Zama oku kutya kusisixhenxe kunceda isifo samathambo- kwaye ufunde ukuba ungakuphepha njani

Imfundo yezeMpilo

Isifo samathambo singaphezulu kokudumba kwamalungu-sesona sizathu siphambili sokukhubazeka e-U.S, sichaphazela ngaphezulu koku 54 yezigidi AmaMelika kunye nokuchaphazela imisebenzi yemihla ngemihla yezigidi ezingama-24. Inxalenye yokulawula iimpawu zesifo samathambo kukutya ukutya okunesondlo okugcwele ukutya okukunceda ugcine ubunzima obunempilo.

Kukho iintlobo ezingaphezu kwe-100 ze-arthritis, kodwa kukho iifom ezimbalwa ezenzeka ngokuqhelekileyo: i-osteoarthritis, i-rheumatoid arthritis kunye ne-gout. I-Osteoarthritis ibangela i-cartilage phakathi kwamathambo ukuba aphule, ngelixa i-rheumatoid arthritis sisifo sokuzimela esenzeka xa amajoni omzimba ehlasela ngempazamo amalungu. Abantu abanamava e-gout bafumana i-uric acid buildup egazini labo elinokukhokelela kwidiphozithi yeekristale ze-urate kumalungu, uthi UJessica Hinkley , kwiklinikhi ebhalisiweyo yokutya kwiUCHealth.

Nangona iimpawu ezinxulunyaniswa neentlobo ezahlukeneyo zesifo samathambo — iintlungu ezidibeneyo, ukudumba, kunye nokuqina — zinokuthamba ukusuka ekuphazamiseni ukuya ekunciphiseni, imiboniso yophando ukuba ukulandela ukutya okunokulinganisela, okuchasayo kunokunceda ukunciphisa iintlungu zemihla ngemihla ezinxulumene nesifo samathambo.

Yintoni ukutya kwe-arthritis?

Kubantu abane-arthritis, ukulandela ukutya okuchasayo kunokunceda ekulawuleni iimpawu ezinjengeentlungu kunye nokuvuvukala. Uninzi loku kutya kufumaneka kukutya kweMeditera, okugxininisa kwiziqhamo, imifuno, iimbotyi, intlanzi, kunye namafutha asempilweni anjengeoyile ye-olive, amanqaku UDeborah McInerney , ugqirha wezonyango kwisibhedlele sonyango olukhethekileyo kwisiXeko saseNew York.

Abo bane-rheumatoid arthritis banomngcipheko okhulayo wesifo sentliziyo kuba bafumana inkqubo, okanye umzimba wonke, ukudumba. Ke ngoko, ukutya okusempilweni ngentliziyo kunokunceda ukulawula iimpawu zesifo samathambo kunye nokunciphisa umngcipheko wokuvela kwezinye izifo ezinganyangekiyo ezinjengesifo sentliziyo kunye nohlobo 2 lweswekile, utshilo uHinkley.

Abantu abatyebe kakhulu basemngciphekweni okhulayo we-osteoarthritis kuba ukuthwala ubunzima obongezelelekileyo kubeka uxinzelelo kumalungu, ngakumbi lawo asezantsi emzimbeni, wongeza uHinkley. Ngenxa yengozi ephezulu, abo abane-osteoarthritis bahlala bexhamla ngokulandela ukutya okunesifo sentliziyo ngenxa yokukwazi ukunceda ukunciphisa umzimba.

Ukutya oku-7 okufanelekileyo kwe-arthritis

Ndihlala ndibuzwa ukuba yeyiphi into ekufuneka umntu ayitye ukuze ancede imeko ethile, kwaye ihlala ibuyela kwiziseko: iziqhamo, imifuno, ukutya okuziinkozo, amafutha asempilweni kunye nemithombo yeeprotheyini, utsho uMcInerney. Ukwaphawula ukuba okona kutya kulungileyo kuxhomekeke kuhlobo lwesifo samathambo, inqanaba lobunzima, kunye nawaphi na amayeza asetyenziswa sisigulana anokuchaphazela ukutya okuthile.

U-Hinkley uyavuma: Ngokubanzi, ukutya uhlobo lokutya olusempilweni okanye uhlobo lweMeditera kuya kuba nefuthe elikhulu kwiimpawu zesifo samathambo, kodwa ukufunda indlela yokufaka ukutya okunokuchasana nokuvuvukala kunye neziqholo ekutyeni kwakho kunokukunceda ufumane ukutya okunezakha mzimba okuthandayo . Ngapha koko, olu hlobo lokutya luhlala lucetyiswa yingcali yokutya ebhalisiweyo kwabo bafuna ukuphucula impilo yabo yonke kunye nokuba sempilweni.

1. Amaqunube

Iziqhamo ezinje ngeeblueberries kunye namaqunube amnyama ziyaziwa ngeempawu zazo zokulwa ne-antioxidant kunye ne-anti-inflammatory, ezenza ukuba zikhethe kakhulu ukunceda iintlungu zesifo samathambo kunye nokwanelisa izinyo eliswiti kunye nokuphepha ukutya iswekile.

2. Imifuno eluhlaza

I-Kale, isipinashi, ihlumelo laseBrussels, kunye ne-broccoli zaziwa ngamanqanaba aphezulu e-vitamin C, isondlo esinokunciphisa ukudumba kunye nokunceda ukuthintela umonakalo we-cartilage onxulumene nesifo samathambo esivuthayo.

3. Iinkozo zizonke

Irayisi emdaka, i-oatmeal, kunye ne-quinoa yimithombo yeenkozo ezipheleleyo ezaziwa ngokuba nakho ukunciphisa amanqanaba e-C-protein (CRP) esebenzayo, iprotein eveliswa sisibindi xa umzimba unamaqondo aphezulu okudumba.

4. Iintlanzi ezinamafutha

Iintlanzi ezinamafutha ezinje nge-mackerel, isalmon, isardines, kunye neherring ziphezulu kwi-omega-3 fatty acids, ezaziwayo ukunceda ukuthintela ukuveliswa kwee-cytokines ezichasayo. Ukuba unengxaki yokufumana iintlanzi ezinamanqatha ekutyeni kwakho, unokufuna ukuthetha nogqirha wakho malunga nokuthatha izongezo zeoyile yeentlanzi ukuze uvune ezi zibonelelo zezempilo.

5. Amanqatha acid avela kwizityalo

Ioyile yeflakisi, ii-walnuts, kunye neoyile ye-oliva enyulu iyimithombo yezityalo ye-omega-3 fatty acids. Xa kuziwa kwioyile, zama ukukhetha iioyile ezicinezelweyo eziye zenziwa kancinci ukugcina incasa yazo kunye neepropathi ezonyusa impilo, utshilo uHinkley.

6. Amayeza kunye neeminerali

Iigalikhi, ijinja, nemagniziyam (iibhanana zingumthombo omkhulu), kunye ne-turmeric zonke ziyaziwa ngeempawu zazo ezichasayo. I-Turmeric sisiqholo esinokuba naso Iziphumo ezichasayo Uphando lwakutsha nje, nangona izixa umntu anokufuna ukuzitya ukuze afumane isiphumo esinqwenelekayo kunokuba nzima, okanye kungenzeki, ukufezekisa umntu ophakathi, utshilo uHinkley. Ukuvuna ngokupheleleyo izibonelelo ze-turmeric, thetha nomboneleli wakho wezempilo malunga nesongezelelo se-curcumin.

7. I-Vitamin D.

UHinkley wongeza ukuba abo bane-arthritis ezinxulumene nokuzimela bangafuna ukuqaphela ukuthatha isongezelelo se-vitamin D. Ukusilela kweVitamin D kuqhelekile kwabo baneengxaki zokuzimela, kunye nokutya okumbalwa kunevithamini D ngokwendalo. Buza umboneleli wakho wezempilo ukuba ungathatha malini njengoko kukho uluhlu lweedosi ezikhoyo kwi-OTC kunye namandla emithi.

Ukutya okona kubi kakhulu kwisifo samathambo

Ukutya okuninzi oqhele ukukuva kuyingozi kwimpilo yakho iyonke kunokwenza ukuba iimpawu zesifo samathambo zibe mbi, utshilo uHinkley. Ukugxila ekutyeni onokukutya kwaye ekufuneka ukutyile, kunokuba ugxile kuko konke ukutya okungafanelekanga ukuba ube nako, kunokubonakala kungoyiki kangako, wongeza uMcInerney.

1. Yongeza iswekile

Abantu abaninzi abane-arthritis basemngciphekweni omkhulu wokufumana ezinye izifo ezinganyangekiyo, utshilo uHinkley. Ukunciphisa umda kwii-carbohydrate ezongeziweyo kunye nokutya okulula (cinga iilekese, iicookies, iziselo ezineswekile) kunciphisa umngcipheko wokuphuhliswa kohlobo lweswekile yesibini kunye nokunciphisa ukudumba okunokubakho.

2. Ukutya okwenziweyo

Ukulungisa ukutya kususa uninzi lwezakha mzimba ezixabisekileyo, utshilo uMcInerney. Ukutya okufana nokutya kwemicrowave kunye neetshipsi zeetapile kusenokwenzeka ukuba kungaphezulu kwishukela esongeziweyo kunye neekhemikhali ezinokubangela ukudumba.

3. Amafutha agcwalisiweyo kunye ne-hydrogenated

Amafutha e-trans kunye namafutha agcweleyo afumaneka kukutya okucutshungulwayo, ukutya okuthosiweyo, kunye nenyama ebomvu kunokuba zizibonakaliso zeempawu zamathambo kwabanye abantu, ezibangela ukudumba kunye nentlungu.

4. I-Omega-6 fatty acids

Nangona umzimba udinga ibhalansi ye-omega-3 kunye ne-omega-6 fatty acids, ukutya ukutya okuninzi kakhulu okunotyeyo kwi-omega-6 fatty acids, ezinje ngesafflower oyile, ioyile ye-canola, amaqanda, kunye ne-tofu, kunokunyusa ukudumba kunye nentlungu edibeneyo umzimba.

5. Iimveliso zobisi ezinamafutha aphezulu

Ngelixa iimveliso zobisi ezinamafutha asezantsi zinxulunyaniswa namanqanaba aphezulu e-calcium kunye nempilo yethambo, iiprotheyini kwiindawo ezinamafutha aphezulu zinokunyusa ukudumba kunye ne-cholesterol.

6. Utywala

Abo banesifo samathambo banokonwabela ukusela kube kanye ngaphandle kokufumana iziphumo. Nangona kunjalo, irhafu yokusetyenziswa okunzima kwesibindi, ekhokelela kukudumba kunye nokunyusa iintlungu ezidibeneyo emzimbeni wonke.

7. Ukudada

Abo bane-gout banokuzuza ekunciphiseni ukutya okuphakathi ukuya phezulu kwi-purines, enje ngotywala, i-turkey, iimbaza, i-scallops, i-bacon, inyama yenyama, kunye nomdlalo wasendle, wongeza uHinkley.

Ukusebenzisana kokutya kunye neyeza le-arthritis

Soloko ubhekisa kugqirha wakho okanye usokhemesti ngokubhekisele kunxibelelwano olunokubakho lokutya iziyobisi ezithile, utsho uHinkley. Nangona kunjalo, kukho ezinye iindlela zokutya ngokubanzi kwabo bathatha okuthile amayeza e-arthritis ,kubandakanya ukubeka iliso kukhuseleko lokutya kunye nokunciphisa iziselo ezithile.

Ukhuseleko lokutya: Abanye abantu abanesifo samathambo bathatha iziyobisi ezenza ukuba umzimba ungasebenzi kakuhle, nto leyo eyandisa ingozi yokosulelwa zizifo, kuquka nezifo ezibangelwa kukutya, utshilo uHinkley. Imilinganiselo eqhelekileyo yokhuseleko lokutya ibaluleke nangakumbi kwezi meko. Umzekelo, hlamba izandla zakho rhoqo phambi kokuba upheke okanye utye, hlamba imveliso, pheka inyama eluhlaza kubushushu bangaphakathi obulungileyo, uphinde uvuselele ukutya okuseleyo, gcina ukutya okushushu kushushu kwaye kubanda ukutya okubandayo, kunye nefriji yokutya okuseleyo ngoko nangoko.

Ukutya okunetyiwa kunye nosiweyo: IiSteroids, ezinje nge-prednisone okanye i-methylprednisolone, ngamanye amaxesha zisetyenziselwa ukunceda ukulawula ukudumba okunxulumene nezinye iintlobo zesifo samathambo. Iziphumo zala machiza zibandakanya ukugcinwa kwamanzi kunye nokutshintsha komzimba. Ukunceda ukunciphisa ezi ziphumo bezingalindelekanga, kunqande ukutya okunetyiwa kunye nokuqhotsiweyo.

Izongezo zemifuno: Ngenxa yokuba izongezo zemifuno azilawulwa ngokungqongqo yi-FDA, zisenokuba nezinto eziyingozi okanye izithako ezimbalwa kakhulu ezipapashiweyo, ucebisa uHinkley. Izongezo ze-Herbal zinokuphazamisa ukusebenza kwenani lamayeza, kubandakanya amayeza omzimba wokunyanga. Ngenxa yezi zizathu, kungcono ukuba uthethe nogqirha wakho okanye ugqirha otya ukutya ngaphambi kokuba uqalise irejimeni yokuncedisa ngamayeza.

Umsila: Iziselo zeCola ziqulathe izixa eziphezulu ze-acid ezingaphiliyo, ezifihliweyo emchameni kwaye zinokuchaphazela indlela umzimba oqhuba ngayo kunye nokuphelisa i-methotrexate, utsho Inara Nejim , Pharm.D., Usokhemisti waseklinikhi kwiSibhedlele soNyango olukhethekileyo kwisiXeko saseNew York. Jonga ugqirha wakho okanye usokhemesti ukuze ubone ukuba kungakanani icola ekucetyiswa ukuba uyisele ngamanqanaba akho eli yeza.

Ikhafeyini: Abaphandi abavela kwiziko lonyango i-Shaare-Zedek kwa-Israyeli bacebisa ukuba i-caffeine etyiwayo yonke imihla kune-180 mg inokuphazamisa ukusebenza kwe-methotrexate kwizigulana ezine-rheumatoid arthritis, utshilo uGqirha Nejim. Ukwenza ireferensi, ikomityi yekofu eli-16 esemgangathweni yekofu iqulethe malunga ne-182 mg ye-caffeine, okanye iphindwe kabini isixa esicetyiswayo. Ke ngoko, ukunciphisa umda ekusetyenzisweni kwekofu yemihla ngemihla kunokuba yimfuneko kwabo bathatha i-methotrexate ye-rheumatoid okanye i-psoriatic arthritis.

Ijusi yeziqhamo zeediliya: [Isiqhamo seGrapefruit kunye] nejusi yeziqhamo zegrape yenye yezona zininzi ukutya okuqhelekileyo Ukubandakanyeka kunxibelelwano lokutya neziyobisi, utshilo uGqirha Nejim. Ijusi yamagilebhisi ibhloka isenzo se-enzyme ebizwa ngokuba yi-cytochrome P-450 3A4, ecutha amandla ayo okuqhubekisa amayeza athile. Xa oku kusenzeka, la mayeza achaphazelekayo kunokwenzeka kakhulu ukuba ajikeleze umzimba kwiindawo eziphezulu, kubangele ukonyuka kwemiphumela.

Iziphumo zejusi yeziqhamo ze grapefruit zihlala ixesha elide kwaye zibeka nje amayeza akho ukuba athathwe kamva ngemini enye, kwiiyure ezimbalwa emva kwencindi yegrapefruit oyisela kwisidlo sakusasa, ayonelanga ukunciphisa oku kunxibelelana, uGqirha Nejim wongeza. Ngesi sizathu, xa kufanelekile, abavelisi beziyobisi bahlala bebonelela ngolwazi malunga nokuhlangana kwejusi yeziqhamo zomdiliya ngaphakathi kwento yokufaka iphakheji.

Utywala: Kwizigulana ezine-osteoarthritis ezithatha amachiza e-nonsteroidal anti-inflammatory (NSAIDs), anje ngeCelebrex, ukusetyenziswa kotywala rhoqo kufuneka kuncitshiswe, njengoko kunokwandisa iziphumo ezibi zokunxibelelana, utshilo uNejim.

Jonga apha ngezantsi kwitshathi ebonisa amayeza e-arthritis aqhelekileyo kunye nokunxibelelana kokutya abaguli kufuneka bazi:

Unxibelelwano lokutya iziyobisi kunye ne-arthritis meds
Igama leziyobisi	Uhlobo lwe-arthritis luphathwe	Ukudibana kokutya	Funda nzulu	Fumana isigqebhezana
INaprosyn (naproxen)	I-Osteoarthritis, isifo samathambo, kunyei-polyarticular juvenile idiopathic arthritis	Utywala, ikhafeyini	Funda nzulu	Fumana isigqebhezana
Imikhosi (meloxicam)	Isifo samathambo, isifo samathambo, kunyeI-pauciarticular okanye i-polyarticular ikhosi yolutsha lwe-rheumatoid arthritis	Ijusi yeziqhamo, i-caffeine, utywala	Funda nzulu	Fumana isigqebhezana
ICelebrex (celecoxib)	I-rheumatoid arthritis, i-osteoarthritis, isifo samathambo sabantwana	Utywala	Funda nzulu	Fumana isigqebhezana
Xeljanz (tofacitinib)	I-rheumatoid arthritis okanye i-psoriatic arthritis esebenzayo	Ijusi yamagilebhisi	Funda nzulu	Fumana isigqebhezana
IRheumatrex, iTrexall (imethotrexate)	Iindlela ezithile zesifo samathambo	Cola, caffeine, utywala	Funda nzulu	Fumana isigqebhezana
IDeltasone (i-prednisone)	I-rheumatoid arthritis, i-juvenile rheumatoid arthritis, i-psoriatic arthritis, i-osteoarthritis, isifo samathambo esibukhali	Ukutya okuthosiweyo, ukutya okwenziweyo, ukutya okunetyiwa, utywala, icaffeine	Funda nzulu	Fumana isigqebhezana
IMedrol (iMethylprednisolone)	I-rheumatoid arthritis, i-juvenile rheumatoid arthritis, i-psoriatic arthritis, i-osteoarthritis, isifo samathambo esibukhali	Ukutya okuthosiweyo, ukutya okwenziweyo, ukutya okunetyiwa, Ijusi yeGrapefruit, utywala, icaffeine	Funda nzulu	Fumana isigqebhezana

Ukukhulisa ubudlelwane obunokuthenjwa kunye nosokhemesti wakho oqhelekileyo kunokunceda kwezi meko, utshilo uGqirha Nejim. Xa ungathandabuzeki malunga nokunxibelelana okunokubakho nokutya kwesifo samathambo, nxibelelana nomboneleli wakho wezempilo kwaye ujonge ukuba ngaba kukho unxibelelwano olunokubakho kunokuba uye wedwa.