Kodi Nyama Yofiira Ndi Yosinthidwa Ingayambitse Khansa Yamtundu / Colon?

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Zotsatira zakufufuza kosiyanasiyana zimapereka umboni wokwanira wotsimikizira kuti kudya kwambiri nyama yofiira komanso yosinthidwa kumatha kukhala ndi khansa (kuyambitsa khansa) ndipo kumatha kuyambitsa khansa yoyipa / ya kholoni ndi khansa zina monga khansa ya m'mawere, m'mapapo ndi chikhodzodzo. Ngakhale nyama yofiira imakhala ndi thanzi labwino, sikofunikira kutenga ng'ombe, nkhumba kapena mwanawankhosa ngati gawo la chakudya chopatsa thanzi, chifukwa zimatha kuyambitsa kunenepa komwe kumadzetsa mavuto amtima ndi khansa. Kusintha nyama yofiira ndi nkhuku, nsomba, mkaka, bowa ndi zakudya zopangidwa ndi mbewu zingathandize kupeza zakudya zofunikira.

Khansa yapadera ndi yachitatu yomwe imapezeka ndi khansa komanso yachiwiri yomwe imayambitsa khansa padziko lapansi, yomwe ili ndi anthu opitilira 1.8 miliyoni komanso anthu pafupifupi 1 miliyoni amwalira mu 2018. (GLOBOCAN 2018) Ndi khansa yachitatu yomwe imapezeka kwambiri mwa amuna ndi khansa yachiwiri yomwe imapezeka kwambiri mwa amayi. Pali zifukwa zambiri zoopsa zomwe zimadza chifukwa cha mitundu yosiyanasiyana ya khansa kuphatikiza kusintha kwa khansa, mbiri ya khansa, ukalamba ndi zina zotero, komabe, moyo wawo umathandizanso chimodzimodzi. Mowa, kusuta fodya, kusuta fodya ndi kunenepa kwambiri ndizofunikira kwambiri zomwe zitha kuwonjezera ngozi za khansa.

Milandu ya khansa ya colorectal ikuchulukirachulukira padziko lonse lapansi, makamaka m'maiko omwe akutukuka kumene omwe akukhala ndi moyo wakumadzulo. Nyama yofiira monga ng'ombe, mwanawankhosa ndi nkhumba ndi nyama yokonzedwa monga nyama yankhumba, ham ndi agalu otentha ndi gawo la zakudya zakumadzulo zomwe zimasankhidwa ndi mayiko otukuka. Chifukwa chake, funso loti ngati nyama yofiira ndi nyama yokonzedwa ingayambitse khansa nthawi zambiri amapanga mitu. 

Pofuna kununkhiza, posachedwa, "mkangano wofiira nyama" unali utadutsa pamitu pomwe kafukufuku adasindikizidwa mu Okutobala 2019 mu Annals of Internal Medicine pomwe ofufuzawo adapeza umboni wotsika kuti kutenga nyama yofiira kapena nyama yophika ndizovulaza . Komabe, madokotala ndi asayansi adatsutsa mwamphamvu izi. Mu blog iyi, tiziwona m'maphunziro osiyanasiyana omwe adawunika kuphatikiza kwa nyama yofiira ndikusinthidwa ndi khansa. Koma tisanaphunzire mozama m'maphunziro ndi umboni wosonyeza zotsatira za khansa, tiyeni tiwone mwachidule zina mwazinthu zofiira ndi nyama yophika. 

Kodi Nyama Yofiira Ndi Yosinthidwa Ndi Chiyani?

Nyama iliyonse yofiira isanaphike amatchedwa nyama yofiira. Makamaka ndi nyama ya nyama zoyamwitsa, yomwe nthawi zambiri imakhala yofiira yakuda ikakhala yaiwisi. Nyama yofiira imaphatikizapo ng'ombe, nkhumba, mwanawankhosa, nyama yamphongo, mbuzi, nyama yamwana wang'ombe ndi nyama.

Nyama yosakidwa imatanthawuza nyama yomwe imasinthidwa mwanjira iliyonse kuti ikometseko makulidwe kapena kuwonjezera moyo wa alumali posuta, kuchiritsa, kuthira mchere kapena kuwonjezera zoteteza. Izi zimaphatikizapo nyama yankhumba, masoseji, agalu otentha, salami, ham, pepperoni, nyama zamzitini monga nyama zang'ombe zamasamba ndi nyama zokometsera nyama.

Pokhala gawo lofunikira pakudya kwakumadzulo, nyama yofiira monga ng'ombe, nkhumba ndi mwanawankhosa komanso nyama yosinthidwa monga nyama yankhumba ndi soseji amadya kwambiri m'maiko otukuka. Komabe, kafukufuku wosiyanasiyana wasonyeza kuti kudya kwambiri nyama yofiira komanso yothira kumawonjezera kunenepa komanso mavuto amtima.

Ubwino Wathanzi la Nyama Yofiira

Nyama yofiira imadziwika kuti imakhala ndi thanzi labwino. Ndi gwero lofunikira la ma macronutrients osiyanasiyana ndi micronutrients kuphatikiza:

1. Mapuloteni
2. Iron
3. nthaka
4. vitamini B12
5. Vitamini B3 (Niacin)
6. vitamini B6 
7. Mafuta okhuta 

Kuphatikiza mapuloteni ngati gawo la chakudya chopatsa thanzi ndikofunikira pakuthandizira thanzi lathu la minofu ndi mafupa. 

Iron imathandiza kupanga hemoglobin, puloteni yomwe imapezeka m'maselo ofiira amwazi ndipo imathandizira kunyamula mpweya m'thupi lathu. 

Nthaka imafunika kukhala ndi chitetezo cha mthupi komanso kuchiritsa mabala. Imathandizanso pakupanga DNA.

Vitamini B12 ndiyofunikira pakugwira bwino ntchito kwa ubongo ndi dongosolo lamanjenje. 

Vitamini B3 / Niacin amagwiritsidwa ntchito ndi thupi lathu kusintha mapuloteni ndi mafuta kukhala mphamvu. Zimathandizanso kuti dongosolo lathu lamanjenje komanso khungu ndi tsitsi zikhale zathanzi. 

Vitamini B6 imathandiza thupi lathu kupanga ma antibodies omwe amafunikira kuthana ndi matenda osiyanasiyana.

Ngakhale nyama yofiira imakhala ndi thanzi labwino, sikofunikira kutenga ng'ombe, nkhumba kapena mwanawankhosa ngati gawo la chakudya chopatsa thanzi, chifukwa zimatha kuyambitsa kunenepa kwambiri ndikuwonjezera mavuto amtima ndi khansa. M'malo mwake, nyama yofiira ingasinthidwe ndi nkhuku, nsomba, mkaka, bowa ndi zakudya zopangidwa ndi mbewu.

Umboni wokhudzana ndi Mgwirizano Wanyama Yofiira ndi Yosinthidwa yokhala ndi Chiwopsezo cha Khansa

Pansipa pali kafukufuku wina yemwe wapanga posachedwa yemwe adasanthula kuyanjana kwa nyama yofiira ndikusinthidwa ndi chiopsezo cha khansa yamtundu wamtundu kapena mitundu ina ya khansa monga khansa ya m'mawere, m'mapapo ndi chikhodzodzo.

Mgwirizano wa Nyama Yofiira ndi Yosinthidwa ndi Colorectal Cancer Risk

United States ndi Mlongo Phunziro la Puerto Rico 

Pakafukufuku waposachedwa wofalitsidwa ndi Januware 2020, ofufuza adasanthula kuyanjana kwa nyama yofiira ndikusinthidwa ndi chiopsezo cha khansa yoyipa. Pa kafukufukuyu, chidziwitso chodya nyama yofiira komanso yosakidwa chidapezeka kuchokera kwa azimayi 48,704 azaka zapakati pa 35 mpaka 74 zaka omwe anali nawo mgulu la Mlongo Study ku US ndi Puerto Rico ndipo anali ndi mlongo yemwe adapezeka ndi khansa ya m'mawere. Pakutsatiridwa kwakanthawi kwa zaka 8.7, milandu ya khansa yoyipa ya 216 idapezeka. (Suril S Mehta et al, Cancer Epidemiol Biomarkers Prev., 2020)

Pakufufuza, zidapezeka kuti kudya nyama yayikulu tsiku ndi tsiku ndi nyama zophika / zophika zofiira kuphatikiza ma steak ndi ma hamburger zimakhudzidwa ndi chiopsezo chowonjezeka cha khansa yoyipa mwa akazi. Izi zikuwonetsa kuti nyama yofiira komanso yophika itha kukhala ndi zotsatira za khansa ikawonongedwa kwambiri.

Njira Zakudya Zakumadzulo ndi Kuopsa kwa Khansa ya Colon

Pakafukufuku wofalitsidwa mu Juni 2018, zomwe adapeza kuchokera ku Japan Public Health Center yochokera ku Prospential Study yomwe idaphatikizapo anthu 93,062 omwe adatsatiridwa kuyambira 1995-1998 mpaka kumapeto kwa 2012. Mwa 2012, milandu 2482 ya khansa colorectal anapezeka ndi matendawa. Izi zidapezedwa pamafunso ovomerezeka okhudza chakudya pakati pa 1995 ndi 1998. (Sangah Shin et al, Clin Nutr., 2018) 

Zakudya zakumadzulo zimadya nyama yambiri komanso nyama yosakidwa komanso ma eel, zakudya zamkaka, madzi azipatso, khofi, tiyi, zakumwa zofewa, msuzi, ndi mowa. Zakudya zanzeru zimaphatikizapo masamba, zipatso, Zakudyazi, mbatata, zinthu za soya, bowa, ndi udzu wam'madzi. Zakudya zamtundu wachikhalidwe zimaphatikizapo kumwa zipatso, nsomba, nsomba, nkhuku ndi chifukwa. 

Kafukufukuyu adawona kuti omwe adatsata njira yanzeru yodyera adawonetsa kuchepa kwa khansa yoyipa, pomwe, azimayi omwe amatsata zakudya zakumadzulo omwe amadya kwambiri nyama yofiira komanso nyama yosinthidwa adawonetsa chiopsezo chachikulu cha khansa ya m'matumbo ndi distal.

Kafukufuku wochitidwa pa anthu achiyuda ndi achiarabu

Pakafukufuku wina wofalitsidwa mu Julayi 2019, ofufuzawo adawunika kuyanjana kwa mitundu yosiyanasiyana ya nyama zofiira komanso chiopsezo cha khansa yamitundumitundu pakati pa anthu achiyuda ndi achiarabu m'malo apadera a Mediterranean. Zambiri zidatengedwa kuchokera kwa omwe adatenga nawo gawo a 10,026 kuchokera ku kafukufuku wa Cancer Epidemiology of Colorectal Cancer, kafukufuku wofufuza anthu kumpoto kwa Israeli, pomwe ophunzirawo adafunsidwa mwa iwo za zomwe amadya komanso momwe amakhalira pogwiritsa ntchito funso lofunsira pafupipafupi. (Walid Saliba et al. Eur J Cancer Prev., 2019)

Kutengera kusanthula kwa kafukufukuyu, ofufuzawo adapeza kuti nyama yonse yofiira idalumikizidwa pang'ono ndi chiopsezo cha khansa yoyipa ndipo inali yofunika kwambiri kwa mwanawankhosa ndi nkhumba, koma osati ng'ombe, mosasamala kanthu komwe kuli chotupa. Kafukufukuyu adawonanso kuti kuchuluka kwa nyama yosinthidwa kumalumikizidwa ndi chiopsezo chowonjezeka cha khansa yoyipa.

Njira Zakudya Zakumadzulo ndi Moyo Wabwino Wa Odwala Khansa Yoyenera

Pakafukufuku wofalitsidwa mu Jan 2018, ofufuza ochokera ku Germany adasanthula mgwirizano womwe ulipo pakati pazakudya ndi kusintha kwa miyoyo ya odwala khansa yoyipa. Ofufuzawa adagwiritsa ntchito zomwe zidafotokozedwa ndi odwala 192 omwe ali ndi khansa yoyipa kuchokera ku ColoCare Study yokhala ndi moyo wabwino wopezeka miyezi isanu ndi iwiri pambuyo pa opareshoni komanso kafukufuku wamafunso amafupipafupi pakudya miyezi 12 pambuyo pochitidwa opaleshoni. Zakudya zakumadzulo zomwe zimayesedwa mu phunziroli zimadziwika ndi kudya kwambiri nyama yofiira, mbatata, nkhuku, ndi makeke. (Biljana Gigic et al, Cancer ya Nutr., 12)

Kafukufukuyu adapeza kuti odwala omwe amadya zakudya zakumadzulo amakhala ndi mwayi wocheperako magwiridwe antchito, kudzimbidwa ndi kutsekula m'mimba pakapita nthawi poyerekeza ndi odwala omwe amatsata zakudya zodzaza zipatso ndi ndiwo zamasamba ndikuwonetsa kusintha kwamatenda am'mimba. 

Ponseponse, ofufuzawo adazindikira kuti njira yakadyedwe yakumadzulo (yomwe imadzaza ndi nyama yofiira monga ng'ombe, nkhumba ndi zina) pambuyo pochitidwa opaleshoni imalumikizidwa mosiyanasiyana ndi moyo wa odwala khansa amitundumitundu.

Kudya Nyama Yofiira ndi Kusinthidwa ndi Kuopsa kwa Khansa Yoyipa Mwa Anthu achi China

Mu Januwale 2018, ofufuza ochokera ku China, adasindikiza pepala lofotokoza zomwe zimayambitsa Cancer Colorectal ku China. Zambiri pazakudya kuphatikiza kudya masamba ndi zipatso komanso kudya nyama yofiira komanso yosakidwa, zidachokera ku kafukufuku wapanyumba omwe adachitika mu 2000 ngati gawo la Kafukufuku waku China Wathanzi ndi Zakudya Zakudya zomwe zidakhudza ophunzira 15,648 ochokera m'maboma 9 kuphatikiza zigawo 54. (Gu MJ et al, Khansa ya BMC., 2018)

Kutengera zotsatira zakufufuzaku, kudya masamba ochepa kwambiri ndiye komwe kumayambitsa chiopsezo cha khansa yoyipa yokhala ndi PAF (gawo lodziwika bwino la anthu) la 17.9% kutsatiridwa ndi kusachita zolimbitsa thupi komwe kumayambitsa 8.9% ya matenda a khansa yoyipa komanso kufa. 

Chifukwa chachikulu chachitatu chinali chofiyira kwambiri komanso chosakira nyama chomwe chimapereka 8.6% yamatenda amtundu wa khansa ku China ndikutsatiridwa ndi kudya zipatso zochepa, kumwa mowa, kunenepa kwambiri / kunenepa kwambiri ndikusuta zomwe zidapangitsa 6.4%, 5.4%, 5.3% ndi 4.9% a milandu ya khansa yoyipa, motsatana. 

Kudya Nyama Yofiira ndi Kuwopsa kwa Khansa ya Colon: Kafukufuku ku Sweden

Pakafukufuku wofalitsidwa mu Julayi 2017, ofufuza ochokera ku Sweden adasanthula mgwirizano womwe ulipo pakati pa kudya nyama zofiira, nkhuku, ndi nsomba zomwe zimachitika ndi khansa yoyipa / yamatumbo / thumbo. Kuwunikaku kunaphatikizira zambiri za zakudya kuchokera kwa akazi 16,944 azimayi ndi amuna 10,987 ochokera ku Malmö Diet ndi Cancer Study. Pakati pa zaka 4,28,924 zotsatila, milandu 728 ya Colorectal Cancer idanenedwa. (Alexandra Vulcan et al, Food & Nutrition Research, 2017)

Zotsatirazi ndizo zomwe zidafufuza mu kafukufukuyu:

• Kudya kwambiri nkhumba (nyama yofiira) kunawonjeza kuchuluka kwa khansa yoyipa komanso khansa ya m'matumbo. 
• Ng'ombe (yemwenso ndi nyama yofiira) idalumikizidwa kwambiri ndi khansa ya m'matumbo, komabe, kafukufukuyu adapezanso kuti kudya ng'ombe kwambiri kumalumikizidwa ndi chiopsezo chowonjezeka cha khansa ya m'matumbo mwa amuna. 
• Kuchulukitsa kudya nyama yosinthidwa kumalumikizidwa ndi chiopsezo chowonjezeka cha khansa yamtundu wamwamuna mwa amuna. 
• Kuchulukitsa kwa nsomba kumalumikizidwa ndi chiopsezo chotsika cha khansa ya m'matumbo. 

Mwachidule, kupatulapo kafukufuku wochitidwa pa Ayuda ndi Aarabu, maphunziro ena onse amasonyeza kuti kudya kwambiri kwa mitundu yosiyanasiyana ya nyama yofiira monga ng'ombe ndi nkhumba kungayambitse khansa ndipo kungayambitse khansa ya m'matumbo, m'matumbo kapena m'matumbo kutengera zofiira. mtundu wa nyama. Kafukufuku akuwonetsanso kuti kudya kwambiri nyama yosinthidwa kumalumikizidwa ndi chiopsezo chowonjezeka cha colorectal khansa.

Mgwirizano wa Nyama Yofiira ndi Yosinthidwa ndi Kuopsa kwa Mitundu Ina ya Khansa

Kugwiritsa Ntchito Nyama Yofiira ndi Kuopsa kwa Khansa ya M'mawere

Pakufufuza kwaposachedwa komwe kudasindikizidwa mu Epulo 2020, zidziwitso zakumwa kwa mitundu yosiyanasiyana ya nyama zidapezeka kuchokera kwa omwe akutenga nawo gawo 42,012 ochokera ku US ndi ku Puerto Rico mdziko lonse lapansi omwe akuyembekezeka kukhala gulu la Mlongo Study omwe adamaliza kufunsa mafunso a Block 1998 Food Frequency Questionnaire panthawi yomwe adalembetsa (2003-2009). ). Omwe atenga nawo mbali anali azaka zapakati pa 35 mpaka 74 zakubadwa omwe sanadziwitsidwe za khansa ya m'mawere ndipo ndi alongo kapena alongo awo azimayi omwe amapezeka ndi khansa ya m'mawere. Pakutsatiridwa kwakanthawi kwa zaka 7.6, zidapezeka kuti ma khansa owopsa a m'mawere 1,536 adapezeka osachepera chaka chimodzi atalembetsa. (Jamie J Lo et al, Khansa ya Int J., 1)

Kafukufukuyu adawonetsa kuti kuwonjezeka kwakumwa kwa nyama yofiira kumalumikizidwa ndi chiopsezo chowonjezeka cha khansa ya m'mawere yowopsa, kuwonetsa momwe imakhudzira khansa. Nthawi yomweyo, ofufuzawo adapezanso kuti kuchuluka kwa nkhuku kumalumikizidwa ndi kuchepa kwa chiopsezo cha khansa ya m'mawere.

Kugwiritsa Ntchito Nyama Yofiira ndi Kuopsa kwa Khansa ya M'mapapo

Kusanthula kwa meta komwe kudasindikizidwa mu June 2014 kudaphatikizanso chidziwitso kuchokera ku kafukufuku wofalitsidwa 33 omwe adawunika kuyanjana pakati pa nyama yofiira kapena yosinthidwa ndi chiopsezo cha khansa yamapapo. Zambiri zidapezedwa pakusaka mabuku komwe kwachitika m'mabuku 5 kuphatikiza PubMed, Embase, Webusayiti, National Knowledge Infource ndi Wanfang Database mpaka Juni 31, 2013. (Xiu-Juan Xue et al, Int J Clin Exp Med., 2014 )

Kuwunika kwa kuyankha kwa mlingo kunapeza kuti pa magalamu 120 aliwonse omwe amadya nyama yofiira patsiku, chiopsezo chokhala ndi khansa ya m'mapapo chimakula ndi 35% ndipo pa magalamu 50 aliwonse omwe amadya nyama yofiyira patsiku amakhala pachiwopsezo cha mapapo. khansa wawonjezeka ndi 20%. Kusanthula kukuwonetsa zotsatira za carcinogenic za nyama yofiira ikatengedwa mochuluka.

Kugwiritsa Ntchito Nyama Yofiira ndi Yogwiritsidwa Ntchito ndi Khansa ya Chikhodzodzo

Meta-reaction meta-analysis yomwe idasindikizidwa mu Disembala 2016, ofufuzawo adasanthula kuyanjana pakati pa nyama yofiira komanso yosakidwa ndi khansa ya chikhodzodzo. Zambiri zidapezedwa m'maphunziro a 5 okhala ndi anthu 3262 omwe ali ndi 1,038,787 milandu ndipo 8 omwe adatenga nawo gawo komanso maphunziro azachipatala a 7009 ndi milandu 27,240 ndi omwe akutenga nawo gawo 2016 potengera kusaka m'mabuku a Pubmed kudzera mu Januware 2018. (Alessio Crippa et al, Eur J Nutr., XNUMX)

Kafukufukuyu adawona kuti kuwonjezeka kwa nyama yofiira kumawonjezera chiopsezo cha khansa ya chikhodzodzo m'maphunziro azachipatala koma sanapeze mgwirizano uliwonse pagulu la anthu. Komabe, zidapezeka kuti kuwonjezeka kwa nyama yomwe idakonzedwa kumawonjezera chiopsezo cha khansa ya chikhodzodzo pazochitika zonse zowongolera / zamankhwala kapena zamagulu / maphunziro. 

Kafukufukuyu akuwonetsa kuti nyama yofiira komanso yosakidwa imatha kukhala ndi zotsatira za khansa ndipo itha kuyambitsanso mitundu ina ya khansa, kupatula khansa yoyipa, monga khansa ya m'mawere, m'mapapo ndi chikhodzodzo.

Kodi tiyenera kupewa kwathunthu Nyama Yofiira ndi Nyama Yosinthidwa?

Kafukufuku onse omwe atchulidwa pamwambapa amapereka umboni wokwanira wotsimikizira kuti kudya nyama yofiira kwambiri komanso yosinthidwa kumatha kukhala ndi khansa ndipo kumatha kubweretsa khansa yoyipa komanso khansa zina monga khansa ya m'mawere, m'mapapo ndi chikhodzodzo. Kupatula khansa, kudya kwambiri nyama yofiira komanso yosakidwa kumathanso kuyambitsa kunenepa komanso mavuto amtima. Koma kodi izi zikutanthauza kuti munthu ayenera kupewa kathupi kofiira kuchokera ku zakudya? 

Chabwino, malinga ndi American Institute of Cancer Research, munthu ayenera kuchepetsa kudya kwa nyama yofiira kuphatikizapo ng'ombe, nkhumba ndi mwanawankhosa ku magawo atatu pa sabata omwe ali ofanana ndi pafupifupi 3-350g kulemera kophika. M'mawu ena, sitiyenera kutenga zoposa 500-50g ya nyama yophika yophika patsiku kuti muchepetse chiopsezo cha colorectal. khansa. 

Pokumbukira kuti nyama yofiira imakhala ndi thanzi labwino, kwa iwo omwe sangapewe nyama yofiira, atha kulingalira zonyamula nyama yofiyira yodulidwa ndikupewa mafuta odulidwa ndi mafuta. 

Tikulimbikitsidwanso kupewa nyama zomwe zasinthidwa monga nyama yankhumba, nyama, pepperoni, nyama yang'ombe, yowira, galu wotentha, soseji ndi salami momwe zingathere. 

Tiyenera kuyesa nyama yofiira ndikuphika nyama yankhuku, nsomba, mkaka ndi bowa. Palinso zakudya zosiyanasiyana zamasamba zomwe zitha kukhala zabwino m'malo mwa nyama yofiira kuchokera pamalingaliro azakudya zabwino. Izi ndi monga mtedza, mbewu za nyemba, chimanga, nyemba, sipinachi ndi bowa.

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.

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