Isityalo sokuqhakazila, isithwathwa saseSt. John ( Hypericum perforatum ) saqanjwa ngokuba iintyatyambo eziluhlaza eziqhambileyo zathi ziqhambile okokuqala ngeenxa yokuzalwa kukaSt. John umBhaptizi. Igama elithi "wort" lithetha "isityalo" kwi-Old English.
Kutheni abantu basebenzisa iSt John's Wort?
Abantu baye basebenzisa iWort John's wort ngeenkulungwane. Namhlanje, isityalo esithandwayo sisoloko sisetyenziselwa ukunciphisa iimpawu zokudakumba, kodwa kuhlolisiswa ngolu hlobo lwezempilo:
- Ukuxhalabisa
- Iimpawu zokunqumla umva
- I-Premenstrual syndrome (PMS)
- Ingxaki yonyaka
- Ukuyeka ukutshaya
Ioli eyenziwe kwi-wort yaseYt. John iye isetyenziselwa ukuphulukisa isilonda kunye neemeko ezahlukeneyo zesikhumba ezifana ne-eczema kunye ne-hemorrhoids.
Izinzuzo zeSt John's Wort
1) Uxinzelelo
Nangona izibonelelo ze-St. John's wort zisacatshungulwa, ngokubanzi, ubungqina bubonisa ukuba i-wort yase-St. John inokusebenza ngakumbi kune-placebo ekunciphiseni ukuxinezeleka okulula. Uphononongo luka-2015 olupapashwe kwi- Annals of Medicine Family , umzekelo, uhlolisise ukuba ngaba ngabaxinzelelo be-antibopressants baphumelele ngakumbi kune-placebo kwindawo yokunyamekela. Ukuhlalutya, oososayensi bahlola iimvavanyo ezingama-66 ezapapashwa ngaphambili (kunye nabathathi-nxaxheba abangu-15,161) kwaye bafumanisa ukuba imishanguzo yokuxhatshazwayo kunye neSt. John's wort extracts yayisebenza ngakumbi kune-placebo.
I-wort yaseJohn yayinxulumene nokunciphisa amancinci ambalwa ngenxa yeempembelelo ezichaseneyo ne-tricyclic kunye ne-tetracyclic antidepressants, i-serotonin reuptake inhibitors (SSRIs), i-noradrenaline reuptake inhibitor (NRI), i-serotonin-noradrenaline i-reuptake inhibitor (i-SNRI; venlafaxine) kunye ne-noradrenergic kunye nama-serotonergic agents antidepressant (NaSSAs).
2) Uxinzelelo olukhulu
Uphando olunzulu kakhulu kwi-St. John's wort kunye nokudakumba okukhulu kubandakanya ingxelo epapashwe kwiDatabase yaseChranerane yeeNkqubo eziPhezulu ngo-2008. Ngaloo mbiko, abaphandi bajonga iilingo ezingama-29 ezishicilelwe ngaphambili (kunye nabathathi-nxaxheba abangama-5489) abafanisa nemiphumo yaseSt.
I-wort kaJohn eya kwindawo ye-placebo okanye imithi echanekileyo yokuxhatshazwa kwexesha elide kwiiveki ezine ukuya kwezi-12.
Kuhlalutyo lwabo, abalobi beengxelo bafumanise ukuba izitampu ze-St. John's wort zichaneke ngakumbi kunendawo ye-placebo kwaye zasebenza ngendlela efanelekileyo njenge-anti-depressants standard, kodwa imifuno ibonakala ibe nemiphumo embalwa yecala.
Ababhali baqaphele ukuhlalutya kwabo ukuba izifundo eziqhutywe kumazwe alwimi lwesiJamani (apho iSt. John's wort inexesha elide lokusetyenziswa kwaye lisoloko linconywa ngabagqirha) libize iziphumo ezintle kunezifundo ezenziwa eUnited States nakwamanye amazwe.
Iimpembelelo ezingeNokwenzeka kunye noHlangano lweMithi
Intambo yaseSt. John ithengiswa kakhulu kwiivenkile zezilwanyana, izitolo zokutya kunye nezitolo zokutya ezempilo, ezinokukhokelela ukuba ukholelwe ukuba ukhuselekile, kodwa imifuno ingaba neentsebenziswano ezinzulu kunye nenani elikhulu lemichiza elisetyenziswa rhoqo ngenxa yendlela ephule ngayo phantsi kwesibindi (sinokunciphisa ukuphumelela kwamachiza kodwa kungenza nemiphumo yonyango iqine).
Nangona uluhlu olude lwamayeza luquka ukuxhatshazwa kwemithi, i-warfarin, ukukhwehlela kunye neyeza ezibandayo, iimpawu zokukhulelwa komzimba, imithi yomhlaza, izimo zentliziyo, kunye ne-HIV / AIDS, izidalwa zengqondo, i-blood-thinners, kunye ne-antibiotics, kufuneka uqhagamshelane nodokotela wakho kunye nekhemistiya phambi kokuba uthabathe naluphi na amayeza okanye uncedo.
Ukuthatha isithwathwa sikaSt. John ngenkathi uthabatha i-anti-depressants ethile (okanye nayiphi na into ephakamisa i-serotonin) idibene ne-serotonin syndrome, imeko enobungozi ebangelwa kukugqitha kwe-serotonin. Iimpawu zingabandakanya ukudideka, umkhuhlane, ukucoca, ukukhangela isisulu, ukuchithwa kwemisipha, ukukhupha kunye nokuhlutha. Ukuba unayo nayiphi na le mpawu, yeka ukuthatha isithwathwa sikaSt. John uze ufune unyango olusondeleyo. Izibonelelo ezithile (ezinjenge- 5-hydroxytryptophan (5-HTP), i-L-tryptophan, kunye ne-SAMe) zinokunyusa i-serotonin kwaye zifanele zigweme.
I-wort yaseJohn yaseSt. (Zombini ngomlomo okanye ngeengqungquthela) inokunyusa ubukhulu besikhumba sakho kunye namehlo ekukhanyeni kwelanga.
Ukuba unesimo okanye uthatha imishanguzo ekwandisa ukukhanya kwesikhumba sakho ekukhanyeni, khuluma nodokotela wakho ukuba uqikelele ingozi.
Iziphumo eziphambili ezichaphazelekayo kunye nokusetyenziswa komlomo wexeshana eziqhelekileyo eziqhelekileyo eziqhelekileyo, zibandakanya ukuguqulwa kwesisu, ukunyanga, ukunyamezela, ukukhathazeka, isondo, okanye i-erectile disys function, iindlovu, iifotoensitivity, i dream dreams, uhudo, ukubetha, umlomo owomileyo, intloko, kunye nokulimala kwesibindi. I-Psychosis yinto engabonakaliyo kodwa engenakwenzeka. Imiphumo emibi ehambelana nokusetyenziswa kwimixholo yombutho ibandakanya ukugqithisa kwesikhumba.
Ukuba ukhulelwe, ukuncelisa, ukuzama ukukhulelwa, okanye ukuthatha i-contraceptive ngomlomo, kubalulekile ukuthetha nodokotela wakho ngaphambi kokuba uthathe i-wort St. John's wort.
Kukho inkxalabo yokuba i-St. John's wort ingaxhalabisa iimpawu kubantu abajongene nokungabikho kwengxaki yokuxhatshazwa kwegazi (ADHD), ingxaki ye-bipolar (ingayenza i-mania okanye ikhawuleze i-cycling), ukuxinezeleka okukhulu, i-schizophrenia (inokunyusa ingozi yengqondo yengqondo ), nesifo se-Alzheimer. Akufanele kuthatyathwe ngabamkeli bokufakelwa komzimba.
I-wort yaseYn. John ayifanele ithathwe kwiiveki ezimbini phambi kokuhlinzwa okucwangcisiweyo. Ezinye iindawo zokulumkisa ukuba ukusetyenziswa kwe-St. John's wort kwiinyanga ezintandathu kunokukhokelela kwiintlungu zentliziyo kubantu abaqhutywe ukuhlinzwa kunye ne-anesthesia.
Ngaphantsi
Ukuba wena okanye umntu owaziyo uhlala nokuxinezeleka, unokufuna iindlela ezahlukeneyo zokulawula iimpawu zakho. Ngoxa uphando olwenziwe kwi-St. John's wort luyathembisa, kubalulekile ukuba usebenze kunye nomboneleli wakho wezempilo kwaye uxoxe ukuba kulungile kuwe, kunokuzizama wena ngokwakho. Ukulahla okanye ukuyeka unyango oluqhelekileyo kunokuba nemiphumo emibi. Ngenxa yokuba uluhlu olude lweendlela zokungena kweziyobisi, kubalulekile ukuba uxelele bonke ababonelela ngezempilo kunye nekhemistiki yakho ukuqinisekisa ukuba awuthathi nantoni na enokusebenzisana ne-St John's wort.
> Imithombo:
> Linde K, Kriston L, uRücker G, et al. Ukusebenza kunye nokwamkeleka kweZonyango ze-Pharmacological Treatment Disorders in Primary Care: UkuHlola okuHlolo kunye ne-Network Meta-Analysis. Ann Fam Med. 2015 Jan-Feb; 13 (1): 69-79.
> ULinde K, uBerner MM, uKriston L. St John's Wort yokuNxininiseka okukhulu. I-Cochrane Database Syst Rev 2008 2008 8; (4): CD000448.
Ukuziphendulela: Ulwazi oluqulethwe kule ndawo lujoliswe kwiinjongo zemfundo kuphela kwaye alithathi indawo yeengcebiso, ukuxilongwa okanye unyango ngumgqirha onelayisenisi. Akunakuthetha ukukhusela zonke iindlela zokulondoloza, ukusebenzisana kwezidakamizwa, iimeko kunye nemiphumo emibi. Kufuneka uncede unyango lwangonyango ngokukhawuleza kuyo nayiphi na imiba yempilo uze ubonane nodokotela wakho ngaphambi kokusebenzisa elinye iyeza okanye wenze utshintsho kwi-regimen yakho.