Wednesday, September 19, 2018

降低胃潰瘍和胃炎的風險 Reduce Risk of Stomach Ulcers and Gastritis

幽門螺桿菌(H. pylori)是胃炎和胃潰瘍或十二指腸潰瘍的主要成因。而發現這一因果關係的兩位科學家亦因此獲得了2005年度諾貝爾生理學或醫學獎。

幽門螺桿菌感染通常沒有症狀。

幽門螺旋桿菌影響了近一半人口(5,9),幽門螺旋桿菌感染可導致胃炎和消化性潰瘍病(11-14),它亦提高了患胃癌的風險達2至6倍(1)。

幽門螺桿菌的標準治療涉及多種抗生素組合配合胃藥一起服用,但有證據顯示抗生素耐藥性正在蔓延,總體療效漸漸被降低[16,17]。

日本研究人員開發了一種天然療法,透過礦物質鋅和肌肽(一種由兩個氨基酸組成的二肽)的組合,可有效去除幽門螺旋桿菌,同時有效修復它對腸胃道所造成的傷害。

另外,一種名為羅伊氏乳桿菌(L. Reuteri)的特定益生菌菌株也被證明可以減少幽門螺桿菌滋長。

這些非藥物方法可以安全地抑制幽門螺旋桿菌,修復胃壁潰瘍,降低炎症,緩解慢性胃病。值得一試。

Helicobacter pylori (H. pylori) is a major cause of gastritis and ulcers.1-7

The two scientists who discovered this were awarded the Nobel Prize in Physiology or Medicine.8

Infection with the H. pylori bacteria is often without symptoms.1

H. pylori affects almost 50% of the population.5,9 It boosts the risk of stomach cancer10 by two- to six-fold,1 and can cause gastritis and peptic ulcer disease.11-14

Standard treatment for H. pylori involves a powerful antibiotic combination,15 but antibiotic resistance has reduced overall efficacy.16,17

Japanese researchers have developed a combination of zinc and carnosine that removes H. pylori while healing the damage it has caused.

A specific probiotic strain called Lactobacillus reuteri has also been shown to reduce H. pylori bacteria.

This non-drug approach can safely inhibit H. pylori, heal the stomach lining, lower inflammation, and alleviate chronic stomach problems.

References
1, Available at: http://www.cdc.gov/ulcer/files/hpfacts.pdf. Accessed July 16, 2018.
2, Available at: http://emedicine.medscape.com/article/176156-overview. Accessed July 16, 2018.
3, Available at: http://www.cancer.gov/about-cancer/causes-prevention/risk/infectious-agents/h-pylori-fact-sheet. Accessed July 16, 2018.
4, Lopes D, Nunes C, Martins MC, et al. Eradication of Helicobacter pylori: Past, present and future. J Control Release. 2014;189:169-86.
5, Malfertheiner P, Megraud F, O’Morain CA, et al. Management of Helicobacter pylori infection--the Maastricht IV/ Florence Consensus Report. Gut. 2012;61(5):646-64.
6, Meurer LN, Bower DJ. Management of Helicobacter pylori infection. Am Fam Physician. 2002;65(7):1327-36.
7, Wu TS, Hu HM, Kuo FC, et al. Eradication of Helicobacter pylori infection. Kaohsiung J Med Sci. 2014;30(4):167-72.
8, Available at: https://www.nobelprize.org/nobel_prizes/medicine/laureates/2005/press.html. Accessed July 13, 2018.
9, Lee YC, Chiang TH, Chou CK, et al. Association Between Helicobacter pylori Eradication and Gastric Cancer Incidence: A Systematic Review and Meta-analysis. Gastroenterology. 2016;150(5):1113-24 e5.
10, Peek RM, Jr. New Biology to New Treatment of Helicobacter pylori-Induced Gastric Cancer. Dig Dis. 2016;34(5):510-6.
11, Available at: http://emedicine.medscape.com/article/175909-overview#a4. Accessed July 16, 2018.
12, Available at: https://www.niddk.nih.gov/health-information/digestive-diseases/gastritis. Accessed July 13, 2018.
13, Varbanova M, Malfertheiner P. Bacterial load and degree of gastric mucosal inflammation in Helicobacter pylori infection. Dig Dis. 2011;29(6):592-9.
14, Available at: http://emedicine.medscape.com/article/181753-overview#showall. Accessed July 16, 2018.
15, Bohr UR, Malfertheiner P. Eradication of H. pylori Infection: the Challenge is on if Standard Therapy Fails. Therap Adv Gastroenterol. 2009;2(1):59-66.
16, Hsu PI, Wu DC, Chen WC, et al. Randomized controlled trial comparing 7-day triple, 10-day sequential, and 7-day concomitant therapies for Helicobacter pylori infection. Antimicrob Agents Chemother. 2014;58(10):5936-42.
17, Urgesi R, Cianci R, Riccioni ME. Update on triple therapy for eradication of Helicobacter pylori: current status of the art. Clin Exp Gastroenterol. 2012;5:151-7.

Monday, September 10, 2018

預防記憶衰退 保護灰質體(中樞神經系統一部分)尤為重要 Protect gray matter of CNS (Central Nervous System)

任何年齡人士都希望時刻保持頭腦清醒 - 從中年開始以至老年人,普遍都會擔心年齡遞增所帶來的記憶衰退問題。不過現在可以不必太過擔心,因爲記憶專家已經找到了一些保護中樞神經系統灰質體的方法。

護腦食物

地中海飲食法是其中一種保護灰質體的有效方法。地中海飲食對於記憶力、語言運用和整體思維能力有明顯改善作用。這種飲食方法偏重水果、蔬菜、全穀類、豆類、薯仔、堅果、橄欖油和魚類,而且以新鮮食物爲主,很少食用加工食品、油炸食品、快餐食品、零食、紅肉、家禽和全脂乳製品。

魚類中的奧米加-3脂肪酸在這種飲食文化中佔有一重要位置。每週選擇食用一些含脂肪的魚類,例如三文魚、鱒魚、吞拿魚、沙丁魚和大比目魚等。這些魚類的奧米加-3脂肪酸豐富,蘊含DHA。 至於不常食魚的人,也可從魚油和磷蝦油等奧米加-3脂肪酸補充劑中攝取。

抗氧化劑促進腦細胞活動

另一種加強大腦運轉的有效方法是多攝取藍莓(越橘)的有效成分。藍莓中含有強效花青素(一種抗氧化劑)。目前研究顯示,花青素可促進腦細胞的連接和通訊功能,以及刺激腦細胞再生。當患有認知疾病的老年人每天服用魚油或花青素時,思維會顯得更清晰。

健康的脂肪保護腦部功能

科學家在腦細胞膜中發現了一種稱為磷脂絲氨酸(PS)的特殊類型脂肪,這種脂肪可促進腦細胞之間的交流活動,有助增强記憶和保持思考清晰。參照數十年的臨床研究結果,PS 能針對改善老年人的認知功能問題,和强化老年人的大腦功能,從而抗禦一些與年齡增長相關的認知能力下降問題。 PS與魚油補充劑結合使用的話,改善老年記憶力效果更為顯著。

草本良方
目前有越來越多研究資料表明,一些草藥可增強思維能力,銀杏葉是其中之一。銀杏提取物可以單獨服用,或與其他補充劑一起服用,增强認知能力的作用非常明顯。

銀杏
一些研究顯示,服用銀杏提取物補充劑與針對認知障礙的西藥比較,效果相若,但服用較為安全,副作用明顯較少。

薑黃素
從草本植物黃薑中提取的薑黃素已獲臨床研究證明可以預防老年認知能力下降等,甚至能改善心情抵抗抑鬱症狀!

天然補腦的草本良方還有很多,有機會再和大家分享。

Protect gray matter of CNS (Central Nervous System)

People of all ages want to keep their minds sharp—from middle-aged people to older adults concerned with the potential for serious age-related memory problems. Fortunately, memory experts have found ways to retain brainpower.

Brain Food

Adopting a Mediterranean diet may be the most powerful dietary route for preserving gray matter. The Mediterranean diet also showed a clear benefit in terms of memory, language use, and overall thinking ability. The Mediterranean diet is rich in fruits, vegetables, whole grains, beans, potatoes, nuts, olive oil and fish. Processed foods, fried and fast foods, snack foods, red meat, poultry and whole-fat dairy foods are infrequently eaten on the Mediterranean diet.

The omega-3 fatty acids in fish account for some of the brainy benefit in this diet. For the greatest benefit, select fatty fish such as salmon, trout, tuna, sardines, and halibut a few times a week. These fish are the richest in a brain-boosting omega-3 fatty acid called DHA. Dietary supplements of omega-3 fatty acids offer a great alternative for those who don’t care to regularly eat fish.

Antioxidants Boost Brain Cell Connections

Another tasty way to keep your brain humming along? Bilberries. Powerful antioxidants called anthocyanins in bilberries account for this benefit. Current thinking holds that the anthocyanins boost brain cell connections and communication, as well as the regeneration of brain cells. When older adults with cognitive complaints take either a daily pill of fish oil or anthocyanins, thinking gets clearer.

Safeguard Brain Function with Healthy Fats

A specialized type of fat called phosphatidylserine (PS) is found in brain cell membranes, where it facilitates communication among brain cells to aid memory and clear thinking. Clinical research has focused on PS for several decades, particularly in connection to cognitive function of older adults. Research suggests that PS supplements can help safeguard brain function in older adults and can also counteract some amount of age-related cognitive decline. PS, when combined with fish oil supplements, improves memory performance in older people.

Herbal Helpers for Your Brain

Many herbs have the potential to enhance thinking powers. A growing body of research shows that ginkgo, taken alone and in various combinations with other supplements, benefits cognition.

Ginkgo

Ginkgo extract supplements show similar effects on cognitive symptoms medications, with the advantage of being safer to use.

Curcumin

Curcumin, extracted from the herb turmeric, has been shown to prevent cognitive decline in older people supplementing with it.


Sources:
“Association of Long-Term Adherence to the MIND Diet with Cognitive Function and Cognitive Decline in American Women” by A.M. Berendsen et al., J Nutr Health Aging, 2018

“Cognitive Response to Fish Oil, Blueberry, and Combined Supplementation in Older Adults with Subjective Cognitive Impairment” by R.K. McNamara et al., Neurobiol Aging, 4/18

"Curcumin and Cognition: a Randomised, Placebo-Controlled, Double-Blind Study of Community-Dwelling Older Adults” by S.R. Rainey-Smith et al., Br J Nutr, 6/16

“A High Omega-3 Fatty Acid Multinutrient Supplement Benefits Cognition and Mobility in Older Women: A Randomized, Double-Blind, Placebo-Controlled Pilot Study” by S.C. Strike et al., J Gerontol A Biol Sci Med Sci, 2/16

“The Impact of the Mediterranean Diet on the Cognitive Functioning of Healthy Older Adults: A Systematic Review and Meta-analysis” by D.G. Loughrey et al. Adv Nutr, 7/17

“Mediterranean Diet and Cognitive Health: Initial Results from the Hellenic Longitudinal Investigation of Ageing and Diet” by C.A. Anastasiou et al., PLOS One, 8/17

“Similar Treatment Outcomes with Ginkgo biloba Extract EGb761 and Donepezil in Alzheimer’s Dementia in Very Old Age...” by M. Rapp et al., Int J Clin Pharmacol Ther, 3/18

扯鼻鼾 Snoring

當喉嚨組織在放鬆狀態下開始振動並在睡眠中發出聲音時,就會扯鼻鼾。如果扯鼻鼾情況嚴重,則可能導致失眠、破壞睡眠質素並引起煩躁。 幸而有許多簡單有效的天然補救措施可以舒緩這問題。 胡蘆巴 胡蘆巴是一種很好的天然療法,可防止因消化問題引起的扯鼻鼾。胡蘆巴對睡眠呼吸暫停也有效。 維他命C...