Nutrition in Cancer: Diet in RT patient

1
Nutrition in Cancer Diet in RT patient

• ?.?. ?????? ??????????

2
Nutrition in Cancer Diet in RT patients

• ??????????
• ?.? ?????? ??????????
• Doyle, C., Kushi, L., Byers, T. et al. (2006).
  Nutrition and physical activity during and after
  cancer treatment ACS Guide for informed choices,
  CA Cancer J clin, 56, 323-353.
• Kushi, L., Byers, T., and Doyle, C. et al.
  (2006). ACS Guidelines on nutrition and activity
  for cancer prevention reducing the risk of
  cancer with healthy food choices and physical
  activity. CA Cancer J Clin, 56, 254-281.
• Textbooks of RT

3
Nutrition in Cancer Diet in RT patients, cont.

• ????????????????????????????????
• ?????? (cure)
  medicine
• ??????????? (quality of life, QOL)
  care
• ?????
• ?????

4
Nutrition in Cancer Diet in RT patients, cont.

• ????????????????????????????????????
• ?????????? (regular diet)
• ????????? (soft diet ???? low residual diet)
• ?????????/???????? (liquid diet)
• ?????????????/????????????????????? ????????????
  ????? ??????????????
  (spicy food, indigestion, high fiber)
• ???????????????/??? (high fiber diet/ low
  residual diet)
• ????????????????????????? (high/low energy diet)
• ??????????????????? ???
• ???????

5
Nutrition in Cancer Diet in RT patients, cont.

• ????????????????????????????????????? ??????????
• ????????????????????/?????/???????????????????????
  ? ??? TTD
• ???????????? (combined treatments) CT, Sx
• ??????? (co-morbid diseases) ???? ????????
  ?????? ????? ?
• ???? ???
• ??????/?????

6
Nutrition in Cancer Diet in RT patients, cont.

1. ???????????????????????????? (before RT)
2. ?????????????????????? (during RT)
3. ??????????????????????????????????????????
   (rehabilitation) ???
4. ?????????????????? (survival)

7
Diet in RT ??????????????? ??????????

• ?.???????
• ?.????
• ?.?????/????
• ?.??????
• ?.????????????
• ?.????????/????????????/????????????

• ?.??????/?????????? ???
• ?.????????????

8
Nutrition in Cancer Diet before RT

• ????????????? RT ????????????
• ????????????? ????????????????????????????????????
  ????????

9
Nutrition in Cancer Diet before RT

• ????????????? RT
• ?????????? ?????????
• ??????????????????
• ???????????????????????????
• ???????
• ????? ???????????? ??? ???? ?????? ????
• --------------------

• ???????????????????????
• ?????????/?????????
• ??????????????/??????????
• Co-morbid diseases ???
• ????
• ---------------------

10
Nutrition in Cancer Diet during RT

• ???????????? RT ????????????
• ??????????????????????????????
• ???????????/ ??????????????????????????
• ????????????????? RT ???
• ???????????????????? RT ???????????

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Nutrition in Cancer Diet in RT patients, cont.

• ???????????? RT ????????????? RT complications
  ???????
• ?????? RT ??? TTD
• ???????????????????? RT
• ????????????
• Co-morbid diseases ???
• ????

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?????????????????? RT

• RT ?????????????
• ?????????? ?????????
• ?????????????????? ???????? CT ???????? ???
• ???????????
• ??????? ???
• ????? ???????????? ??? ???? ?????? ????

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?????????????????? RT

• RT ??????????
• ?????????? ?????????
• ?????????????????? ???????? CT ????????
• ???????
• ??????????? ???
• ????? ???????????? ??????? ?????? ????

14
?????????????????? RT

• RT ???????????/????
• ????????? ?????????? ??????????????? RT-
  ?????????
• ?????????????????? ???????? CT ????????
• ?????????/????????
• ???????????????????
• ?????/????????????????? ???
• ??????????? ????? ??????? ??? ???? ?????? ????
  ?????????

15
?????????????????? RT

• ??????
• ?????????? ?????????
• ??????????????????
• Phyto-estrogen
• ???????
• ??????????? ???
• ???????????? ??????? ?????? ????

16
?????????????????? RT

• ????????????????
• ?????????? ????????? ?????????/????????
• ???????
• ??????????????????
• ???????????? ?????????????????????????
• ??????????? ???
• ???? ??????? ?????? ????

17
?????????????????? RT

• ????????/????????????/????????????
• ????????? ???????????????
• ??????????????????
• ???????????????????? (??????????? RT ???????????)
• ???????
• ??????????????? ???
• ???????????? ??????? ?????? ????

18
?????????????????? RT

• ???????????????????
• ?????????? ?????????
• ?????????????????????????? CT ????????
• ???????
• ??????????? ???
• ???????????? ??????? ?????? ????

19
?????????????????? RT

• ?????????????? CT /- RT
• ??????????????????
• ???????????? RT
• ???????
• ??????????? ???
• ???????????? ??????? ?????? ????

20
?????????????????? RT

• ???? ???
  ??????????
• -----------------------------

21
????????????????????????????? RT

• ???????????? ?????????????????????????????????
• ?????????/??????????
• ?????????????????? ???????? CT ????????
• ???????
• ??????????? ???
• ???????????? ??????? ?????? ????
• 
  ----------------------------------

22
???????????????? ????????????

• ?????????????? /???
• ????????????/?????????????????????/???????????????
  
• ?????????????????????????????????????/??????/?????
  ????? (recurrence/progression)
• ??????????????????????????????????? ?
• ????????? ???????????????????

23
???????????????? ACS guidelines

• ???????????????????? ?????????????????? ????
  ????????? ???
• - ????? ???
• -???????????

24
???????????????? ACS guidelines

• ?????
• ??????????????????????????????? ? ????
  ????????????????????
• ????????????????????????????????????????????
• ???????????????????????? ????????? ? ????/???
  ?????????????????
• ??????????????????????(?????????)/????????? ???
• ??????????????????? ? drink/????????????
  ??????????????? ? drink/???

25
???????????????? ACS guidelines

• ??????????????
• ???????????????????????????????? ?? ????
  ????????? ? ????????????? (????????????
  ????????????? ??-??????) ?????????/???????
  ???????????????? ???.

26
???????????????? ?????????

• ????????????????????????????? ???????????????????
  ??????????????????
• ????????????????????????????
• ????? ?? ???? ???????
• ???? ?????? ???
• ?????????????????????/??????????????????
• ------------------------------

27
???? Diet in RT

• ??????????????? ?? ??????/ ?????????????
  ???????????????????????????????????????/??????????
  ?????????????????
• ??????????????????????????????????????????/??????
  ??? ?????????????/?????????? ?????????????
  ???????????? ?????????????????????????
  ??????????????????????????????????

28
????????