Parenteral nutrition in oncology
نویسندگان
چکیده
OnkologickĂ˝ pacient je ohroĹžovĂĄn malnutricĂ v dĹŻsledku samotnĂŠho onemocnÄnĂ i jeho lĂŠÄby. Malnutrice a vĂĄhovĂ˝ Ăşbytek vĂ˝raznÄ ovlivĹujĂ pĹeĹžitĂ (1), ale (zejmĂŠna souvislosti s proteinovou deplecĂ) takĂŠ fyzickou vĂ˝konnost, pooperaÄnĂ komplikace toxicitu chemoterapie (2). V ovlivnÄnĂ malnutrice vyuĹžĂvĂĄme vĹĄechny modality nutriÄnĂ intervence: dietnĂ poradenstvĂ, podĂĄvĂĄnĂ lĂĄtek antikatabolickĂ˝m protizĂĄnÄtlivĂ˝m potenciĂĄlem, orĂĄlnĂ suplementa (sipping), enterĂĄlnĂ parenterĂĄlnĂ výŞivu. NedĂlnou souÄĂĄstĂ terapie pohybovĂĄ aktivita. ParenterĂĄlnĂ výŞiva, tedy výŞivy intravenĂłznÄ, si jiĹž minulosti proĹĄla obdobĂm nekritickĂŠho optimismu skepse souÄasnĂŠ dobÄ lze konstatovat, Ĺže pokud nebo výŞiva vede ke stabilizaci energetickĂŠ dusĂkovĂŠ bilance, nenĂ rozhodujĂcĂ cesta podĂĄnĂ. NezbytnĂĄ vĹĄak sprĂĄvnĂĄ indikace, adekvĂĄtnĂ dĂĄvka, sloĹženĂ, doba podĂĄnĂ velmi kvalitnĂ oĹĄetĹovatelskĂĄ pĂŠÄe. Problematika indikacĂ, klinickĂŠho vyuĹžitĂ, kontraindikacĂ, komplikacĂ monitorace PV se neliĹĄĂ u pacientĹŻ onkologickĂ˝m benignĂm onemocnÄnĂm. posuzovĂĄnĂ nutriÄnĂho stavu hraje dĹŻleĹžitou roli terapeut. Je kvalifikovĂĄn k pĹesnĂŠmu zhodnocenĂ rizika nĂĄslednĂ˝m doporuÄenĂm intervence.
منابع مشابه
ESPEN Guidelines on Parenteral Nutrition: non-surgical oncology.
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ژورنال
عنوان ژورنال: Onkologie
سال: 2021
ISSN: ['1803-5345', '1802-4475']
DOI: https://doi.org/10.36290/xon.2021.003