patients with gastrointestinal tumours, which often develop already at the onset of the disease. Therefore, the diagnosis of cachexia and nutritional management of the patient should be undertaken at the same time as treatment of the cancerous disease. They are performed in the same manner as any other medical therapy. Nutritional intervention, as the basic measure for preventing malnutrition and development of cachexia, must be started early enough to prevent and/or minimise further loss of body cell mass. The energy needs of cancer patients are comparable to those of patients who do not have cancer. Protein requirements are 1.2-2.0 g/kg of body weight/day. In patients with cachexia, we can use modulation of metabolism by omega-3 fatty acids.


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