Ngabe Inyama Ebomvu Neyesetshenzisiwe ingadala umdlavuza weColorectal / Colon?

Amaphuzu avelele

Okutholakele ezifundweni ezahlukahlukene kunikeza ubufakazi obanele bokusekela ukuthi ukudla okuphezulu kwenyama ebomvu nocubunguliwe kungaba yi-carcinogenic (kuholele kumdlavuza) futhi kungadala umdlavuza we-colorectal / colon kanye neminye imidlavuza efana nomdlavuza webele, wamaphaphu nowesinye. Yize inyama ebomvu inokudla okunomsoco okuphezulu, akubalulekile ukuthatha inyama yenkomo, ingulube noma iwundlu njengengxenye yokudla okunempilo ukuthola lezi zakhi zomzimba, ngoba kungadala ukukhuluphala okungagcina kuholele ezinkingeni zenhliziyo nomdlavuza. Ukufaka inyama ebomvu ngenkukhu, inhlanzi, ubisi, amakhowe nokudla okutshalwe ezitshalweni kungasiza ekutholeni izakhamzimba ezidingekayo.

Umdlavuza we-Colorectal ungowesithathu umdlavuza otholakala kakhulu futhi uyimbangela yesibili yokufa komdlavuza emhlabeni, unamacala amasha angaphezu kwezigidi eziyi-1.8 kanye nokufa okulinganiselwa ku-1 million kubikwe ngo-2018. (GLOBOCAN 2018) Ungumdlavuza wesithathu ovame ukwedlula zonke kwabesilisa nowesibili umdlavuza owenzeka kakhulu kwabesifazane. Ziningi izinto ezinobungozi ezihambisana nokuqubuka kwezinhlobo ezahlukahlukene zomdlavuza kufaka phakathi ukuguqulwa komdlavuza, umlando womdlavuza, ukuguga nokunye, noma kunjalo, indlela yokuphila nayo ibamba iqhaza elibalulekile ngokufanayo. Utshwala, ukusetshenziswa kukagwayi, ukubhema nokukhuluphala yizinto ezibalulekile ezingakhuphula ingozi yomdlavuza.

Amacala omdlavuza we-colorectal abelokhu anda ngokuqhubekayo emhlabeni jikelele, ikakhulukazi emazweni asathuthuka asebenzisa indlela yokuphila yasentshonalanga. Inyama ebomvu njengenyama yenkomo, yewundlu kanye nengulube kanye nenyama egayiwe njengobhekeni, i-ham kanye nama-hot dogs kuyingxenye yokudla kwaseNtshonalanga ekhethwa amazwe athuthukile. Ngakho-ke, lo mbuzo wokuthi inyama ebomvu nenyama egayiwe ingabangela umdlavuza ngokuvamile kuba sematheni. 

Ukuyinonga, muva nje, "impikiswano yenyama ebomvu" ibisematheni ngemuva kokushicilelwa kocwaningo ngo-Okthoba 2019 ku-Annals of Internal Medicine lapho abacwaningi bathola khona ubufakazi obuphansi bokuthi ukuthatha inyama ebomvu noma inyama esetshenzisiwe kuyingozi . Kodwa-ke, odokotela kanye nomphakathi wesayensi bakugxeke kakhulu lokhu kubonwa. Kule bhulogi, sizosondeza ezifundweni ezahlukahlukene ezihlolisise ukuhlangana kwenyama ebomvu nesicubunguliwe nomdlavuza. Kepha ngaphambi kokuba simbe ngokujulile ezifundweni kanye nobufakazi obukhombisa imiphumela ye-carcinogenic, ake sibheke masinyane imininingwane ethile eyisisekelo mayelana nenyama ebomvu nocutshiwe. 

Iyini Inyama Ebomvu Neyenziwe?

Noma iyiphi inyama ebomvu ngaphambi kokuba iphekwe ibizwa ngenyama ebomvu. Ngokuyinhloko yinyama yezilwane ezincelisayo, imvamisa iba bomvu ngokumnyama uma iluhlaza. Inyama ebomvu ibandakanya inyama yenkomo, ingulube, iwundlu, inyama yegusha, imbuzi, inyama yenkonyana kanye nenyamazane.

Inyama elungisiwe isho inyama eguqulwa nganoma iyiphi indlela ukuthuthukisa ukunambitheka noma ukunweba impilo yeshalofu ngokubhema, ukwelapha, ukufaka usawoti noma ukwengeza izinto zokuvikela. Lokhu kufaka phakathi ubhekeni, amasoseji, izinja ezishisayo, i-salami, i-ham, i-pepperoni, inyama ekheniwe efana nenyama yenkomo ekhonjiwe nososo olususelwa enyameni.

Ukuba yingxenye ebalulekile yokudla kwaseNtshonalanga, inyama ebomvu njengenyama yenkomo, ingulube newundlu kanye nenyama esetshenzisiwe efana nebhekoni namasoseji kudliwa kakhulu emazweni athuthukile. Kodwa-ke, ucwaningo oluhlukile lukhombisile ukuthi ukudla okuphezulu kwenyama ebomvu nokwenziwe kwandisa ukukhuluphala nezinkinga zenhliziyo.

Izinzuzo Zezempilo Zenyama Ebomvu

Inyama ebomvu yaziwa ngokuba nenani eliphezulu lokudla okunempilo. Kungumthombo obalulekile wama-macronutrients ahlukahlukene kanye nama-micronutrients afaka:

1. Amaprotheni
2. Iron
3. Zinc
4. Vitamin B12
5. Uvithamini B3 (Niacin)
6. Vitamin B6 
7. Amafutha aqinisiwe 

Ukufaka amaprotheni njengengxenye yokudla okunempilo kubalulekile ekusekeleni impilo yethu yemisipha namathambo. 

I-iron iyasiza ekwenziweni kwe-hemoglobin, iphrotheni etholakala kumaseli abomvu egazi futhi isiza ukuhambisa umoya-mpilo emzimbeni wethu. 

I-Zinc iyadingeka ukugcina amasosha omzimba aphilile namanxeba okupholisa. Iphinde ibambe iqhaza elibalulekile ekwakhiweni kwe-DNA.

I-Vitamin B12 ibaluleke kakhulu ekusebenzeni okujwayelekile kobuchopho kanye nohlelo lwezinzwa. 

IVitamin B3 / Niacin isetshenziswa ngumzimba wethu ukuguqula amaprotheni namafutha abe ngamandla. Kuyasiza futhi ukugcina uhlelo lwethu lwezinzwa kanye nesikhumba nezinwele ziphilile. 

Uvithamini B6 usiza umzimba wethu ukwenza ama-antibody adingekayo ukulwa nezifo ezahlukahlukene.

Phezu kokuthi inyama ebomvu inenani lokudla okunempilo, akubalulekile ukuthatha inyama yenkomo, ingulube noma iwundlu njengengxenye yokudla okunempilo ukuthola lezi zakhi zomzimba, ngoba kungadala ukukhuluphala futhi kwandise ubungozi bezinkinga zenhliziyo nomdlavuza. Esikhundleni salokho, inyama ebomvu ingashintshwa ngenkukhu, inhlanzi, ubisi, amakhowe nokudla okutshalwe ezitshalweni.

Ubufakazi ku-Association of Meat Red and Processed With Cancer Risk

Ngezansi ezinye zezifundo ezishicilelwe muva nje ezihlolisise ukuhlangana kwenyama ebomvu nesicubunguliwe nengozi yomdlavuza wobala noma ezinye izinhlobo zomdlavuza ezifana nomdlavuza webele, wamaphaphu nowesinye.

Inhlangano Yenyama Ebomvu Neyenziwe Ngengozi Yomdlavuza Okhanyayo

I-United States ne-Puerto Rico Sister Study 

Kuhlaziyo lwakamuva olushicilelwe ngoJanuwari 2020, abacwaningi bahlaziye ukuhlangana kokusetshenziswa kwenyama ebomvu nokusetshenzwa ngengozi yomdlavuza obomvu. Kulolu cwaningo, idatha yokusetshenziswa kwenyama ebomvu neyesetshenzisiwe yatholwa kwabesifazane abangama-48,704 abaneminyaka ephakathi kuka-35 kuya kwengu-74 ababengabahlanganyeli base-US nasePuerto Rico abazinze ezweni lonke abazoba yiqembu likaSista Study futhi nodadewabo kwatholakala ukuthi unomdlavuza webele. Ngesikhathi sokulandela okulandelwayo kweminyaka engu-8.7, kwatholakala ukuthi kunamacala omdlavuza obala ngamakhanda angama-216. (USuril S Mehta et al, iCancer Epidemiol Biomarkers Prev., 2020)

Ekuhlaziyweni, kutholakale ukuthi ukudla okuphezulu kwansuku zonke kwezinyama ezicutshungulwayo kanye nemikhiqizo yenyama ebomvu eboiwe / eyosiwe kufaka ama-steaks nama-hamburger kuhlotshaniswa nengozi eyengeziwe yomdlavuza obomvu kwabesifazane. Lokhu kukhombisa ukuthi inyama ebomvu futhi esetshenzisiwe ingaba nemiphumela ye-carcinogenic lapho idliwa kakhulu.

Iphethini Yezokudla yaseNtshonalanga kanye Nengozi Yomdlavuza WeColon

Ocwaningweni olushicilelwe ngoJuni 2018, idatha yephethini yokudla itholwe ku-Prospential Study esekwe eJapan Public Health Center ebandakanya ababambe iqhaza abangama-93,062 abalandelwa kusukela ngo-1995-1998 kwaze kwaba sekupheleni kuka-2012. Ngo-2012, amacala angama-2482 umdlavuza colorectal babesanda kutholakala. Le datha itholwe kumbuzo oqinisekisiwe wemvamisa yokudla phakathi kuka-1995 no-1998. (USangah Shin et al, Clin Nutr., 2018) 

Iphethini yokudla yasentshonalanga yayidla kakhulu inyama nenyama ecutshunguliwe futhi yayihlanganisa ne-eel, ukudla okobisi, ujusi wezithelo, ikhofi, itiye, iziphuzo ezithambile, amasoso notshwala. Iphethini yokudla enobuhlakani yayihlanganisa imifino, izithelo, i-noodle, amazambane, imikhiqizo yesoya, amakhowe, nezimila zasolwandle. Iphethini yendabuko yokudla yayihlanganisa ukusetshenziswa kwamakhukhamba, izinhlanzi zasolwandle, inhlanzi, inkukhu kanye nangenxa yalokho. 

Ucwaningo luthole ukuthi labo abalandela indlela yokudla ehlakaniphile bakhombisa ukuncipha komdlavuza obala ngokobulili, kanti, abesifazane abalandela iphethini yokudla yasentshonalanga ngokudla kakhulu inyama ebomvu nenyama esetshenzisiwe bakhombisa ingozi enkulu yomdlavuza wekoloni nowe-distal.

Ucwaningo lwenziwe kubantu abangamaJuda nabama-Arabhu

Kokunye ucwaningo olushicilelwe ngoJulayi 2019, abacwaningi bahlole ukuhlangana kwezinhlobo ezahlukahlukene zokudla inyama ebomvu kanye nengozi yomdlavuza obala phakathi kwabantu abangamaJuda nabama-Arab endaweni ehlukile yeMedithera. Imininingwane yathathwa kubahlanganyeli abangu-10,026 abavela esifundweni seMolecular Epidemiology of Colorectal Cancer, isifundo esenziwe ngabantu enyakatho yakwa-Israyeli, lapho ababambiqhaza babuzwa khona-ke ngabantu mayelana nokudla kwabo kanye nendlela yabo yokuphila besebenzisa uhlu lwemibuzo lwemvamisa yokudla. (UWalid Saliba et al. I-Eur J Cancer Prev., 2019)

Ngokuya ngokuhlaziywa kwalolu cwaningo oluthile, abacwaningi bathole ukuthi ukusetshenziswa kwenyama yonke ebomvu bekungahlotshaniswa nobungozi bomdlavuza obucwebezelayo futhi bekubaluleke kakhulu kumvu nenyama yengulube, kodwa hhayi yenkomo, kungakhathalekile ukuthi itholakale kuphi. Ucwaningo luye lwathola nokuthi ukusetshenziswa okwandisiwe kwenyama esetshenzisiwe kuhlotshaniswa nobungozi obuncane obukhulayo bomdlavuza obucayi.

Iphethini Yezokudla yaseNtshonalanga neKhwalithi Yempilo Yeziguli Ezinomdlavuza Ocacile

Ocwaningweni olushicilelwe ngoJan 2018, abacwaningi abavela eJalimane bahlole ubudlelwano phakathi kwamaphethini wokudla nekhwalithi yoshintsho lwempilo ezigulini ezinomdlavuza. Abaphenyi basebenzise idatha evela ezigulini zomdlavuza ezi-colorectal ze-192 ezivela kuColoCare Study ngekhwalithi yedatha yokuphila etholakala ngaphambi nangezinyanga eziyi-12 ngemuva kokuhlinzwa kanye nedatha yemibuzo yemvamisa yokudla ezinyangeni eziyi-12 ngemuva kokuhlinzwa. Iphethini yokudla yaseNtshonalanga ehlolwe kulolu cwaningo ibonakaliswe ngokudla okuphezulu kwenyama ebomvu, esetshenzisiwe, amazambane, izinkukhu namakhekhe. (UBiljana Gigic et al, Umdlavuza weNutr., 2018)

Ucwaningo luthole ukuthi iziguli ezilandela indlela yokudla yaseNtshonalanga zinamathuba amancane okuthuthukisa ukusebenza kwazo ngokomzimba, ukuqunjelwa kanye nezinkinga zohudo ngokuhamba kwesikhathi uma kuqhathaniswa nalezo ziguli ezilandela indlela yokudla elayishwe izithelo nemifino futhi zikhombisa ukuthuthuka ezinkingeni zohudo. 

Sekukonke, abacwaningi baphetha ngokuthi iphethini yokudla yasentshonalanga (elayishwe inyama ebomvu njengenyama yenkomo, ingulube njll) ngemuva kokuhlinzwa ihlotshaniswa ngokungafani nekhwalithi yempilo yeziguli ezinomdlavuza onamandla.

Ukudla Kwenyama Ebomvu Futhi Okucutshungulwayo kanye Nengozi Yomdlavuza Ocacile Kubantu baseChina

NgoJanuwari 2018, abacwaningi abavela eChina, bashicilela iphepha elaliqokomisa izimbangela zeColorectal Cancer eChina. Imininingwane ephathelene nezindlela zokudla okubandakanya ukudla imifino nezithelo nokudla inyama ebomvu neyenziwe ngomshini, yathathwa ocwaningweni lwasendlini olwenziwa ngonyaka ka-2000 njengengxenye yoCwaningo LwamaShayina Lwezempilo Nokudla Okunomsoco olwahlanganisa ababambiqhaza abayi-15,648 abavela ezifundazweni eziyi-9 kubandakanya izifunda ezingama-54. (UGu MJ et al, iBMC Cancer., 2018)

Ngokuya ngemiphumela yocwaningo, ukudla imifino ephansi kwakuyimbangela enkulu yomdlavuza obala nge-PAF (ingxenyenamba yabantu ebabazekayo) engu-17.9% kulandelwa ukungasebenzi okwakungunobangela we-8.9% yesifo somdlavuza omnyama nokufa. 

Imbangela yesithathu enkulu kwakuwukudla okuphezulu okubomvu nokwenziwe kwenyama okwabalelwa ku-8.6% wesifo somdlavuza omnyama eChina kwalandelwa ukudla okuncane kwezithelo, ukuphuza utshwala, ukukhuluphala ngokweqile / ukukhuluphala ngokweqile nokubhema okuholele ku-6.4%, 5.4%, 5.3% no-4.9% wamacala omdlavuza obala ngokobulili, ngokulandelana. 

Ukutholakala Kwenyama Ebomvu kanye Nengozi Yomdlavuza WeColorectal / Colon: Isifundo SaseSweden

Ocwaningweni olushicilelwe ngoJulayi 2017, abacwaningi baseSweden bahlole ubudlelwano phakathi kokudla inyama ebomvu, izinkukhu kanye nenhlanzi ngesifo somdlavuza obala ngokololo / ikholoni / umugqa. Ukuhlaziywa kufaka idatha yokudla evela kwabesifazane abangu-16,944 nabesilisa abangu-10,987 4,28,924 abavela eMalmö Diet kanye neCancer Cancer. Ngesikhathi sokulandelwa kweminyaka yomuntu engu-728, kwabikwa amacala angu-2017 eColorectal Cancer. (U-Alexandra Vulcan et al, Food & Nutrition Research, XNUMX)

Okulandelayo kube yimiphumela esemqoka yocwaningo:

• Ukudla okuphezulu kwengulube (inyama ebomvu) kukhombise ukwanda kwesifo somdlavuza obomvu kanye nomdlavuza wekoloni. 
• Ukudla kwenkomo (futhi okubomvu kwenyama) kwakuhlotshaniswa nomdlavuza wekoloni, kodwa-ke, ucwaningo luye lwathola nokuthi ukudla kakhulu inyama yenkomo kuhlotshaniswa nengozi eyengeziwe yomdlavuza wesibeletho emadodeni. 
• Ukwanda kokudla kwenyama esetshenzisiwe kuhlotshaniswa nengozi eyengeziwe yomdlavuza obala emadodeni. 
• Ukusetshenziswa kwezinhlanzi okwandisiwe kwakuhlotshaniswa nokwehla kwengozi yomdlavuza wesikhumba. 

Kafushane, ngaphandle kocwaningo olwenziwe kubantu bamaJuda nama-Arab, zonke ezinye izifundo zikhombisa ukuthi ukudla okuphezulu kwezinhlobo ezahlukahlukene zenyama ebomvu njengenyama yenkomo nengulube kungaba yi-carcinogenic futhi kungabangela umdlavuza we-rectal, colon noma colorectal kuye ngokuthi ubomvu. uhlobo lwenyama. Ucwaningo luphinde lusekele ukuthi ukudla okuphezulu kwenyama egayiwe kuhlotshaniswa nengozi eyengeziwe ye-colorectal umdlavuza.

Inhlangano Yenyama Ebomvu Neyenziwe Ngobungozi Bezinye Izinhlobo Zomdlavuza

Ukusetshenziswa Kwenyama Ebomvu kanye Nengozi Yomdlavuza Webele

Ekuhlaziyweni kwakamuva okushicilelwe ngo-Ephreli 2020, idatha yokusetshenziswa kwezigaba zenyama ehlukene yatholakala kubabambiqhaza abangama-42,012 abavela e-US nasePuerto Rico abazinze ezweni lonke abazobe beyiqembu loDade Study abaphothula i-Block 1998 Food Frequency Questionnaire ngesikhathi bebhaliswa (2003-2009. ). Laba ababambiqhaza kwakungabesifazane abaneminyaka ephakathi kuka-35 kuya kwengu-74 ubudala ababengazange batholakale ukuthi banomdlavuza webele kanti bangodadewabo noma odadewabo abangabafazi abatholakala benomdlavuza webele. Ngesikhathi sokulandela okulandelwayo kweminyaka engu-7.6, kutholakale ukuthi umdlavuza webele we-1,536 ongenayo utholakale okungenani ukubhaliswa kokuthunyelwe konyaka. (UJamie J Lo et al, Umdlavuza we-Int J., 1)

Ucwaningo luthole ukuthi ukwanda kokusetshenziswa kwenyama ebomvu kuhlotshaniswa nobungozi obandayo bomdlavuza webele, okukhombisa umthelela wayo we-carcinogenic. Ngasikhathi sinye, abacwaningi bathola nokuthi ukwanda kokudla kwezinkukhu kuhlotshaniswa nokwehla kwengozi yomdlavuza webele.

Ukusetshenziswa Kwenyama Ebomvu kanye Nengozi Yomdlavuza Wamaphaphu

Ukuhlaziywa kwe-meta okushicilelwe ngoJuni 2014 kufaka imininingwane evela ezifundweni ezishicilelwe ezingama-33 ezahlola ubudlelwane phakathi kokusetshenziswa kwenyama ebomvu noma esetshenzisiwe kanye nengozi yomdlavuza wamaphaphu. Imininingwane itholwe kusesho lwezincwadi olwenziwe kwizizinda ezinhlanu ezibandakanya iPubMed, i-Embase, iWebhu yesayensi, iNational Ulwazi Ingqalasizinda kanye ne-Wanfang Database kuze kube nguJuni 5, 31. (Xiu-Juan Xue et al, Int J Clin Exp Med., 2013 )

Ukuhlaziywa kwempendulo yomthamo kutholwe ukuthi kuwo wonke amagremu angu-120 okwanda kwenyama ebomvu ngosuku, ingozi yomdlavuza wamaphaphu ikhuphuka ngo-35% futhi kuwo wonke amagremu angu-50 okwanda kwenyama ebomvu ngosuku ingozi yamaphaphu. umdlavuza inyuke ngo-20%. Ukuhlaziywa kubonisa umphumela we-carcinogenic wenyama ebomvu uma ithathwa ngamanani aphezulu.

Ukusetshenziswa Kwenyama Ebomvu Nokusetshenzisiwe Nengozi Yomdlavuza Wesinye

Ekuhlaziyweni kwe-meta-response meta-analysis eshicilelwe ngoDisemba 2016, abacwaningi bahlole ubudlelwane phakathi kokusetshenziswa kwenyama ebomvu nokusetshenzisiwe kanye nengozi yomdlavuza wesisu. Imininingwane itholwe ezifundweni ezi-5 ezisuselwa kubantu ezinamacala angama-3262 kanye nabahlanganyeli abangu-1,038,787 nezifundo zemitholampilo eziyi-8 ezinamacala angama-7009 kanye nabahlanganyeli abangama-27,240 ngokususelwa kusesho lwezincwadi ku-database ye-Pubmed ngoJanuwari 2016. (Alessio Crippa et al, Eur J Nutr., 2018)

Ucwaningo luthole ukuthi ukwanda kokusetshenziswa kwenyama ebomvu kukhuphule ubungozi besifo somdlavuza wesinye ezifundweni zomtholampilo kepha abutholanga budlelwano ezifundweni ezenzelwe iqembu / labantu. Kodwa-ke, kwatholakala ukuthi ukwanda kokusetshenziswa kwenyama okusetshenzisiwe kwandisa ubungozi besifo somdlavuza wesinye kuzo zombili izifundo zokulawulwa kwamacala / ezomtholampilo noma zeqoqo / labantu. 

Lezi zifundo ziphakamisa ukuthi inyama ebomvu futhi esetshenzisiwe ingaba nemiphumela ye-carcinogenic futhi ingadala nezinye izinhlobo zomdlavuza, ngaphandle komdlavuza obala, njengomdlavuza webele, wamaphaphu nowesinye.

Ngabe kufanele sigweme ngokuphelele inyama ebomvu nenyama esetshenzisiwe?

Zonke lezi zifundo ezingenhla zinikeza ubufakazi obanele bokuqinisekisa ukuthi ukudla okuphezulu kwenyama ebomvu nocubunguliwe kungaba yi-carcinogenic futhi kungaholela kumdlavuza obala ngokhahlo neminye imidlavuza efana nomdlavuza webele, wamaphaphu nowesinye. Ngaphandle komdlavuza, ukudla kakhulu inyama ebomvu neyesetshenzisiwe nakho kungadala ukukhuluphala nezinkinga zenhliziyo. Kepha ngabe lokhu kusho ukuthi umuntu kufanele agweme ngokuphelele inyama ebomvu ekudleni? 

Nokho, ngokwe-American Institute of Cancer Research, umuntu kufanele alinganisele ukudla inyama ebomvu okuhlanganisa eyenkomo, ingulube newundlu ukuze kube izingxenye ezintathu ngesonto okulingana nesisindo esiphekiwe esingaba ngu-3-350g. Ngamanye amazwi, akufanele sithathe ngaphezu kwe-500-50g yenyama ebomvu ephekiwe ngosuku ukuze sinciphise ingozi ye-colorectal. umdlavuza. 

Ukhumbula ukuthi inyama ebomvu inokudla okunomsoco, kulabo abangakwazi ukugwema inyama ebomvu, bangahle bacabange ukuthatha inyama ebomvu esikiwe futhi bagweme ama-steak nama-chops anonile. 

Kunconywa futhi ukuthi ugweme inyama esetshenzisiwe enjengebhekoni, i-ham, i-pepperoni, inyama yenkomo ekhonjiwe, i-jerky, inja eshisayo, amasoseji kanye ne-salami ngangokunokwenzeka. 

Kufanele sizame ukufaka inyama ebomvu nenyama ecutshunguliwe esikhundleni senkukhu, inhlanzi, ubisi namakhowe. Kukhona nokudla okwehlukene okutshalwe ezitshalweni okungaba indawo enhle kakhulu yenyama ebomvu ngombono wenani lokudla okunempilo. Lokhu kufaka phakathi amantongomane, izitshalo ezinamagilebhisi, okusanhlamvu, izinhlamvu, isipinashi namakhowe.

Ukudla okudlayo nokuthi yikuphi okunezelayo okwenzayo yisinqumo osithathayo. Isinqumo sakho kufanele sifake ukucutshungulwa kwezakhi zofuzo zomdlavuza, okuwumdlavuza, ukwelashwa okuqhubekayo kanye nezithasiselo, noma yikuphi ukungezwani komzimba, imininingwane yokuphila, isisindo, ubude nemikhuba.

Ukuhlelela okunomsoco komdlavuza kusuka ku-addon akususelwa ekusesheni kwe-inthanethi. Kwenzela wena ukuthathela izinqumo ngokuya ngesayensi yamangqamuzana eyenziwe ososayensi bethu nonjiniyela be-software. Kungakhathalekile ukuthi ngabe uyakukhathalela ukuqonda okuyisisekelo kwamakhemikhali amakhemikhali noma cha - wokuhlelela umsoco ukuhlela lokho kudinga ukuqonda.

Qalisa MANJE ngokuhlela kwakho okunomsoco ngokuphendula imibuzo egameni lomdlavuza, ukuguquka kwezakhi zofuzo, ukwelashwa okuqhubekayo kanye nezithasiselo, noma yikuphi ukungezwani komzimba, imikhuba, indlela yokuphila, iqembu lobudala nobulili.

Iziguli ezinomdlavuza ngokuvamile kufanele zibhekane nokuhlukile imiphumela emibi ye-chemotherapy okuthinta ikhwalithi yempilo yabo futhi babheke ezinye izindlela zokwelapha umdlavuza. Ukuthatha ukudla okunomsoco nezithasiselo ezisuselwa ekucabangeni kwesayensi (ukugwema ukuqagela nokukhetha okungahleliwe) yikhambi elingcono kakhulu lemvelo lomdlavuza nemiphumela emibi ehlobene nokwelashwa.

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