Malinga ndi ziwerengero zina, matenda a nyamakazi amakhudza pafupifupi 1 peresenti ya anthu akuluakulu padziko lonse, koma okalamba ndi amene amadwala kwambiri. Rheumatoid nyamakazi imatanthauzidwa ngati matenda osachiritsika omwe amadziwika ndi kutupa kwa mafupa ndi ziwalo zina za thupi, zomwe zimapangitsa kuti thupi likhale lopunduka. Etiology yeniyeni (chifukwa cha matendawa) sichidziwika, koma imaganiziridwa kuti ndi matenda a autoimmune. Asayansi amakhulupirira kuti palibe umboni wa sayansi wosonyeza kuti chakudya chilichonse kapena zakudya zapadera, kupatulapo mafuta ofunikira, zimathandiza kapena kuvulaza anthu omwe ali ndi nyamakazi. Asayansi kaŵirikaŵiri amalimbikitsa zakudya zopatsa thanzi ndipo amagogomezera kufunika kwa kudya kokwanira kwa ma calories, mapuloteni, ndi calcium. Anthu omwe ali ndi nyamakazi ya nyamakazi amapatsidwa malangizo awa: Ndikofunikira kudya 1-2 g ya mapuloteni pa kilogalamu ya kulemera kwa thupi (kulipirira kutayika kwa mapuloteni panthawi yotupa). Muyenera kutenga folic acid yowonjezera kuti muteteze zotsatira za methotrexate. Methotrexate ndi mankhwala oletsa kagayidwe kachakudya omwe amalepheretsa machitidwe ofunikira kuti apange zoyambira mu kaphatikizidwe ka DNA. Kupatsidwa folic acid kumachotsedwa ku enzyme ya dihydrofolate reductase ndi chinthu ichi, ndipo folic acid yaulere imatulutsidwa. Mlingo wochepa wa methotrexate umagwiritsidwa ntchito pochiza nyamakazi ya nyamakazi pofuna kupondereza chitetezo chamthupi. Chifukwa palibe mankhwala odziwika a nyamakazi ya nyamakazi, mankhwala amakono a matendawa amangopereka chithandizo chamankhwala ndi mankhwala. Mankhwala ena amagwiritsidwa ntchito ngati ochepetsa ululu, ena ngati mankhwala oletsa kutupa. Pali zomwe zimatchedwa mankhwala ochizira matenda a nyamakazi, omwe amagwiritsidwa ntchito kuti achepetse nthawi ya matendawa. Corticosteroids, yomwe imadziwikanso kuti glucocorticoids, monga urbazone ndi prednisone, amagwiritsidwa ntchito pochiza nyamakazi chifukwa amalimbana ndi kutupa ndikupondereza chitetezo chamthupi. Mankhwala amphamvuwa amaika odwala pachiwopsezo chowonjezeka cha osteoporosis. Anthu omwe akulandira chithandizo cha steroid kwa nthawi yaitali ayenera kukaonana ndi katswiri wa zakudya kuti awalangize pa kudya kwa calcium, kudya kwa vitamini D, ndi kuchita masewera olimbitsa thupi kuti apewe matenda osteoporosis. Kukana zinthu zina Pali umboni wosatsutsika wakuti anthu omwe ali ndi nyamakazi ya nyamakazi amapeza mpumulo ndi kusintha kwa zakudya. Zomwe zimanenedwa zomwe zimayambitsidwa ndi mapuloteni amkaka, chimanga, tirigu, zipatso za citrus, mazira, nyama yofiira, shuga, mafuta, mchere, caffeine, ndi zomera za nightshade monga mbatata ndi biringanya. zakudya zochokera ku zomera Ponena za ntchito ya mabakiteriya a m'matumbo pakukula kwa nyamakazi, anthu omwe akudwala matendawa ali ndi ma antibodies ambiri a Proteus mirabilis, poyerekeza ndi anthu athanzi komanso anthu omwe akudwala matenda ena. Odya zamasamba amakhala ndi ma antibodies otsika kwambiri, omwe amalumikizidwa ndi kuchepa kwapang'onopang'ono kwa matendawa. Zingaganizidwe kuti zakudya zochokera ku zomera zimakhala ndi zotsatira zabwino pa kukhalapo kwa mabakiteriya a m'mimba monga Proteus mirabilis, komanso momwe thupi limayankhira mabakiteriya otere. Kuchepetsa thupi Chifukwa kunenepa kwambiri kumawonjezera kupsinjika kwa mafupa, kuchepa thupi kudzera muzakudya kumatha kukhala chithandizo cha nyamakazi. Zotsatira za unyolo wautali wamafuta acid Umboni wochokera ku kafukufuku wambiri umasonyeza kuti kudya zakudya zamafuta acids kumakhala ndi phindu pa njira zotupa. Kagayidwe ka prostaglandin kumadalira mtundu ndi kuchuluka kwa mafuta acids muzakudya, ndipo kusintha kwa kuchuluka kwa prostaglandin kumatha kukhudza chitetezo cha mthupi. Zakudya zokhala ndi mafuta ambiri a polyunsaturated ndi otsika mafuta odzaza, komanso kumwa kwa tsiku ndi tsiku kwa eicosapentaenoic acid, kumabweretsa kutha kwa chizindikiro cha rheumatological monga kuuma kwa m'mawa ndi kuchepa kwa ziwalo za matenda; kukana kudya koteroko kumabweretsa zizindikiro zosiya. Odya zamasamba amatha kukulitsa madyedwe awo a omega-3 pogwiritsa ntchito njere za fulakesi ndi zakudya zina zamasamba. Udindo wa zakudya zina Kafukufuku wina wasonyeza kuti anthu omwe ali ndi nyamakazi ya nyamakazi amakula chifukwa chosadya mavitamini ndi zakudya zokwanira. Odwala nyamakazi zimawavuta kuphika ndi kudya chifukwa cha kupweteka kwa mafupa a manja. Kusayenda komanso kunenepa kwambiri kulinso vuto. Chifukwa chake, anthu omwe akudwala nyamakazi ya nyamakazi ayenera kupeza upangiri kwa akatswiri pazakudya, kukonza chakudya, komanso kuchepa thupi. Odwala nyamakazi amatha kufa chifukwa cha matenda amtima. Magulu okwera a homocysteine amalumikizidwa ndi nyamakazi ya nyamakazi. Chochitika chofananira chimawonedwa ngakhale mwa anthu omwe satenga methotrexate, zomwe zimakhudza zomwe zili mu folate m'thupi. Popeza kuti zakudya zamasamba zimakhala zothandiza polimbana ndi matenda a mtima, zingathandizenso anthu odwala nyamakazi. Mosakayikira, zakudya zokhala ndi zakudya zam'mera zomwe zili ndi folate zitha kukhala chisankho chanzeru kwa anthu omwe ali ndi homocysteine m'magazi awo. Pakalipano tilibe malingaliro otsimikizika kuchokera kwa asayansi pa zotsatira za zamasamba pa nyamakazi ya nyamakazi, koma ndizomveka kuti odwala ayesere zakudya zamasamba kapena zamasamba ndikuwona momwe zimawathandizira. Mulimonsemo, zakudya zamasamba zimakhala ndi phindu pa thanzi ndipo kuyesa koteroko sikungakhale kopanda pake.
2022-11-11