Kune asi ari pachena matambudziko ezvekudya kune varwere vegomarara remudumbu. Mamota ese anokanganisa kudyiwa uye / kana kushandiswa kwezvinovaka muviri kune akasiyana madhigirii, zvichikonzera kusagadzikana. Iko kuitika kwekushaya kudya zvinovaka muviri kunosiyana pakati pemamota akasiyana. Zvinoenderana nehuwandu, huwandu hwe kushaya zvokudya zvinovaka muviri varwere vane kenza yemudumbu vane 87%, uye chiitiko che cachexia yakakwira kunge 65% kusvika 85%, iri pamusoro kupfuura mamwe mamota. Dzese dzinotora nzvimbo yekutanga mumamota ese.
Zvikonzero zvishanu zvakakura zvegomarara repamuviri kushaya zvinovaka muviri
Gomarara remudumbu ndiro tumarara iyo ine yakanyanya kuomarara pakudya pakati pemamota ese. Zvikonzero zvikuru zvekushaya chikafu muvarwere vegomarara remudumbu ndezvi:
① Anorexia uye kushungurudzika-kwakabatana anorexia inokonzerwa nechirwere pachayo inoderedza kudya kwekudya.
② Kunetsa kudya nekuda kwema mechanical zvinhu.
③ Kunyura uye kusagadzikana kwekugaya kunokonzerwa nehupfu hwechemotherapy zvinodhaka.
④ Yakasanganiswa nezvinhu zvinowedzera catabolism, senge hutachiona kana kurapwa kwekuvhiya.
⑤ Kuvhiyiwa kweGastric-chaiyo mhedzisiro: Pazvese kuvhiyiwa kwegastrointestinal, kuvhiyiwa kwegastric kune zvakanyanya kunetsa, kukanganisa kukuru pakudya uye metabolism, uye kureba kwenguva refu. Varwere vasingawanzoona kufutisa uye chirwere cheshuga mushure mekuvhiyiwa gastric ndivo vakanyanya kunaka. prove. Pakati pavo, shanduko yemetabolism uye kusagadzikana kwekunwa kunokonzerwa negastrointestinal resection uye diversion haina kuita kuti vanhu vatarise zvakafanira, senge iron, calcium, vhitamini A, vhitamini B12, vhitamini D kubatwa kusagadzikana uye kushomeka, senge mafuta, mapuroteni uye Carbohydrate. kusagadzikana kwekudya. Zvinhu zvishanu zviri pamusoro apa zvinoita kuti kushomeka kwezvokudya zvinovaka muviri kuve kwakanyanya, nguva zhinji, kwenguva refu uye kunetsa mushure mekuvhiyiwa kenza yemudumbu, saka kuvarwere vazhinji vanovhiyiwa kenza yemudumbu, nguva yekutsigirwa kwekudya inofanirwa kuwedzerwa.
Mhedzisiro yakaipa yegomarara repamu gastro kushaya zvinovaka muviri
Sezvineiwo nekushaikwa kwekudya kunovaka muviri, mhedzisiro yakaipa yekushaikwa kwekenza yemudumbu inoratidzwawo mumuviri uye nebasa. Inoderedza kushanda kweradiotherapy uye chemotherapy, inowedzera njodzi yekukanganiswa kwezvinodhaka, inoderedza skeletal tsandanyama uye kushanda, inowedzera mukana wepashure pematambudziko uye nosocomial utachiona, inowedzera nguva yekugara muchipatara, uye inowedzera kuitika kwematambudziko uye kufa, Kuwedzera hupenyu hwevarwere uye kuwedzera mari yekurapa. Kushaikwa kwezvokudya zvinovaka muviri kunoganhurirawo sarudzo dzekurapa varwere vegomarara remudumbu, zvichiita kuti vasarudze dzimwe nzira dzekurapa dzisina kunaka kana dzisina kufanira. Muchidimbu, kushaya zvokudya zvinovaka muviri kwakabatana zvikuru nekusaziva zvakanaka.
Yakakwana gwara rekudya rekenza yemudumbu
1) Mushure mekuvhiyiwa kwegomarara remudumbu, dumbu rakawanda rinogurwa, uye huwandu hwemudumbu hwasara hunova hudiki, izvo zvinoita kuti basa remurwere rekugaya uye kunyura richinje. Kuchengetwa kwakanaka kwepashure uye kutungamira kwehutano hwegomarara remudumbu zvinogona kuderedza zviratidzo. Pamasvondo maviri kusvika matatu mushure mekuvhiyiwa, vamwe varwere vanogona kuona zviratidzo zvakadai sekuputika, kudikitira, dzungu, kusvotwa, uye kusagadzikana mudumbu repamusoro mushure mekudya zvihwitsi. Inowanzozvigadzirisa pachayo kwemaminetsi gumi nemashanu kusvika makumi matatu. Sign. ” Kuti udzivise izvi, unofanira kudya zvihwitsi, zvokudya zvine munyu zvine mwero, uye kudzora kukurumidza kudya. Zvokudya zvinofanira kuva zvakawanda uye zvakakodzera. Inofanira kuva yakareruka uye kudzivisa zvokudya zvinogumbura zvakadai sembishi, inotonhora, yakaoma, inorunga, uye doro. Idya mimwe miriwo nemichero, usadya flatulence uye mafuta ezvokudya, zviri nani kurara pasi uye kuzorora kwemaminitsi 2-3 mushure mekudya.
2) Huwandu hwekudya hunofanira kushanduka zvishoma nezvishoma kubva pane zvidiki kusvika zvakakura, kubva pakuonda kusvika pakukora. Paunenge uchidya, iwe unofanirwa kutsenga zvishoma nezvishoma kuti udzikise mutoro padumbu rako. Idya zvishoma uye udye zvakanyanya, kazhinji kashanu kana katanhatu pazuva. Kudya kwega kwega kungangoita 5 g, uye zvishoma nezvishoma zvinowedzera. Mushure memwedzi mitanhatu kusvika pamisere, kudya katatu pazuva kunodzorerwa, uye chikafu chega chega chinenge zana g. Mushure megore rimwe, yava padyo nechikafu chakajairwa. Dzivisa kudya chikafu chinotapira, zorora 6 maminetsi mushure mekudya usati watama.
3) Nekuda kweiyo chepfu uye mhedzisiro yemishonga panguva yekemotherapy, chishuwo chevarwere chinokanganiswa.Kukosha kwekurapa kwekudya uye kukosha kwehutano kunofanirwa kushambadzwa kuvarwere, uye varwere vanofanirwa kurairwa kuti vadye mapuroteni epamusoro, akakwirira -vitamin, nyore-kugaya, chikafu chine mafuta mashoma, uye chikafu chidiki. Ita basa rakanaka rekutsanangura usati waitwa chemotherapy, simbisa zvekudya, uye upe yakanyanya-calori, yakakwira-vhitamini, yakakwira-mapuroteni, nyore-kugaya mvura kana semi-mvura chikafu, uye zvidiki zvidyo.
4) Kazhinji tungamira varwere kuti vadye michero yakawanda, miriwo, uye vanwe mvura yakawanda kuti vachengetedze zvituru zvakatsetseka, uye voona kana paine zvituru zvitema uye zvituru zveropa, uye voenda kukiriniki kana dhipatimendi rekukurumidzira munguva kuti vawane kusagadzikana.
5) Kana iwe uine kurwadziwa kwepamuviri, acid reflux, belching kana kunyange kusvotwa uye kurutsa, vatarise munguva uye uvarape nekukurumidza sezvazvinogona.
Postoperative Kudya kwekudya kwecancer yegastric!
Nheyo yekudya kune varwere vane mapundu emudumbu: kudya kudiki, kudya kwenguva dzose, uye kudya kunovaka muviri. Iva nechokwadi chekupa simba uye zvishoma nezvishoma kuchinja kune kudya kwakakwana.
Dzivisa chikafu chinotonhora kana chinopisa. Kutsanya zvese zvinotsamwisa uye zvisina kukora fiber uye kugadzira gasi, chikafu chakakangwa. Deredza shuga dzakareruka senge sucrose, muto unotapira, nezvimwe kudzivirira matambudziko akadai se hypoglycemia kana dumping syndrome mushure mekudya.
Stage 1: Kutsanya. Nguva yekuvhiya yekuvhiya iri mukati me1 kusvika kumazuva matatu mushure mekuvhiya, iyo anastomosis haisati yaporeswa, uye iro dumbu basa riri kupora zvishoma nezvishoma. Inoenderera mberi gastrointestinal decompression inopihwa pamberi pemudumbu kufefetedza, iyo inoderedza kukurudzira kweiyo gastric yezvinhu kune anastomosis, inoderedza gastric kusagadzikana uye inodzivirira Anastomotic edema uye anastomotic fistula. Panguva ino, izvo zvinodiwa zvemuviri zvinochengetedzwa nekupa zvinovaka muviri uye nemvura kune tsinga.
Chikamu chechipiri: kudya kwemvura. Iyo postoperative trauma nguva yakanyanya kupfuura 2-4 mazuva mushure mekuvhiya, uye dumbu basa rakatanga kupora, zvichiratidza kuti horo yakaburitswa uye ine chishuwo. Mira kuora kwemudumbu, inwa 10 ~ 20 ml yemvura inodziya inodzika nguva imwe neimwe, kaviri pazuva. Pazuva rechina mushure mekuvhiyiwa, ipa yakajeka mvura chikafu, mupunga muto 30 ml nguva imwe neimwe, ka2 / zuva; pazuva rechishanu, muto wemupunga 4 ~ 40 ml, 2 ~ 5 nguva / zuva; pazuva rechitanhatu, muto wemupunga uye muto wemuriwo nguva yega yega 60 ~ 80ml, 3-4 nguva / zuva; pazuva rechinomwe, ipa zvakajairwa kudya kwemvura, muto wemupunga, muto wemuriwo, muto wehuku, muto wedhadha nesobho rehove, nezvimwewo, 6ml nguva imwe neimwe, 80-100 nguva / zuva. Izvi zviri pamusoro zvinoda kuve zvinoenderana nekusiyana kwemunhu Wedzera huwandu uye chikafu sezvakakodzera.
Stage 3: Semi-mvura chikafu. Kana pasina kusagadzikana kuri pachena mumatanho maviri ari pamusoro apa, sadza remupunga, furawa yemupunga, yakanyoroveswa mazai, nezvimwewo zvinogona kupihwa. Kutanga kutenderedza zuva regumi mushure mekuvhiyiwa, akasiyana mabudiro machubhu anogara mumurwere aya abviswa zvakanyanya, huwandu hwekuiswa mukati mekubaya mukati hwakaderera zvishoma nezvishoma, uye kudya kwechikafu kwakawedzera zvishoma nezvishoma. Anofanira kudya mashoma ezvokudya, makumi mashanu neshanu pazuva, 10-57 ml nguva imwe neimwe, kunyanya zvinodyiwa uye zvisingasare zvishoma zvekudya, senge mupunga porridge, manoni, manoni, bhari, shoma shoma puree, tofu uropi, hove mabhora uye zvichingodaro. Vamwe varwere vane hombe kuda havakwanise kumhanyisa kuti vabudirire. Usadye zvakanyanya kuti udzivise anastomotic fistula.
Stage 4: Chikafu Chinyoro. Kazhinji kubva pavhiki rechitatu mushure mekuvhiyiwa, kugaya kwekudya kwevarwere vazhinji kwakadzokera pane zvakajairwa, uye zviratidzo zvakasiyana zvekusuwa zvakanyangarika. Chikafu chakapfava chinyoro, chiri nyore kutsenga uye chinogaya, chikafu chakaringana nemhando dzakasiyana dzezvakakwana, senge mupunga nyoro, makeke evhudzi, bhudzi rakanyoroveswa, zvikafu zvakasiyana siyana, zvakabikwa, nyama dzakabikwa, zvigadzirwa zve soya, madomasi, mabhanzi, akasiyana miriwo Etc., nzvenga miriwo ine yakawanda cellulose uye zvakakangwa chikafu.
Kudya panguva yegastric cancer chemotherapy
(1) Asati uye shure kwekemotherapy
Mwoyo murefu kuita kwehunhu: Nzara inowanzoitika, kugaya uye kunwa zvakajairika, hapana fivha. Iyi nguva inguva yakanakisa yevarwere kuti vawedzere kudya kwavo. Iko hakuna chemotherapy kupindura uye zvakajairwa kudya. Kudya kwakanaka kunogona kuwedzera hutachiona uye kunatsiridza kugona kwemuviri kurwisa kusagadzikana kukemotherapy. Panyaya yekurongeka kwekudya, chikafu chevazhinji ndiyo mainstay.
Nheyo: macalorie akawanda, mapuroteni akawanda, mavhithamini akawanda; high iron (iron deficiency anemia) ine mwero huwandu hwemafuta; kudya katatu kwakavakirwa, kudya kwakakodzera. Zvinodiwa: Macalorie ekudya anofanira kunge akakwana kuchengetedza kana kuwedzera uremu. Mapuroteni akakwirira kudarika vanhuwo zvavo uye anofanira kubva kuprotein yepamusoro (nyama, huku, mazai) .Anofanira kudya zvokudya zvakawanda zvine iron, folic acid, uye vhitamini C, zvakadai seChiropa chemhuka, nyama, itsvo, mazai, mbiriso uye miriwo yemashizha egirinhi, mabhanana, tangerines, tangerines, maranjisi, pomelo, kiwi, mazuva matsva, prickly pears, nezvimwe .; kudya kunonyanya kujeka, zvishoma mafuta uye kudya kwemafuta akawanda, dzivisa zvokudya zvakakangwa. Idya mimwe miriwo nemichero (inenge 500 gramu yemiriwo, 200 ~ 400 magiramu emichero).
(2) Chikamu chekutanga chemotherapy
Mwoyo murefu maitiro ekuita: kurasikirwa kwechido, maronda emumuromo, kupisa mudumbu, kurwadziwa kwepamuviri uye manyoka zvinogona kuitika. Kunyangwe kusagadzikana kwekuita chemotherapy kwakatanga kuoneka, varwere vachiri kudya, uye chikafu chinofanirwa kuwedzerwa zvakanyanya sezvinobvira. Kudya kunogona kushandisa semi-mvura chikafu.
(3) Chikamu chakanyanya chemotherapy chemotherapy
Mwoyo murefu maitiro ekuita: kukomba kwakakomba kusagadzikana, kusvotwa uye kurutsa, zvakanyanya muromo uye peptic ulcers, kurwadziwa kwakanyanya mudumbu, manyoka, uye kunyangwe fivha. Haichagone kudya zvakajairika, kunyangwe kudya kusagadzikana. Iyi nhanho ndiyo nhanho yekuchengetedza nhanho. Inongopa chete mashoma macalorie uye chikafu chekudzivirira kuchengetedza mashandiro emudumbu. Kana nguva yekupindura ichidarika mazuva matatu, inofanira kupihwa rutsigiro rwevabereki. Chikafu chemvura chinoshandiswa pakurongeka kwekudya.
Unyanzvi hwehutano hwekurapa
Varwere vegomarara, nekuda kwechikonzero chipi nechipi, vakaderedza kudya kwavo kwekudya uye havagone kuchengetedza zvinovaka muviri zvinodiwa uye uremu hune hutano. Vanofanira kugashira rubatsiro rwezvekudya kunovaka muviri, kusanganisira zvemumuromo zvinovaka muviri uye rutsigiro rwekunovaka muviri kwevabereki.
Zvemumuromo zvinovaka muviri zvekuwedzera-zvine simba-kuwanda chikafu kana gadziriro yemukati yekudya izvo zvinotsiva zvishoma zvekudya zvezuva nezuva, kana sekuwedzera kune zvisingakwanise kudya kwezuva nezuva kuwedzera mukaha pakati pezvinodiwa zvezuva nezuva zvekudya. Kudya kudiki kunokurudzirwa kudzikisira zvinwiwa. Kudya kwesimba kwesimba kunosanganisira nzungu bhinzi, michero yakaomeswa, chizi, yogati, mazai, oatmeal, bhinzi uye avocado.
Kana kudya kwezuva nezuva uye kwekunwa zvinovaka muviri zvekuwedzera kusagona kuzadzisa zvido zvemuviri, zvinokurudzirwa kuti ugamuchire zvekuwedzera zvekurapa zvekurapa zvekurapa zvekuwedzera chikamu chisina kukwana chekudya kwezuva nezuva uye chikafu chemukati nekudya kwevabereki. Chikamu chevabereki chinovaka muviri chakakosha zvikuru kuvarwere vane mamota akanyanya vane huturu hwakanyanya uye nemhedzisiro panguva ye radiotherapy uye havagone kudya zvakajairika.
Chekupedzisira, nezve kurapa kwekutsigira kurapwa kwekenza, tinokurudzira kuti ubvunze ane chiremera oncology chikafu nyanzvi.
