Patient: I was nauseous and wanted to vomit after chemotherapy
Patient: After chemotherapy, my mouth was bitter and my throat was dry
Patient: I can't eat, I don't have an appetite for anything
Put chemotherapy-induced nausea and vomiting into perspective
Factors associated with nausea and vomiting caused by chemotherapy usually include chemotherapy drugs, patient characteristics, psychological factors, etc.
1. Chemotherapy drugs: related to the emetic properties of the drugs used in chemotherapy, the dosage and drug schedule, and the route of administration.
2. Patient characteristics: Some patient characteristics are important predictors of the severity of acute nausea and vomiting caused by chemotherapy, including age, gender, alcohol history and chemotherapy history, such as more and more data show that young patients are more likely to vomit after chemotherapy.
3. Psychological factors: Psychological factors also play an important role in nausea and vomiting caused by chemotherapy. Many patients begin to feel nausea and vomiting before they hear that chemotherapy is about to take place but it has not actually started, a condition that doctors call "conditioned pre-reflex vomiting." So what to do?
Arrange your diet wisely
Choose healthy, balanced foods, such as variing your diet, increasing your dietary fiber intake, and limiting processed foods.
Control your diet with nutrients such as carbohydrates with a low glycemic index, healthy protein sources such as lean meats, fish, legumes and low-fat dairy products, and healthy sources of fats such as olive oil, nuts, fish and cod liver oil.
Adopt appropriate eating methods and times, avoid irritating foods, etc. For example, eat small amounts and many times to avoid excessive fullness and indigestion, and eat slowly to avoid irritating foods such as too hot, too cold, and spicy. Through education and guidance, patients understand the importance of dietary modification in treatment and how to adjust dietary habits to improve nutritional status and quality of life.
Monitor and evaluate nutritional effects
Regular monitoring of nutritional effects is a key part of ensuring that patients receive effective nutritional support. Not only can nutritional deficiencies be detected and corrected in a timely manner, but the nutrition regimen can also be adjusted according to the specific response of the patient.
Monitoring indicators
Nutrient intake: record and assess the patient's daily food intake, including specific intakes of calories, proteins, fats, and carbohydrates.
Weight change: Measuring your weight regularly and monitoring your weight gain or loss is one of the visual indicators to assess whether your nutritional status is improving.
Blood biochemical indicators: including total protein, albumin, hemoglobin and other indicators, which can reflect the nutritional status of patients and their changes.
Evaluate the effect
Evaluation of effects: Periodic assessment of improvement in nutritional status, such as normalization of blood markers, stabilization or increase of body weight.
Feedback on dietary guidance: Patient satisfaction with the dietary plan and difficulties encountered in implementing it, as well as the impact of dietary guidance on quality of life.
Adjust your nutrition regimen
Adjust according to the monitoring results: If insufficient nutrient intake or excess nutrition is found, adjust the type and amount of food in time to ensure that the patient receives balanced nutrition.
Adapting to changes: As the condition progresses or treatment regimens change, a patient's nutritional needs may change, so flexibility in adjusting the nutrition plan is required.
Ongoing education and support: Provide ongoing nutrition education and psychological support to patients and their families to help them understand the importance of nutrition in disease management and encourage them to actively participate in the implementation of nutrition programs.
Psychological counseling
In addition to nutritional management, healthcare professionals and family members should provide psychological support to patients, including emotional counseling, coping with anxiety and stress, etc., such as observing and understanding patients' emotions, and patients should learn to regulate emotions and divert attention by observing and understanding patients' emotions, relaxation exercises, positive thinking and problem-solving skills.
Expert presentation
Dr. Zheng Zhi
Chief TCM Physician
Doctoral supervisor
President of Jiangxi Provincial People's Hospital (the First Affiliated Hospital of Nanchang Medical College) Flagship Hospital of Traditional Chinese and Western Medicine
Specialty: He has rich clinical experience in immune regulation of traditional Chinese medicine, anti-aging of traditional Chinese medicine, blood diseases of traditional Chinese medicine, integrated traditional Chinese and Western medicine for tumors (lung cancer, gastric cancer, colorectal cancer, pancreatic cancer, etc.), and reversal treatment of tumor drug resistance.
Dr. Weihua Zhang
Chief physician
Master's supervisor
Director of the Department of Oncology of Integrated Traditional Chinese and Western Medicine
Specialty: Radiotherapy, chemotherapy, molecular targeted therapy, immunotherapy and integrated traditional Chinese and Western medicine for various malignant tumors. His main research direction is individualized precision treatment of lung cancer.
Ting Wang, Master of Oncology
Deputy Chief Physician
Head of the Department of Oncology of Integrated Traditional Chinese and Western Medicine
Specialty: comprehensive diagnosis and treatment of lung cancer, esophageal cancer, gastric cancer, colorectal cancer, liver cancer, breast, ovarian cancer, etc.; chemotherapy-resistant integrated Chinese and Western medicine therapy, immunotherapy and targeted therapy; diagnosis, biopsy and treatment of complex and difficult pulmonary nodules; Integrative medicine and Western medicine for tumor GCP.
Mao Lihua is a master's student
Deputy Chief Physician
Specialty: The use of integrated traditional Chinese and Western medicine methods to treat various common and frequent diseases in anorectal medicine, such as hemorrhoids, fistulas, fissures, perianal abscesses, rectal prolapse, inflammatory bowel disease, constipation, anorectal neurosis, colorectal polyps and tumors.
Author: Xu Qingdi, Department of Integrated Traditional Chinese and Western Medicine, Jiangxi Provincial People's Hospital
Correspondent: Le Xiwen Luo Shan
Editor: Huang Menglin
Reviewer: Chen Shirui
Issued: Daley Red
Picture: Some of the pictures in this article are from the Internet, the copyright belongs to the original author, if there is any infringement, please contact us to delete.