Cayenne (capsicum frutescens). Tsamaiso ea Lijo le Lithethefatsi ea United States (FDA) e lumeletse tšebeliso ea litlolo, litlolo le litlolo tse entsoeng ka capsaicin (kapa capsicin), motsoako o sebetsang ka har’a cayenne, ho kokobetsa bohloko bo bakoang keOsteoarthritis. Litlhahiso tsa machaba li khothaletsa tšebeliso ea lehae ea capsaicin⁵, haholo-holo bakeng sa osteoarthritis ea lengole.

Tekanyo

Etsa kopo libakeng tse amehileng, ho fihlela makhetlo a 4 ka letsatsi, tranelate, lotion kapa mafura a nang le 0,025% ho 0,075% capsaicin. Hangata ho nka matsatsi a 14 a kalafo pele phello e felletseng ea kalafo e utloahala. Hlokomela, maikutlo a tukang a ka utloahala nakong ea kopo.

Glucosamine

Glucosamine e bapala karolo ea bohlokoa ho boloka botšepehi ba lefufuru la bohle manonyello. 'Mele o e hlahisa ka tlhaho. Boholo ba lithuto li entsoe le glucosamine sulfate.

 Fokotsa bohloko ba manonyeletso (osteoarthritis e bonolo kapa e itekanetseng). Leha ho na le phehisano e itseng, lipatlisiso tse ngata ho fihlela joale li bontša hore glucosamine e imolla, bonyane hanyenyane, matšoao a osteoarthritis e bonolo kapa e itekanetseng (sheba leqephe la rona la lintlha tsa glucosamine). Bongata bo boholo ba lithuto li tsepamisitse maikutlo hoosteoarthritis ea lengole, ba bang horamatiki ea hip.

 Fokotsa tsoelo-pele ea osteoarthritis. Liqeto tsa liteko tsa kliniki tsa nako e telele tsa 2 (lilemo tse 3 ka 'ngoe, lihlooho tse 414 kaofela)^13-16 bontša hore ketso ea glucosamine, ho phaella liphellong tsa eona matšoao, e ka thusa ho fokotsa tsoelo-pele ea lefu lena. Molemo ho feta li-NSAID, tse atisang ho potlakisa tsoelo-pele ea osteoarthritis.

Tekanyo, Nka 1 mg se glucosamine sulfate, ka tekanyo e le 'ngoe kapa ho feta, ha u ntse u ja. Lumella libeke tse 2 ho isa ho tse 6 bakeng sa tlatsetso ho bonts'a litlamorao tse felletseng.

 Chondroitin. Joalo ka glucosamine, chondroitin ke karolo ea bohlokoa ea lefufuru mme e hlahiswa ke mmele ka tlhaho. Boholo ba liphuputso li entsoe ka lihlahisoa tse hloekisitsoeng haholo tse nang le tokelo ea molao (Condrosulf®, Structum®, mohlala). Litlhahlobo tse ngata tsa meta, litlhahlobo le liteko tsa bongaka li etsa qeto ea hore e sebetsa hantle bakeng sa kokobetsa matšoao osteoarthritis e bonolo ho isa boemong bo itekanetseng le liehisa ho iphetola ha eona. Joalo ka glucosamine, sena ke molemo ho feta li-NSAID, tse atisang ho potlakisa tsoelo-pele ea osteoarthritis. Chondroitin le eona ke taba ea likhang tse ling. Sheba faele ea rona ea Chondroitin ho ithuta haholoanyane ka lithuto tse entsoeng le khetho pakeng tsa glucosamine le chondroitin.

Tekanyo

Nka 800 mg ho 1 mg ka letsatsi ea chondroitin, ka tekanyo e le 'ngoe kapa ho feta. Ho nka libeke tse 200 ho isa ho tse 2 hore phello e felletseng e utluoe.

 e tšoanang. SAMe (bakeng sa S-Adenosyl-L-Methionine) e entsoe ke 'mele ho tsoa ho liprotheine tse lijong. E sebelisoa e le tlatsetso, e netefalitsoe ho phekola lefu la masapo a manonyeletso²⁷. Liphello tsa liphuputso li bontšitse hore e ne e sebetsa hantle joaloka lithethefatsi tse tloaelehileng tse thibelang ho ruruha ntle le ho ba le litla-morao le ho sireletseha.^28-31 .

Leha ho le joalo, tlhahlobo ea meta e phatlalalitsoeng ka 2009 e theola ts'ebetso le polokeho ea S-adenosylmethionine. Ho ea ka bangoli ba eona, lithuto tse 'maloa li na le mefokolo ea mekhoa le palo e sa lekaneng ea barupeluoa. Ba etsa qeto ea hore phello ea analgesic ea SAMe (1 mg ka letsatsi) e itekanetse⁸⁰.

Tekanyo

Nka 400 mg makhetlo a 3 ka letsatsi bakeng sa libeke tse 3 ebe u fokotsa tekanyetso ea letsatsi le letsatsi ho 200 mg makhetlo a 2 ka letsatsi.

mantsoe

Leha ho ka nka matsatsi a 'maloa ho bontša melemo, ho ka nka libeke tse 5 hore kalafo e sebetse ka botlalo. Sheba faele ea rona ea SAMe bakeng sa lintlha tse ling.

 Claw ea Diabolose (Harpagophytum e hlahisa). Devil's claw root e bontšitsoe ho fokotsa ho ruruha. Leha ho na le lipelaelo mabapi le mokhoa oa lithuto tse itseng⁷⁹, liphetho tsa liteko tse 'maloa tsa bongaka, tse nang le sehlopha sa placebo kapa ntle le tsona, li bontša hore motso oa diabolose oa claw o ka ntlafatsa ho tsamaea le ho kokobetsa bohloko haholo.^{35, 36,81-83}.

Tekanyo

Litekanyetso li ka fapana ho ea ka mofuta oa mokelikeli. Latela litaelo tsa moetsi. Ho kgothaletswa ho latela phekolo bonyane likhoeli tse 2 kapa tse 3 e le hore u sebelise liphello tsa eona ka botlalo.

 Phytodolor®. Meriana ena ea setlama, e rekisoang Europe joalo ka tincture e lokelang ho isoa kahare, e na le aspen e thothomelang (batho), Molora oa Europe (Fraxinus e ipabola) le goldenrod (Solidago virgaurea) ka karolelano ea 3: 1: 1. Sehlahisoa sena se ka sebetsa ho feta sebaka sa placebo ho fokotsa bohloko, ho eketsa motsamao le ho fokotsa tšebeliso ea lithethefatsi tse seng tsa steroidal tse thibelang ho ruruha.^32-34 .

 Phekolo ea matsoho. Liteko tse 'maloa tsa kliniki li hlahlobile katleho ea ho phekola ka linalete ho bohloko bo amanang le osteoarthritis. Meta-analysis e hatisitsoeng ka 2007 'me e kenyelletsa batho ba fetang 1 e fihletse qeto ea hore ho hlaba ka linalete ho ka fokotsa bohloko le bokooa bo amanang le lefu la masapo.⁵⁹. Leha ho le joalo, liteko tse ling li bontšitse hore sham acupuncture le eona e ka sebetsa. Leha ho le joalo, litlhahiso tsa machaba mabapi le tsamaiso ea osteoarthritis ea lengole le letheka⁵ hlokomela ka ho hlaba ka linalete e le sesebelisoa se ka sebetsang hantle sa ho imolla bohloko.

 Hydrotherapy. Liphetho tsa liteko tse sa tšoaneng tsa kliniki li bontša hore phekolo ea hydrotherapy ka mefuta e fapaneng (spa, libate tse sebelisang mefuta e fapaneng ea metsi, joalo-joalo) li ka ntlafatsa bophelo ba batho ba nang le lefu la masapo a manonyeletso, ka ho eketsa mefuta e mengata ea ho sisinyeha. le ho fokotsa bohloko^49-54 . Tlhahlobo e hlophisitsoeng e hatisitsoeng ka 2009, e bokellang liteko tse 9 le bakuli ba ka bang 500, e etsa qeto ea hore balneotherapy e sebetsa ka nako e khutšoanyane le e telele ka bohloko bo amanang le lefu la masapo a mangole.⁴⁵.

 Homeopathy. Liphuputso tse 'maloa li hatisitsoe ka katleho ea homeopathy ho fokotsa bohloko le matšoao a osteoarthritis. Bangoli ba tlhahlobo e hlophisitsoeng ba lumela hore homeopathy e ka ba kalafo e sebetsang bakeng sa ramatiki ea masapo empa ho hlokahala lithuto tse ngata ho netefatsa.⁴⁸. Sheba leqephe la Homeopathy.

 Avocado le soya ha li khonehe. Lintho tse nkiloeng ho avocado le soya - karolo e sa tsitsang ea oli ea tsona - e ka ba molemo ho batho ba nang le lefu la masapo a manonyeletso a lengole kapa letheka. E ipapisitse le lithuto tse 4 tsa bongaka tse nang le placebo^37-41 , lintho tsena li thusa ho ntlafatsa mosebetsi oa manonyeletso le ho fokotsa bohloko le tlhokahalo ea lithethefatsi tse thibelang ho ruruha, ntle le litla-morao. Hajoale, avocado le soya unsaponifiables li rekisoa Fora empa eseng Canada.

 Magnetotherapy. Liphuputso tse 'maloa li hlahlobile litlamorao tsa magnetotherapy, e sebelisoang ho sebelisoa limakete tse sa fetoheng kapa lisebelisoa tse ntšang masimo a motlakase (EMF), kalafong ea ramatiki ea masapo haholo-holo ea lengole.^65-68 . Magnetotherapy e tla fokotsa bohloko ikutloisa bohloko ka tsela e itekanetseng. Ka 2009, tlhahlobo e kenyelletsang lithuto tse 9 le bakuli ba 483 ba nang le lefu la masapo a manonyeletso la lengole ba ile ba etsa qeto ea hore magnetotherapy e ne e le mokhoa o tlatsetsang oa ho ntlafatsa. bokhoni ba tšebetso le ho nolofatsa mesebetsi e meng ea letsatsi le letsatsi⁵⁸.

 Litlhapi. Thuto ea sefofane⁵⁵ le liteko tsa kliniki tse 2 tse sa reroang^{56, 57} tse entsoeng Jeremane li bontša hore ho sebelisa li-leeches lengoleng le osteoarthritis ho ka imolla bohloko, ho satalla le ho fokotsa matšoao a mang. Li-leche ka tloaelo li 'nile tsa sebelisoa ho phekola bohloko ho tloha Antiquity' me tsa lahloa bohareng ba lekholo la boXNUMX la lilemo.^e lekholo la lilemo. Leha ho le joalo, li ntse li sebelisoa ka tloaelo meriana ea setso Asia, Afrika le linaha tsa Maarabia.

 Moluoane o mosoeu (salix alba). Ho boleloa hore makhapetla a moluoane o mosoeu a sebetsa ho feta sebaka sa placebo ho fokotsa bohloko ba manonyeletso a bakoang ke lefu la masapo a manonyeletso. Leha ho le joalo, tekong ea barupeluoa ba 127 ba nang le lefu la osteoarthritis ea lengole kapa letheka, lihlahisoa tsena li ne li sa sebetse haholo ho feta sethethefatsi se thibelang ho ruruha (diclofenac).⁷⁴.

 Yoga. Liphetho ho tsoa litekong tsa bongaka lithutong tse phetseng hantle le batho ba nang le mathata a fapaneng a mesifa le masapo^{69, 70} senola hore tloaelo ea yoga e ka thusa ho ntlafatsa likarolo tse 'maloa tsa maemo ana, ho kenyelletsa le osteoarthritis ea matsoho⁷¹ le mangole⁷² le ramatiki ea ramatiki⁷³.

 Transcutaneous electrical stimulation (TENS). Mokhoa ona o sebelisa sesebelisoa se hlahisang matla a motlakase a tlaase, a fetisetsoang methapong ka li-electrode tse behiloeng letlalong. Tlhahlobo ea liphuputso e hatisitsoeng ka 2000 e bontšitse hore transcutaneous electrostimulation ea motlakase e ka lebisa ho fokotseng bohloko ba osteoarthritis ea lengole.⁴⁴. Leha ho le joalo, ka 2009, tlhahiso e phatlalalitsoeng ke sehlopha se le seng sa bafuputsi, ho kenyelletsa le liteko tse ncha, e ile ea etsa qeto ea hore katleho ea mokhoa ona e ne e ke ke ea tiisoa bakeng sa lefu la osteoarthritis ea lengole.⁴⁷.

 Bore. Lintlha tsa Epidemiological li bonts'a hore libakeng tseo ho noa boron ho 1 mg kapa ka tlase ka letsatsi, khafetsa mathata a ramatiki a phahame haholo (20% ho isa ho 70%) ho feta libakeng tseo ho nooang letsatsi le letsatsi ho leng pakeng tsa 3 mg le 10 mg ka letsatsi. 0% ho isa ho 10%)³. Phuputso e le 'ngoe ea kliniki ea 1990 le e amanang le lithuto tsa 20 e hatisitsoe ka phello ea boron ho osteoarthritis: barupeluoa ba hlokometse ntlafatso e fokolang ea boemo ba bona ka mor'a ho nka 6 mg ka letsatsi la boron bakeng sa libeke tsa 8.⁴.

 Boswellie (Boswellia serrata). Boswellia, eo thepa ea eona e thibelang ho ruruha e bontšitsoeng ka har'a vitro le liphoofolong, e ka thusa ho phekola osteoarthritis. Ha e le hantle, liphuputso tse 'maloa tsa bakuli ba nang le lefu la osteoarthritis la lengole li bontšitse liphello tse ntle.^42,43,61. Leha ho le joalo, ho ntse ho na le data e fokolang haholo ho fana ka maikutlo a litekanyetso.

 Collagen. Collagen e tiisa hore ho na le momahano, elasticity le nchafatso ea lisele tse 'maloa (tendon, connective tissues, ligaments, joalo-joalo). Lithuto tse hlahlobileng katleho ea li-supplement tsa collagen bakeng sa ho imolla lefu la masapo a manonyeletso ha li e-so ka li tiisa.^75-77 . Liphuputso tsa morao-rao li fumane phomolo e fokolang ea bohloko⁷⁸. Lintlha tsa in vitro li fana ka maikutlo a hore ho nka li-supplement tse joalo ho ka thusa lenonyeletso le amehileng ka ho susumetsa tlhahiso ea collagen.

Notes. Bafuputsi ba bangata ba sebelisitse tekanyo ea 10 g ea collagen hydrolyzate ka letsatsi. Li-capsules le matlapa a fumanehang khoebong a fana ka 1g ho isa ho 2g ka letsatsi.

 Tai Chi. Teko ea bongaka e ile ea etsoa ho basali ba 43 ho feta lilemo tse 55 ba nang le lefu la masapo a manonyeletso⁶³. Ba ne ba ikoetlisa tai chi beke le beke bakeng sa libeke tsa 12, kapa e ne e le karolo ea sehlopha sa taolo. Ho bile le liphetoho tse ntle ponong ea bohloko, ho tiea ha manonyeletso, ho leka-lekana le matla a mesifa ea mpa ho basali ba sebelisang tai. Ho ea ka tlhahlobo e hlophisitsoeng e hatisitsoeng ka 2008, liphetho lia tšepisa empa liteko tse ling tsa kliniki li tla hlokahala ho netefatsa katleho ea tai chi.⁶⁰.

 Cassis (Likhopo nigrum). ESCOP e lemoha tšebeliso ea meriana ea makhasi a blackcurrant (psn) e le phekolo ea adjuvant bakeng sa mafu a ramatiki. Mokhatlo o khethile palo e kholo ea lithuto Ka vivo ho bonts'a thepa e khahlanong le ho ruruha ea makhasi ho amohela ka molao tšebeliso ena e thehiloeng ke moetlo.

Tekanyo

Fa 5 g ho ea ho 12 g ea makhasi a omisitsoeng ka 250 ml ea metsi a belang metsotso e 15. Nka linoelo tse 2 ka letsatsi ka tšelo ena, kapa noa 5 ml ea mokelikeli o mokelikeli (1: 1), makhetlo a 2 ka letsatsi, pele ho lijo.

 Limela tse fapaneng li 'nile tsa sebelisoa ka tloaelo ho phekola batho ba nang le lefu la masapo a mabeli: turmeric (psn) (Curcuma longa), li-rhizome tsa ginger (psn) (Zinziber officinalis) le feberu (tanacetum parthenium).

 Therapy Massage. Likopano tsa Massotherapy li kenya letsoho molemong oa bophelo bo botle ka kakaretso le ho phomola ha mesifa le methapo. E boetse e khothalletsa phallo ea mali le lymphatic. Ke ka lebaka leo litsebi tse ling li khothalletsang tšebeliso ea eona ke batho ba nang le lefu la osteoarthritis⁶⁴.