wamtali (capsicum frutescens). Bungwe la US Food and Drug Administration (FDA) lavomereza kugwiritsa ntchito mafuta odzola, mafuta odzola, ndi mafuta odzola opangidwa ndi capsaicin (kapena capsicin), mankhwala opangidwa mu cayenne, kuti athetse ululu wobwera chifukwa cha matenda.Osteoarthritis. Malingaliro apadziko lonse lapansi amalimbikitsa kugwiritsa ntchito capsaicin komweko⁵, makamaka osteoarthritis wa bondo.

Mlingo

Pakani kumadera okhudzidwa, mpaka kanayi pa tsiku, kirimu, mafuta odzola kapena mafuta odzola okhala ndi 4% mpaka 0,025% capsaicin. Nthawi zambiri zimatenga masiku 0,075 chithandizo chisanamveke. Samalani, kumverera koyaka kumatha kumveka panthawi yogwiritsira ntchito.

Glucosamine

Glucosamine imagwira ntchito yofunika kwambiri pakusunga umphumphu wa chichereŵechereŵe chonse zimfundo. Thupi limapanga mwachibadwa. Maphunziro ambiri apangidwa ndi glucosamine sulfates.

 Kuchepetsa kupweteka kwa mafupa (osteoarthritis wochepa kapena wochepa). Ngakhale pali mikangano, kafukufuku wambiri mpaka pano akuwonetsa kuti glucosamine imathetsa, osachepera pang'ono, zizindikiro za osteoarthritis yofatsa kapena yochepetsetsa (onani tsamba lathu la glucosamine). Maphunziro ambiri amayang'ana kwambirimafupa a mafupa, ena panyamakazi ya m'chiuno.

 Kuchepetsa kukula kwa osteoarthritis. Zotsatira za mayesero a 2 a nthawi yayitali (zaka 3 aliyense, maphunziro a 414 onse)^13-16 zikuwonetsa kuti zochita za glucosamine, kuwonjezera pa zotsatira zake pazizindikiro, zingathandize kuchepetsa kukula kwa matendawa. Ubwino kuposa NSAIDs, zomwe zimathandizira kupititsa patsogolo kwa osteoarthritis.

Mlingo. Tengani 1 mg glucosamine sulfates, mu mlingo umodzi kapena zingapo, pamene mukudya. Lolani masabata a 2 mpaka 6 kuti chowonjezeracho chiwonetse zotsatira zake zonse.

 Chondroitin. Mofanana ndi glucosamine, chondroitin ndi gawo lofunikira la chichereŵechereŵe ndipo amapangidwa mwachibadwa ndi thupi. Maphunziro ambiri apangidwa ndi zinthu zoyeretsedwa kwambiri (Condrosulf®, Structum®, mwachitsanzo). Ma meta-kuwunika angapo, ndemanga ndi mayesero azachipatala amatsimikizira kuti ndizothandiza kuthetsa zizindikiro osteoarthritis wofatsa mpaka wokhazikika komanso kuchepetsa kusinthika kwake. Mofanana ndi glucosamine, izi ndizopindulitsa kuposa NSAIDs, zomwe zimakonda kufulumizitsa kukula kwa osteoarthritis. Chondroitin ndi nkhani ya mkangano wina. Onani fayilo yathu ya Chondroitin kuti mudziwe zambiri za maphunziro omwe adachitika komanso kusankha pakati pa glucosamine ndi chondroitin.

Mlingo

Tengani 800 mg mpaka 1 mg patsiku la chondroitin, mulingo umodzi kapena kuposerapo. Zimatenga masabata 200 mpaka 2 kuti zonse zimveke.

 yemweyo. SAMe (ya S-Adenosyl-L-Methionine) imapangidwa ndi thupi kuchokera ku mapuloteni muzakudya. Zogwiritsidwa ntchito ngati chowonjezera, zatsimikiziridwa kuti zimathandizira osteoarthritis²⁷. Zotsatira za maphunzirowa zinasonyeza kuti zinali zogwira mtima ngati mankhwala ochiritsira ochiritsira popanda kukhala ndi zotsatirapo komanso kukhala otetezeka.^28-31 .

Komabe, kusanthula kwa meta komwe kudasindikizidwa mu 2009 kumachepetsa mphamvu ndi chitetezo cha S-adenosylmethionine. Malingana ndi olemba ake, maphunziro angapo ali ndi zofooka za njira komanso chiwerengero chosakwanira cha otenga nawo mbali. Amaganiza kuti zotsatira za analgesic za SAMe (1 mg patsiku) ndizochepa⁸⁰.

Mlingo

Tengani 400 mg 3 pa tsiku kwa masabata atatu ndiye kuchepetsa tsiku mlingo 3 mg 200 pa tsiku.

ndemanga

Ngakhale zingatenge masiku angapo kuti muwonetse zopindulitsa, zingatenge mpaka masabata a 5 kuti mankhwala ayambe kugwira ntchito. Onani fayilo yathu ya SAMe kuti mumve zambiri.

 claw Mdyerekezi (Harpagophytum amatha). Mizu ya chikwapu cha Mdyerekezi yasonyezedwa kuti imachepetsa kutupa. Ngakhale zosungika za njira ya maphunziro ena⁷⁹, zotsatira za mayesero angapo azachipatala, omwe ali ndi gulu la placebo kapena opanda, amasonyeza kuti chikwapu cha satana chikhoza kupititsa patsogolo kuyenda komanso kuthetsa ululu.^{35, 36,81-83}.

Mlingo

Mlingo ukhoza kusiyana kutengera mtundu wa Tingafinye. Tsatirani malangizo a wopanga. Ndikofunikira kutsatira mankhwalawa kwa miyezi iwiri kapena itatu kuti mugwiritse ntchito bwino zotsatira zake.

 Phytodolor®. Mankhwala azitsamba okhazikika awa, omwe amagulitsidwa ku Europe ngati tincture woti amwedwe mkati, amakhala ndi kunjenjemera kwa aspen (anthuphulusa la ku Ulaya (Kupambana kwa Fraxinus) ndi goldenrod (Solidago virgaurea) ndi chiŵerengero cha 3: 1: 1. Izi zitha kukhala zogwira mtima kwambiri kuposa placebo pochepetsa kupweteka, kukulitsa kuyenda komanso kuchepetsa kumwa mankhwala osagwiritsa ntchito steroidal anti-inflammatory.^32-34 .

 Kupangidwanso. Mayesero angapo azachipatala adawunika momwe acupuncture amathandizira pa ululu wokhudzana ndi osteoarthritis. Kafukufuku wofalitsidwa mu 2007 ndi anthu oposa 1 adatsimikiza kuti kutema mphini kumachepetsa ululu ndi kulemala komwe kumakhudzana ndi nyamakazi.⁵⁹. Komabe, mayesero ena asonyeza kuti sham acupuncture ingathandizenso. Lang'anani, malingaliro apadziko lonse lapansi pa kasamalidwe ka osteoarthritis a bondo ndi m'chiuno⁵ zindikirani kutema mphini ngati chida chothandizira chothandizira kupweteka.

 Hydrotherapy. Zotsatira za mayesero osiyanasiyana azachipatala zimasonyeza kuti mankhwala a hydrotherapy m'njira zosiyanasiyana (spa, malo osambira pogwiritsa ntchito madzi amitundu yosiyanasiyana, ndi zina zotero) akhoza kupititsa patsogolo moyo wa anthu omwe ali ndi nyamakazi ya osteoarthritis, powonjezera maulendo osiyanasiyana. ndi kuchepetsa ululu^49-54 . Kuwunika mwadongosolo komwe kudasindikizidwa mu 2009, kusonkhanitsa mayesero 9 ndi odwala pafupifupi 500, kumatsimikizira kuti balneotherapy imakhala yothandiza pakanthawi kochepa komanso kwanthawi yayitali pa ululu wokhudzana ndi osteoarthritis wa bondo.⁴⁵.

 Tizilombo toyambitsa matenda. Kafukufuku wochepa wasindikizidwa pa mphamvu ya homeopathy pochepetsa ululu ndi zizindikiro za osteoarthritis. Olemba zowunikira mwadongosolo amakhulupirira kuti homeopathy ikhoza kukhala chithandizo chamankhwala osteoarthritis koma kuti maphunziro ochulukirapo akufunika kuti atsimikizire.⁴⁸. Onani tsamba la Homeopathy.

 Avocado ndi soya unsaponifiables. Zinthu zomwe zimachokera ku avocado ndi soya - gawo losaponifiable la mafuta awo - lingakhale lopindulitsa kwa anthu omwe ali ndi nyamakazi ya osteoarthritis ya bondo kapena chiuno. Kutengera maphunziro 4 azachipatala omwe ali ndi placebo^37-41 , zinthuzi zimathandiza kuti mafupa agwire bwino ntchito komanso kuchepetsa kupweteka komanso kufunikira kwa mankhwala oletsa kutupa, popanda zotsatirapo. Pakadali pano, ma avocado ndi soya unsaponifiables akugulitsidwa ku France koma osati ku Canada.

 Magnetotherapy. Kafukufuku wambiri adawunikira zotsatira za magnetotherapy, zomwe zimagwiritsidwa ntchito pogwiritsa ntchito maginito osasunthika kapena zida zotulutsa ma electromagnetic field (EMF), pochiza nyamakazi ya osteoarthritis makamaka ya bondo.^65-68 . Magnetotherapy idzachepetsa kuchepa ululu m'njira yodzichepetsa. Mu 2009, ndemanga yophatikizapo maphunziro 9 ndi odwala 483 omwe ali ndi osteoarthritis pa bondo adatsimikiza kuti magnetotherapy inali njira yothandiza yopititsa patsogolo luso logwira ntchito ndi kuthandizira ntchito tsiku ndi tsiku⁵⁸.

 Ziphuphu. Maphunziro oyendetsa ndege⁵⁵ ndi mayesero achipatala a 2 mwachisawawa^{56, 57} zomwe zachitika ku Germany zikuwonetsa kuti kugwiritsa ntchito misundu pabondo ndi nyamakazi kumatha kuchepetsa ululu, kuuma kolimba komanso kuchepetsa zizindikiro zina. Maleche akhala akugwiritsidwa ntchito pochiza ululu kuyambira Antiquity kenako kusiyidwa chapakati pazaka za zana la XNUMX.^e zaka zana. Komabe, amagwiritsidwabe ntchito kwambiri pamankhwala azikhalidwe ku Asia, Africa ndi mayiko achiarabu.

 Msondodzi woyera (Malovu alba). Makhungwa a msondodzi woyera amati ndi othandiza kwambiri kuposa malo opangira mankhwala ochepetsa ululu wa mafupa obwera chifukwa cha nyamakazi. Komabe, mu mayesero a anthu a 127 omwe ali ndi osteoarthritis a bondo kapena chiuno, zowonjezerazi sizinali zothandiza kwambiri kuposa mankhwala oletsa kutupa (diclofenac).⁷⁴.

 Yoga. Zotsatira zochokera ku mayesero azachipatala m'mitu yathanzi komanso anthu omwe ali ndi matenda osiyanasiyana a minofu ndi mafupa^{69, 70} kuwulula kuti kuchita yoga kungathandize kusintha zinthu zingapo pamikhalidwe iyi, kuphatikiza nyamakazi ya manja⁷¹ ndi mawondo⁷² ndi nyamakazi⁷³.

 Transcutaneous Electric stimulation (TENS). Njirayi imagwiritsa ntchito chipangizo chomwe chimapanga mphamvu yamagetsi yotsika kwambiri, yomwe imatumizidwa ku mitsempha ndi maelekitirodi omwe amaikidwa pakhungu. Kafukufuku wofalitsidwa mu 2000 adanena kuti transcutaneous magetsi neurostimulation ingayambitse kupweteka kwa mawondo osteoarthritis.⁴⁴. Komabe, mu 2009, ndondomeko yofalitsidwa ndi gulu lomwelo la ochita kafukufuku, kuphatikizapo mayesero atsopano, adatsimikiza kuti kuthandizira kwa njirayi sikungatsimikizidwe kwa osteoarthritis wa bondo.⁴⁷.

 Bore. Deta ya Epidemiological ikuwonetsa kuti m'malo omwe kudya kwa boron ndi 1 mg kapena kuchepera patsiku, nthawi zambiri matenda a nyamakazi amakhala okwera kwambiri (20% mpaka 70%) kuposa m'malo omwe kudya kwa tsiku ndi tsiku kuli pakati pa 3 mg ndi 10 mg patsiku. 0% mpaka 10%)³. Kafukufuku wachipatala umodzi wochokera ku 1990 komanso wokhudza maphunziro a 20 adasindikizidwa pa zotsatira za boron pa osteoarthritis: ophunzira adawona kusintha pang'ono kwa chikhalidwe chawo atatenga 6 mg patsiku la boron, kwa masabata a 8.⁴.

 Boswellie (Boswellia serrata). Boswellia, omwe mphamvu zake zotsutsana ndi kutupa zasonyezedwa mu vitro ndi nyama, zingathandize kuchiza osteoarthritis. Zowonadi, maphunziro angapo a odwala osteoarthritis a bondo awonetsa zotsatira zabwino.^42,43,61. Komabe, pali deta yochepa kwambiri yoti iwonetsere mlingo.

 Collagen. Collagen imatsimikizira kugwirizana, elasticity ndi kusinthika kwa minofu yambiri (tendon, connective tissues, ligaments, etc.). Kafukufuku yemwe adayesa mphamvu ya collagen zowonjezerapo pochiza osteoarthritis sizinatsimikizike.^75-77 . Kafukufuku waposachedwapa anapeza mpumulo pang'ono wa ululu⁷⁸. Deta ya in vitro ikuwonetsa kuti kumwa zowonjezera zotere kungathandize olowa omwe akhudzidwa polimbikitsa kupanga kolajeni.

zolemba. Ofufuza ambiri agwiritsa ntchito mlingo wa 10 g wa collagen hydrolyzate patsiku. Makapisozi ndi mapiritsi omwe amapezeka pamalonda m'malo mwake amapereka 1g mpaka 2g patsiku.

 Tai Chi. Chiyeso chachipatala chinachitidwa kwa amayi 43 opitirira 55 omwe ali ndi osteoarthritis⁶³. Ankachita tai chi mlungu uliwonse kwa masabata a 12, kapena anali mbali ya gulu lolamulira. Pakhala pali kusintha kwabwino kwa malingaliro a ululu, kuuma kwa mgwirizano, kukhazikika ndi mphamvu ya minofu ya m'mimba mwa amayi omwe amachita tai chi. Malingana ndi ndondomeko yowonongeka yomwe inafalitsidwa mu 2008, zotsatira zake ndi zabwino koma mayesero ena azachipatala adzafunika kuti atsimikizire kugwira ntchito kwa tai chi.⁶⁰.

 Cassis (Nthiti za nigrum). ESCOP imazindikira kugwiritsa ntchito ngati mankhwala kwa masamba a blackcurrant (psn) ngati chithandizo chothandizira matenda a rheumatic. Bungweli lapeza maphunziro ambiri mu vivo kuwonetsa zotsutsana ndi zotupa za masamba kuti zizindikire mwalamulo kugwiritsa ntchito kumeneku komwe kumakhazikitsidwa ndi mwambo.

Mlingo

Adzapatsa 5 g kwa 12 ga zouma masamba mu 250 ml ya madzi otentha kwa mphindi 15. Tengani makapu 2 patsiku la kulowetsedwa, kapena 5 ml yamadzimadzimadzi (1: 1), 2 pa tsiku, musanadye.

 Zomera zosiyanasiyana zakhala zikugwiritsidwa ntchito pochiza anthu odwala osteoarthritis: turmeric (psn) (Curcuma longa, ginger rhizomes (psn) (Ziziber officinalis) ndi feverfew (tanacetum parthenium).

 Kuchiza Mankhwala. Masewero a Massotherapy amathandizira kuti mukhale ndi thanzi labwino komanso kupumula kwa minofu ndi manjenje. Zimalimbikitsanso kufalikira kwa magazi ndi ma lymphatic. Ichi ndichifukwa chake akatswiri ena amalangiza kugwiritsidwa ntchito ndi anthu omwe ali ndi nyamakazi ya osteoarthritis⁶⁴.