Cayenne (capsicum frutescens). Hukumar Abinci da Magunguna ta Amurka (FDA) ta amince da amfani da man shafawa, man shafawa, da man shafawa da aka yi da capsaicin (ko capsicin), fili mai aiki a cikin cayenne, don sauƙaƙa ciwon daOsteoarthritis. Shawarwarin ƙasa da ƙasa suna ba da shawarar yin amfani da capsaicin na gida⁵, musamman ga osteoarthritis na gwiwa.

sashi

Aiwatar da wuraren da abin ya shafa, har zuwa sau 4 a rana, cream, lotion ko maganin shafawa wanda ke ɗauke da 0,025% zuwa 0,075% capsaicin. Sau da yawa yana ɗaukar kwanaki 14 na jiyya kafin a sami cikakkiyar tasirin warkewa. Yi hankali, ana iya jin ƙonawa yayin aikace -aikacen.

Glucosamine

Glucosamine yana taka muhimmiyar rawa wajen kiyaye amincin guringuntsi na kowa gidajen abinci. Jiki yana samar da shi ta halitta. An gudanar da yawancin karatun da glucosamine sulfates.

 Rage haɗin gwiwa (m ko matsakaicin osteoarthritis). Duk da rikice -rikice, yawancin bincike har zuwa yau yana nuna cewa glucosamine yana sauƙaƙa, aƙalla kaɗan, alamun cututtukan osteoarthritis mai sauƙi ko matsakaici (duba takardar gaskiyar glucosamine). Yawancin karatun sun mayar da hankali kangwiwa osteoarthritis, wasu a kanhip osteoarthritis.

 Rage ci gaban osteoarthritis. Ƙarshen gwajin gwaji na 2 na dogon lokaci (shekaru 3 kowanne, batutuwa 414 a duka)^13-16 ya nuna cewa aikin glucosamine, ban da tasirin sa akan alamomi, na iya taimakawa rage jinkirin cutar. Fa'ida akan NSAIDs, waɗanda ke saurin hanzarta ci gaban osteoarthritis.

sashi. Takeauki 1 MG se glucosamine sulfates, a cikin allurai ɗaya ko fiye, yayin cin abinci. Bada makonni 2 zuwa 6 don kari don nuna cikakken tasirin sa.

 Chondroitin. Kamar glucosamine, chondroitin abu ne mai mahimmanci na guringuntsi kuma a dabi'ance jiki ne ke samar da shi. Yawancin karatun an yi su tare da samfuran ƙwararrun ƙwararru (Condrosulf®, Structum®, alal misali). Yawancin meta-bincike, bita da gwaji na asibiti sun kammala cewa yana da tasiri don taimaka bayyanar cututtuka m zuwa matsakaici osteoarthritis da rage jinkirin juyin halittarsa. Kamar yadda yake tare da glucosamine, wannan fa'ida ce akan NSAIDs, wanda ke saurin hanzarta ci gaban osteoarthritis. Chondroitin kuma shine batun wasu takaddama. Tuntuɓi fayil ɗin mu na Chondroitin don ƙarin koyo game da karatun da aka yi da zaɓin tsakanin glucosamine da chondroitin.

sashi

Takeauki 800 MG zuwa 1 MG kowace rana na chondroitin, a cikin allurai ɗaya ko fiye. Yana ɗaukar makonni 200 zuwa 2 kafin a ji cikakken sakamako.

 Same. SAMe (don S-Adenosyl-L-Methionine) jiki yana haɗa shi daga sunadarai a cikin abinci. An yi amfani da shi azaman kari, an tabbatar da maganin osteoarthritis²⁷. Sakamakon binciken ya nuna cewa yana da tasiri kamar magungunan rigakafin kumburi na yau da kullun ba tare da samun sakamako masu illa da lafiya ba.^28-31 .

Koyaya, nazarin meta-bincike da aka buga a cikin 2009 yana saukar da inganci da amincin S-adenosylmethionine. A cewar marubutansa, karatu da yawa suna da raunin hanyoyin da rashin isasshen adadin mahalarta. Sun kammala cewa tasirin analgesic na SAMe (1 MG kowace rana) yana da ƙima⁸⁰.

sashi

A sha 400 MG sau 3 a rana tsawon makonni 3 sannan a rage yawan yau da kullun zuwa 200 MG sau 2 a rana.

ra'ayi

Kodayake yana iya ɗaukar 'yan kwanaki don nuna fa'idodi, yana iya ɗaukar makonni 5 don magani don ɗaukar cikakken sakamako. Tuntuɓi fayil ɗin SAMe don ƙarin cikakkun bayanai.

 Iblis kambori (Harpagophytum yana haɓaka). An nuna tushen farautar Iblis don rage kumburi. Duk da tanadi game da hanyoyin wasu karatun⁷⁹, sakamakon gwaje -gwaje na asibiti da yawa, tare da ko ba tare da ƙungiyar placebo ba, suna nuna cewa tushen ɓoyayyen shaidan na iya inganta motsi kuma yana rage zafi sosai^{35, 36,81-83}.

sashi

Dosages na iya bambanta dangane da nau'in cirewa. Bi umarnin masana'anta. Ana ba da shawarar bin maganin aƙalla watanni 2 ko 3 don cin gajiyar fa'idarsa.

 Phytodolor. Wannan daidaitaccen maganin ganye, wanda aka sayar a Turai a matsayin tincture da za a ɗauka a ciki, ya ƙunshi aspen mai rawar jiki (mutane), Tokar Turai (Fraxinus ya fi girma) da goldenrod (Solidago virgaurea) tare da rabo 3: 1: 1. Wannan samfurin zai zama mafi tasiri fiye da placebo don rage zafi, haɓaka motsi da rage yawan amfani da magunguna masu hana kumburi.^32-34 .

 Acupuncture. Yawancin gwaje -gwaje na asibiti sun kimanta tasirin acupuncture akan ciwon da ke tattare da osteoarthritis. Nazarin meta-bincike da aka buga a 2007 kuma ya ƙunshi mutane fiye da 1 sun kammala cewa acupuncture na iya rage zafi da nakasa da ke tattare da osteoarthritis.⁵⁹. Koyaya, wasu gwaji sun nuna cewa sham acupuncture shima yana iya yin tasiri. Ko ta yaya, shawarwarin ƙasa da ƙasa kan gudanar da osteoarthritis na gwiwa da hip⁵ gane acupuncture azaman mai yuwuwa mai tasiri kayan aikin jin zafi.

 Hydrotherapy. Sakamakon gwaje -gwaje daban -daban na asibiti ya nuna cewa jiyya na hydrotherapy ta hanyoyi daban -daban (wurin dima jiki, wanka ta amfani da ruwa iri daban -daban, da sauransu) na iya inganta rayuwar mutanen da ke fama da ciwon osteoarthritis, ta hanyar ƙara yawan motsi. da rage radadi^49-54 . Wani bita na yau da kullun da aka buga a cikin 2009, tare tare da gwaji 9 da kusan marasa lafiya 500, sun kammala cewa balneotherapy yana da tasiri a cikin gajeren lokaci da dogon lokaci akan ciwon da ke tattare da osteoarthritis na gwiwa.⁴⁵.

 Homeopathy. An buga studiesan karatu akan tasirin homeopathy don rage zafi da alamun cututtukan osteoarthritis. Marubutan nazari na yau da kullun sun yi imanin cewa homeopathy na iya zama magani mai amfani ga osteoarthritis amma ana buƙatar ƙarin karatu don tabbatarwa.⁴⁸. Duba takardar homeopathy.

 Avocado da soya wadanda ba a iya tantance su ba. Abubuwan da aka samo daga avocado da waken soya - guntun ɓangaren man da ba a iya tantance su ba - na iya zama da fa'ida ga mutanen da ke fama da ciwon arthrosis na gwiwa ko gwiwa. Dangane da nazarin asibiti na 4 tare da placebo^37-41 , waɗannan abubuwan suna taimakawa inganta aikin haɗin gwiwa da rage zafi da buƙatar magungunan ƙin kumburi, ba tare da sakamako masu illa ba. A halin yanzu, ana siyar da avocado da waken soya marasa inganci a Faransa amma ba a Kanada ba.

 Magnetotherapy. Nazarin da yawa sun kimanta tasirin magnetotherapy, ana amfani da shi ta amfani da madaidaiciyar maganadisu ko na'urorin da ke fitar da filayen lantarki (EMF), a cikin maganin osteoarthritis kuma musamman na gwiwa.^65-68 . Magnetotherapy zai rage fargaba zafi a cikin tawali'u. A cikin 2009, bita wanda ya haɗa da karatu 9 da marasa lafiya 483 tare da osteoarthritis na gwiwa sun yanke shawarar cewa magnetotherapy wata hanya ce mai ban sha'awa don haɓaka iya aiki da sauƙaƙe ayyukan kullum⁵⁸.

 Leches. Nazarin jirgi⁵⁵ da 2 gwajin asibiti na bazuwar^{56, 57} wanda aka gudanar a Jamus yana nuna cewa yin amfani da leeches zuwa gwiwa tare da osteoarthritis na iya sauƙaƙa jin zafi, taurin kai da rage sauran alamun. An yi amfani da Leeches a maganin jin zafi tun Antiquity sannan aka watsar a tsakiyar karni na XNUMX.^e karni. Koyaya, har yanzu ana yawan amfani da su a magungunan gargajiya a Asiya, Afirka da ƙasashen Larabawa.

 Farin willow (Salisu alba). An ce haɓakar haɓoɓin farin willow ya fi tasiri fiye da placebo don rage ciwon haɗin gwiwa da osteoarthritis ke haifarwa. Koyaya, a cikin gwaji na mahalarta 127 tare da osteoarthritis na gwiwa ko gwiwa, waɗannan hakar ba su da tasiri sosai fiye da magungunan ƙin kumburi (diclofenac).⁷⁴.

 Yoga. Sakamako daga gwaji na asibiti a cikin batutuwa masu lafiya da mutanen da ke fama da rikice -rikice na musculoskeletal^{69, 70} bayyana cewa yin yoga na iya taimakawa inganta wasu fannoni na waɗannan yanayin, gami da osteoarthritis na hannu⁷¹ da gwiwoyi⁷² da amosanin gabbai⁷³.

 Ƙarfafa wutar lantarki (TENS). Wannan dabarar tana amfani da na’urar da ke samar da wutan lantarki mai ƙarancin ƙarfi, ana watsa shi zuwa jijiyoyi ta hanyar wayoyin da aka sanya akan fata. Binciken nazarin da aka buga a cikin 2000 ya ba da shawarar cewa neurostimulation na lantarki na transcutaneous na iya haifar da rage zafi a gwiwa osteoarthritis.⁴⁴. Koyaya, a cikin 2009, sabuntawar da ƙungiyar masu bincike iri ɗaya ta buga, gami da sabbin gwaji, sun kammala cewa ba za a iya tabbatar da ingancin wannan dabarar ba don osteoarthritis na gwiwa.⁴⁷.

 huda. Bayanai na annoba sun nuna cewa a wuraren da shan boron yake 1 MG ko perasa a kowace rana, yawan matsalolin amosanin gabbai ya fi girma (20% zuwa 70%) fiye da a wuraren da shan yau da kullun ke tsakanin 3 MG da 10 MG kowace rana ( 0% zuwa 10%)³. An buga nazarin asibiti guda ɗaya tun daga 1990 kuma ya ƙunshi batutuwa 20 akan tasirin boron akan osteoarthritis: mahalarta sun lura da ɗan inganta yanayin su bayan shan 6 MG kowace rana na boron, na makonni 8.⁴.

 Boswellie (Boswellia serrata). Boswellia, wanda aka nuna kaddarorin kumburinsa a cikin vitro da cikin dabbobi, na iya taimakawa wajen maganin osteoarthritis. Lallai, bincike da yawa na marasa lafiya da osteoarthritis na gwiwa sun nuna sakamako mai kyau.^42,43,61. Koyaya, har yanzu akwai bayanai kaɗan don bayar da shawarar sashi.

 Collagen. Collagen yana tabbatar da haɗin kai, elasticity da farfadowa na kyallen takarda da yawa (tendons, haɗin haɗin gwiwa, ligaments, da sauransu). Nazarin da ya tantance tasirin abubuwan haɗin collagen don sauƙaƙe osteoarthritis ba su kasance cikakke ba^75-77 . Binciken da aka yi kwanan nan ya sami sauƙin jin zafi⁷⁸. Bayanin in vitro yana ba da shawarar cewa ɗaukar irin waɗannan abubuwan na iya taimakawa haɗin gwiwa da abin ya shafa ta hanyar haɓaka samar da collagen.

Notes. Yawancin masu bincike sun yi amfani da sashi na 10 g na collagen hydrolyzate kowace rana. Samfuran capsules da Allunan da ake samu a maimakon haka suna ba da 1g zuwa 2g kowace rana.

 Tai Chi. An gudanar da gwajin asibiti akan mata 43 sama da 55 tare da osteoarthritis⁶³. Suna yin tai chi mako -mako na makonni 12, ko kuma suna cikin ƙungiyar masu sarrafawa. An sami canje -canje masu kyau a tsinkayar jin zafi, taurin gwiwa, daidaitawa da ƙarfin tsokar ciki a cikin matan da ke yin tai chi. Dangane da nazari na yau da kullun da aka buga a cikin 2008, sakamakon yana da kyau amma za a buƙaci ƙarin gwaji na asibiti don tabbatar da ingancin tai chi⁶⁰.

 Cassis (black currant). ESCOP ta yarda amfani da magani na ganyen currant (psn) azaman magani mai dacewa don cututtukan rheumatic. Kungiyar ta gano adadi mai yawa na karatu a vivo yana nuna kaddarorin anti-inflammatory na ganyayyaki don a hukumance gane wannan amfani da aka kafa ta al'ada.

sashi

Sha 5 g zuwa 12 g busasshen ganye a cikin 250 ml na ruwan zãfi na mintina 15. Cupsauki kofuna 2 a rana na wannan jiko, ko kuma shan 5 ml na ruwa (1: 1), sau 2 a rana, kafin abinci.

 An yi amfani da shuke -shuke iri -iri a gargajiyance don kula da mutanen da ke fama da ciwon osteoarthritis: turmeric (psn) (Curcuma longaGinger rhizomes (psn)Zinziber officinalis) da zazzabi (tanacetum parthenium).

 Massage Far. Taron Massotherapy yana ba da gudummawa ga yanayin jin daɗin rayuwa gaba ɗaya kuma ga tsoka da annashuwa. Hakanan yana haɓaka jini da jijiyoyin jini. Wannan shine dalilin da ya sa wasu ƙwararrun masana ke ba da shawarar amfani da shi ta mutanen da ke da osteoarthritis⁶⁴.