Kupsinjika kwapadera kotsekemera kumakhala kosasangalatsa. Ikhoza kulepheretsa kutenga nawo mbali masewera omwe mumawakonda kuti mutetewe zotsatira zowawa. Palibe zosangalatsa za kupweteka pamodzi. Kuwombera, kupita kwa dokotala ndikukumva mwachibadwa pamene ukalamba ukhoza kuwonjezera kukhumudwa.
Chowonadi ndi chakuti ambiri aife tidzakumana ndi ululu m'moyo wathu. Zilibe kanthu kaya zimachokera pamabondo, m'chiuno, pamphuno kapena mmbuyo pamene chisokonezocho chimakhala chokhumudwitsa chomwe tikufuna kuti tipeze chithandizo.
Mavuto Ophatikizana
Kupita kwa dokotala chifukwa cha kupweteka kwa mgwirizano nthawi zonse kumakhala chinthu chimodzi chotsatira chirichonse chachikulu. Zomwe zimawoneka ndi kuvala ndi kubvunda thupi limakhala likuchitika pakapita nthawi.
Kugwira ntchito, kuthamanga, ndipo ngakhale kunyamula zolemetsa zowonjezera ndizovuta thupi ndi ziwalo. Pamene mukukalamba, magulu a glucosamine amatsika, zomwe zingachititse kuti thupi liwonongeke. Matenda a nyamakazi makamaka osteoarthritis amakhudza anthu mamiliyoni angapo ndipo amachititsa kuti munthu azivutika.
Kuchita nawo ziwalo zomveka kungapangitse kusokoneza masewera a tennis, kuphunzitsidwa kwa 5K, kapena kukweza katundu wolemetsa. Kuchita masewera olimbitsa thupi kungakhale kokondweretsa panthawiyo koma pambuyo pake kukutumizirani kuponyera kwapakhomo kumapiri.
Glucosamine supplementation amasonyezedwa kuti amatha kupumula kupweteka kwa pamodzi. Nkhani zazikulu koma ndifunikanso kubwereza umboni wa chipatala musanagule chowonjezera china. Chimene chimagwirira ntchito munthu mmodzi sichigwira ntchito kwa wina.
Mavitamini onse ali osayendetsedwa ndi Food and Drug Administration (FDA) ndipo akulimbikitsidwa kuti afikidwe ndi kukayikira. Zoona-zowonongeka za mankhwalawa zimalangizidwa ndipo zimapereka chidaliro mu kugula zakudya zowonjezera monga glucosamine.
Kodi Glucosamine N'chiyani?
Glucosamine ndi mankhwala omwe mwachibadwa amapezeka mumadzi ozizungulira. Pali mitundu yambiri ya glucosamine kuphatikizapo glucosamine sulfate, glucosamine hydrochloride, ndi chondroitin. Chondroitin ndi mankhwala ena omwe amapezeka m'magazi ozungulira thupi.
Mmodzi angaganizire kuti mankhwalawa ndi omwe amachititsa kuti ziwalo zanu zikhale zowonjezera. Mwamwayi, kufufuza kwa glucosamine kuli kochepa ndipo makamaka makamaka pa mitsempha ya osteoarthritis. Mitundu yomwe amaphunzira kwambiri ndi glucosamine, chondroitin, ndi sulphate.
Glucosamine kwa Athandizi
Ochita maseĊµera ambiri ndi opanga thupi amathandizira ndi glucosamine poyesera kuchepetsa kupweteka kumodzi komwe kumakhudzana ndi kukweza katundu ndi kuphunzitsidwa kwambiri. Kubwereza mobwerezabwereza m'maseĊµera monga mpira, kumanga thupi, mpira, ndi kupirira kumayendetseratu makamaka pamalumiki a mawondo. Kuchita opaleshoni yamakono ya osteoarthritis pa bondo si zachilendo kwa ambiri othamanga awa.
Akatswiri ena amati akatswiri othamanga amatenga glucosamine komanso chondroitin sulphate. Zikuwoneka kuti kuphatikiza kumeneku kumaphatikizidwa bwino ndi mamolekyu omwe amapanga karotila. Malangizowo amachokera makamaka pa zochitika zaumwini komanso zamaluso m'malo momveka umboni. Kafukufuku akusowa phindu la glucosamine supplementation kwa othamanga.
Kafukufuku wofalitsidwa mu Journal of the International Society of Sports Nutrition anawona ngati glucosamine supplementation ingathandize amayi kuti athe kuyamba pulogalamu yophunzitsa. Kuchita masewera olimbitsa thupi ndi kulemera kunapindulitsa kwa amayi, koma sizinadziwikire ngati glucosamine supplementation inapereka chithandizo cha mankhwala.
Kodi Glucosamine Amathetsa Mavuto Ofanana?
Zikuwoneka kuti glucosamine kuti ululu wamagulu umagwira ntchito kwa ena osati kwa ena. Zambiri zafukufukuwo zimatanthawuza Mayankho a Glucosamine / Chondroitin Arthritis Intervention Trial (GAIT).
GAIT inasonyeza kuti kuphunzira kwa nthawi yaitali kwa odwala omwe amatenga glucosamine ndi chondroitin chifukwa cha ululu wamagazi wamagazi anali ndi zotsatira zabwino. Ena omwe amagwiritsa ntchito mankhwalawa ali ndi zotsatira zofanana ndi zomwe odwala omwe adatenga celecoxib, zomwe sizinaphatikizepo mankhwala osapsa.
Ofufuza ena adawonetsa kuti palibe mayankho omwe amatenga glucosamine kapena placebo.
Kafukufuku wofalitsidwa mu New England Journal of Medicine anasonyeza kuti kuchepa kwakukulu kwa kutupa kwa mgwirizano ndi kupweteka ndi chondroitin sulphate. Zofukufukuzi zimasonyeza kuti glucosamine ingakhale yopindulitsa kuchiza zizindikiro zoopsa.
Mfundo yaikulu ndiyikuti palibe umboni wokwanira wosonyeza kuti glucosamine idzagwira ntchito. Kufufuza kwina kumafunika.
Kodi ndiyenera kutenga Glucosamine?
Nthawi zonse funsani dokotala musanayambe kumwa mankhwala enaake kuphatikizapo glucosamine. Zakudya zimakhalabe zosagwiritsidwa ntchito mosalekeza ndipo chiwongolero ndi mphamvu za mankhwalawo nthawi zonse zimakhala zovuta.
Malemba angamawone zodabwitsa komanso zogwira mtima zodabwitsa, koma zosankha ziyenera kukhazikitsidwa pazinthu zatsimikiziridwa. Zochitika pawekha ndi kutenga glucosamine zingathandizenso kudziwa ngati ziri zoyenera kwa iwe.
Glucosamine mwina akhoza kukhala ndi maganizo akumverera bwino piritsi ya placebo yabwino kwa iwo amene akufuna thandizo. Zikuwoneka kuti zikugwira ntchito kwa ena.
Mlingo woyenera chifukwa cha zotsatira zabwino ndi 1500 mg ya glucosamine sulfate ndi 1250 mg ya chondroitin. Njira yabwino kwambiri ndiyo kukhala wothandizira zaumoyo wanu nthawi zonse, kufufuza momwe mumayankhira glucosamine, ndi kulemba kusintha kulikonse.
Mudzadziwa posachedwa ngati mukuwononga ndalama zanu komanso mutha kupeza mwayi.
> Zotsatira:
Daniel O. Clegg, MD ndi al., Glucosamine, Chondroitin Sulphate, ndi Awiri mu Mgwirizano wa Painful Knee Osteoarthritis, New England Journal of Medicine , 2006
> Magrans-Courtney et al., Zotsatira za zakudya za mtundu wa zakudya ndi supplementation wa glucosamine, chondroitin, ndi MSM pa maonekedwe a thupi, machitidwe, ndi zizindikiro za thanzi la amayi omwe ali ndi mafupa a mitsempha omwe amachititsa kusagwira ntchito zolimbitsa thupi ndi kuwonongera thupi, Journal of International Society of Sports Nutrition , 2011
> S. Terry Canale MD, Kwa Glucosamine kapena Not Glucosamine? , American Academy of Orthopedic Surgeons , 2012
> Sawitzke AD et al., Glucosamine / Chondroitin Arthritis Kuyanjidwa (GAIT), US Department of Health and Human Services, National Institutes of Health , 2010
> Wandel S et al., Zotsatira za glucosamine, chondroitin, kapena placebo kwa odwala osteoarthritis of hip kapena knee: meta-analytical, US National Library of Medicine, National Institutes of Health , 2010