Izinzuzo ezinokwenzeka kunye neengozi zeSt. John's Wort kubantwana
Ukuba umntwana wakho ufumene ukuba unexinzelelo okanye uneempawu okanye iimpawu zokudandatheka kwabantwana , unokuzibuza ukuba isityalo semvelo sesityalo sikaSt John singasifaneleka. Yintoni esiyayaziyo malunga nokuphumelela kunye nokukhuselwa kwe-St. John's wort ekuphatheni ukucindezeleka kwabantwana ?
Yintoni i-St John's Wort?
I-wort yaseYt. John isityalo esinomdla ngokugqithisileyo esibizwa ngokuba yiHypericum perforatum .
Kukwaziwa nangokuthi ukhula lwe-Klamath, i-hypericum, kunye neebhokhwe. Abantu baye babika ukusebenzisa iWort John's wort ngenxa yeempawu ezihlukahlukeneyo kunye neengxaki ezibandakanya, ukuxinezeleka, iintlungu zentlungu, iingxaki zokulala kunye nokuxhalabisa. I-wort yaseJohn yaseSt. Iye yafundiswa kwonyango lokunqongophala kwengxaki yokuxhatshazwa kwabantwana, nangona uphando lwangoku lubonisa ukuba alusebenzi xa lusetyenziswa ngale ndlela.
Esi sityalo siqhutyelwa kuphela kwiinjongo ezahlukeneyo kodwa siyafumaneka kwiifom ezahlukeneyo. I-extract iyatholakala yedwa okanye inxulumene nezinye izityalo njengomncedisi wesondlo kwi-capsule, ithebhulethi, i-liquid, okanye iifomic, kunye neentonga eziqhambileyo zingasetyenziselwa kwii-teas.
Ngaba iSt John's Wort ilungele ukuxinzezeleka kwabantwana bam?
Ngokweziko leSizwe leMpilo elongezelelweyo kunye nelinye ilungu, i-wort yaseYt. John ayilona lonyango olululo lokunyanzeliswa. Nangona kunjalo, kukho izifundo eziye zabonisa ukuba zisebenzayo ekunyanga iimpawu zokudandatheka kubantu abadala xa kuthelekiswa ne-placebo kwaye xa kuthelekiswa neyeza zokudakumba kwezigulana ezifana neZoloft (sertraline.) Ngokubanzi, xa isetyenziswe ngokufanelekileyo, iSt
I-wort kaJohn ibonakala ngathi iyafana ne- serotonin reuptake inhibitors (njenge-Prozac, i-Zoloft, i-Celexa, i-Zoloft kunye nabanye) ngokubhekiselele kokubili ukusebenza kunye nokukhusela ekunyangekeni kwexinzelelo kubantu abadala.
Izifundo ezisetyenziselwa i-St John's wort ekunyangekeni kwengcinezelo yabantwana , ngokuchaseneyo, bambalwa.
Uvavanyo olwenziwa ngo-2005 lufumene ukuba iSt. Johns wort yayinyamezeleke kwaye iyakwazi ukusebenza kakuhle kwabaselula abakucinezelekileyo. Uvavanyo luka-2003 olujonge amakhwenkwe aphakathi kweminyaka engama-6 ukuya kwe-16 lufumene ukuba aba-25 kwabangama-33 kulaba bantwana bafumana iimpendulo zempendulo emva kweeyure eziyi-8 zonyango kunye ne-St. John's wort (ngokuqhelekileyo ibhalwa kwi-900 mg yemihla ngemihla) kwaye yayinyamezeleke.
Izifundo ezijonge abantu abadala zingasinika isibonakaliso sokuba imishanguzo okanye isongezelelo singasebenza njani kubantwana, kodwa oku akunjalo ngaso sonke isikhathi. Abantwana abayena nje abantu abadala abancinci abasenokufuna nje umlinganiselo osezantsi weziyobisi.
Umzekelo ukubonisa oku kuxhalaba kukusetyenziswa kwemithi yokugulisa i-anti-depressant in the children. Ingozi eyingozi yokusebenzisa ezinye izidandathelwana kubantu abaneminyaka engaphantsi kweminyaka eyi-25 kukuba ibenokuba yingozi kwiingcinga zokuziphatha okanye ukuziphatha . Esi siphumo sangasecaleni asiqhelekanga kodwa sichaphazelekile ukuba i-FDA ifake isilumkiso sebhokisi kuyo yonke imithi yokunyanzeliswa kwemithi. Asinayo nayiphi na ingcaciso ukuba ingaba iSt John's wort ingaba neenkxalabo ezifanayo, kodwa ekubeni i-wort yaseSt. John ingashintsha i-neurotransmitters kwingqondo ngendlela efana neyonyango yokuxhatshazwayo, ngumbuzo omele ucele.
Kungakhathaliseki ukuba yintoni na ingozi, ukuxilongwa kwengcinezelo yedwa kuhambelana nomngcipheko ophezulu wokuzibulala, kwaye abazali abanokumangalisa ukuba umntwana uyacinezeleka kufuneka baqhelane nezibonakaliso zokuzibulala .
Ukuxhatshazwa kweMithi kunye neSt. John's Worts
I-wort yaseYt. John inokukwazi ukusebenzisana namanye amaninzi aqhelekileyo asetyenziswayo. Oku kungenzeka ukuba kuthethwe ngo-2000 xa i-FDA ikhankanywe ngcebiso yezempilo karhulumente malunga nale nxaxheba. Ngenxa yesiphumo salo kwi-enzymes esesibindi, isithsaba saseSt. John sinokunciphisa amanqanaba (kunye nokusebenza) kwamanye amayeza okanye kunoko ukwandisa amanqanaba okuphakamisa umngcipheko wezobisi. Nangona ezinye zezimpendulo zingase zibe zincinci okanye zibe yinto ephazamisayo, yaziwa ukuba iimpendulo ezinobungozi kunye nobomi zingenzeka xa i-wort yaseJn.
Amachiza anokunxibelelana ne-St. John's wort aquka:
- Ezinye izidakamizwa (ukuhlanganisa iSt John's wort kunye ne-serotonin reuptake inhibitors zingakhokelela kwisifo se-serotonin )
- Okunye ukukhwehlela kunye nokulungiselela ubanda
- Ukukhulelwa komlomo (umlomo wepilisi yokuzalwa)
- Amanye amayeza enyango
- Ezinye iziyobisi ezisetyenziselwa ukunyanga umdlavuza
- Abanye abacebisi begazi abafana neCoumadin (warfarin)
- Amanye amachiza asetyenziswa kwisifo senhliziyo esinjengobumba
- Amanye amachiza asetyenziswe ukunciphisa umngcipheko wokukhishwa komzimba
- Ezinye iintsholongwane
- Ezinye iziyobisi ze-HIV ezifana ne-indinavir kunye nevirapine
- Ezinye ezinye izongezelelo zemithi kunye nezondlo
Ukuba ucinga ngokusetyenziswa kwe-St. John's wort kumntwana wakho, kubalulekile ukuthetha nodokotela wezilwanyana okanye wengqondo yengane malunga nayiphi na imishanguzo, isongezelelo semfuyo, izidakamizwa ezingaphezu kwee-counter, okanye iivithamini ezithatha umntwana wakho.
Iimiphumo ezimbi ngeSt. John's Wort
Ngamanye amaxesha becinga ukuba imishanguzo yemithi "ikhuselekile" okanye ukuba ayinayo imiphumo emibi ngenxa yokuba "yendalo." Oku akuyinyani, kwaye ukulungiswa kwemifuno kunokunyusa umngcipheko wemiphumo emibi nje ngeziyobisi. Inyaniso yokuba iSt John's wort "isityalo-based" iholele abanye abantu ukuba bazivele ezi mveliso zikhuselekileyo, kodwa kubalulekile ukukhumbula ingqalelo ukuba imithi emininzi yemithi, kunye negazi kunye nabasebenzi be-chemotherapy ezinamandla, sekelwe. Ngokuqhelekileyo, abazali kufuneka baqikelele ingozi kunye neenzuzo zabo naziphi na iimveliso zemifuno ngendlela efana neyayimfuneko yesigqirha semithi, nangona kunzima ngezinye iinkqubo njengoko iimveliso zeemveliso zingagunyazisiwe kwinqanaba elifanayo, ubuncinane eMelika.
Iziphumo eziqhelekileyo zeSt John, zibandakanya ukuvelela ukukhanya kwelanga, umlomo owomileyo, isisu, isisu, ukukhathala, intloko kunye nokuxhalabisa.
Xoxa noMntwanakho wezingane ngaphambi kokusebenzisa iSt Johns Wort kumntwana wakho
Njengomzali, ufuna ukufumana unyango olukhuselekileyo nolona luncedo kakhulu kumntwana wakho. Ngoko khuluma nomntwana wengane yomntwana okanye u-psychiatrist malunga neSt Johns wort ngaphambi kokumnika yona. Ugqirha unokuxubusha ingozi kunye neenzuzo kunye nokuchonga iindlela ezintle zokonyango kwiimeko ezithile zomntwana wakho.
Ukuba awuqinisekanga ukuba iimpawu zomntwana wakho ziyingxenye yesifo esixinzelelekileyo , yenza umntwana wakho ahlolwe ngunyango wezilwanyana, umntwana wengqondo okanye enye ingcali yezempilo yengqondo ngaphambi kokuzama nayiphi imithi yendalo. Olunye uxhala kukuba abagqirha abaqhelekileyo (ngaphandle kweJamani) bancoma i-wort yaseJohn kuphela kwaye banokungaqhelekanga kunye nezibonelelo kunye nobungozi. Ukongezwa kule nkxalabo kukuba abantu abaninzi abachazi ukusetyenziswa kwabo kwesi songezelelo kumgqirha wabo. Ukuqwalasela ukusebenzisana kwezidakamizwa ezingasentla, oku akubhekiselele kuphela xa kufikelele ekuphatheni kakuhle kokudakumba, kodwa ngenxa yokusebenzisana kwamachiza.
Kubaluleka kokujongana nokuxinezeleka kwabantwana
Nangona i-St. Johns iort ingaba okanye ingafanelekanga kumntwana wakho, sele sele uthathe isinyathelo esibalulekileyo kunye esibalulekileyo ekuqwalaseleni ubukho bexinzelelo kumntwana wakho. Ukudandatheka akuqhelekanga kubantwana kwaye kuyimeko embi.
Ukudakumba kwengxaki kubantwana kunokuba nzima ukuyixilonga kumntwana, kwaye iimpawu zokulumkisa ezidityanisiweyo kubantwana abancinci aziqhelwanga. Ngenxa yokunyaniseka okwedlulele ukucaphuka komsindo, abazali abaninzi banokuqala becinga ukuba bajamelana nokuziphatha kunokubandezeleka.
Ukuba ukholelwa ukuba umntwana wakho unokuba noxinzelelo, khuluma nomntwana wakho. Funda kabanzi malunga nokusebenzisa imishanguzo yokuphatha ukudandatheka kwabantwana , kwaye indlela le nto ihluke ngayo ngezinye iindlela kuneendlela abadala. Ulungiso olungcono kakhulu lokuxinezeleka kwabantwana, nangona kunjalo, lubandakanya okungaphezulu kunokufumana izidakamizwa ezifanelekileyo okanye ukongeza. Ugqirha wakho kufuneka akwazi ukukunceda okanye akubhekiselele kwizakhono eziza kusebenza nawe ukulungisa iimpawu zomntwana wakho kwaye wenze icebo lokumnceda aphile ngokusemandleni akho.
> Imithombo:
> Forsdike, K., kunye noMnu Pirotta. I-St. John's Wort yoxinzelelo: UkuHlola ngokuPhezulu malunga neMibono kunye nokuSebenzisa ngabaSebenzi abaPhezulu kwiZenzo zeZliniki. I-Journal ye-Pharmacy ne-Pharmacology . 2017 Juni 27. (Epub ngaphambi kokuprinta).
> Iziko leSizwe leMpilo eQinisiweyo kunye neNxulumene. ISt John's Wort. Ukuhlaziywa kweSeptemba 2016. https://nccih.nih.gov/health/stjohnswort/ataglance.htm
> Ng, Q., Venkatanarayanan, N., noCha Ho. Ukusetyenziswa kweCliniki ye-Hypericum Perforatum (iSt. John's Wort) kwiNkxwaleko: I-Meta-Analysis. Umbhalo weengxaki ezichaphazelekayo . 2017. 210: 211-221.