{"id":321,"date":"2019-02-08T11:12:00","date_gmt":"2019-02-08T10:12:00","guid":{"rendered":"https:\/\/www.barnaclinic.com\/blog\/nutricion\/ca\/?p=321"},"modified":"2019-02-08T11:49:57","modified_gmt":"2019-02-08T10:49:57","slug":"alimentacio-en-cancer-de-pancrees-cirugia-pancreatica","status":"publish","type":"post","link":"https:\/\/www.barnaclinic.com\/blog\/nutricion\/ca\/alimentacio-en-cancer-de-pancrees-cirugia-pancreatica\/","title":{"rendered":"Alimentaci\u00f3 en c\u00e0ncer de p\u00e0ncrees i despr\u00e9s de cirurgia pancre\u00e0tica"},"content":{"rendered":"

El\u00a0c\u00e0ncer de p\u00e0ncrees<\/strong><\/a>\u00a0\u00e9s un tipus de malaltia que influeix molt directament en l’estat nutricional del pacient.\u00a0<\/span>Les persones que ho pateixen poden presentar m\u00faltiples s\u00edmptomes digestius com la\u00a0disp\u00e8psia<\/strong>\u00a0o\u00a0digesti\u00f3 pesada,<\/strong>\u00a0meteorisme<\/strong>\u00a0o\u00a0inflor abdominal<\/strong>\u00a0i\u00a0l’anor\u00e8xia<\/strong>\u00a0o\u00a0manca important de gana,<\/strong>\u00a0entre d’altres.<\/span>\u00a0Si no hi ha una intervenci\u00f3 nutricional preco\u00e7 per revisar\u00a0l’alimentaci\u00f3 en el c\u00e0ncer de p\u00e0ncrees o despr\u00e9s\u00a0cirurgia pancre\u00e0tica<\/a><\/strong>, el risc de desnutrici\u00f3 i\u00a0p\u00e8rdua de pes, especialment de massa muscular, \u00e9s elevat.<\/span><\/p>\n

ALIMENTACI\u00d3 EN C\u00c0NCER DE P\u00c0NCREES DURANT EL TRACTAMENT AMB QUIMIOTER\u00c0PIA<\/strong><\/span><\/h2>\n

Quan se segueix un\u00a0tractament del c\u00e0ncer de p\u00e0ncrees<\/a>\u00a0amb quimioter\u00e0pia,<\/strong>\u00a0els efectes secundaris solen implicar afectaci\u00f3 a nivell digestiu com: n\u00e0usees, v\u00f2mits, mucositis, falta de gana, diarrees … Tot i que\u00a0no hi ha una dieta espec\u00edfica per al tractament oncol\u00f2gic,<\/strong>\u00a0s\u00ed que hi ha aliments que poden afavorir la toler\u00e0ncia i evitar empitjorar els s\u00edmptomes que apareixen amb la quimioter\u00e0pia.<\/span>\u00a0Gr\u00e0cies a una dieta adaptada, es pot mantenir un estat nutricional adequat i aix\u00ed tolerar millor el tractament.<\/span><\/p>\n

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\"\"<\/strong><\/h4>\n

“Encara que no hi ha una dieta espec\u00edfica per al tractament oncol\u00f2gic, s\u00ed que hi ha aliments que poden afavorir la toler\u00e0ncia i evitar empitjorar els s\u00edmptomes que apareixen amb la quimioter\u00e0pia”<\/strong><\/span><\/h4>\n

B\u00e1rbara Romano<\/a><\/p><\/blockquote>\n

ALIMENTACI\u00d3 DESPR\u00c9S DE CIRURGIA DEL P\u00c0NCREES<\/strong><\/h2>\n

Com b\u00e9 explica el Dr.\u00a0S\u00e1nchez Cab\u00fas<\/strong><\/a>\u00a0al\u00a0bloc de cirurgia del p\u00e0ncrees<\/strong><\/a>\u00a0,\u00a0el p\u00e0ncrees t\u00e9 dues funcions principals<\/a>: exocrina i endocrina.<\/span>\u00a0La primera funci\u00f3 \u00e9s per digerir els aliments que arriben al tub digestiu i aix\u00ed descompondre’ls en nutrients que puguin ser absorbits per la paret intestinal.<\/span>\u00a0La segona funci\u00f3 regula la glucosa en sang, secretant hormones com la insulina.<\/span>\u00a0A causa de la\u00a0extirpaci\u00f3 parcial o total del p\u00e0ncrees com a tractament contra el c\u00e0ncer<\/strong><\/a>, poden apar\u00e8ixer les seg\u00fcents complicacions:<\/span><\/p>\n

Malabsorci\u00f3 de greixos<\/strong><\/span><\/h5>\n

Si es veu afectada la funci\u00f3 exocrina, vol dir que hi ha una producci\u00f3 insuficient d’enzims, que s\u00f3n unes prote\u00efnes encarregades de la digesti\u00f3 d’aliments.<\/span>\u00a0Com s\u00edmptomes principals, es poden donar: la p\u00e8rdua de pes, les diarrees d’aspecte gras, anomenades esteatorreas i, amb elles, la possible mala absorci\u00f3 de vitamines liposolubles (A, D, E, K), entre d’altres nutrients.<\/span>\u00a0Per a aix\u00f2, el metge pauta enzims pancre\u00e0tics encapsulades per prendre amb els \u00e0pats i, en alguns casos, suplements de vitamines.<\/span>\u00a0Sempre ser\u00e0 sota prescripci\u00f3 m\u00e8dica ja que, aquestes vitamines, poden arribar a ser t\u00f2xiques quan s’acumulen en el teixit gras del cos.<\/span><\/p>\n

A nivell d’alimentaci\u00f3, s’ha de valorar la toler\u00e0ncia als greixos, especialment les primeres setmanes\u00a0despr\u00e9s de la\u00a0cirurgia del p\u00e0ncrees<\/strong><\/a>.<\/span>\u00a0La reintroducci\u00f3 d’aliments fins arribar a una pauta de\u00a0dieta equilibrada<\/strong><\/a>\u00a0es fa de manera progressiva i segons la toler\u00e0ncia del pacient.<\/span>\u00a0En cas que no es digereixin b\u00e9 els greixos, es pot considerar pautar temporalment un oli especial, que no necessita dels enzims pancre\u00e0tics per ser absorbit, i aix\u00ed augmentar l’aportaci\u00f3 energ\u00e8tica de la dieta, evitant efectes no desitjats com la esteatorrea.<\/span>\u00a0Aquest oli aporta triglic\u00e8rids de cadena mitjana i se l’anomena MCT per les seves sigles en angl\u00e8s (Medium Chain triglic\u00e8rids<\/a>).<\/span><\/p>\n

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\"\"<\/strong><\/h4>\n

“Davant malabsorci\u00f3 de greixos, es pot pautar temporalment oli\u00a0MCT (Medium Chain triglic\u00e8rids)\u00a0, que no necessita dels enzims pancre\u00e0tics per ser absorbit, i aix\u00ed augmentar l’aportaci\u00f3 energ\u00e8tica”<\/strong><\/span><\/h4>\n

B\u00e1rbara Romano<\/a><\/p><\/blockquote>\n

Hipergluc\u00e8mies (sucre elevat en sang)<\/h5>\n

En aquests casos,\u00a0el m\u00e9s important \u00e9s mantenir un consum constant d’hidrats de carboni complexos\u00a0<\/strong>(pa, pasta, arr\u00f2s, llegums, patata, cereals, etc.) per evitar hipogluc\u00e8mies o baixades de sucre en sang, que s\u00f3n m\u00e9s perilloses que l’exc\u00e9s de glucosa en sang.<\/span>\u00a0Alhora, cal evitar el consum de sucres simples com sucre de taula, brioixeria, etc.<\/span>\u00a0que afavoreixen les pujades brusques de sucre.<\/span>\u00a0En molts casos, el m\u00e9s adequat ser\u00e0 plantejar m\u00e9s \u00e0pats al dia i de menor quantitat, per aconseguir aquesta aportaci\u00f3 continu d’hidrats de carboni.\u00a0<\/span>O fins i tot, evitar restriccions de la pauta diet\u00e8tica en cas de patir anor\u00e8xia, ja que evitar la\u00a0hipogluc\u00e8mia<\/strong>\u00a0es converteix en una prioritat.<\/span>\u00a0Per a aix\u00f2,\u00a0\u00e9s important parlar amb el professional sanitari que ajusti la seva alimentaci\u00f3<\/a>.<\/strong><\/span><\/p>\n

Pel que fa al tractament nutricional, especialment si \u00e9s des de l’inici del diagn\u00f2stic, per evitar complicacions, pot ser una gran eina per millorar la qualitat de vida del pacient.<\/span>\u00a0Per a aix\u00f2,\u00a0aconsellem consultar amb un\u00a0dietista-nutricionista<\/a>\u00a0davant el\u00a0c\u00e0ncer de p\u00e0ncrees<\/a>\u00a0o\u00a0despr\u00e9s de cirurgia del p\u00e0ncrees<\/a><\/strong>, que adaptar\u00e0 la seva alimentaci\u00f3 en cada situaci\u00f3 i segons els seus gustos.<\/span><\/p>\n

\n

\"\"<\/strong><\/h4>\n

\u201cAconsellem consultar amb un\u00a0dietista-nutricionista<\/a>\u00a0davant el\u00a0c\u00e0ncer de p\u00e0ncrees<\/a>\u00a0o\u00a0despr\u00e9s de cirurgia del p\u00e0ncrees<\/a>, que adaptar\u00e0 la seva alimentaci\u00f3 en cada situaci\u00f3 i segons els seus gustos\u201d<\/strong><\/h4>\n

B\u00e1rbara Romano<\/a><\/p><\/blockquote>\n

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<\/p>\n

VOL CONTACTAR AMB B\u00c0RBARA ROMANO?<\/span><\/h1>\n

DEMANAR CITA<\/a><\/p>\n<\/div>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"

El\u00a0c\u00e0ncer de p\u00e0ncrees\u00a0\u00e9s un tipus de malaltia que influeix molt directament en l’estat nutricional del pacient.\u00a0Les persones que ho pateixen poden presentar m\u00faltiples s\u00edmptomes digestius com la\u00a0disp\u00e8psia\u00a0o\u00a0digesti\u00f3 pesada,\u00a0meteorisme\u00a0o\u00a0inflor abdominal\u00a0i\u00a0l’anor\u00e8xia\u00a0o\u00a0manca important de gana,\u00a0entre d’altres.\u00a0Si no hi ha una intervenci\u00f3 nutricional preco\u00e7 per revisar\u00a0l’alimentaci\u00f3 en el c\u00e0ncer de p\u00e0ncrees o despr\u00e9s\u00a0cirurgia pancre\u00e0tica, el risc de desnutrici\u00f3 i\u00a0p\u00e8rdua […]<\/p>\n","protected":false},"author":2,"featured_media":319,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[124],"tags":[131,132,133,134,5,135],"yoast_head":"\nAlimentaci\u00f3 en c\u00e0ncer de p\u00e0ncrees i despr\u00e9s de cirurgia pancre\u00e0tica - Blog de nutrici\u00f3n<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.barnaclinic.com\/blog\/nutricion\/ca\/alimentacio-en-cancer-de-pancrees-cirugia-pancreatica\/\" \/>\n<meta property=\"og:locale\" content=\"ca_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Alimentaci\u00f3 en c\u00e0ncer de p\u00e0ncrees i despr\u00e9s de cirurgia pancre\u00e0tica - 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