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Izithako zokudla ezitholakala ezinkulungwaneni zezigidi zamaRandi ekuthengiseni kwansuku zonke e-United States. Abaningi okwesithathu kwezilonda ze- osteoarthritis basebenzise isengezo.
Izindleko zokudla ziyisisekelo esingavunyelwe. Zingathengiswa ngocwaningo oluncane lwesayensi ukuze luvuselele ukuphepha kwabo nokucabangela kwabo okucatshangelwayo.
Kusukela ngonyaka ka-2000, kuye kwaba nezinhlaka ezingu-800 zokudla ezengeziwe zokudla ezenzelwe ukukhulula i-osteoarthritis eyethulwa.
Nakuba ezinye zazo zibhekwa njengeziphephile futhi zisebenzayo, iningi alifani nalesi siqinisekiso. Ake sibheke izithako ezithandwa kakhulu ezisetshenziselwa i-osteoarthritis.
Glucosamine
I-Glucosamine iyisithako sokudla esivame ukusetshenziswa kakhulu iziguli ze-osteoarthritis. Umzimba ukhiqiza i-glucosamine yedwa, futhi, itholakala ekugxilweni okuphezulu emajoyini. Ngokwalokho, i-glucosamine ikhuthaza ukwakheka kwe-cartilage okubalulekile ekulungiseni okuhlangene. I-synthetic glucosamine, noma eyatholakala kuma-shellfish exoskeletons, ingaba nezindawo zokulwa nokuvuvukala.
I-Glucosamine iyatholakala njenge-glucosamine hydrochloride ne-glucosamine sulfate. Kuthengiswa ngokuhlanganiswa nezinye izithako zokudla, futhi. Kuye kwafundiswa kabanzi nge-osteoarthritis (izifundo ezilawulwayo ezingama-20 kanye nabahlanganyeli abangaphezu kuka-2,500 abafunda). Iningi locwaningo lugxile kwi-glucosamine sulfate njengokwelashwa kwe-osteoarthritis emadolweni nasezintweni.
Ngeshwa, imiphumela yokutadisha ayihambisani.
Ngo-2005, ukuhlolwa kokuhlolwa kwe-glucosamine ye-osteoarthritis kwaphetha ngokuthi i-glucosamine inciphisa kakhulu ubuhlungu be-osteoarthritis. Uhlobo lwe-glucosamine elisetshenzisiwe lubonakala lwenza umehluko. UDona, umkhiqizo we-glucosamine sulfate, watholakala ekunciphiseni kakhulu ubuhlungu be-osteoarthritis.
Olunye uhlaziyo olubizwa ngokuthi i- Glucosamine / Chondroitin Arthritis Intervention Trial (GAIT) , lwalusetshenziswa umkhiqizo we-glucosamine hydrochloride. I-Glucosamine hydrochloride esetshenziselwa yedwa noma ihlanganiswe ne-chondroitin ayizange iyanciphise izimpawu ze-knee osteoarthritis. Nokho, yenza ukunciphisa ubuhlungu kwezinye iziguli ezinezifo ezinzima zesifo.
Uma kuqhathaniswa ne- acetaminophen noma ama-NSAID , i-glucosamine sulfate iboniswe ukuthi iphumelela ekunciphiseni ubuhlungu nokuthuthukisa umsebenzi ohlangene. Olunye ucwaningo luye lwabonisa ukuthi i-glucosamine sulfate inciphisa kakhulu isikhala esivumelwaneni emadolweni emva kweminyaka emithathu yokwelashwa.
I-Glucosamine ithathwa njengokuphephile ukuyisebenzisa. Imiphumela emibi ebonwe kwizifundo yayifaniswa ne-placebo futhi impela ingaphansi kwalabo abonwa ngokusetshenziswa kwe-NSAID.
Chondroitin
I-Chondroitin iyi-glycosaminoglycan - isakhiwo sokwakha isakhiwo esihlangene. Ukukhangisa, kuvame ukuhlanganiswa nezinye izithako, kepha izifundo zigxile ku-chondroitin yedwa.
Kukhona ucwaningo oluncane nge-chondroitin kune-glucosamine sulfate. Imiphumela yokufunda ayihambisani. Ukuhlolwa okuqala (1980 kuya ku-2001) kwembula ubufakazi obunye bokuthi i- chondroitin yehlisa ubuhlungu futhi yanciphisa isikhala esihlangene. Ucwaningo lwamuva, kusukela ngo-2005, lube luhle kakhulu, luphetha ngokuthi i-chondroitin ayizuzisi i-osteoarthritis.
Abacwaningi baphetha ngokuthi i-chondroitin ayiphumelelanga kakhulu kune-glucosamine sulfate. Akukho bufakazi obubonisa ukuthi ukuhlanganisa i-chondroitin ne-glucosamine sulfate inikeza noma yini engcono kune-glucosamine sulfate yedwa.
I-SAM-e
I-SAM-e, emela i-S-adenosylmethionine, ikhiqizwa esibindi kusuka kumethionine. I-SAM-e icatshangwa ukuthi ikhulise ama-chondrocyte nobukhulu be- cartilage , futhi ingasiza ukunciphisa umonakalo we-chondrocyte.
Ucwaningo lwe-SAM-e lwe-osteoarthritis luye lwavumelana njalo futhi luhle. I-SAM-e itholakale iphumelela kakhulu kune-placebo futhi ifana ne-NSAID ye-relief osteoarthritis.
Icwaningo lwakamuva kakhulu liqhathanisa i-SAM-e kwisidakamizwa i-Celebrex (celecoxib). Phakathi nenyanga yokuqala, i-Celebrex yayiyisisindo esikhulu sokuphulukisa ubuhlungu kune-SAM-e, kodwa kwakungekho umehluko phakathi kwe-SAM-e ne-Celebrex ngokwempilo yokuphumula emva kwezinyanga ezimbili zokwelashwa. Babesebenza ngokulinganayo.
I-SAM-e ibhekwa njengephephile, kodwa ingabangela ukukhathazeka, ukuphathwa ikhanda, ukulala nokukhathazeka kwezinye iziguli. Ingakwazi ukuxhumana nezinye izidakamizwa, kuhlanganise u- Ultram (tramadol). Kufanele uxoxe nge-SAM-e nodokotela wakho ngaphambi kokuyithatha. Izindleko kanye nemikhiqizo yomkhiqizo kuye kwashiwo njengezinkinga ze-SAM-e, futhi.
MSM
I-MSM (methylsulfonylmethane) ivame ukutholakala ekudleni komuntu. Itholakala ezitshalweni, izithelo, imifino, inyama kanye nobisi. I-MSM itholakale nasendleleni ye-adrenal gland yomuntu. I-MSM icatshangwa ukuthi inezakhiwo eziphikisayo. Imiphumela evela ezifundweni ezimbili zemitholampilo ze-MSM yembula ukuthi i-MSM iyanciphisa ubuhlungu nokuvuvukala, kepha ayizange ikhulule ukuqina okuhlangene.
I-MSM ibhekwa njengephephile futhi ibekezelela kahle imiphumela emibi efana ne-placebo. Ukuvivinywa kwemitholampilo akuzange kube yisikhathi eside, noma kunjalo, kuhlala amasonto angu-12 noma ngaphansi. Izifundo zokuphepha zesikhathi eside zidinga.
Uzipho lukaDeveli
Uphola lukaDeveli luvela esitshalweni sase-Afrika. Izinzuzo zokusebenzisa ukuhlunga kukaDeveli zibangelwa imiphumela yokulwa nokuvuvukala; ivimbela i- COX ne-lipoxygenase, nakuba kuthiwa ivimbela i-COX-2 hhayi i-COX-1. Ucwaningo oluthile lwemitholampilo lwathola ukuthi ukukhishwa kukaDeveli, okuthathwe yedwa noma nge-NSAID, kunciphise ubuhlungu be-osteoarthritis futhi bubekezelelwe kahle. Ucwaningo oluningi luyadingeka ukuze kuvivinywe ukusebenza kwalo nokuphepha kwesikhathi eside ngaphambi kokuba kunconywe ngobuqotho.
I-Turmeric
I-Turmeric iyisipuni esetshenziswa kuma-curry powders. I-Curcumin, i-pigment enika umbala ophuzi ukudla, iyisithako esisebenzayo ku-turmeric. I-Curcumin inezakhiwo eziphikisayo, njengoba ivimbela i-COX-2, i-prostaglandin ne-leukotrienes. Kodwa, akukho ukuhlolwa kwe-clinical kuye kwahlola i- turmeric ye-osteoarthritis . Kuze kube ezinye izifundo ezenziwe, i-turmeric ayinconywa nge-osteoarthritis.
I-Ginger
I-Ginger ingaba nomphumela wokulwa nokuvuvukala ngenxa yokuvinjelwa kwe-COX ne-lipoxygenase. Kungase futhi kuthinte isifo se-necrosis (i- cytokine ), kanye nokwabelana kwe-prostaglandins evuthayo. Ayikho ubufakazi obusekela ukuphakamisa i-ginger ye-osteoarthritis.
Okubalulekile
Xoxa ngezidakamizwa nodokotela wakho ngaphambi kokuchitha imali kubo.
Umthombo:
Izithako Zokudla Ze-Osteoarthritis. UP. Gregory, uMnu. Sperry, u-A. Wilson. I-American Family Physician . NgoJanuwari 15, 2008.
http://www.aafp.org/afp/20080115/177.pdf