Sayansi yothandiza phindu la zakudya izi sichidziwika
Matenda a Osteoarthritis (OA) ndi omwe amachititsa kuti zizindikiro za ululu, kuuma, ndi kutupa, makamaka pa bondo, mchiuno, msana, ndi manja.
Njira imene OA imakhalira imakhala yovuta kwambiri koma pomalizira pake imaphatikizapo kuwonongeka kwa minofu yomwe imateteza mafupa kuti asakanikize pamodzi (minofuyi imatchedwa kanyama kakang'ono ).
Kuwonongeka kwa minofu kumayambitsa mafupa, omwe mwatsoka amachititsa kuti mafupa azikhala ndi mafupa osokoneza mafupa, zomwe zimapangitsa kuti thupi liwonongeke.
Chifukwa cha zizindikiro, makamaka kupweteka, kumayambitsa matenda a osteoarthritis, anthu omwe ali ndi OA amayesetsa kupeza mankhwala omwe angachepetse ululu wawo. Zakudya zowonjezera zakudya zakhala zikudziwika kwambiri, makamaka kwa iwo omwe sangathe kutenga mankhwala ochizira OA-easing mankhwala monga nonsteroidal anti-inflammatories (NSAIDs).
Zakudya zina zomwe anthu ena amagwiritsa ntchito pochiza OA zimatchedwa SAM-e (S-adenosylmethionine).
Kumvetsa SAM-e
Mungadabwe kumva kuti SAM-e imapezeka mwachibadwa m'ma maselo aumunthu. Zimapangidwa kuchokera ku amino acid wotchedwa methionine ndipo imathandiza kuthetsa njira zina zamagetsi m'maselo monga kusunga maselo a selo, kuchotsa zinthu zowopsa m'thupi, ndikupanga mankhwala opititsa patsogolo maganizo.
Chochititsa chidwi, kuti SAM-e adayesedwa kuti ayambe kuvutika maganizo. Mu maphunziro a kupsinjika maganizo, ena mwa anthu omwe ali ndi OA adalongosola kuti kulimbitsa thupi kumagwiridwe kake atatenga SAM-e. Izi zinayang'anitsitsa ntchito ya SAM-e ngati kupweteka kwa anthu omwe ali ndi matenda a osteoarthritis.
Mwatsoka, zotsatira za kafukufuku pa SAM-e sizinapereke umboni wamphamvu wokhutira kwake.
Ndipotu, kafukufuku wasonyeza kuti poyerekeza ndi placebo, SAM-e imakhala yofanana pochepetsa zizindikiro za ululu wokhudzana ndi OA komanso ntchito.
Poyerekeza ndi NSAIDs, kafukufuku amasonyeza kuti iwo amene anatenga SAM-e anali ndi kupweteka kofanana ndi kusintha kwa ntchito yogwirizana, ngakhale kuti zotsatira zina zinali zochepa mu gulu la SAM-e.
Pomalizira pake, pofufuza pang'ono, poyerekeza ndi 1200mg tsiku la SAM-E ndi 200mg pa tsiku la Celebrex kwa masabata 16 (kwa knee osteoarthritis), Celebrex inasonyeza kuchepetsa kupweteka kwambiri kuposa SAM-e mwezi woyamba. Komabe, panalibe kusiyana kwakukulu pakati pa SAM-e ndi Celebrex mwezi wachiwiri.
Akatswiri ofufuza apeza kuti SAM-e anali wochepetsetsa, koma patapita nthawi, Celebrex inali yothandiza kwambiri kwa otsogolera ma knee ostoarthritis.
Zotsatira Zowononga SAM-e
Monga mankhwala ambiri kapena mavitamini owonjezera, SAM-e ikhoza kutsogolera zizindikiro zina zovuta, ngakhale kuti izi sizodziwika, ndipo zimawoneka pamwamba kwambiri. Zotsatira zoipa izi zingaphatikizepo:
- Nausea
- Flatulence
- Kutsekula m'mimba
- Kuthamanga
- Mutu
Kuonjezera apo, SAM-e akhoza kugwirizana ndi zakudya zina zowonjezereka kapena mankhwala, monga anti-depressants, L-tryptophan, kapena St. John's Wort. Ichi ndichifukwa chake ndi kofunika kwambiri kuuza dokotala zonse zomwe mukuzitenga, kuphatikizapo mankhwala ena owonjezera.
Akatswiri amalimbikitsanso kupewa SAM-e ngati muli ndi matenda ochititsa munthu kusinthasintha maganizo kapena matenda a Parkinson. Komanso, chitetezo cha SAM-e sichinayesedwe poyamwitsa kapena kuyamwitsa, choncho tiyenera kupeŵa. Pomalizira, pali vuto kuti kutenga SAM-e kungayambitse matenda a mapapu (otchedwa Pneumocystis chibayo kapena PCP) mwa anthu omwe ali ndi mphamvu yoziteteza kuthupi, monga anthu omwe ali ndi HIV.
Mawu Ochokera
Ngati muli ndi matenda a osteoarthritis, ndikofunika kukambirana ndi adokotala. Pakalipano, sizingatheke kuti SAM-e ikhale gawo la ndondomekoyi malinga ndi umboni wosatsutsika ndi wolepheretsa kubwezeretsa phindu lake.
Tikuyembekeza, patapita nthawi, maphunziro akuluakulu, omwe angapangidwe mwatsatanetsatane adzachitidwa bwino kuti adziwe bwino ntchito ya SAM-e mu chithandizo cha OA.
Ngakhale zili choncho, musataye mtima, popeza pali mankhwala ambiri omwe angathandize kuchepetsa kupweteka kwa OA ndikupangitsani ntchito yogwirizana monga kulemera kwa thupi (ngati muli olemera kwambiri kapena owonjezera), masewera olimbitsa thupi, komanso mankhwala opatsirana.
Mankhwala amawasungira zizindikiro zovuta, chifukwa sasintha njira ya matendawa. Mankhwala omwe amachiza OA ndi awa:
- NSAIDs (zonse pakamwa ndi pakhungu)
- Capsaicin
- Cymbalta (duloxetine)
- Corticosteroids imayidwira mu malo ophatikizidwa
> Zotsatira:
> Silva V et al. Umboni wothandiza kuti mankhwala othandizira ndi othandizira azikhala othandiza poyang'anira matenda a osteoarthritis: ndondomeko yoyenera. Rheumatology (Oxford). 2011 May; 50 (5): 911-20.
> McAlindon > TE ndi al. Malangizo a OARSI othandizira osasamalira opaleshoni ya maondo. Matenda a Osteoarthritis . 2014 Mar 22 (3): 363-88.
> Padziko Lonse la Zowonjezera ndi Zogwirizanitsa Zaumoyo. (2017). S-Adenosyl-L-Methionine (SAMe): Mu Kuya.
> Rutjes AWS, Nüesch E, Reichenbach S, Jüni P. S-Adenosylmethionine kwa osteoarthritis wa bondo kapena chiuno. Cochrane Mndandanda wa Zosintha Zogwiritsa Ntchito 2009, Magazini 4. Zojambula. Ayi: CD007321.
> SAM-e. (nd). Arthritis Foundation.