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Tuesday, June 14, 2011

Dietary strategies during chemotherapy in breast cancer

Conventional wisdom is that the proliferation of breast cancer by a certain order of time and distance, and recent biological studies show that breast cancer cell division from a single 1cm in diameter the size of mass reproduction, growth, more than 3 years at least, to the systemic hematogenous provide enough time, so systemic treatment is more and more attention. Before and after surgery systemic chemotherapy to kill subclinical metastases is to improve the treatment effect, increase the survival rate of more mature treatment. In particular, cases of axillary lymph node metastases, the efficacy of adjuvant chemotherapy after surgery is more apparent. Although the exact effect of chemotherapy has been fully confirmed, but because of the many side effects of chemotherapy, such as gastrointestinal reactions (nausea, vomiting, loss of appetite, abdominal pain, diarrhea), myelosuppression (neutropenia, decreased red blood cells, thrombocytopenia) , gastrointestinal mucosal ulceration, hair loss, abnormal liver and kidney function, in part because patients can not tolerate the interruption of treatment.

How to better guide patients through chemotherapy steady increase efficacy?

In addition to psychological counseling, the diet can also play a guiding role. Guangdong Province, she has the unique food culture, the daily diet has many Taboo, always in consultation with the clinician: "I can eat anything, can not eat?" In fact, tumor patients, traditional Chinese medicine theory that "there is the stomach gas is raw, no Stomach is dead, "Wei Qi's performance is very important" can not eat. " So patients during chemotherapy is in the common pale mouth, anorexia, nausea, vomiting and even can not eat during this period need not have too many taboos, can let go of the fetters of bondage past, grasp the following principles "do not eat old deterioration or irritating things, eating smoked, grilled, marinated, fried, salty food, the staple food grain with the thickness to ensure the nutritional balance "after not too many taboos, you can eat all you want. Only able to eat according to the amount fed to adhere to the timely completion of chemotherapy, to ensure efficacy of chemotherapy! Here are some little knowledge on the diet, I hope she has the appetite for increased help.

(1) the replacement of recipes, cooking methods change: A new food can promote appetite, such as patients who eat pork can replace food fish, lamb, chicken, etc., can eat some conditional turtle, turtle. Changing the cooking of food has a different color, flavor, can also increase appetite. But no matter what kind of food, cooking food must reach the degree of comparison Shulan before they can successfully digest and absorb. At the same time more difficult to digest meat, add more ginger when cooking dried tangerine peel, etc. in order to facilitate and promote digestion and appetite.

(2) Diet appetizers spleen: ① diced Hawthorn: Hawthorn 100g, lean pork (or beef) meat 1000g, vegetable oil 250g, and shiitake mushrooms, ginger, onion, pepper, cooking wine, monosodium glutamate, the amount of sugar. First lean meat cut into pieces, fried too, and then thoroughly dry out Hawthorn skull and other spices, you can eat. Cancer can be either an appetizer. ② Astragalus yam soup: astragalus 30g, plus boiled for half an hour, to the residue, add Huai tablets 60g (Yam suitably washed into the salt water soak food), cook for 30 minutes, add sugar (constipation and honey) Serve. Daily morning and at night 1. With Qi and blood circulation, increase appetite, enhance the role of gastrointestinal absorption.

(3) Eat high vitamin content of fresh vegetables and fruits: These foods can not only increase the resistance, but also increase the appetite. Some patients think that should not eat raw, cold foods, but fruits and vegetables, as the case should be treated, light and refreshing to eat some raw mixed with cold dishes and fruits, especially chemotherapy, radiotherapy period, with a clear role of appetizers, but if the Pan-mouth pale saliva were clear, warm clothes should be a little heat, but not over-eating.

(4) during chemotherapy, patients often eat the Hong Kou Zhong Xi taste of food, which often can be ginger fried rice, and even a small amount of pickled vegetables, fermented bean curd, chili and other dishes adorned with a great benefit for the patients to improve appetite, this time, "Rice is a steel" only truly is the last word.

(5) The exchange of food between the experience of patients: patients can not only between the exchange of experience eating each other, but also help increase appetite, which is necessary in patients with cancer. Categories listed below toxicity of chemotherapy and methods of conditioning diet.

Decreased blood meal conditioning

Chemotherapy can cause bone marrow aplasia, particularly in the most obvious decline in white blood cells. Blood for the effective prevention of decline in patients with chemotherapy should be added when the high protein diet, such as milk, soy, lean meat, trotters, sea cucumber, fish, animal liver and red dates, peanuts, walnuts, black fungus, carrot, red bean and so on. Blackfish, beef, animal peptone, such as animal skin glue brewed glue (gelatin), pig skin glue (pork skin peptone), also help to improve the white blood cells. Antler, Placenta, ginseng can also be guided by rational application of traditional Chinese medicine. Chinese make up most attention to the dirty dirty, so during chemotherapy can also increase the amount of animal bone marrow, such as cattle, sheep, pig bone marrow soup, or chicken blood, duck, goose blood, pig production diet. Also can eat some five black foods, such as black sesame, black rice, black beans, black date and so on. TCM believes that "black can into the kidney," five black foods can fill in kidney marrow, contribute to the improvement of blood.

Gastrointestinal toxicity of dietary conditioning

Chemotherapy can cause oral mucositis, expressed as mucosal congestion, edema, ulcers, pain. This time to maintain oral hygiene, brush your teeth after eating, high-nutrient liquid supplement liquid diet, or do, such as Lianzi Geng, gold ear white fungus soup, milk, soy milk, fish soup and so on. Avoid eating hot, too sour and pungent food, acute inflammation of delicious ice quickly to reduce the inflammatory exudate, ulcers can add crushed 20 ml honey, vitamin C0.1 g, mouths, 2 to 4 times a day . Snow lamb can also be a try. Chemical treatment of gastrointestinal mucosal damage can be nausea, vomiting, abdominal pain, anorexia and so on. Then you can eat appetizers, such as hawthorn, lentils, yam, white radish, mushrooms, etc., while Eat small meals often, avoid a sense of satiety. To eat slowly, do not lie horizontally one hour after a meal, you can distribute, do not eat 1 hour before chemotherapy, the water, such as nausea and vomiting when eating fresh ginger can be taken orally 3 to 5 ml. At this point the soup should not drink too much.

Liver and kidney damage and prevention of dietary conditioning

Some chemotherapy drugs can cause liver damage, transaminase elevation occurs. You should eat bitter gourd, green bean sprouts, tea, mushrooms, Agaricus, morel, Ganoderma, Hericium mushroom Coriolus versicolor and other fungi food (mushrooms and ginger should be cold side, with the use of Qi Zi), eat the rich vitamin fruit, such as the kiwi, peaches, apples, grapes, drink green tea, oolong tea, honey water. Such as severe liver damage, you can use Schisandra 20 grams, 20 grams medlar stewed carp soup. Some chemotherapy drugs can also cause kidney damage, such as cisplatin and so on. Clinically, the use of such drugs to more water, eat fresh vegetables and fruits (alkaline foods). Once renal injury to limit protein intake, combined edema to eat less salt, eat animal kidneys, mullet, spinach and red amaranth, a high water content can also eat some foods have a diuretic effect, such as watermelon, cucumber , wax gourd, loofah, etc..

After breast cancer chemotherapy side effects diet during the

Breast cancer chemotherapy drugs have varying degrees of side effects, they kill the tumor cells while also killing normal tissue cells, especially in the growth and development of strong anti-human blood, lymphoid tissue cells. And organization of these cells are the immune defense system, undermining the body's immune system, cancer may be developing rapidly, causing serious consequences. Although side effects than chemotherapy, radiation light, but most cancer patients receiving radiotherapy only cancer cells will be destroyed, even the human leukocyte also suffered serious damage, reduced immunity, so there lack of energy, loss of appetite, body weakness, fatigue and other symptoms and skin and mucous membrane of the local reaction. Therefore, chemotherapy and radiotherapy for breast cancer patients, improve immunity is the key. Maitake Introduction to Complex cents

Sin is to re-Maitake Maitake D-fraction of the Chinese name, from the fruiting bodies of Maitake extract, after separation, purification obtained proteoglycan, and its percentage of polysaccharide and protein is 7:3, average molecular weight is 100 million. Polysaccharide in part by a β-(1-3) side chain of β-(1-6) glucan and a β-(1-6) side chain of β-(1-3) glucan composition.

Maitake cents to anti-tumor effect of re-

1) activation of immune function

2) induced apoptosis in cancer cells naturally

3) inhibition of cancer cell growth

4) Prevention of cancer metastasis

5) normal cells to prevent cancer

6) and anti-cancer drug combination synergy

7) to reduce the side effects of chemotherapy

Maitake products to re-cents effect on patients with different stages

1, has just been confirmed, but no surgery or radiotherapy and chemotherapy: the ability to activate the immune system, is expected to kill cancer cells while inhibiting the transfer, stable disease, for surgery follow-up treatment for a favorable time;

2, during the post-operative chemotherapy: the ability to enhance the immune system, improve physical fitness, to minimize the side effects of radiotherapy and chemotherapy; the same time, hopefully with some of the traditional anti-cancer drug synergy, enhance the effect of chemotherapy;

3, surgery, radiotherapy and chemotherapy: to be effective to maintain the body's normal immune function, enhance physical fitness, prevention of metastasis and recurrence may occur;

4, late in critically ill patients: reduce pain, improve appetite, slow speed of progression of the disease and prolong survival time and improve quality of life;

Breast cancer care in the dietary

Should

1. Should eat foods with anti-cancer effects, such as the hippocampus, horseshoe crab (hòu), cobra meat, sperm whale oil, meat, toads, crabs, clams, oysters, sea turtle meat, seaweed, asparagus, agar.

2. Should eat with strengthening the immune system to prevent the recurrence of food, including mulberry, kiwi, asparagus, pumpkin, dates, onions, leeks, barley, beans, yam, mushrooms, shrimp, crab, herring, shrimp, snakes.

3. Swelling Yichi barley, sponge gourd, red bean, taro, grape, lychee, water chestnuts, carp, Cat Fish, shark fish, seaweed, loach, catfish, snail.

4. Pain, nipple retraction Yichi fennel, green onion, shrimp, sea dragons, whales wiped sesame oil, orange cake, Torreya (fěi) son, grapefruit, TAL.

Avoid

1. Avoid tobacco, alcohol, coffee, cocoa.

2. Ji Xin pepper, ginger, cinnamon and other spicy spicy food.

3. Avoid fatty, fried, mildew, preserved food.

 




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