Umbuzo esivame ukuwubuza uwukuthi: Ingabe kufanele ngithathe amavithamini ngenkathi ukwelashwa komdlavuza? Umbuzo obaluleke kakhulu ngokubheka izibalo ezimbalwa. Ngo-2008, kwaphawulwa eMnyangweni we-Clinical Oncology ukuthi phakathi kwamaphesenti angama-64 no-81 amaphesenti omdlavuza basebenzisa i-vitamin noma i-mineral supplement (ngokungafani namaphesenti angu-50 abantu abaningi) nokuthi phakathi kwamaphesenti angu-14 no-32 alaba bantu baqala ukuthatha izithako emva kokuthola isifo somdlavuza.
Impendulo elula yile: "Oyedwa ongayiphendula lo mbuzo yi-oncologist yakho."
Impendulo engcono yile: "Buza i-oncologist yakho ngaphambi kokuba uthathe noma yikuphi uhlobo lwezinto ezisekelayo, kodwa hlola ezinye zezinto ezingezansi-izizathu zokuphikisa-ukuze ukwazi ukuqonda kangcono impendulo yakho nodokotela bese unquma ndawonye." Ungalokothi uthathe i-vitamin, isithako samaminerali noma i-antioxidant ngaphandle kokubonisana nodokotela wakho njengoba lokhu kungaba yingozi kwabanye abantu abanomdlavuza.
Lesi sihloko sibheka ezinye zezingozi nezinzuzo ezingase zibe nezithako, kodwa kubalulekile ukuqaphela izinto ezimbalwa. Kunezinhlobo eziningi zomdlavuza, futhi ngisho nohlobo olulodwa lomdlavuza kukhona umehluko omkhulu. Engeza lokho kumuntu ngamunye oyingqayizivele, ngezici zomzimba wakhe nezinye izimo zezokwelapha, futhi kulula ukubona ukuthi kungani into engase ibonakale njengombuzo olula kunzima kakhulu.
Uhlu lwamavithamini namaminerali adingekayo empilweni, kanye nohlu lwezinto ezivamile zokudla okunomsoco, zingatholakala ekupheleni kwalesi sihloko.
Izizathu I-Oncologist Yakho Ingancoma Ukungathathi Amavithamini
Ukungafani Okungenzeka Ngenzuzo Yokwelashwa
Esinye sezizathu eziyinhloko ze-oncologists ngokuvamile asikhuthazi amavithamini namaminerali amaminerali noma ama-antioxidant formula ukuthi angakwazi ukulwa nemiphumela ye-chemotherapy noma yokwelapha imishanguzo.
Ama-radicals amahhala emzimbeni wethu (akhiqizwa izinto ezifana nokubhema ugwayi, imisebe, kanye nezinqubo ezivamile zemithi) angalimaza i-DNA emangqamuzaneni ethu (ukulimala komzimba okungabangela umdlavuza.) Lo monakalo ubizwa ngokuthi "umonakalo oxidative" kusukela ukusabela kuhilela oksijini. Ama-antioxidants akhiqizwa imizimba yethu futhi agxilwe ekudleni kwethu asebenza ngokubambisana nokuqeda lezi radicals mahhala nokuvimbela umonakalo oxidative; ngaleyo ndlela evikela amangqamuzana. Umcabango wukuthi ama-antioxidants angavimbela amangqamuzana omdlavuza angonakaliswe yi-chemotherapy kanye nokwelashwa kwemisebe. Asifuni "ukuvikela" amangqamuzana omdlavuza.
Kunezifundo ezithile, ikakhulukazi kubantu ababhema, lapho abantu abasebenzisa ama-supplements babe nemiphumela emibi kakhulu. Ucwaningo olwenziwe ngo-2008 lubonise ukuthi amavithamini C okwehliswayo anciphisa ukusebenza kwe-chemotherapy ngamaphesenti angama-30 kuya kwangu-70 phakathi kwamangqamuzana e-leukemia namagciwane e-lymphoma endaweni yokubhubhisa. Okunye ucwaningo lubonisa ukuthi i-vitamin C ephakeme kakhulu ingaba nezinzuzo kubantu abaphathwe umdlavuza-okungenani ebhodini. Ucwaningo olubheke emangqamuzaneni omdlavuza wesifuba womuntu ebhodini lithole ukuthi i-vitamin C inciphise ukusebenza kwe-tamoxifen. Kulezi zifundo kwakucatshangwa ukuthi i-vitamin C iphazamise ukuphefumula, okungukuthi, ukufa kweseli, emangqamuzaneni omdlavuza.
Ezinye zeengozi zingase zibe yinkimbinkimbi eminingi. Ukubuyekezwa kuka-2007 kwezifundo kusukela ngo-1966 kuya ku-2007 akutholakalanga ubufakazi bokuthi izidakamizwa ze-antioxidant ziphazamise uketshezi lwe-chemotherapy, kanti abanye abacwaningi bakholelwa ukuthi ama-antioxidants angasiza ukuvikela amangqamuzana avamile ngaphandle kokuphazamisa ukusebenza komuthi wokwelapha. Lokhu kuhlola kuhlanganisa nokuhlola okusebenzisa i- glutathione , i-vitamin A, i-vitamin C, i-vitamin E, i-ellagic acid, i-selenium, ne-beta-carotene futhi iphetha ngokuthi ama-antioxidants angathuthukisa ukuphendula kwesisu ngokukwelashwa kanye namanani okusinda, ngaphandle kokusiza ukubekezelelana kweziguli ukuphulukiswa. Okunye ukubuyekezwa okuhlelekile kwezifundo ezingu-33 kutholakale ubufakazi bokuthi ukusebenzisa ama-antioxidants ne-chemotherapy kwaholela ekungcoliseni ubuthi obuncane, okwakuvumela abantu ukuba bagcwalise ukwelashwa okuphelele kwemithi yokwelashwa.
Okuhlukile kwaba isifundo esisodwa esibonisa ukwanda kobuhlungu kulabo abasebenzisa isithasiselo sevithamini A. Lokhu kuhlola kuhlolisisa izifundo ngokusebenzisa i- N-acetylcysteine , i-vitamin E, i-selenium, i-L-carnitine, i- Coenzyme Q10 , ne-ellagic acid.
Ukusebenzisana Neminye Imithi
Kunezibonelo eziningi zokusebenzisana okungenzeka, kodwa isibonelo esilula ukuthi i-vitamin E engandisa ingozi yokugcoba kubantu abathatha igazi elincinci le-Coumadin.
Izidakamizwa Zezidalwa vs Izithako
Ngokuvamile, umthetho wokuthola amavithamini namaminerali ngesikhathi ukwelashwa umdlavuza "ukudla kuqala". Futhi ngesizathu esihle. Asinaso izifundo eziningi ezibheke ukusetshenziswa kwe-antioxidants ngenkathi ukwelashwa komdlavuza, kodwa ukusetshenziswa kwalezi zithako ngomgomo wokuvikela umdlavuza kuye kwaveza okunye okutholayo okuthokozisayo. Isibonelo, ukubona indlela ukudla okuphezulu okudla ngayo i-beta-carotene kuhlotshaniswa nengozi ephansi yokwenza umdlavuza wamaphaphu, isifundo esikhulu esibheka ukusetshenziswa komthamo we-beta-carotene sathola ukuthi ingozi yomdlavuza wamaphaphu empeleni yanda. Okufanayo okutholakala nomdlavuza we-prostate, lapho i-vitamin E yokudla ihlotshaniswa nengozi ephansi, kodwa isifundo sokuhlola izithako ze-vitamin E sithole ingozi eyengeziwe. Imibono iphakanyisiwe ukuchaza lokhu. Mhlawumbe kukhona ama-phytochemicals (amakhemikhali asetshala izitshalo) ekudleni ngaphandle kwe-beta-carotene ephethe izinto zokuvimbela umdlavuza. Enye inkolelo ephakanyisiwe yukuthi ukwamukela i-antioxidant eyodwa njengokwesezela kungaholela emzimbeni ekutholeni kancane noma ekusebenziseni okuncane, komunye umuthi obalulekile we-antioxidant.
Ngezinye izikhathi ukuthatha isengezo sokukhathazeka okulodwa kungabangela ukukhathazeka okunye. Isibonelo isifundo lapho abantu abane-melanoma baphathwa ngayo nge-selenium. Abacwaningi bathola ukuthi ukugcwalisa kwakuhlobene nengozi ephansi yokuthuthukisa umdlavuza wesibili emaphashini, colon, noma prostate, kodwa futhi ihlotshaniswa nenengozi ephezulu yesifo sikashukela.
Incologists abaningi batusa ukuthi badle ukudla okunempilo futhi abakholelwa ukuthi ama-antioxidants asuka ekudleni angesongo ekusebenzeni kwemithi yomdlavuza. Uma ufisa ukwandisa ukudla kwakho okudliwayo kwama-antioxidants hlola lokhu kudla nama-antioxidants kakhulu.
Indlela Yokutadisha
Ukuhumusha olunye ulwazi ngama-antioxidants ngenkathi ukwelashwa komdlavuza kunzima ngezizathu eziningi, enye yezindlela ezahlukahlukene ezisetshenziswayo. Ezinye izifundo zenziwa kumagundane, futhi imiphumela emigodini ingahle ibe ingenakufana neyabantu. Eziningi zalezi zifundo zenziwe kumangqamuzana omdlavuza omuntu asetshenziswe esidlweni ebhodini. Ngenkathi lokhu kusinika ulwazi oluhle, alucabangi izinqwaba zezinye izinqubo eziqhubekayo emzimbeni womuntu ongashintsha impendulo ebonakala ebhodini.
Izizathu I-Oncologist Yakho Inganciphisa Amavithamini
Izinkinga Zokudla
Ngemiphumela emibi yokulahlekelwa isifiso nesisulu esivame umdlavuza, ukukhubazeka okunomsoco akuvamile. Khuluma nodokotela wakho ngalokhu kungenzeka. Abanye abacwaningi baye bathi insiza yokusiza ingasiza ekunciphiseni umdlavuza womdlavuza . I-Cachexia iyisifo sokulahlekelwa kwesisindo esingenalutho, ukulahleka kwemisipha nokunciphisa ukudla okuthinta abantu abangamaphesenti angu-50 abanomdlavuza ophakeme. Kuzwakala ukuthi i-cachexia iqhaza ngokuqondile kuma-20 amaphesenti okufa komdlavuza. Ngokudabukisayo, ngaphandle kwamafutha enhlanzi angasiza, izithako zokudla okunempilo azitholakalanga ukusiza kule syndrome.
Ukuvimbela I-Cancer yesibili
Njengoba ukwelashwa kwemishanguzo njengekhemotherapy kanye nokwelapha imishanguzo abasinda kwezinye izifo zomshukela, kuye kwathemba ukuthi ingozi yomdlavuza wesibili ingancishiswa ngokusetshenziswa kwezidakamizwa zokulwa ne-antioxidant. Njengoba kuphawuliwe ngenhla, ocwaningweni olulodwa abantu abane-melanoma ephathwe ne-selenium babe nomngcipheko ophansi kamuva wokuba nomdlavuza we-lung, kolon, noma u-prostate (kodwa ngengozi enkulu yesifo sikashukela.) Njengoba nje izithako (ngokungafani nama-antioxidants ezokudla) azibonwanga imiphumela eqhubekayo ekuvimbeleni umdlavuza, abukho ubufakazi obukhulu bokuthi lezi zithako zingasiza ekuvimbeleni umdlavuza wesibili kwabasindile.
Ukunciphisa Ukuqeda Ukwelashwa Kwezokwelapha
Ucwaningo luye lwaxubana ngokuphathelene nama-antioxidants akhula noma anciphisa uketshezi lwe-chemotherapy, kodwa ucwaningo oluthile lubonisa ukuthi lungathuthukisa izinga lokuphila kwabanye abantu ngesikhathi sokwelashwa komdlavuza. Esicwaningweni esisodwa, ingxube ye-antioxidant equkethe i-vitamin C, i-vitamin E, i-melatonin ne-tea extract itholakala ukunciphisa ukhathala kubantu abanomdlavuza we-pancreatic.
Iziguli ezine-Cancer Advanced
Ucwaningo oluningi olusekelwe ukusetshenziswa kwevithamini ezithengiswayo ngesikhathi sokwelapha umdlavuza lubonisa ukwanda kwesikhathi sokusinda. Lolu cwaningo lwango-2009 lwembula isikhathi eside kunaleso esilindelekile sokusinda isikhathi eside, kanti iziguli ezingu-76% zihlala isikhathi eside kunokuba zibikezelwe (ukunyuka okuphakathi kokuphila kwezinyanga ezingu-5.) Kubalulekile ukuqaphela ukuthi lokhu kwakuyinkimbinkimbi encane (iziguli ezingama-41) ezenziwe nge abantu bacatshangwa ukuthi banomdlavuza wokuphela kwesigaba ababenomlando wokuphila okubikezelwe izinyanga ezingu-12 kuphela. Lezi ziguli zelashwa nge-coenzyme Q10, amavithamini A, C, no-E, selenium, folic acid, nalabo abangenayo umdlavuza wamaphaphu, beta-carotene.
Icala elikhethekile leVithamini D neCanscer
Ngezizathu eziningana, i-vitamin D kufanele ihlolwe ngokukhethekile mayelana nendima yayo ekunakekeleni umdlavuza.
Isizathu sokuqala ukuthi kungase kube nzima ukuthola inani elanele levithamini D ngezinyathelo zokudla. Ngenkathi isabelo samanje nsuku zonke sinconywa ngo-400 kuya ku-800 IU ngosuku ngalokhu kudala, izifundo ezibheke ukuvimbela umdlavuza zibuke izinombolo eziphakeme-kuze kufike ku 1000 kuya ku-2000 IU ngosuku. Sibheka ubisi oluqinile njengomthombo we-vitamin D, kepha ku-100 IU ingilazi ngayinye kungadingeka ukuphuza izibuko ezingu-8 ngosuku ukuze ufike ku-800 IU enconyiwe indoda noma owesifazane oneminyaka engu-70 ubudala (okungenani umthamo ofundwayo ezifundweni zokuvimbela umdlavuza.) Ilanga liwumthombo omuhle wevithamini D, okudinga isikhathi esifushane kuphela ngezikhali futhi ubuso bubhekene nokuvelela ukuthi kutholakale phezulu kuka-5000 IU. Okungukuthi, uma uhlala esifundeni lapho ungaba khona ngaphandle kwezingalo zakho nobuso obonakalayo futhi uma i-angle ye-latitude yakho ivumela ukukhipha imitha yama-vitamin D.
Lokhu kungaba yinkinga emazweni asenyakatho.
Ngenxa yalesi sizathu, odokotela abaningi bancoma ukwengeza u-vitamin D3. Ubani okufanele athathe isengezo? Ngokujabulisayo udokotela wakho unendlela elula yokunquma lokhu. Ukuhlolwa kwegazi okulula futhi okungabizi kungakunikeza wena nodokotela wakho ngesilinganiso sezinga lakho legazi le-vitamin D (kunalokho, imikhiqizo yokudilizwa komzimba). Ngenkathi lokhu kungakutshele ukuthi umzimba wakho wonke "ugcina" u-vitamin D, ungasetshenziselwa ukucacisa uma kudingeka yini futhi uqondise ukwelashwa. Khumbula ukuthi iningi labantu e-United States kukhona i-vitamin D engakwazi.
Kungani lokhu kubalulekile?
Kuye kwaba nezifundo eziningi eziye zahlola indima ye-vitamin D kokubili ekuvimbeleni umdlavuza nasokwelashwa komdlavuza. Amazinga aphansi egazi ka-vitamin D ahlobene nengozi eyengeziwe yamanqamu amaningi, futhi izinga eliphezulu le-vitamin D lihlobene nengozi ephansi yokuthuthukisa umdlavuza webele kanye nombala. Abantu abanamazinga aphezulu e-vitamin D ngesikhathi sokuxilongwa banesilinganiso eside sokusinda emdlalweni wamaphaphu kunelabo abanamazinga aphansi. Futhi, mayelana nombuzo wethu mayelana nokusebenzisa amavithamini ngenkathi ukwelashwa komdlavuza, amazinga aphansi e-vitamin D abonakala ekwandisa ingozi yomdlavuza wesifuba ekusakazeni (metastasizing). Mhlawumbe umphumela omkhulu kakhulu uye wabonakala ngomdlavuza wekolon. Ucwaningo olukhulu lwe-National Cancer Institute lwathola ukuthi abantu abanezinga eliphezulu lamavithamini D babengamaphesenti angu-76 amathuba okufa ngesifo sabo kunabantu abanamavithamini aphansi.
Njengoba ezinye izifo zomdlavuza zithinteka ngokweqile, futhi i-vitamin D aid i-calcium absorption, izinga elilodwa levithamini D elanele lingathinta futhi izinga lokuphila kwamanye amagciwane omdlavuza.
I-Vitamin D ayiyona i-antioxidant. Empeleni isebenza ngokufana ne-hormone kunevithamini emzimbeni.
Ngisho noma ucwaningo oluningi lubonisa indima enhle ka vithamini D okungenani abanye abantu abanomdlavuza, kubalulekile ukukhuluma nodokotela wakho ngaphambi kokusebenzisa isithasiselo. Empeleni, udokotela wakho uzofuna ukuqapha amazinga akho ukuze abone uma ashintsha uma uqala ukwengeza. Uhlobo olujwayelekile lwamanani angeke lube uhla oluhle lomuntu onomdlavuza. Isibonelo, eMayo Clinic e-Minnesota, uhla olujwayelekile lwamanqanaba e-vitamin D ngu-30-80. Kodwa ezinye izifundo zikhomba ukuthi izinga lama-50 lingcono kunezinga lika-31.
I-Vitamin D ukwesekwa akuyona wonke umuntu. Kunemiphumela emibi engaba khona efaka phakathi amatshe aphikisayo kakhulu-uma amazinga aphezulu kakhulu.
Ukuthatha i-Vitamin noma isithasiselo esinconywe udokotela wakho
Uma i-oncologist yakho iphakamisa isengezo, kunezinto ezimbalwa okufanele uzikhumbule.
- Futhi. Sebenzisa kuphela amavithamini noma amaminerali (noma yimuphi omunye umsoco noma ama-herbal supplements) uma i-oncologist yakho ingacabangi ukuthi lokhu kungalimaza esimweni sakho esithile.
- Izingozi kanye nezinzuzo ezingase zibonwe ngenhla nje ukubona ukuthi kungani kungani amavithamini namaminerali okufakelwa okudingekayo kuthathwe njengomuntu ngamunye. Udokotela wakho angase ancoma ukusebenzisa noma ukugwema ama-vitamin noma ama-mineral supplements ngezizathu ezengeziwe.
- Njalo ulethe imithi yonke kanye nemithi yokwengeza kanye nawe ekuqokweni kwe-oncology ngayinye.
- Ungakhohliswa ukukhangisa okusho ukuthi "ngokwemvelo" noma "okusekelwe ezitshalweni." Isibonelo i-hemlock. Kuyinto engokwemvelo, isitshalo esekelwe, futhi singakhula ngenye indlela. Kodwa abaningi bacabanga ukuthi kwakuyi-poison ekhonjiswe eRomao naseJuliet . Eqinisweni, izidakamizwa eziningi ezinamandla ze-chemotherapy zizitshalo.
- Sebenzisa kuphela umthamo onconyiwe. Okungcono akuyona kangcono futhi kungaba yingozi. Khumbula ukuthi izithako ngokuvamile ziqukethe amavithamini namaminerali okudlulele kakhulu kulokho ozokuthola ukudla okuvamile. Ngaphezu kwalokho, kukhona ukulawulwa okuncane kulezi zithako e-United States, futhi ezinye imikhiqizo ingaqukatha izinambuzane ezibulala izinambuzane nezinsimbi ezinzima.
- Sebenzisa amavithamini namaminerali amahle kuphela. Hlola ukuze ubone ukuthi zihlolwe yi-ConsumerLab.com. Hlola futhi ukuthi ubone ukuthi kukhona i-USP noma i-NF seal kulelebula, ebonisa ukuthi ukuhlolwa kwekhwalithi kwenziwa ngekhwalithi.
- Qhubeka ukuxoxa ngokudla kwakho kwamavithamini namaminerali ekuvakashelweni okulandelwayo ngalunye. Izilingo eziningi zokwelapha ziyaqhubeka, futhi ulwazi lungashintsha-kunoma yikuphi ukuqondisa-njengoba sifunda kabanzi.
Ukubuyekezwa kwamavithamini namaMaminerali
Amavithamini Amalungu Athu Awudinga:
- I-Vitamin A
- I-Vitamin B6 (i-pantothenic acid)
- I-Vitamin B12 (i-biotin)
- I-Vitamin D
- I-Vitamin E
- I-Vitamin K
- Folic acid
- I-Niacin
- Riboflavin
- Thiamine
Amaminerali Amalungu Ethu Amadinga:
- I-calcium
- I-Chromium
- I-Copper
- I-iodine
- I-Iron
- I-Manganese
- I-Magnesium
- Potassium
- Selenium
- I-sodium
- I-Zinc
Antioxidants:
Ama-antioxidants angaba ngamavithamini, amaminerali, noma ezinye izakhi. Izibonelo zalezi zihlanganisa:
- I-Vitamin A
- I-Vitamin C
- I-Vitamin E
- Selenium
- I-Carotenoids - i-beta-carotene ne-lycopene
> Imithombo:
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UHertz, N., noR. R. Lister. Ukuphunyuka Okuthuthukisiwe Kwabagulayo abane-Cancer Endstage Yenziwa ngeCoenzyme Q10 kanye Nezinye Antioxidants: I-Pilot Study. I-International Journal of Medical Research . 2009. 37: 1961-7 1.
Lawenda, B., Kelly, K., Ladas, E., uSagar, S., Vickers, A., noJ. Blumberg. Ingabe kufanele ukugwema ukulawula okunye okuvimbela i-antioxidant ngesikhathi se-chemotherapy kanye nokwelashwa kwemisebe? . Journal of the National Cancer Institute . 2008. 100 (11): 773-83.
I-National Cancer Institute. Antioxidants kanye nokuvimbela umdlavuza. Kubuyekezwe 01/16/14.
I-National Cancer Institute. I-High-Dose Vitamin C (PDQ). Kubuyekezwa 04/08/15.
Peralta, E., Viegas, M., Louis, S., Engle, D., noG. Dunnington. Imiphumela ye-vitamin E emangqamuzaneni omdlavuza webele we-tamoxifen. Ukuhlinzwa . 140 (4): 607-14.
Subramani, T., Yeap, S., Ho, W., Ho, C., Omar, A., Aziz, S., Rahman, N. noMel Alitheen. I-Vitamin C igxilisa ukufa kwesisindo kumaseli omdlavuza webele we-MCF-7 aphethwe yi-tamoxifen Journal of Cellular and Molecular Medicine . 2014. 18 (2): 305-13.
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