Ama-Probiotic. Ama-probiotics amabhaktheriya anenzuzo akha i-flora yamathumbu. Ukuguqulwa kwezitshalo zamathumbu kubonakala kubantu abane-ulcerative colitis ngesikhathi sokusebenza kwalesi sifo. Ososayensi baye bacabanga ukubuyisela ibhalansi ye izimbali zamathumbu kusetshenziswa ama-probiotics, kanye nokuhlola umphumela wawo ngesikhathi sokuxolelwa, ubungozi bokuphinda futhi kuphinde kuvele i-pouchitis (bona Ukuhlinzwa). Bheka ishidi lamaqiniso le-Probiotics ukuze uthole ulwazi olwengeziwe ngemithamo.

Nweba ubude besikhathi sokukhishwa. Imiphumela yezifundo eziningana ibonise ukusebenza kahle kokusetshenziswa kwansuku zonke kwe-100 ml yobisi oluvutshiwe lwe-bifidobacteria unyaka owodwa.²⁵, ukulungiswa okusekelwe kumvubelo i-Saccharomyces boulardii (750 mg ngosuku) kuhlanganiswe nokwelashwa okuvamile.⁴³ kanye nokulungiswa okusekelwe ku-bifidobacteria (Bifico®)⁴⁴.

Vimbela ubungozi bokuphindela emuva. Ukuhlola okuthathu okuyizimpumputhe okuphindwe kabili kubonisa ukuthi ukulungiswa kwe-probiotic okwenziwe uhlobo olungenabo ubuthi lweE. coli iyasebenza njenge-mesalazine ekwehliseni kakhulu ingozi yokubuyela emuva ezigulini ekuxolelweni kwe-ulcerative colitis.^26-28 . I-lactobacillus GG, iyodwa noma ihlangene ne-mesalamine, nayo iye yabonakala iphumelela ekugcineni ukuthethelelwa²⁹.

Vimbela ukuphinda uma kwenzeka i-pouchitis. Imiphumela yokuhlolwa okuningana kwemitholampilo nge-placebo okwenziwa ezifundweni ezihlushwa i-pouchitis ephindaphindayo ikhombisa ukuthi ukulungiswa okuthile (VSL # 3®) okunezinhlobo ezine ze-lactobacilli, izinhlobo ezintathu ze-bifidobacteria kanye nohlobo olulodwa lwe-streptococcus kungavimbela ukuphindeka.^30-35 . Ngakolunye uhlangothi, ukwelashwa nge I-Lactobacillus I-GG nobisi olubilile (Cultura®) akuphumelelanga kangako^{36, I-37}.

 turmeric. I-Turmeric (I-Curcuma longa) iyisinongo esikhulu ku-curry powder. I-Turmeric ihlolwe ocwaningweni olungahleliwe, oluyimpumputhe kabili okubandakanya iziguli ezingama-82 ezine-ulcerative colitis. Iziguli zathatha i-1 g ye-turmeric kabili ngosuku noma i-placebo ngokuhambisana nokwelashwa kwazo okujwayelekile (i-mesalazine noma i-sulfasalazine) izinyanga ezi-2. Iqembu elithola i-turmeric lithole ngaphansi ngo-6%. ubuyela emuva kuneqembu le-placebo (4,7% vs. 20,5%)³⁸. Ezinye izivivinyo zomtholampilo zokuqinisekisa le datha ziyaqhubeka, ikakhulukazi ezinganeni.

 Amafutha ezinhlanzi. Izifundo ezimbalwa ezingahleliwe nezilawulwayo ezenziwa ngenani elincane lezihloko ziphakamisa ukuthi amafutha ezinhlanzi, athathwe ngaphezu kwemithi evamile, enza kube nokwenzeka ukunciphisa ukusabela okuvuthayo ehlala emathunjini ngesikhathi sokuhlasela okunamandla kwalesi sifo^12-16 . Ucwaningo olwenziwe lwaluhlanganisa abantu abane-ulcerative colitis yobunzima obuncane ukuya kobumaphakathi. Kwezinye izimo, umthamo we izidakamizwa ezilwa nokuvuvukala kungancishiswa ngokuthatha i amafutha inhlanzi¹⁶. Lokhu kwelashwa okunamafutha acid abalulekile, nokho, kuye kwabonakala kungasebenzi ekwehliseni inani lokuhlaselwa kwezifo esikhathini eside.^17,18.

 prebiotic. Abacwaningi baye bahlola umphumela wemicu ehlukene yokudla (the umabhebhana^{19, I-20}, kuzwakale oatmeal²¹ futhizebhali kwahluma²²), isenzo sakhe se-prebiotic esaziwayo, ngesikhathi sokukhululeka kwe-ulcerative colitis kanye nezimpawu zamathumbu ezithambile abanye abantu ababa nazo phakathi nalezi zikhathi. Ngokuphathelene ne-psyllium, ucwaningo lomtholampilo lubonisa ukuthi lusebenza njenge-mesalazine, i-anti-inflammatory yakudala, ekunciphiseni inani lokubuyela emuva. Ucwaningo lwathatha izinyanga ezingu-12. Izinga eliphansi kakhulu lokubuyela emuva litholakale eqenjini leziguli ezithatha kokubili i-mesalazine ne-psyllium¹⁹.

Ukuhlolwa komtholampilo okungahleliwe ngo-2005 kwahlola ukusebenza kahle kwenhlanganisela ye-inulin, i-oligofructose kanye ne-bifidobacteria ezigulini eziyi-18 eziphethwe yi-ulcerative colitis esebenzayo. Ukwehliswa kweukuvuvukala kwe-colon kanye ne-rectum kwabonakala kulezi ziguli uma kuqhathaniswa nalezo ezithatha i-placebo²³.

 Inhlaba. Uhlolo olungaboni kabili, olulawulwa yi-placebo luhlole ukusebenza kwejeli yenhlaba ezigulini ezingama-44 ezinesifo sokuqaqamba kwamathumbu esithambile esimaphakathi kuya kokumaphakathi. Imiphumela ibonisa ukuthi ukuphuza u-200 ml wejeli yenhlaba ngosuku amaviki angu-4 kwaphumelela kakhulu kune-placebo ekuthuthukiseni isimo seziguli, mhlawumbe ngenxa yezakhiwo ze-aloe vera zokuqeda ukuvuvukala.²⁴.

 Boswellie (I-Boswellia serrata). I-Traditional Ayurvedic Medicine (India) izibaluli ze-boswellia anti-inflammatory properties eziwusizo ku- ukwelashwa kokuvuvukala komgudu wokugaya ukudla. Ucwaningo olubili lubonise ukuthi i-boswellia resin (300 mg⁹ noma 350 mg¹⁰, izikhathi ezingu-3 ngosuku) ingase iphumelele njenge-sulfasalazine ekumiseni ukuvuvukala emathunjini ngaphandle kokubangela imiphumela emibi ebangelwa isidakamizwa esilwa nokuvuvukala. Nokho, lezi zifundo bezingezekhwalithi ephansi ye-methodological.¹¹.

 Ifomula ye-Bastyr. Amalungiselelo ahlanganiswe izitshalo zokwelapha eziningana kanye nezinye izithako (impuphu yeklabishi, i-pancreatin, i-vitamin B3 kanye ne-duodenal substance) inconywa yi-naturopath JE Pizzorno ukuze kunciphise ukuvuvukala ishubhu ukugaya ukudla⁴⁰. Leli ikhambi elidala le-naturopathic elingazange libhalwe ngocwaningo lwesayensi.

Izitshalo zokwelapha ezilandelayo ziyingxenye yeresiphi: i-marshmallow (Althea officinalis), imbongolo eshelelayo (isilonda esibomvu), i-indigo zasendle (I-Baptisia tinctoria), igolide (I-Hydrastis canadensisi-echinacea,I-Echinacea angustifolia), ukuvikelwa kwezitshalo zaseMelika (Phytolacca americana), i-consoude (Symphytum officinalekanye ne-geranium enamabala (I-Geranium).

 Ukucindezeleka ukuphathwa. Ukuthatha ukuphefumula okumbalwa, ukufunda ukusebenzisa i-biofeedback noma ukuzama izikhathi ze-hypnotherapy kuyindlela embalwa ongakhululeka ngayo futhi ngezinye izikhathi uze unciphise izimpawu ze-colitis. I-D^r U-Andrew Weil, umlandeli wemithi ehambisanayo, utusa lezi zindlela ngokuqondile kubantu abanesifo samathumbu esivuvukalayo³⁹.