Ngati mukukhala ndi matenda monga osteoarthritis kapena kuvutika maganizo, mutha kudziwa momwe zingakhudzire mbali zina za thanzi lanu, zomwe zikuthandizira pazinthu monga kulemera, kuvutika kukagona, ndi ululu wopweteka.
Njira imodzi yothetsera vutoli, matenda a nyamakazi, ndi zina ndizo SAMe, yomwe imatchedwanso SAM-e, ademetionine, kapena S-adenosylmethionine.
SAMe ndi mawonekedwe a mankhwala omwe amapangidwa mwachibadwa m'thupi kuchokera ku methionine (amino acid) ndi adenosine triphosphate (makina opanga mphamvu).
SAM samawoneka mwachibadwa chakudya. Thupi limapangitsa kuti likhale ndi thanzi labwino, komabe, matenda ena amanena kuti matendawo ndi otsika kwambiri a methionine, folate, kapena vitamini B12 amakhulupirira kuti zimapangitsa kuti SAMe akhale otsika.
Zimaganizidwa kuti SAMe ingathandize kulimbikitsa kupanga mankhwala omwe amadziwika kuti amathandiza kwambiri pamagulu osiyanasiyana, monga mauthenga a maganizo, chitetezo cha mthupi, ndi kupweteka kwa maganizo.
Nchifukwa chiyani anthu amatenga zowonjezera za SAMe?
SAMe imagwiritsidwa ntchito pazinthu zotsatirazi za thanzi:
- Nkhawa
- Kusokonezeka maganizo
- Fibromyalgia
- Osteoarthritis
- Ululu
- Matenda a Premenstrual (PMS)
SAMe imanenedwa kuti imapangitsa kuti thupi liziyenda bwino, lizikhala ndi thanzi labwino , lichepetseni kukalamba, ndi kuthandiza anthu kusiya kusuta.
Phindu: Kodi Lingakuthandizenidi?
Pano pali kuyang'ana kwa ena mwa kafukufuku phindu la SAMe.
1) Osteoarthritis
SAMe akuwonetsa lonjezo la mankhwala opatsirana a bondo kapena chiuno. Zimati zithetsa ululu ndipo zimakhala zotsutsana ndi zotupa, ndipo kafukufuku wina amasonyeza kuti zingalimbikitse kukonza khunyu.
Kwa kafukufuku wofalitsidwa ku Cochrane Database of Reviewed Reviews mu 2009, ofufuza anafufuza mayesero anayi omwe anafalitsidwa kale (omwe alipo 656) ndipo anapeza kuti kugwiritsa ntchito SAMe kungathandize kuchepetsa kupweteka ndi kusintha ntchito kwa anthu omwe ali ndi matenda a osteoarthritis.
Popeza mayesero owonetsedwawo anali a khalidwe losauka, komabe olemba awongolerawo adawona kuti zotsatirazi sizitanthauza.
2) Kuvutika maganizo
Mu kafukufuku wofukufuku wolembedwa mu Cochrane Database of Reviewed Reviews mu 2016, asayansi anafufuza mayesero asanu ndi atatu omwe anafalitsidwa kale omwe amatsindika SAMe ku imipramine, desipramine, kapena escitalopram, kapena placebo.
SAMe anali wapamwamba kuposa malo a placebo pamene amagwiritsidwa ntchito ndi serotonin reuptake inhibitor (SSRI) ochepetsa matenda opatsirana maganizo, koma umboniwo unkawoneka ngati wotsika kwambiri. Poyerekeza ndi imipramine, ocheperapo ochepa amakhala ndi zotsatira zovuta pamene akuchiritsidwa ndi mawonekedwe a SAMe. SAMe sanali wosiyana ndi placebo kapena anti-depressants monga imipramine kapena escitalopram pamene ntchito yokha.
Mwamaliza awo, olemba omwe adalembapo akunena kuti kugwiritsa ntchito SAMe kwa kuvutika maganizo kumafunikanso kufufuzidwa m'mayesero akuluakulu ndi abwinoko "chifukwa cha kusowa kwa umboni wamtengo wapatali komanso kulephera kupeza mfundo zokhudzana ndi umboniwo."
3) Fibromyalgia
Mu kafukufuku wofufuza mu Journal of Complementary and Alternative Medicine mu 2010, asayansi anayang'ana mayesero makumi asanu ndi awiri omwe adasindikizidwa kale omwe adatulutsidwa pogwiritsa ntchito mitundu yosiyanasiyana ya mankhwala othandizira odwala matenda osokoneza maganizo komanso fibromyalgia.
Pamodzi ndi magnesium, L-carnitine, kuchitapo kanthu, ndi mitundu yosiyanasiyana ya kusinkhasinkha, olemba olembawo dzina lake SAMe pakati pa chithandizo ndi zomwe zingathe kuti apitirize kufufuza momwe angagwiritsire ntchito malingaliro ameneĊµa.
4) Matenda a Chiwindi
SAMe ikhoza kuyambitsa chiwindi kugwira ntchito kwa anthu omwe ali ndi matenda aakulu a chiwindi, akuwonetsa kufufuza kosanthula komwe kunalembedwa mu nyuzipepala PLoS One mu 2015. Komabe, pofufuza mayesero 12 omwe adatulutsidwa kale omwe akuphatikizidwa muzokambirana, olembawo adapeza kuti SAMe angakhale ndi phindu lochepa pochiza matenda ena a chiwindi monga chiwindi cha chiwindi ndi cholestasis.
Zotsatira Zowonongeka Zotheka
SAMe ingayambitse mavuto ambiri, kuphatikizapo nkhawa, kudzimbidwa, kutsegula m'mimba, pakamwa pouma, kupwetekedwa mtima, kupweteka kwa mtima, kusowa tulo, gasi, shuga wotsika magazi, kunyoza, mantha, kutupa khungu, ndi kusanza. Zambiri za SAMe zingayambitse mania (chikhalidwe chosaneneka). Palinso kuganizira kuti kugwiritsa ntchito SAMe kungayambitse anthu ena.
Ngati muli ndi matenda a bipolar, Lesch-Nyhan syndrome, matenda a Parkinson, kapena matenda ena, muyenera kugwiritsa ntchito SAMe poyang'aniridwa ndi wothandizira zaumoyo wanu momwe zikhoza kuwonongera zizindikiro.
Ndikofunika kuzindikira kuti pangakhale zoopsa pakuphatikiza SAMe ndi mankhwala kapena mankhwala ena owonjezera. Musagwiritse ntchito SAMe kuphatikizapo antidepressants, mankhwala a chifuwa, mankhwala a shuga, levodopa (L-dopa), L-tryptophan, mankhwala omwe amakhudza ma serotonin, wort St. John, kapena mankhwala ena pokhapokha mutayang'aniridwa ndi thanzi katswiri. SAM ayenera kusiya milungu iwiri isanakwane opaleshoni yokonzekera.
Chitetezo cha SAMe kwa ana, amayi oyembekezera kapena okalamba, kapena anthu omwe ali ndi impso kapena matenda a chiwindi sakhazikitsidwa. Mukhoza kupeza njira zogwiritsira ntchito zowonjezereka bwino , koma muyenera kulankhula ndi wothandizira wamkulu musanayambe kutenga SAMe kuti mukambirane ngati zili zoyenera. Kumbukirani kuti SAMe sayenera kugwiritsidwa ntchito m'malo mwa chithandizo choyenera.
Mawu Ochokera
Kukhala ndi vuto linalake sikumphweka. Ngakhale kuti kafukufuku wina akusonyeza kuti SAMe angapereke ubwino, sitingathe kukhala olimba pokhudzana ndi mgwirizano mpaka pangakhale mayesero akuluakulu a mankhwala (mtundu wa kafukufuku womwe mungafune kuwuika kuti muike mankhwala onse) .
Ndikofunika kukumbukira kuti SAMe sayenera kugwiritsidwa ntchito pothandizira kapena kuchipatala chomwe dokotala wanu akukupatsani. Ngati mukuganiza kuti mukuyesa kuyesa SAMe, onetsetsani kuti muyankhule ndi dokotala wanu kuti muyese zowonjezereka ndi zokhumudwitsa ndikukambirana ngati ziri zoyenera kwa inu.
> Zotsatira:
> Galizia I, Oldani L, Macritchie K, et al. S-adenosyl Methionine (SAMe) ya Kupsinjika Magulu mwa Achikulire. Cochrane Database Rev. Rev. 2016 Oct 10; 10: CD011286.
> Guo T, Chang L, Xiao Y, Liu Q. S-adenosyl-L-methionine kwa Chithandizo cha Matenda a Chiwindi: Kukonzekera Mwadongosolo ndi Meta-Analysis. PLoS One. 2015 Mar 16; 10 (3): e0122124.
> Porter NS, Jason LA, Boulton A, Bothne N, Coleman B. Njira Zothandizira Zamankhwala Zogwiritsidwa Ntchito pa Chithandizo ndi Kulamulira kwa Myalgic Encephalomyelitis / Chronic Fatigue Syndrome ndi Fibromyalgia. J Altern Complement Med. 2010 Mar 16 (3): 235-49.
Chodziwikiratu: Zomwe zili pa tsambali zimapangidwa pazinthu zophunzitsira zokha ndipo sizilowetsamo malangizo, matenda kapena chithandizo ndi dokotala wololedwa. Sichikutanthauza kubisa zonse zomwe zingatheke, kuyanjana kwa mankhwala, zochitika kapena zotsatirapo zoipa. Muyenera kupeza chithandizo chamankhwala mwamsanga pa nkhani iliyonse yathanzi ndikufunsani dokotala musanagwiritse ntchito mankhwala osakaniza kapena kusintha kwa regimen yanu.