Zilonda ndi zilonda zomwe zimatha kufalikira mbali zosiyanasiyana za thupi.
Zilonda zam'mimba, kapena zilonda zam'mimba, zimayamba kufalikira m'mimba. Ndizofala kwambiri ndipo zimakhudza pakati pa 2,4 ndi 6,1% ya anthu (1).
Zinthu zosiyanasiyana zomwe zimasokoneza kukhazikika kwa m'mimba mwanu zingayambitse izi. Chofala kwambiri ndi matenda oyambitsidwa ndi Helicobacter pylori mabakiteriya (2).
Zinthu zina zofala kwambiri ndi kupsinjika maganizo, kusuta fodya, kumwa mowa mwauchidakwa, ndi kumwa mopitirira muyeso mankhwala oletsa kutupa, monga aspirin ndi ibuprofen.
Mankhwala ochiritsira ochiritsira zilonda nthawi zambiri amadalira mankhwala omwe angayambitse mavuto monga kupweteka kwa mutu ndi kutsekula m'mimba.
Pachifukwachi, chidwi cha mankhwala ochiritsira chinapitirira kukula ndipo chalimbikitsidwa ndi onse ogwira ntchito zachipatala ndi odwala zilonda.
Nkhaniyi yatchula mankhwala 9 omwe amathandizidwa ndi sayansi.
Zamkatimu
1. Madzi a kabichi
Kabichi ndi mankhwala otchuka achilengedwe a zilonda. Madokotala akuti adagwiritsa ntchito zaka makumi angapo maantibayotiki asanapezeke kuti athe kuchiza zilonda zam'mimba.
Lili ndi vitamini C wambiri, antioxidant yomwe imathandiza kupewa ndi kuchiza H. pylori matenda. Matendawa ndi omwe amayambitsa zilonda zam'mimba (3, 4, 5).
M'malo mwake, maphunziro angapo a nyama awonetsa kuti madzi a kabichi ndi othandiza pochiza komanso kupewa zilonda zam'mimba, kuphatikiza zomwe zimakhudza m'mimba (6, 7, 8).
Mwa anthu, kafukufuku woyambirira adawonetsa kuti kumwa madzi atsopano a kabichi tsiku lililonse kumawoneka kuti kumathandiza kuchiza zilonda zam'mimba bwino kuposa mankhwala omwe ankagwiritsidwa ntchito panthawiyo.
Mu kafukufuku wina, anthu 13 omwe anali ndi zilonda zam'mimba ndi zam'mimba adapatsidwa pafupifupi kotala (946 ml) ya madzi atsopano a kabichi tsiku lonse.
Pafupifupi, zilonda za otenga nawo mbali zidachira pambuyo pa masiku 7 mpaka 10 akulandira chithandizo. Nthawiyi ndi 3,5 mpaka 6 mofulumira kuposa nthawi ya machiritso yomwe inafotokozedwa m'maphunziro apitalo mwa omwe adalandira chithandizo chamankhwala (9).
Pakafukufuku wina, madzi a kabichi atsopano omwewo adaperekedwa kwa anthu 100 omwe anali ndi zilonda zam'mimba, omwe ambiri mwa iwo adalandirapo chithandizo chamankhwala osapambana. 81% analibenso zizindikiro mkati mwa sabata (10).
Komabe, ofufuza sanazindikire kuti ndi mankhwala ati omwe amalimbikitsa kuchira ndipo palibe maphunziro aposachedwa omwe angadziwike.
Kuonjezera apo, palibe maphunziro oyambirirawa omwe anali ndi placebo yokwanira, zomwe zimapangitsa kuti zikhale zovuta kudziwa kuti madzi a kabichi ndi omwe amachititsa zotsatira zake.
Chidule cha nkhaniyi: Madzi a kabichi ali ndi mankhwala omwe angathandize kupewa ndi kuchiza zilonda zam'mimba. Kabichi alinso ndi vitamini C wochuluka, yemwe amawoneka kuti ali ndi chitetezo chofanana.
2. Licorice
Licorice ndi zonunkhira zochokera ku Asia ndi dera la Mediterranean.
Zimachokera ku muzu wouma wa Glycyrrhiza glabra chomera ndipo ndi mankhwala azitsamba otchuka omwe amagwiritsidwa ntchito kuchiza matenda ambiri.
Kafukufuku wina akuwonetsa kuti muzu wa licorice ukhoza kukhala ndi zodzitetezera ku zilonda.
Mwachitsanzo, licorice imatha kulimbikitsa m'mimba ndi matumbo kupanga ntchofu zambiri, zomwe zimathandiza kuteteza matumbo. Kutulutsa kowonjezerako kungathandizenso kufulumizitsa kuchira komanso kuchepetsa ululu wokhudzana ndi zilonda (11).
Ofufuza adanenanso kuti mankhwala ena omwe amapezeka mu licorice amatha kulepheretsa kukula kwa H. pylori. Komabe, kafukufuku nthawi zambiri amatengera kugwiritsa ntchito mankhwalawa mu mawonekedwe owonjezera (12, 13).
Chifukwa chake, sitikudziwa kuti muzu wouma wa licorice uyenera kudyedwa bwanji kuti ukhale ndi zopindulitsa zomwezo.
Mizu ya licorice yowuma sayenera kusokonezedwa ndi maswiti a licorice kapena maswiti. Maswiti a licorice sangathe kutulutsa zotsatira zomwezo ndipo nthawi zambiri amakhala ndi shuga wambiri.
Kuphatikiza apo, ndi maphunziro ena omwe akuwonetsa kuti palibe zotsatirapo, kugwiritsa ntchito licorice ngati zilonda zam'mimba sikungagwire ntchito nthawi zonse (14).
Licorice imathanso kusokoneza mankhwala ena ndikuyambitsa zotsatira zoyipa, monga kupweteka kwa minofu kapena dzanzi m'malekezero. Lingalirani kukaonana ndi dokotala wanu musanawonjezere licorice muzakudya zanu.
Chidule cha nkhaniyi: Licorice amatha kuteteza ndi kulimbana ndi zilonda mwa anthu ena.
3. uchi
Uchi ndi chakudya chokhala ndi antioxidant chokhudzana ndi thanzi labwino. Izi zikuphatikiza kukhala ndi thanzi lamaso komanso kuchepetsa chiopsezo cha matenda amtima, sitiroko, komanso mitundu ina ya khansa (15).
Uchi umawonekanso kuti umalepheretsa mapangidwe ndikulimbikitsa kuchiritsa mabala ambiri, kuphatikizapo zilonda zam'mimba (16).
Kuonjezera apo, asayansi amakhulupirira kuti uchi wa antibacterial properties ungathandize kulimbana H. pylori, chimodzi mwa zifukwa zofala za zilonda zam’mimba (17, 18).
Maphunziro angapo a zinyama amatsimikizira mphamvu ya uchi yochepetsera chiopsezo chokhala ndi zilonda zam'mimba, komanso nthawi ya machiritso. Komabe, maphunziro aumunthu amafunikira (19, 20, 21, 22).
Chidule cha nkhaniyi: Kudya uchi nthawi zonse kungathandize kupewa zilonda, makamaka zomwe zimayambitsa H. pylori matenda.
4. adyo
Garlic ndi chakudya china chokhala ndi antimicrobial ndi antibacterial properties.
Kafukufuku wa zinyama awonetsa kuti zowonjezera za adyo zimatha kufulumizitsa machiritso a zilonda komanso kuchepetsa mwayi wawo wotukuka (6, 23, 24).
Kuphatikiza apo, kafukufuku wa labotale, nyama, ndi anthu onse akuwonetsa kuti zotulutsa adyo zingathandize kupewa H. pylori kukula - chimodzi mwa zifukwa zomwe zimayambitsa zilonda (25).
Pakafukufuku waposachedwa, kudya ma clove awiri a adyo yaiwisi patsiku kwa masiku atatu kunachepetsa kwambiri ntchito ya mabakiteriya m'matumbo am'mimba mwa odwala omwe akudwala. H.pylori matenda (26).
Komabe, si maphunziro onse omwe adatha kubwereza zotsatira izi ndipo zambiri zimafunikira kuti ziganizo zamphamvu zisamaganizidwe (27).
Chidule cha nkhaniyi: Garlic ali ndi antimicrobial komanso antibacterial properties zomwe zingathandize kupewa ndi kuchiza zilonda mofulumira. Komabe, kufufuza kwina n’kofunika.
5. Chipatso
Turmeric ndi zonunkhira zaku South Asia zomwe zimagwiritsidwa ntchito muzakudya zambiri zaku India. Imazindikirika mosavuta ndi mtundu wake wolemera wachikasu.
Curcumin, chomwe chimagwira ntchito mu turmeric, chimatchedwa kuti mankhwala.
Izi zimachokera ku kusintha kwa mitsempha ya magazi mpaka kuchepetsa chiopsezo cha kutupa ndi matenda a mtima (28, 29, 30).
Kuonjezera apo, mphamvu yotsutsa chilonda ya curcumin yaphunziridwa posachedwapa mu zinyama.
Zikuoneka kuti zili ndi mphamvu zochizira kwambiri, makamaka pofuna kupewa kuwonongeka kobwera chifukwa cha zimenezi H. pylori matenda. Itha kuthandiziranso kuchulukitsa katulutsidwe ka ntchofu, kuteteza bwino m'mimba kuti zisakhumudwitse (31).
Maphunziro ochepa apangidwa mwa anthu. Kafukufuku wina adapatsa anthu 25 600 mg wa turmeric kasanu patsiku.
Patatha milungu inayi, zilondazo zidachira mwa 48% mwa omwe adatenga nawo mbali. Pambuyo pa masabata khumi ndi awiri, 76% ya omwe adatenga nawo mbali analibe zilonda (32).
Nthawi ina, anthu omwe adayezetsa H. pylori anapatsidwa 500 mg wa turmeric kanayi pa tsiku.
Pambuyo pa milungu inayi ya chithandizo, 63% ya omwe adatenga nawo mbali adakhala opanda zilonda. Pambuyo pa masabata asanu ndi atatu, ndalamazi zidakwera kufika 87% (33).
Izi zati, palibe maphunzirowa omwe adagwiritsa ntchito mankhwala a placebo, zomwe zimapangitsa kuti zikhale zovuta kudziwa ngati turmeric ndiyomwe imayambitsa zilonda za zilonda za otenga nawo mbali. Motero, kufufuza kowonjezereka kumafunika.
Chidule cha nkhaniyi: Curcumin, yomwe imagwira ntchito mu turmeric, imatha kuteteza m'mimba ndikuchiritsa zilonda. Komabe, kafukufuku wochulukirapo akufunika, makamaka mwa anthu.
6. putty
Mastic ndi utomoni wotengedwa kuchokera Pistacia lentiscus mtengo, womwe umatchedwa kwambiri mtengo wa mastic.
Mayina ena odziwika bwino a mastic ndi monga chingamu arabic, chingamu cha ku Yemen, ndi misozi ya Chios.
Mtengo wa mastic nthawi zambiri umamera m'dera la Mediterranean ndipo utomoni wake ukhoza kuumitsa m'zidutswa za utomoni wosalimba.
Akatafunidwa, utomoni umenewu umafewetsa kukhala chingamu choyera, chosaoneka bwino komanso chokoma cha paini.
Mastic akhala akugwiritsidwa ntchito ngati mankhwala akale pochiza matenda osiyanasiyana am'mimba, kuphatikiza zilonda zam'mimba ndi matenda a Crohn's (34, 35).
Posachedwapa, kafukufuku wa zinyama awonetsa kuti ikhoza kukhala mankhwala amphamvu achilengedwe a zilonda zam'mimba (36).
Kuonjezera apo, kafukufuku wa anthu 38 omwe ali ndi zilonda zam'mimba adawonetsa kuti kumwa 1 gramu ya putty tsiku lililonse kumachepetsa 30% ya zizindikiro zokhudzana ndi zilonda kuposa placebo.
Pamapeto pa kafukufuku wa milungu iwiri, zilonda zidachiritsidwa mu 70% ya omwe adatenga nawo gawo mu gulu la putty, poyerekeza ndi 22% yokha ya omwe ali mgulu la placebo (37).
Putty ikuwoneka kuti ili ndi antibacterial zochita motsutsana H. pylori komanso.
Mu kafukufuku waposachedwapa, kutenga 350 mg wa kutafuna chingamu katatu pa tsiku kwa masiku 14 kunathetsedwa. H. pylori matenda 7 mpaka 15% mogwira mtima kuposa mankhwala ochiritsira (38).
Ngakhale kuti izi sizinawonekere ponseponse m'maphunziro onse, kumwa kwa nthawi yayitali kwa putty kumawonedwa ngati kotetezeka. Chifukwa chake, kungakhale koyenera kudziyesa nokha (39).
Mastic amatha kupezeka m'masitolo ambiri azaumoyo ngati chingamu kapena ufa wowonjezera.
Chidule cha nkhaniyi: Putty ndi mankhwala achikhalidwe othana ndi zilonda zomwe zingathandize kuchepetsa zizindikiro ndikuchira msanga. Amaonedwa kuti ndi otetezeka, koma zotsatira zake zimasiyana munthu ndi munthu.
7. tsabola
Anthu omwe ali ndi zilonda zam'mimba amakhulupirira kuti kudya kwambiri tsabola wotentha kwambiri kungayambitse zilonda zam'mimba.
M'malo mwake, anthu omwe ali ndi zilonda zam'mimba nthawi zambiri amalangizidwa kuti achepetse kudya kwawo kapena kuwapewa.
Komabe, kafukufuku waposachedwapa wasonyeza kuti tsabolazi ndizokayikitsa kuti zingayambitse zilonda ndipo zingathandizedi kuchotsa.
Izi ndichifukwa choti tsabola imakhala ndi capsaicin, chinthu chogwira ntchito chomwe chimawoneka kuti chimachepetsa kupanga kwa asidi m'mimba ndikuwongolera kutuluka kwa magazi kupita kumimba. Zinthu zonsezi zimaganiziridwa kuti zimathandiza kupewa kapena kuchiza zilonda (40).
Capsaicin yomwe imapezeka mu tsabola imathanso kuthandizira kuchulukitsa kachulukidwe ka ntchofu, komwe kumatha kuvala m'mimba ndikuteteza kuvulala (41).
Ambiri, ngakhale si onse, maphunziro a zinyama amasonyeza zotsatira zopindulitsa. Komabe, maphunziro ochepa a anthu angapezeke (42, 43, 44).
Dziwaninso kuti maphunziro a nyama omwe ali pamwambawa adagwiritsa ntchito capsaicin zowonjezera m'malo mwa tsabola wotentha. Pakafukufuku m'modzi, zowonjezera zotere zidapangitsa kuti m'mimba mumve kupweteka kwambiri mwa anthu ena (45).
Choncho, zingakhale bwino kumamatira ku chakudya chathunthu ndikusintha madyedwe anu potengera kulolera kwanu.
Chidule cha nkhaniyi: Mosiyana ndi zimene anthu ambiri amakhulupirira, kumwa tsabola wotentha nthawi zonse kungathandize kuti zilondazo zisamadwale komanso mwinanso kuchira bwino. Komabe, maphunziro owonjezera amafunikira, makamaka mwa anthu.
8. Aloe Vera
Aloe Vera ndi chomera chomwe chimagwiritsidwa ntchito kwambiri m'mafakitale odzola, mankhwala ndi zakudya. Amadziwika kwambiri chifukwa cha antibacterial ndi machiritso.
Chosangalatsa ndichakuti, aloe vera amathanso kukhala chothandizira zilonda zam'mimba (46, 47, 48, 49).
Mu kafukufuku wina, kudya aloe vera kunachepetsa kwambiri kuchuluka kwa asidi am'mimba opangidwa ndi makoswe okhala ndi zilonda zam'mimba (50).
Mu kafukufuku wina wa makoswe, aloe vera anali ndi zotsatira zochiritsa zilonda zofananira ndi za omeprazole, mankhwala wamba oletsa zilonda (47).
Komabe, kafukufuku wochepa wachitika mwa anthu. Mwa chimodzi, chakumwa chokhazikika cha aloe vera chidagwiritsidwa ntchito bwino pochiza odwala 12 omwe ali ndi zilonda zam'mimba (51).
Mu kafukufuku wina, kumwa maantibayotiki pa 1,4 mg/paundi (3 mg/kg) wa aloe vera tsiku lililonse kwa masabata asanu ndi limodzi kunapezeka kuti n’kothandiza ngati kuchiza zilonda zam’mimba ndi kuchepetsa. H. pylori mlingo (52).
Kugwiritsa ntchito aloe vera nthawi zambiri kumawoneka ngati kotetezeka ndipo maphunziro omwe ali pamwambapa akuwonetsa zotsatira zabwino. Komabe, maphunziro ochulukirapo mwa anthu akufunika.
Chidule cha nkhaniyi: Aloe Vera akhoza kukhala mankhwala osavuta komanso ololedwa bwino a zilonda zam'mimba. Komabe, pakufunika kufufuza zambiri mwa anthu.
9. Ma probiotics
Ma Probiotic ndi tizilombo tamoyo tomwe timapatsa thanzi.
Ubwino wawo umachokera ku kuwongolera thanzi lamalingaliro mpaka thanzi lamatumbo mpaka pakutha kuteteza ndi kulimbana ndi zilonda.
Ngakhale momwe izi zimagwirira ntchito akuphunziridwabe, ma probiotics amawoneka kuti amalimbikitsa kupanga ntchofu, zomwe zimateteza m'mimba mwa kuphimba.
Atha kulimbikitsanso kupangidwa kwa mitsempha yatsopano yamagazi, yomwe imathandizira kunyamula machiritso kupita kumalo a zilonda ndikufulumizitsa kuchira (2).
Chosangalatsa ndichakuti, ma probiotics atha kukhala ndi gawo lachindunji popewa H. pylori matenda (53).
Kuphatikiza apo, mabakiteriya opindulitsawa amawoneka kuti akuwonjezera mphamvu yamankhwala ochiritsira pafupifupi 150%, pomwe amachepetsa kutsekula m'mimba ndi zotsatira zina zokhudzana ndi maantibayotiki mpaka 47% (53, 54, 55).
Mlingo wofunikira kuti upindule kwambiri ukadali pa kafukufuku. Izi zati, maphunziro ambiri omwe ali pamwambapa akuti amapindula atagwiritsa ntchito mayunitsi 200 miliyoni mpaka 2 biliyoni opanga ma colony (CFU) kwa 2 mpaka masabata 16 (53).
Zakudya zokhala ndi ma probiotic zimakonda kupereka magawo ochepa opangira koloni pakutumikira kuposa zowonjezera, komabe ndizofunikira kuwonjezera pazakudya zanu.
Magwero abwino amaphatikizapo masamba okazinga, tempeh, miso, kefir, kimchi, sauerkraut ndi kombucha.
Chidule cha nkhaniyi: Ma probiotics angathandize kupewa ndi kulimbana ndi zilonda. Angathenso kusintha mphamvu ya mankhwala oletsa zilonda ndi kuchepetsa zotsatira zake.
Zakudya Zomwe Muyenera Kupewa
Monga momwe zakudya zina zimathandizira kuti zilonda zisapangike kapena kuchira msanga, zina zimakhala ndi zotsatira zosiyana.
Amene akufuna kuchiza zilonda za m’mimba kapena kupewa zilonda za m’mimba ayenera kuganizira zochepetsera kudya zakudya zotsatirazi (56):
- Mkaka: Ngakhale atalimbikitsidwa kuti achepetse asidi am'mimba ndikuchepetsa ululu, kafukufuku watsopano akuwonetsa kuti mkaka umachulukitsa katulutsidwe ka asidi m'mimba ndipo uyenera kupewedwa ndi zilonda (56).
- Mowa: Kumwa mowa kumatha kuwononga m'mimba ndi m'mimba, ndikuwonjezera chiopsezo cha zilonda (57, 58).
- Coffee ndi zakumwa zoziziritsa kukhosi: Khofi ndi koloko, ngakhale wopanda caffeine, amatha kuchulukitsa kuchuluka kwa asidi m'mimba, zomwe zimatha kukwiyitsa chimbudzi cham'mimba (59).
- Zakudya zokometsera ndi mafuta: Zakudya zokometsera kwambiri kapena zonenepa zimatha kuyambitsa mkwiyo mwa anthu ena. Tsabola ndizosiyana nazo, kutengera kulolerana kwamunthu (60).
Kuphatikiza pa kupewa zakudya zomwe zili pamwambapa, kudya zakudya zing'onozing'ono nthawi zonse, kudya tsiku lonse, kudya pang'onopang'ono, ndi kutafuna chakudya chanu bwinobwino kungathandize kuchepetsa ululu ndi kulimbikitsa machiritso (60).
Kuonjezera apo, kupewa kusuta ndi kuchepetsa nkhawa ndi njira zina ziwiri zothandizira zilonda zam'mimba.
Chidule cha nkhaniyi: Zakudya zina zimatha kuyambitsa zilonda zam'mimba ndikuchedwa kuchira. Kumwa kwawo kuyenera kuchepetsedwa mwa anthu omwe amakonda kapena omwe ali ndi zilonda zam'mimba.
Chotsatira chomaliza
Zilonda za m'mimba ndizofala komanso zokhumudwitsa.
Mankhwala achilengedwe omwe atchulidwa pamwambapa angathandize kupewa kukula kwa zilonda zam'mimba ndikuthandizira kuchira. Nthawi zina, amathanso kusintha mphamvu ya mankhwala ochiritsira ndi kuchepetsa kuopsa kwa zotsatira zake.
Ndikofunika kuzindikira kuti nthawi zambiri sizidziwika ngati mankhwala achilengedwe awa ndi othandiza monga mankhwala ochiritsira.
Chifukwa chake, anthu omwe ali ndi zilonda zam'mimba ayenera kukaonana ndi achipatala asanadzipange okha.
