Momwe Zakudya Zakudya Zamalonda Zimagwirizanirana ndi Mankhwala Anu Omwe Mumalandira

Zamkati

• Chifukwa Chomwe Zowonjezera Zingasokonezere Mankhwala Osankhidwa Ndi Mankhwala
• Momwe Mungatengere Zowonjezera Zowonjezera Motetezedwa
• Zowonjezera Zomwe Mumakonda Kugwiritsa Ntchito Mankhwala Osokoneza Bongo
• Onaninso za

Reishi. Maca. Ashwagandha. Mphepo yamkuntho. Ho Shu Wu. CBD. Echinacea. Valerian. Zitsamba zowonjezera pamsika masiku ano ndizopanda malire, ndipo zomwe akunenazo nthawi zina zimakhala zazikulu kuposa moyo.

Ngakhale pali zina zatsimikiziridwa kuti ndizopatsa thanzi komanso zopindulitsa kwa ma adaptogens ndi mankhwala azitsamba, kodi mumadziwa kuti atha kusokoneza mankhwala anu?

Kafukufuku waposachedwa wa achikulire (zaka 65 ndi mmwamba) akuluakulu aku UK adapeza kuti 78 peresenti ya omwe adatenga nawo gawo anali kugwiritsa ntchito zakudya zopatsa thanzi ndi mankhwala olembedwa, ndipo pafupifupi gawo limodzi mwa magawo atatu a omwe adatenga nawo gawo anali pachiwopsezo cha kusagwirizana koyipa pakati pa awiriwa. Pakadali pano, kafukufuku wakale-koma wamkulu wofalitsidwa mu 2008 ndi aAmerican Journal of Medicine adapeza kuti pafupifupi 40% mwa omwe adatenga nawo gawo 1,800 amatenga zakudya zowonjezera. Mu dziwe la anthu 700+, ofufuza adapeza zoposa 100 zomwe zingakhale zofunikira pakati pazowonjezera ndi mankhwala.

Ndi oposa theka la anthu aku America akumwa zakudya zina zamtundu wina, malinga ndi JAMA,izi zikuwulukabe pansi pa radar bwanji?

Chifukwa Chomwe Zowonjezera Zingasokonezere Mankhwala Osankhidwa Ndi Mankhwala

Zambiri mwa izi zimadza ndi momwe zinthu zimasinthidwa mchiwindi. Chiwindi ndi chimodzi mwa malo akuluakulu owonongeka kwa mankhwala osiyanasiyana, akuti Perry Solomon, MD, pulezidenti ndi mkulu wachipatala wa HelloMD. Chiwalo ichi-chochotsa mphamvu ya thupi lanu-chimagwiritsa ntchito ma enzyme (mankhwala omwe amathandizira kuphatikizira zinthu zosiyanasiyana) kukonza chakudya, mankhwala osokoneza bongo, ndi mowa zomwe zimalowetsedwa, kuwonetsetsa kuti mumayamwa zomwe thupi lanu likufuna ndikuchotsa zina zonse. Ma enzyme ena "amapatsidwa" kuti akonze zinthu zina.

Dr.

Mwachitsanzo, mwina mudamvapo za CBD, mankhwala omwe angodziwika kumene kuchokera ku chamba, komanso wina yemwe angakusokonezeni ndi mankhwala omwe mumalandira. "Pali makina akuluakulu a enzyme otchedwa cytochrome p-450 system omwe amathandiza kwambiri mankhwala a metabolism," akutero. "CBD imapangidwanso ndi ma enzyme omwewo ndipo, pamlingo wokwanira, amapikisana ndi mankhwala ena. Izi zingapangitse kuti mankhwala ena asapangidwe pamlingo wa "zabwinobwino".

Ndipo si CBD yokhayo: "Pafupifupi mankhwala onse azitsamba atha kukhala ndi mgwirizano ndi mankhwala akuchipatala," akutero a Jena Sussex-Pizula, MD, ku University of Southern California. "Angathe kuletsa mankhwalawo mwachindunji, mwachitsanzo, warfarin (magazi ochepetsa magazi) amagwira ntchito poletsa vitamini K yomwe imagwiritsidwa ntchito ndi magazi. Ngati wina atenga vitamini kapena chowonjezera chomwe chili ndi vitamini K wambiri, chitha kuletsa mankhwala awa." Mankhwala ena amathanso kusintha momwe mankhwala amalowerera m'matumbo mwanu ndikutuluka kudzera mu impso, atero Dr. Sussex-Pizula.

Momwe Mungatengere Zowonjezera Zowonjezera Motetezedwa

Kupatula kuyanjana ndi mankhwala osokoneza bongo, pali zambiri zokhudzana ndi chitetezo zomwe muyenera kuziganizira musanayambe kudya zakudya zowonjezera. Izi sizikutanthauza kuti muyenera kupewa mankhwala azitsamba, ngakhale atha kukhala othandiza kwambiri kwa odwala ena. "Monga dokotala wamankhwala, mankhwala azitsamba ndi chimodzi mwa zida zomwe ndimagwiritsa ntchito kwambiri pochiza matenda oopsa komanso osachiritsika," akutero Amy Chadwick, N.D., dokotala wa naturopathic ku Four Moons Spa ku San Diego. Ngakhale zitsamba ndi michere imatha kulumikizana ndi mankhwala, "palinso zitsamba ndi michere yomwe imathandizira kuthandizira zofooka kapena kuchepetsa zovuta zina za mankhwala," akutero. (Onani: Zifukwa 7 Zomwe Muyenera Kuganizira Kutenga Chowonjezera)

Kuchokera pamankhwala azungu, Dr. Sussex-Pizula akuvomereza kuti zowonjezera izi zitha kukhala zopindulitsa bola zitangoyang'aniridwa."Ngati pali kafukufuku wosonyeza kuti chowonjezera chingakhale chothandiza, ndimakambirana ndi odwala anga," akutero. "Mwachitsanzo, kafukufuku akupitilizabe kutanthauza kuti phindu kwa turmeric ndi ginger kwa odwala osteoarthritis, ndipo ndili ndi odwala angapo omwe akuwonjezera njira zawo zochiritsira ndi zakudya zamankhwala izi, zomwe zimapangitsa kuti azitha kupweteka." (Onani: Chifukwa Chomwe Zakudya Zakudya Zimasintha Maganizo Ake pazowonjezera)

Mwamwayi, nthawi zambiri, simuyenera kudera nkhawa: Kaya ndi tiyi kapena ufa womwe mwawonjezera kugwedeza, mwinamwake mukumwa mlingo wochepa kwambiri. "Zitsamba zodziwika bwino zomwe zimagwiritsidwa ntchito mu tiyi kapena mawonekedwe a chakudya - monga tiyi wokonda kutsekemera kuti athetse [zotsatira], tiyi wobiriwira wa antioxidant katundu, kapena kuwonjezera bowa wa reishi ku smoothie wothandizira adaptogenic-ali muyezo womwe umapindulitsa kwambiri komanso osakhala okwera kapena olimba mokwanira kusokoneza kugwiritsa ntchito mankhwala ena, "akutero a Chadwick.

Ngati mukuchita china chake cholemetsa kuposa momwe mungachitire ngati kumwa mapiritsi kapena kapisozi wapamwamba-ndipamene muyenera kuwona dokotala. "[Zitsamba] izi ziyenera kulembedwa ndikugwiritsidwa ntchito moyenera kwa anthu payekha kutengera zosowa zawo, poganizira momwe thupi lawo limagwirira ntchito, matenda azachipatala, mbiri, ziwengo, komanso zowonjezera zilizonse kapena mankhwala omwe akumwa," akutero a Chadwick. Kubwezeretsanso kwabwino: Pulogalamu yaulere ya Medisafe imayang'anira zomwe mumalemba ndikuwonjezera zomwe mumadya ndipo imatha kukuchenjezani za zochitika zoopsa ndikukukumbutsani kuti mutenge mankhwala anu tsiku lililonse. (Ndicho chifukwa chake makampani ena opanga mavitamini akupanga madotolo kuti athandizire kusankha mavitamini mosavuta komanso otetezeka kuposa kale.)

Zowonjezera Zomwe Mumakonda Kugwiritsa Ntchito Mankhwala Osokoneza Bongo

Kodi muyenera kuda nkhawa ndi chilichonse chomwe mukutenga? Nawu mndandanda wa zitsamba zofunika kuzisamalira zomwe zimadziwika kuti zimalumikizana ndi mankhwala enaake operekedwa ndi dotolo. (Zindikirani: Uwu si mndandanda wathunthu kapena cholowa m'malo mwakulankhula ndi dokotala).

Chingwe cha St. ndi yomwe mungafune kudumpha ngati muli ndi mapiritsi oletsa kubereka, atero Dr. Sussex-Pizula. "St. John's wort, omwe amagwiritsidwa ntchito ndi anthu ena monga antidepressant amatha kuchepetsa kwambiri mlingo wa mankhwala ena m'magazi monga mapiritsi oletsa kubereka, mankhwala opweteka, mankhwala ena oletsa kuvutika maganizo, kuika mankhwala, ndi mankhwala a kolesterolini."

John's wort ayenera kupewedwa ngati akumwa ma antiretrovirals, protease inhibitors, NNRTIs, cyclosporine, immunosuppressive agents, tyrosine kinase inhibitors, tacrolimus, ndi triazole antifungals," anatero Chadwick. Anachenjezanso kuti ngati mwakhala mukumwa SSRI (kusankha serotonin reuptake inhibitor) kapena MAO inhibitor monga adanenera wothandizira zaumoyo wanu, kudumpha zitsamba monga St. John's Wort (yomwe imadziwika kuti anti-depressant).

Ephedra ndi zitsamba zomwe nthawi zambiri zimapangidwira kulemera kwake kapena kupatsa mphamvu mphamvu-koma zimadza ndi mndandanda wa zochenjeza. A FDA adaletsadi kugulitsa mankhwala aliwonse okhala ndi ephedrine alkaloids (mankhwala omwe amapezeka m'mitundu ina ya ephedra) m'misika yaku US ku 2004. "Zitha kuyambitsa matenda oopsa, ngakhale owopsa moyo, otsanzira mtima, amayambitsa matenda a chiwindi ndi chiwindi, kumayambitsa matenda amisala, ndikuchepetsa kutuluka kwa magazi kupita m'matumbo, zomwe zimayambitsa kufa kwamatumbo," akutero Dr. Sussex-Pizula. Komabe, ephedrapopanda ephedrine alkaloids amapezeka ena masewera olimbitsa thupi, suppressants kudya, ndi ephedra teas tiyi. Chadwick akuti muyenera kudumpha ngati mutenga izi: reserpine, clonidine, methyldopa, reserpine, sympatholytics, MAO inhibitors, phenelzine, guanethidine, ndi zotumphukira za adrenergic blockers. "Palinso chowonjezera cha caffeine, theophylline, ndi methylxanthines," akutero, kutanthauza kuti angapangitse zotsatira zake kukhala zamphamvu. Ndicho chifukwa chake muyenera "kupewa zokopa zilizonse ngati mwapatsidwa ephedra pazifukwa zochiritsira-ndipo ziyenera kulembedwa ndi sing'anga wophunzitsidwa bwino." (PS Samalani ephedra muzomwe mumapanga musanachite masewera olimbitsa thupi, inunso.) Komanso kumbukirani ma huang, mankhwala azitsamba achi China omwe nthawi zina amadya tiyi koma amachokera ku ephedra. "[Ma huang] amatengedwa pazifukwa zingapo, kuphatikiza chifuwa, bronchitis, kupweteka kwa mafupa, kuchepa thupi - koma odwala ambiri samadziwa kuti ma huang ndi ephedra alkaloid," akutero Dr. Sussex-Pizula. Analangiza kuti ma huang ali ndi zovuta zomwe zimawopseza moyo monga ephedra, ndipo ayenera kuzipewa.

Vitamini A "ayenera kusiya kugwiritsa ntchito mankhwala a tetracycline," akutero a Chadwick. Mankhwala a Tetracycline nthawi zina amapatsidwa ziphuphu ndi matenda akhungu. Vitamini A akamamwa mopitirira muyeso, "imatha kuyambitsa mavuto mkati mwa dongosolo lanu lamanjenje, zomwe zimayambitsanso mutu komanso zizindikiritso zamitsempha," akutero Dr. Sussex-Pizula. Vitamini A wam'mwamba (wotchedwa retinol, ndipo nthawi zambiri amagwiritsidwa ntchito pochiza matenda a khungu) nthawi zambiri amakhala otetezeka ndi maantibayotikiwa koma ayenera kukambidwa ndi dokotala ndikusiya nthawi yomweyo ngati zizindikiro zikuwonekera.

Vitamini C atha kukulitsa milingo ya estrogen mwa kusintha momwe thupi limasinthira mahomoni, akutero Brandi Cole, PharmD, membala wa board of advisory board kuchokera ku Persona Nutrition. Izi zitha kuonjezera zotsatira zoyipa ngati mukulandiranso mankhwala obwezeretsa mahomoni kapena mukumwa njira zakulera zomwe zili ndi estrogen. Zotsatirazi nthawi zambiri zimadziwika kwambiri ndi kuchuluka kwa vitamini C komwe kumapezeka m'matenda owonjezera chitetezo chokwanira. (Werenganinso: Kodi Vitamini C Supplements Ngakhale Work?)

CBD amalembedwa kuti amakhala otetezeka popanda zovuta zilizonse, ndipo amatha kuthana ndi nkhawa, kukhumudwa, psychosis, kupweteka, zilonda zopweteka, khunyu ndi zina-koma zimatha kulumikizana ndi opopera magazi ndi chemotherapy, ndiye kambiranani ndi dokotala, atero Dr. Solomon.

Calcium citrate amatha kuchiza calcium yotsika m'magazi, koma "sayenera kumwedwa ndi maantacid okhala ndi aluminium kapena magnesiamu komanso pamene akumwa mankhwala a tetracycline," akutero Chadwick.

Dong quai(Angelica sinensis) - amatchedwanso "ginseng wamkazi," sayenera kutengedwa ndi warfarin, atero a Chadwick. Chitsamba ichi nthawi zambiri chimaperekedwa kwa zizindikiro za kusamba.

Vitamini D. nthawi zambiri amalembedwa ngati muli ndi vuto (makamaka chifukwa cha kusowa kwa dzuwa), zomwe zingayambitse kutayika kwa mafupa. Itha kugwiritsidwanso ntchito kuwongolera chitetezo chamthupi komanso kukulitsa malingaliro (a naturopaths ena amagwiritsa ntchito kuchepetsa kukhumudwa). Izi zinati, "vitamini D iyenera kuyang'aniridwa ngati muli pa calcium channel blocker musanawonjezere mlingo waukulu," akutero Chadwick.

Ginger "Siyenera kugwiritsidwa ntchito kwambiri ndi antiplatelet agents," akutero Chadwick. "Monga chowonjezera pa chakudya, nthawi zambiri chimakhala chotetezeka." Ginger angathandize kuthandizira kugaya ndikuchepetsa mseru ndipo amatha kuthandizira chitetezo cha mthupi chifukwa ndi antibacterial. (Apa: Ubwino Wathanzi la Ginger)

Ginkgo amagwiritsidwa ntchito mwachilengedwe pazovuta za kukumbukira monga Alzheimer's koma amatha kuonda magazi, motero kumapangitsa kukhala kowopsa kwa opareshoni isanachitike. "Izi ziyenera kusiyidwa sabata imodzi asanakachitidwe opaleshoni," akutero.

Licorice "ayenera kupewedwa ngati akumwa furosemide," akutero Chadwick. (Furosemide ndi mankhwala omwe amathandizira kuchepetsa kusungidwa kwamadzimadzi). Analangizanso kuti mudumphe licorice ngati mukumwa "potassium-depleting diuretics, digoxin, kapena heart glycosides."

Melatonin sayenera kugwiritsidwa ntchito ndi fluoxetine, (aka Prozac, SSRI / antidepressant), atero a Chadwick. Melatonin nthawi zambiri imagwiritsidwa ntchito kukuthandizani kugona koma imatha kuletsa kuyamwa kwa fluoxetine pa enzyme tryptophan-2,3-dioxygenase, kuchepetsa mphamvu ya antidepressant.

Potaziyamu "sayenera kuthandizidwa ngati mukumwa mankhwala osakaniza potaziyamu, komanso mankhwala ena amtima. Dziwitsani dokotala ngati mukumwa potaziyamu," adachenjeza a Chadwick. Izi ndi zoona makamaka ngati mutenga chinachake monga spironolactone, mankhwala a kuthamanga kwa magazi omwe amagwiritsidwa ntchito pochiza ziphuphu ndi zizindikiro zokhudzana ndi PCOS monga androgen yowonjezera. Potaziyamu zowonjezera, mu nkhani iyi, akhoza kupha.

Nthaka amagwiritsidwa ntchito kuthandizira kufupikitsa nthawi ya chimfine kapena chimfine, kulimbikitsa chitetezo chamthupi, komanso kuthandizira zilonda kupola, koma "ndikutsutsana ndikumwa ciprofloxacin ndi mankhwala a fluoroquinolone," atero a Chadwick. Mukamwedwa ndi mankhwala ena (kuphatikiza mankhwala a chithokomiro ndi maantibayotiki ena), zinc imathanso kumangiriza ndi mankhwalawa m'mimba ndikupanga zovuta, zomwe zimapangitsa kuti zikhale zovuta kuti thupi limwe mankhwalawo, akutero Cole. Onaninso ndi dokotala ngati mumamwa kapena kumwa zinc — koma osachepera, patukani mlingo wa mankhwala ndi zinc ndi maola awiri kapena anayi kuti mupewe kuyanjana uku, akutero.

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