اسپنگر

اسپنگر (اردو: اسپغول؛ انگريزي: Psyllium)، جن کي فارسي ۾ "رقطونا" ۽ عربي ۾ "اسبغول" سڏجي ٿو، ٻوٽي جي هڪ نسل، پلانٽاگو جي ڪيترن ئي ميمبرن لاءِ استعمال ٿيندڙ عام نالو آهي، جن جا ٻج ۽ پسارڪو وکر، تجارتي طور تي مائع شيئن کي ٿلهو ڪندڙ (mucilage) جي پيداوار لاءِ استعمال ڪيا ويندا آهن. اسپنگر بنيادي طور تي، قبض ۽ هلڪي دست جي علامتن کي دور ڪرڻ لاءِ غذائي ريشي (dietary fiber) طور ۽ کاڌي جي شين کي ٿلهو ڪن لاء استعمال ڪيو ويندو آهي.[1] ماڻهن، جيڪا اڪثر ان جي ڇاڻي يا پسائي دوران سامهون ايندا آهن، ۾ هن جي ڪارڻ ٿيڻ واري الرجي عام آهي.

اهو عام طور تي محفوظ ۽ معتدل طور تي جلاب، قبض ٽوڙڻ وارو، جي طور تي اثرائتو آهي. غذا ۾ هن جو استعمال، خاص طور تي ناشتي طور ٽي هفتن يا ان کان وڌيڪ عرصي تائين، بلند ڪوليسٽرول وارن ماڻهن جي رت ۾ ڪوليسٽرول جي سطح کي گهٽائي ٿو[2] [3] اها پڻ ٽائپ 2 ذیابيطس وارن ماڻهن جي رت ۾ گلوڪوز جي سطح کي گهٽائي سگھي ٿو. هن جو هڪ مهيني يا ان کان وڌيڪ عرصي تائين استعمال سسٽولڪ بلڊ پريشر ۾ ٿوري گهٽتائي پيدا ڪري ٿو.[4]
ٻوٽا جن مان هن جا ٻج ڪڍيا ويندا آهن، نم ۽ ٿڌي موسم کي برداشت ڪن ٿا ۽ خاص طور تي اتر هندستان ۾ پوکيا ويندا آهن. هن جا ٻه ٽي قسم؛ اڇا ڳاڙها مائل، ڳاڙها ۽ ڪارا ٿين ٿا. هي پاڻيءَ ۾ وجهڻ سان ڦونڊجي وڃي ٿو.
استعمال
[سنواريو]طبي لحاظ کان آنڊن جي زخم، پيچش ۽ پيٽ ۾ مروڙ جي بيماريءَ ۾ اسپنگر جي تھِي پاڻيءَ ۾ ملائي پيئڻ سان آرام ايندو آهي. اسپنگر کي هلڪي سٽڻ ڪٽڻ سان اُن جون کلون يا تُھ لھي وڃن ٿا، انهن کلن کي ”اسپنگر جي تُھِي“ سڏبو آهي، جيڪا پڻ پسارڪي وکر ۾ شمار ٿئي ٿي ۽ پيٽ جي بيماريءَ ۽ خشڪي لاهڻ لاءِ علاج طور ڪم اچي ٿي. اڄڪلھ دوائن جون ڪمپنيون ”اسپغول“ جي نالي سان اسپنگر جي صاف ٿيل تھي پئڪيٽن ۾ تيار ڪري رهيون آهن.[5]
تياري
[سنواريو]Psyllium is produced mainly for its mucilage content. The term mucilage describes a group of clear, colorless, gelling agents derived from plants. The mucilage obtained from psyllium comes from the seed coat. Mucilage is obtained by mechanical milling (i.e. grinding) of the outer layer of the seed. Mucilage yield amounts to about 25% (by weight) of the total seed yield. Plantago-seed mucilage is often referred to as husk, or psyllium husk. The milled seed mucilage is a white fibrous material that is hydrophilic, meaning that its molecular structure causes it to attract and bind to water.[6][7]
غذا طور
[سنواريو]Psyllium has been used as a thickener in ice cream and other frozen desserts. A 1.5% weight/volume ratio of psyllium mucilage exhibits binding properties that are superior to a 10% weight/volume ratio of starch mucilage.[8] The viscosity of psyllium mucilage dispersions are relatively unaffected between temperatures of 20 ۽ 50 °C (68 ۽ 122 °F), by pH from 2 to 10, and by salt (sodium chloride) concentrations up to 0.15 M.[8] Psyllium seed husks can also be used to improve texture in gluten-free baked goods, to bind meatballs, and to thicken sauces.[9] Some people use them to manage symptoms of irritable bowel syndrome.
صحت
[سنواريو]وزن گهٽائڻ
[سنواريو]Dietary supplements containing psyllium are sold mainly to aid weight loss, although there is little scientific evidence for such effects.[10]
A 2023 review concluded that psyllium supplementation for 12 weeks by people who were overweight or obese produced a minor amount of weight loss, although the studies assessed had only moderate to low evidence quality.[7]
جلاب
[سنواريو]Psyllium is mainly used as a viscous, soluble dietary fiber that is not absorbed by the small intestine.[11] The mechanical action of psyllium mucilage is to absorb excess water while stimulating normal bowel elimination.[12] Although its main use has been as a laxative, it is more accurately regarded as a dietary fiber to reduce the symptoms of both constipation and mild diarrhea.[11][12] The laxative properties of psyllium are attributed to the fiber: it absorbs water and subsequently softens the stool.[11][6] It increases flatulence (gas) to some degree.[13] Psyllium reduces straining during defecation by increasing the bulk of stools, thereby facilitating the transit of stools in the colon.[6] When used to treat constipation, psyllium is taken in doses of 3.5–11 grams per day twice daily.[12]
A 2021 review of over-the-counter treatments for constipation concluded that psyllium has modest effect in treating constipation and is generally safe and well-tolerated.[12] Psyllium may be less effective compared to other products, such as polyethylene glycol, lactulose or fruits like prunes.[12] Psyllium is more effective than docusate.[12]
A 2022 review found that psyllium, in doses of 10 grams per day for at least 4 weeks, was more effective than osmotic or stimulant laxatives for increasing the number of bowel movements per week.[6]
ڪوليسٽرول ڪم ڪرڻ
[سنواريو]In 1998, the U.S. Food and Drug Administration approved a health claim on food labels for dietary psyllium as a soluble fiber – if consumed regularly – that would reduce the risk of heart disease by lowering blood cholesterol.[14] Clinical research demonstrated that seven grams or more per day of soluble fiber from psyllium seed husk would sufficiently lower total cholesterol and low-density lipoprotein cholesterol in people with hypercholesterolemia, two accepted biomarkers for risk of coronary heart disease.[15] The findings were later confirmed in a meta-analysis that incorporated more evidence.[16] To be eligible for the FDA-allowed health claim, one serving of a manufactured food or dietary supplement must contain at least 1.7 g of psyllium as soluble fiber.[14] Whole oats, barley and foods containing beta-glucan soluble fiber were included as eligible sources for the label claim.[14]
ذيابيطس ٽائپ-2 لاء
[سنواريو]In 2014, the U.S. Food and Drug Administration approved a qualified health claim for psyllium as a possible benefit for people with diabetes, requiring FDA-approved wording on a product label: "Psyllium husk may reduce the risk of type 2 diabetes, although the FDA has concluded that there is very little scientific evidence for this claim."[17] A meta-analysis published after the FDA decision reported that psyllium provided before meals improved fasting blood glucose and glycated hemoglobin, but that the larger effect was seen in people diagnosed with and being treated for type 2 diabetes, and only a modest improvement for people classified as pre-diabetic.[18]
بلڊ پريشر قابو ڪرڻ
[سنواريو]A 2019 meta-analysis found that use of supplemental psyllium for 8 weeks or longer reduced blood pressure by 2 mmHg in people with hypertension.[19]
شيھي جا اثر
[سنواريو]Some psyllium supplements sold in the USA have been found to contain lead,[20] in some cases exceeding levels requiring a warning label by Proposition 65 of the U.S. state of California.[20] In 2013, in California, a legal settlement required the manufacturer of psyllium supplements to pay US$110,000 and agree to place warning labels on products exceeding acceptable lead levels.[21]
جانورن جي دوائون
[سنواريو]Psyllium fiber dietary supplements are used in veterinary medicine to treat sand impaction in horses to aid in elimination of sand from the horse's colon.[22]
نقصان وارا اثرات
[سنواريو]Fiber generally has few side effects.[23]
- Mild to moderate flatulence (gas).[23][12]
- Mild to moderate abdominal distension (bloating) and abdominal pain.[12]
- Choking is a hazard if psyllium is taken without adequate water as it thickens in the throat.[24]
- Psyllium can cause bowel obstructions or bezoars, if taken without adequate amounts of water.[25][26]
الرجي
[سنواريو]Psyllium can cause allergic reactions, including anaphylaxis.[27] Psyllium may act as a potent inhalant allergen capable of eliciting asthma symptoms.[28] Health care professionals at geriatric care hospitals, who are frequently exposed to psyllium in the laxatives administered to people, are commonly IgE sensitized to psyllium (13.8%), and 8.6% have clinical allergy to psyllium.[29] In order to protect sensitized workers, psyllium has an extremely low occupational exposure limit of 150 ng/m3.[30]
پوک
[سنواريو]تجارتي تاريخ
[سنواريو]ٻاهريان ڳنڍڻا
[سنواريو]- USDA Plants Profile: Plantago ovata Forsk.
- USDA Germplasm Resources Information Network: Plantago ovata Forsk.
- ITIS Standard Report: Plantago ovata Forsk.
- USDA Plants Profile: Plantago psyllium L.
- USDA Germplasm Resources Information Network: Plantago psyllium L. (Plantago arenaria)
حوالا
[سنواريو]- ↑ Slavin, Joanne (22 April 2013). "Fiber and prebiotics: Mechanisms and health benefits". Nutrients 5 (4): 1417–1435. doi:. ISSN 2072-6643. PMID 23609775.
- ↑ Williams, Peter G. (1 August 2014). "The Benefits of Breakfast Cereal Consumption: A Systematic Review of the Evidence Base". Advances in Nutrition 5 (5): 636S–673S. doi:. ISSN 2156-5376. PMID 25225349.
- ↑ Jovanovski, Elena; Yashpal, Shahen; Komishon, Allison; Zurbau, Andreea; Blanco Mejia, Sonia; Ho, Hoang Vi Thanh; Li, Dandan; Sievenpiper, John et al. (15 September 2018). "Effect of psyllium (Plantago ovata) fiber on LDL cholesterol and alternative lipid targets, non-HDL cholesterol and apolipoprotein B: a systematic review and meta-analysis of randomized controlled trials". The American Journal of Clinical Nutrition 108 (5): 922–932. doi:. ISSN 0002-9165. PMID 30239559.
- ↑ Khan, K.; Jovanovski, E.; Ho, H.V.T.; Marques, A.C.R.; Zurbau, A.; Mejia, S.B.; Sievenpiper, J.L.; Vuksan, V. (2018). "The effect of viscous soluble fiber on blood pressure: A systematic review and meta-analysis of randomized controlled trials". Nutrition, Metabolism and Cardiovascular Diseases 28 (1): 3–13. doi:. ISSN 0939-4753. PMID 29153856.
- ↑ اسپنگر : (Sindhianaسنڌيانا)
- ↑ 6.0 6.1 6.2 6.3 van der Schoot, A; Drysdale, C; Whelan, K; Dimidi, E (6 October 2022). "The Effect of Fiber Supplementation on Chronic Constipation in Adults: An Updated Systematic Review and Meta-Analysis of Randomized Controlled Trials.". The American Journal of Clinical Nutrition 116 (4): 953–969. doi:. PMID 35816465.
- ↑ 7.0 7.1 Shahinfar, H; Jayedi, A; Torabynasab, K; Payandeh, N; Martami, F; Moosavi, H; Bazshahi, E; Shab-Bidar, S (October 2023). "Comparative effects of nutraceuticals on body weight in adults with overweight or obesity: A systematic review and network meta-analysis of 111 randomized clinical trials.". Pharmacological Research 196: 106944. doi:. PMID 37778464.
- ↑ 8.0 8.1 Goto-Tamura, R.; Takesue, Y.; Takesue, S. (1976-02-16). "Immunological similarity between NADH-cytochrome b5 reductase of erythrocytes and liver microsomes". Biochimica et Biophysica Acta (BBA) - Bioenergetics 423 (2): 293–302. doi:. ISSN 0006-3002. PMID 2319. https://pubmed.ncbi.nlm.nih.gov/2319.
- ↑ Priya Krishna (August 17, 2023). "A Centuries-Old Fiber Supplement Entices the Ozempic Generation". The New York Times. https://www.nytimes.com/2023/08/17/dining/psyllium-husks.html.
- ↑ Darooghegi Mofrad, Manije; Mozaffari, Hadis; Mousavi, Seyed Mohammad; Sheikhi, Ali; Milajerdi, Alireza (2019-03-18). "The effects of psyllium supplementation on body weight, body mass index and waist circumference in adults: A systematic review and dose-response meta-analysis of randomized controlled trials". Critical Reviews in Food Science and Nutrition 60 (5): 859–872. doi:. ISSN 1040-8398. PMID 30880409.
- ↑ 11.0 11.1 11.2 McRorie, Johnson W.; McKeown, Nicola M. (2017). "Understanding the Physics of Functional Fibers in the Gastrointestinal Tract: An Evidence-Based Approach to Resolving Enduring Misconceptions about Insoluble and Soluble Fiber". Journal of the Academy of Nutrition and Dietetics 117 (2): 251–264. doi:. ISSN 2212-2672. PMID 27863994.
- ↑ 12.0 12.1 12.2 12.3 12.4 12.5 12.6 12.7 Rao, SSC; Brenner, DM (1 June 2021). "Efficacy and Safety of Over-the-Counter Therapies for Chronic Constipation: An Updated Systematic Review.". The American Journal of Gastroenterology 116 (6): 1156–1181. doi:. PMID 33767108.
- ↑ Christodoulides, S.; Dimidi, E.; Fragkos, K. C.; Farmer, A. D.; Whelan, K.; Scott, S. M. (2016-07-01). "Systematic review with meta-analysis: effect of fibre supplementation on chronic idiopathic constipation in adults" (en ۾). Alimentary Pharmacology & Therapeutics 44 (2): 103–116. doi:. ISSN 1365-2036. PMID 27170558. http://qmro.qmul.ac.uk/xmlui/handle/123456789/14210.
- ↑ 14.0 14.1 14.2 Sec. 101.81 Health claims: Soluble fiber from certain foods and risk of coronary heart disease (CHD) آرڪائيو ڪيا ويا 2019-05-23 حوالو موجود آهي وي بيڪ مشين. U.S. Food and Drug Administration, Code of Federal Regulations Title 21.
- ↑ "Psyllium-enriched cereals lower blood total cholesterol and LDL cholesterol, but not HDL cholesterol, in hypercholesterolemic adults: results of a meta-analysis". J. Nutr. 127 (10): 1973–80. October 1997. doi:. PMID 9311953.
- ↑ "Time- and dose-dependent effect of psyllium on serum lipids in mild-to-moderate hypercholesterolemia: a meta-analysis of controlled clinical trials". Eur J Clin Nutr 63 (7): 821–827. July 2009. doi:. PMID 18985059.
- ↑ Qualified Health Claim for Diabetes آرڪائيو ڪيا ويا 2017-05-08 حوالو موجود آهي وي بيڪ مشين. US Food and Drug Administration (June 24, 2014).
- ↑ "Psyllium fiber improves glycemic control proportional to loss of glycemic control: a meta-analysis of data in euglycemic subjects, patients at risk of type 2 diabetes mellitus, and patients being treated for type 2 diabetes mellitus". Am. J. Clin. Nutr. 102 (6): 1604–14. December 2015. doi:. PMID 26561625.
- ↑ Clark, Cain; Salek, Mina; Aghabagheri, Elahe; Jafarnejad, Sadegh (19 February 2019). "The effect of psyllium supplementation on blood pressure: a systematic review and meta-analysis of randomized controlled trials". Korean Journal of International Medicine 35 (6): 1385–1399. doi:. PMID 32066221.
- ↑ 20.0 20.1 "Lead Found In Psyllium Fiber Supplements", 29 Feb 2024۔
- ↑ "Settlement Agreement and Release", State of California - Department of Justice, 8 Nov 2013۔
- ↑ Niinistö, K.E.; Ruohoniemi, M.O.; Freccero, F.; Raekallio, M.R. (August 2018). "Investigation of the treatment of sand accumulations in the equine large colon with psyllium and magnesium sulphate". The Veterinary Journal 238: 22–26. doi:. PMID 30103912.
- ↑ 23.0 23.1 Dahl, WJ; Stewart, ML (November 2015). "Position of the Academy of Nutrition and Dietetics: Health Implications of Dietary Fiber.". Journal of the Academy of Nutrition and Dietetics 115 (11): 1861–70. doi:. PMID 26514720.
- ↑ "Metamucil oral : Uses, Side Effects, Interactions, Pictures, Warnings & Dosing – WebMD" (en-US ۾). WebMD. http://www.webmd.com/drugs/2/drug-13722/metamucil-oral/details.
- ↑ "Pharmacobezoar: an evolving new entity". Dig Dis 13 (6): 356–64. 1995. doi:. PMID 8590522.
- ↑ "Small Bowel Obstruction Secondary to a Metamucil Bezoar: Case Report and Review of the Literature". Case Rep Surg 2017: 2702896. 2017. doi:. PMID 29085697.
- ↑ Khalili, B.; Bardana, EJ.; Yunginger, JW. (Dec 2003). "Psyllium-associated anaphylaxis and death: a case report and review of the literature". Ann Allergy Asthma Immunol 91 (6): 579–84. doi:. PMID 14700444.
- ↑ "[Asthma related to inhalation of Plantago ovata]" (es ۾). Med Clin (Barc) 116 (1): 20–2. 2001. doi:. PMID 11181258.
- ↑ "Allergy to laxative compound (Plantago ovata seed) among health care professionals". J Investig Allergol Clin Immunol 18 (3): 181–9. 2008. PMID 18564629.
- ↑ "Metamucil Orange Coarse Milled Original Texture MSDS", Procter & Gamble, اصل کان 22 جولاءِ 2019 تي آرڪائيو ٿيل, حاصل ڪيل 22 جولاءِ 2019۔