Mubvunzo watinowanzobvunzwa ndewokuti: Ndinofanira kutora mavitamini panguva yekurapwa kwekenza here? Uyu mubvunzo unokosha zvikuru unofunga nezvemashamba mashoma. Muna 2008, yakataurwa mu Journal of Clinical Oncology iyo pakati pe 64 ne1 81 muzana yekenza varwere vakanga vachishandisa vitamini kana mineral supplement (kusiyana ne50 muzana yevanhu vakawanda) uye pakati pe14 ne32 muzana yevanhu ava vakatanga kutora mishonga pashure pokunge vaongororwa nekenza.
Mhinduro yakajeka ndeyekuti: "Mumwechete chete anogona kupindura mubvunzo iwoyo ndiyo oncologist yako."
Mhinduro iri nani ndeyokuti: "Bvunza oncologist yako usati watora chero mhando yezvokudya, asi tarisa zvimwe zvekufunga zviri pasi apa-zvikonzero zvekupikisa-kuitira iwe unogona kunzwisisa zviri nani mhinduro yechiremba wako uye sarudza pamwe chete." Usatotora vitamini, mineral, kana antioxidant kuwedzera kunze kwokutanga kubvunza chiremba wako sezvo izvi zvinogona kuva nengozi kune vamwe vanhu vane kenza.
Ichi chinyorwa chinotaura zvimwe zvezvinogona kuitika uye zvinobatsira zvekuwedzera, asi zvakakosha kuziva zvinhu zvishomanana. Kune mhando dzakawanda dzekenza, uye kunyange nemhando imwe yekenza kune misiyano yakakura. Wedzera izvozvo kune munhu mumwe nomumwe akakurumbira, ane muviri wake maitiro uye zvimwe zvirwere zvehutano, uye zviri nyore kuona kuti nei chimwe chinhu chingaita semubvunzo wakaoma chakaoma kwazvo.
Urongwa hwevhitamini nemaminerari anodiwa mukurapa, uyewo urongwa hwezvokudya zvinowanzobatwa antioxidants, zvinogona kuwanikwa pakuguma kwechinyorwa ichi.
Zvikonzero Zvaunoita Oncologist Zvingaita Kuti Usakurise Kutora Vitamini
Kusvibiswa Kunokwanisika Nezvipo Zvokurapwa
Chimwe chezvikonzero zvikuru zvevanachinzi havawanzokurudzira mavitamini nemaminerari ekuwedzera kana kuti antioxidant maitiro ndeokuti nekuti vanogona kudzivisa zvinokonzerwa nemakemikirini kana remishonga inonzi radiation.
Rusununguko rusununguko mumitumbi yedu (yakagadzirwa nezvinhu zvakadai seutsi hwefodya, mazairo, uye zvinowanzogadzirisa zvirwere) zvinogona kukuvadza DNA mumasero edu (mutsika kukuvadza kunogona kutungamirira kukenza.) Izvi zvinokanganisa kunonzi "inokonzera kukanganisa" sezvo oksijeni. Antioxidants yakakonzerwa nemitumbi yedu uye inogadzirwa muzvokudya zvedu inoshandiswa nekudzivirira kusagadzikana kwemasimba ekudzivirira uye nekudzivirira kukanganisa kweuchivi; nokudaro kudzivirira masero. Mhedziso ndeyekuti antioxidants inogona kudzivirira mishonga yemukenza isingakuvadzi nechemotherapy uye remapiritsi emishonga. Hatidi "kudzivirira" masero ekenza.
Kune dzimwe dzidzo, kunyanya kune vanhu vanosvuta, umo vanhu vanoshandisa zviyero zvinowedzera zvakaguma. Chidzidzo che2008 chakaratidza kuti vitamini C yowedzera yakagadzirisa kubudirira kwemakemikirini ye 30 kusvika ku70 kubva muzana mukati memasero evanhu eukemia uye lymphoma mune re laboratory. Zvimwe zvidzidzo zvinoratidza kuti vitamin C yakawanda-inogona kuva nemigumisiro yevanhu vanobatwa nekenza-kunyanya mubasa. Zvidzidzo zvinotarisa masero emukenza evanhu mubereki zvakawana kuti vitamini C yakaderedza kubudirira kwetamoxifen. Mune zvidzidzo izvi zvaifungidzirwa kuti vitamini C inopindirana ne apoptosis, kureva, sekufa rufu, mune kenza masero.
Mimwe yematambudziko ingangodaro yakawanda. Mutsva wekuongorora kwe2007 kubva muna 1966 kusvika muna 2007 wakashaiwa humwe uchapupu hwekuti antioxidant zvipembenene zvinopindira chemotherapy, uye vamwe vatsvakurudzi vanodavira kuti antioxidants inogona kubatsira kuchengetedza masero evanhu vasina kukanganisa nekubudirira kwekenza inorapwa. Kuongorora uku kwaisanganisira kuongorora kushandisa glutathione , vitamini A, vitamini C, vitamini E, ellagic acid, selenium, uye beta-carotene uye akagumisa kuti antioxidants inogona kuita kuti mishonga inopindurwa mukurapa uye kuponesa, pamwe nekubatsira kuvhiringidza kwevarwere kune kurapa. Imwe nzira yekuongorora yakagadziriswa yeongororo makumi maviri nematatu yakawana humwe uchapupu hwokuti kushandisa antioxidants ne chemotherapy kwakaguma nehuwandu hwehutachiona, iyo yakazobvumira vanhu kuti vazadze zvizere zverapi.
Chimwe chinhu chaiva chimwe chidzidzo chakaratidza kuwedzera kwehutsinye kune avo vanoshandisa vitamini A supplement. Ichi chiongorori chakaongorora zvidzidzo zvinoshandisa N-acetylcysteine , vitamin E, selenium, L-carnitine, Coenzyme Q10 , uye ellagic acid.
Kuwirirana Nemamwe Mishonga
Kune mienzaniso yakawanda yekugonekana kunobvira, asi muenzaniso wakajeka ndeyevhitamine E inogona kuwedzera dambudziko rekubuda ropa kune vanhu vari kutora ropa rakapisa Coumadin.
Dietary Sources vs Supplements
Kazhinji, mutemo wekuwana mavitamini nemaminerari panguva yekurapa kenza "zvokudya pakutanga." Uye nokuda kwechikonzero chakanaka. Hatina dzidzo dzakawanda dzinotarisa kushandiswa kwea antioxidants panguva yekurapwa kwekenza, asi kushandiswa kweizvozvi kunowedzera nechinangwa chekudzivirira kenza chekare kwakaratidza zvimwe zvinonakidza zvakawanikwa. Somuenzaniso, kuona kuti kudya kwepamusoro kwe beta-carotene kwakabatanidzwa nehuwandu hwekuita kenza yemapapu, kuongorora kwakanyanya kutarisa kushandiswa kwebhea-carotene kuwedzera kwakawana kuti mungozi wekenza yemapapu yakanyanya kuwedzerwa. Zvimwe zvakawanikwa nekenza yeprostate, iyo mavitamini E ezvokudya anoshandiswa nehuwandu hwehuwandu, asi kuongorora kuongorora mavitamini E kuwedzera kwakawana ngozi yakawedzerwa. Nhema dzakagadzirirwa kutsanangura izvi. Zvichida kune phytochemicals (michero-based chemicals) muzvokudya kunze kwebeta-carotene iyo inokonzera kudzivirira kenza yemunhu. Imwe nyanzvi iyo yakarongedzwa ndeyokuti kugamuchira rimwe antioxidant sekuwedzera kunogona kuita kuti muviri uwane zvishoma kana kushandisa zvishoma, zveumwe unokosha antioxidant.
Dzimwe nguva kutora kubhadharo kune chimwe chinhu kunetseka kunogona kukonzera imwe kunetseka. Chiitiko ndechidzidzo umo vanhu vane melanoma vaibatwa ne selenium. Vatsvakurudzi vakaona kuti kuwedzera kwaiitwa nehuwandu hwemukana wekuita kenza yechipiri mumapapu, colon, kana prostate, asi yakabatanidzwawo nehuwandu hwehutachiwana hwehushuga.
Vazhinji ve oncologists vanokurudzira kudya kudya kwakanaka uye havatendi kuti antioxidants inobva kune zvekudya inotyisidzira kubudirira kwekenza mishonga. Kana iwe uchida kuwedzera kudya kwako kwekudya kwe antioxidants chengetedza izvozvi zvekudya ne-antioxidants.
Method of Study
Kududzira zvimwe zvemashoko nezve antioxidants panguva yekurapa kwekenza zvinonetsa kune zvikonzero zvakawanda, chimwe chazvo ndeche nzira dzakasiyana dzakashandiswa. Zvimwe zvidzidzo zvinowanikwa pamakonzo, uye zvinokonzerwa nemakonzo zvinogona kana kuti hazvingavi zvakafanana nezvovanhu. Zvizhinji zvezviongorori izvi zvakaitwa pamasero evanhu anokonzera mune imwe mudziyo mubazi. Kunyange zvazvo izvi zvichitipa ruzivo rwakanaka, hazvifungi nezvezvizhinji zvemamwe maitiro anoitika mumuviri womunhu unogona kugadzirisa mhinduro inowanikwa mubhuku.
Zvikonzero Zvaunoita Oncologist Ingaita Mavhitamini
Kusakwana kwezvokudya
Nemigumisiro yechirwere yekurasikirwa kwechido uye kushungurudzika kunowanzobatwa nekenza, kukanganisika kwekudya kunovaka muviri hazvijairika. Taura nechiremba wako pamusoro peizvi. Vamwe vatsvakurudzi vakataura kuti kuwedzera kwekuwedzera kunogona kubatsira kuderedza kachexia yekenza . Cachexia chirwere chekushaya kurasikirwa kwekusimudzira, kusuruvara kwemaviri uye kuderedza kudya kunokanganisa kusvika 50 kubva muzana yevanhu vane kenza yakanyanya. Zvinonzwa kuti cachexia inobatsira zvakananga ku20 muzana yekufa kwekenza. Zvinosuruvarisa, kunze kwemafuta ehove anogona kubatsira, kuwedzerwa kwezvokudya zvisina kuwanika hazvina kuwanika kubatsira mune iyi syndrome.
Kuchengetedza Kanzera Chechipiri
Sezvo kenza yemishonga yakadai semakemikrasi uye remishonga inonzi radiation inopfurikidza vanopona kune dzimwe kenza, yakatarisirwa kuti ngozi yekenza yechipiri inogona kuderedzwa nekushandiswa kwe antioxidant supplements. Sezvakataurwa pamusoro apa, mune imwe tsvakurudzo vanhu vane melanoma yakabatwa ne selenium vaiva necheperi mungozi yekupedzisira yekuve nekenza, koni, kana kenza yeprostate (asi ine ngozi yakawedzerwa yechirwere cheshuga.) Sezvo zvinowedzera (zvakasiyana nezvinodya antioxidants) hazvina kuratidza migumisiro yakazara mukudzivisa kenza, hapana humwe uchapupu hwokuti izvi zvinowedzera zvingabatsira mukudzivirira kenza yechipiri mune vakapona.
Kuita Kuti Kuderedza Kuchengetedzwa Kwezvokurapa
Zvidzidzo zvakave zvakasanganiswa neyekuita antioxidants kuwedzera kana kuderedza kusvibiswa kwekemotherapy, asi kumwe kutsvakurudza kunoti vanogona kuvandudza hupenyu hwevamwe vanhu panguva yekurapa kenza. Mune rumwe ruzivo, mishonga ye antioxidant ine vitamini C, vitamin E, melatonin uye yakasvibirira tea yakawanikwa yakaita kuti kuderedza kuneta kune vanhu vane kenza yepancreatic.
Varwere Vane Kanzera Yakanyanya
Chimwe chidzidzo chinotsvakurudzwa chinotsigira kushandiswa kwevhitamisi kuwedzera pakurapwa kwekenza kwakaratidza kuwedzera kwehurefu hwekupona. Iyi yedzidzo ya2009 yakaratidza kwenguva yakareba kupfuura yakatarwa yekugara kwenguva yakareba, uye 76 muzana yevarwere kwenguva yakareba vachirarama kwenguva yakareba kudarika yakagara yataurwa (kunyanya kuwedzera mukupona mwedzi mishanu.) Zvakakosha kuona kuti ichi chaiva chidiki chekudzidza (41 varwere) vakaitwa ne vanhu vanofunga kuti vane kenza yemagumo ekupedzisira avo vakanga vafanotarisirwa kurarama kwemwedzi gumi chete. Ava varwere vaibatwa pamwe nekuwedzera kwe coenzyme Q10, vitamini A, C, uye E, selenium, folic acid, uye kune avo vasina kenza yemapapu, beta-carotene.
Nyaya inokosha yeVitamin D uye Kansa
Nokuda kwezvikonzero zvakawanda, vitamini D inofanirwa kuongororwa zvakananga pamusoro pebasa rayo mukurapa kenza.
Chikonzero chekutanga ndechekuti zvinogona kuva zvakaoma kuwana huwandu hwakakwana hwevhitamini D nezvokudya. Kunyange zvazvo chikwereti chemazuva ose chinorayirwa chinosvika 400 kusvika 800 IU zuva nezuva zvichienderana nezera, zvidzidzo zvakatarisa kugadziriswa kwekenza zvakatarisa nhamba dzakakwirira-kusvika 1000 kusvika 2000 IU pazuva. Tinofunga nezvekaka rakasimbiswa sechinhu chinobva kuna vitamini D, asi pa100 IU pagirasi rimwe nerimwe raizoda kunwa mabirazi masere pagore kungosvika 800 IU inorayirwa kune murume ane makore makumi manomwe kana nemakore (kunyanya chiremba chakadzidza mune zvidzidzo zvekuchengetedza kenza.) Zuva rakanaka rinobva mavitamini D, rinoda nguva shomanana chete nemaoko uye chiso chinotaridzirwa kuti chinakire kumusoro kwe 5000 IU. Izvi zvinoreva kuti, kana iwe uchigara mune imwe nzvimbo yaunogona kuva kunze nemaoko uye chiso chako zvakasununguka uye kana ingiro yezuva paunobvumira iwe inobvumira kudya kwevhitamin D-inobudisa mihara.
Izvi zvinogona kuva dambudziko kumativi ekuchamhembe.
Nokuda kwechikonzero ichi, vanachiremba vakawanda vanokurudzira kuwedzera kwevhitamini D3. Ndiani anofanirwa kunge achitora kuwedzera? Ndinofara kuti chiremba wako ane nzira iri nyore yekugadzirisa izvi. Chirwere chemuropa chisingadziviriki uye chisingatengi chinogona kukupa iwe uye chiremba wako nechiyero cheropa rako revhitamini D (pane kudaro, kuparara kwemitambo). Kunyange zvazvo izvi zvisingakuudzei kuti muviri wako we "store" wevhitamini D ndewei, inogona kushandiswa kugadzirisa kana kuwedzera kwaidiwa uye kutungamirira kurapwa. Ramba uchiyeuka kuti vazhinji vevanhu muUnited States vane vitamini D vasina kukwana.
Nei izvi zvichikosha?
Pakave nekuongororwa kwakawanda kwakaongorora basa revhitamini D zvose mukudzivirira kenza uye mune zvekenza. Iropa remuviri mavitamini D rinobatanidzwa nehuwandu hwehutachiwana hwekenza dzakawanda, uye huwandu hwepamusoro ye vitamini D hunobatanidzwa nehuwandu huri pasi hwekudzivirira mazamu nekodha yekenza. Vanhu vanowedzera mavhitamini D panguva panguva yekuongororwa vane nguva yakawanda yokupfuura nemukenza wemapapu kune avo vane mazinga akadzika. Uye, pamusoro pemubvunzo wedu pamusoro pekushandisa mavhithamini panguva yekurapa kwekenza, mazana emadhamini anoderera anowedzera kuwedzera kungozi yekupararira kwekenza yepamusoro (metastasizing). Zvichida chiitiko chinoshamisa zvikuru chakaonekwa nekenza yekoloni. Chirongwa chikuru cheCancer Cancer Institute chakawana kuti vanhu vane marefu eVithamini D vaiva 76 kubva muzana vashoma kuti vafe nehosha yavo pane vanhu vane maitiro akaderera evhitamini.
Sezvo mamwe mishonga yemukenza inotapukira ku osteoporosis, uye vitamini D inobatsira calcium kudya, huwandu hwakakwana hwevhitamini D hunogonawo kuchinja hupenyu hwevamwe vanorwara nekenza.
Vitamini D haisi antioxidant. Iko inoshanda zvikuru sehomoni kupfuura vitamini mumuviri.
Kunyange zvazvo zvizhinji zvekutsvakurudza zvinoratidzira basa rakanaka re vitamini D kune vamwe vanhu vane kenza, zvakakosha kutaura nachiremba wako usati washandisa kuwedzera. Zvechokwadi, chiremba wako achada kuongorora mazinga ako kuona kana akashandura kana iwe ukatanga kuwedzera. Izvo zviyero zvakasiyana-siyana zvehutano zvingave zvisina ruzivo rwakanaka kune mumwe munhu ane kenza. Somuenzaniso, paMayo Clinic muMinnesota, huwandu hunowanikwa hwemavhitamini D huri pakati pe30-80. Asi zvimwe zvidzidzo zvinoratidza kuti uwandu hwe50 hwakanaka kudarika nhamba ye 31.
Vitamin D supplementation haisi yevanhu vose. Pane mimwe migumisiro yemigumisiro inosanganisira iyo inorwadza zvikuru-imwe tsvuku-kana mazinga akakwirira.
Kutora Vitamin kana Kuwedzerwa Kunorumbidzwa naWochiremba
Kana yako oncologist inokurudzira kuwedzera, kune zvinhu zvishoma zvokuchengeta mupfungwa.
- Zvakare. Ingoshandisa mavitamini kana maminera (kana chimwe chikafu kana mishonga inowedzera) kana wako oncologist asingafungi kuti izvi zvinogona kukuvadza mumamiriro ako ezvinhu.
- Izvo zvinogona kuisa njodzi uye zvikomborero zvataurwa pamusoro apa zvinongoratidzira kuratidza kuti nei vitamini nemaminera ekuwedzera zvinoda kuonekwa somunhu mumwe nomumwe. Chiremba wako anogona kukurudzira kushandisa kana kudzivisa vitamini kana mineral supplement zvimwe zvikonzero.
- Nguva dzose uunze zvose-the-counter mishonga uye zvinowedzera pamwe newe kumusangano wega wega wekugadzirira.
- Usanyengedzwa nekutengeserana kunoti "zvakasikwa" kana "mbeu-yakagadzirwa." Muenzaniso ndeye hemlock. Izvo zvakasikwa, inodyara-yakagadzirwa, uye inokwanisa kunyange kukura mumuti. Asi zvinofungidzirwa nevakawanda kuti ihwohwo hwakanga huri uhu hunotaridzwa muRomao naJuliet . Ichokwadi, akawanda ane simba chemhemotherapy mishonga inomera-based.
- Shandisa chete chirongwa chinokurudzirwa. Zvimwe hazvirevi zviri nani uye zvinogona kuva zvinokuvadza. Ramba uchifunga kuti zvinowedzera zvinowanzo zvine mavhithamini nemaminerari zvinopfuura zvakanyanya izvo zvaungadya kudya kudya kwakakwana. Mukuwedzera, pane zvishoma zvigadziriswa zvezvinowedzera izvi muUnited States, uye zvimwe zvigadzirwa zvinogona kuva nemitemo yezvipembenene uye zvigetsi zvakanyanya.
- Shandisa mavitamine uye minerals chete. Tarisa kuti uone kana vakaongororwa ne ConsumerLab.com. Uyewo chengeta kuti uone kana kune USP kana kuti NF chisimbiso pachiraira, zvichiratidza kuti kuongororwa kwehutano hwepamhando kwakaitwa pane chigadzirwa.
- Ramba uchitaura nezvekudya kwako mavhithamini nemaminera pakushanya kwekutevera. Matambudziko akawanda emakiriniki ari kuenderera mberi, uye ruzivo runogona kuchinja-mune rumwe rutivi-sezvatinodzidza zvakawanda.
Kudzokorora kweVithamini neMaminari
Vitamine Miti Yedu Inoda:
- Vitamin A
- Vitamini B6 (pantothenic acid)
- Vitamin B12 (biotin)
- Vitamin D
- Vitamin E
- Vitamin K
- Folic acid
- Niacin
- Riboflavin
- Thiamine
Mineral Our Body Need:
- Calcium
- Chromium
- Copper
- Iodine
- Iron
- Manganese
- Magnesium
- Potassium
- Selenium
- Sodium
- Zinc
Antioxidants:
Antioxidants inogona kuva mavitamini, zvicherwa, kana zvimwe zvibereko. Mienzaniso yeiyi inosanganisira:
- Vitamin A
- Vitamin C
- Vitamin E
- Selenium
- Carotenoids - beta-carotene uye lycopene
> Sources:
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