X\u0259st\u0259l\u0259r \u0259m\u0259liyyatdan sonra niy\u0259 ar\u0131qlay\u0131rlar?\u00a0<\/strong><\/p>\n Radioloq-onkoloq, professor\u00a0Berrin Pehlivan\u00a0<\/strong>qeyd edir ki, onkoloji \u0259m\u0259liyyatdan sonra metabolik ehtiyac art\u0131r; b\u0259d\u0259nd\u0259 sistemli iltihabl\u0131 reaksiya meydana g\u0259lir v\u0259 m\u0259nfi enerji balans\u0131 \u00fcst\u00fcnl\u00fck t\u0259\u015fkil edir,\u00a0bu da ar\u0131qlama\u011fa s\u0259b\u0259b olur:<\/p>\n – \u018fm\u0259liyyat olunan x\u0259st\u0259l\u0259rd\u0259 c\u0259rrahi a\u011f\u0131rla\u015fmalar\u0131 minimuma endirm\u0259k m\u0259qs\u0259di il\u0259 yarad\u0131lm\u0131\u015f qabaqc\u0131l postc\u0259rrahi b\u0259rpa proqram\u0131 m\u00f6vcuddur. Bu proqram protokolunda acl\u0131qdan qa\u00e7\u0131nmaq, \u0259m\u0259liyyatdan \u0259vv\u0259l maye v\u0259 karbohidrat q\u0259bul etm\u0259k v\u0259 \u0259m\u0259liyyatdan sonrak\u0131 ilk g\u00fcnd\u0259n p\u0259hriz\u0259 ba\u015flamaq ar\u0131qlaman\u0131n qar\u015f\u0131s\u0131n\u0131 almaq \u00fc\u00e7\u00fcn vacib amill\u0259rd\u0259ndir.<\/p>\n – Bel\u0259 x\u0259st\u0259l\u0259r qidalanma zaman\u0131 n\u0259l\u0259r\u0259 diqq\u0259t etm\u0259lidirl\u0259r?\u00a0<\/strong><\/p>\n – \u015ei\u015fin n\u00f6v\u00fcnd\u0259n, m\u0259rh\u0259l\u0259sind\u0259n v\u0259 lokalizasiyas\u0131ndan as\u0131l\u0131 olaraq, ayr\u0131-ayr\u0131 onkoloji \u0259m\u0259liyyatlar x\u0259st\u0259l\u0259rin qidalanma v\u0259ziyy\u0259tin\u0259 m\u00fcxt\u0259lif yollarla t\u0259sir g\u00f6st\u0259rir. M\u0259s\u0259l\u0259n, qastrektomiya (m\u0259d\u0259nin tam \u00e7\u0131xar\u0131lmas\u0131 \u2013 red.) erk\u0259n doyma, h\u0259zm poz\u011funlu\u011fu, udma poz\u011funlu\u011fu v\u0259 bakteriyalar\u0131n \u00e7oxalmas\u0131 kimi t\u0259sirl\u0259r\u0259 v\u0259 ya onikibarmaq ba\u011f\u0131rsaqda s\u0259th itkisi, d\u0259mir, B12 vitamini, kalsium, ya\u011f, amin tur\u015fular\u0131 v\u0259 karotinin udulmas\u0131n\u0131n pozulmas\u0131na s\u0259b\u0259b ola bil\u0259r.<\/p>\n X\u0259st\u0259y\u0259 xas olan qeyri-kafi qida q\u0259bulunun m\u00fcxt\u0259lif s\u0259b\u0259bl\u0259rini n\u0259z\u0259r\u0259 alaraq qidalanma plan\u0131 yarad\u0131lmal\u0131d\u0131r. Bu planda kifay\u0259t q\u0259d\u0259r qida q\u0259bulu m\u00fcmk\u00fcn deyils\u0259, enteral (maye formas\u0131nda qidan\u0131n m\u0259d\u0259 v\u0259 ya ba\u011f\u0131rsa\u011fa \u0259lav\u0259 vasit\u0259l\u0259rl\u0259 yeridilm\u0259si \u2013 red.) qidalanma plan\u0131 t\u0259tbiq oluna bil\u0259r. X\u0259r\u00e7\u0259ng x\u0259st\u0259l\u0259rinin z\u00fclal v\u0259 enerji ehtiyaclar\u0131 art\u0131r. \u0130nsan\u0131n ya\u015f\u0131, \u00e7\u0259kisi, boyu v\u0259 m\u00fcalic\u0259si n\u0259z\u0259r\u0259 al\u0131naraq g\u00fcnd\u0259lik enerji v\u0259 z\u00fclal ehtiyac\u0131 m\u00fc\u0259yy\u0259n edilm\u0259li, az karbohidratl\u0131 p\u0259hriz t\u0259tbiq edilm\u0259lidir.<\/p>\n – Onlar\u0131n x\u0259st\u0259likd\u0259n \u0259vv\u0259lki ya\u015famlar\u0131na qay\u0131tmalar\u0131 m\u00fcmk\u00fcnd\u00fcrm\u00fc?<\/strong><\/p>\n – Do\u011fru m\u00fcalic\u0259, sa\u011flam qidalanma v\u0259 g\u00fccl\u00fc psixologiya il\u0259 x\u0259st\u0259l\u0259r minimal \u00e7at\u0131\u015fmazl\u0131qlarla k\u00f6hn\u0259 h\u0259yatlar\u0131na qay\u0131da bil\u0259rl\u0259r.<\/p>\n – X\u0259st\u0259nin suya olan ehtiyac\u0131 nec\u0259 qar\u015f\u0131lanmal\u0131d\u0131r? \u00c7ox su i\u00e7m\u0259k yenid\u0259n ar\u0131qlama\u011fa s\u0259b\u0259b olmazm\u0131?<\/strong><\/p>\n – G\u00fcnd\u0259lik su s\u0259rfi normal \u00e7\u0259kid\u0259 kiloqram ba\u015f\u0131na 30-35 ml olmal\u0131d\u0131r. H\u0259ddind\u0259n art\u0131q su istehlak\u0131 ani i\u015ftahas\u0131zl\u0131\u011fa s\u0259b\u0259b ola bil\u0259r, lakin bu, su i\u00e7m\u0259m\u0259k \u00fc\u00e7\u00fcn bir s\u0259b\u0259b olmamal\u0131d\u0131r. \u0130nsan suyu yuxar\u0131da g\u00f6st\u0259rdiyim q\u0259d\u0259r g\u00fcn \u0259rzind\u0259 i\u00e7m\u0259li v\u0259 yem\u0259k saatlar\u0131nda sudan uzaq durmal\u0131d\u0131r ki, i\u015ftahas\u0131zl\u0131q yaratmas\u0131n.<\/p>\n Onkoloji x\u0259st\u0259l\u0259r n\u0259yi v\u0259 n\u0259 q\u0259d\u0259r yem\u0259lidirl\u0259r?<\/strong><\/p>\n Nutrisioloq\u00a0Esin Ba\u015fkaya\u00a0<\/strong>onkoloji x\u0259st\u0259likd\u0259n \u0259ziyy\u0259t \u00e7\u0259k\u0259n \u015f\u0259xsl\u0259rin s\u0131rf hans\u0131 qida m\u0259hsullar\u0131ndan istifad\u0259 etm\u0259l\u0259ri bar\u0259d\u0259 t\u00f6vsiy\u0259l\u0259rini verib:<\/p>\n – Onkoloji x\u0259st\u0259l\u0259r hans\u0131 qidalardan daha \u00e7ox istifad\u0259 etm\u0259lidirl\u0259r?<\/strong><\/p>\n – X\u0259r\u00e7\u0259ng x\u0259st\u0259l\u0259ri ilk n\u00f6vb\u0259d\u0259 t\u0259bii, emal edilm\u0259mi\u015f v\u0259 k\u0259nd t\u0259s\u0259rr\u00fcfat\u0131nda istifad\u0259 olunan kimy\u0259vi qal\u0131qlar\u0131 olmayan qidalardan istifad\u0259 etm\u0259lidirl\u0259r. Bundan \u0259lav\u0259, ara\u015fd\u0131rmalar g\u00f6st\u0259rir ki, x\u0259r\u00e7\u0259ng x\u0259st\u0259l\u0259ri m\u00fcalic\u0259 prosesind\u0259 \u0259n \u00e7ox u\u011furu a\u015fa\u011f\u0131 karbohidratl\u0131, ketogenik p\u0259hrizl\u0259 \u0259ld\u0259 edirl\u0259r. Bunlar\u0131 n\u0259z\u0259r\u0259 alaraq, x\u0259r\u00e7\u0259ng x\u0259st\u0259l\u0259ri daha \u00e7ox ni\u015fastas\u0131z t\u0259r\u0259v\u0259zl\u0259r, sa\u011flam ya\u011flar v\u0259 t\u0259bii yeti\u015fdirilmi\u015f heyvanlardan al\u0131nan m\u0259hsullardan istifad\u0259 etm\u0259lidirl\u0259r.<\/p>\n – Hans\u0131 karbohidrat t\u0259rkibli qidalar\u0131 t\u00fck\u0259tm\u0259y\u0259 icaz\u0259 verilir \u2013 \u00e7\u00f6r\u0259k, kartof v\u0259 s.?<\/strong><\/p>\n – T\u0259rkibind\u0259 karbohidrat olan qidalar x\u0259r\u00e7\u0259ng x\u0259st\u0259l\u0259rin\u0259 t\u00f6vsiy\u0259 edilmir. Bu qrupa kartof kimi ni\u015fastal\u0131 t\u0259r\u0259v\u0259zl\u0259r, noxud kimi paxlal\u0131lar v\u0259 meyv\u0259l\u0259r daxildir. X\u0259r\u00e7\u0259ng x\u0259st\u0259l\u0259ri az olmaq \u015f\u0259rti il\u0259 m\u0259rsin, moruq v\u0259 b\u00f6y\u00fcrtk\u0259n kimi da\u011f meyv\u0259l\u0259ri yey\u0259 bil\u0259rl\u0259r.<\/p>\n – Onkoloji x\u0259st\u0259l\u0259r\u0259 daha \u00e7ox z\u00fclal t\u00fck\u0259tm\u0259k t\u00f6vsiy\u0259 edilir: bunlar yaln\u0131z \u0259t v\u0259 \u0259t m\u0259hsullar\u0131d\u0131r, yoxsa hans\u0131sa dig\u0259r m\u0259hsullardan da z\u00fclal almaq m\u00fcmk\u00fcnd\u00fcr?<\/strong><\/p>\n – Bitki m\u0259n\u015f\u0259li z\u00fclallar paxlal\u0131lar, tax\u0131llar, qoz-f\u0131nd\u0131q v\u0259 toxumlarda olur. Ancaq bu qidalar\u0131n t\u0259rkibind\u0259 z\u00fclallarla yana\u015f\u0131, karbohidratlar da var. Bitki m\u0259n\u015f\u0259li z\u00fclallar sa\u011flam insanlar \u00fc\u00e7\u00fcn t\u00f6vsiy\u0259 oluna bil\u0259r, lakin t\u0259rkibind\u0259 h\u0259m d\u0259 karbohidrat oldu\u011fu \u00fc\u00e7\u00fcn x\u0259r\u00e7\u0259ng x\u0259st\u0259l\u0259rin\u0259 t\u00f6vsiy\u0259 edilmir. X\u0259r\u00e7\u0259ngin m\u00fcalic\u0259si zaman\u0131 ketogenik p\u0259hriz\u0259 uy\u011fun olmas\u0131 \u00fc\u00e7\u00fcn yanmadan bi\u015firilmi\u015f, y\u0259ni orta bi\u015fmi\u015f heyvan m\u0259n\u015f\u0259li proteini t\u00f6vsiy\u0259 edirik.<\/p>\n – Basd\u0131rma, kolbasa v\u0259 s. kimi \u00e7ox \u0259dviyyatl\u0131 \u0259t m\u0259hsullar\u0131 t\u00fck\u0259tm\u0259k olarm\u0131?<\/strong><\/p>\n – Emal edilmi\u015f \u0259tl\u0259r \u00dcmumd\u00fcnya S\u0259hiyy\u0259 T\u0259\u015fkilat\u0131 (\u00dcST) t\u0259r\u0259find\u0259n 1-ci qrup kanserogen kimi t\u0259yin edilib. Bu qrupa siqaret d\u0259 daxildir. X\u0259r\u00e7\u0259ng x\u0259st\u0259l\u0259rin\u0259 he\u00e7 bir halda i\u015fl\u0259nmi\u015f \u0259t t\u00f6vsiy\u0259 oluna bilm\u0259z.<\/p>\n – B\u0259s q\u0131rm\u0131z\u0131, yoxsa b\u0259yaz \u0259t daha \u00e7ox t\u00fck\u0259dilm\u0259lidir?<\/strong><\/p>\n – Q\u0131rm\u0131z\u0131 \u0259td\u0259 a\u011f \u0259td\u0259n daha \u00e7ox ya\u011f v\u0259 xolesterol var. Bu s\u0259b\u0259bl\u0259 \u00fcr\u0259k sa\u011flaml\u0131\u011f\u0131na diqq\u0259t etm\u0259si g\u0259r\u0259k\u0259n f\u0259rdl\u0259r daha \u00e7ox a\u011f \u0259t\u0259 y\u00f6n\u0259l\u0259 bil\u0259rl\u0259r. Bundan \u0259lav\u0259, h\u0259r iki \u0259tin h\u0259dd\u0259n \u00e7ox bi\u015firilm\u0259si, yand\u0131r\u0131lmas\u0131 onda kanserogen madd\u0259l\u0259rin \u0259m\u0259l\u0259 g\u0259lm\u0259sin\u0259 s\u0259b\u0259b olur. H\u0259m q\u0131rm\u0131z\u0131, h\u0259m d\u0259 a\u011f \u0259ti yand\u0131rmadan istehlak etm\u0259k, xolesterin s\u0259viyy\u0259sin\u0259 diqq\u0259t yetirm\u0259k, laz\u0131md\u0131rsa, a\u011f \u0259tin se\u00e7ilm\u0259si x\u0259r\u00e7\u0259ng x\u0259st\u0259l\u0259rinin diqq\u0259t etm\u0259li oldu\u011fu m\u0259qamlard\u0131r.<\/p>\n – Qidada hans\u0131 ya\u011flardan istifad\u0259 etm\u0259k olar, hans\u0131lar is\u0259 q\u0259ti qada\u011fand\u0131r?<\/strong><\/p>\n – Yem\u0259kd\u0259 zeytun ya\u011f\u0131 istifad\u0259 edilm\u0259li, lakin o, y\u00fcks\u0259k temperaturda q\u0131zd\u0131r\u0131lmamal\u0131d\u0131r. Yem\u0259kl\u0259r m\u00fcmk\u00fcn q\u0259d\u0259r suda bi\u015firilm\u0259li v\u0259 sonradan zeytun ya\u011f\u0131 \u0259lav\u0259 edilm\u0259lidir. Xolesterol narahatl\u0131q do\u011furmursa, t\u0259bii k\u0259r\u0259 ya\u011f\u0131 da istifad\u0259 edil\u0259 bil\u0259r. Marqarin kimi transya\u011flar; g\u00fcn\u0259baxan, qar\u011f\u0131dal\u0131 kimi q\u0131zartma ya\u011flar\u0131 he\u00e7 vaxt istifad\u0259 edilm\u0259m\u0259lidir.<\/p>\n – Onkoloji \u0259m\u0259liyyat ke\u00e7irmi\u015f x\u0259st\u0259l\u0259r\u0259 hans\u0131 t\u0259r\u0259v\u0259z, g\u00f6y\u0259rti v\u0259 meyv\u0259l\u0259ri yem\u0259k m\u0259sl\u0259h\u0259t g\u00f6r\u00fcl\u00fcr?<\/strong><\/p>\n – Qabaq, bad\u0131mcan, ya\u015f\u0131l lobya kimi t\u0259r\u0259v\u0259zl\u0259r, ispanaq, \u015f\u00fcy\u00fcd, c\u0259f\u0259ri, p\u0259rp\u0259t\u00f6y\u00fcn kimi g\u00f6y\u0259rtil\u0259r, qaragil\u0259, moruq kimi me\u015f\u0259 meyv\u0259l\u0259ri t\u00f6vsiy\u0259 oluna bil\u0259r. T\u0259r\u0259v\u0259zl\u0259ri bi\u015firm\u0259k h\u0259zmi asanla\u015fd\u0131rmaq \u00fc\u00e7\u00fcn vacibdir.<\/p>\n – Sitrus meyv\u0259l\u0259rinin bir ziyan\u0131 yoxdur ki?<\/strong><\/p>\n – Sitrus meyv\u0259l\u0259rind\u0259n, m\u0259s\u0259l\u0259n, qreypfrut d\u0259rmanlar\u0131n t\u0259sirini d\u0259yi\u015f\u0259 bil\u0259c\u0259yi \u00fc\u00e7\u00fcn h\u0259kim\u0259 m\u00fcraci\u0259t ed\u0259r\u0259k istehlak edil\u0259 bil\u0259r. Porta\u011fal v\u0259 naringi kimi meyv\u0259l\u0259r t\u0259rkibind\u0259 \u015f\u0259k\u0259r oldu\u011fu \u00fc\u00e7\u00fcn x\u0259r\u00e7\u0259ng x\u0259st\u0259l\u0259rin\u0259 t\u00f6vsiy\u0259 edilmir. Limon su il\u0259 qar\u0131\u015fd\u0131r\u0131la bil\u0259r v\u0259 ya arzu olunarsa, salatlarda istifad\u0259 edil\u0259 bil\u0259r.<\/p>\n – Qazl\u0131 su i\u00e7m\u0259k olarm\u0131?<\/strong><\/p>\n – Qazl\u0131 i\u00e7kil\u0259r t\u0259bii v\u0259 ya s\u00fcni ola bil\u0259r. X\u0259st\u0259ni narahat etmirs\u0259, t\u0259bii mineral suya \u00fcst\u00fcnl\u00fck veril\u0259 bil\u0259r. S\u00fcni yolla \u0259ld\u0259 edil\u0259n qazl\u0131, \u015firinl\u0259\u015fdirilmi\u015f kimi i\u00e7kil\u0259r t\u00f6vsiy\u0259 edilmir.<\/p>\n – \u00c7ay, q\u0259hv\u0259 kimi i\u00e7kil\u0259r onkoloji \u0259m\u0259liyyat ke\u00e7irmi\u015f x\u0259st\u0259l\u0259r\u0259 olarm\u0131?<\/strong><\/p>\n – Onkoloji \u0259m\u0259liyyatdan sonra x\u0259st\u0259nin prioriteti adekvat qida v\u0259 maye q\u0259bulu olmal\u0131d\u0131r. \u00c7ay v\u0259 q\u0259hv\u0259 sidikqovucu t\u0259sir g\u00f6st\u0259r\u0259r\u0259k b\u0259d\u0259nd\u0259 maye itkisin\u0259 s\u0259b\u0259b ola bil\u0259r. Bu s\u0259b\u0259bd\u0259n onlar\u0131n istehlak\u0131 m\u0259hdudla\u015fd\u0131r\u0131lmal\u0131d\u0131r. Maye ehtiyac\u0131 su il\u0259 qar\u015f\u0131lanmal\u0131, \u00e7ay v\u0259 q\u0259hv\u0259 istehlak edilm\u0259m\u0259lidir.<\/p>\n","protected":false},"excerpt":{"rendered":" Onkoloji x\u0259st\u0259likl\u0259rin n\u0259inki d\u00fcnyada, \u00f6lk\u0259mizd\u0259 d\u0259 getdikc\u0259 \u00e7oxalmas\u0131\u00a0il\u0259 bunlarla ba\u011fl\u0131 m\u00fc\u0259yy\u0259n m\u00fczakir\u0259l\u0259r do\u011furur. \u018fl\u00e7atan m\u00fcalic\u0259, \u0259m\u0259liyyatdan \u00f6nc\u0259ki v\u0259 sonrak\u0131 prosesl\u0259r, f\u0259sadlar\u0131n aradan qald\u0131r\u0131lmas\u0131\u00a0h\u0259m x\u0259st\u0259l\u0259rin \u00f6zl\u0259ri, h\u0259m d\u0259 yax\u0131nlar\u0131n\u0131 m\u00fcxt\u0259lif m\u0259nb\u0259l\u0259rd\u0259n m\u0259lumat toplama\u011fa vadar edir. Vacib m\u0259s\u0259l\u0259l\u0259rd\u0259n biri d\u0259 onkoloji \u0259m\u0259liyyatlardan sonra pasiyentl\u0259rd\u0259 ar\u0131qlama, \u00e7\u0259kinin s\u00fcr\u0259tl\u0259 itirilm\u0259sidir. M\u00f6vzu il\u0259 ba\u011fl\u0131\u00a0Oxu.Az\u00a0radioloq-onkoloq v\u0259 nutrisioloqla h\u0259ms\u00f6hb\u0259t olub. 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