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.
It has long been thought that cancer metastasis is caused by cell division. These cells detach from the primary isisu 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 umdlavuza colon, 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.
Ukuhlola ukuthi ukuzivocavoca umzimba kuthinte ukuba khona kwe-CTC egazini, lolu cwaningo lubandakanya iziguli ezingama-23 ezinomdlavuza wesigaba I-III womdlavuza wamakholoni eseqedile ukuhlinzwa kabusha kanye ne-chemotherapy ye-adjuvant.
Iziguli zazihlukaniswe ngezikhathi zaba ngamaqembu amathathu; ukuvivinya umzimba ngokulingene imizuzu eyi-150 ngeviki, ukuvivinya umzimba ngamandla kuphakame imizuzu engama-300 ngeviki, neqembu elilawula ukungazivocavoca
Ngemuva kwezinyanga eziyisithupha, kwathathwa amasampula egazi kuwo womathathu amaqembu. Abaphenyi bathola ukuthi kuwo womabili amaqembu okuzivocavoca, inani lama-CTCs egazini lehle kakhulu, ngenkathi kungekho zinguquko ezibalulekile kuma-CTCs ezazibonwa eqenjini lokulawula.
Ngaphezu kwalokho, kubalulekile ukuthi uqaphele ukuthi inkomba yomzimba (BMI), amazinga e-insulin namaprotheni ahlobene nokukhuluphala i-sICAM-1 yeqembu lokuzivocavoca konke kwehlile. Ocwaningweni olulindelwe lweqembu, zonke lezi zinto ezintathu bezihlobene nokusinda nokuphindeka kweziguli ezinomdlavuza wekoloni. Ngakho-ke, abacwaningi bacabanga ukuthi ukuzivocavoca umzimba kunganciphisa i-tumor microenvelo yezimboni zezinto ezikhulayo ezitholakalayo, okuholela ekwehlisweni kwenani lama-CTC.
Vele, ukuzivocavoca umzimba kufanele kube nokulinganisela, futhi yiliphi inani elifanele kakhulu iziguli ezinomdlavuza, noma uhlelo olufanele kufanele lwenziwe ngokuya ngezimo ezithile zesiguli.
Ukuvivinya umzimba okunconyelwe iziguli ezinomdlavuza
The “Survival Guidelines for Cancer Survivors” issued by the American College of Sports Medicine recommends:
Ezigulini ezahlukahlukene zomdlavuza, ukuqeqeshwa kwamandla nokuguquguquka kufanele kulungiswe ngokuhlukile, ngokwesibonelo:
- Fistula patients after umdlavuza colorectal surgery should pay attention to avoid excessive abdominal pressure to avoid the formation of fistula hernia;
- Iziguli ezine umdlavuza webele surgery should pay attention to step by step, especially when they have lymphedema of upper limbs;
- Kusekhona ubufakazi obanele bokuphepha kanye nezinzuzo zokuqeqeshwa kwamandla emilenze ephansi kweziguli ezinamathumba okhalo kanye ne-lymphedema yezitho ezingezansi;
- Ngemuva kokuhlinzwa, kufanele kuthathwe ukunakekelwa ukuvimbela ukusikeka ekuqhekekeni;
- Labo abane-catheters emaphakathi enesifo kufanele banake ubukhulu bomsebenzi wezitho.
Ezigulini ezinomdlavuza, ngaphambi kokwenza umsebenzi ohleliwe, kufanele kwenziwe okunye ukuhlolwa okukhethekile, kufaka phakathi:
- Akunandaba ukuthi ukwelashwa kwe-anticancer kwenziwa isikhathi esingakanani, kunconywa ukuthi kuhlolwe i-peripheral neuropathy kanye nezilonda zemisipha;
- If hormone therapy is available, it is recommended to assess the risk of fracture;
- Linganisa amathambo emathambo ukugwema ukunyakaza okungadala ukuphuka;
- Abantu abanesifo senhliziyo baziwa ukuhlola ukuphepha kokuvivinya umzimba;
- Abantu abakhuluphele ngokweqile badinga ukuhlolwa okwengeziwe kokuphepha;
- Ngaphambi kokubamba iqhaza ekuzivocavoca izitho zomzimba ezingenhla, iziguli ezinomdlavuza webele kufanele zihlolwe ngokuhlanganyela kwengalo / ehlombe eliphezulu;
- Iziguli ezine umdlavuza wendlala should be evaluated for muscle strength and muscular atrophy;
- Iziguli ezinomdlavuza we-colorectal cancer fistula kufanele zihlolwe ukuvikela ukutheleleka kanye nokungcola;
- Iziguli ezinezicubu zabesifazane, ngaphambi kokuzivocavoca nge-aerobic noma ukuqeqeshwa kwamandla, kunconywa ukuthi kuhlolwe i-lymphedema yemikhawulo engezansi.
Kunconywe indlela yokuzivocavoca yeziguli ezinomdlavuza
Kwezemidlalo zeziguli ezinomdlavuza, into yokuqala okufanele inconywe ukuhamba. Inokuvivinya umzimba okuncane futhi kulula futhi okulula ukuzivocavoca. Akuvinjelwe yizimo ezifana nesikhathi, indawo, isikhala, njll. Ngaphandle kweziguli ezilele embhedeni, zonke iziguli ezinomdlavuza zingakhetha lolu hlobo lokuzivocavoca. Ukuhamba kungenziwa nganoma yisiphi isikhathi ngaphandle kwenkathi. Entwasahlobo, ungajabulela indawo enotshani, umfula omncane ehlobo, ichibi le-lotus ekwindla, nehlathi likaphayini ebusika. Ukuhamba akunqunyelwe isikhala. Noma kungukuhamba kancane emigwaqweni esemaphandleni noma ukuhamba emgwaqweni wedolobha, leso sikhala esikhulu, imvelo eluhlaza nomoya ohlanzekile kuzoqabula abantu. Khululeka. Iziguli ezinomdlavuza zingakhetha nemidlalo efana nokugijima, ukuhamba ngamandla, i-Tai Chi, i-freestyle yokuzivocavoca umzimba, ukubhukuda, iQigong nokuhamba ngebhayisikili.
Ukuzivocavoca umzimba
Iziguli ezinomdlavuza akufanele zibambe iqhaza ekuzivocavoca ngamandla. Ngokomthetho, kufanele bakhethe ukuqina okuphansi, ubude besikhathi eside, futhi bajuluke kancane ngemuva kokuzivocavoca. Kumele kwenziwe igxathu negxathu futhi iphikelele. Ukuzivocavoca umzimba kufaneleke kakhulu kwiziguli ezinomdlavuza ezinenani lokushaya kwenhliziyo okungu-50% kuya ku-70% wezinga eliphezulu lenhliziyo, okungukuthi (iminyaka engu-220) × 50 kuye ku-70%. Isibonelo, ibanga lokushaya kwenhliziyo yesiguli esineminyaka engama-60 (220-60) x 50-70% = 80-112 beats / min ngesikhathi sokuzivocavoca. Ngaphambi nangemva kokuzivocavoca, imizuzu emihlanu kuya kweyishumi yemisebenzi yokulungiselela nemisebenzi yokuphumula kufanele yenziwe ukuguqula ushintsho ekushayeni kwenhliziyo kube izinguquko ekuvivinyweni kokuvivinya umzimba ukugwema ukusabela okungathandeki ngemuva kokuzivocavoca. Akunconywa ukuthi uhlanganyele ekuzivocavoca okukhulu kakhulu, ukuze ugweme ukukhathala ngokweqile futhi unciphise umsebenzi wokuzimela.
Inani lokuzivocavoca ezigulini zomdlavuza
Ukuqala kokuzivocavoca kwesiguli kungafaka imisebenzi yokulungiselela ngaphambi kokuzivocavoca nesikhathi sokululama ngemuva kokuzivocavoca. Ngemuva kokufinyelela umfutho wokuzivocavoca umzimba, kufanele uqhubeke nokuzivocavoca imizuzu engama-30. Isikhathi esingcono kakhulu sokuzivocavoca isiguli somdlavuza emini ngokuvamile sisekuseni noma ntambama. Akufanelekile ukuzivocavoca umzimba ngemuva kokudla noma lapho ulambile. Ukugwema ukungakhululeki. Inani lokuzivocavoca kufanele libe lincane, isikhathi sokuzivocavoca akufanele sibe side kakhulu, imizuzu eyi-15 kuye kwengama-20 isikhathi ngasinye, kancane kancane sandise inani lokuzivocavoca libe yimizuzu engama-30 kuye kwengama-40 isikhathi ngasinye ngokwesimo nangamandla omzimba.
Ukuhamba kwemvamisa
Okungenani izikhathi ezi-3 kuya kwezi-4 ngeviki, njalo ngosuku. Labo abanomzimba oqinile abangakhathali ngemuva kokuzivocavoca bangaphikelela ekuzivocavoca nsuku zonke.
Imvelo yezemidlalo nesimo sezulu
Isimo semvelo siyinto ebalulekile ethinta umphumela wokuzivocavoca umzimba. Kufanele yenziwe emapaki, emahlathini, ezindaweni ezinotshani, emasimini, emanzini naseminye indawo enomoya ohlanzekile nemvelo ethule. Iziguli ezinomdlavuza ziwukuzivocavoca okuhle ehlathini.
Ukunakwa kufanele kunikezwe izinguquko zonyaka; esimweni samakhaza abanda ngokweqile noma okushisa kakhulu, ushintsho oluzumayo emoyeni nasemvuleni, njll., inani lokuzivocavoca kufanele lehliswe ngokufanele.
Ifanele ezemidlalo
1. Ilungele zonke izinhlobo zeziguli ezinomdlavuza ngaphandle kombhede.
2. Iziguli ezinezimo ezizinzile zangemva kokuhlinzwa.
3. Iziguli ezine-radiotherapy ne-chemotherapy seziphelile futhi isimo sazo sizinzile.
4. Iziguli ezingenayo i-sequelae futhi ezingenaso isifo se-metastatic ngemuva kokwelashwa kwesimila zingabamba iqhaza ekuzivocavoca umzimba okuhlukahlukene okulungele ukuqina kwabo ngokomzimba kanye nabantu abaneminyaka efanayo.
5. Iziguli ezine-comorbidities ezahlukahlukene kufanele zikhethe uhlelo olufanele ngokwesimo sazo.
Isixuku sabadlali bezemidlalo
1. Ngemuva kokuhlinzwa.
2. Hlanganisa izifo ezehlukene ezibukhali.
3. Izinga lokushisa komzimba liyakhuphuka futhi isimo sibuyele emuva.
4. Ezinye izingxenye zinokuthambekela kokopha, kufanele uyeke ukuzivocavoca ukuze ugweme
izingozi ze-id.
5. Iziguli ezine-cachexia esobala azikwazi ukubekezelela ukuzivocavoca umzimba.
Amathiphu wokuzivocavoca ezigulini zomdlavuza
(1) Abasinde kumdlavuza abanamasosha omzimba aphansi kufanele bagweme ukuzivocavoca ezindaweni zemidlalo zomphakathi ngaphambi kokuba isibalo samaseli egazi sibuyele emazingeni ajwayelekile.
(2) For cancer survivors who have received radiation therapy, they should avoid long-term exercise in swimming pools containing chloride disinfectants.
(3) Akucetyiswa ukuthi ubambe iqhaza kwezemidlalo enamandla ngokweqile, ukuze ugweme ukukhathala ngokweqile futhi unciphise ukuzimela komzimba.
(4) Gcina ukuphefumula kwakho kubushelelezi futhi uyeke ukujima ngokushesha uma uzizwa ungaphathekile kahle.
(5) Uma uhlangabezana nokwanda kokushisa komzimba, ukubuyela esimeni sesimo sakho, nokuthambekela kokopha kwezinye izingxenye, kufanele uyeke ukuzivocavoca umzimba ukuze ugweme izingozi.
