Amaphuzu avelele
Iziguli ezinomdlavuza ezine-neutropenia noma izibalo eziphansi ze-neutrophil zivame ukungenwa izifo futhi zivame ukutuswa ukuthi zithathe izinyathelo eziningi zokuphepha futhi zilandele ukudla okuvinjelwe kakhulu kwe-neutropenic okuyeka ngisho nayo yonke imifino eluhlaza, izithelo eziningi ezintsha, amantongomane, i-oats eluhlaza, amajusi ezithelo angagxiliwe, ubisi kanye iyogathi. Kodwa-ke, izifundo ezahlukene kanye nokuhlaziywa kwe-meta akutholanga ubufakazi obuqinile bokusekela ukuthi ukudla kwe-neutropenic kuvimbela ukutheleleka ezigulini ezinomdlavuza. Iziguli ezathola ukudla kwe-neutropenic nazo zabika ukuthi ukunamathela kulokhu kudla kudinga umzamo owengeziwe. Ngakho-ke, abacwaningi baphakamise ukukhathazeka ngokuncoma ukudla kwe-neutropenic umdlavuza iziguli, ngaphandle kobufakazi obuqinile bezinzuzo ezihlobene nokuncipha kwamazinga okutheleleka.
Kuyini Neutropenia?
I-Neutropenia yisimo sempilo esihlotshaniswa nokubalwa okuphansi kakhulu kohlobo lwamaseli amhlophe egazi abizwa nge-neutrophils. Lawa maseli amhlophe egazi avikela umzimba wethu ezifweni ezahlukahlukene. Noma yisiphi isimo sempilo esinamaseli amhlophe egazi aphansi singakhuphula ubungozi bokutheleleka. Kubantu abane-neutropenia, ukutheleleka okuncane kungagcina kusongela impilo. Ngakho-ke, iziguli ze-neutropenic zidinga ukuthatha izinyathelo eziningi zokuqapha izifo.
I-Neutropenia ibangelwa kakhulu:
- Ngokwelashwa ngamakhemikhali okuthile
- Ngokwelapha ngemisebe okunikezwe izingxenye ezahlukene zomzimba
- Kumdlavuza we-metastatic osabalalele ezingxenyeni ezihlukene zomzimba
- Ngezifo ezihambisana nomnkantsha kanye zomdlavuza njenge-leukemia, i-lymphoma, ne-myeloma eminingi engathinta amangqamuzana egazi amhlophe
- Ngezinye izifo ezinjengezifo ezizimele ezibandakanya i-aplastic anemia kanye ne-rheumatoid arthritis
Ngaphandle kwalaba, labo abanamasosha omzimba anciphise ngenxa yokutheleleka nge-HIV noma ukufakelwa isitho somzimba noma labo abaneminyaka engama-70 nangaphezulu, bathambekele kakhulu kwi-neutropenia.
Ukuhlolwa kwegazi kungasitshela ukuthi isibalo samaseli amhlophe egazi siphansi yini.
Kuyini Ukudla Okuneutropenic?
Ukudla okungathathi hlangothi kungukudla okusetshenziswa kubantu abanamasosha omzimba acindezelwe abasengozini eyengeziwe yokutheleleka okuvela kumagciwane akhona ekudleni kwethu. Ukudla kwe-neutropenic ekuqaleni kwakusetshenziswa ngeminyaka yama-1970, ocwaningweni olwalufaka indlela yokudla njengendlela yokuxhasa ikhwalithi yempilo yeziguli ezazithole ukufakelwa ama-stem cell.
Umqondo oyisisekelo wokudla okungenayo i-neutropenic ukugwema ukudla okuthile okungasivezela amagciwane nezinye izifo, sithathe izinyathelo zokuzivikela futhi sisebenzise ukuphepha nokudla okufanelekile.
Ukudla Okumele Ukukhethe Futhi Ukugwebe Ekudleni Okuneutropenic
Kunokuqapha okuningi okufanele kuthathwe yiziguli ezine-neutropenia nemikhawulo eminingi yokudla okufanele ilandelwe ekudleni kwe-neutropenic. Okulandelayo uhlu lokudla okumele ukhethe futhi ugweme ekudleni kwe-neutropenic, njengoba kutholakala kusizinda somphakathi.
nemikhiqizo yalo
Ukudla Okufanele Kugweme
- Ubisi olungagciniwe kanye neyogathi
- I-yogurt eyenziwe ngamasiko abukhoma noma asebenzayo
- I-yogurt noma u-ayisikhilimu othambile ovela emshinini
- Ama-Milkshakes enziwe nge-blender
- Ushizi othambile (iBrie, feta, iCheddar ebukhali)
- Ushizi wobisi olungaphekiwe futhi oluhlaza
- Ushizi onesikhunta (iGorgonzola, ushizi oluhlaza okwesibhakabhaka)
- Ushizi osekhulile
- Ushizi onemifino engaphekiwe
- Ushizi wesitayela saseMexico njenge-queso
Ukudla Okuzokhethwa
- Ubisi olunamathiselwe kanye neyogathi
- Eminye imikhiqizo yobisi enamathiselwe okubandakanya ushizi, u-ayisikhilimu no-ukhilimu omuncu
Izintambo
Ukudla Okufanele Kugweme
- Izinkwa nokugoqa ngamantongomane aluhlaza
- Izinhlamvu eziqukethe amantongomane aluhlaza
- I-pasta engaphekiwe
- Isaladi le-pasta noma isaladi lamazambane ngemifino eluhlaza noma amaqanda
- I-oats eluhlaza
- Izinhlamvu ezingavuthiwe
Ukudla Okuzokhethwa
- Zonke izinhlobo zezinkwa
- Ipasta ephekiwe
- Amapancake
- Izinhlamvu eziphekiwe nezinhlamvu
- Ubhatata ophekiwe
- Ubhontshisi ophekiwe nophizi
- Ummbila ophekiwe
imifino
Ukudla Okufanele Kugweme
- Imifino eluhlaza
- Amasaladi amasha
- Imifino ethosiwe
- Amakhambi nezinongo ezingaphekiwe
- I-sauerkraut entsha
Ukudla Okuzokhethwa
- Yonke imifino efriziwe noma efriziwe ephekwe kahle
- Ujusi wemifino ekheniwe
Izithelo
Ukudla Okufanele Kugweme
- Izithelo ezingavuthiwe
- Iziphuzo zezithelo ezingasetshenzisiwe
- Izithelo ezomile
- Zonke izithelo ezintsha ngaphandle kwalezo ezibalwe ngezansi ku- “Foods to Select”
Ukudla Okuzokhethwa
- Izithelo ezikheniwe neziphuzo zezithelo
- Izithelo ezifriziwe
- Iziphuzo ezifriziwe ezifriziwe
- Ijusi le-apula eliphekiwe
- Izithelo ezinesikhumba esijiyile ezihlanjululwe zahlanjululwa kahle njengobhanana, amawolintshi nezithelo zomvini
Amaprotheni
Ukudla Okufanele Kugweme
- Inyama eluhlaza noma engaphekiwe, inhlanzi nezinkukhu
- Hlanganisa ukudla okuthosiwe
- Dlulisa inyama
- Amasobho amadala
- Ukudla okusheshayo
- Imikhiqizo kaMiso
- Sushi
- Sashimi
- Inyama ebandayo noma izinkukhu
- Amaqanda aluhlaza noma angaphekiwe ane-yolk egijimayo noma ohlangothini lwelanga phezulu
Ukudla Okuzokhethwa
- Inyama ephekwe kahle, inhlanzi nezinkukhu
- I-tuna ekheniwe noma inkukhu
- Ukushisa kahle isobho elisemathinini futhi elenziwe ekhaya
- Amaqanda aphekwe kanzima noma abilisiwe
- Amaqanda afakwe esikhundleni se-Pasteurized
- Amaqanda ayimpuphu
iziPhuzo
Ukudla Okufanele Kugweme
- Itiye elibilisiwe elibandayo
- I-Eggnog eyenziwe ngamaqanda aluhlaza
- Ilanga itiye
- I-lemonade eyenziwe ngokwenza
- I-apula cider entsha
Ukudla Okuzokhethwa
- Ikhofi netiye elisheshayo neliphekiwe
- Amabhodlela (ahlungiwe noma acolisisiwe noma enza i-reverse osmosis) noma amanzi acolisisiwe
- Iziphuzo ezinamathanga noma zamabhodlela
- Amathini ngamanye noma amabhodlela ama-sodas
- Kuphekwe ama-herbal teas
Ukudla Okufanele Ukudla Ngemuva Kokuxilongwa Komdlavuza!
Akukho mdlavuza owodwa ofanayo. Dlulela ngale kwemihlahlandlela ejwayelekile yokudla kuwo wonke umuntu futhi wenze izinqumo ezenziwe ngezifiso ngokudla nezithasiselo ngokuzethemba.
Izifundo Ezihlotshaniswa Nomthelela Wokudla Kwe-Neutropenic Ezigulini Zomdlavuza
Ngemuva kokwenza i-chemotherapy noma i-radiotherapy, kunengozi eyengeziwe yokutheleleka umdlavuza iziguli ezivela kumagciwane afana namagciwane kanye nesikhunta ezikhona ekudleni. Lokhu kungenxa yokuthi izibalo zamangqamuzana amhlophe egazi akwazi ukulwa namagciwane ekudleni ziphansi futhi ngenxa yokuthi ulwelwesi lwamathumbu oluvame ukusebenza njengesithiyo phakathi kwamagciwane nomjikelezo wegazi lonakaliswa ukwelashwa ngamakhemikhali kanye ne-radiotherapy. Ukukhumbula lesi simo, iziguli ziyacelwa ukuthi zithathe izinyathelo eziningi zokuphepha futhi ukudla okukhethekile kwe-neutropenic okunemikhawulo eminingi yokudla kwethulwa ezigulini eziningi ezinomdlavuza ezinamasistimu omzimba acindezelwe.
Ukudla okune-neutropenic kuvame ukunikezwa iziguli ezinomdlavuza ngenhloso yokwehlisa ukutheleleka ngokugwema ukudla okuthile nangokusebenzisa ukuphatha okuphephile nokugcina ukudla. Kodwa-ke, le mikhawulo yokudla ukunciphisa ubungozi bokutheleleka idinga ukulinganiswa ngokuqinisekisa ukuthi iziguli zithola umsoco owenele, ikakhulukazi ukubhekana nemiphumela emibi yokwelashwa kanye nokwenza ngcono izimpendulo zokwelashwa.
Njengoba iziguli ezinomdlavuza we-neutropenic kufanele zithathe izinyathelo eziningi zokuqapha kanye nokudla okunconywayo kwe-neutropenic nakho kungukudla okunemikhawulo eminingi yokudla okushiya yonke imifino eluhlaza, izithelo eziningi ezintsha, amantongomane, i-oats eluhlaza, iziphuzo zezithelo ezingasetshenziswanga, ubisi ne-yogurt nokunye okuningi, kwenziwa ucwaningo oluningana ngabaphenyi abahlukahlukene ukutadisha ukuthi ukungenisa ukudla kwe-neutropenic empeleni kuyasiza yini ekwehliseni amazinga okutheleleka ezigulini ezinomdlavuza. Ezinye zezifundo zakamuva kanye nokutholakele kwazo kuhlanganiswe ngezansi. Ake sibheke!
Ukubuyekezwa okuhlelekile ngabaphenyi base-United States naseNdiya
Muva nje, abacwaningi abavela e-United States nase-India benze ukubuyekeza okuhlelekile ukutadisha ukuthi ngabe bukhona yini ubufakazi obuqinile besayensi obungaxhasa ukusebenza kokudla kwe-neutropenic ekwehliseni ukutheleleka nokufa phakathi kweziguli ezinomdlavuza. Bakhiphe izifundo eziyi-11 zokuhlaziywa ngokucwaninga ngezincwadi ku-MEDLINE, EMBASE, Cochrane Central Register of Controlled Trials and Scopus database kwaze kwaba ngoMashi 2019. Ucwaningo alutholanga nokwehla kwamazinga okutheleleka noma okufa kweziguli ezinomdlavuza ezilandela ukudla kwe-neutropenic. (IVenkataraghavan Ramamoorthy et al, Umdlavuza weNutriti., 2020)
Abaphenyi baphinde babalula ukuthi ngenkathi ezinye izikhungo zilandela imikhuba ejwayelekile yokuphepha kokudla zodwa ekudleni kwe-neutropenic, ezinye zigweme ukudla okwandisa ukutholakala kwamagciwane, futhi iqembu lesithathu lezikhungo lilandele zombili. Ngakho-ke, baphakamise izindlela zokuphepha nokuphathwa kokudla okuphephile nokulungiselela izindlela ezinconywe yi-Food and Drug Administration, ukuthi zilandelwe ngokufananayo ezigulini ezingathathi hlangothi.
Isifundo seFlinders Medical Center e-Australia
Ocwaningweni olushicilelwe ngo-2020, abacwaningi abavela eFlinders University naseFlinders Medical Center e-Australia benze umzamo wokuqhathanisa imiphumela yomtholampilo yeziguli zamakhemikhali ezithola ukudla okungenayo i-neutropenic noma ukudla okune-liberal futhi futhi baphenya nezinhlangano eziphakathi kokudla kwe-neutropenic kanye nokuthelelanayo imiphumela. Ocwaningweni, basebenzise imininingwane evela ezigulini ze-neutropenic ezineminyaka engu-18 nangaphezulu ezafakwa eFlinders Medical Center phakathi kuka-2013 no-2017 kanti phambilini zazithole ukwelashwa ngamakhemikhali. Kulezi ziguli ezingama-79 zithole ukudla okune-neutropenic kanti iziguli ezingama-75 zithole ukudla okunenkululeko. (UMei Shan Heng et al, i-Eur J Care Care (Engl)., 2020)
Ucwaningo luthole ukuthi izehlakalo ze-neutropenia ezinomkhuhlane omkhulu, i-bacteraemia kanye nenani lezinsuku ezinomkhuhlane omkhulu zisephezulu eqenjini elithole ukudla kwe-neutropenic. Ukuhlaziywa okuqhubekayo kwezimbili ezingama-20 zeziguli ebezihambisana ngokuya ngeminyaka yobudala, ukuxilongwa kwezocansi nomdlavuza nakho akuzange kuthole umehluko omkhulu emiphumeleni yomtholampilo phakathi kweziguli ezithola ukudla kwe-neutropenic nalabo abathola ukudla okunenkululeko. Abaphenyi yingakho baphetha ngokuthi ukudla kwe-neutropenic kungahle kungasizi ekuvimbeleni imiphumela emibi ezigulini ze-chemotherapy.
Ucwaningo Oluhlanganisiwe Lwamanyuvesi ahlukene e-United States
Abaphenyi baseJohns Hopkins University, Mayo Clinic, Massachusetts General Hospital, University of Texas Southwestern Medical Center kanye neTexas Tech University Health Sciences Center e-United States benze ukuhlaziywa kwe-meta ngamanani ezifo ezibikwe kwizilingo ezi-5 ezahlukahlukene ezibandakanya iziguli ezingama-388 , kuqhathanisa ukudla kwe-neutropenic nokudla okungavinjelwe ku-acute myeloid leukemia (AML), acute lymphoblastic leukemia (ALL), noma iziguli ezinomdlavuza we-sarcoma ezine-neutropenia. USomedeb Ball et al, Am J Clin Oncol., 12)
Ucwaningo luthole ukutheleleka ezigulini ezingama-53.7% ezilandela indlela yokudla eyi-neutropenic neziguli ezingama-50% ezilandela ukudla okungavinjelwe. Ngakho-ke, abacwaningi baphetha ngokuthi ukusetshenziswa kokudla kwe-neutropenic kungahle kungahlobene nokwehla kwengozi yokutheleleka ezigulini zomdlavuza ze-neutropenic.
Ucwaningo olwenziwe yiMayo Clinic, i-Adult Bone Marrow Transplant Service eManhattan naseMissouri Baptist Medical Center - e-United States
Ocwaningweni olushicilelwe ngo-2018, abacwaningi bahlole ukusebenza kokudla kwe-neutropenic ekwehliseni ukutheleleka nokufa kweziguli ezinomdlavuza ezine-neutropenia. Izifundo ze-6 ezitholwe ngokusesha kwe-database, zisetshenziselwe ukuhlaziywa, okubandakanya iziguli eziyi-1116 lapho iziguli ezingama-772 phambilini zazifakelwe ukufakwa kweseli le-haematopoietic. (Mohamad Bassam Sonbol et al, BMJ Support Palliat Care. 2019)
Ucwaningo luthole ukuthi awukho umehluko ophawulekayo emazingeni okufa kwabantu noma amazinga ezifo ezinkulu, i-bacteremia noma i-fungemia, phakathi kwalabo abalandela ukudla kwe-neutropenic kanye nalabo abadla njalo. Ucwaningo luphinde lwathola ukuthi ukudla okungenayo i-neutropenic kuhlotshaniswa nobungozi obuncane bokutheleleka ezigulini ebezifakelwe ukufakwa kweseli le-haematopoietic.
Abaphenyi abatholanga bufakazi obusekela ukusetshenziswa kokudla kwe-neutropenic ezigulini zomdlavuza ezine-neutropenia. Esikhundleni sokulandela ukudla okune-neutropenic, baphakamise ukuthi iziguli ezinomdlavuza kanye nabahlengikazi kufanele baqhubeke nokulandela imihlahlandlela yokuphatha ukudla ephephile futhi bathathe izinyathelo zokuphepha, njengoba kunconyiwe yi-US Food and Drug Administration.
Ukufundwa Komthelela Wokudla Kwe-Neutropenic ku-Pediatric Acute Lymphoblastic Leukemia (ALL) kanye Neziguli ZeSarcoma
Ucwaningo olushicilelwe abacwaningi abavela ezibhedlela ezahlukene zezingane kanye ne-oncology e-United States, luqhathanise amazinga okutheleleka kwe-neutropenic ezigulini ezinomdlavuza wezingane ezingama-73 ezilandele iFood and Drug Administration igunyaze imihlahlandlela yokuphepha kokudla ngezingane ezingama-77. umdlavuza amacala alandela ukudla kwe-neutropenic kanye ne-Food and Drug Administration igunyaze imihlahlandlela yokuphepha kokudla, phakathi nomjikelezo owodwa we-chemotherapy. Iziguli zazitholakala ukuthi zine-ALL noma i-sarcoma. (Karen M Moody et al, Pediatr Blood Cancer., 2018)
Ucwaningo luthole ukutheleleka ezigulini ezingama-35% ezalandela ukudla kwe-neutropenic kanye ne-Food and Drug Administration ezigunyaze imihlahlandlela yokuphepha kokudla kwathi iziguli ezingama-33% ezalandela i-Food and Drug Administration zamukela imihlahlandlela yokuphepha kokudla kuphela. Iziguli ezithola ukudla kwe-neutropenia nazo zibike ukuthi ukunamathela ekudleni kwe-neutropenic kudinga umzamo omkhulu.
Ukuhlaziywa Komthelela Wokudla Kwe-Neutropenic ku-AML-BFM 2004 Trial
Abaphenyi baseJohann Wolfgang Goethe-University eFrankfurt, eHannover Medical School eJalimane kanye neSibhedlela Sezingane Ezigulayo eToronto, eCanada bahlaziye umthelela wokudla kwe-neutropenic nemikhawulo yezenhlalo esetshenziswa njengezindlela zokulwa nokutheleleka ezinganeni ezine-Acute Myeloid Leukemia. Ucwaningo lusebenzise imininingwane evela ezigulini ezingama-339 ezelashwa ezikhungweni ezingama-37. Ucwaningo alutholanga nzuzo enkulu yokulandela imikhawulo yokudla ekudleni kwe-neutropenic kulezi ziguli ezinomdlavuza wezingane. (ULars Tramsen et al, J Clin Oncol., 2016)
Ingabe Iziguli Ezinomdlavuza Kufanele Zilandele Ukudla Kwe-Neutropenic?
Izifundo ezingenhla ziphakamisa ukuthi abukho ubufakazi obuqinile bokusekela ukuthi ukudla kwe-neutropenic kuvimbela ukutheleleka ezigulini zomdlavuza. Lokhu kudla okunemikhawulo nakho kuhlotshaniswa nokwaneliseka okuphansi kweziguli futhi kungaholela nasekungondlekeni. Noma kungekho bufakazi obufanele besayensi bokuthi ukudla kwe-neutropenic kunciphisa ubungozi bokutheleleka ezigulini ezinomdlavuza noma kuthuthukise ukubalwa kwamaseli amhlophe ezigulini zomdlavuza, kusanconywa kumawebhusayithi amaningi wezikhungo zomdlavuza eziphezulu zase-US, njengoba kukhonjisiwe ocwaningweni olushicilelwe kwi-Nutrition and Cancer Journal e-2019 (UTimothy J Brown et al, Umdlavuza weNutriti., 2019).
Kuze kube manje, i-National Comprehensive Cancer Network (NCCN) noma imihlahlandlela ye-Oncology Nursing Society Cancer Chemotherapy nayo ayikatusi ukusetshenziswa kwe-neutropenic diet ezigulini ezinomdlavuza. Olunye ucwaningo luphinde lwathola ukuthi ukuthatha izinyathelo zokuphepha ezidingekayo kanye nokuhambisana neziqondiso Zokuphatha Ukudla Okuphephile ezikhishwe yi-Food and Drug Administration njengegunya lawo wonke amakhishi ezibhedlela, kungase kunikeze ukuvikeleka okwanele ekuthelelekeni okubangelwa ukudla, ngaleyo ndlela kungafaki isidingo sokudla okune-neutropenic. (UHeather R Wolfe et al, J Hosp Med., 2018). Ucwaningo luphinde lwathola ukuthi ukudla okuqinile kwe-neutropenic kuqukethe i-fiber encane kanye nokuqukethwe kwe-vitamin C (Juliana Elert Maia et al, Pediatr Blood Cancer., 2018). Ngakho-ke, sincoma umdlavuza iziguli ezine-neutropenia ukulandela ukudla okuvinjelwe kakhulu kwe-neutropenic, okungenabo ubufakazi obuqinile kumazinga ancishisiwe okutheleleka, kungase kube nokungabaza.
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.
Ukudla Okungokwakho Komdlavuza!
Umdlavuza uyashintsha ngokuhamba kwesikhathi. Enza ngendlela oyifisayo futhi uguqule umsoco wakho ngokusekelwe kunkomba yomdlavuza, ukwelashwa, indlela yokuphila, okuncamelayo kokudla, izinto ezingakuphathi kahle nezinye izici.
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.