Iimbalasane
Izigulana zomhlaza ezine-neutropenia okanye izibalo eziphantsi ze-neutrophil ziqhelene nosulelo kwaye zihlala zicetyiswa ukuba zithathe amanyathelo amaninzi kwaye zilandele ukutya okuthintelweyo kwe-neutropenic okude kushiye yonke imifuno ekrwada emitsha, iziqhamo ezininzi ezitsha, amandongomane, oats ekrwada, iijusi zeziqhamo ezingaxutywanga, ubisi kunye iyogathi. Nangona kunjalo, izifundo ezahlukeneyo kunye nohlalutyo lwe-meta aluzange lufumane ubungqina obuqinileyo bokuxhasa ukuba ukutya kwe-neutropenic kuthintela usulelo kwizigulana ezinomhlaza. Izigulana ezifumene ukutya kwe-neutropenic nazo zaxela ukuba ukuthobela oku kutya kufuna umgudu ongakumbi. Ke ngoko, abaphandi baphakamise iinkxalabo malunga nokucebisa ukutya kwe-neutropenic umhlaza izigulana, ngokungabikho kobungqina obuqinileyo kwiinzuzo ezinxulumene nokuncipha kwamazinga osulelo.
Yintoni Neutropenia?
I-Neutropenia yimeko yezempilo enxulunyaniswa nenani eliphantsi kakhulu lohlobo lweeseli ezimhlophe zegazi ezibizwa ngokuba zii-neutrophils. Ezi seli zimhlophe zikhusela umzimba wethu kukosuleleka okwahlukeneyo. Nayiphi na imeko yempilo eneeseli ezimhlophe eziphantsi zegazi inokunyusa umngcipheko wosulelo. Kubantu abane-neutropenia, usulelo oluncinci lunokuphela lusongela ubomi. Yiyo loo nto abaguli be-neutropenic kufuneka bathathe amanyathelo amaninzi okuthintela usulelo.
I-Neutropenia ibangelwa ikakhulu:
- Ngonyango oluthile lwemichiza
- Ngonyango lwemitha olunikwa amalungu ahlukeneyo omzimba
- Kwiimpawu zomhlaza eziye zasasazeka kwiindawo ezahlukeneyo zomzimba
- Ngezifo ezinxulumene nomongo wethambo kunye i cancer ezifana ne-leukemia, i-lymphoma, kunye ne-myeloma eninzi enokuthi ichaphazele iiseli ezimhlophe zegazi
- Ngezinye izifo ezinje ngezifo ezenzeka emzimbeni, kubandakanya i-aplastic anemia kunye ne-rheumatoid arthritis
Ngaphandle kwezi, abo banamajoni omzimba athobileyo ngenxa yosulelo lwe-HIV okanye ukufakelwa komzimba okanye abo baneminyaka engama-70 nangaphezulu, bathambekele kakhulu kwi-neutropenia.
Uvavanyo lwegazi lunokusixelela ukuba ingaba inani leeseli ezimhlophe zegazi liphantsi na.
Yintoni ukutya kwe-Neutropenic?
Ukutya okungafunekiyo kukutya okusetyenziswa kubantu abanamajoni omzimba acinezelweyo abasemngciphekweni wokosulelwa ziintsholongwane ezikhoyo ekutyeni kwethu. Ukutya kwe-neutropenic kwasekuqaleni kwakusetyenziswa kwii-1970s, kuphononongo olubandakanya ukutya njengendlela yokuxhasa umgangatho wobomi bezigulana ezithe zatshintshwa ukufakelwa kweeseli.
Uluvo olusisiseko lokutya okungafunekiyo kukuthintela ukutya okuthile okunokusichanaba kwintsholongwane kunye nezinye iintsholongwane, uthathe amanyathelo okhuseleko kunye nokuziphatha okufanelekileyo kokutya nokuphatha.
Ukutya okukhethiweyo kunye nokuPhepha kukutya okungakhethiyo
Zininzi iindlela zokukhusela eziza kuthathwa zizigulana ezine-neutropenia kunye nezithintelo zokutya ezininzi ekufuneka zilandelwe kukutya kwe-neutropenic. Olu luhlu lulandelayo lokutya okukhethayo kunye nokukuphepha kukutya okungafunekiyo, njengoko kufumaneka kwindawo kawonkewonke.
Iimveliso zederi
Ukutya ekufuneka sikuphephe
- Ubisi olungagqitywanga kunye neyogathi
- I-yogurt yenziwa ngenkcubeko ephilayo okanye esebenzayo
- I-yogurt okanye i-ayisi khrim ethambileyo evela kumatshini
- I-Milkshakes yenziwe kwi-blender
- Iitshizi ezithambileyo (iBrie, feta, iCheddar ebukhali)
- Isonka samasi esingaxutywanga
- I-Cheese enobumba (iGorgonzola, i-blue cheese)
- Ishizi ekhulile
- Isonka samasi esinemifuno engaphekwanga
- Uhlobo lweshizi lwaseMexico olufana nequeso
Ukutya okumele ukhethe
- Ubisi oluncitshisiweyo kunye neyogathi
- Ezinye iimveliso zobisi ezigqityiweyo kubandakanya itshizi, i-ayiskhrim kunye nokhilimu omuncu
Isitatshi
Ukutya ekufuneka sikuphephe
- Izonka kunye neeroli ngamandongomane aluhlaza
- Ukutya okuziinkozo okuqukethe amandongomane aluhlaza
- Ipasta engaphekwanga
- Isaladi yePasta okanye isaladi yeetapile kunye nemifuno eluhlaza okanye amaqanda
- I-oats eluhlaza
- Iinkozo ezingaxutywanga
Ukutya okumele ukhethe
- Zonke iintlobo zezonka
- Ipasta ephekiweyo
- Pancakes
- Iisiriyeli eziphekiweyo kunye neenkozo
- Iitapile eziphekiweyo
- Iimbotyi eziphekiweyo kunye nee-ertyisi
- Umbona ophekiweyo
imifuno
Ukutya ekufuneka sikuphephe
- Imifuno eluhlaza
- Iisaladi ezintsha
- Imifuno ethosiweyo
- Imifuno engaphekwanga kunye neziqholo
- I-sauerkraut entsha
Ukutya okumele ukhethe
- Yonke imifuno ephekiweyo ebandisiweyo okanye imifuno emitsha
- Ijusi yemifuno enkonkxiweyo
Fruits
Ukutya ekufuneka sikuphephe
- Iziqhamo ezingahlanjwanga
- Iijusi zeziqhamo ezingafakwanga
- Iziqhamo ezomileyo
- Zonke iziqhamo ezifreshi ngaphandle kwezo zidweliswe apha ngezantsi kwi "Ukutya oza kukhetha"
Ukutya okumele ukhethe
- Iziqhamo ezinamathanga kunye neencindi zeziqhamo
- Iziqhamo ezibandayo
- Ijusi ezinqabileyo ezinqabileyo
- Ijusi yeapile enencasa
- Icoceke kakuhle kwaye ixobulwe iziqhamo ezinesikhumba esityebileyo ezinje ngeebhanana, iiorenji kunye neziqhamo zeediliya
Iiprotheni
Ukutya ekufuneka sikuphephe
- Inyama eluhlaza okanye ephekiweyo, intlanzi kunye neenkukhu
- Gcina ukutya okuthosiweyo
- Zihambise iinyama
- Iisuphu ezindala
- Ukutya okukhawulezayo
- Iimveliso zeMiso
- Sushi
- sashimi
- Inyama ebandayo okanye iinkukhu
- Amaqanda aluhlaza okanye aphekiweyo ane-yolk yolwandle okanye icala elangeni
Ukutya okumele ukhethe
- Inyama ephekwe kakuhle, intlanzi kunye neenkukhu
- Ityhuna enkonkxiweyo okanye inkukhu
- Ukufudumeza kakuhle iisobho ezisemathinini kunye nokuzenzela
- Amaqanda aphekiweyo okanye abilisiweyo
- Ukufakwa kwamaqanda endaweni yePasteurised
- Amaqanda acoliweyo
iZiselo
Ukutya ekufuneka sikuphephe
- Iti ebandayo ebandayo
- I-Eggnog eyenziwe ngamaqanda aluhlaza
- Iti yelanga
- I-lemonade eyenziwe ekhaya
- Iapile cider entsha
Ukutya okumele ukhethe
- Ikofu ekhawulezileyo nephekiweyo kunye neti
- Iibhotile (ezihluziweyo okanye ezitshixiweyo okanye ezenzelwe ukubuyela umva osmosis) okanye amanzi afakiweyo
- Iinkonkxa okanye iziselo ezibhotileni
- Iitoti zomntu ngamnye okanye iibhotile zeesoda
- Utywala i-herbal teas
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.
Izifundo ezinxulunyaniswa nefuthe lokuDla kwe-Neutropenic kwizigulana ezinomhlaza
Emva kokwenza ichemotherapy okanye iradiotherapy, kukho umngcipheko owongeziweyo wosulelo umhlaza izigulana ezivela kwiintsholongwane ezifana neebhaktheriya kunye nefungus ezikhoyo ekutyeni. Oku kungenxa yokuba amanani eeseli ezimhlophe zegazi ezinokulwa neebhaktheriya ekutyeni aphantsi kwaye nangenxa yokuba ulwelwesi lwamathumbu oluhlala lusebenza njengesithintelo phakathi kwebhaktheriya kunye negazi lonakaliswa yichemotherapy kunye neradiotherapy. Ukugcina le meko engqondweni, abaguli bayacelwa ukuba bathathe amanyathelo amaninzi kunye nokutya okukhethekileyo kwe-neutropenic kunye nezithintelo ezininzi zokutya zaziswa kwizigulana ezininzi ezinomhlaza ezinezistim zokhuselo lomzimba ezicinezelekileyo.
Ukutya okungathathi hlangothi kuhlala kumiselwe kwizigulana ezinomhlaza ngenjongo yokunciphisa usulelo ngokuphepha ukutya okuthile kunye nokusetyenziswa kokuphathwa kokutya okukhuselekileyo kunye nokugcinwa. Nangona kunjalo, ezi zithintelo ekudleni ukunciphisa umngcipheko wosulelo kufuneka zilungelelaniswe ngokuqinisekisa ukuba abaguli bafumana ukutya okwaneleyo, ngakumbi ukuphatha iziphumo ebezingalindelekanga zonyango kunye nokuphucula iimpendulo zonyango.
Kuba abaguli abanomhlaza we-neutropenic kufuneka bathathe amanyathelo okhuseleko kunye nokutya okucetyiswayo kwe-neutropenic ikukutya okunemiqobo emininzi yokutya ethi ishiye yonke imifuno eluhlaza, iziqhamo ezininzi, amandongomane, i-oats eluhlaza, iijusi zeziqhamo ezingafakwanga amanzi, ubisi kunye neyogathi kunye nezinye, Izifundo ezininzi zenziwe ngabaphandi abohlukeneyo ukuba bafunde ukuba ukwazisa ukutya kwe-neutropenic kuyanceda na ekunciphiseni amazinga osulelo kwizigulana ezinomhlaza. Ezinye zezifundo zamva nje kunye neziphumo zabo zidityaniswe apha ngezantsi. Makhe sijonge!
Uvavanyo oluCwangcisiweyo lwaBaphandi baseMelika naseIndiya
Kutshanje, abaphandi abavela eUnited States naseIndiya benze uphononongo olucwangcisiweyo lokufunda ukuba bukhona ubungqina obuqinileyo benzululwazi obunokuxhasa ukusebenza kokutya kwe-neutropenic ekwehliseni usulelo kunye nokufa phakathi kwezigulana ezinomhlaza. Baye bakhupha i-11 yezifundo zohlalutyo ngophando loncwadi kwi-MEDLINE, EMBASE, Cochrane Central Register yeZilingo ezilawulwayo kunye noovimba beenkcukacha kude kube ngo-Matshi 2019. Uphononongo alufumananga kuncipha kumanqanaba osulelo okanye ukusweleka phakathi kwabaguli abanomhlaza abalandela ukutya kwe-neutropenic. (IVenkataraghavan Ramamoorthy okqhubekayo, Umhlaza weNutr., 2020)
Abaphandi baphinde bachaza ukuba ngelixa amanye amaziko elandela iindlela ezikhuselekileyo zokutya zodwa kwindlela yokutya ye-neutropenic, abanye bakuthintela ukutya okunyusa ukubonakaliswa kweentsholongwane, kwaye iqela lesithathu lamaziko alandela zombini. Yiyo loo nto bephakamisa amanyathelo okhuseleko kunye nokuphathwa kokutya okukhuselekileyo kunye neendlela zokulungiselela ezinconyelweyo kuLawulo lokuTya kunye neDrug, ukuba zilandelwe ngokufanayo kwizigulana ze-neutropenic.
Isifundo seZiko lezonyango iFlinders eOstreliya
Kwisifundo esapapashwa ngo-2020, abaphandi abasuka kwiYunivesithi iFlinders kunye neZiko lezoNyango iFlinders eOstreliya benza iinzame zokuthelekisa iziphumo zeklinikhi zezigulana ezifumana ukutya okungathathi ntweni okanye ukutya okunesifo esithe kratya kwaye baphanda nemibutho phakathi kokutya kwe-neutropenic kunye nosulelo iziphumo. Kuphononongo, basebenzise idatha kwizigulana ze-neutropenic ezineminyaka eyi-18 nangaphezulu abaye bangeniswa kwiziko lezonyango iFlinders phakathi kuka-2013 no-2017 kwaye ngaphambili bebefumene ichemotherapy. Kwezi zigulana ezingama-79 zafumana ukutya okune-neutropenic kunye nezigulana ezingama-75 zafumana ukutya okunenkululeko. (Mei Shan Heng okqhubekayo, Eur J Unonophelo lomhlaza (Engl)., 2020)
Uphononongo lufumanise ukuba imeko ye-neutropenia enefiva ephezulu, ibacteraemia kunye nenani leentsuku ezinomkhuhlane omkhulu zisephezulu kwiqela elifumene ukutya kwe-neutropenic. Olunye uhlalutyo lwezibini ezingama-20 zezigulana ezihambelana ngokuhambelana nobudala, isini kunye nokuxilongwa komhlaza nako akufumananga mahluko mkhulu kwiziphumo zeklinikhi phakathi kwabaguli abafumene ukutya kwe-neutropenic kunye nabo bafumana ukutya okunenkululeko. Abaphandi ke bagqiba kwelokuba ukutya kwe-neutropenic akunakukunceda ekuthinteleni iziphumo ezibi kwizigulana ze-chemotherapy.
Isifundo esidibeneyo soPhando ziiyunivesithi ezahlukeneyo eMelika
Abaphandi abavela kwiYunivesithi yaseJohns Hopkins, kwikliniki yaseMayo, eMassin General Hospital, kwiYunivesithi yaseTexas Southwestern Medical Centre kunye naseTexas Tech University Health Sciences Centre eUnited States benza uhlalutyo lweemeta kwizinga lezifo ezichazwe kwizilingo ezi-5 ezahlukeneyo ezibandakanya izigulana ezingama-388 , Ukuthelekisa ukutya kwe-neutropenic kwizidlo ezingathintelwanga kwi-acute myeloid leukemia (AML), i-acute lymphoblastic leukemia (ALL), okanye izigulana ezinomhlaza we-sarcoma ezine-neutropenia. Somedeb Ibhola et al, Am J Clin Oncol., 12)
Uphononongo lufumene usulelo kwizigulana ezingama-53.7% ezilandela ukutya kwe-neutropenic kunye nezigulana ezingama-50% ezilandela ukutya okungathintelwanga. Ngenxa yoko, abaphandi bagqiba kwelokuba ukusetyenziswa kwe-neutropenic diet akunakunxulunyaniswa nokwehla komngcipheko wosulelo kwizigulana ezinomhlaza we-neutropenic.
Isifundo seKliniki yaseMayo, iNkonzo yaBantu abaDala yokuTshintshela iMarrow eManhattan naseMissouri Baptist Medical Centre- eUnited States
Kwisifundo esapapashwa ngo-2018, abaphandi bavavanya ukusebenza kokutya kwe-neutropenic ekunciphiseni usulelo kunye nokufa kwizigulana ezinomhlaza ezine-neutropenia. Izifundo ezi-6 ezifunyenwe ngophando lwedatha, zisetyenziselwe uhlalutyo, olubandakanya abaguli abayi-1116 apho abaguli abangama-772 babekhe bafumana ukufakelwa kweseli haematopoietic. (Mohamad Bassam Sonbol okqhubekayo, i-BMJ Inkxaso yePalliat. 2019)
Uphononongo lufumanise ukuba akukho mahluko ubonakalayo kumanqanaba okusweleka okanye amazinga osulelo olukhulu, i-bacteremia okanye i-fungemia, phakathi kwabo balandela ukutya kwe-neutropenic kunye nabo bathatha ukutya rhoqo. Olu phononongo lufumanise ukuba ukutya kwe-neutropenic kunxulunyaniswa nomngcipheko ophezukwana wosulelo kwizigulana ezithe zatshintshwa ukufakelwa kweseli ye-haematopoietic.
Abaphandi abafumananga bungqina bokuxhasa ukusetyenziswa kwe-neutropenic diet kwizigulana ezinomhlaza ezine-neutropenia. Endaweni yokulandela ukutya kwe-neutropenic, bacebisa ukuba abaguli abanomhlaza kunye neeklinikhi kufuneka baqhubeke nokulandela izikhokelo zokuphatha ukutya ezikhuselekileyo kwaye bathathe amanyathelo, njengoko kucetyisiwe yi-US Food and Drug Administration.
Ukufundwa kwempembelelo yokutya okungafunekiyo kwi-Pediatric Acute Lymphoblastic Leukemia (BONKE) kunye nabaguli baseSarcoma
Uphononongo olupapashwe ngabaphandi abavela kwizibhedlele ezahlukeneyo zabantwana kunye ne-oncology e-United States, lithelekisa amazinga osulelo lwe-neutropenic kwizigulana zomhlaza zabantwana ezingama-73 ezilandela uLawulo lokuTya kunye neDrugs ezivunyiweyo izikhokelo zokhuseleko lokutya kunye ne-77 yabantwana. umhlaza iimeko ezilandela ukutya kwe-neutropenic kunye noLawulo lokuTya kunye neDrugs ezivunyiweyo izikhokelo zokhuseleko lokutya, ngexesha lomjikelo omnye wechemotherapy. Izigulane zafunyaniswa ukuba zine-ALL okanye i-sarcoma. (Karen M Moody et al, Pediatr Blood Cancer., 2018)
Olu phononongo lufumene ukosuleleka kwizigulana ezingama-35% ezalandela ukutya kwe-neutropenic kunye noLawulo lwezoKutya kunye noLawulo lweziyobisi ezivunyiweyo izikhokelo zokhuseleko lokutya kunye nezigulana ezingama-33% ezalandela uLawulo lwezoKutya kunye noLawulo lweziyobisi zivume izikhokelo zokhuseleko lokutya kuphela. Izigulana ezifumene ukutya kwe-neutropenia zikwachaze ukuba ukulandela ukutya kwe-neutropenic kufuna umgudu ongaphezulu.
Uhlalutyo lwempembelelo yokutya okungafunekiyo kwi-AML-BFM 2004 yovavanyo
Abaphandi abavela kwiYunivesithi yaseJohann Wolfgang Goethe eFrankfurt, Hannover Medical School eJamani kunye neSibhedlele saBantwana abaGulayo eToronto, eCanada bahlalutye ifuthe lokutya okungafunekiyo kunye nezithintelo zentlalo ezisetyenziswa njengemilinganiselo yokulwa nosulelo kubantwana abane-Acute Myeloid Leukemia. Olu phononongo lusebenzise ulwazi kwizigulana ezingama-339 eziphathwe kumaziko angama-37. Isifundo asifumananga sibonelelo sibalulekileyo sokulandela izithintelo kwindlela yokutya kwi-neutropenic diet kwezi zigulana zinomhlaza wabantwana. (Lars Tramsen okqhubekayo, J Clin Oncol., 2016)
Ngaba abaguli abanomhlaza kufuneka balandele ukutya okuNeutropenic?
Ezi zifundo zingasentla zibonisa ukuba abukho ubungqina obuqinisekileyo bokuxhasa ukuba ukutya kwe-neutropenic kuthintela usulelo kwizigulana ezinomhlaza. Ezi ndlela zokuthintela ukutya zinxulunyaniswa nolwaneliseko olusezantsi lwesigulana kwaye kunokubangela ukungondleki. Nangona kungekho bungqina benzululwazi bokuba ukutya kwe-neutropenic kunciphisa umngcipheko wosulelo kwizigulana ezinomhlaza okanye kuphucula ukubalwa kweeseli ezimhlophe kwizigulana ezinomhlaza, isacetyiswa kwiiwebhusayithi ezininzi zamaziko aphezulu omhlaza wase-US, njengoko kubonisiwe kuphando olupapashiweyo. kwiJenali yeZondlo kunye noMhlaza kwi2019 (UTimothy J Brown okqhubekayo, Umhlaza weNutr., 2019).
Ukuza kuthi ga ngoku, iNational Comprehensive Cancer Network (NCCN) okanye i-Oncology Nursing Society Cancer Chemotherapy izikhokelo nazo azizange zicebise ukusetyenziswa kwe-neutropenic diet kwizigulane ezinomhlaza. Olunye uphononongo lukwafumanise ukuba ukuthatha izilumkiso eziyimfuneko kunye nokubambelela kwizikhokelo zokuPhathwa kokuTya okuKhuselekileyo ezikhutshwe nguLawulo lokuTya kunye neDrugs njengomyalelo wazo zonke iikhitshi zasesibhedlele, kunokubonelela ngokhuseleko olwaneleyo kusulelo olubangelwa kukutya, ngaloo ndlela lungaquki imfuno yokutya kwe-neutropenic. (UHeather R Wolfe et al, J Hosp Med., 2018). Uphononongo luye lwafumanisa ukuba ukutya okungqongqo kwe-neutropenic kuqulethe i-fiber encinci kunye nomxholo we-vitamin C (uJuliana Elert Maia et al, i-Pediatr Blood Cancer., 2018). Ngoko ke, ukucebisa umhlaza izigulane ezine-neutropenia ukuba zilandele ukutya okune-neutropenic okuthintelweyo kakhulu, ngaphandle kobungqina obuqinileyo kumazinga ancitshisiweyo osulelo, kunokuba kuthandabuzeka.
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.