Black cohosh ( Cimicifuga racemosa ) ndi chomera chogwiritsidwa ntchito mu mankhwala a zitsamba. Mmodzi wa banja la buttercup, wakhala ndi mbiri yakale yogwiritsira ntchito pochiza matenda a nyamakazi ndi kupweteka kwa minofu. Komabe, lero, black cohosh nthawi zambiri amatengedwa kuti athetse zizindikiro zokhudzana ndi kusamba.
Fukinolic acid (chigawo chomwe chimapezeka mu black cohosh) chikuwoneka kukhala ndi ntchito yotchedwa estrogen.
Othandiza amasonyeza kuti black cohosh ndi zomwe zimakhala zowonjezereka zomwe zimakhala zothandiza kwa amayi pamene zimakhala zovuta zokhudzana ndi kusamba kwa mimba m'magulu awo a estrogen (chinthu chofunika kwambiri pa chitukuko cha menopausal zizindikiro). Kuti zimenezi zitheke, nthawi zina black cohosh imagwiritsidwa ntchito ngati njira yachilengedwe yopititsa patsogolo mankhwala.
Amagwiritsa Ntchito Black Cohosh
Black cohosh imagwiritsidwa ntchito ngati mankhwala achilengedwe a zizindikiro zingapo zokhudzana ndi kusamba, kuphatikizapo kutentha, kutuluka usiku, kusokonezeka maganizo, ndi kuyanika kwa amayi.
Kuonjezera apo, nthawi zina amayamba kugwiritsidwa ntchito pochita kusamba kwa msambo komanso kuchepetsa zizindikiro za matenda oyambirira .
Kafukufuku wa Black Cohosh
Ngakhale kuti cohosh yakuda ndi imodzi mwa njira zodziwika bwino zachilengedwe zowononga matenda a mitsempha ya m'mimba, kufufuza kuyesa kuyesa kwake kwatulutsa zotsatira zotsutsana.
Kafukufuku wochuluka kwambiri pa chigwirizano cha black cohosh ndi matenda am'maopausal akuphatikizapo lipoti lofalitsidwa mu Cochrane Database of Reviewed Reviews mu 2012.
Ponena za lipotili, asayansi anayang'ana mayesero 16 omwe anafalitsidwa kale (omwe ali ndi akazi 2,027) omwe amafanizira zotsatira za black cohosh kwa omwe amakhala ndi placebo, mankhwala othandizira ma ARV, red clover , ndi njira zina zochizira matenda a menopausal.
Pofufuza, olemba a ndemangawo sanapeze kusiyana kwakukulu pakati pa cohosh wakuda ndi placebo potsitsimula kozizira.
Kuonjezera apo, mankhwala opangidwa ndi ma hormone amaoneka ngati othandiza kwambiri kuposa a black cohosh chifukwa chotsitsimula kutentha. Chifukwa cha deta yosakwanira, palibe zifukwa zomveka zomwe zingagwiritsidwe ntchito ngati momwe cohosh wakuda amagwirira ntchito pochiza zizindikiro monga ukazi wouma ndi usiku.
Popeza zofukufukuzo zinali za "khalidwe losatsimikizika," olemba lipotili anapeza kuti kufufuza kwina kogwiritsira ntchito black cohosh pochiza matenda a menopausal n'koyenera.
Tiyeneranso kukumbukira kuti kafukufuku wowerengeka sanawonetsere kuti cohosh yakuda bwino ngati chithandizo cha msambo. Komabe, kafukufuku wina woyambirira (kuphatikizapo kafukufuku wa makoswe wofalitsidwa m'magazini ya Journal of Steroid Biochemistry ndi Molecular Biology mu 2007) akusonyeza kuti black cohosh ingathandize kuchepetsa kusamba.
Zotsatira zachisokonezo
Kugwiritsidwa ntchito kwa cohesh wakuda kungayambitse mavuto osiyanasiyana, monga mutu, kulemera kwa miyendo, indigestion, kutsika kwa magazi, mseru, thukuta, kusanza, ndi kulemera.
Kuchuluka koyipa kwa cohosh wakuda kungayambitse kukhumudwa, kusokonezeka kwa maso, ndi kupsinjika kwa mtima kwapang'onopang'ono.
Pakhala pali mayankho ambiri okhudza chiwindi cha chiwindi ndi chiwindi mwa akazi omwe amatenga black cohosh.
Ngakhale sizikudziwikanso ngati black cohosh yathandizira kuti chitukukochi chitheke, akatswiri a United States Pharmacopeia amalimbikitsa akazi kuti asiye ntchito ya cohosh yakuda ndikufunsanso kuchipatala ngati akuwona zizindikiro monga kupweteka m'mimba, mitsempha yamdima, ndi jaundice.
Kuwonjezera pamenepo, anthu amtundu wa black cohosh ayenera kupeŵedwa ndi anthu omwe ali ndi matenda a khansa (monga khansa ya m'mawere, kansa ya prostate, endometriosis, ndi uterine fibroids), komanso omwe ali ndi mbiri ya magazi, kupwetekedwa, kupweteka, ndi / kapena chiwindi matenda. Anthu omwe amamwa mankhwala opatsirana kuthamanga kwa magazi ayenera kupewetsanso mdima wakuda.
Chifukwa cha ntchito yake yotchedwa estrogen, pali zodetsa nkhaŵa kuti black cohosh ingasokoneze njira yothandizira ma ARV kapena mankhwala opatsirana pakamwa.
Chitetezo cha black cohosh mu amayi omwe ali ndi pakati kapena omwe akuyamwitsa kapena ana asanakhazikitsidwe. Black cohosh ingalimbikitse kupweteka kwa uterine ndikubweretsa padera.
Mu August 2006, Health Canada inauza ogula za kugwirizana komwe kulipo pakati pa cohosh wakuda ndi chiwindi cha chiwindi. Mu June 2007, United States Pharmacopeia inanena kuti zilembo zakuda zamtundu wakuda zili ndi chidziwitso. Bungwe la American Botanical Council lidawerengera kuti pali umboni wosakwanira kuti pakhale chidziwitso.
Black cohosh sayenera kusokonezeka ndi zitsamba za buluu cohosh ( Caulophyllum thalictroides ), white cohosh, bugbane, Cimicifuga foetida , sheng ma kapena white baneberry. Mitundu iyi imakhala ndi zotsatira zosiyana, ndipo cohosh ya buluu ndi white cohosh, makamaka, ikhoza kukhala poizoni. Pali nkhani yokhudza matenda a ubongo m'mbuyo mwa mwana atatha kudulidwa mwachitsulo ndi mchere wa cohosh wakuda ndi buluu cohosh.
Anthu omwe ali ndi chifuwa cha zomera mu buttercup ( Ranunculaceae ) ayenera kupewa kotish yakuda.
Black cohosh ali ndi salicylic acid pang'ono, kotero anthu okhala ndi aspirin kapena salicylates ayenera kupewa black cohosh.
Anthu omwe ali ndi mbiri yamagazi a magazi kapena kukwapulidwa, kufooka, matenda a chiwindi ndi omwe akumwa mankhwala a kuthamanga kwa magazi sayenera kugwiritsa ntchito cohosh yakuda.
Black cohosh ingasokoneze ubwino wa mankhwala a chemotherapy cisplatin.
Black cohosh zowonjezereka sizinayesedwe kuti zikhale zotetezeka ndipo zimakumbukira kuti chitetezo cha mankhwala opatsirana mwa amayi apakati, amayi oyamwitsa, ana, ndi omwe ali ndi matenda kapena omwe akumwa mankhwala sanakhazikitsidwe. Ngati mukuganiza za kugwiritsira ntchito black cohosh, lankhulani ndi chithandizo chanu choyamba choyamba.
Njira Zosiyanasiyana kwa Black Cohosh
Pali umboni wina wosonyeza kuti njira zochiritsira zosagwiritsidwa ntchito masiku ano zingakhale zopindulitsa kwa amayi omwe amatha kupuma. Kafukufuku akusonyeza kuti mavitamini angathandize kuchepetsa kutentha ndi kutentha khalidwe la kugona m'mayi am'maopausal.
Mankhwala achilengedwe monga clover wofiira, soy , St. John's wort, kirimu cha progesterone , ndi mafuta oyambirira madzulo amasonyezanso lonjezo pochiza zizindikiro zokhudzana ndi kusamba. Komabe, monga momwe zilili ndi black cohosh, kufufuza kwina kuli kofunika kuti mudziwe momwe ntchitoyi imathandizira.
Zotsatira
Bolle P1, Mastrangelo S, Perrone F, Evandri MG. "Estrogen-monga momwe zimakhalira ndi Cimicifuga racemosa kachigawo kakang'ono kakang'ono kamene kakayang'aniridwa ndi vivo, ex vivo ndi in vitro testays." J Steroid Zamoyo Zamadzi. 2007 Nov-Dec; 107 (3-5): 262-9.
Borrelli F1, Ernst E. "Black cohosh (Cimicifuga racemosa): ndondomeko yowonongeka ya zochitika zovuta." Am J Obstet Gynecol. 2008 Nov; 199 (5): 455-66.
Borrelli F1, Ernst E. "Black cohosh (Cimicifuga racemosa) chifukwa cha zizindikiro za mitsempha ya m'mimba: kuyang'anitsitsa kwabwino kwake." Pharmacol Res. 2008 Jul; 58 (1): 8-14.
Borrelli F1, Ernst E. "Cimicifuga racemosa: ndondomeko yowonongeka ya kuchipatala kwake." Eur J Clin Pharmacol. 2002 Jul; 58 (4): 235-41.
Kruse SO, Löhning A, Pauli GF, Winterhoff H, Nahrstedt A. "Fukiic ndi piscidic acid zimachokera ku rhizome ya Cimicifuga racemosa komanso in vitro estrogenic ya fukinolic acid." Planta Med. 1999 Dec; 65 (8): 763-4.
Leach MJ1, Moore V. "Black cohosh (Cimicifuga spp.) Chifukwa cha matenda a minofu." Cochrane Database Rev. Rev. 2012 Sep 12; 9: CD007244.
Pulogalamu ya National Complementary and Integrative Health. "Black Cohosh." NCCIH Kulengeza No: D268. April 2012.
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.