Cayenne (capsicum frutescens) Sangano reUS Food and Drug Administration (FDA) rakabvumidza kushandiswa kwemafuta ekuzora, mafuta ekuzora, uye mafuta ekuzora anogadzirwa ne capsaicin (kana kuti capsicin), mukomboni unoshanda uri mucayenne, kubvisa marwadzo anokonzerwa ne.Osteoarthritis. Kurudziro dzepasi rose dzinokurudzira kushandiswa kwenzvimbo kwe capsaicin⁵, kunyanya kune osteoarthritis yemabvi.

Dosage

Isa kunzvimbo dzakakanganiswa, kusvika ka4 pazuva, kirimu, lotion kana mafuta ane 0,025% kusvika 0,075% capsaicin. Zvinowanzotora kusvika kumazuva gumi nemana ekurapwa kusati kwanzwika. Ngwarira, kunzwa kunopisa kunogona kunzwika panguva yekushandiswa.

Glucosamine

Glucosamine inoita basa rakakosha mukuchengetedza kuvimbika kwecartilage yevose Hudyu. Muviri unougadzira zvawo. Iyo yakawanda yakawanda yezvidzidzo yakaitwa ne glucosamine sulfates.

 Bvisa marwadzo emajoini (zvinyoro kana zvine mwero osteoarthritis). Pasinei nekukakavadzana, tsvakurudzo yakawanda kusvika nhasi inoratidza kuti glucosamine inobvisa, zvishoma zvishoma, zviratidzo zveosteoarthritis yakapfava kana ine mwero (ona peji redu rechokwadi reglucosamine). Zvizhinji zvezvidzidzo zvakatarisana nazvomabvi osteoarthritis, vamwe pahip osteoarthritis.

 Kuderedza kufambira mberi kweosteoarthritis. Mhedziso ye2 yenguva refu yekiriniki miedzo (3 makore ega ega, 414 zvidzidzo mune zvese)^13-16 zvinoratidza kuti chiito cheglucosamine, kunze kwemigumisiro yezviratidzo, inogona kubatsira kuderedza kufambira mberi kwechirwere. Kubatsira pane NSAIDs, iyo inowanzo mhanyisa kufambira mberi kweosteoarthritis.

Dosage, Tora 1 mg se glucosamine sulfates, mune imwe kana kupfuura doses, paunenge uchidya. Bvumira mavhiki maviri kusvika matanhatu ekuwedzera kuratidza mhedzisiro yawo.

 Chondroitin. Kufanana neglucosamine, chondroitin chinhu chakakosha che shwashwa uye inogadzirwa nemuviri. Zvizhinji zvezvidzidzo zvakaitwa neyakacheneswa patent zvigadzirwa (Condrosulf®, Structum®, semuenzaniso). Mazhinji meta-kuongorora, ongororo uye miedzo yekiriniki inogumisa kuti inoshanda kune kununura zviratidzo nyoro kusvika pakati nepakati osteoarthritis uye kunonotsa kushanduka kwayo. Sezvakaita glucosamine, iyi inobatsira pane NSAIDs, iyo inowanzoita kukurumidza kufambira mberi kwe osteoarthritis. Chondroitin zvakare inyaya yeimwe gakava. Tarisa faira redu reChondroitin kuti udzidze zvakawanda nezvezvidzidzo zvakaitwa uye sarudzo pakati peglucosamine nechondroitin.

Dosage

Tora 800 mg kusvika 1 mg pazuva re chondroitin, mune imwe kana kupfuura doses. Zvinotora 200 kusvika kumavhiki maviri kuti mugumisiro uzere unzwike.

 chete. SAMe (yeS-Adenosyl-L-Methionine) inogadzirwa nemuviri kubva kumapuroteni ari muchikafu. Inoshandiswa sekuwedzera, yakaratidza kurapa osteoarthritis²⁷. Mhedzisiro yezvidzidzo yakaratidza kuti yakashanda seyakajairwa anti-inflammatory drugs pasina kuve nemhedzisiro uye kuve yakachengeteka.^28-31 .

Nekudaro, meta-analysis yakabudiswa muna 2009 inounza pasi kushanda uye kuchengetedzeka kweS-adenosylmethionine. Maererano nevanyori varo, zvidzidzo zvakawanda zvine maitiro ekushaya simba uye nhamba isina kukwana yevatori vechikamu. Vanogumisa kuti analgesic effect yeSAMe (1 mg pazuva) ine mwero⁸⁰.

Dosage

Tora 400 mg 3 kanomwe pazuva kwemavhiki e3 wozoderedza chiyero chezuva nezuva kusvika 200 mg 2 kanomwe pazuva.

taura pfungwa

Kunyangwe zvingatora mazuva mashoma kuratidza mabhenefiti, zvinogona kutora kusvika kumasvondo mashanu kuti kurapwa kuite zvizere. Bvunza yedu SAMe faira kuti uwane rumwe ruzivo.

 Dhiyabhorosi nzwara (Harpagophytum inotonga) Devil's claw mudzi wakaratidzwa kuderedza kuzvimba. Pasinei nekusagutsikana pamusoro pemaitiro ezvimwe zvidzidzo⁷⁹, mhedzisiro yemakiriniki akati wandei, ine kana isina boka re placebo, inoratidza kuti dhiyabhorosi claw mudzi anogona kuvandudza kufamba uye zvakanyanya kuderedza marwadzo.^{35, 36,81-83}.

Dosage

Dosages inogona kusiyana zvichienderana nerudzi rwekubvisa. Tevera mirairo yemugadziri. Inokurudzirwa kutevera kurapwa kweinenge 2 kana 3 mwedzi kuitira kuti utore mukana wakazara wemhedzisiro yayo.

 Phytodolor®. Uyu mushonga wemakwenzi wakamisikidzwa, unotengeswa kuEurope setincture inotorwa mukati, ine inodedera aspen (vanhu), madota eEurope (Fraxinus excelsior) uye goldenrod (Solidago virgaurea) nechiyero che3: 1: 1. Ichi chigadzirwa chingave chakanyanya kushanda kupfuura placebo mukuderedza marwadzo, kuwedzera kufamba uye kuderedza kushandiswa kweasiri-steroidal anti-inflammatory drugs.^32-34 .

 Acupuncture. Miedzo yakawanda yemakiriniki yakaongorora kushanda kweacupuncture pamarwadzo ane chokuita neosteoarthritis. Meta-analysis yakabudiswa muna 2007 uye inosanganisira vanhu vanopfuura 1 vakagumisa kuti acupuncture inogona kuderedza marwadzo nekuremara kwakabatana neosteoarthritis.⁵⁹. Nekudaro, mimwe miedzo yakaratidza kuti sham acupuncture inogonawo kushanda. Zvakadaro, kurudziro dzepasirese nezve manejimendi e osteoarthritis yemabvi uye hudyu⁵ ziva acupuncture sechishandiso chingangoshanda chekunyaradza marwadzo.

 Hydrotherapy. Migumisiro yemakiriniki akasiyana-siyana miedzo inoratidza kuti kurapwa kwehydrotherapy nenzira dzakasiyana-siyana (spa, mabhati achishandisa marudzi akasiyana-siyana emvura, nezvimwewo) zvinogona kuvandudza hupenyu hwevanhu vane osteoarthritis, nekuwedzera mararamiro ekufamba. uye kuderedza marwadzo^49-54 . Ongororo yakarongeka yakabudiswa muna 2009, kuunganidza miedzo 9 uye varwere vanoda kusvika mazana mashanu, inogumisa kuti balneotherapy inoshanda munguva pfupi uye kwenguva refu pamarwadzo ane chokuita neosteoarthritis yemabvi.⁴⁵.

 Homeopathy. Zvidzidzo zvishoma zvakaburitswa pamusoro pekubudirira kwehomeopathy mukuderedza marwadzo uye zviratidzo zveosteoarthritis. Vanyori vekuongorora kwakarongeka vanotenda kuti homeopathy inogona kuve mushonga unobatsira weosteoarthritis asi kuti zvimwe zvidzidzo zvinodikanwa kuve nechokwadi.⁴⁸. Ona peji reHomeopathy.

 Avocado uye soya unsaponifiables. Zvinhu zvakatorwa kubva kune avocado uye soy - chikamu chisingawaniki chemafuta avo - chinogona kubatsira kune vanhu vane osteoarthritis yemabvi kana hip. Kubva pane 4 zvidzidzo zvekiriniki ne placebo^37-41 , zvinhu izvi zvinobatsira kuvandudza kushanda kwemajoini uye kuderedza marwadzo uye kudiwa kwemishonga inorwisa-kupisa, pasina migumisiro. Parizvino, avocado nesoya unsaponifiables zvinotengeswa muFrance asi kwete muCanada.

 Magnetotherapy. Ongororo dzinoverengeka dzakaongorora mhedzisiro yemagnetotherapy, inoshandiswa uchishandisa static magineti kana michina inoburitsa magetsi emagetsi (EMF), mukurapa osteoarthritis uye kunyanya iyo yemabvi.^65-68 . Magnetotherapy inogona kuderedza marwadzo nenzira ine mwero. Muna 2009, ongororo yaisanganisira zvidzidzo 9 uye varwere 483 vane osteoarthritis yemabvi vakagumisa kuti magnetotherapy yaive nzira inofadza yekuwedzera yekuvandudza. kugona kushanda uye kufambisa mabasa mazuva ose⁵⁸.

 Leches. Chidzidzo chekutyaira⁵⁵ uye 2 randomized kliniki miedzo^{56, 57} yakaitwa kuGermany inoratidza kuti kushandisa leeches kumabvi ane osteoarthritis kunogona kuderedza marwadzo, kuoma kwekurwisa uye kuderedza zvimwe zviratidzo. Leeches yagara ichishandiswa mukurapa marwadzo kubva kuAntiquity uye ndokuzosiiwa pakati pezana ramakore rechi XNUMX.^e zana remakore. Nekudaro, vachiri kushandiswa mumishonga yechivanhu muAsia, Africa uye nyika dzeArab.

 Muchena willow (salix alba) Makwati ewillow anotora makwati anonzi anoshanda kupfuura placebo mukuderedza marwadzo emajoini anokonzerwa neosteoarthritis. Zvisinei, mukuedzwa kwevatori vechikamu 127 vane osteoarthritis yebvi kana hip, zvinyorwa izvi zvakanga zvisinganyanyi kushanda pane anti-inflammatory drug (diclofenac).⁷⁴.

 Yoga. Mhedzisiro kubva kumakiriniki ekuyedzwa muzvidzidzo zvine hutano uye vanhu vane akasiyana musculoskeletal kusagadzikana^{69, 70} ratidza kuti kuita kweyoga kunogona kubatsira kuvandudza akati wandei emamiriro ezvinhu aya, kusanganisira osteoarthritis yemaoko⁷¹ nemabvi⁷² uye rheumatoid arthritis⁷³.

 Transcutaneous magetsi stimulation (TENS). Iyi nzira inoshandisa mudziyo unogadzira magetsi ekushomeka kwakaderera, anoendeswa kutsinga nema electrode akaiswa paganda. Ongororo yezvidzidzo yakabudiswa muna 2000 yakaratidza kuti transcutaneous magetsi neurostimulation inogona kutungamirira kumarwadzo akaderedzwa mumabvi osteoarthritis.⁴⁴. Zvisinei, muna 2009, imwe update yakabudiswa neboka rimwe chete revatsvakurudzi, kusanganisira miedzo mitsva, yakagumisa kuti kushanda kwemaitiro aya hakugone kusimbiswa kune osteoarthritis yemabvi.⁴⁷.

 Bore. Epidemiological data inoratidza kuti munzvimbo dzinotora boron 1 mg kana zvishoma pazuva, kuwanda kwematambudziko eArthritis kwakakwira zvakanyanya (20% kusvika 70%) pane munzvimbo dzinotorwa zuva nezuva pakati pe3 mg ne10 mg pazuva. 0% kusvika 10%)³. Imwe kiriniki yekudzidza kubva ku1990 uye inosanganisira zvidzidzo zve20 yakabudiswa pamusoro pemigumisiro ye boron pane osteoarthritis: vatori vechikamu vakaona kuvandudzwa kuduku mumamiriro avo ezvinhu mushure mekutora 6 mg pazuva re boron, kwemavhiki masere.⁴.

 Boswellie (Boswellia serrata) Boswellia, ine anti-inflammatory properties yakaratidzwa mu vitro uye mumhuka, inogona kubatsira mukurapa osteoarthritis. Zvechokwadi, zvidzidzo zvakawanda zvevarwere vane osteoarthritis yemabvi zvakaratidza migumisiro yakanaka.^42,43,61. Nekudaro, pachine mashoma data ekukurudzira dosage.

 Collagen. Collagen inovimbisa kubatana, elasticity uye kuvandudzwa kwematishu akati wandei (tendon, connective tissues, ligaments, etc.). Zvidzidzo zvakaongorora kushanda kwe collagen supplements yekubvisa osteoarthritis hazvina kupedzisa.^75-77 . Kunyanya kutsvagurudza kwakawana zororo zvishoma⁷⁸. In vitro data inoratidza kuti kutora zvakadai zvinogona kubatsira iyo yakakanganisika yejoint nekukurudzira kugadzirwa kwe collagen.

Notes. Vazhinji vaongorori vakashandisa dosage ye10 g ye collagen hydrolyzate pazuva. Iwo anotengeswa capsules uye mahwendefa pane kupa 1g kusvika 2g pazuva.

 Tai Chi. Muedzo wekiriniki wakaitwa pavakadzi makumi mana nevatatu vanopfuura makumi mashanu neshanu vane osteoarthritis⁶³. Vaiita tai chi vhiki nevhiki kwemavhiki e12, kana kuti vaiva chikamu cheboka rekutonga. Pakave nekuchinja kwakanaka mukuona kwekutambudzika, kuoma kwekubatana, kuenzana uye simba remasumbu emimba muvakadzi vanoita tai chi. Zvinoenderana nekuongorora kwakarongeka kwakabudiswa muna 2008, mhedzisiro yacho inovimbisa asi mimwe miedzo yekiriniki ichadikanwa kuratidza kushanda kwe tai chi.⁶⁰.

 Cassis (blackcurrant) ESCOP inocherekedza kushandiswa kwemishonga kweblackcurrant mashizha (psn) semushonga wekurapa werheumatic kusagadzikana. Sangano rakaona nhamba yakati wandei yezvidzidzo in vivo kuratidza maitiro e-anti-inflammatory properties emashizha kuti azive zviri pamutemo kushandiswa uku kwakasimbiswa netsika.

Dosage

Simbisa 5 g kusvika 12 g yemashizha akaomeswa mu 250 ml yemvura inopisa kwemaminitsi gumi nemashanu. Tora makapu maviri pazuva reiyo infusion, kana tora 15 ml yemvura inobvisa (2: 5), 1 kanomwe pazuva, usati wadya.

 Zvidyarwa zvakasiyana-siyana zvakashandiswa tsika kurapa vanhu vane osteoarthritis: turmeric (psn) (Curcuma longa), ginger rhizomes (psn) (Zinziber officinalis) uye feverfew (tanacetum parthenium).

 Massage Therapy. Massotherapy zvikamu zvinobatsira kumamiriro ehutano hwese uye kune mhasuru uye kuzorora kwekutya. Inokurudzirawo kutenderera kweropa uye lymphatic. Ichi ndicho chikonzero dzimwe nyanzvi dzinokurudzira kushandiswa kwayo nevanhu vane osteoarthritis⁶⁴.