{"id":301775,"date":"2023-11-09T15:53:17","date_gmt":"2023-11-09T18:53:17","guid":{"rendered":"https:\/\/eephcfmusp.org.br\/portal\/online\/?p=301775"},"modified":"2025-07-23T10:47:18","modified_gmt":"2025-07-23T13:47:18","slug":"nutricao-oncologica","status":"publish","type":"post","link":"https:\/\/hcxfmusp.org.br\/portal\/nutricao-oncologica\/","title":{"rendered":"A import\u00e2ncia da nutri\u00e7\u00e3o oncol\u00f3gica para os pacientes"},"content":{"rendered":"<p><span style=\"font-family: gabarito;\"><span style=\"font-weight: 400;\">As especializa\u00e7\u00f5es na \u00e1rea da sa\u00fade abrangem diferentes campos de atua\u00e7\u00e3o. Na nutri\u00e7\u00e3o, um dos ramos especializados \u00e9 a <\/span><b>nutri\u00e7\u00e3o oncol\u00f3gica<\/b><span style=\"font-weight: 400;\">, diretamente ligada \u00e0 oncologia, ci\u00eancia voltada para o cuidado de pessoas diagnosticadas com c\u00e2ncer. Este \u00e9 um campo de extrema import\u00e2ncia, embora nem todos estejam familiarizados com ele.<\/span><\/span><\/p>\n<p><span style=\"font-weight: 400; font-family: gabarito;\">Durante a luta contra o c\u00e2ncer, existem outros recursos al\u00e9m dos tratamentos convencionais que incluem medica\u00e7\u00f5es e radioterapia. Entre eles, destaca-se a alimenta\u00e7\u00e3o, que pode auxiliar o paciente a se fortalecer e a lidar com os efeitos colaterais do tratamento, que normalmente s\u00e3o agressivos para o corpo.<\/span><\/p>\n<h2><span style=\"font-family: gabarito; color: #005f61;\"><b>O papel da nutri\u00e7\u00e3o oncol\u00f3gica<\/b><\/span><\/h2>\n<p><span style=\"font-family: gabarito;\"><span style=\"font-weight: 400;\">A <\/span><b>nutri\u00e7\u00e3o oncol\u00f3gica<\/b><span style=\"font-weight: 400;\"> desempenha um<\/span><a href=\"https:\/\/www.youtube.com\/watch?v=QnjZJpPzXxI\" target=\"_blank\" rel=\"noopener\"> <span style=\"font-weight: 400;\">papel fundamental<\/span><\/a><span style=\"font-weight: 400;\">, fornecendo interven\u00e7\u00f5es e orienta\u00e7\u00f5es para que o quadro nutricional do paciente se mantenha adequado. Isso \u00e9 alcan\u00e7ado atrav\u00e9s do controle dos sintomas e de uma dieta adaptada. \u201c<\/span><span style=\"font-weight: 400;\">Al\u00e9m disso, precisamos saber que o paciente com c\u00e2ncer j\u00e1 pode apresentar sinais pr\u00e9vios ao tratamento, como a desnutri\u00e7\u00e3o, que poder\u00e1 ser agravada pelos efeitos colaterais\u201d, pontua a Prof\u00aa. Dra. Maria Manuela de Almeida<\/span><span style=\"font-weight: 400;\">,<\/span><span style=\"font-weight: 400;\"> gerente do Servi\u00e7o de Nutri\u00e7\u00e3o e Diet\u00e9tica do Icesp<\/span><span style=\"font-weight: 400;\">.<\/span><\/span><\/p>\n<p><span style=\"font-family: gabarito;\"><span style=\"font-weight: 400;\">Antes do tratamento, o profissional orientar\u00e1 quanto \u00e0 alimenta\u00e7\u00e3o saud\u00e1vel, preparando o paciente para quando os protocolos forem definidos. J\u00e1 ap\u00f3s o tratamento, a nutri\u00e7\u00e3o segue com a mesma base, que contribuir\u00e1 para a<\/span><a href=\"https:\/\/repositorio.animaeducacao.com.br\/bitstream\/ANIMA\/29165\/6\/Estado%20nutricional%20e%20qualidade%20de%20vida%20em%20pacientes%20oncol%C3%B3gicos%20em%20cuidados%20paliativos.pdf\" target=\"_blank\" rel=\"noopener\"> <span style=\"font-weight: 400;\">recupera\u00e7\u00e3o do estado nutricional<\/span><\/a><span style=\"font-weight: 400;\"> e diminuir\u00e1 as chances de recidiva da doen\u00e7a \u2013 muitas vezes, nestes casos, ela promove mudan\u00e7as nos h\u00e1bitos alimentares que resultam em melhor qualidade de vida. \u201c<\/span><span style=\"font-weight: 400;\">Nessa fase, o nutricionista adapta a alimenta\u00e7\u00e3o de acordo com os h\u00e1bitos, aceita\u00e7\u00e3o e sintomas que o paciente apresenta, mas sempre com foco na alimenta\u00e7\u00e3o saud\u00e1vel\u201d, comenta a Dra. Gislaine Oz\u00f3rio, coordenadora do Servi\u00e7o de Nutri\u00e7\u00e3o e Diet\u00e9tica do Icesp.<\/span><\/span><\/p>\n<h2><span style=\"font-family: gabarito; color: #005f61;\"><b>Tr\u00eas etapas da nutri\u00e7\u00e3o oncol\u00f3gica<\/b><\/span><\/h2>\n<p><span style=\"font-family: gabarito;\"><span style=\"font-weight: 400;\">O tratamento oncol\u00f3gico faz com que os pacientes sintam altera\u00e7\u00e3o no apetite e no sistema digestivo como um todo, tendo n\u00e1useas, v\u00f4mitos e diarreias. Desse modo, a<\/span><a href=\"https:\/\/www.inca.gov.br\/sites\/ufu.sti.inca.local\/files\/media\/document\/consenso_nutricao_vol_ii_2a_ed_2016.pdf\" target=\"_blank\" rel=\"noopener\"> <b>nutri\u00e7\u00e3o oncol\u00f3gica<\/b><\/a><span style=\"font-weight: 400;\"> entra com um processo que \u00e9 dividido em tr\u00eas etapas.<\/span><\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\"><span style=\"font-family: gabarito;\"><span style=\"font-family: gabarito;\"><span style=\"font-weight: 400;\">1\u00aa: chamada de <\/span><span style=\"font-weight: 400;\">avalia\u00e7\u00e3o nutricional<\/span><span style=\"font-weight: 400;\">, em que o nutricionista examina todas as mudan\u00e7as do paciente, explorando o hist\u00f3rico cl\u00ednico, alimentar e psicossocial. Essas informa\u00e7\u00f5es s\u00e3o obtidas por meio de question\u00e1rios que abordam n\u00e3o apenas a alimenta\u00e7\u00e3o, mas tamb\u00e9m aspectos relacionados \u00e0 fisiologia e at\u00e9 mesmo ao bem-estar.<\/span><\/span><\/span>&nbsp;<\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-family: gabarito;\"><span style=\"font-family: gabarito;\"><span style=\"font-weight: 400;\">2\u00aa:\u00a0 \u00e9 a <\/span><span style=\"font-weight: 400;\">interven\u00e7\u00e3o<\/span><span style=\"font-weight: 400;\">, em que se cria um plano de cuidados personalizado, que cont\u00e9m as diretrizes e a prescri\u00e7\u00e3o de uma dieta totalmente adaptada ao tipo de tratamento e \u00e0 condi\u00e7\u00e3o cl\u00ednica.<\/span><\/span><\/span>&nbsp;<\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-family: gabarito;\"><span style=\"font-weight: 400;\">3\u00aa etapa: <\/span><span style=\"font-weight: 400;\">monitoramento<\/span><span style=\"font-weight: 400;\">, em que o nutricionista acompanha de perto o paciente e seus progressos. Esse acompanhamento ocorre por meio de uma avalia\u00e7\u00e3o regular, na qual ser\u00e1 decidido se a dieta deve ser mantida ou se o plano de cuidados precisa ser ajustado para obter melhores resultados.<\/span><\/span><\/li>\n<\/ul>\n<h2><span style=\"font-family: gabarito; color: #005f61;\"><b>Desnutri\u00e7\u00e3o no paciente com c\u00e2ncer<\/b><\/span><\/h2>\n<p><span style=\"font-family: gabarito;\"><span style=\"font-weight: 400;\">Dependendo do tipo e da localiza\u00e7\u00e3o do tumor, assim como o tratamento escolhido, a desnutri\u00e7\u00e3o ainda \u00e9 um risco. Ela compromete a capacidade de tolerar o tratamento e o torna mais suscet\u00edvel a infec\u00e7\u00f5es. <\/span><span style=\"font-weight: 400;\">Caso a alimenta\u00e7\u00e3o oral n\u00e3o seja suficiente para atender as demandas nutricionais do paciente, o nutricionista poder\u00e1 indicar uma suplementa\u00e7\u00e3o (caseira ou industrializada) para complementar as necessidades, ricas em carboidratos, prote\u00ednas, lip\u00eddios, vitaminas e minerais.<\/span><\/span><\/p>\n<p><span style=\"font-weight: 400; font-family: gabarito;\">Em alguns casos, ser\u00e1 necess\u00e1rio optar pela via sonda enteral, de forma tempor\u00e1ria; em outros, tamb\u00e9m se pode optar pela via parenteral: \u201cTodas essas alternativas t\u00eam como objetivo prevenir, manter ou reverter a desnutri\u00e7\u00e3o, que est\u00e1 presente em grande parte dos pacientes com c\u00e2ncer\u201d, esclarece a Dra. Gislaine.<\/span><\/p>\n<h2><span style=\"font-family: gabarito; color: #005f61;\"><b>Nutri\u00e7\u00e3o Hospitalar com \u00eanfase em Oncologia<\/b><\/span><\/h2>\n<p><span style=\"font-family: gabarito;\"><span style=\"font-weight: 400;\">O <\/span><a href=\"https:\/\/eephcfmusp.org.br\/portal\/online\/\"><span style=\"font-weight: 400;\">HCX<\/span><\/a><span style=\"font-weight: 400;\">, oferece o curso de <\/span><a href=\"https:\/\/eephcfmusp.org.br\/portal\/online\/curso\/nutricao-oncologica\/\"><span style=\"font-weight: 400;\">P\u00f3s-gradua\u00e7\u00e3o em Nutri\u00e7\u00e3o Oncol\u00f3gica<\/span><\/a><span style=\"font-weight: 400;\">, coordenado pelas Dras. Manuela e Gislaine, com o objetivo de <\/span><span style=\"font-weight: 400;\">capacitar o aluno para atender pacientes que podem apresentar estado nutricional debilitado devido \u00e0 doen\u00e7a e ao tratamento, formando nutricionistas especializados.<\/span><\/span><\/p>\n<p><span style=\"font-family: gabarito;\"><span style=\"font-weight: 400;\">No curso, o profissional <\/span><span style=\"font-weight: 400;\">ter\u00e1 a oportunidade de vivenciar a excel\u00eancia do Instituto de C\u00e2ncer do Estado de S\u00e3o Paulo (<\/span><a href=\"https:\/\/icesp.org.br\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">ICESP)<\/span><\/a><span style=\"font-weight: 400;\">, um dos melhores hospitais especializados do mundo e que faz parte do complexo HCFMUSP. Ele sair\u00e1\u00a0 mais capacitado para o acompanhamento nutricional espec\u00edfico em adapta\u00e7\u00f5es dietoter\u00e1picas e controle de sintomas, al\u00e9m de evitar interrup\u00e7\u00f5es no tratamento e piora no estado nutricional de pacientes oncol\u00f3gicos.\u00a0\u00a0<\/span><\/span><\/p>\n<p><span style=\"font-family: gabarito;\"><span style=\"font-weight: 400;\">Segundo a Dra. Manuela, \u201c<\/span><span style=\"font-weight: 400;\">a especializa\u00e7\u00e3o promover\u00e1 mais conhecimento da \u00e1rea, dando seguran\u00e7a ao profissional durante o atendimento. Al\u00e9m disso, contribuir\u00e1 para uma melhora na assertividade no diagn\u00f3stico e na conduta nutricional, fazendo disso seu grande diferencial\u201d.<\/span><\/span><\/p>\n<p><span style=\"font-weight: 400; font-family: gabarito;\">Para mais informa\u00e7\u00f5es, <a href=\"https:\/\/eephcfmusp.org.br\/portal\/online\/curso\/nutricao-oncologica\/\">acesse a p\u00e1gina da especializa\u00e7\u00e3o.<\/a><\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>As especializa\u00e7\u00f5es na \u00e1rea da sa\u00fade abrangem diferentes campos de atua\u00e7\u00e3o. Na nutri\u00e7\u00e3o, um dos ramos especializados \u00e9 a nutri\u00e7\u00e3o oncol\u00f3gica, diretamente ligada \u00e0 oncologia, ci\u00eancia voltada para o cuidado de pessoas diagnosticadas com c\u00e2ncer. Este \u00e9 um campo de extrema import\u00e2ncia, embora nem todos estejam familiarizados com ele. Durante a luta contra o c\u00e2ncer, [&hellip;]<\/p>\n","protected":false},"author":149398,"featured_media":390508,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[390],"tags":[503,935,342,436,419,344,550,1036,602,558,161,949],"class_list":["post-301775","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blog","tag-cancer","tag-curso","tag-eep","tag-escola-de-educacao-permanente","tag-especializacao","tag-hcfmusp","tag-nutricao","tag-nutricao-oncologica","tag-oncologia","tag-pos-graduacao","tag-saude","tag-tratamento"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v23.5 (Yoast SEO v23.5) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>A import\u00e2ncia da nutri\u00e7\u00e3o oncol\u00f3gica para os pacientes<\/title>\n<meta name=\"description\" content=\"A nutri\u00e7\u00e3o oncol\u00f3gica \u00e9 um ramo especializado, voltada para o cuidado de pessoas diagnosticadas com c\u00e2ncer.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/hcxfmusp.org.br\/portal\/nutricao-oncologica\/\" \/>\n<meta property=\"og:locale\" content=\"pt_BR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"A import\u00e2ncia da nutri\u00e7\u00e3o oncol\u00f3gica para os pacientes\" \/>\n<meta property=\"og:description\" content=\"A nutri\u00e7\u00e3o oncol\u00f3gica \u00e9 um ramo especializado, voltada para o cuidado de pessoas diagnosticadas com c\u00e2ncer.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/hcxfmusp.org.br\/portal\/nutricao-oncologica\/\" \/>\n<meta property=\"og:site_name\" content=\"HCX - 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