KEPAN (Klinik Enteral Parenteral N\u00fctrisyon) Derne\u011fi Ba\u015fkan\u0131 Osman Abbaso\u011flu, \u201c3 bin 521 hasta \u00fczerinde yapt\u0131\u011f\u0131m\u0131z ara\u015ft\u0131rmaya g\u00f6re her 5 hastadan 1\u2019inde beslenme tedavisinde planlama gerekli” dedi.<\/p>\n
Hastal\u0131klar\u0131n tedavisinde hastalar\u0131n ya\u015fam kalitesini olumsuz y\u00f6nde etkileyen yetersiz beslenmeye dikkat \u00e7ekmek amac\u0131yla bas\u0131n toplant\u0131s\u0131 d\u00fczenlendi. 7 Kas\u0131m D\u00fcnya N\u00fctrisyon G\u00fcn\u00fc dolay\u0131s\u0131yla d\u00fczenlenen toplant\u0131da, kanser hastalar\u0131n\u0131n tedavisinde beslenmenin \u00f6nemi, ya\u015fl\u0131 hastalarda maln\u00fctrisyon tedavisi gibi konulara de\u011finildi. Toplant\u0131ya KEPAN Derne\u011fi Ba\u015fkan\u0131 Prof. Dr. Osman Abbaso\u011flu, Prof. Dr. Selman S\u00f6kmen, Prof. Dr. \u015euayib Yal\u00e7\u0131n, Prof. Dr. Erdem G\u00f6ker, Prof. Dr. M\u00fcge Akmansu, Prof. Dr. G\u00fclistan Bahat \u00d6zt\u00fcrk, Prof. Dr. Meltem G\u00fclhan Halil ve Abbott N\u00fctrisyon T\u00fcrkiye Genel M\u00fcd\u00fcr\u00fc G\u00fclberk Kav\u015fuk kat\u0131ld\u0131.<\/p>\n
Toplant\u0131n\u0131n a\u00e7\u0131l\u0131\u015f konu\u015fmas\u0131n\u0131 yapan KEPAN Derne\u011fi Ba\u015fkan\u0131 Osman Abbaso\u011flu, KEPAN ve Abbott firmas\u0131 i\u015fbirli\u011fi ile yap\u0131lan tedavide beslenme fark\u0131ndal\u0131k ara\u015ft\u0131rmas\u0131 sonu\u00e7lar\u0131n\u0131 a\u00e7\u0131klad\u0131.<\/p>\n
Ara\u015ft\u0131rma hakk\u0131nda bilgi veren Abbaso\u011flu, \u201cKEPAN olarak Abbott firmas\u0131n\u0131n deste\u011fi ile tedavide beslenmeye dikkat \u00e7ekmek ve farkl\u0131 bran\u015flarda fark\u0131ndal\u0131\u011f\u0131 art\u0131rma amac\u0131yla, T\u00fcrkiye genelinde 21 \u015fehir ve 50 merkezde, genel cerrahi, geriatri, n\u00f6roloji, radyasyon onkolojisi ve medikal onkoloji polikliniklerine ba\u015fvuran hastalardaki beslenme durumunu kesitsel olarak de\u011ferlendirilmi\u015ftir. Y\u00f6ntem olarak NRS 2002 maln\u00fctrisyon tarama testi kullan\u0131lm\u0131\u015f ve toplam 3 bin 521 hastan\u0131n beslenme de\u011ferlendirmesi yap\u0131lm\u0131\u015ft\u0131r\u201d dedi.<\/p>\n
\u201cHastalar\u0131n beslenme d\u00fczenlemesini yapmak i\u00e7in aktif hayattan kopmas\u0131n\u0131 beklemeyelim\u201d<\/p>\n
Kliniklere ba\u015fvuran hastalar\u0131n beslenme bozukluk oranlar\u0131na da de\u011finen Abbaso\u011flu, \u201cBeslenme ihtiyac\u0131, cerrahi kliniklere ba\u015fvuran hastalarda y\u00fczde 15 iken, bu oran geriatri kliniklerinde y\u00fczde 18, n\u00f6roloji kliniklerinde y\u00fczde 6, radyasyon onkolojisi kliniklerinde y\u00fczde 25 ve medikal onkoloji kliniklerinde y\u00fczde 45 olarak tespit edilmi\u015ftir. Son bir y\u0131l i\u00e7erisinde tan\u0131s\u0131 konulmu\u015f t\u00fcm bran\u015flardaki hastalarda beslenme ihtiyac\u0131n\u0131n \u00f6n planda oldu\u011funu g\u00f6r\u00fcyoruz. Her hastan\u0131n sa\u011fl\u0131k kurulu\u015flar\u0131nda n\u00fctrisyonel de\u011ferlendirme yapmas\u0131 gerekiyor, bu konuda fark\u0131ndal\u0131k olu\u015fmas\u0131 gerekiyor. Poliklini\u011fe gelen hastalarda erken d\u00f6nemde beslenme de\u011ferlendirmesi yap\u0131lmal\u0131 ve gerekiyorsa m\u00fcdahalede bulunularak desteklenmelidir. Hastalar\u0131n beslenme d\u00fczenlemesini yapmak i\u00e7in aktif hayattan kopmas\u0131n\u0131 beklemeyelim. Aktif olarak toplum i\u00e7inde ya\u015farken ve topluma katk\u0131 sa\u011flarken onlar\u0131 besleyerek hem tedavi ba\u015far\u0131m\u0131z\u0131 artt\u0131ral\u0131m hem de hasta ve yak\u0131nlar\u0131n\u0131n ya\u015fam kalitelerine katk\u0131da bulunal\u0131m\u201d s\u00f6zlerini ifade etti.<\/p>\n
\u201cBeslenme iyi olursa kanser hastalar\u0131nda tedavi ba\u015far\u0131s\u0131 daha y\u00fcksek oluyor\u201d<\/p>\n
Kanser hastalar\u0131n\u0131n tedavisinde beslenme bozuklu\u011funun \u00f6nemli bir problem oldu\u011funu belirten Prof. Dr. \u015euayib Yal\u00e7\u0131n ise \u201cMaln\u00fctrisyon kanser hastalar\u0131n\u0131n yar\u0131s\u0131na kadar\u0131n\u0131 etkiliyor. Maln\u00fctrisyon ileri a\u015famalarda kas kayb\u0131, yata\u011fa ba\u011f\u0131ml\u0131l\u0131k gibi durumlara yol a\u00e7abiliyor. Kanser hastal\u0131\u011f\u0131n\u0131n t\u0131bbi, cerrahi tedavilerin d\u0131\u015f\u0131nda destek tedavisine de ihtiyac\u0131 var. Beslenme iyi olursa kanser hastalar\u0131n tedavi ba\u015far\u0131s\u0131 daha y\u00fcksek oluyor. Kemoterapi ba\u015flamadan \u00f6nce, kanser tan\u0131s\u0131 s\u0131ras\u0131nda y\u00fczde 5 ve \u00fczeri kilo kayb\u0131 saptand\u0131\u011f\u0131nda tedavi yan\u0131t\u0131n\u0131n azald\u0131\u011f\u0131 ve mortalitenin artt\u0131\u011f\u0131 saptanm\u0131\u015ft\u0131r. Beslenme durumunun rutin taranmas\u0131 ve de\u011ferlendirilmesiyle Kansere Ba\u011fl\u0131 Maln\u00fctrisyon\u2019un (KBM) do\u011fru ve erken te\u015fhisi kanser hastalar\u0131n\u0131n y\u00f6netiminde son derece \u00f6nemlidir. Hastalar tedaviye ba\u015flamadan beslenme problemleri tan\u0131mlan\u0131p \u00e7\u00f6z\u00fcl\u00fcrse tedavi ba\u015far\u0131s\u0131 daha y\u00fcksek oluyor\u201d diye konu\u015ftu.<\/p>\n
\u201cRadyoterapi tedavisinin ba\u015f\u0131nda nutrisyonel de\u011ferlendirme yap\u0131lmal\u0131”<\/p>\n
Radyoterapi tedavisinde beslenmenin \u00f6neminden bahseden Prof. Dr. M\u00fcge Akmansu ise \u201cRadyoterapi tedavisine ba\u015flanaca\u011f\u0131 zaman hastal\u0131\u011f\u0131n tedavisini planlaman\u0131n yan\u0131 s\u0131ra hasta mutlaka beslenme durumu a\u00e7\u0131s\u0131ndan da de\u011ferlendirilmelidir. Tedavi ba\u015flang\u0131c\u0131nda beslenme bozuklu\u011fu olabilece\u011fi gibi, tedavi s\u0131ras\u0131nda da beslenme bozuklu\u011fu geli\u015febilir. Bu nedenle daha \u00f6nce de bahsedildi\u011fi gibi radyoterapi tedavisinin ba\u015f\u0131nda nutrisyonel de\u011ferlendirme yap\u0131lmal\u0131 ve hastalar tedavi s\u00fcresince takip edilmeli, gerekmesi durumunda da n\u00fctrisyonel destek ba\u015flanmal\u0131d\u0131r. Beslenme durumunun tedavi ba\u015far\u0131s\u0131n\u0131 etkileyen bir fakt\u00f6r oldu\u011fu unutulmamal\u0131d\u0131r\u201d dedi.<\/p>\n
\u201c\u00c7oklu hastal\u0131\u011fa sahip ya\u015fl\u0131 hastalarda kas kayb\u0131 \u00e7ok h\u0131zl\u0131 geli\u015fti\u011fi i\u00e7in erken d\u00f6nemde n\u00fctrisyonel tedavi planlanmal\u0131d\u0131r\u201d<\/p>\n
Toplant\u0131 kapsam\u0131nda Prof. Dr. Meltem G\u00fclhan Halil de ya\u015fl\u0131 hastalarda maln\u00fctrisyon tedavisi hakk\u0131nda bilgi verdi.<\/p>\n
Halil, \u201cSa\u011fl\u0131kl\u0131 ya\u015fl\u0131lar i\u00e7in g\u00fcnl\u00fck 1gr\/kg, akut veya kronik hastal\u0131\u011f\u0131 olanlar i\u00e7in ise g\u00fcnl\u00fck 1.2-1.5 gr\/kg protein al\u0131m\u0131 \u00f6nerilmektedir. G\u00fcnl\u00fck protein al\u0131m\u0131n\u0131n g\u00fcn i\u00e7inde \u00f6\u011f\u00fcnlere orant\u0131l\u0131 bir \u015fekilde da\u011f\u0131t\u0131lmas\u0131 gerekmektedir. Beslenmesi yetersiz, enerji ve protein al\u0131m\u0131 d\u00fc\u015f\u00fck olan ya\u015fl\u0131larda haz\u0131r oral n\u00fctrisyon \u00fcr\u00fcnleri \u00e7ok yard\u0131mc\u0131 olmaktad\u0131r. \u00d6zellikle \u00e7oklu hastal\u0131\u011f\u0131 olan k\u0131r\u0131lgan ya\u015fl\u0131lar, hastanede ve bak\u0131m evlerinde yatan ya\u015fl\u0131lar, demans ve depresyon hastalar\u0131 bu \u00fcr\u00fcnlerden \u00e7ok fayda g\u00f6r\u00fcr. Kal\u00e7a k\u0131r\u0131\u011f\u0131 nedeniyle ameliyat olan hastalara cerrahi sonras\u0131 d\u00f6nemde ve yatak yaras\u0131 olan t\u00fcm hastalara da bu \u00fcr\u00fcnler \u00f6nerilmektedir. Sonu\u00e7 olarak maln\u00fctrisyon, ya\u015fl\u0131larda s\u0131k g\u00f6r\u00fclen, sa\u011fkal\u0131m \u00fczerine olumsuz etkileri olan \u00f6nemli bir geriatrik sendromdur. Bu nedenle n\u00fctrisyonel de\u011ferlendirme mutlaka t\u0131bbi de\u011ferlendirmenin bir par\u00e7as\u0131 olmal\u0131d\u0131r\u201d ifadelerini kulland\u0131.<\/p>\n
Abbott N\u00fctrisyon T\u00fcrkiye Genel M\u00fcd\u00fcr\u00fc G\u00fclberk Kav\u015fuk ise toplant\u0131da yapt\u0131\u011f\u0131 konu\u015fmada, \u201cMaln\u00fctrisyon olduk\u00e7a yayg\u0131n olmas\u0131na ra\u011fmen fark\u0131ndal\u0131k d\u00fczeyi d\u00fc\u015f\u00fck. Beslenme hastal\u0131klar\u0131n olu\u015fumu ve tedavisi s\u00fcre\u00e7lerinde \u00f6nemli rol oynuyor. Maln\u00fctrisyon bilimsel platformda daha fazla g\u00fcndeme geldik\u00e7e sa\u011fl\u0131k profesyonellerinin de maln\u00fctrisyon ve tedavisi konular\u0131na olan ilgilerinin artmakta oldu\u011funu g\u00f6r\u00fcyoruz. T\u00fcrkiye\u2019 bu ama\u00e7 i\u00e7in kurulmu\u015f ilk ve tek dernek olan KEPAN Derne\u011fi ve Abbott i\u015fbirli\u011fi ile d\u00fczenlenen D\u00fcnya N\u00fctrisyon G\u00fcn\u00fc Fark\u0131ndal\u0131k Hareketi kapsam\u0131nda hem de\u011ferli sa\u011fl\u0131k profesyonellerinin hem de hasta ve hasta yak\u0131nlar\u0131n\u0131n konu ile ilgili duyarl\u0131l\u0131\u011f\u0131n\u0131 ve bilgisini art\u0131rma yolunda beraberce \u00e7al\u0131\u015fman\u0131n gururunu ta\u015f\u0131yoruz. Maln\u00fctrisyonun ciddi bir problem oldu\u011funu g\u00f6stermek i\u00e7in \u00e7al\u0131\u015f\u0131yoruz. Maln\u00fctrisyon ile ilgili fark\u0131ndal\u0131\u011f\u0131n artt\u0131r\u0131lmas\u0131 i\u00e7in bilimsel desteklerimiz ve \u00e7al\u0131\u015fmalar\u0131m\u0131z devam edecek\u201d diye konu\u015ftu.<\/p>\n","protected":false},"excerpt":{"rendered":"
7 KASIM D\u00dcNYA N\u00dcTR\u0130SYON G\u00dcN\u00dc DOLAYISIYLA D\u00dcZENLENEN TOPLANTIDA, KANSER HASTALARININ TEDAV\u0130S\u0130NDE BESLENMEN\u0130N \u00d6NEM\u0130, YA\u015eLI HASTALARDA MALN\u00dcTR\u0130SYON TEDAV\u0130S\u0130 G\u0130B\u0130 KONULARA DE\u011e\u0130N\u0130LD\u0130.<\/p>\n","protected":false},"author":1,"featured_media":224359,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[1],"tags":[349,85,56701],"class_list":["post-224358","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-genel","tag-dunya","tag-gunu","tag-nutrisyon"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/www.tvturk.com\/wp-content\/uploads\/2019\/11\/dunya-nutrisyon-gunu_c87f273.jpg?fit=1000%2C635","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/paKIfm-WmG","_links":{"self":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/224358","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/comments?post=224358"}],"version-history":[{"count":0,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/224358\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media\/224359"}],"wp:attachment":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media?parent=224358"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/categories?post=224358"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/tags?post=224358"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}