Kodi Zakudya Zowonjezera Zimagwiritsa Ntchito Pa Chemotherapy Impact Kupulumuka Zotsatira za Odwala Khansa Yam'mimba?

Mfundo

Kafukufuku wachipatala m'mawere khansa odwala adawunika kuyanjana kwazakudya / zakudya zopatsa thanzi zomwe zisanachitike komanso panthawi ya chemotherapy, komanso zotsatira za chithandizo. Chodabwitsa n'chakuti, kugwiritsa ntchito mankhwala oletsa antioxidant (Mavitamini A, C ndi E, carotenoids, coenzyme Q10) kapena osakhala ndi okosijeni (Vitamini B12, chitsulo) chisanachitike komanso panthawi ya chithandizo chinagwirizanitsidwa ndi zotsatira zoipa pa chithandizo, kubwereranso ndi kuchepetsa moyo wonse.

Zakudya Zakudya Zogwiritsidwa Ntchito Ndi Odwala Khansa

Kuzindikira khansa ndizochitika zosintha moyo zomwe zimagwirizanitsidwa ndi nkhawa ya ulendo wamankhwala womwe ukuyandikira komanso kuopa kusatsimikizika kwa zotsatira zake. Atapezeka ndi khansa, odwala amalimbikitsidwa kusintha moyo wawo umene akukhulupirira kuti udzawongolera thanzi lawo ndi thanzi lawo, kuchepetsa chiopsezo cha kuyambiranso, ndi kuchepetsa zotsatira za mankhwala awo a chemotherapy. Nthawi zambiri, amayamba kugwiritsa ntchito zakudya / zakudya zopatsa thanzi limodzi ndi mankhwala awo a chemotherapy. Pali malipoti a 67-87% ya odwala khansa omwe amagwiritsa ntchito zakudya zowonjezera pambuyo pozindikira. (Velicer CM et al, J Chipatala. Oncol., 2008Popeza kuchuluka komanso kugwiritsa ntchito zakudya zopatsa thanzi kwa odwala khansa akamalandira chithandizo, komanso kuda nkhawa kuti zowonjezera, makamaka ma antioxidants, zitha kuchepetsa cytotoxicity ya chemotherapy, ndikofunikira kumvetsetsa mgwirizano wazakudya / zowonjezera zakudya mankhwala a chemotherapy pazotsatira, kuphatikizapo zomwe zimayambitsa zotsatira zoyambitsa chemotherapy monga zotumphukira za m'mitsempha.

Phunziro la DELCap

Monga gawo la gulu lalikulu lachidziwitso lachipatala kuti liwunikire machitidwe a dosing a DOX, cytophosphane (CP) ndi PTX, pochiza omwe ali pachiwopsezo chachikulu. khansa ya m'mawere, chiyeso chothandizira chinachitidwa kuti awunike mgwirizano pakati pa kugwiritsa ntchito zowonjezera ndi zotsatira za khansa ya m'mawere. Zakudya, Zolimbitsa Thupi ndi Moyo Wamoyo (DELCap) Phunziro lochokera pafunso linapangidwa kuti liwone momwe moyo umakhalira makamaka kugwiritsa ntchito mavitamini owonjezera mavitamini asanazindikire komanso panthawi ya chemotherapy mogwirizana ndi zotsatira za chithandizo, monga gawo la mayesero achire (SWOG 0221, NCT) 00070564). (Zirpoli GR et al, J Natl. Khansa Inst., 2017; Ambrosone CB et al, J Chipatala. Zosintha, 2019) Panali odwala 1,134 omwe ali ndi khansa ya m'mawere omwe adayankha mafunso okhudza kugwiritsa ntchito zowonjezeretsa mankhwala asanayambe kulandira chithandizo chamankhwala, ndikutsatiridwa patatha miyezi 6 atalembetsa.

Zotsatira Zofunikira Phunziro Lomwe Limalumikizana ndi Kugwiritsa Ntchito Zowonjezera Zakudya mu Khansa ya M'mawere

Chidule cha zomwe zapezeka mu kafukufukuyu zokhudzana ndi mgwirizano wazakudya zamagulu ndi zotsatira zake ndi izi:

• "Kugwiritsa ntchito chowonjezera chilichonse cha antioxidant (Vitamini A, C ndi E; carotenoids; coenzyme Q10) isanachitike komanso nthawi yamankhwala imalumikizidwa ndi chiwopsezo chowonjezereka chobwerezabwereza (kusintha kwa ngozi ya ngozi [adjHR [, 1.41; 95% CI, 0.98 mpaka 2.04; P = 0.06) "(Ambrosone CB et al, J Clin Oncol., 2019)
• Kugwiritsa ntchito ma anti-antioxidants monga vitamini B12 isanakwane komanso nthawi ya chemotherapy imalumikizidwa kwambiri ndi kupulumuka kopanda matenda komanso kupulumuka konse (P <0.01).
• Kugwiritsa ntchito chitsulo chowonjezera chomwe chimagwiritsidwa ntchito pothandiza kukonza kuchepa kwa magazi m'thupi kumalumikizidwa kwambiri ndikubwereza, ndikugwiritsa ntchito kale komanso nthawi ya chithandizo. (P <0.01)
• Kugwiritsa ntchito multivitamin sikunalumikizidwe ndi zotsatira zakupulumuka.
• Kusanthula koyambirira kwa kafukufuku wa DELCap kunawonetsa kuti kugwiritsa ntchito multivitamin musanazindikiridwe kumalumikizidwa ndi kuchepa kwa zizindikiritso za chemotherapy zomwe zimayambitsa matenda a neuropathy, komabe, kugwiritsa ntchito panthawi yamankhwala sikunapindule. (Zirpoli GR et al, J Natl Cancer Inst., 2017)

Kutsiliza

Zomwe zili pamwambazi zikuwonetsa kuti zakudya / zakudya zowonjezera, mavitamini ndi antioxidants, zomwe zimagwiritsidwa ntchito ndi khansa Odwala omwe ali ndi matenda amtundu wamtunduwu amayenera kuchitidwa mosamala komanso asanalandire chithandizo chamankhwala komanso panthawi yomwe ali ndi pakati. Ngakhale chinthu chomwe chimagwiritsidwa ntchito nthawi zonse ngati ma antioxidants ndi ma multivitamini chikhoza kukhala ndi zotsatira zoyipa pazachipatala chikagwiritsidwa ntchito pamankhwala a chemotherapy.

Chakudya chomwe mumadya komanso chomwe chimakupatsani thanzi ndi chisankho chomwe mumapanga. Lingaliro lanu liyenera kuphatikizapo kulingalira za kusintha kwa majini a khansa, khansa, chithandizo chamankhwala chopitilira muyeso, zovuta zilizonse, zidziwitso za moyo, kulemera, kutalika ndi zizolowezi.

Kukonzekera kwa khansa kuchokera ku addon sikudalira pakusaka kwa intaneti. Zimakusankhirani zomwe mungasankhe malinga ndi sayansi yamayendedwe omwe asayansi athu ndi akatswiri a mapulogalamu. Mosasamala kanthu kuti mumasamala kumvetsetsa zomwe zimayambira zamagulu am'thupi kapena ayi - pakukonzekera zakudya za khansa kumvetsetsa kumafunikira.

Yambirani TSOPANO ndikukonzekera zakudya zanu poyankha mafunso okhudzana ndi khansa, kusintha kwa majini, mankhwala opitilira muyeso ndi zowonjezera, chifuwa chilichonse, zizolowezi, moyo, gulu la zaka komanso jenda.

Odwala khansa nthawi zambiri amakhala ndi zovuta zosiyanasiyana chemotherapy mavuto zomwe zimakhudza moyo wawo ndikuyang'ana njira zina zochiritsira khansa. Kutenga chakudya choyenera ndi zowonjezera zowonjezera kutengera zomwe asayansi amalingalira (kupewa kuyerekezera ndi kusankha mwachisawawa) ndiye njira yabwino kwambiri yachilengedwe ya khansa ndi zovuta zina zokhudzana ndi chithandizo.

• Kodi chakudya chambiri chokhala ndi carotenoids chimathandiza kuchepetsa chiopsezo cha khansa ya chikhodzodzo?
• Kodi mavitamini ndi mavitamini ambiri ndi abwino pa khansa?
• Zakudya, Ubwino ndi Kuopsa kwa Vitamini E mu Khansa
• Chemotherapy ndi zotsatira zake pa Odwala Khansa
• Mgwirizano Wosokoneza Kugwiritsa Ntchito Vitamini E Supplement ndi Cancers Brain