In all anti-cancer and anti-cancer science articles, we can see the importance of exercise. It can not only promote a healthy lifestyle, but also change the biological mechanism of cancer cells.
According to a pilot study by the Dana-Farber Cancer Institute, exercise is associated with a reduction in circulating tumor cells (CTC) in the blood of a small group of patients after colon cancer treatment.
Muddo dheer ayaa la moodayay cancer metastasis is caused by cell division. These cells detach from the primary buro and spread to other parts of the body with the bloodstream.
As we all know, surgery can sometimes remove tumor lesions, but it cannot eliminate cancer cells in other parts of the body. In patients with stage III kansarka mindhicirka, one of these circulating tumor cells left in the body after surgery and chemotherapy can lead to an increased risk of cancer recurrence. Six times.
Si loo tijaabiyo in jimicsigu saameyn ku yeeshay joogitaanka CTC ee dhiigga, daraasadda waxaa ka mid ahaa 23 bukaan oo qaba kansarka mindhicirka I-III ee dhammeystiray qalliinka iyo daaweynta kiimikada ee loo yaqaan 'adjuvant chemotherapy'.
Bukaannada ayaa si aan kala sooc lahayn loogu qaybiyay saddex kooxood; jimicsi dhexdhexaad ah 150 daqiiqo usbuucii, jimicsi xoog leh oo ka sarreeya 300 daqiiqo usbuucii, iyo koox xakameyn aan jimicsi lahayn.
Lix bilood kadib, sambal dhiig ayaa laga qaaday dhamaan seddexda koox. Cilmi baarayaashu waxay ogaadeen in labada koox ee jimicsiga, tirada CTC-yada ee dhiiga ay si aad ah hoos ugu dhacday, halka aan wax isbedel ah oo ku saabsan CTC-yada lagu arkin kooxda xakamaynta.
Intaa waxaa dheer, waxaa xusid mudan in tusmada jirka ee jirka (BMI), heerarka insulin-ta iyo buurnida la xiriirta buurnida sICAM-1 ee kooxda jimicsiga dhammaantood ay hoos u dhaceen. Daraasad kooxeed la filayo, dhammaan seddexda arrimood waxay la xiriireen badbaadada iyo soo noqoshada bukaannada kansarka mindhicirka. Sidaa darteed, cilmi-baarayaashu waxay qiyaasayaan in jimicsiga laga yaabo inuu u diidayo martida buro-mareenka martida ah ee arrimaha koritaanka ee la heli karo, taasoo keentay hoos u dhaca tirada CTC-yada.
Dabcan, jimicsigu waa inuu ahaadaa mid dhexdhexaad ah, iyo xaddiga ku habboon bukaanjiifka kansarka, ama qorshe macquul ah ayaa loo baahan yahay in lagu sameeyo iyadoo lagu saleynayo xaaladaha gaarka ah ee bukaanka.
Jimicsi lagula taliyay bukaannada kansarka
The “Survival Guidelines for Cancer Survivors” issued by the American College of Sports Medicine recommends:
Bukaannada kala duwan ee kansarka, xoogga iyo dabacsanaanta tababarka waa in loo qaabeeyaa si kala duwan, tusaale ahaan:
- Fistula patients after kansarka mindhicirka surgery should pay attention to avoid excessive abdominal pressure to avoid the formation of fistula hernia;
- Bukaanka qaba kansarka naasaha surgery should pay attention to step by step, especially when they have lymphedema of upper limbs;
- Weli waxaa jira caddayn ku filan oo ku saabsan nabadgelyada iyo faa'iidooyinka tababarka xoogga addimada hoose ee bukaanka qaba burooyinka miskaha iyo lymphedema ee addimada hoose;
- Qalliinka ka dib, waa in taxaddar la sameeyaa si looga hortago in meesha la qalay ay dillaacdo;
- Kuwa qaba tuubbooyinka xididka dhexe waa inay fiiro gaar ah u yeeshaan baaxadda dhaqdhaqaaqa addinka.
Bukaannada kansarka, ka hor inta aan la sameyn jimicsi qorsheysan, qiimeyn gaar ah waa in loo sameeyaa, oo ay ku jiraan:
- Iyadoo aan loo eegin inta ay le'eg tahay daaweynta daaweynta ka hortagga kansarka, waxaa lagu talinayaa in la qiimeeyo neerfaha durugsan iyo dhaawacyada muruqyada;
- If hormone therapy is available, it is recommended to assess the risk of fracture;
- Qiimee metastases lafaha si looga fogaado dhaqdhaqaaqyada sababi kara jabka;
- Dadka qaba cudurka wadnaha waxaa lagu yaqaan inay qiimeeyaan amniga jimicsiga;
- Dadka aadka u cayilan waxay u baahan yihiin qiimeyn badbaado oo dheeri ah;
- Kahor intaadan kaqeyb qaadan jimicsiga jimicsiga addimada, bukaanada kansarka naasaha waa inay maraan qiimeyn wadajir ah oo garabka / garabka ah;
- Bukaanka qaba kansarka qanjirka 'prostate should be evaluated for muscle strength and muscular atrophy;
- Bukaanka qaba cudurka kansarka mindhicirka ee mindhicirka waa in loo qiimeeyaa kahortagga infekshanka iyo wasakheynta;
- Bukaannada qaba burooyinka cudurada haweenka, kahor jimicsiga jimicsiga ama tababarka xoogga, waxaa lagula talinayaa in la qiimeeyo lymphedema ee dhinacyada hoose.
Habka jimicsiga ee lagula taliyay bukaanka kansarka
Isboortiga loogu talagalay bukaanka kansarka, waxa ugu horreeya ee mudan in lagula taliyo waa socodka. Waxay leedahay qaddar jimicsi oo fudud oo jimicsi leh. Kuma xadidna xaaladaha sida waqtiga, goobta, booska, iwm. Marka laga reebo bukaan jiifka sariirta la seexdo, dhammaan bukaanada kansarka qaba waxay dooran karaan jimicsiga noocan ah. Socodka waa la samayn karaa wakhti kasta iyadoo aan loo eegin xilli. Guga, waxaad ku raaxeysan kartaa dhul-daaqsimeedka, webiga yar ee xagaaga, harada lotus xilliga dayrta, iyo kaynta geedaha xilliga qaboobaha. Socodku kuma koobna boos. Hadday tahay socod gaabis ah waddooyinka dalka dhinacyadiisa ah ama socod lug ah oo lagu marayo waddada magaalada, booskaas ballaaran, bay'ada cagaaran, iyo hawo macaan ayaa dadka nasiinaysa. Nasasho Bukaannada kansarku sidoo kale waxay dooran karaan isboorti sida orodka, socodka degdegga ah, Tai Chi, jimicsi xur ah, dabaasha, Qigong, iyo baaskiil wadista.
Jimicsi xoog leh
Bukaannada kansarku waa inaysan ka qeyb galin jimicsi xoog leh. Mabda 'ahaan, waa inay doortaan xoojin hoose, muddo dheer, iyo dhidid yar jimicsiga ka dib. Waa in si talaabo talaabo ah loo qaadaa oo loo adkaystaa. Firfircoonida jimicsiga ayaa ku habboon bukaanjiifka kansarka qaba kala badh garaaca wadnaha oo ah 50% ilaa 70% ee garaaca wadnaha ugu badan, ie (220-jir) × 50 ilaa 70%. Tusaale ahaan, 60-jir bukaan socod garaaca wadnaha ah (220-60) x 50-70% = 80-112 garaac / daqiiqad jimicsi. Kahor iyo kadib jimicsiga, 5 ilaa 10 daqiiqo oo ah howlaha diyaarinta iyo nashaadaadka nasashada waa in laqabtaa si loogu waafajiyo isbadalka heerka garaaca wadnaha iyo isbedelka kudhaca jimicsiga si looga fogaado falcelin aan raaxo laheyn jimicsiga kadib. Laguguma talinayo inaad kaqeyb gasho jimicsi aad uxun, si looga fogaado daalka xad dhaafka ah loona yareeyo shaqada jirka.
Tirada jimicsiga bukaanka kansarka
Bilawga jimicsiga bukaanka waxaa ku jiri kara waxqabadyada diyaarinta kahor jimicsiga iyo waqtiga soo kabashada jimicsiga kadib. Kadib markaad gaarto xoogga jimicsiga, waa inaad jimicsiga wadaa 30 daqiiqo. Waqtiga ugu fiican ee bukaanjiifka kansarka jimicsi sameeyo maalintii waa guud ahaan subaxdii ama galabtii. Kuma habboona inaad jimicsi sameyso cuntada ka dib ama markaad gaajooto. Si looga fogaado raaxo la'aanta. Qadarka jimicsigu waa inuu yaraadaa, waqtiga jimicsigu waa inuusan dheereyn, 15 ilaa 20 daqiiqadood markasta, si tartiib tartiib ah u kordhi qadarka jimicsiga illaa 30 illaa 40 daqiiqadood markasta iyadoo loo eegayo xaaladda iyo xoogga jireed.
Dhaqdhaqaaqa dhaqdhaqaaqa
Ugu yaraan 3 illaa 4 jeer usbuucii, maalin kasta oo kale. Kuwa jirkoodu adag yahay ee aan daalin jimicsiga kadib waxay ku adkeysan karaan jimicsi maalin kasta.
Deegaanka isboortiga iyo cimilada
Deegaanka dabiiciga ahi waa qodob muhiim ah oo saameeya jimicsiga. Waa in lagu fuliyaa jardiinooyin, keymo, dhul daaqsimeed, beero, hareeraha biyaha iyo meelo kale oo leh hawo nadiif ah iyo jawi deggan. Bukaannada kansarku waa jimicsiga ugu fiican kaynta.
Feejignaanta waa in la siiyaa isbeddelada xilliyeed; marka la eego xilliyada qabowga badan ama xilliyada kuleylka, isbeddelada lama filaanka ah ee dabaysha iyo roobka, iwm, waa in si ku habboon loo dhimo qadarka jimicsiga.
Ku habboon isboortiga
1. Waxay ku habboon tahay dhammaan noocyada bukaannada kansarka marka laga reebo sariirta jiifka.
2. Bukaannada qaba xaalado qalliinka ka dib oo deggan.
3. Bukaan-socodka shucaaca iyo kiimoterabiga ay dhammaadeen xaaladdooduna waa deggan tahay.
4. Bukaannada aan lahayn wax raad raac ah oo aan lahayn wax cudur ah oo metastatic ah ka dib daaweynta burooyinka waxay ka qaybqaadan karaan jimicsiyo jimicsi oo kala duwan oo ku habboon jirkooda jir ahaaneed iyo dadka isku da'da ah.
5. Bukaannada qaba cuduro kala duwan waa inay doortaan qorshaha ku habboon xaaladdooda.
Isboortiga tabo badan
1. Ka dib hawlgal ahaan.
2. Isku dar infakshanno kala duwan oo degdeg ah.
3. Heerkulka jidhku wuu kordhayaa xaaladduna way soo noqonaysaa.
4. Qaybaha qaarkood waxay leeyihiin u janjeera dhiigbax, waa inaad joojisaa jimicsiga si looga fogaado
shilalka id.
5. Bukaanka qaba cachexia cad uma dulqaadan karaan jimicsiga.
Tilmaamaha jimicsiga bukaanka kansarka
(1) Ka-badbaadayaasha kansarka ee leh difaac hooseeya waa inay ka fogaadaan inay ku jimicsadaan goobaha isboortiga dadweynaha ka hor inta aan tirinta unugyada dhiigga ay ku laaban heerarka caadiga ah.
(2) For cancer survivors who have received radiation therapy, they should avoid long-term exercise in swimming pools containing chloride disinfectants.
(3) Laguguma talin karo inaad kaqeyb gasho cayaaraha xad dhaafka ah, si looga fogaado daalka xad dhaafka ah loona yareeyo isdifaacida.
(4) Neefsashadaada ha ahaato mid siman oo jimicsiga isla markiiba jooji haddii aad caafimaad dareento.
(5) Haddii aad isku aragto koror kuleylka jirka, soo noqoshada xaaladdaada, iyo u janjeeridda dhiigbaxa qaybaha qaarkood, waa inaad joojiso jimicsiga si looga fogaado shilalka.
