Waa taageero dheeri ah, sidaa darteed maskaxda ku hayaan
Glucosamine waa cuntada dheeraadka ah ee mararka qaarkood loo isticmaalo si loo yareeyo xanuunka osteoarthritis (OA). Marka aad loo jecel yahay, isticmaalka hadda waa uu sii yaraanayaa sababtoo ah natiijooyin isku dhafan oo ku hareeraysan faa'iidada xaqiiqada ee dheeraadka ah.
Haddii aad qaadatid glucosamine ama aad tixgelisid tijaabo dheeri ah (oo hoos imaanaya daryeelka dhakhtarkaaga, dabcan) halkan waa shan shaybaarka si aad maskaxda ugu hayso:
Tidbit # 1: Glucosamine oo dabiici ah ayaa laga helay Kaarbuurka
Glucosamine waa shay dabiici ah (oo lagu magacaabo sonkorow amma) kaas oo laga helayo kilyaha caafimaad qaba iyo dareeraha synovial , labadaba barkin-baadaada. Osteoarthritis-ka, xajmiga barafka ee ku jira xubnahaaga ayaa ka sii daraya, taas oo keenta xanuun iyo qallaf. Xanuunku wuxuu noqon karaa mid si gaar ah u dhabarjabaya madaama carjawda uu noqdo mid aad u liidata oo lafuhu bilaabaan in ay is xoqaan.
Tidbit # 2: Glucosamine looma saxo daroogo
Dalka Mareykanka, glucosamine waxaa lagu iibiyaa kaalmada cuntada. Tan macnaheedu waxa weeye in ay maamusho Maamulka Mareykanka ee Maamulka Cuntada iyo Maandooriyaha (FDA) sida cuntada cuntada, sida laga soo xigtay daawooyinka rijeetada ah ama daawooyinka la iibsado.
Iyadoo taasi jirto, inkastoo glucosamine uu yahay qayb dabiiciga ah ee kilyaha, macnaheedu ma aha in qaadashada ay tahay mid ammaan ah. Xaqiiqdii, glucosamine waxay bedeli kartaa heerarka sonkorta dhiigga waxayna la macaamili kartaa qaar ka mid ah daawooyinka sida Coumadin-dhiig yari (warfarin).
Sidii had iyo jeer, hubi inaad qaadatid kaliya daroogo, oo ay ku jiraan takoore, oo hoos imaanaya daryeelka dhakhtarkaaga gaarka ah.
Tidbit # 3: Glucosamine ma aha mid wax ku ool ah osteoarthritis
Inkastoo baaritaannada cilmi-baarista ee unugyada kilyiyadu ay ogaadeen in glucosamine uu kobcin karo dib-u-kacaawinta oo uu xakameynayo geeddi-socodka caabuqa ee keena waxyeellada jilicsanaanta, xogtan shaybaadhka ah laguma turjumin lacagaha bukaan-socodka.
Daraasadii ugu horreysay ee Maraykanku baadhay saamaynta gaaban ee glucosamine (jilibka osteoarthritis) waxaa lagu magacaabay tijaabada GAIT (Maxkamada Glucosamine Arthritis Intervention Trial).
GAIT, in ka badan 1500 oo ka mid ah ka qaybgalayaasha qaba osteoarthritis jilicsan ayaa loo xilsaaray mid ka mid ah shan kooxood oo daaweyn ah:
- Glucosamine at 500mg saddex jeer maalintii (wadarta 1500mg maalintii)
- Chondroitin sulfate (sidoo kale cuntada dheeraadka ah iyo walxaha dabiiciga ah ee kilyaha) 400mg saddex jeer maalintii (1200mg maalintii)
- Glucosamine iyo chondroitin sulfate oo isku dhafan
- Celecoxib (anti-inflammatory nonsteroidal, ama NSAID) 200mg maalin kasta
- Kombiyuutar (maaddo aan firfircoonayn)
Natiijooyinka ka soo baxay Daraasada GAIT waxay muujisay in kaqeybgalayaashu ay qaadeen NSAID celecoxib waxay la kulmeen xanuun halis ah oo la xariira xannibaadda.
Ma jiraan farqi weyn oo u dhexeeya daaweynaha kale ee la baaray iyo placebo.
In kastoo, qaar ka mid ah daraasaddaha ka qaybqaadashada xanuunka dhexdhexaadka ah, glucosamine oo lagu daro chondroitin sulfate ayaa bixisay xanuun yar oo xanuun ah marka la barbar dhigo placebo. Cilmi-baadhayaasha daraasaddan, si kastaba ha ahaatee, waxay sheegeen in sababta oo ah qiyaasta kooxdani ay aad u yartahay, raadintaan waa in loo tixgeliyaa hordhac waxaana loo baahan yahay in lagu xaqiijiyo daraasadaha cilmi-baarista mustaqbalka.
Ka qaybgalayaasha oo qaba jilibka fudud (oo ka soo horjeeda mid dhexdhexaad ah ama daran) glucosamine iyo chondroitin sulfate wada ama keligiis ma bixinin xanuun yar oo xanuun.
Tidbit # 4: Waxaa jira Labo nooc oo Glucosamine ah
Waxaa muhiim ah in la ogaado in glucosamine la siin karo laba nooc oo kala duwan oo milix ah, hydrochloride ama sulfate. Daraasada GAIT (kor ku xusan) waxay isticmaashey glucosamine hydrochloride. Waxaa xiiso leh, daraasado muujiyay qaar ka mid ah suurtogalka, inkastoo la isticmaalay glukosamine sulfate si loo daaweeyo osteoarthritis halkii laga heli lahaa glucosamine hydrochloride.
Tusaale ahaan, daraasad ballaadhan oo ka soo baxday "Journal of International Practice of Practice for Clinical Practitioners" ayaa lagu falanqeeyay in ka badan 3000 oo bukaan ah oo qaba jooniska osteoarthritis 19 tijaabo oo kala duwan.
Qorayaasha daraasaddan waxay ku dhameeyeen in glucosamine hydrochloride aysan faa'iido u lahayn yareynta xanuunka (sida tijaabada GAIT).
Si kastaba ha noqotee, qiyaaso badan oo glucosamine sulfate ah (1500mg maalintii) ayaa laga yaabaa inay yeeshaan saameyno wax-beddelaya marka la qaado muddo ka badan 6 bilood. Dhibaatooyinka wax ka beddelidda micnaheedu waa in suufka glucosamine uu hagaajin karo awooda qofka inuu isticmaalo jilibka (ama jilibka) leh osteoarthritis.
Tidbit # 5: Waa maxay Kulliyadda Mareykanka ee Rheumatology ee ku saabsan Glucosamine
Marka loo eego Kulliyadda Maraykanka ee Rheumatology, ama ACR, dadka qaba jooniska osteoarthritis ma isticmaalaan glucosamine. Hase yeeshee, taladan ayaa la sameeyey "xaalad ahaan," marka ACR aqoonsato in isticmaalka glucosamine uu wali muran ka jiro.
Taa bedelkeeda, ACR ayaa ku talinaysa soo socda talaalka jilibka OA:
- Tylenol (acetaminophen)
- NSAIDs (ama afka ama maqaarkaaga)
- Ultram (Tramadol)
- Corticosteroid cirbadeynta meel bannaan
Ereyga
Inkastoo ballanka glucosamine ee daaweynta kale ee loo yaqaan 'osteoarthritis jilicsan' aan si sax ah loo xannibin, dadka qaarkiis ayaa wali qaata oo waxay u shaqeeyaan iyaga.
Ugu danbeyn, iyadoon loo eegin qorshahaaga daaweynta ee loogu talagalay osteoarthritis jilibka, waa muhiim in la arko dhakhtarkaaga si joogto ah. Sidan ayaad u beddeli kartaa daaweyntaada sida caafimaadkaaga wadajirka ah iyo horumarinta.
> Ilo:
> Hochberg MC et al. American College of Rheumatology 2012 talooyin loogu talagalay isticmaalka daawooyinka aan dawaha lahayn iyo daawooyinka fayo-dhowrka ee osteoarthritis gacanta, sinta, iyo jilibka. Arthritis Care Res (Hoboken) . 2012 Apr; 64 (4): 465-74.
> Jerosch J. Saameynta glucosamine iyo chrondroitin sulfate on dheef-shiid kiimikaad ee OA: Muuqaal kale oo la-wadaago nafaqooyinka kale gaar ahaan omega-3 dufan ah. Int J Rheumatol . 2011; 2011: 969012.
> Xarunta Qaranka ee Dhammaystirka iyo Isdhexgalka Caafimaadka. (2014). Glucosamine iyo Chondroitin loogu talagalay Osteoarthritis.
Waxyaabaha loo yaqaan 'Wu D', Huang Y, Gu Y, Fan Y. Waxyaabaha loo yaqaan 'glucosamine' ee udubdhexaadka ah ee loogu talagalay daaweynta osteoarthritis: falanqaynta macaamiisha ee la kala soocay, laba-indhoole, tijaabooyin xakameynaya xakamaynta. Imtixaanka Int. 2014 Jun; 67 (6): 585-94.