Kameho ea Boikoetliso le Ketsahalo ea 'mele Kankere

Lintlha-khōlō Tsa

Ho se sebetse 'meleng ho eketsa kotsi ea ho tšoaroa ke mofetše. Le hoja boikoetliso bo feteletseng le ho ikoetlisa ho feta tekano ho ka ama liphello tsa phekolo le boleng ba bophelo, ho ikoetlisa kamehla / ho ikoetlisa ho ka fana ka liphello tse molemo tsa tsamaiso tse kang ho ntlafatsa ts'ebetso ea 'mele, ho fokotsa kotsi ea ho tsoaroa ke kankere ketsahalo le ho ipheta, le bophelo bo ntlafetseng. Liphuputso tse fapaneng li fumane litlamorao tse ntle tsa boikoetliso bo itekanetseng ba 'mele / boikoetliso mefuteng ea mofetše joalo ka mofetše oa matsoele, mofets'e oa endometrial le mofets'e oa colorectal/colon. Ho ipapisitsoe le liphatsa tsa lefutso, motho a kanna a tlameha ho ntlafatsa mofuta oa boikoetliso boo ba lokelang ho bo etsa, ho fumana melemo e mengata.

Ho hloka mesebetsi ea 'mele ho bontšitsoe e le sesosa se ka sehloohong sa likotsi bakeng sa maloetse a fapaneng a sokelang bophelo a kang mafu a pelo le methapo. Lilemong tsa morao tjena, batho ba se ba qalile ho hlokomela bohlokoa ba ho ikoetlisa ho bakuli ba mofets'e le ba kotsing ea mofets'e. Pele re sheba bopaki ba mahlale bo fanang ka maikutlo a tšoanang, a re qaleng ho khatholla kutloisiso ea rona ea mantsoe - Mosebetsi oa 'mele, Boikoetliso le Metabolic Equivalent of Task (MET). 

Ho ikoetlisa le ho ikoetlisa

Motsamao ofe kapa ofe oa boithatelo oa mesifa o hlahisang ts'ebeliso ea matla o ka bitsoa bophara ba ho ikoetlisa. Ho fapana le boikoetliso, e leng mofuta oa ho ikoetlisa o buang ka metsamao e reriloeng, e phetoang ka sepheo sa ho lula o phetse hantle, ho ikoetlisa ke lentsoe le akaretsang le kanna la kenyelletsa mesebetsi ea letsatsi le letsatsi ea bophelo ba rona joalo ka ho etsa mesebetsi ea lapeng, lipalangoang , kapa ketsahalo e reriloeng joalo ka boikoetliso kapa lipapali. 

Mehlala e meng ea mefuta e fapaneng ea boikoetliso e kenyelletsa:

1. Boikoetliso ba Aerobic
2. Boikoetliso ba ho hana  

Boikoetliso ba Aerobic bo etsoa molemong oa ho ntlafatsa ho ajoa ha oksijene ka mali 'me bo amahanngoa le sekhahla se eketsehileng sa ho hema le ho ba le mmele o matlafatsang pelo. Mehlala e meng ea boikoetliso ba ho ikoetlisa e kenyelletsa ho tsamaea kapele, ho matha, ho palama baesekele, ho soka sekepe.

Boikoetliso ba ho hanyetsa bo etsoa molemong oa ho ntlafatsa matla le mamello ea mesifa. Liketso tsa boikoetliso bona li etsa hore mesifa e sebetse tumellanong le khanyetso ea kantle, 'me e etsoa ka boima ba' mele (li-press ups, squats leoto jj), lihlopha tsa ho hanyetsa kapa mechini, li-dumbbells kapa litekanyo tsa mahala. 

Tse ling tsa boitlhakiso ke motsoako oa tsona ka bobeli, joalo ka ho hloa litepisi. Hape, le ha boikoetliso bo bong bo shebile ho ntlafatsa maemo a kang ho otlolla bonolo le Hatha yoga, tse ling li shebile ho leka-lekana joalo ka Yoga le Tai Chi.

Ts'ebetso ea Metabolic e lekanang le Mosebetsi (MET)

Metabolic e lekanang le mosebetsi kapa MET, ke mohato o sebelisetsoang ho khetholla matla a ts'ebetso ea 'mele. Ke sekhahla seo motho a sebelisang matla ka sona, ha ho bapisoa le boima ba motho eo, ha a ntse a etsa mesebetsi e itseng ea 'mele ha e bapisoa le tšupiso e lekanang le matla a sebelisitsoeng ha a lutse a phomotse. MET e batla e le sekhahla sa matla se sebelisoang ke motho ea lutseng a phomotse. Mesebetsi e bobebe ea 'mele e sebelisa chelete e ka tlase ho 1 MET, mesebetsi e matla e itekanetseng e sebelisa li-MET tse 3 ho isa ho tse 3,' me mesebetsi e matla e sebelisa MET e 6 kapa ho feta.

Bohlokoa ba Ketsahalo ea 'mele / Ho ikoetlisa ka mofets'e

Lilemong tsa morao tjena, ho na le bopaki bo ntseng bo hola bo bontšang hore boikoetliso / boikoetliso bo ka ba le tšusumetso methating eohle ea leeto la mokuli oa mofets'e. 

Bopaki ba mahlale bo tšehetsa hore ho ba mafolofolo 'meleng le ho ikoetlisa khafetsa ha o ntse o phekoloa ke mofets'e hape kamora ho phethela kalafo ho ka thusa ho ntlafatsa boleng ba bophelo ba bakuli ba mofets'e ka ho laola mokhathala o amanang le mofets'e, ho ntlafatsa khatello ea pelo le mesifa. Ho ikoetlisa khafetsa ke bakuli ba tlhokomelong ea kalafo ho ka thusa ho laola mokhathala o amanang le mofetše, ho boloka ts'ebetso ea 'mele le ho ntlafatsa bophelo ba masapo.

Mokhatlo oa Ketsahalo ea Nako ea Boikhathollo e Kotsing ea Mefuta e 26 ea Kankere

Phuputsong e phatlalalitsoeng ke JAMA Internal Medicine ka 2016, Steven C. Moore oa National Cancer Institute, Bethesda le li-coauthor ba ile ba lekola boitsebiso bo itlalehang ba boikoetliso ho tsoa ho ba 12 ba neng ba lebelletsoe ho ba lihlopha tsa Amerika le tsa Europe ho tloha ka 1987 ho isa ho 2004 hore ba utloisise kamano pakeng tsa 'mele. tšebetso le ketsahalo ea mefuta e 26 e fapaneng ea mofetše. Phuputso e kenyelelitse kakaretso ea bankakarolo ba limilione tse 1.4 le linyeoe tsa mofets'e tse 186,932. (Steven C Moore et al, JAMA Intern Med., 2016)

Phuputso e fumane hore ba nang le maemo a phahameng a ho ikoetlisa ha ba bapisoa le maemo a tlase ba amahanngoa le kotsi e fokotsehileng ea mofets'e oa 13 ho tsoa ho 26, ka 42% e fokotsitse kotsi ea esophageal adenocarcinoma, 27% e fokotsitse kotsi ea mofetše oa sebete, 26% e fokotsitse kotsi ea Kankere , 23% e fokotsitse kotsi ea mofets'e oa hlooho le molala, 22% e fokotsitse kotsi ea mofets'e oa 'mala, 21% e fokotsitse kotsi ea mofetše oa senya mme ka 20% e fokotsa kotsi ea mofets'e oa matsoele. Mekhatlo e lula e ts'oana ho sa tsotelehe lintlha tse kang boima ba 'mele. Boemo ba ho tsuba bo fetotse mokhatlo oa mofets'e oa matšoafo empa eseng bakeng sa mofetše o mong o amanang le ho tsuba.

Ka bokhutšoanyane, boikoetliso ba nako ea boithabiso bo ne bo amahanngoa le kotsi e fokotsehileng ea mefuta e 13 e fapaneng ea mofets'e.

Mokhatlo oa boithapollo ba 'mele / ho ikoetlisa ka ho shoa le ho iponahatsa ho baphonyohi ba mofets'e oa matsoele

Phuputso e entsoeng ke bafuputsi ba tsoang Univesithing ea Naha le ea Kapodistrian ea Athene, Greece le Univesithi ea Milan, Italy e lekotse botsoalle ba ho ikoetlisa kamora ho hlahlojoa ke mofetše oa matsoele ka lisosa tsohle tsa lefu, lefu la mofets'e oa matsoele le / kapa kankere ea matsoele e iphetang. Tlhatlhobo e kenyellelitse lithuto tsa 10 tsa ho shebella tse fumanoeng ka patlo ea Pubmed ho fihlela ka Pulungoana 2017. Nakong ea tatellano e bolelang ea lilemo tse 3.5 ho isa ho tse 12.7, kakaretso ea baphonyohi ba mofets'e ba 23,041 2,522, lefu la 841 lisosa tsohle, mafu a 1,398 a bakiloeng ke mofetše oa matsoele le makhetlo a 2019 a tlalehiloe . (Maria-Eleni Spei et al, Sefuba., XNUMX)

Phuputso e fumane hore ha e bapisoa le basali ba nang le boithabiso bo tlase haholo ba boithabiso, basali bao ba nang le boikoetliso bo phahameng ba na le kotsi e tlase ea lefu ka lebaka la lisosa tsohle, mofetše oa matsoele le kotsi e tlase ea ho ipheta.

Mokhatlo pakeng tsa Ketsahalo ea Pele le ka morao ea ho hlahlojoa ha 'mele le Ketsahalo ea Kankere ea Endometrial

Phuputso e lebelletsoeng ke sehlopha sa sehlopha sa sehlopha sa batho ba Alberta, Canada, e entsoeng ke bafuputsi ba Alberta Health Services, University of Calgary le University of Alberta naheng ea Canada le University of New Mexico, ho basali ba 425 ba fumanoeng ba na le mofetše oa endometrial lipakeng tsa 2002 le 2006 mme ba elelloa ho fihlela 2019, ho lekantsoe kamano lipakeng tsa boikoetliso ba pele le kamora ho hlahlojoa le ho pholoha ho baphonyohi ba mofets'e oa endometrium. Kamora tatellano e bolelang ea lilemo tse 14.5, ho ile ha shoa batho ba 60, ho kenyeletsoa lefu la mofetše oa endometriamo tse 18, le liketsahalo tse 80 tse sa pholoheng mafu. (Christine M Friedenreich et al, J Clin Oncol., 2020)

Phuputso e fumane hore boikoetliso bo phahameng ba "pre-diagnosing" bo amanang haholo le pholoho e se nang mafu, empa eseng ho phela ka kakaretso; le boithabiso bo phahameng ba kamora ho hlahlojoa ha boithabiso bo ne bo amahanngoa haholo le ho pholoha ho se nang mafu le ho pholoha ka kakaretso. Hape, ba bolokileng litekanyetso tse phahameng tsa boithabiso ba 'mele ho tloha pele ho kamora ho hlahlojoa ba ntlafalitse ho phela ntle le maloetse le ho pholoha ka kakaretso ha ba bapisoa le ba bolokang maemo a tlase haholo a ho ikoetlisa.

Tšusumetso ea Boikoetliso bo hlophisitsoeng / Koetliso ea 'Mele ho Boleng ba Bophelo ho Bakuli ba Kankere ea Colon

Phuputso e entsoeng ke bafuputsi ba tsoang liunivesithing tse fapaneng tsa Austria, e bitsoang phuputso ea ABCSG C07-ExERCISE, e lekotse monyetla oa ho ikoetlisa / ho ikoetlisa ka selemo se le seng ka mor'a chemotherapy ea adjuvant ho bakuli ba mofets'e oa cololorectal / colon. Bakuli bana ba ile ba fumana ts'ebetso ea sechaba, ts'ebetso ea maikutlo, litlamorao tsa lichelete, ho hlobaela le lets'ollo hampe ho feta batho ba Jeremane ka kakaretso. (Gudrun Piringer le al, Kankere e Kopaneng Ther. Jan-Dec 1)

Phuputso e fumane hore kamora selemo sa 1 sa koetliso e hlophisitsoeng ea boikoetliso, ho bile le lintlafatso tse kholo tse tlalehiloeng bakeng sa ts'ebetso ea sechaba; lintlafatso tse itekanetseng tse tlalehiloeng bakeng sa bohloko, letshollo, litlamorao tsa lichelete le tatso; le ntlafatso e nyane bakeng sa ts'ebetso ea 'mele le maikutlo hammoho le boleng ba bophelo ba lefatše. 

Bafuputsi ba fihletse qeto ea hore selemo sa 1 sa boikoetliso bo hlophisitsoeng / boikoetliso ba 'mele ho bakuli ba mofets'e ba tsoetseng pele ba colorectal / colon ba post adjuvant chemotherapy e ntlafalitse ts'ebetso ea sechaba,' meleng le maikutlong hammoho le boleng ba bophelo ba lefatše.

Na ho na le lihora tse telele tsa boikoetliso bo matla bo hlokahalang bakeng sa bakuli ba mofets'e kapa ba kotsing e kholo ea mofets'e? 

Liphuputso tsohle tse boletsoeng kaholimo li supa hore ho ba mafolofolo 'meleng le ho ikoetlisa khafetsa ho ka fokotsa menyetla ea ho ba le mofetše, hape ho ntlafatsa pholoho le boleng ba bophelo, ho fokotsa likotsi tsa lefu le ho ipheta ho bakuli ba mofets'e le baphonyohi. Leha ho le joalo, sena ha se bolele hore motho o hloka ho etsa lihora tse telele haholo tsa ho ikoetlisa ka matla le ka matla ho fumana melemo ena. Ebile, maemong a mangata ho ikoetlisa ka matla ho matla ho ka ba kotsi ho feta molemo. Ka mantsoe a mang, ho se ikoetlise kapa ho ikoetlisa ka matla nako e telele ho ka se be molemo.

E 'ngoe ea likhopolo tse atileng haholo tse tšehetsang ntlha ena ka litlamorao tsa ho ikoetlisa / ho ikoetlisa ka kotsi ea mofets'e kapa sephetho ho bakuli ba mofets'e ke thuto ea "hormone".

Ho ikoetlisa le Hormesis

Hormesis ke ts'ebetso eo karabelo ea biphasic e bonoang ha e pepesetsoa maemo a ntseng a eketseha a boemo bo itseng. Nakong ea li-hormone, tekanyetso e tlase ea moemeli oa lik'hemik'hale kapa sesosa sa tikoloho se ka bang kotsi ho litekanyetso tse phahameng haholo se baka phello e ntle ho mmele. 

Ha bophelo ba ho lula fatše le ho se ikoetlise bo eketsa khatello ea mali le boikoetliso bo fetelletseng 'me khatello e matla ea' mele e ka fokotsa khatello ea 'mele ka ho ikamahanya le maemo. Ho qala le ho tsoela pele ha mofets'e ho amahanngoa le khatello ea mali, hobane khatello ea mali e ka eketsa tšenyo ea DNA, phapang ea genome le keketseho ea lisele tsa mofetše. Ho ikoetlisa khafetsa le ho ikoetlisa ho ka fana ka litlamorao tse ntle tsa ts'ebetso joalo ka ntlafatso ea ts'ebetso ea mmele, ho fokotsa kotsi ea mofets'e le bophelo bo betere.

Mokhatlo pakeng tsa Ketsahalo ea 'mele / Boikoetliso le Kotsi ea Kankere ea Sisteme ea Ts'oaetso

Tlhatlhobo ea morao-rao e entsoeng ke Univesithi ea Shanghai ea Bongaka ba Setso ba China, Univesithi ea Bongaka ea Naval e Shanghai le Univesithi ea Lipapali ea Shanghai, China e lekotse phello ea boikoetliso mefuteng e fapaneng ea Kankere ea Sisteme ea Ts'oaetso ho ipapisitsoe le lithuto tse 47 tse fumanoeng ka patlo ea lingoliloeng inthaneteng. polokelongtshedimosetso kang PubMed, Embase, Web of Science, Cochrane Library, le China National Infrastructure Infrastructure. Phuputso e kenyelelitse kakaretso ea bankakarolo ba 5,797,768 le linyeoe tse 55,162. (Fangfang Xie et al, J Sport Health Sci., 2020)

Phuputso e fumane hore ha e bapisoa le ba nang le boikoetliso bo tlase haholo 'mele, batho ba nang le boits'oaro bo phahameng ba na le menyetla e fokotsehileng ea Kankere ea Ts'oaetso ea Digestive, ka 19% e fokotsitse kotsi ea mofets'e oa colon, 12% e fokotsitse kotsi ea mofets'e oa' mala, 23% e fokotsitse kotsi ea ho hlaka ka 'mala. mofets'e, 21% e fokotsitse kotsi ea mofetše oa gallbladder, 17% e fokotsitse kotsi ea mofetše oa gastric, 27% e fokotsitse kotsi ea mofetše oa sebete, 21% e fokotsitse kotsi ea mofets'e oa oropharyngeal, mme 22% e fokotsitse kotsi ea mofets'e oa pancreatic. Liphuputso tsena e ne e le 'nete bakeng sa lithuto tsa taolo ea linyeoe le lithuto tsa sehlopha sa sehlopha. 

Tlhatlhobo ea meta ea lithuto tse 9 tse tlalehileng maemo a tlase, a itekanetseng le a phahameng a ho ikoetlisa le ona a fumane hore ha ho bapisoa le ba nang le boikoetliso bo tlase haholo, boikoetliso bo itekanetseng bo fokotsitse kotsi ea Kankere ea Sisteme ea Ts'oaetso. Leha ho le joalo, ho khahlisang, ha ho bapisoa le ba nang le boikoetliso bo itekanetseng ba 'mele, boikoetliso bo phahameng bo bonahala bo eketsa menyetla ea ho ba le Mofets'e oa Kankere ea Ts'oaetso.

Liphuputso li fana ka maikutlo a hore le ha ho ikoetlisa le ho ikoetlisa khafetsa maemong a itekanetseng ho bohlokoa ho fokotsa kotsi ea mofets'e, ho ikoetlisa ka matla ho ka eketsa kotsi ea mofets'e. 

Mokhatlo pakeng tsa ho ikoetlisa / ho ikoetlisa le ho pholoha kamora ho fumanoa ke mofetše oa matsoele

Phuputso e entsoeng ke bafuputsi ba Brigham le Women Hospital le Harvard Medical School e Boston ba hlahlobile hore na ho ikoetlisa / ho ikoetlisa har'a basali ba nang le mofetše oa matsoele ho fokolitse kotsi ea bona ea lefu ka lebaka la mofets'e oa matsoele ha ho bapisoa le basali ba lutseng haholo. Phuputso e sebelisitse data ho tsoa ho baoki ba basali ba 2987 ba ngolisitsoeng ho Nurses 'Health Study ba fumanoeng ba na le mofets'e oa I, II, kapa III oa mofetše oa matsoele lipakeng tsa 1984 le 1998 mme ba lateloa ho fihlela lefung kapa Phuptjane 2002. (Michelle D Holmes et al, JAMA., 2005)

Phuputso e fumane hore ha e bapisoa le basali ba neng ba le ka tlase ho lihora tse 3 tsa MET (ho lekanang le ho tsamaea ka lebelo le lekanang la 2 ho 2.9 mph bakeng sa hora e le 'ngoe) ka beke ea boikoetliso / boikoetliso, ho bile le phokotso ea 1% ea lefu ho tloha kankere ea matsoele bakeng sa ba nkileng lihora tse 20 ho isa ho tse 3 MET-lihora ka beke; 8.9% e fokotsitse kotsi ea lefu ka lebaka la mofetše oa matsoele ho ba neng ba sebetsa lihora tse 50 ho isa ho 9 tsa MET ka beke; 14.9% e fokotsitse kotsi ea lefu ka lebaka la mofetše oa matsoele ho ba neng ba sebetsa lihora tse 44 ho isa ho 15 tsa MET ka beke; mme 23.9% e fokotsitse kotsi ea lefu ka lebaka la mofetše oa matsoele ho ba neng ba sebetsa lihora tse 40 kapa ho feta tsa MET ka beke, haholo basali ba nang le lihlahala tse arabelang lihormone. 

Phuputso e bontšitse hore ho ikoetlisa ka mor'a ho hlahlojoa ke kankere ea matsoele ho ka fokotsa kotsi ea lefu le bakoang ke lefu lena. Molemo o moholo ka ho fetisisa o etsahetse letsoeleng tsoaroa ke kankere basali ba ileng ba etsa se lekanang le ho tsamaea 3 ho lihora tsa 5 ka beke ka lebelo le tloaelehileng 'me ho ne ho se na phaello e eketsehileng ea tšebeliso ea matla a matla ka ho ikoetlisa ka matla.

Mokhatlo pakeng tsa ts'ebetso ea 'mele le kotsi ea mofets'e oa Endometrial

Phuputso e entsoeng ke bafuputsi ba tsoang Univesithing ea Washington School of Public Health le Setsi sa Patlisiso sa Kankere sa Fred Hutchinson se Washington le Brigham le Sepetlele sa Basali le Sekolo sa Bongaka sa Harvard se Boston se lekotse kamano pakeng tsa boikoetliso le mofetše oa endometrium. Phuputso e sebelisitse lintlha ho tsoa ho basali ba 71,570 Thutong ea Baoki ea Bophelo. Nakong ea tatellano ho tloha 1986 ho isa 2008, ho tlalehiloe kankere tse 777 tse hlaselang tsa endometriamo. (Mengmeng Du et al, Kankere ea Int J., 2014)

Ha ho bapisoa le <3 MET-hr / beke (<1 hr / beke ho tsamaea), basali ba neng ba kopanela mesebetsing e itekanetseng ea morao-rao ea boithabiso (9 ho <18 MET-hr / beke) ba ne ba e-na le 39% ea kotsi e fokotsehileng ea kankere ea endometrial le bao ho kenya letsoho mesebetsing e mengata ea morao-rao ea boithabiso (≥27 MET-hora / beke) e bile le kotsi e fokotsehileng ea 27% ea endometrial. tsoaroa ke kankere.

Har'a basali ba sa kang ba etsa ts'ebetso e matla, ho tsamaea ha morao tjena ho ne ho amahanngoa le likotsi tse fokotsehileng tsa 35% (-3 vs. <0.5 hr / beke), mme lebelo la ho tsamaea ka potlako le ne le amahanngoa le phokotso ea likotsi. Ho ikoetlisa haufinyane haholo, ka ts'ebetso ea nako e lekanang le matla a joalo ka ho tsamaea, ho ka fokotsa kotsi ea mofetše oa endometrium. Ba neng ba nkile karolo e ngata haholo ea boithabiso ba morao-rao ba ne ba le kotsing e kholo ea mofets'e oa endometrial ha ba bapisoa le ba etsang mesebetsi e itekanetseng. 

fihlela qeto e

Lithuto tse fapaneng li fumane litlamorao tse ntle tsa boikoetliso bo itekanetseng ba 'mele / boikoetliso mefuteng ea mofetše joalo ka mofetše oa matsoele, mofetše oa endometrial le mofets'e oa tsamaiso ea tšilo ea lijo joalo ka mofets'e oa colorectal/colon. Liphuputso tse ngata li boetse li fana ka maikutlo a hore le hoja ho se sebetse 'meleng ho ka eketsa kotsi ea tsoaroa ke kankere 'me boikoetliso bo feteletseng le ho ikoetlisa ka ho feteletseng ho ka ama liphello tsa phekolo le boleng ba bophelo hampe, ho ikoetlisa ka mokhoa o itekanetseng le ho ikoetlisa ho ka fana ka liphello tse molemo tsa tsamaiso tse kang ho ntlafatsa tšebetso ea' mele, ho fokotsa kotsi ea kankere le bophelo bo botle. Ho ipapisitsoe le liphatsa tsa rona tsa lefutso, re kanna ra tlameha ho ntlafatsa mefuta ea boikoetliso eo re e etsang ho fumana melemo e mengata. Boikoetliso ba 'mele le boikoetliso bo na le tšusumetso ea bohlokoa methating eohle ea leeto la mokuli oa mofetše.

Lijo tseo u li jang le tse u tlatsetsang ke qeto eo u e etsang. Qeto ea hau e lokela ho kenyelletsa ho nahanisisa ka liphetoho tsa liphatsa tsa lefutso tsa mofetše, e leng mofetše, kalafo e tsoelang pele le litlatsetso, ho kula hohle, leseli la bophelo, boima, bolelele le litloaelo.

Morero oa phepo e nepahetseng bakeng sa mofets'e ho tsoa addon ha o ea ipapisa le lipatlisiso tsa inthanete. E iketsetsa liqeto bakeng sa hau e ipapisitse le mahlale a limolek'hule a kentsoeng tšebetsong ke bo-rasaense ba rona le lienjineri tsa software. Ho sa tsotelehe hore na o tsotella ho utloisisa metheo ea limolek'hule kapa che - bakeng sa moralo oa phepo ea mofets'e kutloisiso ea hlokahala.

Qala hona joale ka moralo oa hau oa phepo e nepahetseng ka ho araba lipotso lebitsong la mofetše, phetoho ea lefutso, kalafo e tsoelang pele le litlatsetso, ho kula hohle, litloaelo, mokhoa oa bophelo, sehlopha sa lilemo le bong.

Bakuli ba mofets'e hangata ba tlameha ho sebetsana le tse fapaneng litla-morao tsa chemotherapy tse amang boleng ba bona ba bophelo le ho batla mekhoa e meng ea kalafo ea mofets'e. Ho nka phepo e nepahetseng le litlatsetso ho latela maikutlo a mahlale (ho qoba ho inahanela le ho khetha ka mokhoa o sa reroang) ke pheko ea tlholeho bakeng sa mofets'e le litla-morao tse amanang le kalafo

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