Ezinye izongezelelo zinobungqina bokuxhasa ukusetyenziswa kwazo kwi-IBD, ngelixa abanye bengenzi
Abantu abaninzi abanezifo zesibindi sokuvuvukala (IBD) ukukhangela unyango olongezelelweyo kunye nolunye ukulungiselela ukuphucula iimpawu zabo. Isiqingatha sazo zonke abantu abanesifo sikaCrohn banokuya kulezi zifo zonyango. Uninzi lwala mayeza aluzange luphandwe, kodwa uncedo oluthile olongezelelweyo nolunye uhlobo lwezonyango zikaCrohn oluye lwafundwa luquka i-elm edibeneyo kunye ne-omega-3 fatty acids.
I-Omega-3 Fatty Acids
I-Omega-3 fatty acids ayenziwe yimizimba yethu, kodwa iyimfuneko kwimpilo enempilo kwaye inezakhiwo ezichasayo. I-Omega-3 fatty acids ifumaneka kwizilwanyana zaselwandle ezifana ne-salum, i-herring, i-mackerel, i-albacore ityhuna, kunye ne-sardines, kunye ne-walnuts, i-flax, ioli ye-canola, imbewu ye-pumpkin kunye ne-soy. Ziyakuthi zifumaneke kwifom yokongeza, ngokuqhelekileyo njenge-capsule yeoli yeentlanzi.
Uphononongo ngezibonelelo ze-omega-3 fatty acids kwi-IBD ziye zadibanisa iziphumo. Izifundo ezibini ezilawulwe nge-random, ezimbini, ezingaboniyo, ezilawulwa yi-placebo, abantu abangama-738 abanesifo sikaCrohn banikwe i-omega-3 yamafutha e-acids okanye indawo ye-placebo. Iqela le-omega-3 kunye neqela le-placebo linalo phantse elifanayo lokuphindaphinda, elikhokelela abalobi ukugqiba i-omega-3 yamafutha e-acids ekhululekile ayinakusebenza ekukhuseleni i-Crohn's-ups. Kwesinye isifundo, izigulane ezingama-38 ezinezigulane zikaCrohn ekuxoxweni zanikezwa ngama-capsules ama-omega-3 ane-fatty capsules okanye i-placebo yeoli yeoli, kunye ne- 5-ASA .
Izigulane ezitholayo i-omega-3 fatty acids zineziganeko ezimbalwa zokuqhubela phambili kwixesha lokufunda lonyaka.
Ngokuqhelekileyo, i-omega-3 fatty acids yongezelela ukondla, njengoko ziboniswe ukunciphisa ingozi yesifo senhliziyo. Imiphumo emibi evela kwii-oil supplementary supplements ingabandakanywa amabhondi anonyoyiko kunye nesifo sohudo, kodwa iifomsile zokukhululwa kwexesha kunokuncedisa ukunciphisa ezi ngxaki.
Boswellia
U-Boswellia, owaziwayo njengengqengquthela, ngumgubo ongaziwa kakuhle, kodwa ufundiswe ukusetyenziswa kwiimeko ezahlukeneyo, kuquka nesifo sikaCrohn. Kwesifundo esinye saseJamani, izigulane ezingama-102 ezineesifo sikaCrohn zanikwa i-boswellia okanye i-mesalazine yeyeza. Abaphandi bafumanisa ukuba i-boswellia ayilona nto ingcono okanye eyimbi ngaphezu kwemalazine ngokubhekiselele ekusebenzeni, kodwa ingaba "phezulu" ekuthelekisweni kwezibonelelo ezibangelwa ingozi. I-Boswellia ayivunywanga njengonyango kuyo nayiphi na imeko, kodwa ithengiswa njengesongezelelo sokondla kwi-vitamin kunye nezitolo zokutya.Ellippery Elm
I-elmery elm ( Ulmus fulva ) sele isetyenziswe njengendlela yokulungisa ukukhathazeka kwesisu. Izilwanyana ezithengiswayo ze-elm zenziwe ngokusuka kwingxenyana yangaphakathi yamagxolo e-elm, kwaye iza kwiindidi ezahlukahlukeneyo ezifana nezibhebhe, iifomsile, i-powder, itiye, okanye i-lozenges. Akuzange ifundwe ngokubanzi ekusebenziseni kwisifo sikaCrohn, kodwa abalobi besifundo esithile bafumene ukuba i-elm ehambayo ineempembelelo ezaneleyo zokulwa ne-antioxidant efuna ukuba kwenziwe olunye uphando.Bromelain
I-Bromelain iyi-enzyme efumaneka kwindawo eqhelekileyo: iipinapali. Iimpawu kunye neentsholongwane zeinanimpe ziqulethe le nkunkuma esetyenzisiweyo kwiimeko ezahlukeneyo, kubandakanywa izikhalazo zokugaya, kwaye ivunyiwe ukunyanga i-sinusitis eJamani. Akukho bubungqina bokuxhasa ukusetyenziswa kwayo kwisifo sikaCrohn, njengoko uphando luqala ukuqhutywa, kwaye akukho zifundo kubantu. Olunye uphando lwavavanya umphumo we-bromelain kwii-biopsies ezithathwe kwiikholoni zabantu abane-Crohn's disease kunye ne-ulcerative colitis. Izicubu zekholoni eziphathwe nge-bromelain zazingabakaki abangaphantsi kwe-IBD kunezicubu ezingazange zinyangwe. Kukho ingxelo yecandelo elilodwa lokuba i-bromelain yayiphumelele ekunciphiseni ukuxolelwa kwezigulane ezimbini ezinezilonda zesilonda esingazange ziphendule kwezinye iindlela.Khumbula ukubonisana neqela lakho lokunakekelwa kwezempilo ngaphambi kokuba wenze isigqibo sokuzama nayiphi na isongezelelo sesifo sikaCrohn.
Nokuba "izendalo" zongezelelo zingakwazi ukusebenzisana namayeza okanye kubangele ukuphendula.
Imithombo:
Feagan BG, uSandborn WJ, uMittmann U, et al. "I-Omega-3 I-Fatty Acidty Acids ye-Acids for the Maintenance of Remission kwi-Crohn Disease." I- JAMA Apr 9 2008; 299; 1690-1697. 4 uJuni 2009.
UGerhardt H, uSefert F, uBuvari P, uVogelsang H, u-Rgesti R. "Unyango lwe-Crohn yesifo esisebenzayo kunye ne-Boswellia serrata lukhupha iH 15." Z Gastroenterol Jan 2001; 39: 11-17. 4 uJuni 2009.
Hawkins EB kunye ne-Ehrlich SD. "I-Omega-3 fatty acids." I-University of Maryland Medical Centre 1 Meyi 2007. 4 Juni 2009.
Kane S, iGoldberg MJ. "Ukusetyenziswa kwe-bromelain ngenxa yesifo sezilonda zesilonda esiswini." Ann Intern Med 18 Apr 2000; 132: 680. 5 Juni 2009.
ULangmead L, uDawson C, u-Hawkins C, uBanna N, uLoo S, uRampton DS. "Impembelelo ye-Antioxidant yezilwanyana zonyango ezisetyenziswe zizigulane ezinezifo zesibindi esisifo: isifundo se-vitro." I- Pharmacology & Therapeutics yokutya okungekho mveliso Feb 2002; 16: 197-205. 4 uJuni 2009.
Onken JE, uGerer PK, Calingaert B, Hale LP. "Ukwelashwa kweBromelain kunciphisa ukwenziwa kwemfihlo ye-cytokines kunye ne-chemokines nge-colon biopsies in vitro .." I- Clinun Immunol ngo- 2008: 126: 345-352. 5 Juni 2009.
I-Romano C, i-Cucchiara S, i-Barabino A, i-Annese V, i-Sferlazzas C. "Ukusetyenziswa kwe-omega-3 fatty acid supplementation ngaphezu kwe-mesalazine ekugcineni ukuxolelwa kwisifo sesifo sika-Crohn: isifundo esilawulwa ngokuphindaphindiweyo, esingabonakaliyo. J Gastroenterol 7 Dis 2005; 45; 7118-7121. 4 uJuni 2009.