Ukutya okuLwa noMhlaza: Ukutya kunye neZongezo ezinokulwa neCancer

Iimbalasane

Xa kuziwa kumhlaza, kubandakanya ukutya okufanelekileyo kunye nezongezo kwi-anti-cancer diet enokuxhasa unyango lomhlaza oluqhubekayo lokulwa nokubulala umhlaza kubalulekile. Izigulana kufuneka zihlale kude nokutya kunye nezongezo ezinokubangela iziphumo ezibi okanye zenze mandundu unyango kunye nonyango olubangelwe ziziphumo ebezingalindelekanga. Indlela yokuphila esempilweni ngokubandakanya ukutya okufanelekileyo njengenxalenye ye- Ukutya kwabaguli abanomhlaza kunye nokwenza imithambo rhoqo kufuneka kuncede ukuxhasa umhlaza unyango.

Yintoni umhlaza?

Umhlaza ubhekisa kwimeko apho iiseli eziqhelekileyo ziguquka zikhokelela kukwahlulwa okungalawulwayo kweeseli ezingaqhelekanga. Iiseli zomhlaza zinokusasazeka kwiindawo ezahlukeneyo zomzimba kwaye zihlasele ezinye izicwili-inkqubo ebizwa ngokuba yi-metastasis. Kuxhomekeke kudidi kunye nenqanaba lomhlaza, unyango lomhlaza olwahlukeneyo lumiselwe kwizigulana ezahlukeneyo ukuze ususe okanye ubulale umhlaza okanye unciphise ukukhula kwawo.

Ngaphandle kwako konke ukuhambela phambili kwezonyango kunye nokuphucuka kwenani labasindileyo bomhlaza kule minyaka ingamashumi idlulileyo, iziphumo ebezingalindelekanga zonyango zonyango ezinomhlaza zihlala ziyinto exhalabisayo kwizigulana nakwiiklinikhi. Iziphumo ebezingalindelekanga zinokuchaphazela kakhulu umgangatho wobomi besigulana. Yiyo loo nto izigulana ezinomhlaza kunye nosapho lwazo zihlala zikhangela ezinye izisombululo kubandakanya amayeza endalo ukunciphisa iziphumo zonyango.

Isidingo sokutya okuChasene nomhlaza / ukutya / izixhobo

Emva kokufumanisa ukuba unomhlaza, abaguli bahlala bekhetha unyango lwendalo ukuphucula umgangatho wobomi babo obuchaphazeleka kunyango lwabo lomhlaza oluqhubekayo. Bahlala beqala ukusebenzisa izongezo zokutya ngokungakhethiyo, kunye nonyango lwabo lwe-chemotherapy, ukunceda ukunciphisa iziphumo ebezingalindelekanga kunye nokuphucula umgangatho wobomi babo. Iingxelo ezahlukeneyo zibonisa ukuba i-67-87% yezigulana ezinomhlaza zisebenzisa izongezo zokutya emva koxilongo

Nangona kunjalo, xa kuziwa kumhlaza, kubalulekile ukuba ube nendlela yokuphila esempilweni kwaye elungeleleneyo kunye nokuzilolonga okufanelekileyo kunye nokutya / isondlo kubandakanya ukutya okufanelekileyo kunye nezongezo. Ukuthatha nakuphi na ukutya okanye isongezelelo somhlaza ngaphandle kwesiseko sesayensi akunakunceda, kwaye, enyanisweni, kunokunyusa umngcipheko weziphumo ezibi ezichaphazela ukuphazamiseka kunyango lomhlaza oluqhubekayo. Ukuchonga izidlo ezichasene nomhlaza ezichanekileyo, ukutya kunye nezongezo ezinokulwa nokubulala umhlaza kunye nokuhlala kude nezo zinokubangela okanye zenze umhlaza ube mandundu okanye iziphumo ebezingalindelekanga zonyango kubalulekile.

Ukutya okuChasene noMhlaza kunye nokutya kunokunceda abaguli abanomhlaza ukuba balwe nomhlaza nokuba:

1. ukuphucula impendulo / iziphumo zonyango oluqhubekayo lomhlaza njenge-chemotherapy / i-radiotherapy okanye
2. ukunciphisa iziphumo ebezingalindelekanga kunyango lomhlaza 

Njengoko iimpawu zomhlaza kunye nonyango ziyahluka kwisigulana ngasinye ngokusekwe kudidi lwaso kunye nenqanaba lomhlaza, ukutya kunye nezongezo ekufuneka zibandakanywe njengenxalenye yesondlo sokulwa nomhlaza / ukutya kwisigulana akunakuba "bubungakanani obulingana nabo bonke". Ngaphandle kwezibonelelo ezikhankanyiweyo ngaphambili, ukutya / ukutya okuchasene nomhlaza okwenzelwe wena kuya kunceda abaguli ukuba baphucule ukungakhuseleki kwabo kwaye balawule ukutya kunye nezongezo ezinokuphazamisa unyango lwabo oluqhubekayo.

Ukulwa umhlaza Ukutya / ukutya / izongezo eziphucula ukusebenza kweNyango eqhubekayo

Kukho ukutya okuninzi / ukutya okunxulunyaniswa nokuphucula iziphumo zonyango kwizigulana ezinomhlaza. Izifundo ezininzi zovavanyo kunye nohlalutyo lweemeta lwezifundo ezininzi ezinokubakho zikwabonisa ubungqina bokutya kunye nezongezo ezinokuphucula iziphumo zonyango oluthile kwiicancer ezithile. Ezinye zezifundo zibonisa iziphumo eziluncedo ezahlukeneyo zokulwa umhlaza wokutya kwi-chemo ezithile kunye neentlobo zomhlaza zishwankathelwe ngezantsi:

I-Curcumin inokuphucula i-FOLFOX Chemotherapy impendulo yokulwa / ukubulala umhlaza weColorectal Cancer

I-Curcumin yimveliso yendalo ekhishwe kwi-spice Turmeric esetyenziswa ngokuxhaphakileyo ephandwe kakhulu malunga neempawu zayo zomhlaza. Kwisigaba sesi-II solingo lwezonyango olwenziwe kwizigulana ezinomhlaza we-metastatic colorectal cancer, abaphandi bathelekisa ukusinda kwezigulana ezifumana indibaniselwano ye-chemotherapy ebizwa ngokuba yi-FOLFOX (folinic acid / 5-FU / OXA) kunye neqela elifumana i-FOLFOX kunye ne-2 gram yomlomo. curcumin / ngosuku (CUFOX). Ukongezwa kweCurcumin ukuya kwi-FOLFOX kwafunyanwa kukhuselekile kwaye kuyanyamezeleka kwizigulana ezinomhlaza kwaye azizange ziyenze mandundu imiphumela ye-chemo. Iqela elifumene iCurcumin linesiphumo esingcono kakhulu sokusinda ngokuqhubela phambili kokuphila sineentsuku ezili-120 ngaphezulu kweqela le-FOLFOX kunye nokusinda ngokubanzi kukuphindaphindwe kabini kwi-CUFOX ngeentsuku ezingama-502 ngokuchasene neentsuku ezingama-200 kuphela kwiqela le-FOLFOX (NCT01490996, Howells LM okqhubekayo , J Nutriti, 2019).

ICurcumin enezinto ezininzi ezenziweyo kunye neethagethi ezinokunceda ukunciphisa iindlela zokumelana ne-FOLFOX, ngaloo ndlela kuphuculwe amathuba okusinda kwisigulana esinomhlaza, ngaphandle kokongeza kumthwalo wetyhefu. Ukubandakanya iCurcumin njengenxalenye yokutya okuchasene nomhlaza / ukutya kwizigulana ezinomhlaza weColorectal ezifumana i-FOLFOX chemotherapy inokunceda ukulwa / ukubulala umhlaza ngokuphucula impendulo kunyango.

I-Vitamin C inokuphucula impendulo ye-Hypomethylating arhente yokulwa / yokubulala i-Acute Myeloid Leukemia 

Iiarhente ze-Hypomethylating agents (HMA) zisetyenziselwa unyango lwe-Acute Myeloid Leukemia (AML). Iiarhente zehypomethylating agents (HMA) zithintela utshintsho kwimethylation ukwenza ukuba kusebenze kwakhona i-tumor suppressor genes ukulawula i-leukemia. Kutshanje isifundo yenziwe eTshayina, kuvavanywa ifuthe lokuthatha iVitamin C kunye ne-HMA ethile kwizigulana ze-AML ezindala ngokuthelekisa iziphumo ezivela kwiqela elithatha kuphela i-HMA kunye nelinye iqela elithatha i-HMA kunye neVitamin C. Iziphumo zabonisa ukuba iVitamin C yayinobumbano ukusebenza nge-HMA ethile njengoko abaguli abathathe unyango oludibeneyo babenenqanaba lokuxolelwa elipheleleyo elipheleleyo le-79.92% xa kuthelekiswa ne-44.11% kwabo bangazange banikwe isongezelelo se-Vitamin C (uZhao H et al, Leuk Res. 2018).  

Nangona i-Vitamin C isetyenziswa ngokubanzi njengenxalenye yokutya okunokulinganisela, olu pho nonongo lucebise ukuba kubandakanywa ne-Vitamin C njengenxalenye ye-anti-cancer diet / foods kwizigulane ze-AML ezifumana i-hypomethylating agents zinokunceda ukulwa / ukubulala. umhlaza ngokuphucula impendulo yonyango.

I-Vitamin E inokuphucula Impendulo yeyeza elijolise kunyango lokulwa / ukubulala umhlaza we-Ovarian 

Olunye lwezona ndlela zonyango zijolise ikakhulu zisetyenziselwa umhlaza we-ovari zisebenza ngokuthintela iprotein eyaziwa njenge-vascular endothelial growth factor (VEGF). Iiseli zomhlaza zonyuse amanqanaba e-VEGF kwaye kuthintela le protein kunceda ukuthintela ukukhula kwemithambo yegazi emitsha (i-angiogenesis) ebalulekileyo ekuhanjisweni kwezakha-mzimba kwizidumba ezinomhlaza. 

Nangona Umgangatho wokhathalelo olujolise kwi-VEGF Kunye ne-chemotherapy kuvunyiwe kunyango lomhlaza we-ovari, uphononongo lwakutshanje olwenziwe ngabaphandi besibhedlele saseDenmark kuvavanye ukusebenza kwesongezelelo esinokusebenzisana nonyango olujolisiweyo kunye nokuphucula amathuba okusinda kwizigulana ezinomhlaza we-ovari. I-Delta-tocotrienols liqela elithile leekhemikhali ezifumaneka kwiVitamin E. I-Vitamin E yenziwe ngamaqela amabini eekhemikhali, ezizezi zi-tocopherols kunye ne-tocotrienols. ISebe le-Oncology kwisibhedlele iVejle, eDenmark, lifunde ngeziphumo zeqela le-tocotrienol le-vitamin E kunye nonyango lwe-VEGF ekujolise kuyo kumhlaza we-ovari. Umdibaniso weVitamin E / tocotrienol kunye nonyango ekujoliswe kulo phantse laphindeka kabini inqanaba lokusinda, ukugcina inqanaba lokuzinza kwezifo kwi-70% ngobutyhefu obuncinci (I-Thomsen CB okqhubekayo, PharmacolRes. 2019). 

Iziphumo ezivela kolu phononongo zibonise ukuba kubandakanya iVitamin E njengenxalenye yokutya okuchasene nomhlaza / ukutya kwizigulana ezinomhlaza we-Ovarian ezifumana umgangatho wokhathalelo lwe-VEGF ejolise kunyango kunokunceda ukulwa / ukubulala umhlaza ngokuphucula impendulo kunyango.

UGenistein unokuphucula impendulo ye-FOLFOX Chemotherapy ekulweni / ekubulaleni umhlaza wecoloastal cancer

Abaphandi kwisikolo iIcahn School of Medicine kwiNtaba yeSinayi, eNew York, baphande ngokhuseleko kunye nokusebenza kokusebenzisa uGenistein kunye nomgangatho wokunyamekela indibaniselwano ngekhemotherapy kwisifundo esinokubakho kwiklinikhi kwizigulana ezinomhlaza weColorectal Cancer (mCRC). (NCT01985763; Pintova S okqhubekayo, Cancer Chemotherapy kunye neFarmacol., 2019)

Olu phononongo lubandakanya abaguli abali-13 ababephathwe nokuba yindibaniselwano ye-FOLFOX chemotherapy kunye noGenistein, okanye i-FOLFOX chemotherapy kunye nonyango olujolise kwi-VEGF ejolise kunyango kunye noGenistein okanye i-FOLFOX chemotherapy kuphela. Bafumanise ukuba kukho ukuphucuka kweyona mpendulo ibalaseleyo (BOR) kwizigulana ze-MCRC ezithathe ichemotherapy kunye noGenistein, xa kuthelekiswa nezo zixeliweyo kunyango lwe-chemotherapy kuphela kwizifundo zangaphambili. I-BOR yayiyi-61.5% kolu phando ngokuchasene ne-38-49% kwizifundo zangaphambili kunye nonyango olufanayo lwe-chemotherapy. (USaltz LB okqhubekayo, J Clin Oncol, 2008)

Ukuqhubeka kokuphila simahla, oko kubonisa ixesha elithe i-tumor lingaqhubeki nonyango, yayili-11.5 leenyanga ngokudityaniswa kweGenistein kuthelekiswa neenyanga ezisibhozo zonyango lwe-chemotherapy kuphela ngokusekwe kuphando lwangaphambili. (I-Saltz LB okqhubekayo, J Clin Oncol., 8)

Iziphumo ezivela kolu phononongo zibonise ukuba kubandakanya uGenistein njengenxalenye yokutya okuchasene nomhlaza / ukutya kwizigulana ezinomhlaza weColorectal Cancer ezifumana i-FOLFOX okanye i-FOLFOX kunye nonyango olujolise kwi-VEGF kunokunceda ekulweni umhlaza ngokuphucula impendulo kunyango.

Isishwankathelo, ezi zifundo zingasentla zibonisa ukuba ukutya okufanelekileyo okanye izongezo ezibandakanyiweyo njengenxalenye yokutya / ukutya komhlaza kumanani afanelekileyo kufanele ukunceda i-chemotherapy ethile yokulwa / yokubulala umhlaza othile.

Ukulwa umhlaza Ukutya / ukutya / izixhobo ezinciphisa iziphumo ebezingalindelekanga zonyango oluqhubekayo

Ukubandakanya ukutya okufanelekileyo kunye nezongezo njengenxalenye yokutya okuchasene nomhlaza kunokunceda ekunciphiseni iziphumo ebezingalindelekanga zonyango oluqhubekayo njenge-chemotherapy kunye ne-radiotherapy. Oku kuyakunceda ekuphuculeni umgangatho wobomi kunye nentlalo-ntle ngokubanzi yesigulana somhlaza ngexesha lemizamo yabo yokulwa nokubulala umhlaza. 

Izifundo ezahlukeneyo zeklinikhi kunye nobungqina obuxhasa izibonelelo zokutya / isongezelelo esithile ekunciphiseni isiphumo esithile sechemotherapy kwicandelo lomhlaza othile eshwankathelwe apha ngezantsi. 

I-EGCG inciphisa ubunzima bokuginya ukunceda abaguli ukuphatha unyango ukuze balwe / babulale umhlaza we-Esophageal

Isigaba II sophando lweklinikhi lwenziwe ngabaphandi kwiSibhedlele i-Shandong Cancer kunye neZiko lase China ukuvavanya ifuthe le-Green tea esebenzayo ye-Epigallocatechin-3-gallate (EGCG) kwi-esophagitis / engxungxungwini yokuginya. Uphononongo lufumanise ukuba ukongezwa kweti eluhlaza okwe-EGCG kunokunciphisa ubunzima bokugwinya / i-esophagitis ngaphandle kokuchaphazela ukusebenza kwe-chemoradiation okanye unyango lwe-radiation kumhlaza wesisu. (Xiaoling Li okqhubekayo, Ijenali yokutya okuNyanga, 2019)

Iziphumo ezivela kolu phononongo zibonisa ukuba kubandakanya i-EGCG njengenxalenye yokutya okuchasene nomhlaza / ukutya kunokunciphisa i-esophagitis / ukuginya ubunzima kunye nokunceda abaguli ukuphatha unyango lwe-radiation ukulwa / ukubulala i-Esophageal Cancer.

I-Royal Jelly inciphisa i-Oral Mucositis inceda abaguli ukuba baphathe iindlela zonyango zokulwa / ukubulala iNtloko kunye neCancer Neck

Isifundo esingacwangciswanga esingaboniyo esenziwe entloko nakwizigulana ezinomhlaza wentamo sibonisile ukuba xa kuthelekiswa neqela lolawulo, malunga neepesenti ezingama-30 zezigulana azikhange zifumane ibakala lesi-3 somlomo womlomo (izilonda zomlomo) xa zongezwa ngejeli yasebukhosini. (UMiyata Y okqhubekayo, Int J Mol Sci. 2018).

Iziphumo zolu phononongo zibonisa ukuba ukubandakanya ijeli yasebukhosini njengenxalenye yokutya okuchasene nomhlaza / ukutya kunokunciphisa izilonda zomlomo we-mucositis / izilonda zomlomo kwaye zincede izigulana ukuba zibambe. umhlaza unyango ukulwa / ukubulala iNtloko kunye neNeck Cancer.

I-Lycopene inciphisa i-chemo ethile eyenzakeleyo yokulimala kwezintso ukunceda abaguli ukuphatha unyango ukuze balwe / babulale iCancer

Uphononongo olwenziwe ngabaphandi abavela kwiYunivesithi yase-Shahrekord yezoNyango e-Iran bafumanisa ukuba i-lycopene inokusebenza ekunciphiseni iingxaki ngenxa ethile I-nephrotoxicity ebangelwe chemo (iingxaki zezintso) ngokuchaphazela ezinye iimpawu zomsebenzi wezintso. (Mahmoodnia L okqhubekayo, J Nephropathol. 2017)

Iziphumo ezivela kolu phononongo zibonisa ukuba kubandakanya i-lycopene njengenxalenye yokutya okuchasene nomhlaza / ukutya kunokunciphisa i-chemotherapy ethile eyenze ukuba nephrotoxicity / ukulimala kwezintso kwaye kuncede abaguli ukuba baphathe unyango lokulwa / ukubulala iCancer.

USilymarin unciphisa i-chemo ethile ebangela ukuba iCardiotoxicity incede abaguli ukuba baphathe unyango ukuze balwe / babulale BONKE

Uphononongo lweklinikhi oluvela kwiYunivesithi yaseTanta e-Egypt lubonakalise ukuba ukusetyenziswa kwe-Milk Thistle esebenzayo uSilymarin kunye ne-DOX chemotherapy izibonelelo zabantwana abane-lymphoblastic leukemia (BONKE) ngokunciphisa i-chemo-induction cardiotoxicity. (Hagag AA okqhubekayo, Ukuchaphazeleka kweThagethi yokuChaphazela iziyobisi. 2019)

Iziphumo ezivela kolu phononongo zibonisa ukuba kubandakanya ubisi lwameva uSilymarin njengenxalenye yokutya okuchasene nomhlaza / ukutya kunokunciphisa i-DOX chemotherapy ebangela isifo senhliziyo / iingxaki zentliziyo kwaye incede abaguli abanomhlaza ukuba baphathe unyango lokulwa / ukubulala i-Acute Lymphoid Leukemia (BONKE).

I-Thymoquinone inciphisa i-Neutropenia inceda abaguli ukuphatha unyango ukuze balwe / babulale iCancer yeBongo

Uphononongo olwenziwe kwiYunivesithi yase-Alexandria e-Egypt lubonise ukuba ukuthatha imbewu emnyama etyebile e-Thymoquinone kunye ne-chemotherapy kunganciphisa imeko ye-febrile neutropenia (iiseli ezimhlophe zegazi) kubantwana abanezilonda zobuchopho. (UMousa HFM okqhubekayo, Isistim seNervous Syst., 2017)

Iziphumo ezivela kolu phononongo zibonisa ukuba kubandakanya imbewu emnyama etyebe kwi-Thymoquinone njengenxalenye yokutya okuchasene nomhlaza / ukutya kunokunciphisa i-febrile neutropenia (iiseli zegazi ezimhlophe ezisezantsi) kwaye kuncede abaguli ukuba baphathe unyango lokulwa / ukubulala umhlaza wobuchopho.

I-Folic Acid inciphisa ubungozi beHematological banceda abaguli ukuba baphathe unyango lwe-PEM + CIS ukulwa / ukubulala umhlaza wemiphunga.

Uphononongo lwakutsha nje olubandakanya uhlalutyo lokubuyela emva kwezigulana ezinomhlaza wemiphunga ye-NSCLC / yemiphunga ezanyangwa Ngomgca wokuqala wePem / Cis chemotherapy ifumanise ukuba ukongezwa kwe-folic acid kwehlisa amanqanaba e-plasma homocysteine, uphawu lwetyhefu ye-hematological, ngaphandle kokuchaphazela ukusebenza kwe-chemotherapy (Singh N et al, Am J. Clin Oncol, 2017).

Iziphumo ezivela kolu phononongo zibonisa ukuba kubandakanya i-Folic Acid njengenxalenye yokutya okuchasene nomhlaza / ukutya kunokunciphisa ityhefu ye-hematological kwaye kuncede abaguli ukuphatha unyango lwe-PEM chemo ukulwa / ukubulala umhlaza wemiphunga.

isiphelo

Izifundo ezahlukeneyo ziyayixhasa into yokuba ukuthatha ukutya okufanelekileyo kunye nezongezo zinokunceda izigulane ezinomhlaza. Ukutya okunempilo kunye nokutya okubandakanya iziqhamo kunye nemifuno enokuthi ilwe umhlaza othile kunye nokuphucula iimpendulo zonyango okanye ukunciphisa iziphumo ebezingalindelekanga zonyango kubalulekile kuhambo lwabaguli abanomhlaza lokulwa/ukubulala umhlaza. Amayeza endalo abandakanya ukutya kunye nezongezo asenokungawubulali umhlaza kodwa xa ekhethwe ngokwesayensi, anokuxhasa unyango olumiselweyo lomhlaza olujoliswe ekubulaleni umhlaza. Kwakhona, kubandakanywa izixa eziphezulu zeentlobo ngeentlobo zezongezo zokutya kunokungasoloko kukhuselekile kwaye kunenzuzo, kodwa ukuthatha imithombo yokutya ehambelanayo njengenxalenye yokutya kuya kukhuseleka ngakumbi kwaye kusempilweni umhlaza umonde. Ngaphambi kokuthatha isongezelelo okanye ukwenza naluphi na utshintsho kwindlela yokutya, izigulane zomhlaza kufuneka zihlale zidibana nababoneleli bezempilo okanye abondli bezondlo ukuphepha naziphi na iingxaki.

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.

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.

• ICurcumin iphucula impendulo ye-chemotherapy ye-FOLFOX kwizigulana ezinomhlaza
• Isondlo esenzelwe umntu kwiCancer Metastatic Breast
• UkuLandelelana kweTumor kunye noNyango loMhlaza oluChaphazelekileyo
• Iipropathi ezichasene nomhlaza zeCurcumin ezivela kwiTurmeric
• Ukwanda komngcipheko wezifo zentliziyo kumaxhoba omhlaza wamabele