Yeguru mbiriso yerimi (RYR) ndeyekuwedzera kwezvokudya izvo zvakatengeswa semiti isiri mishonga yekuderedza cholesterol .
RYR yakashandiswa kuChina kwemazana emakore pakubika uye kubata kurapwa uye kushaya chirwere chekudya. Zvisinei, sezvo yakashandiswa muUnited States kwenguva shoma shoma, yakakonzera kukakavara kukuru.
Chii Chikara Mutsvuku Rice?
RYR inomupunga wegorosi wakaitwa nekuvirisa risi ne mold Monascus purpureus .
Iine zvinhu zvakawanda zvinogona kuderedza cholesterol mazinga, kusanganisira beta-sterols , monounsaturated mafuta acids , uye statin . Zita remakemikari yemufananidzo inoratidza mu RYR ndeye monocolin K, asi inozivikanwa zviri nani muU.S. se lovastatin (inotengeswa seMevacor).
RYR Chine Cholesterol Iri?
Zvidzidzo zvakaratidza kuti RYR, yakagara yakagadzirwa muChina uye yakatanga kutengeswa sekudya zvekudya muU.S., zvechokwadi inoderedza LDL cholesterol mazinga.
Somuenzaniso, pakuongorora vatatu 83 vane cholesterol yakakwirira, iyo yakarongeka kuR RYR yakakonzerwa kuderedza kolesterol yose (204 vs. 338 mg / dL) uye nhengo dzeLDL cholesterol (128 vs. 277 mg / dL) mushure memasvondo masere, achienzaniswa nevaya vanotora placebo.
The Controversy
Nharo, yezvokwadi, ndeyekuti RYR ine chimiro chakasikwa zvakasikwa. Statins, maererano nemitemo, inodhaka uye saka inoteerera mutemo.
Iyo nharo yakatanga muna 1999, nguva pfupi mushure mekuongororwa kwekliniki yakatanga kuratidza kuti RYR inogona kunyanya kuderedza cholesterol mazinga. Panguva iyoyo FDA yakatonga kuti RYR yaiva ne monocolin K yakanga iri mishonga, uye saka yakarayira kuti iibvise kubva pamashalofu. Mitemo yakatevera, uye (pashure pemitemo yakawanda-shure-uye-yakabuda) iyo 10 US Circuit Court of Appeals yakagamuchirwa neDFA.
Saka, muU.S., RYR inogona kutengeswa zviri pamutemo, asi kana chete matanho akatorwa mukugadzirwa kwayo kubvisa monocolin K.
RYR ichiri kuwanika sekuwedzera kwezvokudya, uye inobudiswa nevakawanda vanogadzira. Sezvokudya zvekudya, zvinyorwa zvayo uye zvigadzirwa hazvisati zvanyatsogadziriswa. Iyo yakaoma zvikuru kana isingakwanisi kuwana icho chimwe chigadzirwa chaYR chiri kugara pane rafufu chine.
Kutsvakurudza
Mukutarisana kwezvinhu izvi zvose kuvhiringidzika, zviitiko zviviri zvemakiriniki zvakaonekwa zvichiratidza kuti kunyange munguva yekupedzisira-FDA, kunyanya imwe RYR inowanikwa muU.S. inoshanda mukuderedza cholesterol mazinga.
Muna 2009, chidzidzo chinobva kuPennsylvania chakaratidza kuti mumatambudziko makumi matanhatu avo vaifanira kurega kutora mishonga yemishonga pamusana pemarwadzo emisimba , uye kutora maitiro ehupenyu hwemasvondo makumi maviri nemaviri zvakaderedzwa zvakakwana uye neLDL cholesterol mazinga, zvichienzaniswa nokutora placebo uye kuita kuti mararamiro mamwechete achinje.
Uye muna 2010, vatsvakurudzi veYunivhesiti yePennsylvania vakarondedzera kuti mune varwere vaifanira kumira kutora mazita nekuda kwehutambu hwemasisita, RYR yakangobatsira semawa 20 mg pazuva remasitadhimata emishonga echirwere (Pravachol) mukuderedza cholesterol. (Zvose RYR naPravachol zvakabudisa chiitiko chakanyanya kuderera chemarwadzo emisasa anowanzoitika.)
Mutsva ya2009, vatsvakurudzi vakaita shanduro yemakemikari yakarongwa pamushandi we RYR yavakashandisa mukudzidza kwavo (kubva kuSyvan Bioproducts muKittanning, Pennsylvania). Vakaona kuti RYR ichinge iine monacolin K pamwe nemamwe mairi masere.
Mugumisiro wekemikari iyi inoratidzira zvinhu zviviri. Chokutanga, pane imwe RYR inowanika muUnited States inenge iine ine zvimwe lovastatin, uye yechipiri, kunyange kana lovastatin yose yakabviswa zvachose, mamwe makemikari akafanana muR RY (ayo ayo FDA asina - asi - akaregererwa zvakanyanya) angave akabudirira mukuderedza cholesterol .
Unofanira Kutora RYR?
Pamusoro pekunze, kutora RYR kunoratidzika kuva nekunaka kugadziriswa kana uri kutsvaga nzira dzisingabvumirwi dzekutsvaira kwecholesterol. Zvisinei, izvo zvaungadai uchiri kuita zviri kutora zviyero zvakasiyana uye zvisingazivikanwi zveimwe mitemo-yakafanana nezvinhu. Hazvibviri kutaurira, kubva kune unogadzirisa kusvika kune unogadzira, kana kubva pane bhodhoro kusvika kunhomba, zvauri kutenga chaizvoizvo.
Kana iwe uchida kuderedza cholesterol yako usingarasikisi shati yako kumakambani makuru ezvinodhaka, bvunza chiremba wako nezvemagetsi emhando yemishonga. Zvinowanikwa zviri nyore, zvisingabhadhari (zvichida kunyange zvinodhura kupfuura RYR), uye sebhonasi, kuyerwa kwaunoita kuchazozivikanwa, uye kunogona kutarisirwa uye kugadziriswa kuti kuwedzere migumisiro yako.
Sources:
Halbert SC, French B, Gordon RY, et al. Kukanganiswa kwe mbiriso tsvuku yejisi (2400 mg kaviri zuva nezuva) zvichienderana ne pravastatin (20 mg kaviri pazuva) kune varwere vane mutemo wekusagadzikana kwekare. Am J Cardiol 2010; 105: 198-204.
Becker DJ, Gordon RY, Halbert SC, et al. Irobhu yejisi mupunga weDyslipidemia muvatongi vemazuva ano. Ann Internal Med 2009; 150: 830-839.
Gordon RY, Cooperman T, Obermeyer W, Becker DJ. Kuenzaniswa kwekusiyana kwemajoni e-monacolin mune zvebhizimisi mbiriso tsvuku yemucheka mishonga: mutengi chenjerera! Arch Intern Med 2010; 170: 1722.