Iimbalasane
Uphononongo lweklinikhi ebeleni umhlaza izigulana zavavanya umbutho wokusetyenziswa kwesondlo sokutya / ukongezelela kwisondlo ngaphambi nangexesha le-chemotherapy, kunye neziphumo zonyango. Okumangalisa kukuba, ukusetyenziswa kwe-antioxidant supplement (IiVithamini A, C kunye ne-E, i-carotenoids, i-coenzyme Q10) okanye i-non-oxidant supplements (i-Vitamin B12, isinyithi) ngaphambi nangexesha lokunyanga kwakudityaniswa nefuthe elibi kunyango, ukuphindaphinda kunye nokunciphisa ukusinda jikelele.
Ukutya okuSebenzisa ngokuSebenzisa iZigulana ezinomhlaza
Ukuxilongwa komhlaza sisiganeko esitshintsha ubomi esihambelana nokuxhalaba kohambo oluzayo lonyango kunye noloyiko lokungaqiniseki kwesiphumo. Emva kokuxilongwa umhlaza, izigulana zikhuthazwa ukuba zenze utshintsho kwindlela yokuphila ezikholelwa ukuba ziya kuyiphucula impilo nentlalo-ntle yazo, zinciphise umngcipheko wokuphindaphinda, kwaye zinciphise iziphumo ebezingalindelekanga zonyango lwazo lwechemotherapy. Ngokuqhelekileyo, baqala ukusebenzisa izongezo zokutya / izondlo kunye nonyango lwabo lwechemotherapy. Kukho iingxelo ze-67-87% yezigulane ezinomhlaza ezisebenzisa izongezo zokutya emva kokuxilongwa. (IVelicer CM okqhubekayo, J Clin. I-Oncol., 2008Ngenxa yokuxhaphaka okuphezulu kunye nokusetyenziswa ngokubanzi kokutya / izongezo zesondlo ngabaguli abanomhlaza ngexesha lonyango lwabo, kunye neenkxalabo zokuba ezinye izongezo, ngakumbi ii-antioxidants, zinokunciphisa i-cytotoxicity ye-chemotherapy, kubalulekile ukuqonda umbutho wokutya / wokutya Unyango lwe-chemotherapy kwiziphumo, kubandakanya nefuthe kwiziphumo ebezingalindelekanga ezinje nge-chemotherapy.
Isifundo se-DELCap
Njengenxalenye yeqela elikhulu lentsebenziswano yolingo lwezonyango lokuvavanya iirejimeni zedosi ye-DOX, i-cytophosphane (CP) kunye ne-PTX, kunyango lomngcipheko ophezulu. umhlaza webele, uvavanyo olulindelekileyo lwenziwa ukuvavanya ubudlelwane phakathi kokusetyenziswa kwesongezo kunye neziphumo zomhlaza wamabele. Ukutya, Ukuzilolonga kunye nendlela yokuphila (DELCap) Uphononongo olusekelwe kwi-questionnaire yenzelwe ukuhlola izinto zendlela yokuphila ngokukodwa ukusetyenziswa kwe-vitamin supplements ngaphambi kokuxilongwa kunye nexesha le-chemotherapy ngokumalunga neziphumo zonyango, njengenxalenye yolu vavanyo lonyango (SWOG 0221, NCT 00070564). (UZirpoli GR okqhubekayo, J Natl. Umhlaza Inst., 2017; Ambrosone CB okqhubekayo, J Clin. I-Oncol, 2019Kwakukho abaguli abanomhlaza wamabele abali-1,134 abaphendule amaphepha emibuzo ekusebenziseni kwabo izongezo ngaphambi kokuqala konyango nangexesha lonyango, kunye nokulandela kwiinyanga ezi-6 emva kokubhaliswa.
Ukutya okuTyiwa emva kokuChongwa koMhlaza!
Akukho mhlaza mibini ifanayo. Yiya ngaphaya kwezikhokelo zesondlo esiqhelekileyo kuwo wonke umntu kwaye wenze izigqibo ezizezakho malunga nokutya kunye nezongezo ngokuzithemba.
Isishwankathelo seziphumo eziphambili zophando ezinxulumene nokunxulumana nokusetyenziswa kwesongezelelo sokutya kunye neziphumo zonyango zezi:
- Ukusetyenziswa kwaso nasiphi na isongezelelo se-antioxidant (iVithamini A, C kunye no-E; i-carotenoids; i-coenzyme Q10) ngaphambi nangexesha lonyango kunxulunyaniswa nengozi eyandayo yokuphindaphinda (ulungelelwaniso lomngcipheko wengozi [adjHR [, 1.41; 95% CI, 0.98 ukuya ku-2.04; P = 0.06) "(Ambrosone CB okqhubekayo, J Clin Oncol., 2019)
- Ukusetyenziswa kwee-non-antioxidants ezinje nge-vitamin B12 ngaphambili nangexesha le-chemotherapy yayihambelana kakhulu nokuswela izifo ezingenasifo kunye nokusinda ngokubanzi (P <0.01).
- Ukusetyenziswa kwesongezo sesinyithi esiqhele ukusetyenziselwa ukunceda ekuphuculeni iziphumo ebezingalindelekanga ze-anemia zazinxulunyaniswa kakhulu nokuphindaphinda, kusetyenziswa kokubini ngaphambili naphakathi kwonyango. (P <0.01)
- Ukusetyenziswa kweMultivitamin kwakungadibani neziphumo zokusinda.
- Uhlalutyo lwangaphambili olupapashiweyo lwesifundo se-DELCap lubonise ukuba ukusetyenziswa kwe-multivitamin ngaphambi kokuba kufunyaniswe isifo kunxulunyaniswa neempawu ezincitshisiweyo zekhemotherapy ezibangelwa yipheripheral neuropathy, nangona kunjalo, ukusetyenziswa ngexesha lonyango akufunyanwanga kuluncedo. (UZirpoli GR okqhubekayo, J Natl Cancer Inst., 2017)
isiphelo
Idatha engentla ibonisa ukuba izongezo zokutya / izondlo, iivithamini kunye ne-antioxidants, ezisetyenziswa yi umhlaza Izigulana zithumela ukuxilongwa kwazo, kwaye ngaphambi nangexesha lonyango lwazo lwekhemotherapy, kufuneka lwenziwe ngengcinga nangononophelo. Kwanento eqhelekileyo kunye neqhelekileyo esetyenziswa njenge-antioxidants kunye ne-multivitamins inokuba namandla okuba nefuthe elibi kwiziphumo zonyango xa isetyenziswa ngexesha lonyango lwe-chemotherapy.
Kukuphi ukutya okutyayo kwaye okuncedisayo kukuthatha sisigqibo osithathayo. Isigqibo sakho kufuneka sibandakanye ukuthathelwa ingqalelo kotshintsho lomhlaza kuhlobo lomhlaza, unyango oluqhubekayo kunye nezongezelelo, nakuphi na ukwaliwa, ulwazi ngobomi bakho, ubunzima, ukuphakama kunye nemikhwa.
Isicwangciso sesondlo somhlaza esivela kwi-addon asisekelwanga kukhangelo lwe-Intanethi. Isebenza ngokuzenzekelayo ukwenza izigqibo zakho kusekwe kwisayensi yemolekyuli ephunyezwe ngoososayensi kunye neenjineli zesoftware. Nokuba ukhathalele na ukuqonda iindlela ezisisiseko seemolekyuli okanye hayi - zokucwangciswa kwesondlo somhlaza ukuqonda kuyafuneka.
Qalisa NGOKU ngokucwangciswa kwesondlo ngokuphendula imibuzo ngegama lomhlaza, uguquko kwimfuza, unyango oluqhubekayo kunye nezincedisi, nakuphi na ukwaliwa, imikhwa, indlela yokuphila, iqela lobudala kunye nesini.
ISondlo esiSiqu soMhlaza!
Umhlaza uyatshintsha ngokuhamba kwexesha. Yenza ngokwezifiso kwaye uguqule isondlo sakho ngokusekwe kwisalathiso somhlaza, unyango, indlela yokuphila, ukhetho lokutya, i-allergies kunye nezinye izinto.
Izigulana ezinomhlaza zihlala zisebenza ngeendlela ezahlukeneyo iziphumo ebezingalindelekanga ezichaphazela umgangatho wobomi babo kwaye bajonge ezinye iindlela zonyango lomhlaza. Ukuthatha isondlo esifanelekileyo kunye nezongezelelo ezisekwe kuqwalaselo lwenzululwazi (ukunqanda ukuqikelela kunye nokukhetha okungahleliwe) sesona sixhobo sendalo somhlaza kunye neziphumo ebezingalindelekanga zonyango.