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做出维持良好营养的最健康选择可以帮助胰腺癌患者最大程度地减少治疗的副作用，从手术中恢复并保持最佳生活质量。
通过与营养师合作，患者可以制定一项营养计划，最适合他们及其特定需求，无论是在手术前还是在手术前或作为维持健康的长期策略的一部分。这些卫生专业人员不仅在最近的研究中是最新的，而且还为家庭和护理人员提供了重要的支持和指导，因为他们可以在亲人的诊断和治疗中导航。
临床肿瘤学营养师Jeannine Mills，Pancan的成员科学与医疗顾问委员会在达特茅斯希区柯克医疗中心的诺里斯棉花癌中心的胃肠道肿瘤学计划。
We asked Jeannine to share more about how a dietitian can help pancreatic cancer patients.
PanCAN: Let’s start with the basics. What is a registered dietitian?
珍妮：一个dietitianis a healthcare professional trained in food, nutrition, biochemistry and physiology. They must complete either an undergraduate or graduate degree in nutrition and an internship certified by the Academy of Nutrition and Dietetics. Lastly, they must pass a national registration exam. Some states require licensure, so some dietitians may be both registered and licensed.
The terms “nutritionist” and “dietitian” are not interchangeable – “nutritionists” are not professionally regulated. A person can refer to themselves as a “nutritionist” without a degree or successful completion of a registration exam. However, since all dietitians are nutritionists, some refer to themselves as a registered dietitian/nutritionist. It is helpful to note the distinctions as you seek out the professionals that will be the best fit for your team!
I would also recommend that patients withpancreatic cancer寻找临床肿瘤学营养师 - 这些是专门培训的专业人士，专门与面对癌症的患者合作diagnosis。他们具有“ CSO”证书，以表明他们是“肿瘤学认证专家”营养。
Pancan：为什么注册营养师是医疗团队的重要成员？
珍妮：营养师可以评估患者的需求，并帮助设计饮食，最适合其旅程的各个阶段 - 无论是在手术后，化学疗法或放疗期间还是长期管理健康。
Needs change over time and every individual will be different, so it is essential that the dietitian be working in close coordination with the rest of the patient’s医疗团队。例如，对于我来说，我很常见在被诊断出患有胰腺癌后与某人的初次约会，在此之后进行后访问Whipple procedureand other pancreaticsurgeries，并在现场与患者现场治疗或在诊所就诊。
Overall, a dietitian can help manage symptoms and副作用从癌症本身或治疗。他们是focused on improving a patient’s wellbeing – both through practical recommendations and by serving as a trusted guide. One of the most helpful things I’ve found that I can do for patients is to let them know that the nutritional challenges they may be having –lack of appetite, issues with gas, taste bud changes – are “normal,” and that helps ease their minds.
PanCAN: How should I prepare for a visit with my dietitian?
珍妮：带来您的问题和疑虑！准备就您如何接近的对话进行对话饮食和营养, the symptoms you’re experiencing and what you would like to address to improve your health.
取决于患者的特定需求 - 无论他们准备手术还是正在接受化学疗法或放射治疗，或者进入长期维护阶段 - 营养师都会为他们的情况量身定制建议，以改善他们的情况quality of life。
例如，我们可以提供战斗技巧weight loss, like focusing on certain protein sources. Or to settle an upset stomach, avoid these foods.胰腺酶can be key for many patients and a dietitian can advise on dosing and other best practices.
一些一般问题要考虑：
- What are some examples of things I should eat for breakfast/lunch/dinner?
- 我应该避免食物吗？
- What types of food should I try to include in my diet?
- How should I change my diet to account for the digestive symptoms I am experiencing?
- 我应该如何处理缺乏食欲或疲劳的解释？
- 一个re there any recipes or cookbooks you suggest?
Pancan：如何找到注册营养师？
珍妮：You can always contact PanCAN患者服务。该团队在寻找营养师并引入与营养有关的问题和问题时为患者和家庭提供了宝贵的指导。此外，患者的肿瘤学家或癌症中心经常为营养师提出建议。您还可以访问营养与饮食学院的网站，eatright.org, to search for a dietitian in your area. The Commission on Dietetic Registration, atcdrnet.org, maintains a list of board-certified specialists in oncology nutrition by state.
