๐Ÿ‘ต ื’ื™ืœ ื”ื–ื”ื‘ โ€“ ื”ืฆืจื›ื™ื ื”ืžื™ื•ื—ื“ื™ื ืžืขืœ ื’ื™ืœ 70

ื›ืœ ืื“ื ืžื–ื“ืงืŸ ื‘ืฆื•ืจื” ืฉื•ื ื”. ืื•ืคืŸ ื”ื”ื–ื“ืงื ื•ืช ื”ื™ื ื• ืคื•ืขืœ ื™ื•ืฆื ืฉืœ ืื•ืคื™ ื”ืื™ืฉื™ื•ืช, ื’ื™ืฉื” ืœื—ื™ื™ื, ื—ื•ื•ื™ื•ืช ื”ื—ื™ื™ื, ืชื›ื•ื ื•ืช ื’ื ื˜ื™ื•ืช, ืžืฆื‘ ื‘ืจื™ืื•ืชื™, ืชื–ื•ื ื”, ืคืขื™ืœื•ืช ื’ื•ืคื ื™ืช ื•ืžืฉืื‘ื™ื ืคื™ื ื ืกื™ื™ื ื–ืžื™ื ื™ื.

ื›ื›ืœ ืฉืžืชื‘ื’ืจื™ื, ืžืฉืชื ื™ื ื”ืฆืจื›ื™ื ื”ืชื–ื•ื ืชื™ื™ื. ื”ื”ืคื—ืชื” ื‘ืคืขื™ืœื•ืช ื”ืคื™ื–ื™ืช ื•ื”ืื˜ืช ื—ื™ืœื•ืฃ ื”ื—ื•ืžืจื™ื ืžืคื—ื™ืชื™ื ืืช ื”ืฆืจื›ื™ื ื”ืื ืจื’ื˜ื™ื™ื ืฉืœ ื”ื’ื•ืฃ. ืขื ื–ืืช ื”ื“ืจื™ืฉื•ืช ืœื—ื•ืžืจื™ื ืžื–ื™ื ื™ื ื’ื“ืœื•ืช, ืฉื›ืŸ ื™ื›ื•ืœืช ื”ื’ื•ืฃ ืœืกืคื•ื’ ืืช ื”ื—ื•ืžืจื™ื ื”ืžื–ื™ื ื™ื ื•ืœื”ืฉืชืžืฉ ื‘ื”ื ืคื•ื—ืชืช ื•ื ืขืฉื™ืช ื ืคื—ื•ืช ื™ืขื™ืœื”. ื‘ื’ื™ืœ ืžื‘ื•ื’ืจ ืฉื›ื™ื—ื™ื ืžืฆื‘ื™ื ื›ืจื•ื ื™ื™ื ืฉืžื—ื™ื™ื‘ื™ื ื ื˜ื™ืœืช ืชืจื•ืคื•ืช, ืฉื’ื ื”ืŸ ืขืœื•ืœื•ืช ืœื”ืฉืคื™ืข ืขืœ ื™ื›ื•ืœืชื• ืฉืœ ื”ื’ื•ืฃ ืœื‘ืฆืข ื—ื™ืœื•ืฃ ื—ื•ืžืจื™ื ืชืงื™ืŸ ื•ืœื ืฆืœ ื—ื•ืžืจื™ื ืžื–ื™ื ื™ื ื—ื™ื•ื ื™ื™ื.

ื™ืจื™ื“ื” ื‘ืชืคืงื•ื“ ื”ืจืงืžื•ืช

ืžื’ื™ืœ ืฉืœื•ืฉื™ื ื™ืฉ ื™ืจื™ื“ื” ื‘ื—ื™ืœื•ืฃ ื”ื—ื•ืžืจื™ื ืขืงื‘ ืื•ื‘ื“ืŸ ืชืื™ื ืžืชืคืงื“ื™ื. ืžืกืช ืฉืจื™ืจ, ืชืื™ ืžื•ื—, ื›ื‘ื“, ืœื‘ ื•ื›ืœื™ื•ืช โ€“ ื›ืœ ืืœื• ืžืชืžืขื˜ื™ื ืขื ื”ื™ืจื™ื“ื” ื‘ืงืฆื‘ ื—ื™ืœื•ืฃ ื”ื—ื•ืžืจื™ื (ื‘ืงืฆื‘ ืฉืœ 1-2% ืœืขืฉื•ืจ). ืืฆืœ ื’ื‘ืจื™ื ื”ื™ืจื™ื“ื” ืžืชื—ื™ืœื” ืžื•ืงื“ื ื™ื•ืชืจ, ืžื’ื™ืœ ืืจื‘ืขื™ื, ื•ืืฆืœ ื ืฉื™ื ,ืžื’ื™ืœ ืืจื‘ืขื™ื-ื—ืžื™ืฉื™ื.

ื™ืจื™ื“ื” ื–ื• ื‘ืจืงืžื•ืช ืฉืœ ืชืื™ื ืžืชืคืงื“ื™ื ืžื•ื‘ื™ืœื” ื’ื ืœืขื™ื›ื•ื‘ ื‘ืจื™ืงื•ืŸ ื”ืงื™ื‘ื”, ืฉื’ื•ืจืžืช ืœืขืฆื™ืจื•ืช. ืœื ืžืขื˜ ืื ืฉื™ื ืคื•ื ื™ื ืœืฉื™ืžื•ืฉ ื‘ื—ื•ืžืจื™ื ืžืฉืœืฉืœื™ื, ื•ื’ื•ืจืžื™ื ืœืขืฆืžื ื”ืคืจืขื” ื‘ืกืคื™ื’ืช ืจื›ื™ื‘ื™ื ืชื–ื•ื ืชื™ื™ื ื—ื™ื•ื ื™ื™ื.

ื™ืฉื ื” ื™ืจื™ื“ื” ื‘ืจืžืช ื”ื”ื•ืจืžื•ื ื™ื ื‘ื–ืงื ื” ื›ื•ืœืœ:ย 

1. ื™ืจื™ื“ื” ื‘ื™ื™ืฆื•ืจ ืื™ื ืกื•ืœื™ืŸ ื•ืจื’ื™ืฉื•ืช ืœืื™ื ืกื•ืœื™ืŸ ืฉืœ ื”ืชืื™ื, ืฉื’ื•ืจืžืช ืœืขืœื™ื™ื” ื‘ืจืžื•ืช ื”ืกื•ื›ืจ ื‘ื“ื ื•ืœืกื•ื›ืจืช.

2. ื™ืจื™ื“ื” ื‘ืžืœื˜ื•ื ื™ืŸ, ื”ื”ื•ืจืžื•ืŸ ืฉืžื•ื•ืกืช ืืช ื”ืงืฆื‘ ื”ืฆื™ืจืงื“ื™, ืขืฉื•ื™ื” ืœื”ืคื—ื™ืช ืืช ืื™ื›ื•ืช ื”ืฉื™ื ื”.

3. ื™ืจื™ื“ื” ื‘ื”ื•ืจืžื•ืŸ ื”ื’ื“ื™ืœื”

4. ื™ืจื™ื“ื” ื‘ื”ื•ืจืžื•ื ื™ ื”ืžื™ืŸ ืฉืžืชื—ื™ืœื” ื‘ื’ื™ืœ ื”ืžืขื‘ืจ, ื‘ื“ืจืš ื›ืœืœ ื‘ื™ืŸ ื”ื’ื™ืœืื™ื ืืจื‘ืขื™ื ื•ื—ืžืฉ ืœื—ืžื™ืฉื™ื ื•ื—ืžืฉ. ืชืงื•ืคื” ื–ื• ืžืกื™ื™ืžืช ืืช ืฉื ื•ืช ืคื•ืจื™ื•ืชื” ืฉืœ ื”ืื™ืฉื”. ื‘ื’ื™ืœ ื”ืžืขื‘ืจ ื™ืฉ ืขืœื™ื™ื” ื‘ืฉื•ืžืŸ ื”ื’ื•ืฃ, ื™ืจื™ื“ื” ื‘ืจืงืžื•ืช ืฉืจื™ืจ, ืขืœื™ื™ื” ื‘ืกื™ื›ื•ืŸ ืœืžื—ืœื•ืช ืœื‘ ื•ืื•ืกื˜ืื•ืคื•ืจื•ื–ื™ืก, ื•ื™ืจื™ื“ื” ื‘ืกื›ื ื” ืœืกื•ื’ื™ ื”ืกืจื˜ืŸ ื”ื”ื•ืจืžื•ื ืœื™ื™ื (ืœืžื™ื“ืข ื ื•ืกืฃ ืขืœ ื’ื™ืœ ื”ืžืขื‘ืจ ืจืื• ื‘ืคืจืง 11).

ื™ืจื™ื“ื” ื‘ืกืคื™ื’ืช ื—ื•ืžืจื™ื ืžื–ื™ื ื™ื ืžืžื–ื•ืŸ

ืขื ื”ื”ื–ื“ืงื ื•ืช ื™ืฉื ื” ื™ืจื™ื“ื” ื‘ื”ืคืจืฉืช ืžื™ืฆื™ ืขื™ื›ื•ืœ, ืฉืžืคื—ื™ืชื” ืืช ืกืคื™ื’ืช ื”ืจื›ื™ื‘ื™ื ื”ืชื–ื•ื ืชื™ื™ื. ื›ืชื•ืฆืื” ืžื›ืš ื ื•ืฆืจื™ื ื‘ื’ื•ืฃ ื—ืกืจื™ื ืชื–ื•ื ืชื™ื™ื.

ื™ืจื™ื“ื” ื‘ืชืคืงื•ื“ ืื™ื‘ืจื™ื ื•ื—ื•ืฉื™ื

ื”ืฉืจื™ืจื™ื ืฉืžื ื™ืขื™ื ืืช ืžืขืจื›ืช ื”ืขื™ื›ื•ืœ ื ื—ืœืฉื™ื, ื•ืžืื˜ื™ื ืืช ื”ืคืขื™ืœื•ืช ื”ืชื ื•ืขืชื™ืช ืฉืœ ืžืขืจื›ืช ื”ืขื™ื›ื•ืœ. ื™ืฉ ื™ืจื™ื“ื” ื’ื ื‘ื—ื•ืฉ ื”ื˜ืขื, ื”ืจื™ื—, ื”ืฆืžื ื•ื”ืจืื™ื™ื”, ืืฉืจ ืžืคื—ื™ืชื™ื ืืช ื”ืชื™ืื‘ื•ืŸ ื•ืืช ืฆืจื™ื›ืช ื”ื ื•ื–ืœื™ื.

ืชื™ืื•ื ืขื™ืŸ-ื™ื“ ื’ื ื”ื•ื ื™ื•ืจื“ ืขื ื”ื’ื™ืœ, ื•ืžืคื—ื™ืช ืืช ื”ื™ื›ื•ืœืช ืœื”ื›ื™ืŸ ืื•ื›ืœ.

ื—ืจื“ื” ืžื•ื’ื‘ืจืช

ื”ื”ื–ื“ืงื ื•ืช ื’ื ืžื’ื‘ื™ืจื” ืžืชื— ื•ื—ืจื“ื”, ืฉื™ื›ื•ืœื™ื ืœื”ืฉืคื™ืข ืขืœ ืฆืจื™ื›ืช ื”ืžื–ื•ืŸ ื‘ืื•ืคืŸ ืฉืœ ืžื™ืขื•ื˜ ืื›ื™ืœื”. ื™ืจื™ื“ื” ื–ื• ืžื•ืืฆืช ื›ื›ืœ ืฉื”ืื“ื ืžื–ื“ืงืŸ. ืขื ื–ืืช, ืฉื™ืขื•ืจ ื”ื™ืจื™ื“ื” ืื™ื ื• ื–ื”ื” ืขื‘ื•ืจ ื›ื•ืœื, ื‘ืขื™ืงืจ ื‘ืฉืœ ื”ืจื’ืœื™ ื—ื™ื™ื ื•ืื•ืคื™ ืฉื•ื ื™ื.

ื™ืจื™ื“ื” ื‘ืฆืคื™ืคื•ืช ื”ืขืฆื

ื›ื›ืœ ืฉืื ืฉื™ื ืžืชื‘ื’ืจื™ื ื™ื•ืจื“ื™ื ื‘ื”ื“ืจื’ื” ื”ื’ื•ื‘ื” ื•ืžืฉืงืœ ื”ื’ื•ืฃ, ื‘ื“ืจืš ื›ืœืœ ื‘ื’ืœืœ ื™ืจื™ื“ื” ื‘ืฆืคื™ืคื•ืช ื”ืขืฆื ื•ื‘ื ื•ื–ืœ ืฉื‘ืชื•ืš ื”ื‘ื•ืจืกื•ืช (ืฉืงื™ื ืงื˜ื ื™ื ืžืœืื™ื ื‘ื ื•ื–ืœ ืฉื ืžืฆืื™ื ื‘ืžืจื•ื•ื—ื™ื ืฉื‘ื™ืŸ ืขืฆืžื•ืช, ืฉืจื™ืจื™ื ื•ืจืงืžื•ืช ืื—ืจื•ืช). ื’ื ืœื™ืจื™ื“ื” ื‘ืจืžื•ืช ื”ืืกื˜ืจื•ื’ืŸ ืืฆืœ ื ืฉื™ื ืœืื—ืจ ื’ื™ืœ ื”ืžืขื‘ืจ ื™ืฉ ื”ืฉืคืขื” ืขืœ ื”ื™ืจื™ื“ื” ื‘ืฆืคื™ืคื•ืช ื”ืขืฆื, ื•ื›ืŸ ืœืžืฆื‘ื™ื ืจืคื•ืื™ื™ื ืžืกื•ื™ืžื™ื ืฉื“ื•ืจืฉื™ื ื˜ื™ืคื•ืœ ืชืจื•ืคืชื™. ื”ื™ืจื™ื“ื” ื‘ืฆืคื™ืคื•ืช ื”ืขืฆื ืžื•ื‘ื™ืœื” ืœืกื™ื›ื•ืŸ ืžื•ื’ื‘ืจ ืœืื•ืกื˜ืื•ืคื•ืจื•ื–ื™ืก ื•ืœื ื›ื•ืช.

ืชืจื•ืคื•ืช

ืื ืฉื™ื ืจื‘ื™ื ื‘ืงื‘ื•ืฆืช ื’ื™ืœ ื–ื• ื ื•ื˜ืœื™ื ืชืจื•ืคื•ืช ื‘ืื•ืคืŸ ืงื‘ื•ืข. ื›ื›ืœ ืฉืžืชื‘ื’ืจื™ื, ืœืขืชื™ื ืงืจื•ื‘ื•ืช ื ืœืงื—ื•ืช ืžืกืคืจ ืชืจื•ืคื•ืช ื‘ื• ื–ืžื ื™ืช. ืชืจื•ืคื•ืช ืขืฉื•ื™ื•ืช ืœื”ืฉืคื™ืข ืขืœ ื”ืžืฆื‘ ื”ืชื–ื•ื ืชื™, ืžื›ื™ื•ื•ืŸ ืฉื™ืฉื ืŸ ื”ืจื‘ื” ืื™ื ื˜ืจืืงืฆื™ื•ืช ืฉืขืœื•ืœื•ืช ืœื”ืชืจื—ืฉ ื‘ื™ืŸ ืชืจื•ืคื•ืช ืœืจื›ื™ื‘ื™ื ืชื–ื•ื ืชื™ื™ื, ื•ืœื”ืฉืคื™ืข ืขืœ ืื™ื–ื•ืŸ ื”ื—ื•ืžืจื™ื ื”ืžื–ื™ื ื™ื, ื”ื ื•ื–ืœื™ื, ื•ืขืœ ื”ืชื™ืื‘ื•ืŸ. ื•ืžืชื•ืš ื›ืš ืขืœื•ืœื™ื ืœื”ื’ื™ืข ืœืžืฆื‘ ืฉืœ ืชืช ืชื–ื•ื ื” ืื• ืœื”ืชื™ื™ื‘ืฉื•ืช (ืœืžื™ื“ืข ื ื•ืกืฃ ืขืœ ืื™ื ื˜ืจืืงืฆื™ื•ืช ืชืจื•ืคืชื™ื•ืช ืจืื• ื‘ืกืคืจื™ ื›ื™ืฆื“ ืœื”ื™ืžื ืข ืžื‘ืชื™ ื—ื•ืœื™ื, ื—ืœืง 1 ืคืจืง 2).

ืœืชืจื•ืคื•ืช ื™ืฉ ื’ื ืชื•ืคืขื•ืช ืœื•ื•ืื™, ื‘ื™ื ื™ื”ืŸ ืชื™ืื‘ื•ืŸ ืžื•ืคื—ืช ื•ื—ื•ืกืจ ืกืคื™ื’ื” ืฉืœ ื—ื•ืžืจื™ื ืžื–ื™ื ื™ื. ืœื›ืŸ ืขืœ ืงืฉื™ืฉื™ื ืฉื ื•ื˜ืœื™ื ืชืจื•ืคื•ืช ืœืขื‘ื•ืจ ื‘ื“ื™ืงื•ืช ื“ื ืกื“ื™ืจื•ืช, ื›ื“ื™ ืœืžื ื•ืข ื”ื™ื•ื•ืฆืจื•ืช ืžื—ืกื•ืจ ื‘ืจื›ื™ื‘ื™ื ืชื–ื•ื ืชื™ื™ื. ื—ืฉื•ื‘ ื’ื ื ื™ื˜ื•ืจ ืงื‘ื•ืข ืฉืœ ืžืฉืงืœ ื”ื’ื•ืฃ, ื›ื“ื™ ืœืžื ื•ืข ืชืช ืชื–ื•ื ื”.

ืžื—ืœื•ืช ื›ืจื•ื ื™ื•ืช

ืžื—ืœื•ืช ื›ืจื•ื ื™ื•ืช ืžื•ืคื™ืขื•ืช ื‘ืชื“ื™ืจื•ืช ื’ื‘ื•ื”ื” ื™ื•ืชืจ ืขื ื”ืขืœื™ื™ื” ื‘ื’ื™ืœ (ืื ื›ื™ ื”ืŸ ืขืฉื•ื™ื•ืช ืœื”ื•ืคื™ืข ื’ื ื‘ื’ื™ืœ ืฆืขื™ืจ ื™ื•ืชืจ, ื›ืืฉืจ ื™ืฉ ื‘ืžืฉืคื—ื” ื”ื™ืกื˜ื•ืจื™ื” ืฉืœ ืžื—ืœื•ืช ืชื•ืจืฉืชื™ื•ืช, ื•ื’ื ื›ืชื•ืฆืื” ืžื”ืจื’ืœื™ ื—ื™ื™ื ืœืงื•ื™ื™ื). ื›-70% ืžืžืงืจื™ ื”ืžื•ื•ืช ืžื“ื™ ืฉื ื” ื‘ืžื“ื™ื ื•ืช ื”ืžืคื•ืชื—ื•ืช ืžืชืจื—ืฉื™ื ืขืงื‘ ืžื—ืœื•ืช ื›ืจื•ื ื™ื•ืช (ืืœืฆื”ื™ื™ืžืจ, ืžื—ืœืช ืœื‘, ืฉื‘ืฅ ืžื•ื—ื™, ืืžืคื™ื–ืžื”, ืœื—ืฅ ื“ื ื’ื‘ื•ื”, ืกื•ื›ืจืช, ืกืจื˜ืŸ, ื“ืœืงืช ืคืจืงื™ื ื•ืืกื˜ืžื”).

ื‘ืžืฆื‘ ืฉืœ ืžื—ืœื” ื›ืจื•ื ื™ืช, ื—ืœืง ื—ืฉื•ื‘ ื‘ื˜ื™ืคื•ืœ ื”ื•ื ืขืจื™ื›ืช ืฉื™ื ื•ื™ื™ื ืชื–ื•ื ืชื™ื™ื ื•ืชื•ื›ื ื™ืช ืชืžื™ื›ื” ืชื–ื•ื ืชื™ืช. ืœื˜ื™ืคื•ืœ ืžื•ืฆืœื— ืžื•ืžืœืฅ ืœื‘ืฆืข ื”ืขืจื›ืช ื”ืฆืจื›ื™ื ื”ืื™ืฉื™ื™ื ื•ืขืจื™ื›ืช ืชื•ื›ื ื™ืช ืžื–ื•ืŸ ืžื•ืชืืžืช. ืคื™ืจื•ื˜ ืกื•ื’ื™ ื“ื™ืื˜ื•ืช ื•ืชื•ื›ื ื™ื•ืช ืฉื•ื ื•ืช ืžื•ืชืืžื•ืช ืœื›ืœ ืžื—ืœื” ืชื•ื›ืœื• ืœืžืฆื•ื ื‘ืกืคืจ ืฉืœื™ ื›ื™ืฆื“ ืœื”ื™ืžื ืข ืžื‘ืชื™ ื—ื•ืœื™ื.

ืขื ื–ืืช, ืžื—ืœื•ืช ื›ืจื•ื ื™ื•ืช ื‘ืžื‘ื•ื’ืจื™ื ืžื–ื“ืงื ื™ื ืื™ื ืŸ ืžื—ื•ื™ื‘ื•ืช ื”ืžืฆื™ืื•ืช. ื›-80% ืžื”ืžื—ืœื•ืช ื”ื›ืจื•ื ื™ื•ืช ื ื™ืชื ื•ืช ืœืžื ื™ืขื” ืขืœ ื™ื“ื™ ืฉื™ื ื•ื™ื™ื ื‘ืื•ืจื— ื”ื—ื™ื™ื.

ืžื” ื”ื ืื ื›ืŸ ื”ืฉื™ื ื•ื™ื™ื ื”ืœืœื• ื‘ืื•ืจื— ื”ื—ื™ื™ื ืฉื™ืขื–ืจื• ืœื›ื•ืœื ื• ืœื”ื–ื“ืงืŸ ื‘ื—ืŸ ื•ื‘ื›ื‘ื•ื“?

ืขื ื–ืืช ืฉื’ื ื˜ื™ืงื” ืžืฉื—ืงืช ืชืคืงื™ื“ ืžืฉืžืขื•ืชื™ ื‘ื”ื–ื“ืงื ื•ืช, ื”ื™ื ื‘ื”ื—ืœื˜ ืื™ื ื ื” ื”ื’ื•ืจื ื”ื™ื—ื™ื“ ืฉืงื•ื‘ืข ื›ื™ืฆื“ ื•ืขื“ ื›ืžื” ื™ืฉืชืœื˜ื• ืขืœื™ื›ื ืชื•ืคืขื•ืช ื”ื”ื–ื“ืงื ื•ืช.

ื‘ื™ืŸ ืื ืืชื ืžืจื’ื™ืฉื™ื ื›ื‘ืจ ื‘ืกื™ืžื ื™ ื”ื”ื–ื“ืงื ื•ืช ื•ืืฃ ืจื•ืื™ื ืื•ืชื, ื•ื‘ื™ืŸ ืื ืงื™ื‘ืœืชื ืขืœ ืขืฆืžื›ื ืœืงื‘ืœ ืืช ื”ืฉืœื‘ ื”ื—ื“ืฉ ื‘ื—ื™ื™ื›ื ื‘ืจื•ื’ืข ื•ื‘ื ื™ื ื•ื—ื•ืช, ื™ืฉื ื ืžืกืคืจ ื”ืจื’ืœื™ื ืฉืื ืชื›ื ื™ืกื• ืœืฉื’ืจืช ื™ื•ืžื›ื ื™ื›ื•ืœื™ื ืœื—ื•ืœืœ ืคืœืื™ื ื‘ืชื”ืœื™ืš ื”ื”ื–ื“ืงื ื•ืช ืฉืœื›ื.

ื“ืจื›ื™ื ื˜ื‘ืขื™ื•ืช ืฉื™ืขื–ืจื• ืœื›ื ืœื”ืื˜ ืืช ื”ืฉืคืขื•ืช ื”ื”ื–ื“ืงื ื•ืช ื‘ืืžืฆืขื•ืช ืฉื™ื ื•ื™ื™ื ื‘ืชื–ื•ื ื”, ื‘ืื•ืจื— ื”ื—ื™ื™ื ื•ื‘ื’ื™ืฉื” ืœื—ื™ื™ื:

1. ืคื™ืชื•ื— ื“ืคื•ืกื™ ืฉื™ื ื” ืงื‘ื•ืขื™ื

ื—ื•ืกืจ ืฉื™ื ื” ืขืœื•ืœ ืœื’ืจื•ื ืœื“ื™ื›ืื•ืŸ ื•ืœื—ื•ืกืจ ืื™ื–ื•ืŸ ื”ื•ืจืžื•ื ืœื™. ื—ื•ืกืจ ืฉื™ื ื” ืžืฉืคื™ืข ื’ื ืขืœ ืจืžื•ืช ื”-pH ื‘ืขื•ืจ ื•ืžืคื—ื™ืช ืืช ืžื™ื“ืช ื”ืœื—ื•ืช ืฉืœ ื”ืขื•ืจ, ื“ื‘ืจ ืฉื’ื•ืจื ืœืขื•ืจ ืœื”ื™ืจืื•ืช ืคื—ื•ืช ืฆืขื™ืจ. ื—ื•ืกืจ ืฉื™ื ื” ื’ื ืžื–ืงื™ืŸ ืืช ื”ืขื•ืจ ืžื”ืจ ื™ื•ืชืจ. ื•ืžืขื‘ืจ ืœื™ื•ืคื™, ื—ื•ืกืจ ืฉื™ื ื” ื›ืจื•ื ื™ ื™ื›ื•ืœ ืœื”ื•ื‘ื™ืœ ืœืžื—ืœื•ืช ื•ืœืžื•ื•ืช ืžื•ืงื“ื. ืจื•ื‘ ืžืฆื‘ื™ ื”ืžื—ืœื” ืงืฉื•ืจื™ื ื’ื ืขื ื—ื•ืกืจ ืฉื™ื ื”.[1]

2. ื”ืคื—ืชืช ืฆืจื™ื›ืช ื”ืืœื›ื•ื”ื•ืœ

ื›ืžื• ื—ื•ืกืจ ืฉื™ื ื”, ืฆืจื™ื›ืช ืืœื›ื•ื”ื•ืœ ื’ื ื”ื™ื ืžืฉืคื™ืขื” ืขืœ ืชืคืงื•ื“ ื”ื›ื‘ื“ ื•ืขืœ ื”ืฆื˜ื‘ืจื•ืช ืจืขืœื™ื ื‘ื’ื•ืฃ, ื•ื’ื•ืจืžืช ืœื”ื–ื“ืงื ื•ืช ืžื”ื™ืจื” ื™ื•ืชืจ. ืขื ื–ืืช, ื ืจืื” ืฉืœืฆืจื™ื›ื” ืงืœื” ืฉืœ ืืœื›ื•ื”ื•ืœ ื™ืฉ ืงืฉืจ ืกื‘ื™ืจ ืœื”ืฉืคืขื” ื—ื™ื•ื‘ื™ืช ืขืœ ืžืกืคืจ ืžื—ืœื•ืช, ื‘ืฉืœ ื”ืคื•ืœื™ืคื ื•ืœื™ื ืฉื ืžืฆืื™ื ื‘ืขื ื‘ื™ื. ืขืœ ืคื™ ืžื—ืงืจ ืฉื ืขืจืš, ืฆืจื™ื›ืช ื™ื™ืŸ ืงืœื” ืžืคื—ื™ืชื” ืืช ื”ืฉื›ื™ื—ื•ืช ืฉืœ ืžื—ืœืช ืœื‘ ื›ืœื™ืœื™ืช (CHD), ืฉื‘ืฅ ืžื•ื—ื™, ืžื—ืœืช ืขื•ืจืงื™ื ื”ื™ืงืคื™ืช, ืชืžื•ืชื” ืžืžื—ืœื•ืช ืœื‘ ื•ืชืžื•ืชื” ื‘ื’ื™ืœ ืฆืขื™ืจ ื™ื•ืชืจ ื‘ืื•ืคืŸ ื›ืœืœื™.[2]

ื—ืฉื•ื‘ ืœื”ื‘ื”ื™ืจ ืฉื‘ืขื•ื“ ืฆืจื™ื›ื” ืงืœื” ืฉืœ ืืœื›ื•ื”ื•ืœ ืขืฉื•ื™ื” ืœื”ื•ืขื™ืœ, ืฆืจื™ื›ื” ืžื•ืคืจื–ืช ื•ืืคื™ืœื• ืžืชื•ื ื” ืฉืœ ืืœื›ื•ื”ื•ืœ ืขืœื•ืœื” ืœื”ื–ื™ืง ืœื‘ืจื™ืื•ืช. ืžื™ื“ืข ื ื•ืกืฃ ืขืœ ืืœื›ื•ื”ื•ืœ ืชื•ื›ืœื• ืœืžืฆื•ื ื‘ื”ืžืฉืš ืกืคืจ ื–ื”.

3. ื”ืคื—ืชืช ืžืชื— ื•ื ื™ื”ื•ืœ ื“ื™ื›ืื•ืŸ

ื˜ืœื•ืžืจื™ื ืืจื•ื›ื™ื ื™ื•ืชืจ ืžื™ื•ื—ืกื™ื ืœืืจื™ื›ื•ืช ื™ืžื™ื, ื‘ืขื•ื“ ืฉื˜ืœื•ืžืจื™ื ืงืฆืจื™ื ืžื™ื•ื—ืกื™ื ืœืžื—ืœื•ืช ื›ืจื•ื ื™ื•ืช ื•ืœืžื•ื•ืช ื‘ื˜ืจื ืขืช. ืกื˜ืจืก ื™ื“ื•ืข ื›ืžื–ืจื– ื”ื–ื“ืงื ื•ืช ืชืื™ืช ืขืœ ื™ื“ื™ ืงื™ืฆื•ืจ ื”ื˜ืœื•ืžืจื™ื. ืื ืฉื™ื ืฉื—ื™ื™ื ืขื ืจืžื•ืช ืžืชื— ื’ื‘ื•ื”ื•ืช, ืฉื ื’ืจืžื•ืช ืœื“ื•ื’ืžื” ื‘ืฉืœ ืขื‘ื•ื“ื” ืฉื’ื•ืจืžืช ืœืžืชื— ื ืคืฉื™ ื’ื‘ื•ื”, ืื• ืขืงื‘ ื’ื™ื“ื•ืœ ื™ืœื“ ื—ื•ืœื”, ื’ื™ืจื•ืฉื™ื ืืจื•ื›ื™ื ื•ืžืชื™ืฉื™ื ื•ืžื•ื•ืช ืฉืœ ืื ืฉื™ื ืงืจื•ื‘ื™ื, ืืฆืœ ื›ื•ืœื ื ืžืฆืื” ืคื’ื™ืขื” ื‘ืื•ืจืš ื”ื˜ืœื•ืžืจื™ื.

ืžื—ืงืจื™ื ืžืจืื™ื ืฉื’ื ื“ื™ื›ืื•ืŸ ืœื ืžื˜ื•ืคืœ ื™ื›ื•ืœ ืœืงืฆืจ ืืช ื”ื˜ืœื•ืžืจื™ื ื•ืœื”ื’ื‘ื™ืจ ืืช ื”ื ื˜ื™ื™ื” ืœืžื—ืœื•ืช ืฉืงืฉื•ืจื•ืช ืœื’ื™ืœ, ื›ื’ื•ืŸ ืื•ืกื˜ืื•ืคื•ืจื•ื–ื™ืก, ืžื—ืœื•ืช ืœื‘, ืฉื‘ืฅ ืžื•ื—ื™ ื•ืกื•ื›ืจืช.[3] ืœืžื™ื“ืข ื ื•ืกืฃ ืขืœ ื“ืจื›ื™ื ืœืชืžื•ืš ื‘ืื•ืจืš ื”ื˜ืœื•ืžืจื™ื ื•ื‘ืชื•ื—ืœืช ื”ื—ื™ื™ื, ืขื™ื™ื ื• ื‘ืคืจืง #25 ืฉืขื•ืกืง ื‘ื˜ืœื•ืžืจื™ื ื‘ืกืคืจ ื–ื”.

4. ืฉื™ืžืช ืœื‘ ืœืฆืจื™ื›ืช ื”ืžื–ื•ืŸ

ืœืื—ืจ ื’ื™ืœ ื—ืžื™ืฉื™ื ืคื•ื—ืชืช ื”ื•ืฆืืช ื”ืื ืจื’ื™ื”, ืขืงื‘ ื™ืจื™ื“ื” ื‘ืงืฆื‘ ื—ื™ืœื•ืฃ ื”ื—ื•ืžืจื™ื. ืื—ืจื™ ื’ื™ืœ ืฉื‘ืขื™ื ื”ื™ืจื™ื“ื” ื—ื“ื” ืืฃ ื™ื•ืชืจ, ืืš ื™ืฉ ื”ื‘ื“ืœ ื‘ื™ืŸ ืื ืฉื™ื ืขื ืื•ืจื— ื—ื™ื™ื ืฉื•ื ื”. ืชื ืื™ ื—ื™ื™ื ืงืฉื™ื ื•ืžืฆื•ืงื•ืช ืจื’ืฉื™ื•ืช ืขืœื•ืœื™ื ืœื˜ืคื— ื”ืจื’ืœื™ ืื›ื™ืœื” ืœื ื‘ืจื™ืื™ื, ืœืžืฉืœ ืื›ื™ืœื” ืจื’ืฉื™ืช ืžื ื—ืžืช ืœืœื ืฉืœื™ื˜ื” ืฉื’ื•ืจืžืช ืœืขืœื™ื™ื” ื‘ืžืฉืงืœ, ืื• ืœื—ื•ืกืจ ืชื™ืื‘ื•ืŸ ืฉื’ื•ืจื ืœื™ืจื™ื“ื” ื‘ืžืฉืงืœ.

ืจื‘ื•ืช ืžื”ื‘ืขื™ื•ืช ื”ื‘ืจื™ืื•ืชื™ื•ืช ืฉืœ ืžื‘ื•ื’ืจื™ื ืžืงื•ืจืŸ ื‘ื—ืกืจื™ื ืชื–ื•ื ืชื™ื™ื ื•ื‘ืžืฆื‘ื™ ืชืช ืชื–ื•ื ื”.

ืขื ื”ื”ื–ื“ืงื ื•ืช ื—ื•ืฉ ื”ืจื™ื— ืคื—ื•ืช ื“ื•ืžื™ื ื ื˜ื™, ื•ื‘ืœื•ื˜ื•ืช ื”ื˜ืขื ืคื—ื•ืช ืจื’ื™ืฉื•ืช. ื ื™ืชืŸ ืœืคืชื•ืจ ื‘ืขื™ื•ืช ืืœื” ื‘ืขื–ืจืช ื—ื™ื–ื•ืง ื˜ืขื ื”ืžื–ื•ื ื•ืช ื‘ืืžืฆืขื•ืช ืฉื™ืžื•ืฉ ืžื•ื’ื‘ืจ ื‘ืชื‘ืœื™ื ื™ื.

ื‘ืขืจืš 25% ืžื”ืžื‘ื•ื’ืจื™ื ืžืชืžื•ื“ื“ื™ื ืขื ืชืช ืชื–ื•ื ื” ืขืงื‘ ื”ืจื’ืœื™ ืื›ื™ืœื” ืœืงื•ื™ื™ื ืžืžื•ืฉื›ื™ื, ืชื™ืื‘ื•ืŸ ืžื•ืคื—ืช, ื‘ื™ื“ื•ื“ ื—ื‘ืจืชื™, ืื™ืœื•ืฆื™ื ื›ืœื›ืœื™ื™ื, ื‘ืขื™ื•ืช ืฉื™ื ื™ื™ื ื”ืžืฉืคื™ืขื•ืช ืขืœ ื™ื›ื•ืœืช ื”ืื›ื™ืœื”, ื™ืจื™ื“ื” ื‘ืื ื–ื™ืžื™ ืขื™ื›ื•ืœ, ื—ื•ืžืฆื” ื”ื™ื“ืจื•ื›ืœื•ืจื™ืช ื•ืืชื’ืจื™ ื ื™ื™ื“ื•ืช.ย 

ื‘ื—ื™ืจื•ืช ืชื–ื•ื ืชื™ื•ืช ื”ื™ื ืŸ ื’ื•ืจื ืžืจื›ื–ื™ ื‘ื ื™ื”ื•ืœ ืžืฉืงืœ. ืœืฆืจื™ื›ืช ืคื—ืžื™ืžื•ืช ืžื•ืจื›ื‘ื•ืช ื—ืฉื™ื‘ื•ืช ืจื‘ื”. ื› 64% ืžื”ืชื–ื•ื ื” ืฆืจื™ื›ื™ื ืœื”ื’ื™ืข ืžืคื—ืžื™ืžื•ืช ืžื•ืจื›ื‘ื•ืช, ืชื•ืš ื”ื™ืžื ืขื•ืช ื›ื›ืœ ื”ืืคืฉืจ ืžืคื—ืžื™ืžื•ืช ืคืฉื•ื˜ื•ืช. ืชื–ื•ื ื” ืขืฉื™ืจื” ื‘ืกื™ื‘ื™ื, ื“ืœื” ื‘ืžื•ืฆืจื™ื ืžืŸ ื”ื—ื™ ื•ืขืชื™ืจื” ื‘ืžื–ื•ื ื•ืช ืžืœืื™ื ืžื”ืฆื•ืžื— ืžืกื™ื™ืขืช ืœืฉืžื•ืจ ืขืœ ืžืฉืงืœ ืชืงื™ืŸ ื•ืขืœ ืžืกืคื™ืง ื ื•ื–ืœื™ื. ืฆืจื™ื›ืช ื”ืืœื›ื•ื”ื•ืœ ืฆืจื™ื›ื” ืœื”ื™ื•ืช ื ืžื•ื›ื”;ย  ื”ืžื ืขื•ืช ืžืืœื›ื•ื”ื•ืœ ื”ื™ื ื”ื‘ื—ื™ืจื” ื”ืื™ื“ื™ืืœื™ืช.

ื™ืจื™ื“ื” ืžื•ื’ื–ืžืช, ืœื ืžืชื•ื›ื ื ืช ื‘ืžืฉืงืœ ืžืขื™ื“ื” ืขืœ ืชืช ืชื–ื•ื ื” ื•ืขืœื•ืœื” ืœื”ื‘ื™ื ืœื™ื“ื™ ื‘ืขื™ื•ืช ื‘ืจื™ืื•ืชื™ื•ืช ื—ืžื•ืจื•ืช, ื•ืœื’ืจื•ื ืœืžื—ืœื•ืช ื•ืœืžื•ื•ืช. ื™ืจื™ื“ื” ื‘ืžืฉืงืœ ื”ื™ื ืžื ื‘ืื” ื‘ืจื•ืจื” ืฉืœ ืชื—ืœื•ืื” ื•ืชืžื•ืชื”.

ื’ื ื‘ืจื™ืื•ืช ื”ืคื” ืงืฉื•ืจื” ื‘ืื•ืคืŸ ืžืฉืžืขื•ืชื™ ืœืžืฆื‘ ืชื–ื•ื ืชื™ ื•ืœื›ืŸ ื™ืฉ ืœื˜ืคืœ ื‘ื›ืœ ื‘ืขื™ื” ื‘ืคื” ื•ื‘ื—ื ื™ื›ื™ื™ื. ื™ื•ืชืจ ืžืžื—ืฆื™ืช ืžื”ืื ืฉื™ื ื‘ืžื“ื™ื ื•ืช ื”ืžืคื•ืชื—ื•ืช ืื™ื‘ื“ื• ื—ืœืง ืžืฉื™ื ื™ื”ื ืื• ืืช ื›ื•ืœืŸ ืขื“ ื’ื™ืœ ืฉื™ืฉื™ื ื•ื—ืžืฉ, ื•ืžืชืžื•ื“ื“ื™ื ืขื ื‘ืขื™ื•ืช ืœืขื™ืกื”.

ื›ื›ืœ ืฉืžืชื‘ื’ืจื™ื ื™ืฉ ื’ื ื”ืื˜ื” ื‘ืขื™ื›ื•ืœ ืฉื•ืžื ื™ื ื•ืกืคื™ื’ืชื. ืฉื•ืžื ื™ื ืืžื•ืจื™ื ืœืชืจื•ื ื›-25% ืžืกืš ื”ืงืœื•ืจื™ื•ืช ืฉืœ ื”ื’ื•ืฃ, ืœืคื ื™ ืฉื”ื ืžืกืคืงื™ื ืื ืจื’ื™ื” ื›ื’ื™ื‘ื•ื™, ืฉื›ืŸ ื”ื ื“ืจื•ืฉื™ื ืœืกืคื™ื’ืช ื•ื•ื™ื˜ืžื™ื ื™ื ืžืกื™ืกื™ื ื‘ืฉื•ืžืŸ ื•ืœื—ื•ืžืฆื•ืช ืฉื•ืžืŸ ื—ื™ื•ื ื™ื•ืช. ืฉื•ืžื ื™ื ืฆืจื™ื›ื™ื ืœื”ื’ื™ืข ื‘ืขื™ืงืจ ืžืื’ื•ื–ื™ื, ื–ืจืขื™ื, ืื‘ื•ืงื“ื•, ื–ื™ืชื™ื ื•ืงื•ืงื•ืก. ื”ื•ืกืคืช ืฉื•ืžื ื™ื ื›ื’ื•ืŸ ืฉืžืŸ ื–ื™ืช ืœืžื–ื•ื ื•ืช ืขืฉื•ื™ื” ืœืขื–ื•ืจ ืœืงืฉื™ืฉื™ื ืœืื›ื•ืœ ื™ื•ืชืจ ื•ื˜ื•ื‘ ื™ื•ืชืจ, ืฉื›ืŸ ืฉืžื ื™ื ืžื’ื‘ื™ืจื™ื ืืช ื˜ืขื ื”ืžื–ื•ื ื•ืช ื•ืืช ื”ืชื™ืื‘ื•ืŸ.

ื—ืœื‘ื•ืŸ ืฆืจื™ืš ืœืกืคืง ื›-11% ืžืกืš ื”ืงืœื•ืจื™ื•ืช ื”ื ืฆืจื›ื•ืช ื‘ื™ื•ื. ื”ืฆื•ืจืš ื‘ื—ืœื‘ื•ืŸ ืขืฉื•ื™ ืœืขืœื•ืช ื‘ืžื”ืœืš ืžื—ืœื”, ืคืฆื™ืขื”, ื ื™ืชื•ื— ืื• ื”ื—ืœืžื”. ืฆืจื™ื›ืช ื—ืœื‘ื•ืŸ ืœืžื‘ื•ื’ืจื™ื ืฆืจื™ื›ื” ืœื”ื™ื•ืช 0.8 ื’ืจื ืœืง”ื’ ืžืฉืงืœ ื’ื•ืฃ. ื›ื“ื™ ืœืกืคืง ืœื’ื•ืฃ ืืช ื›ืžื•ืช ื”ื—ืœื‘ื•ื ื™ื ื”ื“ืจื•ืฉื” ืœื•, ื™ืฉ ืœืฆืจื•ืš ื’ื ืžืกืคื™ืง ืื ืจื’ื™ื” ืžื”ืžื–ื•ืŸ, ืื—ืจืช ื”ื’ื•ืฃ ื™ืฉืชืžืฉ ื‘ื—ืœื‘ื•ื ื™ื ืœืฆื•ืจืš ืื ืจื’ื™ื” ืขืœ ื—ืฉื‘ื•ืŸ ื”ืชื—ื“ืฉื•ืช ื”ืจืงืžื•ืช, ื•ื™ื’ืจื•ื ื‘ื›ืš ืœื”ืืฆืช ืชื”ืœื™ืš ื”ื”ื–ื“ืงื ื•ืช. ืื›ื™ืœืช ืฉืขื•ืขื™ืช ืžื›ืœ ื”ืกื•ื’ื™ื ืื—ืจื™ ื”ืฉืจื™ื™ืชื ืœืžืฉืš ื”ืœื™ืœื”, ืื• ืขื“ืฉื™ื ืฉื”ื•ืฉืจื• ืœืžืฉืš ืขืฉืจื™ื ื“ืงื•ืช, ื”ืŸ ื“ืจื›ื™ื ืžืขื•ืœื•ืช ืœื”ื’ื‘ื™ืจ ืืช ื–ืžื™ื ื•ืช ื”ื—ืœื‘ื•ืŸ ื‘ืฉืœื‘ ื”ื”ื–ื“ืงื ื•ืช. ืืคืฉืจ ื’ื ืœืื›ื•ืœ ืฉืขื•ืขื™ืช ืžื‘ื•ืฉืœืช ืื• ืขื“ืฉื™ื ืฉื ืงื ื• ืงืคื•ืื™ื.

ืžืื—ืจ ืฉืขื ื”ื”ื–ื“ืงื ื•ืช ื ืคื’ืขืช ื”ืกื‘ื™ืœื•ืช ืœื’ืœื•ืงื•ื– ื‘ืฆื•ื ื•ืขื•ืœื” ืฉื›ื™ื—ื•ืช ื”ืกื•ื›ืจืช, ืชื–ื•ื ื” ืขืชื™ืจืช ืกื™ื‘ื™ื ื•ืขืฉื™ืจื” ื‘ื“ื’ื ื™ื ืžืœืื™ื ื”ื™ื ื—ื™ื•ื ื™ืช. ื ื™ืชืŸ ืœื”ืฉืจื•ืช ื“ื’ื ื™ื ืžืœืื™ื ื‘ืžื™ื ืœืžืฉืš ื”ืœื™ืœื” ื•ืœื‘ืฉืœ ืื•ืชื ื‘ื™ื•ื ื”ืžื—ืจืช. ื›ืš ื”ื—ื•ืžืจื™ื ื”ืžื–ื™ื ื™ื ืฉื‘ื”ื ื ืกืคื’ื™ื ื‘ื’ื•ืฃ ื‘ืงืœื•ืช ืจื‘ื” ื™ื•ืชืจ ื•ืžืกืคืงื™ื ืืช ื›ืœ ื”ืฆืจื›ื™ื ื”ืชื–ื•ื ืชื™ื™ื ื•ื”ื‘ืจื™ืื•ืชื™ื™ื ื”ื“ืจื•ืฉื™ื ื‘ื–ืงื ื”. ื’ื ืžืจืงื™ื ืขื ื™ืจืงื•ืช ื•ืขื“ืฉื™ื ืื• ืฉืขื•ืขื™ืช ื”ื ื“ืจืš ืžืฆื•ื™ื ืช ืœืกืคืง ืœื’ื•ืฃ ืืช ื”ื—ื•ืžืจื™ื ื”ืžื–ื™ื ื™ื ื”ื“ืจื•ืฉื™ื ืœื• ื‘ื–ืงื ื”.

5. ืื›ืœื• ื”ืจื‘ื” ืคื™ืจื•ืช ื•ื™ืจืงื•ืช

ื‘ืื•ืคืŸ ื›ืœืœื™, ื›ืœ ื”ื™ืจืงื•ืช ื•ื”ืคื™ืจื•ืช ืžืขื•ืœื™ื ืœื‘ืจื™ืื•ืช ื”ืขื•ืจ ื•ื—ื™ื•ื ื™ื•ืชื•. ืขื ื–ืืช, ื™ืฉื ื ืคื™ืจื•ืช ืžืกื•ื™ืžื™ื ืขืฉื™ืจื™ื ื‘ืžื™ื•ื—ื“ ื‘ื ื•ื’ื“ื™ ื—ืžืฆื•ืŸ ืฉื™ื›ื•ืœื™ื ืœืขื–ื•ืจ ืœืขื•ืจ ืœื”ื™ื•ืช ืžื•ืฆืง ื•ืงื•ืจืŸ ื™ื•ืชืจ. ืœืงื™ื•ื•ื™, ืื‘ื˜ื™ื—ื™ื, ืžื ื’ื•, ืขื ื‘ื™ื ืื“ื•ืžื™ื ื•ืฉื—ื•ืจื™ื, ื•ืคื™ืจื•ืช ื™ืขืจ ื™ืฉ ืชื›ื•ื ื•ืช ื ื•ื’ื“ื•ืช ื—ืžืฆื•ืŸ ื—ื–ืงื•ืช ื‘ืžื™ื•ื—ื“ ืฉืžืขื›ื‘ื•ืช ื™ื™ืฆื•ืจ ืจื“ื™ืงืœื™ื ื—ื•ืคืฉื™ื™ื, ื•ืžื’ื™ื ื™ื ืขืœ ื”ืชืื™ื ืžืคื ื™ ื ื–ืง.

ืžื‘ื™ืŸ ื”ื™ืจืงื•ืช, ืขื’ื‘ื ื™ื•ืช ืžื›ื™ืœื•ืช ืœื™ืงื•ืคืŸ, ื ื•ื’ื“ ื—ืžืฆื•ืŸ ื ื•ืกืฃ ืฉืชื•ืจื ืœื‘ืจื™ืื•ืช ื”ืขื•ืจ. ื›ื•ืก ืงื™ื™ืœ ืื—ืช ื‘ื™ื•ื ืžื›ื™ืœื” ื›ืžืขื˜ ืคื™ ืฉื ื™ื-ืขืฉืจ ืžื”ืขืจืš ื”ื™ื•ืžื™ ื”ืžื•ืžืœืฅ ืฉืœ ื•ื™ื˜ืžื™ืŸ K, ืฉื“ื•ื—ื” ืžื—ืœื•ืช ืœื‘ ื•ืื•ืกื˜ื™ืื•ืคื•ืจื•ื–ื™ืก ื•ืžืฆื•ื™ืŸ ืœืขื•ืจ ื–ื•ื”ืจ ื•ืงื•ืจืŸ.

ื ื‘ื˜ื™ ื‘ืจื™ืกืœ ื•ื™ืจืงื•ืช ืžืฆืœื™ื‘ื™ื ืื—ืจื™ื ื›ื’ื•ืŸ ื‘ืจื•ืงื•ืœื™, ื›ืจื•ื‘, ื›ืจื•ื‘ื™ืช, ืžืืงื” ื•ืงื•ืœืจื‘ื™, ื–ื›ื• ืœืžื•ื ื™ื˜ื™ืŸ ืชื•ื“ื•ืช ืœืชื›ื•ื ื•ืชื™ื”ื ื”ื‘ืจื™ืื•ืชื™ื•ืช. ื”ื ื’ื ื ื—ืฉื‘ื™ื ื›ืื ื˜ื™-ืื™ื™ื’’ื™ื ื’. ื ืขืจื›ื• ืžื—ืงืจื™ื ืฉืžืจืื™ื ื›ื™ืฆื“ ืกื•ืœืคื•ืจืคืŸ, ื”ืคื™ื˜ื•ื›ื™ืžื™ืงืœ ืฉื ืžืฆื ื‘ื™ืจืงื•ืช ืืœื•, ืขืฉื•ื™ ืœืกื™ื™ืข ื‘ืžืœื—ืžื” ื‘ืกืจื˜ืŸ. ื”ื ื’ื ืžื›ื™ืœื™ื ื•ื™ื˜ืžื™ืŸ C, ืฉืžื’ืŸ ืขืœ ื”ื’ื•ืฃ ืžืคื ื™ ื ื–ืงื™ ืจื“ื™ืงืœื™ื ื—ื•ืคืฉื™ื™ื ื•ืกืจื˜ืŸ ื”ืคื” ื•ื”ื’ืจื•ืŸ. ืชื›ื•ื ื•ืชื™ื”ื ื ื•ื’ื“ื•ืช ื”ื—ืžืฆื•ืŸ ื”ื’ื‘ื•ื”ื•ืช ื™ืชืจืžื• ื’ื ืœืขื•ืจ ื‘ืจื™ื ื•ื–ื•ื”ืจ ื™ื•ืชืจ.

ื”ื•ืกืคืช ืกื™ื‘ื™ื ืชื–ื•ื ืชื™ื™ื ื•ื ื•ื–ืœื™ื ืœืชื–ื•ื ื” ื”ื™ื•ืžื™ืช ืชืกื™ื™ืข ื‘ืžื ื™ืขืช ืขืฆื™ืจื•ืช, ื”ื ืคื•ืฆื” ืขื ื”ื”ื–ื“ืงื ื•ืช, ื•ืชื‘ืกืก ื“ืคื•ืก ื™ืฆื™ืื•ืช ืงื‘ื•ืข ื•ืชืงื™ืŸ, ื“ื‘ืจ ืฉื™ืฉืคืจ ืžืฉืžืขื•ืชื™ืช ืืช ืื™ื›ื•ืช ื”ื—ื™ื™ื.

6. ืฉืชื™ื™ื” ืžืกืคืงืช

ื›ืžื•ืช ื”ืžื™ื ื”ื“ืจื•ืฉื” ืœื’ื•ืฃ (ื‘ื™ื—ืก ืœืฆื•ืจื›ื™ ื”ืื ืจื’ื™ื” ื‘ื›ืœืœื•ืช) ืื™ื ื” ื™ื•ืจื“ืช ืขื ื”ื’ื™ืœ. ืื•ืœื ืฉื™ื ื•ื™ื™ื ื‘ื”ื™ืคื•ืชืœืžื•ืก ืฉื‘ืžื•ื—, ืฉืžืชืจื—ืฉื™ื ื‘ืื•ืคืŸ ื˜ื‘ืขื™ ืขื ื”ื”ื–ื“ืงื ื•ืช, ื•ื’ื•ืจืžื™ื ืœื™ืจื™ื“ื” ื‘ืชื—ื•ืฉืช ื”ืฆืžื ื•ืœืฆืจื™ื›ืช ื ื•ื–ืœื™ื ืžื•ืคื—ืชืช. ื–ืืช ื”ืกื™ื‘ื” ืฉื”ืชื™ื™ื‘ืฉื•ืช ื”ื™ื ื” ื‘ืขื™ื” ื ืคื•ืฆื” ื›ื›ืœ ืฉืžืชื‘ื’ืจื™ื. ืชืคืงื•ื“ ื”ื›ืœื™ื•ืช ื™ื•ืจื“ ื’ื ื”ื•ื, ื•ืžื•ื‘ื™ืœ ืœืื™ื‘ื•ื“ ืžื™ื ื’ื‘ื•ื” ื™ื•ืชืจ ื•ืžื’ื‘ื™ืจ ืืช ื”ื“ืจื™ืฉื” ืœื ื•ื–ืœื™ื. ืื ืฉื™ื ืฉื–ืงื•ืงื™ื ืœืกื™ื•ืข ื‘ื”ืฉื’ืช ืžื™ื ืื• ื‘ื”ื’ืขื” ืœืฉื™ืจื•ืชื™ื ืขืฉื•ื™ื™ื ืœื‘ื—ื•ืจ ืœืฉืชื•ืช ืคื—ื•ืช, ื›ื“ื™ ืœื”ื™ืžื ืข ืžื”ืฆื•ืจืš ืœืงื•ื ืœืขื™ืชื™ื ืงืจื•ื‘ื•ืช. ืขื ื–ืืช, ื—ืฉื•ื‘ ืœื–ื›ื•ืจ ืฉืฉืžื™ืจื” ืขืœ ืžืื–ืŸ ื”ื ื•ื–ืœื™ื ื—ืฉื•ื‘ื” ืขื•ื“ ื™ื•ืชืจ ื›ื›ืœ ืฉืžืชื‘ื’ืจื™ื. ื™ื•ื‘ืฉ ื‘ืคื” ืžื—ื•ืกืจ ื‘ื ื•ื–ืœื™ื ื™ืงืฉื” ื’ื ืขืœ ื”ืื›ื™ืœื” ื•ื™ื’ืจื•ื ืœืชืช ืชื–ื•ื ื”. ื—ืฉื•ื‘ ืœื”ืงืคื™ื“ ืขืœ ืฉืชื™ื™ื” ื’ื ื›ืฉืœื ืžืจื’ื™ืฉื™ื ืฆืžื, ื›ื“ื™ ืฉืœื ืœื”ื’ื™ืข ืœืžืฆื‘ ืฉืœ ื—ื•ืกืจ ื‘ื ื•ื–ืœื™ื.

5. ืคืขื™ืœื•ืช ื’ื•ืคื ื™ืช

ืžื–ื” ื–ืžืŸ ืจื‘ ืžื“ืขื ื™ื ื—ื•ืงืจื™ื ื”ืื ื•ื‘ืื™ื–ื” ืื•ืคืŸ ืคืขื™ืœื•ืช ื’ื•ืคื ื™ืช ืžืชื•ื ื” ื™ื›ื•ืœื” ืœื”ืื˜ ืืช ืชื”ืœื™ืš ื”ื”ื–ื“ืงื ื•ืช. ื ืชื•ื ื™ ืžื—ืงืจ ืฉืคื•ืจืกื ื‘-Journal of Preventive Medicine, ืฉื ืขืจืš ืขืœ ื™ื•ืชืจ ืž-5,000 ืžื‘ื•ื’ืจื™ื ื‘ืืจื””ื‘, ืžืจืื™ื ืฉืœืžื‘ื•ื’ืจื™ื ืฉืžื‘ืฆืขื™ื ืคืขื™ืœื•ืช ื’ื•ืคื ื™ืช ื‘ืขืงื‘ื™ื•ืช ื™ืฉ “ื™ืชืจื•ืŸ ื”ื–ื“ืงื ื•ืช ื‘ื™ื•ืœื•ื’ื™” ืฉืœ ืชืฉืข ืฉื ื™ื, ื‘ื”ืฉื•ื•ืื” ืœืžื‘ื•ื’ืจื™ื ืฉืžื‘ืœื™ื ืืช ืžืจื‘ื™ืช ื–ืžื ื ื‘ื™ืฉื™ื‘ื”.[4]

ืื™ื‘ื•ื“ ืžืกืช ื”ืฉืจื™ืจ ืชืœื•ื™ ื‘ืžื™ื“ืช ื”ืคืขื™ืœื•ืช ื”ื’ื•ืคื ื™ืช. ื›ื›ืœ ืฉืžืจื‘ื™ื ืœื”ื™ื•ืช ื‘ืžืฆื‘ ืกื˜ื˜ื™, ื›ืš ืื•ื‘ื“ืŸ ื”ืฉืจื™ืจื™ื ื’ื‘ื•ื” ื™ื•ืชืจ.

ื—ื“ืจื™ ื›ื•ืฉืจ ื•ืžืจื›ื–ื™ ื‘ืจื™ืื•ืช ืฉืžื™ื•ืขื“ื™ื ื‘ืžื™ื•ื—ื“ ืœืžื‘ื•ื’ืจื™ื ื•ืงืฉื™ืฉื™ื ื”ื ืคืชืจื•ืŸ ื˜ื•ื‘. ืœืื—ืจื•ื ื” ื”ื•ืœื›ืช ื•ื’ื•ื‘ืจืช ื”ืžื•ื“ืขื•ืช ืœืฆื•ืจืš ื‘ืคืขื™ืœื•ืช ื’ื•ืคื ื™ืช ื’ื ื‘ื‘ืชื™ ืื‘ื•ืช, ื•ืžืคืขื™ืœื™ื ืฉื ืชื•ื›ื ื™ื•ืช ืžื•ืชืืžื•ืช ืœืงื‘ื•ืฆืช ื”ื’ื™ืœ ื”ืฉืœื™ืฉื™.

ืคืขื™ืœื•ืช ืกืคื•ืจื˜ ืกื™ื‘ื•ืœืช ื›ื’ื•ืŸ ื”ืœื™ื›ื”, ืคืขื™ืœื•ืช ืกืคื•ืจื˜ื™ื‘ื™ืช ืงื‘ื•ืฆืชื™ืช ืื• ืคืขื™ืœื•ืช ื‘ืžื™ื, ื‘ืžืฉืš ืขืฉืจื™ื ื“ืงื•ืช ื‘ื™ื•ื, ืืจื‘ืขื” ืขื“ ื—ืžื™ืฉื” ื™ืžื™ื ื‘ืฉื‘ื•ืข, ืชื‘ื™ื ืœืฉื™ืคื•ืจ ื—ื™ื•ื‘ื™ ืžืฉืžืขื•ืชื™ ื•ืชืื˜ ืืช ื”ื–ื“ืงื ื•ืช ื”ื’ื•ืฃ. ื”ืคืขื™ืœื•ืช ื”ื’ื•ืคื ื™ืช ืชืกื™ื™ืข ื’ื ื‘ืžื ื™ืขืช ืžื—ืœื•ืช ื›ืจื•ื ื™ื•ืช. ืื•ืœื ืœืฉื ืงื‘ืœืช ืชื•ืขืœื•ืช ื‘ืจื™ืื•ืชื™ื•ืช ื ื•ืกืคื•ืช, ื™ืฉ ืœื”ื›ืคื™ืœ ืืช ืžืฉืš ื”ืคืขื™ืœื•ืช ื”ื’ื•ืคื ื™ืช ื‘ืขืฆื™ืžื•ืช ื ืžื•ื›ื” ืœืฉืขื” ื‘ื™ื•ื, ืืจื‘ืขื” ืขื“ ื—ืžื™ืฉื” ื™ืžื™ื ื‘ืฉื‘ื•ืข. ื‘ืงื”ื™ืœื•ืช ืžื’ื•ืจื™ื ื™ื™ืขื•ื“ื™ื•ืช ืœื’ื™ืœ ื”ื–ื”ื‘ ืงื™ื™ืžื•ืช ืืคืฉืจื•ื™ื•ืช ืจื‘ื•ืช ืœืคืขื™ืœื•ืช ื’ื•ืคื ื™ืช, ืฉืžืงืœื•ืช ืขืœ ืžืฆื™ืืช ื”ืคืขื™ืœื•ืช ื”ืžืชืื™ืžื” ืœื›ืœ ืื“ื ื‘ืื•ืคืŸ ืื™ืฉื™.

6. ื”ืฉื’ื™ื—ื• ืขืœ ืจืžื•ืช ื ืื•ืชื•ืช ืฉืœ ื•ื™ื˜ืžื™ืŸ D ื•ืกื™ื“ืŸ

ื•ื™ื˜ืžื™ืŸ D ื•ืกื™ื“ืŸ ื—ื™ื•ื ื™ื™ื ืœืฉืžื™ืจื” ืขืœ ื‘ืจื™ืื•ืช ื”ืขืฆืžื•ืช ื•ื’ื“ื™ืœืชืŸ. ืกื™ื“ืŸ ื•ื•ื™ื˜ืžื™ืŸ D ืคื•ืขืœื™ื ื™ื—ื“ ืœื‘ื ื™ื™ืช ืขืฆืžื•ืช ื—ื–ืงื•ืช ื•ืฆืคื•ืคื•ืช. ืืฆืœ ืงืฉื™ืฉื™ื ืฉื›ื™ื—ื” ืฆืจื™ื›ื” ืœื ืžืกืคืงืช ืฉืœ ืกื™ื“ืŸ ื•ื•ื™ื˜ืžื™ืŸ D.

ืœืื ืฉื™ื ืžืขืœ ื’ื™ืœ ืฉื‘ืขื™ื ื™ืฉ ืฆื•ืจืš ื’ื“ื•ืœ ื™ื•ืชืจ ื‘ืกื™ื“ืŸ ื•ื‘ื•ื•ื™ื˜ืžื™ืŸ D, ืžื›ื™ื•ื•ืŸ ืฉื›ื›ืœ ืฉืื ื• ืžืชื‘ื’ืจื™ื ื”ืฉืœื“ ืžืื‘ื“ ื™ื•ืชืจ ืกื™ื“ืŸ, ื•ื•ื™ื˜ืžื™ืŸ D ืขื•ื–ืจ, ื‘ื™ืŸ ื”ื™ืชืจ, ืœืกืคื™ื’ืช ื”ืกื™ื“ืŸ ื‘ืขืฆืžื•ืช. ื™ืชืจ ืขืœ ื›ืŸ, ื›ื›ืœ ืฉืชื”ืœื™ืš ื”ื”ืชื‘ื’ืจื•ืช ืžืชืงื“ื, ืคื•ื—ืชืช ื™ื›ื•ืœืช ื”ืขื•ืจ ืœื™ื™ืฆืจ ื•ื™ื˜ืžื™ืŸ D ืžืงืจื ื™ ื”ืฉืžืฉ.ย 

ืืกืคืงืช ื•ื™ื˜ืžื™ืŸ D ืฆืจื™ื›ื” ืœื”ื’ื™ืข ืžืžื–ื•ื ื•ืช ืžื•ืขืฉืจื™ื ื‘ื•ื•ื™ื˜ืžื™ืŸ, ืื• ื‘ืืžืฆืขื•ืช ืชื•ืกืฃ ืชื–ื•ื ื” ืฉืœ ื›- 1000 IU ืžื“ื™ ื™ื•ื ืœืื ืฉื™ื ื‘ื’ื™ืœืื™ ื—ืžื™ืฉื™ื ืขื“ ืฉื‘ืขื™ื, ื•-1200 IU ืขื‘ื•ืจ ืื ืฉื™ื ืฉื’ื™ืœื ืžืขืœ ืฉื‘ืขื™ื, ื›ื“ื™ ืœืฉืžื•ืจ ืขืœ ื‘ืจื™ืื•ืช ื”ืขืฆื[5]. ื•ื™ื˜ืžื™ืŸ D ื ื—ื•ืฅ ื‘ืžื™ื•ื—ื“ ื‘ื—ื•ื“ืฉื™ ื”ื—ื•ืจืฃ.

ืื›ืœื• ืžื–ื•ื ื•ืช ืขืฉื™ืจื™ื ื‘ืกื™ื“ืŸ ื›ื’ื•ืŸ ื—ืœื‘ ืขืœ ื‘ืกื™ืก ืฆืžื—ื™ ืžื•ืขืฉืจ ื‘ืกื™ื“ืŸ, ืฉืงื“ื™ื, ื˜ื—ื™ื ื” ืžืœืื”, ื•ื˜ื•ืคื• ืžื•ืขืฉืจ ื‘ืกื™ื“ืŸ. ื ื™ืชืŸ ืœื”ืฉืœื™ื ืกื™ื“ืŸ ืขื ื•ื™ื˜ืžื™ืŸ D ื‘ืืžืฆืขื•ืช ืชื•ืกืฃ ื™ื™ืขื•ื“ื™ ืœื‘ืจื™ืื•ืช ื”ืขืฆื, ืฉื™ืฉ ืœื ื•ื˜ืœื• ืžื“ื™ ื™ื•ื.

7. ื•ื™ื˜ืžื™ืŸ B-12

ื™ืจื™ื“ื” ื‘ื”ืคืจืฉื•ืช ื”ืงื™ื‘ื”, ื›ื•ืœืœ ื—ื•ืžืฆื” ื”ื™ื“ืจื•ื›ืœื•ืจื™ืช, ืžืขื›ื‘ืช ืกืคื™ื’ืช ื•ื™ื˜ืžื™ืŸ B12. ื—ื•ืžืฆื” ื”ื™ื“ืจื•ื›ืœื•ืจื™ืช ืžื•ืคืจืฉืช ืžืชืื™ ืจื™ืจื™ืช ื”ืงื™ื‘ื”, ื•ื”ื™ื ื”ื›ืจื—ื™ืช ืœืกืคื™ื’ืช ื•ื™ื˜ืžื™ืŸ B12, ื—ื•ืžืฆื” ืคื•ืœื™ืช ื•ื‘ืจื–ืœ. ื›ืืฉืจ ื—ื•ืžืจื™ื ืžื–ื™ื ื™ื ืืœื• ืื™ื ื ื ืกืคื’ื™ื ื”ื™ื˜ื‘, ื™ืชืคืชื—ื• ื—ื•ืกืจ ืชื™ืื‘ื•ืŸ ื•ืชืช ืชื–ื•ื ื”, ืฉืขืœื•ืœื™ื ืœื’ืจื•ื ืœืื ืžื™ื”.

ืžื—ืกื•ืจ ื‘ื•ื™ื˜ืžื™ืŸ B12 ื™ื›ื•ืœ ืœื”ืฉืคื™ืข ืขืœ ืžื‘ื•ื’ืจื™ื ื•ืœื’ืจื•ื ืœื”ืคืจืขื•ืช ื”ืงืฉื•ืจื•ืช ืœืžืขืจื›ืช ื”ืขืฆื‘ื™ื, ื›ื’ื•ืŸ ื ื•ื™ืจื•ืคืชื™ื” ื”ื™ืงืคื™ืช, ื‘ืขื™ื•ืช ืฉื™ื•ื•ื™ ืžืฉืงืœ, ืื™ ื™ืฆื™ื‘ื•ืช ืงื•ื’ื ื™ื˜ื™ื‘ื™ืช ื•ื ื›ื•ืช ืคื™ื–ื™ืช.[6] ืจืžื•ืช ืœื ืžืกืคืงื•ืช ืฉืœ ื•ื™ื˜ืžื™ืŸ B12 ืžื™ื•ื—ืกื•ืช ื’ื ืœืกื™ื›ื•ืŸ ื’ื‘ื•ื” ื™ื•ืชืจ ืœืžื—ืœื•ืช ืœื‘ ื•ืื•ื‘ื“ืŸ ืฆืคื™ืคื•ืช ืขืฆื.

ื•ื™ื˜ืžื™ืŸ B12 ืฆืจื™ืš ืœื”ื’ื™ืข ืžืชื•ืกืคื™ ืžื–ื•ืŸ ืื• ืžืžื–ื•ื ื•ืช ืžื•ืขืฉืจื™ื, ื‘ืฉืœ ื”ื™ืจื™ื“ื” ื‘ื™ื›ื•ืœืช ื™ื™ืฆื•ืจ ื—ื•ืžืฆื” ื”ื™ื“ืจื•ื›ืœื•ืจื™ืช ื‘ืงื™ื‘ื”, ืฉืžื’ื‘ื™ืจื” ืืช ื”ืกื™ื›ื•ืŸ ืœื”ื’ื™ืข ืœืžืฆื‘ ืฉืœ ืžื—ืกื•ืจ. ืžื›ื™ื•ื•ืŸ ืฉืงืฉื™ืฉื™ื ืจื‘ื™ื ืœื ื™ื›ื•ืœื™ื ืœืงื‘ืœ ืžืกืคื™ืง ื•ื™ื˜ืžื™ืŸ B12 ื“ืจืš ื”ืชื–ื•ื ื” ืฉืœื”ื, ื”ื”ืžืœืฆื” ืฉืœื™ ื”ื™ื ืœืงื—ืช ืชื•ืกืฃ ื•ื™ื˜ืžื™ืŸ B12 ื‘ืžื™ื ื•ืŸ ืฉืœ 1000 ืžื™ืงืจื•ื’ืจื ืžืชื™ืœืงื•ื‘ืœืžื™ืŸ, ืคืขื ื‘ืฉื‘ื•ืข.

8. ืื›ืœื• ืžืกืคื™ืง ืกื™ื‘ื™ื ืชื–ื•ื ืชื™ื™ื

ื”ื›ืžื•ืช ื”ืกื™ื‘ื™ื ื”ืชื–ื•ื ืชื™ื™ื ืฉืื ื• ืฆื•ืจื›ื™ื ื—ื™ื™ื‘ ืœื”ืฉืชื ื•ืช ื›ื›ืœ ืฉืื ื• ืžืชื‘ื’ืจื™ื. ืงืฉื™ืฉื™ื ื ื”ื ื™ื ืžืื•ื“ ืžืชื–ื•ื ื” ืขืฉื™ืจื” ื‘ืกื™ื‘ื™ื. ื–ื” ืขื•ื–ืจ ืœืฉืžื•ืจ ืขืœ ื‘ืจื™ืื•ืช ื”ืœื‘, ื‘ืจื™ืื•ืช ื”ืžืขื™ื™ื ื•ืชื ื•ืขืช ืžืขื™ื™ื ืกื“ื™ืจื”. ืœืชื–ื•ื ื” ืขืฉื™ืจื” ื‘ืกื™ื‘ื™ื ื™ืฉ ื’ื ื”ืฉืคืขื•ืช ืฉืœ ื”ื•ืจื“ืช ื›ื•ืœืกื˜ืจื•ืœ ื•ืžืงื˜ื™ื ื” ืืช ื”ืกื™ื›ื•ืŸ ืœืกืจื˜ืŸ ื”ืžืขื™ ื”ื’ืก. [7] ืกื™ื‘ื™ื ื™ื’ื™ืขื• ื‘ืฆื•ืจื” ื”ื˜ื•ื‘ื” ื‘ื™ื•ืชืจ ืžืฆืจื™ื›ืช ื“ื’ื ื™ื ืžืœืื™ื ื›ื’ื•ืŸ ืื•ืจื– ื—ื•ื, ื—ื™ื˜ื” ืžืœืื”, ืฉื™ื‘ื•ืœืช ืฉื•ืขืœ, ืฉื™ืคื•ืŸ ืžืœื, ื›ื•ืกืžื™ืŸ ืžืœื, ืฉืขื•ืขื™ืช ื•ืงื˜ื ื™ื•ืช ื›ื’ื•ืŸ ืขื“ืฉื™ื, ื—ื•ืžื•ืก, ื•ืืคื•ื ื”, ืื’ื•ื–ื™ื ื•ื–ืจืขื™ื ื›ื’ื•ืŸ ื–ืจืขื™ ืฆ’ื™ื”, ื–ืจืขื™ ืคืฉืชืŸ, ืฉืงื“ื™ื, ืคื™ืจื•ืช ื›ืžื• ืคื™ืจื•ืช ื™ืขืจ, ืชืคื•ื—ื™ื, ืื’ืกื™ื, ื•ื™ืจืงื•ืช ื›ืžื• ื‘ื˜ื˜ื”, ื‘ืจื•ืงื•ืœื™, ื ื‘ื˜ื™ ื‘ืจื™ืกืœ, ืืจื˜ื™ืฉื•ืง.

9. ืฉืžืจื• ืขืœ ืงืฉืจื™ื ื‘ืจื™ืื™ื

ืงืฉืจื™ื ืžืขืฉื™ืจื™ื ืืช ื”ื—ื™ื™ื ื•ืžืฉืคืจื™ื ืืช ื‘ืจื™ืื•ืชืš. ืžื—ืงืจ ืฉืœ ื—ื•ืงืจื™ื ืžืื•ื ื™ื‘ืจืกื™ื˜ืช ืฆืคื•ืŸ ืงืจื•ืœื™ื™ื ื” ืžืฆื ืฉืื ืฉื™ื ืขื ื™ื—ืกื™ื ื—ื™ื•ื‘ื™ื™ื ื•ืชื•ืžื›ื™ื ื”ื ื‘ืจื™ืื™ื ื™ื•ืชืจ ื•ื ื•ื˜ื™ื ืœื”ื™ื•ืช ืขื ืœื—ืฅ ื“ื ื•ืจืžื•ืช ื“ืœืงืช ื ืžื•ื›ื•ืช ื™ื•ืชืจ, ื•ืืคื™ืœื• ืื™ื ื“ืงืก ืžืกืช ื’ื•ืฃ (BMI) ื•ื”ื™ืงืคื™ ืžื•ืชื ื™ื™ื ืงื˜ื ื™ื ื™ื•ืชืจ ืžืืœื” ืœืœื ืงืฉืจื™ื ื—ื™ื•ื‘ื™ื™ื ื‘ื—ื™ื™ื”ื. [8]

10. ื“ืœื’ื• ืขืœ ืกื•ื›ืจ ืžืขื•ื‘ื“

ืฆืจื™ื›ื” ืžื•ืคืจื–ืช ืฉืœ ืกื•ื›ืจ ืžืขื•ื‘ื“ (ืกื•ื›ืจ ืœื‘ืŸ) ืชื•ื‘ื™ืœ ืœืขืœื™ื™ื” ื‘ืžืฉืงืœ ื•ืœืจืžื•ืช ืื™ื ืกื•ืœื™ืŸ ื’ื‘ื•ื”ื•ืช, ืฉื™ื•ื‘ื™ืœื• ืœืกื•ื›ืจืช ื•ืžื—ืœื•ืช ื›ืจื•ื ื™ื•ืช ืื—ืจื•ืช. ืขืœ ืคื™ ืžื—ืงืจ ืฉืœ ื”ืื™ื’ื•ื“ ื”ืจืคื•ืื™ ื”ืืžืจื™ืงืื™, ืฆืจื™ื›ืช ืกื•ื›ืจ ืงืฉื•ืจื” ืœืกื™ื›ื•ืŸ ืžื•ื’ื‘ืจ ืœืžื•ื•ืช ืžืžื—ืœื•ืช ืœื‘ ื•ื›ืœื™ ื“ื ืžืื—ืจ ืฉืฆืจื™ื›ืช ื™ื•ืชืจ ืžื“ื™ ืกื•ื›ืจ ืžืฉื ื” ืืช ื—ื™ืœื•ืฃ ื”ื—ื•ืžืจื™ื ืฉืœ ื”ืฉื•ืžืŸ ืฉืœ ืื“ื ื‘ืจื™ื.[9]

11. ืฆืจื›ื• ืฉื•ืžื ื™ื ื‘ืจื™ืื™ื

ืฉื•ืžื ื™ื ืจื•ื•ื™ื™ื ื™ื›ื•ืœื™ื ืœื”ื’ื‘ื™ืจ ืืช ื”ืกื™ื›ื•ืŸ ืœืžื—ืœื•ืช ืœื‘. ืœื›ืŸ, ื”ืฉื•ืžื ื™ื ืฉืขืœื™ื›ื ืœื”ืชืžืงื“ ื‘ืฆืจื™ื›ื” ื”ื ืฉื•ืžื ื™ื ืจื‘ ื‘ืœืชื™ ืจื•ื•ื™ื™ื ื•ื—ื“ ื‘ืœืชื™ ืจื•ื•ื™ื™ื, ืืฉืจ ืžืกื™ื™ืขื™ื ื‘ื”ืคื—ืชืช ืžืฆื‘ ื“ืœืงืชื™ ื‘ื’ื•ืฃ ื•ืžืฉืคืจื™ื ืืช ืจืžื•ืช ื”ื›ื•ืœืกื˜ืจื•ืœ. ืฉื•ืžื ื™ื ืจื‘ ื‘ืœืชื™ ืจื•ื•ื™ื™ื ื›ื•ืœืœื™ื ืฉื•ืžื ื™ื ืžืกื•ื’ ืื•ืžื’ื” 3 ื•ืื•ืžื’ื” 6, ื”ืžืกื™ื™ืขื™ื ืœื”ืื˜ ืืช ื”ืฆื˜ื‘ืจื•ืช ื”ืจื•ื‘ื“, ืœื•ื•ืกืช ืืช ืœื—ืฅ ื”ื“ื, ืœื”ืคื—ื™ืช ืืช ื”ืกื™ื›ื•ืŸ ืœื“ื•ืคืง ืœื ืกื“ื™ืจ ื•ืœืฉืœื•ื˜ ื‘ืจืžืช ื”ืกื•ื›ืจ ื‘ื“ื. ืฉื•ืžื ื™ื ื—ื“ ื‘ืœืชื™ ืจื•ื•ื™ื™ื ืžืกื™ื™ืขื™ื ื‘ื”ื•ืจื“ืช ืจืžื•ืช ื›ื•ืœืกื˜ืจื•ืœ LDL ื•ืžืกืคืงื™ื ื—ื•ืžืจื™ื ืžื–ื™ื ื™ื, ื›ื’ื•ืŸ ื•ื™ื˜ืžื™ืŸ E, ืœืชื–ื•ื ื”. ืžืงื•ืจื•ืช ื‘ืจื™ืื™ื ืœืฉื•ืžืŸ ื›ื•ืœืœื™ื ื–ื™ืชื™ื, ืื‘ื•ืงื“ื•, ื–ืจืขื™ื ื•ืื’ื•ื–ื™ื.

12. ืชื•ืกืคื™ HMB – ื‘ื˜ื ื”ื™ื“ืจื•ืงืกื™ ื‘ื˜ื ืžืชื™ืœื‘ื™ื•ื˜ืจืื˜ (HMB) ื ืžืฆื ื›ืชื•ืกืฃ ืžื•ืขื™ืœ ืœืื ืฉื™ื ืžื–ื“ืงื ื™ื. ืžื—ืงืจื™ื ืžืจืื™ื ืฉืชื•ืกืคื™ HMB ืขืฉื•ื™ื™ื ืœืกื™ื™ืข ื‘ื”ืคื—ืชืช ืื•ื‘ื“ืŸ ืฉืจื™ืจ ื”ืงืฉื•ืจ ืœื’ื™ืœ. ื ื˜ื™ืœืช ื”ืชื•ืกืฃ ื”ื•ื›ื— ื›ืชื•ืžืš ื‘ืžืกืช ืฉืจื™ืจ ื•ื‘ื›ื•ื—, ืžืคื—ื™ืช ืืช ืคื™ืจื•ืง ื”ืฉืจื™ืจื™ื ื•ืžืฉืคืจ ืืช ื”ืชืคืงื•ื“ ื”ื’ื•ืคื ื™ ืืฆืœ ืžื‘ื•ื’ืจื™ื. HMB ื ืžืฆื ืฉื™ืžื•ืฉื™ ื‘ืžื™ื•ื—ื“ ืœืฉืžื™ืจื” ืขืœ ื‘ืจื™ืื•ืช ื”ืฉืจื™ืจื™ื ืืฆืœ ืืœื• ืฉืคื—ื•ืช ืคืขื™ืœื™ื ื’ื•ืคื ื™ืช ืื• ื—ื•ื•ื™ื ืื•ื‘ื“ืŸ ืฉืจื™ืจื™ื ืžืฉืžืขื•ืชื™ ืขืงื‘ ื”ื–ื“ืงื ื•ืช. ืื ื™ ืžืžืœื™ืฆื” ืœืงื—ืช HMB ืขื ืชื•ืกืคื™ ื•ื™ื˜ืžื™ืŸ D3.

13. Helichrysum teretifolium

ืฆืžื— ื“ื ื”ืžื›ื‘ื™ื (ื”ืœื™ืงืจื™ืกื•ื) ื”ื•ื ืฆืžื— ืคื•ืจื— ืžืžืฉืคื—ืช ื”ื—ืžื ื™ื•ืช, ืฉืžื•ืฆืื• ืžื“ืจื•ื ืืคืจื™ืงื”.

ืžื—ืงืจ ืžื“ืขื™ ื‘ื“ืง ืืช ื”ืฉืคืขืชื• ืฉืœ ื”ืœื™ืงืจื™ืกื•ื ืขืœ ื”ื–ื“ืงื ื•ืช ื”ืขื•ืจ ื•ืžืฆื ื›ื™ ื‘ืžื™ืฆื•ื™ ื”ื•ื ืžืกืคืง ืชืจื›ื•ื‘ื•ืช ื‘ื™ื•-ืืงื˜ื™ื‘ื™ื•ืช ืžืกื•ื™ื™ืžื•ืช, ื™ื—ื“ ืขื ื ื•ื’ื“ื™ ื—ืžืฆื•ืŸ ื—ื–ืงื™ื, ืฉื‘ื™ื—ื“ ืขืฉื•ื™ื•ืช ืœืžื ื•ืข ื”ืฆื˜ื‘ืจื•ืช ืฉืœ ืจื“ื™ืงืœื™ื ื—ื•ืคืฉื™ื™ื ื‘ื’ื•ืฃ. ื”ืชื›ื•ื ื•ืช ื”ืœืœื• ืžื’ื“ื™ืจื•ืช ืื•ืชื• ื›ืฆืžื— ืื ื˜ื™ ืื™ื™ื’’ื™ื ื’ ืžืขื•ืœื” ืœืขื•ืจ.[10] ืื—ืช ืžื”ืชืจื›ื•ื‘ื•ืช ื”ื‘ื™ื•-ืืงื˜ื™ื‘ื™ื•ืช ื”ืœืœื• ืžื›ื™ืœื” ืืช ื”ื—ื•ืžืจ ื”ืื ื˜ื™-ื“ืœืงืชื™ ื”ื—ื–ืง ืืจื–ื ื•ืœ.ย 

ื”ืœื™ืงืจื™ืกื•ื ื ื™ืชืŸ ืœืžืจื™ื—ื” ื™ืฉื™ืจื” ืขืœ ื”ืขื•ืจ, ื›ืฉืžืŸ ืืชืจื™ ืžื“ื•ืœืœ. ื‘ื“ืจืš ื›ืœืœ ืฉืžืŸ ื–ื” ืžื’ื™ืข ืžืœื›ืชื—ื™ืœื” ื‘ื“ื™ืœื•ืœ, ืœื›ืŸ ื‘ื“ืงื• ืœืคื ื™ ื”ืฉื™ืžื•ืฉ ืฉืืชื ืœื ืžื“ืœืœื™ื ืืช ื”ืชืจื›ื•ื‘ืช ื™ืชืจ ืขืœ ื”ืžื™ื“ื”.

ืœืกื™ื›ื•ื

ื›ืฉืืชื ืขื•ืจื›ื™ื ืฉื™ื ื•ื™ื™ื ื—ื™ื•ื‘ื™ื™ื ื‘ืื•ืจื— ื—ื™ื™ื›ื ื‘ื’ื™ืœ ื”ืฉืœื™ืฉื™, ืืชื ืžืืคืฉืจื™ื ืœืชืกืžื™ื ื™ ื”ื”ื–ื“ืงื ื•ืช ืœืขื‘ื•ืจ ืžื”ืคืš, ื•ืžืคื—ื™ืชื™ื ืืช ื”ืกื™ื›ื•ืŸ ืฉืœื›ื ืœื—ืœื•ืช ื‘ืžื—ืœื•ืช ื”ืงืฉื•ืจื•ืช ื‘ื–ืงื ื”. ื”ืฉื™ื ื•ื™ื™ื ื”ืœืœื• ื™ืืคืฉืจื• ืœื›ื ืœื™ื”ื ื•ืช ืžืื™ื›ื•ืช ื—ื™ื™ื ื‘ืจื™ืื” ื•ืื™ื›ื•ืชื™ืช ื™ื•ืชืจ, ืœืœื ืงืฉืจ ืœื’ื™ืœื›ื.