Muchidimbu
Varwere vegomarara vane neutropenia kana yakaderera neutrophil kuverenga vanotapukirwa nehutachiona uye vanowanzokurudzirwa kutora matanho akawanda uye kutevedzera yakaganhurirwa neutropenic chikafu icho chinotosiya yese miriwo mitsva, michero mitsva yakawanda, nzungu, oats mbishi, unpasteurized muto wemichero, mukaka uye yogati. Nekudaro, zvidzidzo zvakasiyana uye meta-kuongorora hazvina kuwana humbowo hwakasimba hwekutsigira kuti neutropenic chikafu chinodzivirira kutapukira muvarwere vekenza. Varwere vakagamuchira neutropenic kudya vakashumawo kuti kutevedzera kudya uku kunoda kushanda nesimba. Nekudaro, vaongorori vakasimudza kushushikana pakukurudzira neutropenic kudya kenza varwere, pasina humbowo hwakasimba hwezvibatsiro zvine chekuita nekuderedzwa kwehuwandu hwehutachiona.
Chii chinonzi Neutropenia?
Neutropenia chirwere chehutano chinosanganisirwa nehuremu hwakanyanya hwerudzi rwemasero eropa machena anonzi neutrophils Aya masero machena eropa anodzivirira muviri wedu kubva kuzvirwere zvakasiyana siyana. Chero hupi hutano mamiriro ane akadzika machena masero eropa anogona kuwedzera njodzi yehutachiona. Muvanhu vane neutropenia, hutachiona hushoma hunogona kupedzisira hwave hunotyisidzira hupenyu. Nekudaro, neutropenic varwere vanofanirwa kutora matanho mazhinji ekudzivirira hutachiona.
Neutropenia inonyanya kukonzerwa:
- Neimwe chemotherapy
- Neradiotherapy kurapwa kunopihwa kumatunhu akasiyana emuviri
- Mukenza dzemasastatic dzakapararira kumativi akasiyana emuviri
- By mapfupa-mwongo chokuita zvirwere uye kanzira zvakadai seleukemia, lymphoma, uye multiple myeloma iyo inogona kukanganisa masero machena eropa
- Nedzimwe hosha dzakadai se autoimmune kusagadzikana kusanganisira aplastic anemia uye rheumatoid arthritis
Kunze kweizvi, avo vane immune system yakadzikiswa nekuda kwehutachiona hweHIV kana kuisirwa nhengo kana avo vane makore makumi manomwe zvichikwira, vanowanzo tenderera neutropenia.
Kuongororwa kweropa kunogona kutitaurira kana machena masero eropa ari mashoma.
Chii chinonzi Neutropenic Kudya?
Kudya kweNeutropenic kudya kunoshandiswa muvanhu vane immune system yakadzvinyirirwa avo vari panjodzi yekuwedzera yezvirwere kubva kumahutachiona aripo muchikafu chedu. Kudya kweNeutropenic kwakatanga kushandiswa muma1970, mune chidzidzo chaisanganisira kudya senzira yekutsigira hupenyu hwevarwere vaive vaitwa stem cell yekuisirwa.
Pfungwa yakakosha yekudya neutropenic ndeyekurega zvimwe zvekudya zvinogona kutiisa kune hutachiona uye zvimwe hutachiona, kutora matanho anodiwa uye kudzidzira kuchengetedzeka kwekudya nekubata.
Kudya Kwokusarudza uye Kudzivirira muNeutropenic Kudya
Kune zvakawanda zvekuchengetedza zvinofanirwa kutorwa nevarwere vane neutropenia uye akawanda madhayeti ekudzivirira anoteedzerwa mune neutropenic kudya. Inotevera ndiyo rondedzero yezvikafu zvekusarudza uye zvekudzivirira mune yekudya neutropenic, sezvazvinowanikwa munharaunda yeruzhinji.
Dairy Products
Zvokudya Zvokudzivisa
- Unpasteurized mukaka uye yogati
- Yogurt inogadzirwa neye mupenyu kana anoshanda tsika
- Yogati kana yakapfava ice cream kubva pamushini
- Milkshakes inogadzirwa nemusanganiswa
- Chizi dzakapfava (Brie, feta, yakapinza Cheddar)
- Unpasteurized uye yakasvibira mukaka chizi
- Cheese ine chakuvhuvhu (Gorgonzola, bhuruu bhuruu)
- Chembere chizi
- Cheese ine miriwo isina kubikwa
- Mexican-style chizi senge queso
Zvikafu zvekusarudza
- Pasteurized mukaka uye yogati
- Zvimwe zvinogadzirwa nemukaka zvakasarudzika zvinosanganisira chizi, ayizi kirimu uye mukirimu wakasviba
Dzinotangisisa
Zvokudya Zvokudzivisa
- Chingwa uye kutenderera nenzungu mbishi
- Zviyo zvine nzungu mbishi
- Pasita isina kubikwa
- Pasita saladhi kana mbatatisi saladhi ine mbishi miriwo kana mazai
- Oats mbishi
- Zviyo mbishi
Zvikafu zvekusarudza
- Mhando dzese dzechingwa
- Pasika yakabikwa
- Pancakes
- Zviyo zvakabikwa nezviyo
- Mbatata dzakabikwa
- Bhinzi dzakabikwa uye pizi
- Chibage chakabikwa
Vegetables
Zvokudya Zvokudzivisa
- Miriwo mbishi
- Nyowani Saladi
- Miriwo yakakangwa
- Makwenzi asina kubikwa nezvinonhuwira
- Mutsva sauerkraut
Zvikafu zvekusarudza
- Yese yakanyatso kubikwa chando kana miriwo mitsva
- Zvomumagaba majusi
michero
Zvokudya Zvokudzivisa
- Michero mbishi isina kugezwa
- Unpasteurized michero yemichero
- Michero yakaomeswa
- All michero mitsva kunze kweayo akanyorwa pazasi mu "Chikafu Kusarudza"
Zvikafu zvekusarudza
- Zvibereko zvemumagaba nemuto wemichero
- Frozen michero
- Pasteurized majusi echando
- Pasteurized muto weapuro
- Zvakanyatso gezwa uye kusvuurwa michero ine ganda rakakora semabhanana, maorenji uye michero yemazambiringa
MaProteins
Zvokudya Zvokudzivisa
- Nyama mbishi kana isina kubikwa, hove nehuku
- Kurudzira chikafu chakakangwa
- Dhadza nyama
- Masobho ekare
- Zvokudya zvinokurumidza
- Miso zvigadzirwa
- Sushi
- sashimi
- Nyama inotonhora kana huku
- Mazai akasvinwa kana Asina kubikwa ane runny yolk kana yezuva kumusoro
Zvikafu zvekusarudza
- Nyama dzakabikwa zvakanaka, hove nehuku
- Zvomumagaba tuna kana huku
- Yakanyatso kupisa sadza uye makemikari muto
- Mazai akaomeswa kana kubikwa
- Pasteurized mazai anotsiva
- Hupfu mazai
Beverages
Zvokudya Zvokudzivisa
- Inotonhora yakabikwa tii
- Eggnog inogadzirwa nemazai mbishi
- Zuva tii
- Homemade lemonade
- Nyowani apple cider
Zvikafu zvekusarudza
- Pakarepo uye yakabikwa kofi uye tii
- Bhodhoro (yakasvinwa kana yakasvibiswa kana yakagadziriswa reverse osmosis) kana mvura yakasvibiswa
- Zvomumagaba kana zvinwiwa zvemumabhodhoro
- Makani ega ega kana mabhodhoro esoda
- Brewed mishonga yemakwenzi
Chikafu chekudya Mushure meKenza Kuongorora!
Hapana kanzura mbiri dzakafanana. Enda pamusoro peyakajairwa nhungamiro yemunhu wese uye utore sarudzo dzakagadzirirwa nezve chikafu uye zvinowedzerwa uine chivimbo.
Zvidzidzo Zvakabatanidzwa neImpact yeNeutropenic Kudya muCancer Varwere
Mushure mekuita chemotherapy kana radiotherapy, kune njodzi yakawedzera yekutapukirwa mukati kenza varwere vanobva kuhutachiona senge mabhakitiriya uye fungus aripo mune zvekudya. Izvi zvinodaro nekuti maverengero emasero machena eropa anogona kurwisa mabhakitiriya muchikafu akadzikira uye zvakare nekuti gut lining iro rinowanzoita sechipingamupinyi pakati pebhakitiriya neropa rinokuvadzwa nechemotherapy uye radiotherapy. Kuchengeta mamiriro aya mupfungwa, varwere vanokumbirwa kutora matanho ekuzvidzivirira uye yakakosha neutropenic yekudya ine zvakawanda zvirambidzo zvekudya yakaunzwa kune vazhinji varwere vegomarara vane akadzvinyirirwa immune system.
Kudya kweNeutropenic kunowanzo kuverengerwa varwere vegomarara nechinangwa chekudzora hutachiona nekudzivirira chikafu chaicho uye nekushandisa kuchengetedza chikafu nekuchengetedza. Zvisinei, izvi zvinorambidzwa pakudya kuti zvideredze hutachiona zvinoda kuyerwa nekuona kuti varwere vanowana chikafu chakaringana, kunyanya kubata mhedzisiro yemhedzisiro uye nekuvandudza marapirwo.
Sezvo varwere vegomarara neutropenic vachifanira kutora matanho mazhinji uye kudya kwakakurudzirwa neutropenic zvakare kudya kune zvakawanda zvinorambidzwa zvekudya izvo zvinosiya zvese miriwo mitsva, michero yakawanda, nzungu, oats mbishi, majusi emichero asina kuiswa mushonga, mukaka uye yogati nezvimwe zvakawanda, ongororo dzinoverengeka dzakaitwa nevatsvagiri vakasiyana siyana kuti vadzidze kana kuunza kudya kweyeutropenic kunobatsira chaizvo mukuderedza hutachiona hwevarwere vegomarara. Zvimwe zveongororo dzichangoburwa uye zvavakawana zvakaunganidzwa pazasi. Ngatitarise!
Kuongorora kwakarongeka neVatsvagiri veUnited States neIndia
Munguva pfupi yapfuura, vaongorori vanobva kuUnited States neIndia vakaita ongororo yakarongeka kuti vaone kana paine humbowo hwakasimba hwesainzi hunogona kutsigira kushanda kweiyo neutropenic kudya mukuderedza hutachiona nekufa pakati pevarwere vegomarara. Vakaburitsa gumi neimwe yezviongorori zvekuongorora kuburikidza nekutsvaga kwemabhuku muMEDLINE, EMBASE, Cochrane Central Register yeMatongi Anodzorwa uye Scopus dhatabhesi kusvika munaKurume 11. Chidzidzo chacho hachina kuwana chero kuderera kwehutachiona hwehutachiona kana kufa pakati pevarwere vegomarara avo vakatevera kudya kweNeutropenic. (Venkataraghavan Ramamoorthy et al, Kenza yeNutriti., 2020)
Vatsvaguriri vakataurawo kuti kunyange mamwe masangano aitevedzera zvakajairika kuchengetedza chikafu mukudya kwehusimbe, vamwe vaidzivirira chikafu chinowedzera kutapukirwa nehutachiona, uye chechitatu chikamu chemasangano chakatevera zvese. Nekudaro, ivo vakakurudzira kudzivirira uye kubata kwakachengeteka kwekudya uye maitiro ekugadzirira akakurudzirwa neFood and Drug Administration, kuti iteverwe zvakaenzana kune varwere veNeutropenic.
Flinders Medical Center Kudzidza muAustralia
Mune ongororo yakaburitswa muna2020, vaongorori vanobva kuFlinders University neFlinders Medical Center muAustralia vakaedza kuyedza mhedzisiro yekiriniki yevarapi vemakemikari vakagashira kudya kweyeutropenic kana kudya kwakasununguka uye vakaongororawo kushamwaridzana kuri pakati pekudya neutropenic uye kutapukira. mhedzisiro. Pachidzidzo ichi, vakashandisa dhata kubva kuvarwere veneutropenic vane makore gumi nemasere zvichikwira avo vakagamuchirwa kuFlinders Medical Center pakati pa18 na2013 uye vakambogamuchira chemotherapy. Kunze kweava 2017 varwere vakagashira neutropenic chikafu uye makumi manomwe neshanu varwere vakagashirwa chikafu chakasununguka. (Mei Shan Heng et al, Eur J Kenza Kuchengeta (Engl)., 79)
Chidzidzo ichi chakawana kuti chiitiko che neutropenia ine kupisa kwakanyanya, bacteraemia uye huwandu hwemazuva nefivhiri yakakura ichiri yakakwira muboka rakagashira kudya kweiyo neutropenic. Imwe ongororo yemakumi maviri evarwere vevarwere vakafananidzwa zvichibva nezera, bonde uye gomarara kuongororwa havana kuwana chero musiyano wakakosha mumakiriniki mhedzisiro pakati pevarwere vakagashira neutropenic chikafu uye avo vakagashirwa chikafu chakasununguka. Vatsvakurudzi saka vakagumisa kuti neutropenic kudya kunogona kusabatsira mukudzivirira mhedzisiro yakaipa mune chemotherapy varwere.
Yakasanganiswa Yekutsvagisa Yekudzidza neMayunivhesiti akasiyana muUnited States
Vatsvagiri vepaJohns Hopkins University, Mayo Clinic, Massachusetts General Hospital, University of Texas Southwestern Medical Center neTexas Tech University Health Sciences Center muUnited States vakaita meta-ongororo pamitero yezvirwere zvakataurwa mumiedzo mishanu yakasiyana inosanganisira varwere makumi matatu nemasere. , tichifananidza kudya kweNeutropenic nezvikafu zvisina kudzivirirwa muacute myeloid leukemia (AML), acute lymphoblastic leukemia (ALL), kana varwere vecancer sarcoma vane neutropenia. Miedzo yakashandiswa pakudzidza yakawanikwa kubva kune yakazara database yekutsvaga kusvika munaGunyana 5, 388. ( Somedeb Bhora et al, Am J Clin Oncol., 12)
Chidzidzo ichi chakawana hutachiona mu53.7% yevarwere vakatevera kudya kweNeutropenic uye 50% yevarwere vakatevera chikafu chisina kudzivirirwa. Nekudaro, ivo vaongorori vakagumisa kuti kushandiswa kweiyo neutropenic kudya kunogona kusabatana neakadzikira njodzi yekutapukirwa mune neutropenic kenza varwere.
Kudzidza neMayo Clinic, Yevakuru Bone Marrow Transplant Service muManhattan neMissouri Baptist Medical Center - United States
Mune chidzidzo chakaburitswa muna 2018, vaongorori vakaongorora kushanda kweNetropenic kudya mukudzikira kwehutachiona nekufa kwevarwere vegomarara vane neutropenia. 6 zvidzidzo zvakawanikwa kuburikidza nekutsvaga kwedhatabhesi, zvakashandiswa pakuongorora, zvichisanganisira varwere ve1116 kunze uko varwere mazana manomwe nemakumi manomwe nevaviri vaive vamboitwa haematopoietic cell transplant. (Mohamad Bassam Sonbol et al, BMJ Tsigira Palliat Kuchengeta. 772)
Chidzidzo ichi chakawana kuti pakanga pasina musiyano wakakosha mukufa kwehuwandu kana huwandu hwehutachiona hukuru, bacteremia kana fungemia, pakati peavo vaitevera chikafu cheNetropenic nevaya vaigara vachidya. Chidzidzo ichi chakawana zvakare kuti kudya kweutropenic kwaibatanidzwa nenjodzi yakati rebei kutapukirwa nevarwere vaive vaitwa haematopoietic cell transplant.
Vatsvagurudzo havana kuwana chero humbowo hunotsigira kushandiswa kweiyo neutropenic kudya mune kenza varwere vane neutropenia. Panzvimbo pekutevera kudya kweNeutropenic, vakakurudzira kuti varwere vegomarara uye varapi vanofanira kuramba vachitevera nzira dzakachengeteka dzekubata chikafu uye kutora matanho, sekurudzirwa neU.S.Food and Drug Administration.
Kudzidza kweKukanganisa kweNeutropenic Kudya paPediatric Acute Lymphoblastic Leukemia (ALL) uye Varwere veSarcoma
Chidzidzo chakaburitswa nevatsvagiri kubva kuzvipatara zvakasiyana zvevana uye oncology muUnited States, yakaenzanisa huwandu hwehutachiona hwehutachiona mu73 varwere vegomarara revana vakatevera Food and Drug Administration yakabvumidza nhungamiro yekuchengetedza chikafu nevana makumi manomwe nenomwe. kenza Mhosva dzakatevera chikafu cheneutropenic pamwe neChikafu neDrug Administration yakabvumidza mirairo yekuchengetedza chikafu, panguva imwe kutenderera kwechemotherapy. Varwere vainyanya kuwanikwa vaine ALL kana sarcoma. (Karen M Moody et al, Pediatr Ropa Cancer., 2018)
Chidzidzo ichi chakawana hutachiona mu35% yevarwere vakatevera kudya kweNeutropenic pamwe neKudya neDrug Administration vakabvumidza nhungamiro dzekuchengetedza chikafu uye 33% varwere vakatevera Kudya neDrug Administration vakabvumidza nhungamiro dzekuchengetedza chikafu chete. Varwere vakagashira neutropenia chikafu zvakare vakataura kuti kunamatira kune neutropenic kudya kunoda kumwe kushanda nesimba.
Kuongorora kweImhedzisiro yeNeutropenic Kudya muAML-BFM 2004 Trial
Vanotsvagurudza kubva kuJohann Wolfgang Goethe-University kuFrankfurt, Hannover Medical School kuGerman uye Chipatara cheVana Vanorwara muToronto, Canada vakaongorora kukanganisika kwekudya neutropenic nemagariro enharaunda anoshandiswa senzira dzekurwisa hutachiona muvana vane Acute Myeloid Leukemia. Chidzidzo ichi chakashandisa ruzivo kubva kuvarwere mazana matatu ane makumi matatu nemapfumbamwe vaibatwa mumasangano makumi matatu nenomwe. Chidzidzo hachina kuwana chero bhenefiti yakakosha yekutevera kurambidzwa kwekudya mune neutropenic kudya mune ava varwere vegomarara revana. (Lars Tramsen et al, J Clin Oncol., 339)
Vanorwara neCancer Vanofanirwa Kuteerera Neutropenic Kudya?
Zvidzidzo zviri pamusoro zvinoratidza kuti hapana humbowo hwakasimba hwekutsigira kuti iyo neutropenic kudya kunodzivirira hutachiona muvarwere vegomarara. Idzi chikafu chinorambidza chinosanganisirwa nekugutsikana kwemurwere kwakadzika uye zvinogona zvakare kukonzera kushaya zvinovaka muviri. Kunyangwe pasina humbowo chaihwo hwesainzi hwekuti kudya kwemautropenic kunoderedza njodzi dzekutapukirwa nevarwere vegomarara kana kunatsiridza machena masero eropa muvarwere vegomarara, ichiri kukurudzirwa kumawebhusaiti mazhinji epamusoro emakenza eUS, sezvakaratidzwa muchidzidzo chakaburitswa. mune iyo Nutrition uye Cancer Chinyorwa mu2019 (Timothy J Brown et al, Kenza yeNutriti., 2019).
Parizvino, National Comprehensive Cancer Network (NCCN) kana Oncology Nursing Society Cancer Chemotherapy nhungamiro zvakare haisati yakurudzira kushandiswa kweneutropenic chikafu muvarwere vegomarara. Zvimwe zvidzidzo zvakawanawo kuti kutora matanho anodiwa uye kutevedzera Safe Food-Handling nhungamiro yakapihwa neFood and Drug Administration semvumo yekicheni yese yechipatara, inogona kupa dziviriro yakakwana kubva kuhutachiona hwechikafu, zvichisiya kudiwa kwekudya neutropenic. (Heather R Wolfe et al, J Hosp Med., 2018). Chidzidzo chakawanawo kuti chikafu chakasimba cheutropenic chine fiber shoma uye vhitamini C yemukati (Juliana Elert Maia et al, Pediatr Ropa Cancer., 2018). Saka, kukurudzira kenza varwere vane neutropenia kutevera zvakanyanya kudziviswa neutropenic kudya, pasina uchapupu hwakasimba pamusoro pekuderedzwa kwehutachiwana hwehutachiwana, inogona kuva isina mubvunzo.
Chikafu chipi chaunodya uye chinowedzera iwe kutora chisarudzo chaunoita. Sarudzo yako inofanirwa kusanganisira kutarisisa kwecancer genes shanduko, iyo kenza, kurapwa kuri kuenderera uye zvinowedzerana, chero mairigeji, ruzivo rwemararamiro, huremu, kukwirira uye maitiro.
Kurongeka kwehutano kwekenza kubva kuAddon hakubvi pakutsvaga kweinternet. Iyo inoshandura sarudzo kuitirwa iwe zvichibva pane samorekuru sainzi inoitwa nemasayendisiti edu uye mainjiniya esoftware. Zvisinei kuti une hanya here nekunzwisisa iyo yepasi biochemical molecular pathways kana kwete - yekuronga kudya kwemukenza kunzwisiswa kunodiwa.
Tanga IZVOZVO nekuronga kwako kudya kunovaka muviri nekupindura mibvunzo pazita rekenza, majini masayendisiti, kurapwa kuri kuenderera uye zvinowedzerana, chero kurwara, tsika, mararamiro, boka rezera uye murume kana murume.
Hunhu Hwakakosheswa Nekamwe Kenza!
Gomarara rinoshanduka nekufamba kwenguva. Gadzirisa uye gadzirisa chikafu chako zvichibva pachiratidzo chegomarara, marapirwo, mararamiro, zvaunofarira zvekudya, allergies uye zvimwe zvinhu.
Varwere veCancer kazhinji vanofanirwa kubata zvakasiyana chemotherapy mhedzisiro izvo zvinokanganisa kwavo hupenyu hwehupenyu uye kutarisa kune dzimwe nzira dzokurapa kenza. Kutora iyo kudya kwakakwana uye zvekuwedzera zvinoenderana nesainzi (kunzvenga kufungidzira uye kusarudzika kusarudza) ndiwo mushonga wepanyama wekenza uye mitezo inoenderana nekurapwa.