Nutrition support intestinal and non-intestinal
Be necessary in some cases resort to methods other than eating the food support and maintain the levels of nutrition:
Enteral nutrition (Enteral nutrition)
Injection and are using the food through the digestive system, usually through the stomach, and this is the best way in this context that the digestive system works efficiently and will not be affected by cancer processors used, and is used for enteral nutrition by tube line and a high diameter is passed through the nose directly to the stomach, or are grown surgery.
There are multiple factors and requires the use of this method, including:
The presence of blockages in the upper respiratory tract, which prevents eating and drinking, (difficulty in swallowing, narrowing of the esophagus, weakness and failure or inability of the stomach).
Treatment with both chemotherapy and radiotherapy together (especially the esophagus radiation) with a side effects limit the ability to eat and drink.
Loss of appetite accompanied with other problems such as severe depression, and mental confusion and nervous system, or loss of spatial sense, which prevents the patient from eating and drinking enough.
Other difficulties in eating and drinking like a sharp pain when eating.
Do not use while enteral nutrition when there is the following problems:
Intestinal blockages.
Nausea and vomiting unresponsive to standard treatments.
Acute intestinal failure, where you can and the large intestine from absorbing nutrients, either because of harmed, or by surgery, in addition to the presence of diarrhea does not respond to standard treatments.
The presence of fistulas Ktqhob in the stomach or esophagus.
Nutrition is gastrointestinal (Parenteral nutrition)
In this method, which is usually intravenous are used when there are the following reasons:
Inefficiency of the digestive system in the performance of its functions because of:
Temporary difficulties in feeding by mouth or enteral nutrition for more than ten days, especially if feeding problems exist.
The presence of blockages or other difficulties caused by a tumor, is expected to improve after treatment, either chemical or surgery.
The presence of diverticulitis or double non-correction, or other problems caused by slow tumor growth.
Acute intestinal failure, where you can and the large intestine from absorbing nutrients, either because of harmed or remove parts of it after surgery, as well as the side effects of radiation therapy, or the presence of fistulas, and difficulty maintaining body weight and nutrition, intestinal muscles.
Sharp and continuous decline in the nutrition of a patient with slow tumor growth, or tumor, where malnutrition and nutritional deficiencies are the major problems and not the tumor.
While not used non-intestinal nutrition in the following cases:
When the digestive system works efficiently.
In the absence of useable veins.
The absence of serious problems and severe feeding (as the existence of temporary difficulties to eat after the surgery).
On the other hand should choose the type of nutrition and food support, depending on the needs of the patient's natural, and the severity of the problem of nutrition, and type of disease and the time period necessary for the continued support, as can be given different drugs to improve the nutrition, which may include drug treatment of pain, and drug treatment diarrhea and constipation, and drugs that stimulate appetite, stomach or incentives.
