labarai
Masu ciwon daji da ke da neutropenia ko ƙananan neutrophils suna da saurin kamuwa da cututtuka kuma ana ba da shawarar su dauki matakan kariya da yawa da kuma bin tsarin abinci mai ƙuntataccen ƙwayar cuta wanda har ma ya watsar da duk kayan lambu mai sabo, yawancin 'ya'yan itatuwa, kwayoyi, danyen hatsi, ruwan 'ya'yan itace mara kyau, madara da madara. yogurt. Duk da haka, nazarin daban-daban da nazarin-meta-bincike ba su sami wani tabbataccen shaida don tallafawa cewa abincin neutropenic yana hana kamuwa da cuta a cikin marasa lafiya na ciwon daji. Marasa lafiya waɗanda suka karɓi abinci na neutropenic kuma sun ba da rahoton cewa bin wannan abincin yana buƙatar ƙarin ƙoƙari. Saboda haka, masu bincike sun tayar da damuwa game da ba da shawarar cin abinci na neutropenic zuwa ciwon daji marasa lafiya, in babu wata shaida mai ƙarfi akan fa'idodin da suka danganci rage yawan kamuwa da cuta.
Menene Neutropenia?
Neutropenia yanayin lafiya ne wanda ke haɗuwa da ƙarancin ƙarancin wani nau'in ƙwayoyin jinin jini da ake kira neutrophils. Wadannan fararen kwayoyin jinin suna kare jikinmu daga kamuwa da cutuka daban-daban. Duk wani yanayin lafiya tare da ƙananan ƙwayoyin farin jini na iya ƙara haɗarin kamuwa da cuta. A cikin mutanen da ke da ƙwayoyin cuta, ƙaramin ƙwayar cuta na iya zama barazanar rai. Saboda haka, marasa lafiyar marasa lafiya suna bukatar yin taka tsantsan da yawa don kauce wa kamuwa da cuta.
Neutropenia galibi ana haifar dashi:
- Ta wani magani
- Ta hanyar maganin radiation wanda aka baiwa sassa daban daban na jiki
- A cikin cututtukan daji da suka yadu zuwa sassa daban-daban na jiki
- Da cututtukan da ke tattare da kasusuwa da kuma cancers kamar cutar sankarar bargo, lymphoma, da mahara myeloma wanda zai iya shafar farin jini
- Ta wasu cututtukan kamar cututtukan autoimmune ciki har da cutar rashin jini da cututtukan zuciya
Baya ga wadannan, wadanda ke da karancin garkuwar jiki saboda kamuwa da kwayar cutar HIV ko dashen wani bangare ko kuma wadanda suka kai shekaru 70 zuwa sama, sun fi fuskantar matsalar rashin kwayar cutar.
Gwajin jini zai iya gaya mana ko ƙaran ƙwayar ƙwayar jininmu ta ragu.
Menene Abincin Neutropenic?
Abincin Neutropenic abinci ne da ake amfani da shi a cikin mutanen da ke da garkuwar jiki waɗanda ke cikin haɗarin kamuwa da cututtuka daga ƙwayoyin microbes da ke cikin abincinmu. An fara amfani da abincin ne a cikin shekarun 1970, a cikin wani binciken wanda ya hada da abinci a matsayin wata hanya ta tallafawa rayuwar rayuwar marassa lafiyar da aka yiwa dashen kwayar halitta.
Babban ra'ayi game da abincin abinci shine a guji wasu nau'ikan abinci waɗanda zasu iya fallasa mu ga ƙwayoyin cuta da wasu ƙananan ƙwayoyin cuta, ɗauki matakan kiyayewa da aiwatar da lafiyar abinci da sarrafawa yadda yakamata.
Abinci don Zaɓi da Guji a cikin Abincin Neutropenic
Akwai tsare-tsare da yawa da marasa lafiya zasu ɗauka tare da ƙuntatawa da yawancin ƙayyadadden abincin da za a bi a cikin abinci mai ƙoshin lafiya. Waɗannan sune jerin abincin da za a zaɓa da kuma guje wa a cikin abinci mai ƙoshin lafiya, kamar yadda ake samu a yankin jama'a.
Dairy Products
Abincin da za a guji
- Madara mara narkewa da yogurt
- Yogurt anyi tare da al'adu masu rai ko masu aiki
- Yogurt ko ice cream mai taushi daga inji
- Milkshakes da aka yi a cikin wani abun haɗawa
- Laushi mai laushi (Brie, feta, kaifi Cheddar)
- Unpasteurized da danyen madara cuku
- Cuku tare da kayan kwalliya (Gorgonzola, shuɗin cuku)
- Cuku cuku
- Cuku tare da kayan lambu da ba a dafa ba
- Cuku irin na Meziko kamar queso
Abincin da Zabi
- Madara mai laushi da yogurt
- Sauran kayan kiwo wadanda suka hada da cuku, ice cream da kirim mai tsami
Tauraruwa
Abincin da za a guji
- Gurasa da naɗe tare da ɗanyen goro
- Hatsi dauke da danyen goro
- Taliyar da ba a dafa ba
- Salatin taliya ko na dankalin turawa tare da danyen kayan lambu ko kwai
- Raw hatsi
- Raw hatsi
Abincin da Zabi
- Duk nau'ikan burodi
- Pasta dafaffun
- Kankana
- Dafaffun hatsi da hatsi
- Dafa dankali mai zaki
- Dafaffen wake da wake
- Masarar da aka dafa
kayan lambu
Abincin da za a guji
- Raw kayan lambu
- Sabbin Salati
- Soyayyen kayan lambu
- Ganyen da ba a dafa ba
- Fresh sauerkraut
Abincin da Zabi
- Duk dafaffun daskararre ko kayan lambu sabo
- Ruwan kayan lambu na gwangwani
'Ya'yan itãcen marmari
Abincin da za a guji
- 'Ya'yan' ya'yan itace da ba a wanke ba
- Ruwan 'ya'yan itace da ba a shafa ba
- 'Ya'yan itacen da aka bushe
- Duk sabbin fruitsa fruitsan itace banda waɗanda aka jera a ƙasa a cikin “Abincin da Zabi”
Abincin da Zabi
- 'Ya'yan gwangwani da ruwan' ya'yan itace
- 'Ya'yan itacen daskararre
- Manna ruwan daskararre
- Pasteurized ruwan 'ya'yan itace
- An wanke sosai kuma an bare 'ya'yan itatuwa masu kauri kamar ayaba, lemu da kuma graa graan itacen inabi
sunadaran
Abincin da za a guji
- Raw ko naman da ba a dafa ba, kifi da kaji
- Sanya soyayyen abinci
- Naman Deli
- Tsohuwar miya
- Abubuwan abinci masu sauri
- Kayayyakin Miso
- Sushi
- sashimi
- Sanyin nama ko kaji
- Rawwai ko eggsan da ba a dahu ba tare da gwaiduwa mai ruri ko gefen sama a sama
Abincin da Zabi
- Dafaffen nama, kifi da kaji
- Tuna gwangwani ko kaza
- Da kyau gwangwani gwangwani da kayan miya na gida
- Dafaffen dahuwa ko dafaffun kwai
- Manyan kwai da aka manna
- Farin kwai
abubuwan sha
Abincin da za a guji
- Sanyin shayi mai sanyi
- Kwai da aka yi da ɗanyen ƙwai
- Sun shayi
- Lemon zaki na gida
- Fresh apple cider
Abincin da Zabi
- Nan take kuma brewed kofi da shayi
- Kwalba (tace ko tsabtace ko an juyo da osmosis) ko ruwa mai narkewa
- Abincin gwangwani ko na kwalba
- Gwangwani daban-daban ko kwalaban sodas
- Brewed ganye shayi
Abincin da Zai Ci Bayan Bayanan Ciwon Cutar Kansa!
Babu cutar kansa guda biyu iri daya. Wuce ka'idojin abinci mai gina jiki na kowa don kowa kuma yanke hukunci na musamman game da abinci da kari tare da ƙarfin gwiwa.
Nazarin da ke hade da Tasirin Abincin Neutropenic a cikin Marasa Lafiya
Bayan shan chemotherapy ko radiotherapy, akwai ƙarin haɗarin kamuwa da cuta a ciki ciwon daji marasa lafiya daga microbes kamar kwayoyin cuta da naman gwari da ke cikin abinci. Hakan ya faru ne saboda kididdigar farin jinin da ke iya yaƙi da ƙwayoyin cuta a cikin abinci ya yi ƙasa sosai kuma saboda rufin hanjin da ke aiki a matsayin shinge tsakanin ƙwayoyin cuta da jini yana lalacewa ta hanyar chemotherapy da radiotherapy. Tsayawa wannan yanayin a hankali, ana buƙatar marasa lafiya da su yi taka tsantsan da yawa kuma an gabatar da abinci na musamman neutropenic tare da ƙuntatawa na abinci da yawa don yawancin marasa lafiya da ke fama da tsarin rigakafi.
Abubuwan da ake amfani dasu na Neutropenic galibi ana sanya su ne ga masu cutar kansa da nufin rage kamuwa da cuta ta hanyar guje wa takamaiman abinci da kuma amfani da ingantaccen sarrafa abinci da adana shi. Koyaya, waɗannan ƙayyadadden abincin don rage haɗarin kamuwa da cuta suna buƙatar daidaitawa ta hanyar tabbatar da cewa marasa lafiya sun sami isasshen abinci mai gina jiki, musamman don magance lahanin jiyya da kuma inganta amsoshin jiyya.
Tunda marasa lafiyar cutar sankara suna daukar matakan kariya da yawa kuma abincin da ake bada shawara shine abinci tare da takunkumin abinci da yawa wanda harma yake barin dukkan kayan marmari da yawa, sabbin 'ya'yan itacen marmari, kwayoyi, danyen hatsi, ruwan' ya'yan itace da basu narke ba, madara da yogurt da yawa, an gudanar da bincike da yawa daga masu bincike daban-daban don yin nazarin ko gabatar da abinci na tsaka-tsakin na da amfani kwarai da gaske a rage yawan kamuwa da cutar a cikin masu cutar kansa. Wasu daga cikin karatun kwanan nan da abubuwan da suka gano suna haɗuwa a ƙasa. Bari mu duba!
Binciken na Tsare-tsaren da Masu Binciken na Amurka da Indiya suka yi
Kwanan nan, masu binciken daga Amurka da Indiya sun yi nazari na musamman don nazarin ko akwai kwararan hujjojin kimiyya da za su iya tallafawa ingancin abinci mai rage yawan kwayar cutar a rage kamuwa da mace-mace tsakanin masu cutar kansa. Sun fitar da karatu 11 don nazari ta hanyar binciken adabi a cikin MEDLINE, EMBASE, Cochrane Central Register of Controlled Trials da Scopus data har zuwa watan Maris na 2019. Binciken bai sami raguwar yawan kamuwa da cuta ba ko mace-mace tsakanin masu cutar kansa wadanda suka bi abinci mai narkewa. (Venkataraghavan Ramamoorthy et al, Nutr Ciwon daji., 2020)
Masu binciken sun kuma ambaci cewa yayin da wasu cibiyoyi suka bi ka'idojin kiyaye abinci gaba daya a cikin abincin rage kaifin abinci, wasu kuma sun kaurace wa abincin da ke kara kamuwa da kwayoyin cuta, kuma rukuni na uku na cibiyoyin sun bi su biyun. Don haka, sun ba da shawarar kariya da kuma kula da abinci mai kyau da shirye-shiryen da Hukumar Abinci da Magunguna ta ba da shawarar, don a bi su ɗaya ga marasa lafiya.
Nazarin Cibiyar Kiwon Lafiya ta Flinders a Ostiraliya
A cikin binciken da aka buga a cikin 2020, masu binciken daga Jami'ar Flinders da Cibiyar Kiwon Lafiya ta Flinders a Ostiraliya sun yi ƙoƙari don kwatanta sakamakon asibiti na marasa lafiya na chemotherapy waɗanda suka karɓi abinci mai ƙoshin lafiya ko abinci mai sassaucin ra'ayi kuma sun bincika ƙungiyoyi tsakanin abinci mai narkewa da cututtuka sakamakon. Don binciken, sun yi amfani da bayanai daga marasa lafiyar marasa lafiya wadanda shekarunsu ba su wuce 18 ba zuwa sama waɗanda aka shigar da su Cibiyar Kula da Lafiya ta Flinders tsakanin 2013 da 2017 kuma a baya sun karɓi maganin ƙwaƙwalwar. Daga cikin waɗannan marasa lafiya 79 sun sami abinci mai ƙoshin lafiya kuma marasa lafiya 75 sun sami abinci mai sassauƙa. (Mei Shan Heng et al, Eur J Ciwon Cancer (Engl)., 2020)
Binciken ya gano cewa yawan kwayar cutar da ke dauke da zazzabi mai zafi, bacteraemia da yawan kwanakin da ke fama da zazzabi mai yawa har yanzu yana cikin rukunin da suka karɓi abinci na ƙoshin lafiya. Analysisarin bincike game da marasa lafiya 20 da aka haɗu bisa la'akari da shekaru, jima'i da kuma ganewar asali game da cutar kansa bai sami wani bambanci ba game da sakamakon asibiti tsakanin marasa lafiya waɗanda suka karɓi abinci mai ƙoshin lafiya da waɗanda suka karɓi abinci mai sassauci. Masu binciken saboda haka suka yanke shawara cewa abinci mai narkewa ba zai iya taimakawa wajen hana sakamako mai illa ga marasa lafiyar cutar sankara ba.
Haɗin Nazarin Haɗaka da Jami'o'i daban-daban a Amurka
Masu binciken daga Jami'ar Johns Hopkins, Mayo Clinic, Massachusetts General Hospital, University of Texas Southwest Medical Center da Texas Tech University Health Sciences Centre a Amurka sun yi nazari kan matakan kamuwa da cututtukan da aka ruwaito a cikin gwaji 5 daban-daban da suka shafi marasa lafiya 388 , Kwatanta tsarin rage cin abinci zuwa nau'ikan abincin da ba'a iyakantasu ba a cikin cutar sankarar myeloid mai tsanani (AML), cutar sankarar bargo ta lymphoblastic (ALL), ko kuma sarcoma da ke fama da cutar kansa tare da neutropenia. Somedeb Ball et al, Am J Clin Oncol., 12)
Binciken ya gano kamuwa da cuta a cikin 53.7% marasa lafiya waɗanda suka bi abinci mai ƙoshin lafiya da kuma 50% marasa lafiya waɗanda ke bin abinci mara iyaka. Saboda haka, masu binciken sun yanke shawarar cewa amfani da abinci mai narkewa ba zai iya kasancewa da alaƙa da rage haɗarin kamuwa da cuta ba a cikin marasa lafiyar kansar neutropenic.
Nazarin daga Mayo Clinic, Adult Bone Marrow Transplant Service a Manhattan da Missouri Baptist Medical Center - Amurka
A cikin binciken da aka buga a cikin 2018, masu binciken sun kimanta tasirin abinci mai narkewa wajen rage kamuwa da cuta da mace-macen masu cutar kansa tare da kwayar cutar. Karatu 6 da aka samu ta hanyar binciken bayanai, an yi amfani da su ne don nazarin, wadanda suka hada da marasa lafiya 1116 daga cikinsu marasa lafiya 772 a baya an yi musu dashen haematopoietic cell. (Mohamad Bassam Sonbol et al, BMJ Taimakawa Kulawa Mai Kulawa. 2019)
Binciken ya gano cewa babu wani bambanci sosai a cikin yawan mace-macen ko yawan masu kamuwa da cuta, kwayar cuta ta bakteriya ko fungemia, tsakanin wadanda suka bi tsarin abinci na neutropenic da wadanda ke cin abinci na yau da kullun. Binciken ya kuma gano cewa abinci mai narkewa yana da alaƙa da haɗarin kamuwa da cuta kaɗan a cikin marasa lafiya waɗanda aka yi wa dashen ƙwayar haematopoietic.
Masu binciken ba su sami wata hujja ba don tallafawa amfani da abinci mai narkewa a cikin masu cutar kansa tare da kwayar cutar. Maimakon bin abinci mai narkewa, sun ba da shawarar cewa masu cutar kansa da likitoci su ci gaba da bin amintattun jagororin sarrafa abinci da ɗaukar matakan kariya, kamar yadda Hukumar Abinci da Magunguna ta Amurka ta ba da shawara.
Nazarin Tasirin Abincin Neutropenic akan Ciwon Cutar Yara na Ciwon Cutar Luka Lafiya (ALL) da Sarcoma Marasa lafiya
Wani binciken da masu binciken suka buga daga asibitoci daban-daban na yara da na oncology a Amurka, idan aka kwatanta adadin cututtukan neutropenic a cikin marasa lafiya na ciwon daji na yara 73 waɗanda suka bi Hukumar Abinci da Magunguna ta amince da ka'idodin amincin abinci tare da 77 na yara. ciwon daji lokuta waɗanda suka bi abincin neutropenic tare da Gudanar da Abinci da Magunguna sun yarda da ƙa'idodin amincin abinci, yayin sake zagayowar chemotherapy. Yawancin marasa lafiya an gano su da ALL ko sarcoma. (Karen M Moody et al, Pediatr Blood Cancer., 2018)
Binciken ya gano kamuwa da cuta a cikin marasa lafiya 35% wadanda suka bi tsarin abinci mai narkewa tare da Gudanar da Abinci da Magunguna sun amince da jagororin amincin abinci da kuma 33% marasa lafiya waɗanda ke bin Gudanar da Abinci da Magunguna sun amince da ƙa'idodin lafiyar abinci su kaɗai. Marasa lafiya da suka karɓi abinci mai narkewa kuma sun ba da rahoton cewa bin abinci na neutropenic yana buƙatar ƙarin ƙoƙari.
Tattaunawa game da Tasirin Neutropenic Diet a cikin gwajin AML-BFM 2004
Masu bincike daga Johann Wolfgang Goethe-Jami'ar da ke Frankfurt, Makarantar Kiwon Lafiya ta Hannover a Jamus da Asibiti na Marasa Lafiya na yara a Toronto, Kanada sun binciki tasirin abinci mai ƙoshin lafiya da ƙuntatawa na zamantakewar da aka yi amfani da ita azaman matakan rigakafin cutar a cikin yara masu fama da Cutar Muteloid Leukemia. Binciken ya yi amfani da bayanai daga marasa lafiya 339 da aka yi wa magani a cibiyoyi 37. Binciken bai sami wata fa'ida ba ta bin ƙuntatawa na abinci a cikin abincin ƙoshin lafiya a cikin waɗannan marasa lafiyar kansar yara. (Lars Tramsen et al, J Clin Oncol., 2016)
Ya Kamata Magungunan Ciwon Cancer Su Bi Abincin Neutropenic?
Karatuttukan da ke sama sun bayar da shawarar cewa babu cikakkiyar hujja da zata tabbatar da cewa abinci mai narkewa yana hana kamuwa da cuta ga masu cutar kansa. Hakanan waɗannan nau'ikan abinci masu ƙuntatawa suna da alaƙa da ƙarancin haƙuri da haƙuri kuma hakan na iya haifar da rashin abinci mai gina jiki. Kodayake babu wata cikakkiyar shaidar kimiyya da ke nuna cewa abinci mai narkewa yana rage haɗarin kamuwa da cuta a cikin masu cutar kansa ko inganta ƙwanƙolin ƙwanƙolin ƙwanƙolin jini a cikin masu cutar kansa, har yanzu ana ba da shawarar akan yawancin rukunin yanar gizon manyan cibiyoyin cutar kansa na Amurka, kamar yadda aka nuna a cikin binciken da aka buga a cikin Nutrition da Cancer Journal a cikin 2019 (Timothy J Brown et al, Nutr Cancer., 2019).
Ya zuwa yanzu, National Comprehensive Cancer Network (NCCN) ko kuma Oncology Nursing Society Cancer Chemotherapy jagororin suma ba su ba da shawarar yin amfani da abincin neutropenic a cikin masu ciwon daji ba. Wasu nazarin kuma sun gano cewa ɗaukar matakan da suka wajaba da bin ka'idodin Kula da Abinci na Lafiyar da Hukumar Abinci da Magunguna ta bayar a matsayin umarni ga duk wuraren dafa abinci na asibiti, na iya ba da cikakkiyar kariya daga kamuwa da cutar da abinci ke haifarwa, don haka ban da buƙatar cin abinci na neutropenic. (Heather R Wolfe et al, J Hosp Med., 2018). Wani binciken kuma ya gano cewa tsananin cin abinci na neutropenic ya ƙunshi ƙarancin fiber da abun ciki na bitamin C (Juliana Elert Maia et al, Pediatr Blood Cancer., 2018). Saboda haka, bada shawara ciwon daji marasa lafiya tare da neutropenia don bin abinci mai mahimmanci na neutropenic, ba tare da wata shaida mai karfi akan rage yawan kamuwa da cuta ba, na iya zama abin tambaya.
Abincin da kuke ci kuma wanne kari kuke ɗauka shine yanke shawara. Ya kamata shawararku ta haɗa da la'akari da maye gurbi na ciwon daji, wanda cutar kansa, jiyya da ci gaba da gudana, duk wani rashin lafiyan, bayanin salon rayuwa, nauyi, tsayi da halaye.
Tsarin abinci mai gina jiki don cutar kansa daga addon baya dogara ne akan binciken intanet. Yana sarrafa muku yanke shawara ta atomatik dangane da kimiyyar kwayoyin da masana kimiyya da injiniyoyin software suka aiwatar. Ba tare da la’akari da ko kuna kula da fahimtar hanyoyin hanyoyin kwayoyin halittar biochemical ko a'a - don shirin abinci mai gina jiki don cutar kansa wanda ake buƙatar fahimta.
Fara NOW tare da shirin abinci mai gina jiki ta hanyar amsa tambayoyi kan sunan cutar kansa, maye gurbi, jiyya mai gudana da kari, duk wani rashin lafiyan, halaye, salon rayuwa, ƙungiyar shekaru da jinsi.
Keɓaɓɓen Abinci don Ciwon daji!
Ciwon daji yana canzawa da lokaci. Keɓancewa da canza abincin ku dangane da alamun cutar kansa, jiyya, salon rayuwa, abubuwan da ake so abinci, alerji da sauran dalilai.
Marasa lafiya masu cutar kansa sau da yawa dole su magance daban-daban illar illa na chemotherapy wanda ke shafar ingancin rayuwarsu da kuma neman wasu hanyoyin magance cutar kansa. Shan da madaidaicin abinci mai gina jiki da kari bisa la'akari na kimiyya (gujewa zato da zabin bazuwar) shine mafi kyawun maganin halitta don cutar kansa da cututtukan da suka shafi magani.