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Gastro Intestinal Health

Back Clinic Gastro Intestinal Health Functional Medicine Team. Iyo gastrointestinal kana (GI) turakiti inoita zvinopfuura kugaya chikafu. Inobatsira kune akasiyana masisitimu emuviri uye mabasa. Dr. Jimenez anotarisa maitiro akagadzirwa kuti abatsire kutsigira hutano hweGI turakiti uye basa, pamwe nekusimudzira microbial balance. Tsvagiridzo inoratidza kuti 1 muvanhu 4 muUS vane matambudziko emudumbu kana emudumbu ayo akakomba zvekuti anokanganisa mabasa avo ezuva nezuva nemararamiro.

Matambudziko emudumbu kana digestion anonzi maGastrointestinal (kana GI) Disorders. Chinangwa ndechekuwana hutano hwekugaya. Kana chirongwa chekugaya chinoshanda zvakanaka chiri munzira, munhu anonzi ane hutano hwakanaka. Iyo GI turakiti inochengetedza muviri nekubvisa chepfu dzakasiyana siyana uye kutora chikamu mumaitiro ekudzivirira kana kana immune system yemuviri ichipindirana nemasoja ekudzivirira chirwere uye maantigen. Izvi zvakasanganiswa nekutsigira kugayiwa uye kutorwa kwechikafu kubva mukudya kwemunhu.


Kuvandudza Zviratidzo Zvekuzvimbirwa neKufamba Kwakasimba

Kuvandudza Zviratidzo Zvekuzvimbirwa neKufamba Kwakasimba

Kune vanhu vari kusangana nekugara vachizvimbirwa nekuda kwemishonga, kushushikana, kana kushaikwa kwefiber, kufamba maekisesaizi kunobatsira here kukurudzira kugara ura?

Kuvandudza Zviratidzo Zvekuzvimbirwa neKufamba Kwakasimba

Kufamba Nekubatsira Kuzvimba

Kuzvimbirwa chinhu chinowanzoitika. Kunyanya kugara, mishonga, kushushikana, kana kusawana fiber yakakwana zvinogona kukonzera kusafamba kwe bowel. Kugadziriswa kwemararamiro kunogona kudzora zviitiko zvakawanda. Imwe yenzira dzinonyanya kushanda ndeye kubatanidza nguva dzose ine mwero-yakasimba maekisesaizi, uchikurudzira ura mhasuru kuti dzibatane zvakasikwa (Huang, R., nevamwe, 2014) Izvi zvinosanganisira kumhanya, yoga, mvura aerobics, uye simba kana kukurumidza kufamba kuitira kuderedza kuvimbiswa.

Tsvakurudzo

Imwe ongororo yakaongorora vakadzi vezera repakati vakafutisa vaive nekuzvimba kwenguva refu kwemavhiki gumi nemaviri. (Tantawy, SA, et al., 2017)

  • Boka rekutanga raifamba pane treadmill katatu pavhiki kwemaminitsi makumi matanhatu.
  • Boka rechipiri harina kuita chero basa remuviri.
  • Boka rekutanga rakave nekuvandudzwa kukuru muzviratidzo zvavo zvekudzivirira uye hutano hwekuongorora hupenyu.

A gut bacteria kusaenzana kunobatanidzwawo nenyaya dzekuzvimbirwa. Chimwe chidzidzo chakanangana nemhedzisiro yekufamba nekukurumidza uchipesana nemaekisesaizi ayo akasimbisa mhasuru dzepakati semapuranga ari mumatumbo microbiota kuumbwa. (Morita, E., et al., 2019) Mhedzisiro yakaratidza kuti aerobic exercises senge simba / brisk kufamba kunogona kubatsira kuwedzera intestinal Bacteroides, chikamu chakakosha chehutano hwehutachiona hwehutachiona. Zvidzidzo zvakaratidza mhedzisiro yakanaka kana vanhu vakapinda mune inokwana maminetsi makumi maviri ekufamba nekukurumidza zuva nezuva. (Morita, E., et al., 2019)

Kuekisesaiza Kunogona Kubatsira Kudzikisa Njodzi dzeCancer Colon

Kuita zvemuviri kunogona kuve chinhu chakakosha chekudzivirira mukuderedza kenza yekoloni. (National Cancer Institute. 2023) Vamwe vanofungidzira kuderedzwa kwengozi kuva 50%, uye kurovedza muviri kunogona kunyange kubatsira kudzivirira kudzokorora mushure mekuongorora kenza yekoloni, uyewo 50% mune zvimwe zvidzidzo kune varwere vane danho rechipiri kana rechitatu rekenza yekoloni. (Schoenberg MH 2016)

  • Mhedzisiro yakanakisa yakawanikwa kuburikidza nepakati-kusimba maekisesaizi, senge simba / kufamba nekukurumidza, anenge maawa matanhatu pasvondo.
  • Kufa kwakaderedzwa ne23% muvanhu vakanga vakasimba mumuviri kwemaminitsi makumi maviri kakawanda pavhiki.
  • Varwere vegomarara remudumbu vasingashande vakatanga kurovedza muviri mushure mekuongororwa kwavo vaive vavandudza mhedzisiro pane vanhu vakaramba vakangogara, zvichiratidza kuti hazvina kunonoka kutanga kurovedza muviri.Schoenberg MH 2016)
  • Varwere vainyanya kushanda vaiva nemigumisiro yakanakisisa.

Kudzivirirwa Kwemanyoka Anoenderana Nemaekisesaizi

Vamwe vamhanyi uye vanofamba vanosangana nekoloni yakanyanyisa kushanda, zvichikonzera manyoka ane chokuita nekurovedza muviri kana zvigaro zvakasununguka, zvinonzi runner's trots. Kusvika ku50% yevatambi vekutsungirira vanosangana nematambudziko emudumbu panguva yekurovedza muviri kwakanyanya. (de Oliveira, EP et al., 2014) Matanho ekudzivirira anogona kutorwa anosanganisira.

  • Kusadya mukati memaawa maviri ekurovedza muviri.
  • Dzivisa caffeine uye mvura inodziya usati waita maekisesaizi.
  • Kana uine hanya nelactose, dzivisa zvigadzirwa zvemukaka kana kushandisa Lactase.
  • Ita shuwa kuti muviri wakazara-hydrated usati waita maekisesaizi.
  • Hydrating panguva yekurovedza muviri.

Kana kurovedza muviri mu mangwanani:

  • Inwa anenge 2.5 makapu emvura kana chinwiwa chemitambo usati warara.
  • Inwa zvinenge 2.5 makapu emvura mushure mekumuka.
  • Inwa imwe 1.5 - 2.5 makapu emvura 20-30 maminetsi usati waita maekisesaizi.
  • Inwa 12-16 fluid ounces yega yega 5-15 maminetsi panguva yekurovedza muviri.

If kurovedza muviri kweanopfuura maminitsi makumi mapfumbamwe:

  • Inwa 12 - 16 fluid-ounce solution ine 30-60 gramu yemakhahydrates, sodium, potassium, uye magnesium maminitsi mashanu kusvika gumi nemashanu.

Rubatsiro rweNyanzvi

Periodic constipation inogona kugadzirisa nekugadzirisa mararamiro senge yakawedzera fiber kudya, kuita muviri, uye zvinwiwa. Vanhu vari kuona stool ine ropa kana hematochezia, vachangobva kurasikirwa mapaundi gumi kana kupfuura, vane iron inoshaya anemia, vane fecal occult / yakavanzika kuongororwa ropa, kana vane nhoroondo yemhuri yekenza yekoloni vanoda kuona mupi wehutano kana nyanzvi kuti aite zvakananga. bvunzo dzediagnostic kuona kuti hapana matambudziko kana mamiriro akakomba. (Jamshed, N. et al., 2011) Vasati vatanga kufamba kuti vabatsirwe nekuzvimbirwa, vanhu vanofanirwa kubvunza varapi vavo vehutano kuti vaone kana zvisina njodzi kwavari.

PaInjury Medical Chiropractic uye Functional Medicine Clinic, nzvimbo dzedu dzekudzidzira dzinosanganisira Wellness & Nutrition, Chronic Pain, Personal Injury, Auto Accident Care, Basa Kukuvara, Kukuvara Kwekudzokera, Low Back Pain, Neck Pain, Migraine Headaches, Kukuvara Kwemitambo, Zvakaoma. Sciatica, Scoliosis, Complex Herniated Discs, Fibromyalgia, Chronic Pain, Complex Injuries, Stress Management, Functional Medicine Treatments, uye in-scope care protocols. Isu tinotarisisa pane izvo zvinokushandira iwe kuzadzisa zvinangwa zvekuvandudza uye kugadzira muviri wakavandudzwa kuburikidza nenzira dzekutsvagisa uye zvirongwa zvehutano hwakakwana. Kana kumwe kurapwa kuchidiwa, vanhu vanozoendeswa kukiriniki kana chiremba anonyatsokodzera kukuvara kwavo, mamiriro, uye / kana hurwere.


Poop Testing: Chii? Sei? uye Sei?


References

Huang, R., Ho, SY, Lo, WS, & Lam, TH (2014). Kuita zvemuviri uye kuvimbiswa muHong Kong vechidiki. PloS imwe, 9(2), e90193. doi.org/10.1371/journal.pone.0090193

Tantawy, SA, Kamel, DM, Abdelbasset, WK, & Elgohary, HM (2017). Mhedzisiro yeinorongwa yekurovedza muviri uye kudzora kwekudya kugadzirisa kuvimbiswa muvakadzi vepakati-kati vakafutisa. Chirwere cheshuga, metabolic syndrome uye kufutisa: zvinangwa uye kurapwa, 10, 513-519. doi.org/10.2147/DMSO.S140250

Morita, E., Yokoyama, H., Imai, D., Takeda, R., Ota, A., Kawai, E., Hisada, T., Emoto, M., Suzuki, Y., & Okazaki, K. (2019). Aerobic Exercise Training neBrisk Walking Inowedzera Intestinal Bacteroides muVakadzi Vakwegura Vane Utano. Nutrients, 11(4), 868. doi.org/10.3390/nu11040868

National Cancer Institute. (2023). Colorectal Cancer Prevention (PDQ (R)): Patient Version. MuPDQ Cancer Information Summaries. www.cancer.gov/types/colorectal/patient/colorectal-prevention-pdq
www.ncbi.nlm.nih.gov/pubmed/26389376

Schoenberg MH (2016). Kuita Kwenyama uye Kudya muPrayimari uye Yepamusoro Kudzivirirwa kweColorectal Cancer. Mushonga weVisceral, 32 (3), 199-204. doi.org/10.1159/000446492

de Oliveira, EP, Burini, RC, & Jeukendrup, A. (2014). Kunyunyuta kweGastrointestinal panguva yekurovedza muviri: kuwanda, etiology, uye zvinovaka muviri zvinokurudzira. Mushonga wemitambo (Auckland, NZ), 44 Suppl 1(Suppl 1), S79–S85. doi.org/10.1007/s40279-014-0153-2

Jamshed, N., Lee, ZE, & Olden, KW (2011). Diagnostic nzira yekuvhara kusingaperi kune vanhu vakuru. Chiremba wemhuri yeAmerica, 84 (3), 299-306.

Functional Gastrointestinal Disorders: Zvaunoda Kuziva

Functional Gastrointestinal Disorders: Zvaunoda Kuziva

Vanhu vane dambudziko rekugaya izvo zvisingakwanisi kuonekwa vanogona kunge vari kusangana nekushanda kwegastrointestinal kusagadzikana. Kunzwisisa marudzi kungabatsira here kugadzira zvirongwa zvekurapa zvinoshanda?

Functional Gastrointestinal Disorders: Zvaunoda Kuziva

Functional Gastrointestinal Disorders

Kushanda gastrointestinal kusagadzikana, kana FGDs, ihosha dzegadziriro yekugaya umo kuvapo kwechimiro kana matishu abnormality kusingagoni kutsanangura zviratidzo. Inoshanda gastrointestinal kusagadzikana inoshaya zvinozivikanwa biomarkers uye inoongororwa zvichienderana nezviratidzo. (Christopher J. Black, et al., 2020)

Roma Criteria

FGDs dzakashandisa kuongororwa kwekusabatanidzwa, zvichireva kuti vaigona kungoonekwa mushure mekunge organic / identifiable chirwere chabviswa. Zvisinei, muna 1988, boka revatsvakurudzi nevarapi vehutano vakasangana kuti vagadzire nzira dzakasimba dzekuongororwa kwemhando dzakasiyana dzeFGDs. Iyo nzira inozivikanwa seRome Criteria. (Max J. Schmulson, Douglas A. Drossman. 2017)

FGDs

Rondedzero yakazara sezvakatsanangurwa neRome III maitiro (Ami D. Sperber et al., 2021)

Functional Esophageal Disorders

  • Kushanda chirungurira
  • Kushanda kurwadziwa kwechipfuva kunofungidzirwa kuve kwesophageal kwakabva
  • Kushanda dysphagia
  • Globus

Functional Gastroduodenal Disorders

  • Kubheuka kwakanyanya kusingazivikanwe
  • Functional dyspepsia - inosanganisira postprandial distress syndrome uye epigastric pain syndrome.
  • Chronic idiopathic nausea
  • aerophagia
  • Kushanda kurutsa
  • Cyclic vomiting syndrome
  • Rumination syndrome muvanhu vakuru

Functional Bowel Disorders

  • Irritable bowel syndrome - IBS
  • Functional constipation
  • Manyoka anoshanda
  • Kusatariswa kunoshanda bowel kusagadzikana

Functional Abdominal Pain Syndrome

  • Kushanda marwadzo emudumbu - FAP

Inoshanda Gallbladder uye Sphincter yeOddi Disorders

  • Functional gallbladder disorder
  • Inoshanda biliary Sphincter yeOddi disorder
  • Inoshanda pancreatic Sphincter yeOddi kusagadzikana

Functional Anorectal Disorders

  • Kushanda fecal incontinence
  • Functional Anorectal Pain - inosanganisira chronic proctalgia, Levator ani syndrome, isina kutaurwa inoshanda anorectal pain, uye proctalgia fugax.
  • Functional Defecation Disorders - inosanganisira dyssynergic defecation uye isina kukwana defecatory propulsion.

Childhood Functional GI Disorders

Mucheche/Mucheche (Jeffrey S. Hyams et al., 2016)

  • Mucheche colic
  • Functional constipation
  • Manyoka anoshanda
  • Cyclic vomiting syndrome
  • Kuchenesa vacheche
  • Infant rumination syndrome
  • Mucheche dyschezia

Childhood Functional GI Disorders:

Mwana/Adolescent

  • Kurutsa uye Aerophagia - cyclic vomiting syndrome, adolescent rumination syndrome, uye aerophagia.
  • Abdominal Pain-Related Functional GI Disorders dzinosanganisira:
  1. kushanda dyspepsia
  2. IBS
  3. Abdominal migraine
  4. Childhood functional abdominal kurwadziwa
  5. Childhood functional abdominal pain syndrome
  • Constipation - functional constipation
  • Incontinence - kusagadzikana kwefecal incontinence

kuongorora chirwere

Kunyangwe maitiro eRome achibvumira kuongororwa kweFGDs kuve-chiratidzo-kwakavakirwa, mupi wehutano anogona achiri kumhanyisa bvunzo dzekuongorora kuti abvise zvimwe zvirwere kana kutsvaga matambudziko emugadzirirwo anokonzeresa zviratidzo.

mabatiro

Kunyangwe pasina zviratidzo zvinooneka zvechirwere kana matambudziko emugadzirirwo angaonekwa sekukonzera zviratidzo, hazvireve kuti hazvisi izvo. zvinorapika uye zvinogoneka. Kune vanhu vanofungidzira kuti vanogona kunge vaine kana kuti vakaonekwa vaine chirwere chemudumbu chinoshanda, zvichave zvakakosha kushanda nemupi wehutano pachirongwa chekurapa chinoshanda. Nzira dzekurapa dzinogona kusanganisira: (Asma Fikree, Peter Byrne. 2021)

  • Physical therapy
  • Kugadziriswa kwezvokudya uye kudya
  • Kushungurudzika mupfungwa
  • Psychotherapy
  • Mishonga
  • Biofeedback

Kudya Zvakanaka Kuti Unzwe Zvirinani


References

Dema, CJ, Drossman, DA, Talley, NJ, Ruddy, J., & Ford, AC (2020). Inoshanda gastrointestinal kusagadzikana: kufambira mberi mukunzwisisa uye manejimendi. Lancet (London, England), 396(10263), 1664–1674. doi.org/10.1016/S0140-6736(20)32115-2

Schmulson, MJ, & Drossman, DA (2017). Chii Chitsva muRoma IV. Nyaya ye neurogastroenterology uye motility, 23 (2), 151-163. doi.org/10.5056/jnm16214

Sperber, AD, Bangdiwala, SI, Drossman, DA, Ghoshal, UC, Simren, M., Tack, J., Whitehead, WE, Dumitrascu, DL, Fang, X., Fukudo, S., Kellow, J., Okeke , E., Quigley, EMM, Schmulson, M., Whorwell, P., Archampong, T., Adibi, P., Andresen, V., Benninga, MA, Bonaz, B., … Palsson, OS (2021). Kuwanda Kwepasirese uye Kuremerwa kweInoshanda Gastrointestinal Disorders, Zvabuda zveRome Foundation Global Study. Gastroenterology, 160 (1), 99-114.e3. doi.org/10.1053/j.gastro.2020.04.014

Hyams, JS, Di Lorenzo, C., Saps, M., Shulman, RJ, Staiano, A., & van Tilburg, M. (2016). Functional Disorders: Vana uye Vachiri Kuyaruka. Gastroenterology, S0016-5085(16)00181-5. Advance online kudhindwa. doi.org/10.1053/j.gastro.2016.02.015

Fikree, A., & Byrne, P. (2021). Kutungamirirwa kwehutano hwehutano hwemimba. Mishonga yekiriniki (London, England), 21 (1), 44-52. doi.org/10.7861/clinmed.2020-0980

Recommended Nutrition For Constipation

Recommended Nutrition For Constipation

Digestive system inopwanya chikafu chinodyiwa kuitira kuti muviri utore chikafu. Munguva yekugaya, zvikamu zvisingakoshi zvezvikafu izvi zvinoshandurwa kuita tsvina / chituru, icho chinoburitswa panguva yekufamba. Kana chirongwa chekudya chinomira kushanda zvakanaka nekuda kwezvinhu zvakadai sekuchinja kwekudya, kudya zvokudya zvisina kunaka, kushaya basa rekuita muviri / kurovedza muviri, mishonga, uye mamwe mamiriro ehutano, zvinogona kukonzera kuvimbiswa. Kuzvimbirwa kunoitika kana muviri usingakwanise kuita ura nguva dzose. Iyo distention, gasi, kuputika uye kusakwanisa kuita bowel kukonzeresa kusagadzikana uye kusagadzikana, izvo zvinogona worsen constipation. Kubatanidza kudya kunokurudzirwa kunogona kubatsira kudzoreredza mafambiro ehura uye kushanda kwematumbo.

Recommended Nutrition For Constipation

Recommended Nutrition For Constipation

Zviratidzo zvakaita sekurwadziwa kwemudumbu, kuzvimba, uye kuoma kwematumbu zvinowanzoitika. Kudya uye hydration yakakodzera zvine basa rakakosha muhutano hwekugaya, kunyanya mukubvisa nekudzivirira kuvimbiswa. High-fiber foods, prebiotics, uye mvura yakakwana kubva pakudya uye zvinwiwa zvakakosha pakufamba ura kune hutano.

  • Fiber inowanikwa muzviyo, zviyo, michero, nemiriwo.
  • Soluble uye insoluble fiber yakakosha kune hutano hwekugaya.
  • Kutarisa pakubatanidza yakakwirira-fiber michero, miriwo, uye zviyo zvakakwana.
  • Zvokudya zvakapfuma mu prebiotics sezvikafu zvakaviriswa zvinokurudzirwa kana munhu akazvimbirwa.

Chikafu chinokurudzirwa chekuvhara, maererano nekudya chinosanganisira.

makotapeya

  • Avocados anogona kupetwa nechero chero chinhu uye azere nezvinovaka muviri uye fiber.
  • Rimwe avocado rine magiramu anenge 13.5 efiber.
  • Imwe avocado inopa inenge hafu yezuva nezuva fiber zvinodiwa.
  • Mimwe michero yakakwirira-fiber: mapomegranati, guava, raspberries, blackberries, uye passionfruit.

Maonde

  • Maonde anogona kudyiwa ari manyoro uye akaomeswa.
  • Maonde anoonekwa seanorapisa uye akaratidzwa kurapa uye kuderedza kuvimbiswa.
  • Izvo zvine antioxidants, polyphenols, polyunsaturated fatty acids, uye mavitamini.
  • Mimwe michero yakafanana nemuonde: maapricots akaomeswa, prunes, uye plums.

Plums

  • Plums, prunes akaomeswa plums yakazara nefiber uye prebiotics ine yakasikwa laxative effect.
  • sorbitol - shuga inowanikwa mu plums uye prunes, inoshanda sechinhu osmotic laxative inochengeta mvura.
  • Iyo H2O yakawedzerwa inoita kuti zvituru zvipfave uye zvive nyore kupfuura.
  • Miti yemichero yemuchero, senge peari, apuro, kana prune inowanzonyorerwa kuvimbiswa.
  • Mimwe michero inobatsira mukufamba kwematumbo: mapichisi, mapeya, uye maapuro.

Kefir

  • Zvokudya zvakabikwa se kefir vakapfuma mubhakitiriya anobatsira anoshanda kuchengetedza digestive system hutano.
  • Inogona kudyiwa yega kana kushandiswa mukati smoothies, kubika, uye kubika kubika.
  • Zvimwe zvekudya zvakaviriswa: kombucha, yogati, sauerkraut, kimchi, miso, uye tempeh.

Oat Bran

  • Oat bran oatmeal isati yave nayo chinangwa akabviswa.
  • Iyo bran ine zvinovaka muviri zvinobatsira zvinosanganisira fiber, antioxidants, mavitamini, uye zvicherwa.
  • Oat bran ine soluble uye insoluble fiber, pamwe chete beta-glucan/isina-starchy polysaccharides.
  • Zvese zvinonatsiridza kuumbwa kwemabhakitiriya emudumbu uye kusimudzira mafambiro ane hutano.
  • Zvimwe zviyo zvinobatsira: oatmeal, gorosi bran, rye, uye bhari.

Kubatanidza Gut-Beneficial Foods

Maitiro ekubatanidza zvinokurudzirwa chikafu gut-chinobatsira chikafu mune yenguva dzose menyu:

smoothie

  • Shandisa kefir kana yogati sechigadziko wobva wazvienzanisa nemichero ine fiber yakaita semango, blueberries, uye kiwi.

nezvikafu zvishoma

  • Diversify snacks neplate yefiber uye prebiotics.
  • Nzungu, cheese, crackers, muchero, uye yogati kana dipu yekotapeya.

Oatmeal

  • Edza oat bran kuti uwedzere fiber.
  • Mwaya sevhisi yeflaxseeds, chia mbeu, kana hemp mhodzi yekuwedzera fiber uye mafuta ane hutano.

Parfait

  • Yogurt parfaits inogona kuwedzera zvinovaka muviri, kuravira, uye maumbirwo mundiro.
  • Isa pamusoro peyogati yaunofarira negranola, nzungu, michero, uye mbeu.

Zviyo Bowl

  • Fibre inowanikwa muzviyo zvizere uye mhodzi sebhari, farro, uye quinoa, inobatsira kukurudzira kugaya kune hutano.
  • Gadzira mbiya ne zviyo base, ipapo pamusoro neprotein, mavheji matsva kana akakangwa, avocado, uye kupfeka.

Taura nemuongorori wezvekudya akanyoreswa kana mumwe mupi wehutano kuti mukurukure zvinokurudzirwa zvirongwa zvekudya.


Kuenzanisa Muviri uye Metabolism


References

Arce, Daisy A et al. "Avaluation ye constipation." Chiremba wemhuri yeAmerica vol. 65,11 (2002): 2283-90.

Bharucha, Adil E. "Constipation." Best practice & research. Clinical gastroenterology vol. 21,4 (2007): 709-31. doi:10.1016/j.bpg.2007.07.001

Grey, James R. “Chii chinonzi chronic constipation? Tsanangudzo uye kuongororwa. " Canadian Journal yeGastroenterology = Chinyorwa Canadien de Gastroenterology vol. 25 Suppl B, Suppl B (2011): 7B-10B.

Jani, Bhairvi, naElizabeth Marsikano. "Kuzvimbirwa: Kuongorora uye Kutungamira." Missouri mushonga vol. 115,3 (2018): 236-240.

Naseer, Maliha, nevamwe. "Kurapa Maitiro ePrebiotics paKuzvimbirwa: Ongororo yeSchematic." Current clinical pharmacology vol. 15,3 (2020): 207-215. doi:10.2174/1574884715666200212125035

National Institute of Diabetes uye Digestive uye Kidney Zvirwere. Zviratidzo uye Zvinokonzera Kuzvimba.

National Institute of Diabetes uye Digestive uye Kidney Chirwere. Digestive System Yako uye Mashandiro Ayo.

Sinclair, Marybetts. "Kushandiswa kwemassage emudumbu kurapa kusingaperi kuvimbiswa." Journal of bodywork and movement therapies vol. 15,4 (2011): 436-45. doi:10.1016/j.jbmt.2010.07.007

Kunzwisisa Kubatana kweMetabolic & Zvirwere Zvisingaperi (Chikamu 2)

Kunzwisisa Kubatana kweMetabolic & Zvirwere Zvisingaperi (Chikamu 2)


ziviso

Dr. Jimenez, DC, anoratidza kuti kushamwaridzana kusingagumi kwemetabolism sekuputika uye insulin kushorwa kunokonzera sei ketani mumuviri mune iyi 2-part series. Zvinhu zvakawanda zvinowanzoita basa muhutano hwedu uye hutano. Muchiratidziro chanhasi, tichaenderera mberi pamusoro pekuti izvi zvisingaperi zvirwere zvemetabolism zvinokanganisa sei nhengo dzakakosha uye nhengo dzenhengo. Inogona kutungamira kune yakawandisa njodzi zvinhu zvine chekuita nemarwadzo-sezviratidzo mumamhasuru, majoini, uye nhengo dzinokosha. Part 1 akaongorora kuti kupindirana kwengozi profiles senge insulin kuramba uye kuzvimba zvinokanganisa sei muviri uye zvinokonzeresa tsandanyama nemajoini-senge zviratidzo. Isu tinotaura nezvevarwere vedu kune vane certified varapi vekurapa vanopa aripo marapirwo ekurapa kune vanhu vanorwara nechirwere chisingaperi chine chekuita nekubatana kwemetabolic. Tinokurudzira murwere wega wega pazvinenge zvakakodzera nekuvaendesa kune vanosanganisirwa varapi maererano nekuongororwa kwavo kana zvavanoda. Isu tinonzwisisa uye tinobvuma kuti dzidzo inzira inoshamisa kana tichibvunza mibvunzo yakakosha yevanotipa pachikumbiro uye nemvumo yemurwere. Dr. Alex Jimenez, DC, anoshandisa ruzivo urwu sebasa rekudzidzisa. Disclaimer

 

Kuti Chiropa chakabatana sei neMetabolic Diseases

Saka isu tinokwanisa kutarisa kuchiropa kuti tiwane mavambo ekutanga enjodzi yemoyo. Tingazviita sei? Zvakanaka, ngatinzwisise imwe chiropa biochemistry. Saka muhepatocyte yehepatocyte yechiropa ine utano, kana wawedzera insulini yakavanzwa nokuti paiva nekudya kwaida kuti glucose inyurwe, zvaunotarisira kana insulini receptor ikashanda ndeyokuti glucose yaizopinda. Ipapo iyo glucose yaizowana oxidized uye rakashanduka rikava simba. Asi heino dambudziko. Kana iyo hepatocyte ine insulin receptors isingashande, iwe une iyo insulin kunze, uye glucose haina kumbobvira yaita mukati. pinda mukati. Saka zvazvinoita zvinodzima fatty acid oxidation, uchifunga, “Varume, hatifanire kupisa maasidhi edu ane mafuta. Tine glucose iri kuuya."

 

Saka kana iyo glucose isipo, uye iwe usiri kupisa mafuta acids, zvakajairika kuti vanhu vanzwe kuneta nekuti hapana chiri kupisa simba. Asi heino yechipiri sequela; ese aya maasidhi emafuta arikuenda kupi, handiti? Zvakanaka, chiropa chinogona kuedza kuvaisa zvakare se triglycerides. Dzimwe nguva, vanogara muhepatocyte kana kuti vanobviswa kubva muchiropa kuenda muropa seVLDL kana kuti yakaderera-density lipoprotein. Iwe unogona kuzviona seyakakwira triglyceride shanduko mune yakajairwa lipid panel. Saka, isu tese patinenge tichitaura nezve kuwana triglyceride level kusvika pamakumi manomwe sechinangwa chako che70+, pandinotanga kuona triglycerides ichikwira, tinomirira kusvika yasvika zana nemakumi mashanu, kunyangwe iriyo nzira yekugumira kumalabhu edu. Kana tikazviona pa8, tinoziva kuti vari kunzvenga triglycerides kubva muchiropa.

 

Saka izvo zvichaitika kakawanda tisati tawana kusagadzikana kwekutsanya glucose. Saka tarisa matriglycerides ako, kutsanya triglycerides, senge iri kubuda kana yekutanga biomarker ye insulin kusashanda. Saka iyi ndiyo imwe dhayagiramu inotaura kuti kana triglycerides iri kugadzirwa nekuti mafuta acids ari kuve oxidized, anogona kugara muchiropa. Zvadaro izvo zvinogadzira steatosis kana chiropa chakakora, kana kuti dzinogona kusundirwa kunze, uye dzinoshanduka kuita lipoprotein. Tichazotaura nezvazvo muchinguvana. Muviri wakafanana, "Tichaita sei neaya mafuta acids?" Hatingaedze kuvasaidzira munzvimbo nekuti hapana anovada. Kusvika ipapo, chiropa chakaita sekuti, “Handidzida, asi ndicharamba ndiinadzo.” Kana kuti chiropa chaizoita kuti maasidhi emafuta aya atakurwe onamira kumadziro etsinga yeropa.

 

Zvino tsinga netsinga zvinenge, “Zvakanaka, handizvidi; Ndichavaisa pasi peendothelium yangu. Uye saka ndiyo nzira yaunowana nayo atherogenesis. Nyama dzacho dzakaita sekuti, “Handidi, asi ndichatora imwe.” Ndiwo matorero aunoita iwo mafuta streaks mumhasuru dzako. Saka kana chiropa chinenge chanyura ne steatosis, kuzvimba kunoitika mumuviri uye kunoburitsa iyi feed-forward cycle mukati mehepatocyte, zvichikuvadza chiropa. Uri kuita kufa kwemasero; uri kuwana fibrosis, inongori kuwedzera kwezvinoitika kana tikasagadzirisa nyaya dzakakosha dzechiropa chemafuta: kuzvimba uye insulin kuramba. Saka, isu tinotarisa kusinganzwisisike kusimuka muAST, ALT, uye GGT; yeuka kuti ienzyme yakavakirwa pachiropa.

 

Hormone Enzymes & Kuzvimba

GGT ma enzymes ari muchiropa ma detectors eutsi uye tiudze kuti yakawanda oxidative stress irikuitika. Tichatarisa HSCRP neAPOB kuti tione kubuda kwechiropa ichi? Yave kutanga kurasa yakawandisa mafuta asidhi kuburikidza neVLDL, APOB, kana triglycerides? Uye kuti inotora sei iyo ingori genetics, kutendeseka. Saka ndinotsvaga magwaro echiropa kuti andiudze zviri kuitika muchiropa sechiratidzo chezviri kuitika kwese kwese. Nekuti iyo inogona kunge iri iyo genetic isina simba nzvimbo yemunhu, vamwe vanhu vari panjodzi yemajini maererano neiyo lipid profiles. Kusvika ipapo, tinogona kutsvaga chimwe chinhu chinonzi metabolic dyslipidemia. Iwe unoziva izvi seyakakwira triglycerides uye yakaderera HDL. Iwe unogona kunyatsotarisa chiyero; optimal balance is three and lower. Inotanga kubva pamatatu kusvika kumashanu uyezve mashanu kusvika masere, sere sere inenge pathognomonic ye insulin kuramba. Uri kungosvika pakuramba uchiramba insulin.

 

Sezvo huwandu hunowedzera kune iyo trig pamusoro peHDL reshiyo, iyo iri nyore, nzira iri nyore yekutarisa insulin kuramba. Iye zvino vamwe vanhu vanotarisa 3.0 pane izvi asi vachiri ne insulin kuramba. Saka kune mimwe miedzo yaunoita. Iyi inzira yekutsvaga avo vanoratidza insulin kuramba kuburikidza nelipids. Uye rangarira, munhu wese akasiyana. Vakadzi vane PCOS vanogona kunge vane lipids inoshamisa asi vanogona kuratidza kuwedzera kana kuderera kwemahomoni ane chekuita ne insulin, estrogen, uye kuzvimba. Saka tsvaga chimwe chinhu chisiri bvunzo imwe chete kana reshiyo kuratidza kuti vanayo here. Iwe uri kutarisa kuti uone kuti ndeipi ingave nzvimbo yatinowana icho chinongedzo.

 

Saka ngatishandisei izwi rekuti hutano. Munhu ane utano ane VLDL inoratidzika kuva ine utano hwakanaka saizi mumiviri yavo, uye vane LDL neHDL zvakajairika. Asi zvino tarisa zvinoitika kana iwe ukawana insulini kuramba. Aya VLDL ls anotanga kupomba ne triglycerides. Ndiko kusaka vachikora. Ndiyo lipotoxicity. Saka kana ukatanga kutarisa VLDL nhamba nhatu mune lipoprotein mbiri, uchaona kuti nhamba iyoyo iri kukwira kumusoro, uye kune dzakawanda dzadzo, uye saizi yavo yakakura. Zvino neLDL, chii chinoitika ndechekuti huwandu hwecholesterol mukati mepamusoro nepasi hwakafanana. Kana ndikaputira mabharuni ese emvura aya, yakaenzana huwandu hweLDL cholesterol. Nekudaro, iyo huwandu hweLDL cholesterol mukupikiswa kwe insulin inodzokororwa mudiki dense LDL.

 

Mushonga Unoshanda Unotamba Sei Chikamu Chayo?

Zvino isu tinonzwisisa kuti panogona kunge paine vamwe vako vasingakwanisi kana kusawana mukana wekuyedzwa uku, kana varwere vako vasingakwanise, ndosaka takapindura mibvunzo uye takatsvaga zvimwe zvinongedzo zvekuramba insulin uye kubata chikonzero chiri kukanganisa muviri. Tarisa zviratidzo zvekuzvimba uye mamwe anopindirana profiles e insulin kuramba. Iyo particle number yakakwira kana vari insulin resistance. Saka cholesterol yakafanana, nepo nhamba yechikamu ichiwedzera kukwidziridzwa, uye diki dense LDL inowedzera atherogenic. Zvirape nokuti kana uchikwanisa kana kuti usingakwanisi kuziva chidimbu cheLDL, panofanira kuva nechimwe chinhu mumusoro mako chinoti, “Munhu, kunyange zvazvo LDL cholesterol yomunhu uyu ichiratidzika kuva yakanaka, vane matani okuzvimba nokuramba insulin; Handikwanise kuva nechokwadi chekuti havana nhamba yepamusoro. " Unogona kufunga kuti vanoita izvi kuti vachengetedzeke.

 

Chimwe chinhu chinoitika mukuramba insulin ndechekuti HDL kana iyo cholesterol ine hutano inoita kunge diki. Saka izvo hazvina kunyanya kunaka nekuti efflux huwandu hweHDL hunodzikiswa kana idiki. Saka isu tinoda iyo hombe HDL, kana uchida. Kuwana bvunzo idzi kwaizokupa chiratidzo chakasimba chezviri kuitika nemurwere wako kubva pa cardiometabolic maonero.

 

Kana zvasvika kune bvunzo idzi, zvakakosha kuti uzvishandise kuona nguva yemurwere pavanenge vaine kuzvimba kana insulin kuramba mumiviri yavo, zvichikanganisa hupenyu hwavo. Nekudaro, vanhu vazhinji vanowanzo taura kuti bvunzo idzi dzinodhura uye dzinoenda negoridhe mwero wekuyedza kuti vakwanise uye vagokwanisa kusarudza kana zvichikodzera kuita zvirinani hutano hwavo nekugara zvakanaka.

 

Tarisa kune Cardiometabolic Risk Patterns

Saka kana zvasvika kune cardiometabolic risk factor mapatani, isu tinotarisa iyo insulin chimiro uye kuti inodyidzana sei nekusashanda kwemitochondrial kwakabatana ne insulin kuramba uye kuzvimba. Chinyorwa chekutsvagisa chinotaura maitiro maviri emitochondrial dysfunctions anogona kukanganisa muviri. Zvakanaka, ngatitaure nezvenyaya yekutanga, inova nyaya yehuwandu. Imwe inogona kuva endotoxins yatinosangana nayo munharaunda yedu, kana maviri; inogona kupfuudzwa kubva kuchizvarwa kuenda kune chimwe chizvarwa. Saka mhando mbiri idzi dzinogona kuratidza kuti hauna mitochondria yakakwana. Saka iyo inyaya yehuwandu. Rimwe dambudziko inyaya yemhando. Une akawanda awo; haashande nemazvo, saka haave nekubuda kwepamusoro kana mhedzisiro yakajairika. Zvino izvi zvinotamba sei mumuviri? Saka kunze kunharaunda, mhasuru dzako, adipocytes, uye chiropa, une mitochondria mumaseru iwayo, uye ibasa ravo kupa simba iro kukiya uye jiggle. Saka kana mitochondria yako iri munhamba chaiyo, une zvakawanda zvekusimbisa iyo insulin cascade lock uye jiggle.

 

Zvinofadza, handiti? Saka heino muchidimbu, kana iwe usina mitochondria yakakwana, rinova dambudziko riri munharaunda, unowana insulini kuramba nekuti kukiya uye jiggle hazvisi kushanda zvakanaka. Asi kana usina mitochondria inoshanda zvakanaka murwatata, kunyanya mubeta cell, hauburitse insulin. Saka iwe uchiri kuwana hyperglycemia; iwe hauna yakakwirira insulin mamiriro. Kana izvi zvikaitika, tinoziva kuti uropi hwako hunofanira kunge huri kurwadza, asi tinovimba, huchauya pamwe zvishoma nezvishoma.

 

Chimwe chinyorwa chinotaura kuti inobatanidza kusashanda kwemitochondrial nemhando yechipiri chirwere cheshuga, uye hurombo hwaamai husina hutano hunogona kuisimbisa. Uyu anotaura nezvekuti chiropa chine mafuta chakabatana sei ne lipotoxicity, handiti? Ndiyo iyo yakawedzera mafuta asidhi, uye oxidative kusagadzikana, izvo, rangarira, ndiyo byproduct yekuzvimba. ATP kupera uye mitochondrial dysfunction. Kana izvi zvikaitika, zvinogona kukanganisa chiropa, icho chinozoshanduka kuita chiropa chine mafuta, uye chinogona zvakare kusanganisirwa nekusashanda kwematumbo, izvo zvinotungamira mukuzvimba kusingaperi, kukwirisa insulin kuramba, mitochondrial dysfunction, nezvimwe zvakawanda. Izvi zvisingaperi zvirwere zvemetabolism zvakabatana, uye kune nzira dzekudzikisa zviratidzo izvi kubva pakukanganisa muviri.

 

mhedziso

Pavanenge vachikurukura navanachiremba vavo, varwere vazhinji vanoziva kuti vatyairi vakafanana vanobata mamwe ma phenotypes, ose anowanzo midzi mukuzvimba, insulini, uye chepfu. Saka kana vanhu vazhinji vaziva kuti zvinhu izvi ndizvo zvinokonzeresa, vanachiremba vanozoshanda nevazhinji vanobatana nevanorapa vanogadzira hurongwa hwekurapa hwemunhu. Saka rangarira, iwe unofanirwa kushandisa nguva uye matrix kukubatsira iwe kuziva kwaunotanga nemurwere uyu, uye kune vamwe vanhu, zvinogona kunge uri kungogadzirisa zvishoma mararamiro nekuti zvese zvavanoita. 'vari kushanda pakuchinja kwemuviri wavo. Saka nderimwe remakomborero emushonga unoshanda watakakwanisa kudzima kuzvimba mudumbu, izvo zvinobatsira kudzikisa muchetura unoremedza chiropa. Zvinobvumirawo munhu kuti aone kuti chii chinoshanda kana chisingashande nemiviri yake uye kutora matanho madiki aya ekuvandudza hutano hwake.

 

Tinovimba une maziso matsva pamusoro pekuzvimba, insulini, uye muchetura uye kuti zviri sei pamudzi wemamiriro mazhinji akatarisana nevarwere vako. Uye sei kuburikidza nehupenyu hwakareruka uye hunoshanda uye kupindira kwekudya, unogona kushandura iyo siginecha uye nekuchinja mafambiro ezviratidzo zvavo nhasi uye njodzi dzavanadzo mangwana.

 

Disclaimer

Kunzwisisa Kubatana kweMetabolic & Zvirwere Zvisingaperi (Chikamu 2)

Kubatana kweMetabolic pakati peChirwere Chisingaperi (Chikamu 1)


ziviso

Dr. Alex Jimenez, DC, anoratidza kuti kuwirirana kwemetabolism kunokonzera sei ketani kune zvirwere zvakakura zvisingaperi mune iyi 2-chikamu mutsara. Zvinhu zvakawanda zvinowanzoita basa muhutano hwedu uye hutano. Inogona kutungamira kune yakawandisa njodzi zvinhu zvine chekuita nemarwadzo-sezviratidzo mumamhasuru, majoini, uye nhengo dzinokosha. Chikamu 2 chinoenderera mberi nemharidzo yekubatanidza metabolic nezvirwere zvisingaperi. Isu tinotaura nezvevarwere vedu kune vane certified varapi vekurapa vanopa aripo marapirwo ekurapa kune vanhu vanorwara nechirwere chisingaperi chine chekuita nekubatana kwemetabolic. Tinokurudzira murwere wega wega pazvinenge zvakakodzera nekuvaendesa kune vanosanganisirwa varapi maererano nekuongororwa kwavo kana zvavanoda. Isu tinonzwisisa uye tinobvuma kuti dzidzo inzira inoshamisa kana tichibvunza mibvunzo yakakosha yevanotipa pachikumbiro uye nemvumo yemurwere. Dr. Jimenez, DC, anoshandisa ruzivo urwu sebasa rekudzidzisa. Disclaimer

 

Kuti Kuzvimba Kunobata Sei Muviri

Dr. Alex Jimenez, DC, anopa: Saka pano une seti yakaonda yeadipocyte kuruboshwe, uye zvino pavanotanga kuzara nehuremu hwemasero, unoona macrophage aya, mabhunu egirinhi achiuya achitarisa, achiti, “Heyi, chii chiri kuitika pano? Hazvina kutaridzika zvakanaka." Saka vari kuferefeta, uye izvi zvinokonzeresa kufa kwesero renzvimbo; chinongova chikamu chekuputika kwechirwere. Saka pane zvakare imwe nzira iri kuitika pano. Adipocytes iwayo haasi kungowedzera kudonha netsaona; inowanzoenderana nekoriori surfette. Saka ichi chekudya chakawandisa chinokuvadza iyo endoplasmic reticulum, zvichiita kuti kuwedzere kuzvimba. Izvo masero aya uye adipocytes ari kuedza kuita kuzvidzivirira kubva kune glucose uye lipo toxicity.

 

Uye yesero yese, iyo adipocyte cell, iri kugadzira macaps aya ari kuyedza kuti, "Ndapota mira, isu hatichatora imwe glucose, hatichatora mamwe lipids." Iyo nzira yekudzivirira inozivikanwa se insulin resistance. Hachisi chimwe chinhu chinongoitika. Ndiyo nzira yemuviri yekuedza kudzivirira glucose uye lipotoxicity. Iye zvino iyo alarm yekuzvimba iri kuitika kupfuura kungoita muadipocytes, iri kuwana systemic. Mamwe matishu uye nhengo dziri kutanga kunzwa mutoro mumwe chete wecalorie surfette, zvichikonzera kuzvimba uye kufa kwesero. Saka glucose uye lipotoxicity zvinotaridzika sechiropa chine mafuta kana uchibata nechiropa. Uye iwe unogona zvakare kuve nazvo sekuti chiropa chine mafuta chinoenda ku cirrhosis nehepatocyte kufa. The same mechanism iri kuitika mumaseru mhasuru. Saka skeletal tsandanyama masero edu anonyatso kuona sero kufa mushure mekuzvimba uye kuona mafuta ekuisa.

 

Nzira yakanakisa yekufunga nezvazvo ndeye, semuenzaniso, mhou dzakapfuudzwa kuti dzidyiwe uye kuti dzave nemarble. Saka ndiko kuisa mafuta. Uye muvanhu, unogona kufunga nezvekuti vanhu vanova sei sarcopenic pavanenge vachiwedzera kuramba insulin. Ndizvo zvimwe chete zvinoitika kana nyama yemuviri ichiedza kuzvidzivirira kubva kuglucolipotoxicity, zvichikonzera mhinduro yekuzvimba munharaunda. Inova mhinduro ye endocrine painotanga kunanga mamwe matishu ari padyo, ingave chiropa, tsandanyama, bhonzo, kana uropi; ndizvo chete zviri kuitika; vari mu visceral adipocytes inogona kuitika mune mamwe manyama. Saka ndiyo paracrine effect yako. Uye zvino inogona kuenda kuhutachiona, kana uchida.

 

Kuzvimba kwakabatana neInsulin Resistance

Dr. Alex Jimenez, DC, anopa: Uri kuwana iyi yemuno uye systemic pro-kuzvimba mhinduro yakasanganiswa ne insulin kuramba, uchidzokera kune iyi nzira yekudzivirira kubva kune glucose uye lipotoxicity. Pano iwe unoona kuti tsinga dzeropa dziri mutsinga dzedu dzinobatwa sei muchiuno chekuisa mafuta uye kufa kwesero. Saka iwe uchaona tsinga dzeropa dzinodonha uye mafuta anoiswa, uye iwe uchaona kukuvadzwa uye pro-atherogenesis. Zvino, ichi chinhu chatakatsanangura muAFMCP cheiyo cardiometabolic module. Uye ndiyo physiology kuseri kwe insulin receptor. Izvi zvinozivikanwa sekiyi yekukiya uye jiggle. Saka iwe unofanirwa kuve ne insulin yekuvhara mukati me insulin receptor kumusoro kumusoro., iyo inozivikanwa sekiyi.

 

Uyezve pane phosphorylation cascade inonzi jiggle iyo inobva yagadzira iyi cascade inozopedzisira yaita kuti glucose-4 nzira dzivhure glucose-4 receptors kuti ipinde muchitokisi kuti ive ipapo iyo glucose, iyo inobva yashandiswa simba. kugadzirwa nemitochondria. Ehe, insulin kuramba ndiko uko iyo receptor haina kunamira kana seinoteerera. Uye saka haungotadzike chete kuisa glucose muchitokisi kuti igadzire simba, asi iwe uri kupawo hyper insulin mamiriro munharaunda. Saka iwe unowana hyperinsulinemia pamwe ne hyperglycemia mune iyi nzira. Saka chii chatingaita nezvazvo? Zvakanaka, zvakawanda zvinovaka muviri zvakaratidzwa kuvandudza kukiya uye jiggle zvinhu zvinogona kuvandudza glucose-4 vatakuri vanouya vakananga kunharaunda.

 

Anti-Inflammatory Supplements Inoderedza Kuzvimba

Dr. Alex Jimenez, DC, anopa: Iwe unoona izvi zvakanyorwa pano: vanadium, chromium, sinamoni alpha lipoic acid, biotin, uye mumwe mutambi mutsva, berberine. Berberine ndeye botanical iyo inogona kudzikamisa ese ekutanga pro-kuzvimba masaini. Saka chii chinotangira izvi comorbidities kazhinji uye iko insulin kusashanda. Zvakanaka, chii chinotangira insulin kusagadzikana kakawanda? Kuzvimba kana huturu. Saka kana berberine iri kubatsira iyo yekutanga kuzvimba nyaya, inogadzirisa kudzika kwe insulin kuramba uye zvese comorbidities zvinogona kuitika. Saka funga berberine sechisarudzo chako. Saka zvakare, izvi zvinokuratidza kuti kana iwe uchigona kuderedza kuzvimba kumusoro kumusoro, unogona kuderedza akawanda cascade mhedzisiro kuzasi. Berberine inonyatsoita senge ichiita muiyo microbiome layer. Inogadzirisa gut microbiota. Inogona kugadzira kumwe kushivirira kwekudzivirira kwemuviri, nekudaro kwete kupa kuzvimba kwakawanda.

 

Saka funga berberine seimwe yezvishandiso zvaunogona kushandisa kutsigira insulin kusashanda uye insulin kushorwa-ane chekuita necomorbidities. Berberine inoita seinowedzera insulin receptor kutaura, saka kukiya uye jiggle inoshanda zvakanyanya uye inovandudza cascade nevatakuri veglucose-4. Ndiyo imwe nzira yaunogona kutanga nayo kutsvaga chikonzero cheakawanda emamiriro atakakurukura paunoona paracrine uye endocrine glucose toxicity, lipotoxicity organ kukuvara. Iye zvino imwe nzira yekuti iwe ufunge nezvekushandisa NF kappa B. Saka chinangwa ndechekuita kuti NF kappa B irambe iripo nekuti chero isingatapuke, zviratidzo zvekuzvimba zvakawanda hazvibatike.

 

Saka chinangwa chedu ndechekuchengetedza NF kappa B yakadzikama. Tingazviita sei? Zvakanaka, isu tinogona kushandisa NF kappa B inhibitors. Saka mune iyi mharidzo yesarudzo dzekurapa kune chero comorbidities ine chekuita nekusashanda kwe insulin, kune nzira dzakawanda dzekudzikisa aya anopindirana mamiriro anobata miviri yedu. Saka iwe unogona kukanganisa zvakananga insulin kuramba kuburikidza ne-anti-inflammatory supplements kana zvisina kunanga kubatsira insulin kuramba kana insulin kusashanda nekusimudzira zvinhu kurwisa kuzvimba. Chikonzero kana iwe uchirangarira, insulin kusashanda ndiko kunokonzeresa zvese izvo comorbidities. Asi chinokonzeresa kusashanda kwe insulin kazhinji kuzvimba kana chepfu. Saka chinangwa chedu ndechekugadzirisa zvinhu zvepro-inflammatory. Nekuti kana tikakwanisa kugadzirisa zvinhu zvepro-kuzvimba uye nekudzvanya kusashanda kwe insulin mubud, tinogona kudzivirira kukuvadzwa kwenhengo yepasi kana kusashanda kwenhengo.

 

Kuderedza Kuzvimba Mumuviri

Dr. Alex Jimenez, DC, anopa: Ngatienderere mberi kune chikamu chinotevera chaunogona kukwidziridza kana kuderedza kuzvimba uye kukuvara kwesobho ye insulin kana uchida, kuti majini anogeza mumuviri. Iyi ndiyo yaunowanzonzwa mumharidzo yedu, uye imhaka yekuti, mukurapa unoshanda, tinobatsira kugadzirisa ura. Ndiko kazhinji kwaunoda kuenda. Uye iyi ndiyo pathophysiology nei tichiita izvozvo mu cardiometabolic mushonga. Saka kana iwe uine chikafu chisina kunaka kana chinosiririsa, icho chemazuva ano chikafu chekumadokero chine mafuta akaipa, chinokuvadza zvakananga microbiome yako. Shanduko iyoyo mumicrobiome inogona kupa kuwedzera kwemukati memukati. Uye zvino lipopolysaccharides inogona kufambisa kana kubuda muropa. Kusvika ipapo, immune system inoti, "Aiwa, shamwari. Haufanire kunge uri muno." Iwe une aya endotoxins imomo, uye ikozvino kune yemuno uye systemic kuzvimba mhinduro yekuti kuzvimba kunotyaira kusashanda kwe insulin, izvo zvinokonzeresa kusagadzikana kwe metabolic kunouya mushure meizvozvo.

 

Chero zvingave zvakaita genetically yemunhu, inodzvanywa pane epigenetically. Saka rangarira, kana uchikwanisa kudzima kuzvimba muiyo microbiome, zvichireva kugadzira iyi inoshivirira uye yakasimba microbiome, unogona kuderedza kuzvimba kwemuviri wese. Uye kana iwe uchidzikisa izvo, zvakaratidzwa kuti inoseta insulin senitivity. Saka kudzika kwekuzvimba, kunowedzera insulin senitivity ine chekuita neiyo microbiome. Saka zvinoshamisa, zvakaratidzwa kuti probiotics inosanganiswa nekuvandudzwa kwe insulin senitivity. Saka maprobiotics akakodzera anozogadzira immune kushivirira. Microbiome simba uye modulation inoitika nemaprobiotics. Uye saka insulin senitivity inochengetedzwa kana kudzoserwa zvichienderana nekwauri. Saka ndokumbirawo ufunge kuti seimwe nzira isina kunanga kana nzira yekurapa yekurevesa cardiometabolic hutano kune varwere.

 

Probiotics

Dr. Alex Jimenez, DC, anopa: Saka kana zvasvika kune maprobiotics, isu tinoashandisa mune mumwe munhu angangovewo panguva imwe chete anotsamwisa bowel syndrome kana chikafu allergies. Tinogona kutora maprobiotics pamusoro peNF kappa B inhibitors kana vainewo insulin kuramba nyaya. Asi kana vaine matambudziko akawanda ekuziva, tinogona kutanga neNF kappa B. Saka, ndiyo nzira yaunokwanisa kusarudza kuti ndezvipi zvekusarudza. Zvino, rangarira, kana uchitaura nevarwere, zvakakosha kukurukura kuti madyiro avo ari kukonzera kuzvimba sei mumiviri yavo. Zvakakoshawo kuziva kuti haisi nyaya yemhando chete; ihurukuro yehuwandu uye hurukuro yekudzivirira zvirwere.

 

Izvi zvinokuyeuchidza kuti kana iwe ukagadzirisa ura nekuidyisa zvakanaka uye kuderedza inzwi rayo rinoputika, unowana humwe humwe hunobatsira hwekudzivirira; unomira kana kuti zvishoma kuderedza simba rekusashanda. Uye iwe unogona kuona izvo, pakupedzisira zvinogona kuderedza njodzi inowandira yekufutisa, chirwere cheshuga, uye metabolic syndrome. Isu tiri kuyedza kutyaira kumba kuti metabolic endotoxemia, kana kungo maneja iyo microbiome, chishandiso chine simba kubatsira yako insulin-inodzivirira kana cardiometabolic varwere. Yakawanda data inotiudza kuti isu hatigone kungoita hurukuro nezvekudya zvakanaka uye kurovedza muviri.

 

Zvakanyanya kupfuura izvozvo. Saka patinonyanya kuvandudza gut microbiota, tinogona kushandura masaini ekuzvimba kuburikidza nekudya kwakaringana, kurovedza muviri, kudzora kushushikana, kurara, zvimwe zvinhu zvese zvatave kutaura nezvazvo, nekugadzirisa matinji nemazino. Izvo zvishoma kuzvimba, kushomeka kwe insulin kusashanda uye, nekudaro, kushoma kwese kwese kwese kwese kwechirwere mhedzisiro. Saka izvo zvatinoda kuve nechokwadi kuti unoziva kuenda kudumbu uye kuve nechokwadi chekuti gut microbiome inofara uye inoshivirira. Ndiyo imwe yenzira dzakasimba dzekupesvedzera ane hutano cardiometabolic phenotype. Uye parutivi, kunyangwe chaive chinhu chikuru makore gumi apfuura, asiri-caloric artificial sweetener anoita sezvaanogona kunge asiri-caloric. Uye saka vanhu vanogona kunyengerwa kuti vafunge kuti zero shuga.

 

Asi heino dambudziko. Aya ekutapira ekugadzira anogona kukanganisa hutano hwemicrobiome nziyo uye kukurudzira mamwe marudzi maviri phenotypes. Saka, kunyangwe iwe uchifunga kuti uri kuwana bhenefiti pasina macalorie, uri kuzowedzera njodzi yako yechirwere cheshuga zvakanyanya kuburikidza nemhedzisiro yayo pagut microbiome. Zvakanaka, Takazviita kuburikidza nechinangwa chekutanga. Ndinovimba, iwe wakadzidza kuti insulin, kuzvimba, adipokines, uye zvimwe zvinhu zvese zvinoitika mukupindura kwe endocrine zvinobata nhengo dzakawanda. Saka ngatitangei kutarisa kune ari kubuda engozi mamaki. Zvakanaka, takataura zvishoma nezve TMAO. Zvakare, iyo ichiri pfungwa yakakodzera pano ine gut uye insulin kuramba. Saka isu tinoda kuve neshuwa kuti iwe unotarisa TMAO kwete semagumo ese ese asi semumwe ari kubuda biomarker anogona kukupa ruzivo nezve microbiome hutano mune zvese.

 

Kutsvaga The Inflammatory Markers

Dr. Alex Jimenez, DC, anopa: Tinotarisa TMAO yakakwirira kubatsira murwere kuziva kuti vakashandura kudya kwavo. Kazhinji yenguva, tinobatsira varwere kuderedza mapuroteni emhuka asina kunaka uye kuwedzera kudya kwavo kwezvirimwa. Zvinowanzoita kuti vangani vanachiremba vanoishandisa mune yakajairwa kurapwa. Zvakanaka, ikozvino imwe biomarker iri kubuda, zvakanaka, uye zvinonzwika zvinosetsa kuidaidza kuti iri kubuda nekuti inoita sezviri pachena, uye ndiyo insulin. Chiyero chedu chekutarisira chiri pakati peglucose, kutsanya glucose, kune yedu postprandial glucose A1C seyero yeglucose. Isu tiri glucose yakanyanya centric uye tinoda insulin seyakasimukira biomarker kana tikaedza kudzivirira uye kuita basa.

 

Uye sezvaunorangarira, takataura nezuro kuti insulin yekutsanya muzasi peyekutanga quartile yereferensi yako yekutsanya insulin ingave kwaunoda kuenda. Uye kwatiri isu muUS, izvo zvinoita kunge zviri pakati peshanu nenomwe seyuniti. Saka cherechedza kuti iyi ndiyo pathophysiology yemhando yechipiri chirwere cheshuga. Saka mhando mbiri yechirwere cheshuga inogona kuitika kubva kune insulin kuramba; inogonawo kuitika kubva kumatambudziko emitochondrial. Saka pathophysiology yerudzi rwechipiri chirwere cheshuga chinogona kunge chiri chekuti pancreas yako haisi kubudisa insulin yakakwana. Saka zvakare, ichi ndicho chiya chidiki che20% chatinotaura pamusoro peruzhinji rwevanhu vari kubatwa nechirwere cheshuga cherudzi rwechipiri; kunobva mukuramba insulin, sezvatingafungira, kubva mudambudziko re hyper insulin. Asi kune boka iri revanhu vakakuvadza mitochondria, uye havasi kuburitsa insulin.

 

Saka shuga yavo yemuropa inokwira, vobva vabatwa nechirwere cheshuga cherudzi rwechipiri. Zvakanaka, saka mubvunzo ndewokuti, kana paine dambudziko nepancreatic beta masero, nei paine dambudziko? Glucose iri kukwira here nekuti mhasuru dzine insulin inodzivirira, saka haikwanise kubata nekuunza glucose? Saka ndicho here chiropa chinoshingirira muropa ne insulin chisingagoni kutora glucose kuti chiwane simba? Sei glucose iyi ichitenderera muropa? Ndiko kuri kududzira uku. Saka kupa basa, unofanira kutarisa adipocytes; iwe unofanirwa kutarisa visceral adiposity. Iwe unofanirwa kuona kana munhu uyu achingori hombe dumbu mafuta ekuputika-senge catalyst. Chii chatingaita kuderedza izvozvo? Iko kuzvimba kunobva kune microbiome?

 

mhedziso

Dr. Alex Jimenez, DC, anopa: Kunyange itsvo inogona kuita basa mune izvi, handiti? Senge zvichida itsvo yakawedzera glucose reabsorption. Sei? Zvingave nekuda kwekushushikana kweiyo oxidative kuitsvo, kana kuti ingave iri muhPA axis, hypothalamus pituitary adrenal axis kwauri kuwana iyi cortisol mhinduro uye iyi inonzwira tsitsi sisitimu mhinduro iri kugadzira kuzvimba uye kutyaira iyo insulin yeropa uye kukanganiswa kweshuga yeropa? MuChikamu 2, tichataura pano nezvechiropa. Mutambi akajairika kuvanhu vazhinji, kunyangwe vasina fulminant fatty chiropa chirwere; kazhinji mutambi akapusa uye akajairika kune vanhu vane cardiometabolic dysfunction. Saka rangarira, isu tine visceral adiposity inokonzera kuzvimba uye insulin kuramba neatherogenesis, uye chiropa chakafanana neasina mhosva akamira akabatwa mumutambo. Zviri kuitika dzimwe nguva isati yatanga atherogenesis.

 

Disclaimer

Iyo Digestive Maitiro: Inoshanda Mushonga Back Clinic

Iyo Digestive Maitiro: Inoshanda Mushonga Back Clinic

Muviri unoda chikafu chehuni, simba, kukura, uye kugadzirisa. Kugayiwa kwechikafu kunopwanya chikafu kuita chimiro icho muviri unogona kutora uye kushandisa mafuta. Chikafu chakaputsika chinopinda muropa kubva mudumbu diki, uye chikafu chinotakurwa kuenda kumaseru mumuviri wese. Kunzwisisa kuti mitezo inoshanda sei pamwe chete kugaya chikafu kunogona kubatsira nezvinangwa zvehutano uye hutano hwese.Iyo Digestive Maitiro: Chiropractic Functional Medicine Clinic

The Digestive Process

Nhengo dze digestive system ndedzinotevera:

  • muromo
  • Esophagus
  • Dumbu
  • rwatata
  • Chiropa
  • Gallbladder
  • Small intestine
  • Chikamu chikuru
  • Anus

Kugayiwa kwedumbu kunotanga nekutarisira kudya, zvichikurudzira matinji ari mukanwa kuti abudise mate. Basa rekutanga rekugaya system rinosanganisira:

  • Kusanganisa chikafu
  • Kufambisa chikafu nemudumbu - peristalsis
  • Kupatsanurwa kwekemikari kwechikafu kuita zvidimbu zvidiki zvinonyura.

Iyo digestive system inoshandura chikafu kuita mafomu ayo akareruka, anosanganisira:

  • Glucose - shuga
  • Amino acids - mapuroteni
  • Fatty acids - mafuta

Kugayiwa kwakakodzera kunobvisa chikafu kubva muchikafu uye zvinwiwa kuchengetedza hutano uye kushanda zvakanaka. Nutrients zvinosanganisira:

  • Carbohydrate
  • MaProteins
  • mafuta
  • mavhitamini
  • zvicherwa
  • Mvura

Muromo uye Esophagus

  • Chikafu chinokuyiwa nemazino chonyoroveswa nemate kuti amedze nyore.
  • Mate anewo makemikari enzyme anotanga kuputsa makabhohaidhiretsi kuva shuga.
  • Tsandanyama dzegurokuro dzinokwiza chikafu chichipinda mudumbu.

Dumbu

  • Chikafu chinopfuura nemumhete diki yemhasuru kupinda mudumbu.
  • Inosanganiswa negastric chemicals.
  • Dumbu rinobvongodza chikafu kuti chiwedzere kuputsa.
  • Chikafu chinobva chasvinwa muchikamu chekutanga chedumbu, the duodenum.

Small Intestine

  • Kamwe mu duodenum, chikafu chinosanganiswa nemamwe ma enzymes ekugaya kubva pancreas uye kunyange kubva pachiropa.
  • Chikafu chinopinda munzvimbo dzepasi dzemukati mudiki, dzinonzi the jejunum uye ileum.
  • Mishonga inotorwa kubva muileum, yakamisikidzwa nemamirioni evilli kana shinda-seminwe yeminwe inofambisa kunyura.
  • Imwe neimwe villus yakabatana kune mesh ye capillaries, ndiko kuti kudya kunopinzwa muropa.

rwatata

  • Pancreas ndeimwe yemagland makuru.
  • Inoburitsa muto wekugaya uye hormone inonzi insulin.
  • Insulin inobatsira kugadzirisa huwandu hweshuga muropa.
  • Matambudziko nekugadzirwa kwe insulin zvinogona kutungamirira kumamiriro ezvinhu akaita sechirwere cheshuga.

Chiropa

Chiropa chine mabasa akati wandei anosanganisira:

  • Inotyora mafuta uchishandisa bile yakachengetwa mu gallbladder.
  • Inogadzirisa mapuroteni uye makhahydrates.
  • Masefa nemaitiro tsvina, mishonga, uye chepfu.
  • Inogadzira glucose yenguva pfupi simba kubva kumakomponi senge lactate uye amino acids.

Makumbo Makuru

  • Dziva rakakura rema microbes uye mabhakitiriya ane hutano anogara mumatumbo makuru uye anoita basa rakakosha mukugaya zvine hutano.
  • Kana kudya kwave kutorwa, tsvina inopfuudzwa muura hombe kana ura.
  • Mvura inobviswa, uye tsvina inochengetwa murectum.
  • Inobva yapfuudzwa kunze kwemuviri kuburikidza ne anus.

Digestive System Hutano

Nzira dzekuchengetedza digestive system uye chirongwa chekudya chine hutano dzinosanganisira:

Inwa Mvura Yakawanda

  • Mvura inobatsira kuti chikafu chiyerere nyore nyore kuburikidza nehurongwa hwekugaya.
  • Kuderera kwemvura / kupera mvura mumuviri ndizvo zvinowanzokonzera kuvimbiswa.

Wedzera Zvimwe Fiber

  • Fiber inobatsira pakugaya uye inobatsira pakufamba kwehura nguva dzose.
  • Batanidza zvese zviri zviviri soluble uye insoluble fiber.
  • Soluble faibha inonyungudika mumvura.
  • Sezvo soluble fiber inonyungudika, inogadzira gel inogona kuvandudza kugaya.
  • Soluble fiber inogona kuderedza cholesterol yeropa uye shuga.
  • Inobatsira muviri wako kuvandudza kudzora shuga yeropa, izvo zvinogona kubatsira mukudzikisa njodzi yako yechirwere cheshuga.
  • Insoluble faibha hainyungudika mumvura.
  • Insoluble fiber inokwevera mvura muchituru, ichiita kuti ipfave uye ive nyore kupfuura nekunetsa kudiki paura.
  • Insoluble fiber inogona kubatsira kukurudzira hutano hwehutano uye kugara uye inotsigira insulin senitivity iyo inogona kubatsira kuderedza njodzi yechirwere cheshuga.

Kudya Kwakadzikama

  • Idya michero nemiriwo zuva nezuva.
  • Sarudza zviyo pane zviyo zvakagayiwa.
  • Dzivisa zvokudya zvakagayiwa kazhinji.
  • Sarudza huku nehove kupfuura nyama tsvuku uye dzikamisa nyama dzakagadzirwa.
  • Cheka shuga.

Idya Zvokudya zvine Probiotics kana Shandisa Probiotic Supplements

  • Probiotics mabhakitiriya ane hutano anobatsira kurwisa mabhakitiriya asina kunaka mumatumbo.
  • Vanogadzirawo zvinhu zvine hutano zvinosimbisa ura.
  • Kushandisa probiotics mushure mekutora mishonga inorwisa mabhakitiriya inowanzouraya mabhakitiriya ose ari mumatumbo.

Idya Nepfungwa uye Chew Zvokudya Zvishoma nezvishoma

  • Kutsenga zvokudya zvakakwana kunobatsira kuti muviri uve nemate akakwana pakugaya.
  • Kutsenga zvokudya zvakakwana kunoitawo kuti zvive nyore kunwa zvinovaka muviri.
  • Kudya zvishoma nezvishoma inopa muviri nguva yekunyatsogaya.
  • Inobvumirawo kuti muviri utumire zviratidzo zvekuti wakazara.

Iyo Digestive System inoshanda sei


References

GREENGARD, H. “Digestive system.” Ongororo yegore negore yefiziology vol. 9 (1947): 191-224. doi:10.1146/annurev.ph.09.030147.001203

Hoyle, T. “The digestive system: linking theory and practice.” British Journal of Nursing (Mark Allen Publishing) vol. 6,22 (1997): 1285-91. doi:10.12968/bjon.1997.6.22.1285

www.merckmanuals.com/home/digestive-disorders/biology-of-the-digestive-system/overview-of-the-digestive-system

www.niddk.nih.gov/health-information/digestive-diseases/digestive-system-how-it-works

Martinsen, Tom C et al. "Iyo Phylogeny uye Biological Basa reGastric Juice-Microbiological Migumisiro Yekubvisa Gastric Acid." Chinyorwa chepasi rose chemolecular sciences vol. 20,23 6031. 29 Nov. 2019, doi:10.3390/ijms20236031

Ramsay, Philip T, naAaron Carr. "Gastric acid uye digestive physiology." Makiriniki ekuvhiya ekuNorth America vol. 91,5 (2011): 977-82. doi:10.1016/j.suc.2011.06.010

Kombucha Yakaviriswa Tea Health Benefits: Back Clinic

Kombucha Yakaviriswa Tea Health Benefits: Back Clinic

Kombucha itii yakaviriswa yave iripo kwemakore anoda kusvika 2,000 20. Yakava yakakurumbira muEurope mukutanga kwezana remakore rechiXNUMX. Iine hutano hwehutano hwakafanana netii, yakapfuma muprobiotics, ine antioxidants, uye inogona kuparadza mabhakitiriya anokuvadza. Kombucha kutengesa kuri kukura pa maduka nekuda kwehutano uye simba zvinobatsira.

Kombucha Yakaviriswa Tea Health Benefits

Kombucha

Inowanzo gadzirwa nedema kana girini tii, shuga, mabhakitiriya ane hutano, uye mbiriso. Inorungwa nekuwedzera zvinonhuwira kana michero mutii ichivirisa. Inoviriswa kweinenge vhiki, apo magasi, 0.5 muzana yedoro, mabhakitiriya anobatsira, uye acetic acid inogadzirwa. Kuvirisa kunoita kuti tii iite zvishoma. Rine B mavitamini, antioxidants, uye probiotics, asi zvinovaka muviri zvichasiyana zvichienderana ne brand uye kugadzirira kwayo.

Benefits

Zvinobatsira zvacho zvinosanganisira:

  • Kuvandudza kugaya kubva pakuti kuvirisa kunoita probiotics.
  • Inobatsira manyoka uye irritable bowel syndrome/IBS.
  • Kubvisa chepfu
  • Kuwedzerwa simba
  • Kuvandudza immune system hutano
  • Kuonda
  • Inobatsira neBP
  • Chirwere chemoyo

Kombucha, yakagadzirwa kubva girini tii, inosanganisira zvakanakira:

Probiotics

Mabhakitiriya anobatsira anozivikanwa seprobiotics. Aya maprobiotics akafanana anowanikwa mune mamwe chikafu chakaviriswa, seyogati uye sauerkraut. Probiotics inobatsira kuzadza ura nemabhakitiriya ane hutano anobatsira kugaya, kuderedza kuzvimba, uye kugadzira mavhitamini akakosha B uye K. Iyo probiotics inovandudza mafambiro uye kuderedza kusvotwa, kuputika, uye indigestion.

Antioxidants

Iyo antioxidants uye polyphenols mabhenefiti anosanganisira:

  • Kuwedzera metabolic rate
  • Yakaderedzwa BP
  • Yakaderera cholesterol
  • Kuvandudzwa kwekugadzirisa basa
  • Kuderera kwengozi yezvirwere zvisingaperi - chirwere chemoyo, mhando 2 chirwere cheshuga, uye mamwe magomarara.

Anti-Bacterial Properties

  • Nzira yekuvirisa inobereka acetic acid iyo inoparadza utachiona hunokuvadza senge mabhakitiriya anopinda uye mbiriso, kudzivirira utachiona.
  • Iyo anti-bacterial effect inochengetedzawo mabhakitiriya anobatsira.

Chiropa Detoxification

  • Inogona kubatsira detoxify chiropa, izvo:
  • Inovandudza hutano hweganda rose
  • Inovandudza chiropa basa
  • Kunoderedza kuputika kwedumbu uye kurwadziwa
  • Inovandudza kugaya uye basa redundira

Pancreatic Support

  • Inogona kuvandudza pancreatic basa, iyo inogona kubatsira kudzivirira muviri kubva kuzvirwere uye zvirwere zvakaita se:
  • Acid reflux
  • Abdominal spasms
  • Numbness
  • Kenza yepancreatic

Joint Support

  • The tii ine makomboni akaita seglucosamines akaratidzwa kuvandudza hutano hwemajoini uye kubvisa marwadzo emajoini.
  • Glucosamines inowedzera hyaluronic acid, inozora majoini, iyo inobatsira kudzivirira uye kuvasimbisa.

Gutisa Soda Chido

  • Izvo zvakasiyana-siyana zvinonaka uye zvakasikwa carbonation zvinogona kugutsa chido che soda kana zvimwe zvinwiwa zvisina kunaka.

Injury Medical Chiropractic uye Functional Medicine Clinic inosanganisira zvinhu zvemishonga inobatanidza uye inotora nzira yakasiyana kune hutano uye hutano.. Vanamazvikokota vanotarisisa hutano hwemunhu, vachiziva kukosha kwechirongwa chekurapa chemunhu kuti vabatsire kuziva zvinodiwa kuti uve nehutano. Chikwata chichagadzira hurongwa hwakasarudzika hunoenderana nehurongwa hwemunhu uye zvinodiwa.


Dietitian Anotsanangura Kombucha


References

Cortesia, Claudia et al. "Acetic Acid, iyo inoshanda yevhiniga, inoshanda tuberculocidal disinfectant." mBio vol. 5,2 e00013-14. 25 Kukadzi 2014, doi:10.1128/mBio.00013-14

Costa, Mirian Aparecida de Campos et al. "Mhedziso yekudya kwekombucha pagut microbiota uye kufutisa-ane hukama necomorbidities: Ongororo yakarongeka." Kuongorora kwakakosha mune sainzi yekudya uye hutano, 1-16. 26 Oct. 2021, doi:10.1080/10408398.2021.1995321

Gaggìa, Francesca, nevamwe. "Kombucha Beverage kubva kuGreen, Black uye Rooibos Teas: Chidzidzo Chekuenzanisa Kutarisa Microbiology, Chemistry uye Antioxidant Chiitiko." Nutrients vol. 11,1 1. 20 Zvita 2018, doi:10.3390/nu11010001

Kapp, Julie M, naWalton Sumner. "Kombucha: ongororo yakarongeka yehumbowo hunobatsira hwehutano hwevanhu." Annals of epidemiology vol. 30 (2019): 66-70. doi:10.1016/j.annepidem.2018.11.001

Villarreal-Soto, Silvia Alejandra, et al. "Kunzwisisa Kombucha Tea Kuviriswa: Ongororo." Journal of food science vol. 83,3 (2018): 580-588. doi:10.1111/1750-3841.14068