Vitamini ndi Mineral Supplements Pa Chithandizo cha Khansa

Funso limene timapemphedwa nthawi zambiri ndi lakuti: Kodi ndizitenga mavitamini panthawi ya chithandizo cha khansa? Ndi funso lofunikanso kwambiri powerenga ziwerengero zingapo. Mu 2008, zinalembedwa mu Journal of Clinical Oncology kuti pakati pa 64 ndi 81 peresenti ya odwala khansa anali kugwiritsa ntchito vitamini kapena mineral supplement (kusiyana ndi 50 peresenti ya anthu ambiri) ndipo pakati pa 14 ndi 32 peresenti ya anthuwa anayamba kutenga mavitamini atatha kudwala khansa.

Yankho losavuta ndi lakuti: "Wokhayo amene angayankhe funsoli ndi wanu oncologist."

Yankho labwino ndi lakuti: "Funsani a oncologist anu musanatenge mtundu uliwonse wa zowonjezereka, koma onani zina mwazifukwa zomwe ziri pansipa-zifukwa zotsutsana-kuti muthe kumvetsa yankho la dokotala wanu ndi kusankha pamodzi." Musatenge vitamini, mchere, kapena antioxidant supplement popanda kufunsa dokotala wanu poyamba chifukwa izi zingakhale zoopsa kwa anthu ena omwe ali ndi khansa.

Nkhaniyi ikukhudzana ndi zovuta ndi zopindulitsa zazowonjezereka, koma ndizofunika kuwona zinthu zingapo. Pali mitundu yambiri ya khansa, ndipo ngakhale ndi mtundu umodzi wa khansara pali kusiyana kwakukulu. Onjezerani izi kwa munthu aliyense wapadera, ndi zizindikiro za thupi lake ndi zina zamankhwala, ndipo n'zosavuta kuona chifukwa chake ngakhale chinthu chomwe chingamveke ngati funso losavuta ndi chovuta kwambiri.

Mndandanda wa mavitamini ndi mchere wofunikira kuti ukhale wathanzi, komanso mndandanda wa zakudya zomwe anthu ambiri amadya antioxidants, mungazipeze kumapeto kwa nkhaniyi.

Zifukwa Zomwe Wachikulire Wanu Amagwiritsira Ntchito Pitirizani Kulimbikitsa Kusatengera Mavitamini

Zingatheke Kusamvana ndi Mapindu a Chithandizo

Chimodzi mwa zifukwa zazikuluzikulu kawirikawiri samapatsa vitamini ndi mchere zowonjezerapo kapena mankhwala ophera antioxidant chifukwa chakuti akhoza kuthana ndi zotsatira za mankhwala a chemotherapy kapena mankhwala a radiation.

Zosokoneza mfulu m'matupi athu (zopangidwa ndi zinthu monga utsi wa fodya, miyendo, ndi njira zowonongeka zamagetsi) zingathe kuwononga DNA m'maselo athu (kuwonongeka kwa chilengedwe komwe kungayambitse khansa). mpweya. Antioxidants yomwe imapangidwa ndi matupi athu ndi kuyamwa mu zakudya zathu zimagwiritsira ntchito kuthetseratu zinthu zowonjezera zaufulu ndikuletsa kuwonongeka kwa okosijeni; motero amateteza maselo. Lingaliro ndilokuti antioxidants ikhoza kuteteza maselo a khansa kuti asawonongeke ndi chemotherapy ndi mankhwala opatsirana pogwiritsa ntchito mankhwala. Sitifuna kuteteza maselo a khansa.

Pali maphunziro ena, makamaka mwa anthu omwe amasuta, momwe anthu ogwiritsira ntchito zowonjezeretsa amakhala ndi zotsatira zoipa. Kafukufuku wa 2008 unasonyeza kuti vitamini C yowonjezeretsa kuchepa kwa mankhwala a chemotherapy ndi 30 mpaka 70 peresenti pakati pa maselo a khansa ya m'magazi ndi maselo a mitsempha m'matumba. Kafukufuku wina amasonyeza kuti vitamini C yapamwamba ikhoza kukhala ndi phindu kwa anthu omwe amachiritsidwa ndi khansara-mu lebu. Kafukufuku akuyang'anitsitsa maselo a khansa ya m'mawere a anthu akupeza kuti vitamini C yachepetsa mphamvu ya tamoxifen. Mu maphunziro amenewa, ankaganiziridwa kuti vitamini C imasokoneza kupopopera, kutanthauza kuti, maselo a khansa, m'maselo a khansa.

Zina mwaziopsezo zingakhale zogwirizana kwambiri. Kafukufuku wa 2007 kuchokera mu 1966 mpaka 2007 sanapeze umboni wosonyeza kuti antioxidant zowonjezereka zimasokoneza mankhwala a chemotherapy, ndipo ofufuza ena amakhulupirira kuti mankhwala ophera antioxidants angathandize kuteteza maselo osatha popanda kusokoneza mphamvu ya khansa. Phunziroli linaphatikizapo maphunziro pogwiritsa ntchito glutathione , vitamini A, vitamini C, vitamini E, ellagic acid, selenium, ndi beta-carotene ndipo amakhulupirira kuti mankhwala ophera tizilombo toyambitsa matenda angathandize kuti tizilombo toyamwitsa tizilombo toyambitsa matenda tizilombo toyambitsa matenda komanso tizilombo toyambitsa matenda tizilombo toyambitsa matenda, kuphatikizapo kuthandiza odwala kulandira chithandizo. Kuwonanso kwina kwakukulu kwa kafukufuku 33 kunapeza umboni wakuti kugwiritsa ntchito antioxidants ndi chemotherapy kunabweretsa poizoni pang'ono, zomwe zinapangitsa anthu kuti amalize mankhwala okwanira.

Kupatulapo kunali phunziro limodzi lomwe linawonetsa kuwonjezeka kwa poizoni kwa omwe amagwiritsa ntchito vitamini A supplement. Kupenda uku kunayesa maphunziro pogwiritsa ntchito N-acetylcysteine , vitamin E, selenium, L-carnitine, Coenzyme Q10 , ndi ellagic acid.

Kuyanjana ndi Mankhwala Ena

Pali zitsanzo zambiri zogwirizana, komabe chitsanzo chophweka ndi cha vitamini E chomwe chikhoza kuwonjezera chiopsezo cha magazi mwa anthu omwe akutenga magazi ochepa a Coumadin.

Dietary Sources vs Zowonjezera

Kawirikawiri, lamulo loti tipeze mavitamini ndi mchere pa nthawi ya chithandizo cha khansa ndi "chakudya choyamba." Ndipo chifukwa chabwino. Tilibe maphunziro ochuluka omwe akuyang'ana kugwiritsa ntchito mankhwala ophera tizilombo toyambitsa matenda pa nthawi ya chithandizo cha khansa, koma kugwiritsa ntchito izi kumaphatikizapo cholinga cha kupewa khansa kwandithandiza kupeza zotsatira zochititsa chidwi. Mwachitsanzo, pakuwona momwe zakudya zapamwamba za beta-carotene zimakhudzidwira ndi chiopsezo chochepa cha khansa ya m'mapapo, kufufuza kwakukulu kuyang'ana kugwiritsa ntchito kowonjezera kwa beta-carotene kunapeza kuti chiopsezo cha khansa ya m'mapapo chinkawonjezeka. Zomwezo ndizozipeza ndi khansara ya prostate, momwe vitamini E ya zakudya imakhala ndi chiopsezo chochepa, koma kafukufuku wopenda mavitamini E wowonjezereka akupeza chiopsezo chachikulu. Zolingalira zasankhidwa kuti zifotokoze izi. Mwinanso pali phytochemicals (mankhwala opangidwa ndi zomera) mu zakudya pambali pa beta-carotene yomwe imayambitsa matenda a khansa. Nthano ina yomwe yaperekedwa ndikuti kulandira antioxidant monga supplement kungawononge thupi kuti lisamachepetse kapena kugwiritsira ntchito pang'ono, la antioxidant ina yofunika kwambiri.

Nthaŵi zina kutenga pulogalamu yowonjezerapo chifukwa cha vuto limodzi kungabweretse vuto lina. Chitsanzo ndi phunziro limene anthu omwe ali ndi khansa ya melanoma anachitidwa ndi selenium. Ochita kafukufuku anapeza kuti chowonjezeracho chinali ndi chiopsezo chochepa chokhalira ndi khansa yachiwiri m'mapapu, colon, kapena prostate, komanso inagwirizanitsidwa ndi chiopsezo chachikulu cha shuga.

Ambiri mwa ovomerezeka amalimbikitsa kudya zakudya zathanzi ndipo sakhulupirira kuti mankhwala ophera tizilombo toyambitsa matenda omwe amachokera ku zakudya amachititsa kuti matenda a khansa apambane. Ngati mukufuna kuonjezera zakudya zanu za antioxidants onani zakudya izi ndi antioxidants kwambiri.

Njira Yophunzira

Kutanthauzira zina za zokhudzana ndi antioxidants pa chithandizo cha khansa ndi zovuta pazifukwa zambiri, imodzi mwa njira zomwe zimagwiritsidwa ntchito. Kafukufuku wina wapangidwa pa makoswe, ndipo zotsatira mu makoswe akhoza kapena sizili zofanana ndi zomwe zili mwa anthu. Zambiri mwa maphunzirowa zachitidwa pa maselo a khansa ya anthu omwe ali kudya mu labu. Ngakhale kuti izi zimatipatsa ife uthenga wabwino, sizikuganizira zambirimbiri zomwe zikuchitika mu thupi la munthu lomwe lingasinthe yankho lomwe likupezeka mu labu.

Zifukwa Zomwe Otsitsila Zachilengedwe Amayendera Ziziyamikira Vitamini

Zofooka za Zakudya

Zotsatira zake za kusowa kwa njala ndi nseru zomwe zimakhala ndi khansa, zimakhala zosavomerezeka. Kambiranani ndi dokotala wanu za izi. Akatswiri ena apeza kuti supplementation ingathandize kuchepetsa khansa yapakhungu . Cachexia ndi matenda a kuchepa kwadzidzidzi, kuchepa kwa minofu, ndi kuchepa kwa chilakolako chomwe chimakhudza anthu 50 peresenti ya anthu omwe ali ndi khansa yapamwamba. Zimamva kuti chachexia imathandizira mwachindunji 20 peresenti ya imfa za khansa. Chomvetsa chisoni n'chakuti, kupatulapo mafuta a nsomba omwe angathandize, zakudya zopatsa thanzi sizinawathandize kuthandizira matendawa.

Kuteteza Khansa Yachiwiri

Popeza kuti mankhwala opatsirana khansa monga chemotherapy ndi mankhwala othandiza anthu opatsirana pogwiritsa ntchito mankhwala enaake, amakhulupirira kuti chiopsezo cha khansa yachiwiri chikhoza kuchepetsedwa pogwiritsa ntchito mankhwala ophera tizilombo toyambitsa matenda. Monga tafotokozera pamwambapa, kafukufuku wina omwe anthu omwe ali ndi khansa yotchedwa selenium, omwe anali ndi matenda a shuga, anali ndi chiopsezo chotsika cha khansa yamapapu, kolon, kapena prostate (koma ndi chiwopsezo chachikulu cha shuga.) Monga momwe zowonjezeramo (mosiyana ndi zakudya za antioxidants) sizinawonetsedwe Zotsatira zowonongeka kuti zitha kupewa khansa, palibe umboni wochuluka wosonyeza kuti izi zowonjezereka zingakhale zothandiza popewera khansa yachiwiri mwa opulumuka.

Kuchepetsa Kuchepetsa Mankhwala

Kafukufuku wasokonezedwa ndi mankhwala ochepetsa antioxidants kapena kuchepetsa poizoni wa chemotherapy, koma kafukufuku wina amasonyeza kuti angapangitse kukhala ndi moyo wabwino kwa anthu ena pamene akudwala khansa. Mu kafukufuku wina, mankhwala osokoneza bongo omwe ali ndi vitamini C, vitamini E, melatonin ndi tchire la tiyi wobiriwira amapezeka kuti achepetse kutopa kwa anthu omwe ali ndi kansa ya pancreatic.

Odwala Amene Ali ndi Khansa Yapamwamba

Kafukufuku amene anawotchulidwa pafupipafupi omwe amagwiritsa ntchito mavitamini opatsirana pogwiritsa ntchito khansa anasonyeza kuwonjezeka kwa kutalika kwa moyo. Kafukufukuyu wa 2009 adawulula nthawi yayitali kuposa nthawi yomwe yakhala ikuyembekezeredwa kupulumuka, ndipo odwala 76 peresenti amakhala ndi moyo nthawi yayitali kusiyana ndi zomwe zinanenedweratu (kuwonjezereka kwapakati pa miyezi isanu). Ndikofunika kuzindikira kuti izi zinali zochepa kwambiri (odwala 41) ochitidwa ndi anthu akuganiza kuti ali ndi kansa ya mapeto omwe anali ndi moyo wokhazikika wa miyezi 12 yokha. Odwalawa anachiritsidwa ndi coenzyme Q10, vitamini A, C, ndi E, selenium, folic acid, ndi omwe alibe khansa ya m'mapapo, beta-carotene.

Mlandu Wapadera wa Vitamini D ndi Khansa

Pa zifukwa zingapo, vitamini D imayenera kulingalira mwapadera ponena za ntchito yake yothandizira khansa.

Chifukwa choyamba ndi chakuti zingakhale zovuta kupeza vitamini D okwanira ndi zakudya. Ngakhale malipiro othandizira tsiku lililonse ndi 400 mpaka 800 UU pa tsiku malinga ndi msinkhu, kufufuza kuyang'ana kansalu kuyang'ana pa nambala yapamwamba - mpaka 1000 mpaka 2000 IU pa tsiku. Timaganizira za mkaka wokhala ndi mavitamini D, koma pa galasi 100 IU amagwiritsa ntchito magalasi asanu ndi atatu patsiku kuti afike pa 800 IU yomwe ikuvomerezedwa kwa mwamuna kapena mkazi wa zaka 70 (mocheperapo mlingo wophunzira mu maphunziro opewera khansa.) Dzuwa ndi gwero la vitamini D, lofunikitsa kanthawi kochepa chabe ndi mikono ndi nkhope kuti imve pamwamba pa 5000 IU. Izi zikutanthauza kuti, ngati mumakhala kudera limene mungakhale kunja ndi manja anu ndi nkhope yanu poyera, ndipo ngati dzuwa limakhala lanu limatulutsa kuwala kwa mavitamini D.

Izi zingakhale zovuta kumpoto.

Pachifukwa ichi, madokotala ambiri amalimbikitsa mavitamini D3. Ndani ayenera kutenga supplement? Mwamwayi dokotala wanu ali ndi njira yosavuta yodziwira izi. Kuyeza magazi kosavuta komanso kosavuta kungakupatseni inu ndi dokotala wanu mlingo wa magazi a vitamini D (m'malo mwake, mankhwala owonongeka a thupi). Ngakhale izi sizingakuuzeni zomwe thupi lanu likusunga "vitamini D", likhonza kugwiritsidwa ntchito kuti liwone ngati chowonjezera chikufunikira ndikutsogolera mankhwala. Kumbukirani kuti anthu ambiri ku United States ali ndi vitamini D omwe alibe.

Nchifukwa chiyani izi ziri zofunika?

Pakhala pali maphunziro ochulukirapo omwe aunika momwe vitamini D imathandizira pa matenda a khansa komanso mu kansa. Mavitamini a vitamini D omwe amachepa amachepetsa chiopsezo chochuluka cha khansa zingapo, ndipo mlingo wa vitamini D wambiri umakhala ndi chiopsezo chochepa chokhala ndi kansa ya m'mawere. Anthu omwe ali ndi mavitamini apamwamba kwambiri pa nthawi ya kugonana amakhala ndi moyo wambiri wa khansa ya m'mapapo kusiyana ndi omwe ali ndi m'munsi. Ndipo, ponena za funso lathu lonena za kugwiritsa ntchito mavitamini panthawi ya khansa, mavitamini ochepa a Vitamini D amawoneka kuti akuwonjezera chiopsezo cha kufalitsa khansa ya m'mawere (metastasizing). Mwina zotsatira zabwino kwambiri zawonedwa ndi khansara yamtundu. Kafukufuku wamkulu wa National Cancer Institute anapeza kuti anthu omwe ali ndi mavitamini apamwamba a 76 aliwonse ochepa kwambiri amafa chifukwa cha matenda awo kusiyana ndi anthu omwe ali ndi mavitamini ochepa.

Popeza kuti mankhwala ena a khansa amachititsa kuti matenda a osteoporosis asapitirire, ndipo vitamini D imathandiza kuyamwa kwa calcium, mlingo wokwanira wa vitamini D ungakhudze khalidwe la moyo kwa odwala khansa.

Vitamini D si antioxidant. Icho chimagwira ntchito mofanana ngati hormoni kuposa vitamini mu thupi.

Ngakhale kuti kafukufuku wambiri amasonyeza kuti ali ndi vitamini D abwino kwa anthu ena omwe ali ndi khansa, ndi kofunika kuti uyankhule ndi dokotala musanagwiritse ntchito zina. Ndipotu, dokotala wanu akufuna kufufuza momwe mumaonera kuti awone ngati akusintha. Makhalidwe abwino omwe sangakhale abwino kwa munthu amene ali ndi khansa. Mwachitsanzo, ku chipatala cha Mayo ku Minnesota, chiwerengero chokhala ndi vitamini D ndi 30-80. Komabe maphunziro ena amasonyeza kuti chiwerengero cha 50 ndi chabwino kuposa chiwerengero cha 31.

Vitamini D supplementation si aliyense. Pali zotsatira zoyipa zomwe zimaphatikizansopo mapiritsi a impso opweteka kwambiri-ngati miyeso ikukula kwambiri.

Kutenga Vitamini kapena Supplement Kuyamikira Dokotala Wanu

Ngati a oncologist anu akulangizani chowonjezera, pali zinthu zingapo zoti muzikumbukira.

• Apanso. Gwiritsani ntchito mavitamini kapena mchere (kapena zakudya zina kapena zitsamba zina) ngati ovomerezeka sakuganiza kuti izi zingakhale zovulaza pazochitika zanu.
• Zowopsa zomwe zili pamwambapa ndizongowonetsera kuti n'chifukwa chiyani vitamini ndi mchere wothira mafuta ayenera kuganiziridwa payekha payekha. Dokotala wanu angalimbikitse kugwiritsa ntchito kapena kupeŵa mavitamini kapena mineral supplements pa zifukwa zina.
• Nthawi zonse muzibweretsa mankhwala osokoneza bongo limodzi ndi mavitamini owonjezera pa chiwerengero chanu chokhazikitsa.
• Musanyengedwe ndi malonda omwe amati "zachirengedwe" kapena "chomera." Chitsanzo ndi hemlock. Ndichirengedwe, ndi chomera chomera, ndipo chimatha kukula mthupi. Komatu anthu ambiri amaganiza kuti ndi poizoni wotchulidwa ku Romeo ndi Juliet . Ndipotu, mankhwala amphamvu kwambiri a mankhwala a chemotherapy amachokera ku zomera.
• Gwiritsani ntchito mlingo wokhazikika. Zambiri siziri bwino ndipo zingakhale zovulaza. Kumbukirani kuti zakudya zowonjezera nthawi zambiri zimakhala ndi mavitamini ndi mchere zomwe zimapitirira kwambiri kuposa zomwe mungadye chakudya choyenera. Kuonjezera apo, pangakhale zochepa zowonjezereka za zowonjezeretsa izi ku United States, ndipo zina zotengera zingakhale ndi zizindikiro za mankhwala ophera tizilombo ndi zitsulo zolemera.
• Gwiritsani ntchito mavitamini ndi minerals abwino. Fufuzani kuti muwone ngati ayesedwa ndi ConsumerLab.com. Onaninso kuti muwone ngati pali USP kapena NF chisindikizo pa chizindikirocho, kusonyeza kuti kuyesa kuyendetsa khalidwe kwachitidwa pa mankhwala.
• Pitirizani kukambirana za kudya ma vitamini ndi mchere mu ulendo uliwonse wotsatira. Mayesero ambiri a zachipatala akupitirira, ndipo chidziwitso chingasinthe-mu njira iliyonse-pamene tikuphunzira zambiri.

Ndondomeko ya Mavitamini ndi Zamchere

Mavitamini Amatundu Athu Amafunika:

• Vitamini A
• Vitamini B6 (Pantothenic acid)
• Vitamini B12 (biotin)
• Vitamini D
• Vitamini E
• Vitamini K
• Folic acid
• Niacin
• Riboflavin
• Thiamine

Mchere Wathu Matupi Athu Amafunika:

• Calcium
• Chromium
• Mkuwa
• Iodini
• Iron
• Manganese
• Magnesium
• Potaziyamu
• Selenium
• Sodium
• Zinc

Antioxidants:

Antioxidants akhoza kukhala ma vitamini, mchere, kapena zakudya zina. Zitsanzo mwa izi ndizo:

• Vitamini A
• Vitamini C
• Vitamini E
• Selenium
• Carotenoids - beta-carotene ndi lycopene

> Zotsatira:

_{American Society of Clinical Oncology. Cancer.net Nutrition Malangizo Pambuyo ndi Pambuyo pa Chithandizo cha Khansa. 03/2014.}

_{Block, K., Koch, A., Mead, M., Tothy, P., Newman, R., ndi C. Gyllenhaal. Zotsatira za antioxidant supplementation pa chemotherapeutic zothandiza: kuyang'ana mwatsatanetsatane kwa umboni kuchokera ku mayesero olamuliridwa mosavuta. Ndemanga za Chithandizo cha Khansa . 2007. 33 (5): 407-18.}

_{Denner, G., ndi M. Horneber. Selenium pofuna kuthetsa zotsatira zoyipa za chemotherapy, radiotherapy, ndi opaleshoni ya odwala khansa. Library ya Cochrane . Kusinthidwa 02/16/09. DOI: 10.1002 / 14651858.CD005077.pub2}

_{Greenlee, H., Hershman, D., ndi J. Jacobson. Kugwiritsira ntchito mankhwala ophera tizilombo toyambitsa matenda pa nthawi ya khansa ya m'mawere. Kafukufuku ndi Chithandizo cha khansa ya m'mawere . 2009. 115 (3): 437-52.}

_{Heaney, M., Gardner, J., Karasavvas, N., Golde, D., Scheinberg, D., Smith, E., ndi O. O'Connor. Vitamini C imatsutsana ndi zotsatira za cytotoxic za mankhwala osokoneza bongo. Kafukufuku wa Khansa . 2008. 68 (19): 8031-8.}

_{Hertz, N., ndi R. Lister. Kupititsa patsogolo Kupulumuka kwa Odwala ndi Khansa Yopsereza Yophatikizidwa ndi Coenzyme Q10 ndi Other Antioxidants: Pilot Study. International Journal of Medical Research . 2009. 37: 1961-7 1.}

_{Lawenda, B., Kelly, K., Ladas, E., Sagar, S., Vickers, A., ndi J. Blumberg. Kodi supplemental antioxidant administration ayenera kupeŵa panthawi ya mankhwala a chemotherapy ndi mankhwala odzola? . Journal of National Cancer Institute . 2008. 100 (11): 773-83.}

_{National Cancer Institute. Antioxidants ndi Kuteteza Khansa. Kusinthidwa 01/16/14.}

_{National Cancer Institute. Pamwamba-Mankhwala Vitamini C (PDQ). Kusinthidwa 04/08/15.}

_{Peralta, E., Viegas, M., Louis, S., Engle, D., ndi G. Dunnington. Zotsatira za vitamini E pa maselo a kansa ya m'mawere a tamoxifen. Opaleshoni . 140 (4): 607-14.}

_{Subramani, T., Yeap, S., Ho, W., Ho, C., Omar, A., Aziz, S., Rahman, N., ndi M. Alitheen. Vitamini C imapangitsa kufa kwa maselo mu MCF-7 maselo a khansa ya m'mawere omwe amachititsa tamoxifen Journal of Cellular and Molecular Medicine . 2014. 18 (2): 305-13.}

_{Velicer, C., ndi C. Ulrich. Funso lofunikira kwambiri Vitamini ndi Mineral Supplement Kugwiritsa Ntchito Pakati pa Okalamba a US Pambuyo Podziwa Khansa: Kukonzekera Kwambiri. Journal of Clinical Oncology . 26 (4): 665-673.}