Ngati mwakhala mukuwerenga za mankhwala achilengedwe omwe amachititsa kuti tsitsi liwonongeke, mwinamwake mwakumana ndi mankhwala otchedwa saw palmetto . Zowonongeka kuchokera ku zipatso za kumpoto kwa North America zomwe zimadziwika kuti Serenoa repens kapena Sabal serrulata , zinawona kuti zidutswa za palmetto zimatithandiza kuchepetseratu kapena kuchepetsa mtundu wa tsitsi lachibadwa lotchedwa androgenic alopecia (mtundu wofala wa tsitsi lomwe amadziwikanso monga mwamuna- kapena zovala zazimayi).
Nthawi zina palmetto imagwiritsidwa ntchito ngati mankhwala achilengedwe, monga acne, benign prostatic hyperplasia (BPH), erectile dysfunction (ED), ndi sycystic ovary syndrome (PCOS).
Ubwino Wotsalira Misozi
Chinthu chimodzi chomwe palmetto chinkagwiritsira ntchito ndi chakuti 5-alpha-reductase, puloteni yomwe imakhudza testosterone ndi dihydrotestosterone (DHT). DHT imaonedwa ngati chinthu chofunikira kwambiri pa kuyambitsa ndi kupititsa patsogolo kwa androgenic alopecia. Amanenanso kuti kuwonjezera ntchito ya puloteni yomwe imayambitsa matenda a DHT mu androstanediol (hormone yochepa ya androjeni).
Zambiri mwa zomwe palmetto amadziwika kuti ndi njira yothetsera tsitsi ndi kumeta zimadalira momwe zimagwirira ntchito m'malo mofufuza. Ngakhale kuti pali kafukufuku wina yemwe amapanga kuti palmetto imatha kulepheretsa 5-alpha-reductase, pali kusowa kwa mayesero ochiritsira bwino omwe amasonyeza kuti palmetto imatha kuyambitsa ubweya kapena kuletsa kupweteka kwa tsitsi.
Kafukufuku amene alipo alipo ndi phunziro lotseguka lofalitsidwa ku International Journal of Immunopathology ndi Pharmacology mu 2012. Pa amuna 100 omwe ali ndi alopecia yofatsa ndi yochepa, gulu limodzi linatenga 320 mg ya saw palmetto tsiku lililonse kwa miyezi 24, ndipo gulu lina linatenga 1 mg finasteride (mankhwala ogwiritsira ntchito tsitsi) tsiku lomwelo.
Ofufuzawa adapeza kuti tsitsi lokwanira tsitsi linali lalikulu mu gulu lomwe linalandira ndalama zowonjezereka poyerekezera ndi gulu la saw palmetto, ndi kuti zotsatira za saw palmetto zinali zochepa kuposa za finasteride.
Mu kafukufuku wofalitsidwa mu Journal of Alternative and Complementary Medicine m'chaka cha 2002, amuna 26 omwe ali ndi alopecia ochepa komanso ochepa a alojeniya anatenga chowonjezera chokhala ndi saw palmetto ndi beta-sitosterol kapena placebo kwa masabata 21. Kuchepetsa chithandizo pa ulendo womaliza, wowerengedwa ndi ogwira ntchito, kunanenedwa kuti ndi 60 peresenti mu gulu la saw palmetto poyerekeza ndi 11 peresenti mu gulu la placebo. Zotsatirapo zinali zofatsa komanso zosakhalitsa.
Zotsatira Zowonongeka Zotheka
Mofanana ndi zina zowonjezera zitsamba, zimadziwika pang'ono za zotsatira za ntchito ya nthawi yaitali kapena mlingo waukulu wa saw palmetto. Zotsatira zake zimakhala zofewa. Kupweteka kwa m'mimba, kudzimbidwa, kutsekula m'mimba, kunyowa, ndi kusanza kwafotokozedwa. Amuna ena adanenapo za kugonana.
Palinso nkhaŵa kuti palmetto imayambitsa chiwindi, pancreatic, kapena matenda a mtima mwa anthu ena. Pakhala pali malipoti a kuvulala kwa chiwindi ndi kuphulika kwa anthu omwe akugwira saw palmetto, komabe, palibe chidziwitso chokwanira kudziwa ngati palmetto yowona inali chifukwa chenicheni choyipa.
Ngakhale kuti anthu sanawonetsedwe bwino, anaona palmetto ingakhudze mahomoni ochuluka monga estrogen ndi testosterone. Mpaka tidziwe zambiri, anthu omwe ali ndi vuto la mahomoni, monga khansa ya m'mawere, ayenera kupewa. Komanso, palmetto imatha kusokoneza ndi njira zothandizira pakamwa ndi ma ARV komanso zimatha kugwira ntchito mofananamo ndi mankhwala opangira mankhwala.
Ana ndi amayi omwe ali ndi pakati kapena akuyamwitsa sayenera kutenga saw palmetto.
Kuwona palmetto kungachepetse magazi. Anthu omwe ali ndi vuto la magazi kapena omwe amatenga mankhwala a antiticoagulant kapena antiplatelet kapena supplements, monga warfarin (Coumadin®), aspirin, kapena clopidogrel (Plavix®), ayenera kupewa kutenga palm palmto pokhapokha atakhala ndi chithandizo chamankhwala.
Kuyeneranso kupeŵa osachepera milungu iwiri isanakwane komanso pambuyo pake.
Ndikofunika kukumbukira kuti zowonjezereka sizinayesedwe kuti zikhale zotetezeka ndipo zimakhala zosalamulirika. Onetsetsani kuti muwerenge za momwe mungagwiritsire ntchito zowonjezerako bwino .
Kugwiritsa ntchito Saw Palmetto
Kutaya tsitsi lanu kungakhale kovuta. Ngakhale kungakhale koyesa kuyamba kugwiritsa ntchito saw palmetto, ngati mukuganiza kugwiritsira ntchito, onetsetsani kuti mufunsane ndi wothandizira zaumoyo wanu kuti akambirane ngati kuli koyenera. Mankhwala ambiri omwe amataya tsitsi amafunika kuti azigwiritsa ntchito nthawi zonse, ndipo ndikofunikira kulingalira za kusowa kwa umboni kapena kusungidwa kwadzidzidzi (makamaka pogwiritsa ntchito nthawi yayitali).
Zotsatira:
> Prager N, Bickett K, French N, Marcovici G. Mayeso osayendetsedwa, osapumphuka, omwe amachititsa kuti malo apangidwe kuti awonetsetse bwino mphamvu ya botanically yomwe imachokera ku 5-alpha-reductase pochiza torogenetic alopecia. J Altern Complement Med. (2002) 8.2: 143-152.
> Rossi A, Mari E, Scarno M, et al. Vuto lopambana lachangu la vs Serenoa limayambiranso mwamuna ndirogenetic alopecia: kuphunzira kwa zaka ziwiri. Int J Immunopathol Pharmacol. 2012 Oct-Dec; 25 (4): 1167-73.
Ulbricht C, Basch E, Bent S, Boon H, Corrado M, Foppa I, Hashmi S, Hammerness P, Kingsbury E, Smith M, Szapary P, Vora M, Weissner W. Umboni wodalirika wa kanjedza ya palm palm Standard Research Collaboration. J Soc Integr Oncol. (2006) 4.4: 170-186.
> Wessagowit V, Tangjaturonrusamee C, Kootiratrakarn T, Bunnag T, Pimonrat T, Muangdang N, Photosi P. Chithandizo cha amuna ndirogenetic alopecia ndi mankhwala opangidwa ndi nsalu zomwe zili ndi Serenoa repens. Australas J Dermatol. 2016 Aug; 57 (3): e76-82.
Wilt TJ, Ishani A, Stark G, MacDonald R, Lau J, Mulrow C. Anawona zolemba za palmetto zochizira matenda oopsa a prostatic hyperplasia: ndondomeko yowonongeka. JAMA (1998) 280.18: 1604-1609.
Chodziwikiratu: Zomwe zili pa tsambali zimapangidwa pazinthu zophunzitsira zokha ndipo sizilowetsamo malangizo, matenda kapena chithandizo ndi dokotala wololedwa. Sichikutanthauza kubisa zonse zomwe zingatheke, kuyanjana kwa mankhwala, zochitika kapena zotsatirapo zoipa. Muyenera kupeza chithandizo chamankhwala mwamsanga pa nkhani iliyonse yathanzi ndikufunsani dokotala musanagwiritse ntchito mankhwala osakaniza kapena kusintha kwa regimen yanu.