Le enzyme iye yahlolwa ukuze isetshenziswe ekuphatheni i-ulcerative colitis
Sibutsetelo
I-Bromelain iyi-enzyme ye-proteolytic ekhishwa esiteshini nejusi le-ananas. Kwakuqala ukutholakala ngasekupheleni kwe-1800s, kodwa kwakungasetshenzisiwe njengesithako sokudla kuze kube ngama-1950. I-Bromelain iyi-anti-inflammatory futhi isetshenziselwe usizo lokugaya futhi igazi elincane, kanye nokwelapha ukulimala kwezemidlalo, i-sinusitis, i-arthritis, nokuvuvukala.
I-Bromelain iphinda isetshenziswe ukuze isetshenziswe njengesilwane se- inflammatory disease (IBD) , ikakhulukazi i-ulcerative colitis.
Ukusetshenziswa
I-Bromelain ibamba amaprotheni, yingakho futhi isetshenziselwa njenge-tenderizer yezinyama. Njengengxenye yokwengeza, itholakala njengama-capsules noma amaphilisi. Njengesizo sokugaya ukudla, umthamo ophakanyisiwe ngokuvamile u-500 mg kathathu ngosuku. Kungathathwa ngokudla, kodwa kuyasebenza kakhulu ekunciphiseni ukuvuvukala uma kuthathwa esiswini esingenalutho. I-Bromelain ivunyelwe eJalimane ukuze isetshenziswe emva kokuhlinzwa, lapho amanani aqala kusuka ku-80 kuya ku-320 mg ngosuku. Isilinganiso esiphezulu sokunye ukusetshenziswa, okufana nokwelapha i-arthritis, akuyaziwa. I-Bromelain ivame ukuthathwa izinsuku ezingu-8 kuya kwezingu-10.
I-Bromelain iyi-anti-inflammatory, kodwa ayikho ucwaningo oluningi lokusekela ukusetshenziswa kwalo kungakhathaliseki ukuthi isifo sikaCrohn noma isifo sofuba esiswini. Kukhona umbiko wezinkinga zeziguli ezimbili ezine-ulcerative colitis eziphendule kahle ekwelapheni nge-bromelain.
I-Bromelain ayizange ifundwe ngabantu abane-IBD, kodwa kukhona isifundo esisodwa esenziwa emathisini e-biopsy athathwa emathunjini abantu abane-Crohn's disease kanye nesifo sofuba esiswini. Lezi zicubu zabonakala ziphendula kahle nge-bromelain, futhi zabonisa amaki ambalwa we-IBD kunama-tishu ayengazange aphathwe nge-bromelain.
Ukudla inani elikhulu lezithelo ze-chinanini ngeke linikeze umphumela ofanayo nokuthatha isithasiselo se-bromelain. I-Bromelain itholakala ngokuyinhloko esiqwini se-ananas, esingavamile ukudliwa.
Ukusebenzisana kwezidakamizwa nosizo
I-Bromelain ingakwandisa ukusebenza kwamanye ama-antibiotics, kuhlanganise ne-amoxicillin. Kungaba nomthelela ofanayo ku-tetracycline, kodwa ucwaningi lwamanje ngalokhu luyaphikisana.
I-Bromelain nayo inegalelo egazini, futhi ingathinta ikhono legazi ukuvala . Ngakho-ke, akufanele kuthathwe kanye nanoma yiziphi izidakamizwa noma izithako ezithinta igazi noma okwandisa ingozi yokuphuma, okufaka:
- I-Coumadin (i-warfarin)
- Ugaliki
- Ginkgo biloba
- I-Heparin
- Ama-anti-inflammatories angewona ama-steroidal (ama-NSAID), afaka i- aspirin , ibuprofen , ne- naproxen
- I-Plavix (clopidogrel)
- Wabona i-palmetto
I-Bromelain nayo ingandisa imiphumela yokuthi izidakamizwa zibe nomzimba. Lokhu kufaka kokubili izidakamizwa kanye nezithako ezisebenzisayo njengezindlela zokudambisa kanye nalabo abanomphumela wokuguqula. Ezinye izibonelo ziyi:
- Utshwala
- Ama-anticonvulsants, kuhlanganise no- Dilantin (phenytoin) noma i-Depakote (i-valproic acid)
- Ama-barbiturates, kuhlanganise ne-phenobarbital
- I-Benzodiazepines, kuhlanganise ne-Ativan (lorazepam), i-Xanax (alprazolam) ne-Valium (diazepam)
- I-Catnip
- Kava Kava
- Ama-Narcotics, kufaka phakathi i-codeine
- Ama-sleep-inducers, kuhlanganise i- Ambien (zolpidem) , i- Lunesta (i-eszopiclone) , i- Rozerem (i-ramelteon) ne- Sonata (i-zeleplon)
- I-Tricyclic antidepressants, kuhlanganise no- Elavil (amitriptyline)
- Valerian
Okuqhamuka uma udla imishanguzo
Njenganoma imuphi umuthi noma ukwesezela, kukhona njalo ithuba lokuphendula okweqile . I-Bromelain kufanele igwenywe yinoma ubani onolwazi oluthile olutholakala kunaninali noma ezinye izitshalo emndenini we-Bromeliaceae.
I-Bromelain ingabangela imiphumela emibi, kufaka phakathi:
- Uhudo
- I-nausea
- Ukwanda kokuphuma esikhathini noma ukuphuma kwamagciwane okungavamile
- Ukwandisa izinga lenhliziyo
- Isisu sithukuthele
- Ukuvota
Isexwayiso sokukhulelwa
I-Bromelain ingakafundiwe kakhulu kubesifazane abakhulelwe noma abancancisayo.
Ngenxa yokuthi i-bromelain ingabangela ukuphuma kwe-uterine, ayinconywa ukuba isetshenziswe ngabesifazane abakhulelwe noma abancelisayo. Tshela udokotela wakho uma ukhulelwe noma uncelisa futhi uthathe noma ucabanga ngokuthatha i-bromelain.
Izwi elivela
Yize noma i-bromelain ivunyelwe ezinye ukusetshenziswa eJalimane, okwamanje ayivunyelwe e-US ukuphatha noma yisiphi isimo. Ubufakazi bokusetshenziswa kwayo ku-IBD buyakhula, kepha okwamanje akunamandla okwanele ukuphakamisa ukusetshenziswa kwayo okubanzi. Tshela udokotela wakho uma ucabangela ukusetshenziswa kwe-bromelain, noma uma okwamanje uthatha i-bromelain.
Imithombo:
U-Kane S, i-Goldberg MJ. "Ukusetshenziswa kwe-bromelain ngokulonda kwe-ulcerative colitis." U- Ann Intern Med 18 Apr 2000; 132: 680. 6 Feb 2016.
Ke F, Yadav PK, Ju LZ. "Herbal Medicine in the Treatment of Ulcerative Colitis." I-Saudi Journal of Gastroenterology: I-Official Journal ye-Saudi Gastroenterology Association . 2012; 18 (1): 3-10. 6 Feb 2016.
Onken JE, Greer PK, Calingaert B, Hale LP. "Ukwelapha kwe-Bromelain kunciphisa ukuvinjelwa kwama-cytokines anama-pro-inflammatory nama-chemokines ngamakholomu e-colon in vitro." Umtholampilo Immunol Mar 2008; 126: 345-352. 6 Feb 2016.
I-Tinozzi S, i-Venegoni A. "Imiphumela ye-bromelain kuma-serum namazinga omzimba we-amoxicillin." Izidakamizwa Exptl Clin Res 1978; 4: 39-44. 6 Feb 2016.