Mfundo
Oposa 50% ya odwala khansa amagwiritsa ntchito zitsamba ndi mankhwala azitsamba limodzi ndi mankhwala awo a chemotherapy kuthandiza kuchepetsa zotsatira za chemo (monga mankhwala achilengedwe). Ngati zitsamba sizinasankhidwe mwasayansi, izi zitha kuonjezera chiopsezo cha kusagwirizana kwa zitsamba ndi mankhwala omwe angathe kusokoneza mankhwala a khansa. Kuyanjana kwa mankhwala azitsamba pakati pa mankhwala azitsamba osankhidwa mwachisawawa ndi chemotherapy kumatha kuchepetsa mphamvu, kapena kuonjezera kawopsedwe ndi zotsatirapo zake. chemo amagwiritsidwa ntchito mu khansa ndipo akhoza kuvulaza.
Chifukwa chiyani Odwala Khansa amagwiritsa ntchito mankhwala azitsamba limodzi ndi Chemotherapy?
Thandizo la Chemotherapy ndi gawo lambiri khansa Thandizo lamankhwala ngati mulingo woyamba wa chisamaliro malinga ndi malangizo ozikidwa pa umboni. Kutengera zolemba zonse ndi mabulogu omwe odwala adakumana nawo panthawi yamankhwala a chemotherapy, odwala amakhala ndi nkhawa chifukwa cha zovuta zomwe akuyenera kuthana nazo. Chifukwa chake, odwala khansa nthawi zambiri amamwa mankhwala azitsamba osiyanasiyana (monga mankhwala achilengedwe a khansa) kutengera kutumizidwa ndi abwenzi ndi abale kapena zomwe amawerenga pa intaneti, kuti achepetse zovutazo ndikuwongolera thanzi lawo.
Pali deta ku US yokha kutengera kafukufuku wa 2015 National ogula kumene 38% ya ogwiritsira ntchito mankhwala osokoneza bongo amafotokoza kugwiritsa ntchito mankhwala azitsamba omwe ali ndi chiwerengero chachikulu cha odwala sitiroko (48.7%) ndi khansa odwala (43.1%), kuphatikiza ena (Rashrash M et al, J Wodwala Exp., 2017). Kafukufuku wam'mbuyomu adanenanso zakuchuluka kwa 78% ya odwala omwe amagwiritsa ntchito mankhwala azitsamba ali pa chemotherapy (McCune JS et al, Cancer Care Care, 2004). Ndipo kafukufuku waposachedwa kwambiri adapeza kuti opitilira theka la omwe anafunsidwa akuti amagwiritsa ntchito mankhwala azitsamba limodzi ndi chemo (Luo Q et al., J Altern Complement Med., 2018). Chifukwa chake chidziwitsochi chikuwonetsa kuti pali odwala ambiri a khansa omwe amamwa mankhwala azitsamba pomwe amalandira mankhwala a chemotherapy ndipo ichi ndichinthu chomwe chitha kuwavulaza.
Chifukwa chachikulu chogwiritsa ntchito mankhwala azitsamba limodzi ndi chemotherapy chitha kukhala chovulaza chifukwa chogwiritsa ntchito mankhwala azitsamba. Ndizowopsa kwambiri kwa odwala omwe ali ndi vuto losatha komanso lovuta kumwa mankhwala angapo.
Zakudya Zoti Mudye Mukatha Kuzindikira Khansa!
Palibe khansa ziwiri zomwezi. Pitani kupitilira malangizo omwe anthu onse amapereka kwa onse ndikupanga zisankho zomwe mungakonde pazakudya ndi zowonjezera ndi chidaliro.
Kodi kugwiritsa ntchito mankhwala azitsamba ndi chiyani ndipo zitsamba / zitsamba zingayambitse bwanji chemotherapy?
- Kuyanjana kwa zitsamba kumatha kuchitika ngati zitsamba / zitsamba zimasokoneza kagayidwe kake kapena chilolezo cha mankhwala / chemotherapy mthupi. Kuchepetsa kwa kagayidwe katsitsi ka mankhwala kumayanjanitsidwa ndi michere yopanga mankhwala kuchokera ku cytochrome P450 (CYP) yabanja komanso mapuloteni onyamula mankhwala.
- Kuyanjana uku kumatha kusintha kuchuluka kwa mankhwala m'thupi. Mankhwala a chemotherapy, omwe amadziwika kuti ndi a poizoni komanso zoyipa zoyipa, amachotsedwa pamlingo wokhazikika komanso wotetezeka, wololeza kwambiri, pomwe phindu la mankhwalawo limaposa chiwopsezo. Kusintha kulikonse kwa mankhwala a chemotherapy m'thupi kumatha kuyambitsa mankhwalawa kukhala osagwira ntchito kapena kuyambitsa kawopsedwe.
- Kuyanjana kwa mankhwala azitsamba kumatha kuchitika chifukwa choletsa kapena kuyambitsa ndi mankhwala azitsamba a mankhwalawa omwe amathandizira kupukusa michere ya CYP kapena mapuloteni onyamula mankhwala. Ma chemotherapeutic othandizira ena amafunika kuyatsidwa ndi ma CYP kuti akhale ogwira ntchito. Ndi kuletsa ma CYP, mankhwala otere omwe akuyenera kuyambitsidwa sadzagwira ntchito.
- Pakhoza kukhala kulumikizana kwa mankhwala azitsamba komwe kumapangitsa kuti mankhwala osokoneza bongo a cytotoxic achuluke chifukwa cha kuyambitsa kwa CYP, komwe kumatha kubweretsa kuwonetsedwa kwa mankhwala osokoneza bongo ndipo kumatha kubweretsa kulephera kwa mankhwala.
- Kuyanjana kwina kwa mankhwala azitsamba chifukwa cha CYP kuletsa kumatha kubweretsa kudzikundikira kwa mankhwala a cytotoxic chifukwa chakuchepetsa chilolezo ndipo kumatha kuonjezera poizoni wa mankhwalawa chifukwa cha kuchuluka kwa mankhwala osokoneza bongo.
- Cancer odwala akumwa kale mankhwala angapo nthawi imodzi chifukwa cha matenda ena okhudzana ndi khansa komanso zovuta zina, zomwe zimakhala ndi chiopsezo chogwiritsa ntchito mankhwala osokoneza bongo. Kugwiritsa ntchito zitsamba / mankhwala azitsamba kumatha kukulitsa chiwopsezo cha zinthu zomwe zitha kukhala zovulaza zomwe zimasokoneza mphamvu yamankhwala / chemotherapy.
Kutsiliza
Kafukufuku wamankhwala awonetsa zitsamba zingapo ndi mankhwala azitsamba kuphatikiza St. John's wort, gingko, ginseng, licorice, kava, adyo, kiranberi, mbewu ya mphesa, germander, goldenseal, valerian, ndi cohosh wakuda pakati pa ena kuti ateteze kapena kuyambitsa ma CYP (Fasinu PS ndi Rapp GK, Front Oncol., 2019) motero amatha kulumikizana ndi chemotherapies. Odwala ayenera kudziwa mavuto omwe angakhalepo asanayambe kumwa mankhwala osakaniza popanda chidziwitso chokwanira ndi deta yothandizira. Chifukwa chake zowonjezera zowonjezera zimayenera kusankhidwa mosamala komanso mwasayansi kuti zikhale ndi phindu lomwe lingafune.
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.
Zakudya Zawekha za Khansa!
Khansara imasintha ndi nthawi. Sinthani ndikusintha zakudya zanu kutengera zomwe zikuwonetsa khansa, machiritso, moyo, zomwe mumakonda, zomwe zingakusangalatseni ndi zina.
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 kulosera ndi kusankha mwachisawawa) ndiye njira yabwino kwambiri yachilengedwe khansa ndi zotsatira zake zokhudzana ndi chithandizo.