Zowonjezera Zimabwera madola 20 Biliyoni mu US Sales Yakale
Zakudya zimaphatikizapo madola mabiliyoni ambiri pa malonda pachaka ku United States. Ambiri mwa atatu mwa anthu odwala matenda a osteoarthritis agwiritsanso ntchito mankhwala owonjezera.
Zakudya zowonjezera zakudya n'zosalamulirika. Iwo akhoza kugulitsidwa ndi kafukufuku wapang'ono wa sayansi kuti athandizire kuti iwo ali otetezeka ndi ogwira mtima.
Kuchokera mu 2000, pakhala pali zakudya zokwanira 800 zowonjezera zakudya zomwe zimathandiza kuchepetsa matenda a osteoarthritis.
Ngakhale zina mwazo zimawoneka kuti ziri zotetezeka komanso zothandiza, ambiri samabwera ndi chitsimikizo chimenecho. Tiyeni tiyang'ane pa zakudya zowonjezera zowonjezera zomwe zimagwiritsidwa ntchito kwa osteoarthritis.
Glucosamine
Glucosamine ndi zakudya zowonjezera zomwe amagwiritsidwa ntchito ndi odwala osteoarthritis. Thupi limapanga glucosamine palokha, nayenso, ndipo amapezeka pamwamba kwambiri m'magulu. Malingaliro, glucosamine amachititsa mapangidwe a cartilage omwe ali ofunikira kuti akonzedwe limodzi. Zokwanira zotchedwa glucosamine, kapena zomwe zimachokera ku zipolopolo za shellfish, zingakhale zotsutsana ndi zotupa.
Glucosamine amapezeka ngati glucosamine hydrochloride ndi glucosamine sulfate. Amagulitsidwa pamodzi ndi zakudya zina zowonjezera zakudya. Amaphunzira kwambiri kwa osteoarthritis (maphunziro olamulidwa 20 ndi ophunzira oposa 2,500). Kafukufuku wambiri amagwiritsa ntchito glucosamine sulphate monga mankhwala osteoarthritis a bondo ndi chiuno .
Mwamwayi, zotsatira zophunzira zakhala zikusemphana.
Mu 2005, kupenda mayeso a glucosamine kwa osteoarthritis kunamveka kuti glucosamine amachepetsa kwambiri ululu wa osteoarthritis. Mtundu wa glucosamine ntchito unkawoneka ngati wosiyana. Dona, malonda ogulitsa glucosamine sulfate, anapeza kuti amachepetsa kwambiri ululu wa osteoarthritis.
Kufufuza kwina, komwe kumatchedwa Glucosamine / Chondroitin Arthritis Intervention Trial (GAIT) , kunagwiritsa ntchito glucosamine hydrochloride mankhwala. Glucosamine hydrochloride yogwiritsidwa ntchito yokha kapena kuphatikiza ndi chondroitin sizinachepetse zizindikiro za mafupa a mitsempha. Komabe, iwo amachepetsa ululu kwa odwala ena omwe ali ndi matenda aakulu.
Poyerekeza ndi acetaminophen kapena NSAIDs , glucosamine sulfate inasonyezedwa kukhala yothandiza kuchepetsa kupweteka ndi kukonza ntchito yogwirizana. Kafukufuku wina wasonyeza kuti glucosamine sulphate imachepetsa mpata wothandizira danga lopopatiza mu bondo pambuyo pa zaka zitatu za chithandizo.
Glucosamine amaonedwa kuti ndi abwino kugwiritsa ntchito. Zotsatira zomwe zimawonedwa mu maphunziro zinali zofanana ndi placebo ndipo kwenikweni zochepa kuposa zomwe zimawonetsedwa ndi ntchito ya NSAID.
Chondroitin
Chondroitin ndi glycosaminoglycan - chimango cha zomangamanga. Kwa malonda, nthawi zambiri zimakhala pamodzi ndi zowonjezera zina, koma maphunziro apita ku chondroitin okha.
Pali zochepa zofufuza pa chondroitin kuposa glucosamine sulfate. Zotsatira za phunziro sizinagwirizane. Mayesero oyambirira (1980 mpaka 2001) adawonetsa umboni wina wakuti chondroitin inachepetsa ululu ndipo inachepetsanso malo ochepa. Kafukufuku waposachedwapa, kuyambira 2005, akhala osakwanira, potsirizira kuti chondroitin siilimbikitsa osteoarthritis.
Akatswiri ofufuza anapeza kuti chondroitin sizothandiza kwambiri kuposa glucosamine sulphate. Palibe umboni umene umasonyeza kusonkhanitsa chondroitin ndi glucosamine sulfate amapereka chirichonse chabwino kuposa glucosamine sulphate yekha.
SAM-e
SAM-e, yomwe imayimira S-adenosylmethionine, imapangidwa m'chiwindi kuchokera ku methionine. SAM-e imaganiziridwa kuti iwonjezere chondrocyte ndi khateti , ndipo zingathandize kuchepetsa chiwonongeko cha chondrocyte.
Maphunziro a SAM-e a osteoarthritis akhala oyenera komanso abwino. SAM-e inapezeka kuti ikugwira ntchito kwambiri kuposa placebo ndipo ikufanana ndi NSAID kwa mpumulo wa osteoarthritis.
Mayesero atsopano ayerekeza SAM-e ku mankhwala a Celebrex (celecoxib). M'mwezi woyamba, Celebrex inali yopweteketsa bwino kuposa SAM-e, koma panalibe kusiyana pakati pa SAM-e ndi Celebrex pamapeto a chithandizo cha kupweteka pambuyo pa miyezi iwiri ya chithandizo. Iwo anali othandizira mofananamo.
SAM-e imawoneka kuti ndi yotetezeka, koma ikhoza kuyambitsa nkhawa, kupweteka mutu, kusowa tulo ndi mantha kwa odwala ena. Ikhoza kugwirizana ndi mankhwala ena, kuphatikizapo Ultram (tramadol). Muyenera kukambirana za SAM-e ndi dokotala musanatenge. Ndalama ndi khalidwe la mankhwala zatchulidwa ngati zopanda pake za SAM-e, nayenso.
MSM
MSM (methylsulfonylmethane) imapezeka mu chakudya cha munthu. Amapezeka mu zomera, zipatso, ndiwo zamasamba, nyama, ndi mkaka. MSM imapezekanso m'mimba ya adrenal. MSM imaganiza kuti ili ndi zotsutsana ndi zotupa. Zotsatira kuchokera ku maphunziro awiri a chipatala cha MSM zatsimikizira kuti MSM imachepetsa kupweteka ndi kutupa, koma sizinathetse kufooka kwa mgwirizano.
MSM imatengedwa kuti ndi yotetezeka komanso yosamalidwa ndi zotsatira zofanana ndi placebo. Zilonda zam'chipatala sizinakhalepo nthawi yaitali, komabe, zakhalapo kwa milungu 12 kapena kuposerapo. Maphunziro a chitetezo a nthawi yayitali amafunikira.
Devil's Claw
Chomera cha Mdyerekezi chimachokera ku chomera cha ku Africa. Phindu logwiritsa ntchito zida za Mdyerekezi ndi chifukwa cha zotsatira zake zotsutsa-kutupa; imalepheretsa COX ndi lipoxygenase, ngakhale kuti imaletsa COX-2 osati COX-1. Kafukufuku wochepa wa zachipatala anapeza kuti zidutswa za mphutsi za Mdyerekezi, zomwe zimatengedwa zokha kapena ndi NSAID, zinachepetsa ululu wa osteoarthritis ndipo zinalekerera. Mafukufuku ambiri amafunika kuti ayesetse kupambana kwake komanso chitetezo cha nthawi yaitali asanalimbikitsidwe mwakhama.
Mvula
Kutupa ndi zonunkhira zomwe zimagwiritsidwa ntchito mu ufa wa curry. Curcumin, mtundu wa pigment umene umapatsa mtundu wachikasu ku zakudya, ndizogwiritsiridwa ntchito kotentha. Curcumin imakhala yotsutsana ndi zotupa, chifukwa imalepheretsa COX-2, prostaglandin, ndi leukotrienes. Koma, palibe mayesero a kachipatala omwe ayesa turmeric kwa osteoarthritis . Mpaka patapita maphunziro ambiri, turmeric sichivomerezedwa kwa osteoarthritis.
Ginger
Ginger ikhoza kukhala ndi zotsatira zotsutsa-kutupa chifukwa choletsa COX ndi lipoxygenase. Zingasokonezenso chifuwa cha necrosis ( cytokine ), komanso kaphatikizidwe ka prostaglandin yotupa. Palibe umboni wothandizira kulimbikitsa ginger kwa osteoarthritis.
Mfundo Yofunika Kwambiri
Kambiranani za mankhwala opatsirana ndi dokotala musanagwiritse ntchito ndalama.
Chitsime:
Zakudya Zakudya za Osteoarthritis. P. Gregory, M. Sperry, A. Wilson. American Family Physician . January 15, 2008.
http://www.aafp.org/afp/20080115/177.pdf