I-cohosh emnyama (i- Cimicifuga racemosa ) isitshalo esisetshenziselwa imithi yokwelapha. Ilungu lomndeni we-buttercup, unomlando omude wokusebenzisa ukwelashwa kwe-arthritis nobuhlungu be-muscle. Namuhla, noma kunjalo, i-cohosh emnyama ivame ukuthathwa ukuze kutholakale izimpawu ezihambisana nokunqamuka kwesikhashana.
Ama-fukinolic acid (isakhi esitholakala ku-cohosh omnyama) kubonakala sengathi unomsebenzi onjengo-estrogen.
Abagqugquzeli bakhombisa ukuthi imiphumela ye-black cohosh engase ibe yile-estrogen ingaba nenzuzo kubesifazane njengoba bebhekene nokunciphisa okuphathelene nokunqamuka kwesimiso emazingeni abo e-estrogen (isici esiyinhloko ekuthuthukiseni izimpawu ze-menopausal). Ukuze kufezeke lokho, ama-black cohosh ngezinye izikhathi atholakala njengendlela ehlukile yemvelo yokwelashwa kwe-hormone.
Ukusetshenziswa kwe-Black Cohosh
I-black cohosh isetshenziselwa ukwelashwa kwemvelo ngezinkinga eziningi eziphathelene nokunqamuka kokuya esikhathini, kufaka phakathi ukushisa okushisayo, ukujula ebusuku, ukuphazamiseka kwemizwa, nokumelela kwesisu.
Ngaphezu kwalokho, ama-black cohosh ngezinye izikhathi asetshenziselwa ukuphatha ukungalungi kokuya esikhathini nokunciphisa izimpawu ze- premenstrual syndrome .
Ucwaningo nge-Black Cohosh
Nakuba i-cohosh emnyama ingenye yezindlela ezithandwa kakhulu zemvelo zokwelashwa kwezimpawu ze-menopausal, ukuhlola ukuhlolwa kwayo kuveze imiphumela ephikisanayo.
Ucwaningo olunzulu kunazo zonke ezimayelana namacrosh black and symptom menopausal lubandakanya umbiko oshicilelwe kwiDatabase yeChranerane Yokuhlolwa Okuhlelekile ngo-2012.
Kulo mbiko, ososayensi babhekene nezilingo zomtholampilo ezingu-16 ezishicilelwe ngaphambili (ezinezibalo ezingu-2,027 abesifazane) eziqhathanisa imiphumela ye-cohosh emnyama kulabo be-placebo, i-hormone replacement therapy, i-clover ebomvu , nokunye okungenelela ekwelapheni izimpawu ze-menopausal.
Ekuhlaziyweni kwabo, abalobi bokubukeza abatholanga umehluko ophawulekayo phakathi kwe-black cohosh ne-placebo ekusizeni kokukhanya okushisayo.
Ngaphezu kwalokho, ukwelapha okwenziwa esikhundleni se-hormone kubonakala kusebenza kangcono kune-cohosh emnyama ngokukhululeka kwe-flash. Ngenxa yokwaziswa okwanele, akukho iziphetho eziqinile ezingase zithathwe ngokusebenza komnyama omnyama ekunakekeleni izimpawu ezifana nokumelela kwesisu nangama-sweats ebusuku.
Njengoba lezi zifundo ezibukeziwe zazingekho "ngekhwalithi engaqinisekisiwe," abalobi bephephandaba baphetha ngokuthi ucwaningo oluqhubekayo mayelana nokusetshenziswa kohlobo lwama-black cohosh ekwelapheni izimpawu ze-menopausal kuqinisekisiwe.
Kufanele kuphawulwe ukuthi izifundo ezimbalwa kakhulu ziye zahlola ukusebenza komnyama omnyama njengokwelashwa kwezinkinga zokuya esikhathini. Noma kunjalo, ukucwaninga kokuqala (okufaka isifundo esisekelwe ku-rat eshicilelwe kuyi- Journal of Steroid Biochemistry and Molecular Biology ngo-2007) kubonisa ukuthi ama-black cohosh angasiza ekunciphiseni ubuhlungu bokuya esikhathini.
Imiphumela Yomphumela Nezokuphepha Ukukhathazeka
Ukusetshenziswa kwe-black cohosh kungabangela uhla lwemiphumela emibi, njengezinhloko zekhanda, ubunzima emilenzeni, indigestion, umfutho wegazi ophansi, isicanucanu, ukujula, ukuhlanza nokuzuza kwesisindo.
Ukulinganisa ngokweqile kohlobo lwe-black cohosh kungabangela ukugubha, ukuphazamiseka okubukwayo, nokushaya kwenhliziyo okuphuza noma okungajwayelekile.
Kube khona imibiko eminingi ye-hepatitis nokuhluleka kwesibindi phakathi kwabesifazane abathatha ama-black cohosh.
Nakuba kungaziwa ukuthi i-black cohosh inikele yini ekuthuthukiseni le mibandela, ochwepheshe be-United States Pharmacopeia banxusa abesifazane ukuba bayeke ukusetshenziswa kwe-cohosh emnyama futhi bafune ukunakekelwa kwezokwelapha uma bebona izimpawu ezifana nobuhlungu besisu, umchamo omnyama, ne-jaundice.
Ukwengeza, ama-black cohosh kufanele agwenywe ngabantu abanezimo ezibucayi (njengesifo somdlavuza wesifuba, umdlavuza wesifo sofuba, i-endometriosis, ne-uterine fibroids), kanye nalabo abanomlando wegazi, isifo, isifo sokugwinya, kanye / noma isibindi izifo. Abantu abasebenzisa imithi yokucindezela kwegazi kufanele baphinde bagweme ukushaywa komnyama.
Ngenxa yokusebenza kwayo kwe-estrogen, kukhona ukukhathazeka okubalulekile ukuthi i-cohosh emnyama ingaphazamisa ukusebenza kwe-hormone yokwelashwa esikhundleni noma izitho zomzimba zomlomo.
Ukuphepha kwabama-black cohosh kubesifazane abakhulelwe noma abancelisayo noma abantwana abakaze basungulwe. Ama-black cohosh angakhuthaza ukuchotshozwa kwe-uterine futhi akhiphe ukukhulelwa kwesisu.
Ngenyanga ka-Agasti 2006, i-Health Canada yeluleka abathengi bokuxhumana okuphakathi komonakalo omnyama nokulimala kwesibindi. Ngo-June 2007, i-United States Pharmacopeia icebisa ukuthi amalebula womkhiqizo omnyama afaka isitatimende sokuqapha. I-American Botanical Council iye yabala ukuthi kukhona ubufakazi obanele bokuqinisekisa ukuthi ukuxwayiswa okuhlongozwayo.
Ama-black cohosh akufanele adidaniswe ne-herb blue cohosh (i- Caulophyllum thalictroides ), i-cohosh emhlophe, i-bugbane, i- Cimicifuga foetida , i-sheng ma noma i-white baneberry. Lezi zinhlobo zinemiphumela ehlukile, futhi i-cohosh eluhlaza okwesibhakabhaka kanye ne-cohosh emhlophe, ikakhulukazi, ingaba yingozi. Kukhona umbiko wezinkinga zezinkinga ze-neurolo emntwini osesikhathini esilandelayo ngemuva kokukhishwa kwemisebenzi ngenhlanganisela yemifino ye-black cohosh ne-cohosh eluhlaza okwesibhakabhaka.
Abantu abanezinyosi ezitshalweni ezitshalweni ku-buttercup ( Ranunculaceae ) umndeni kufanele bagweme ukushaywa komnyama.
I-cohosh emnyama iqukethe amanani amancane e-salicylic acid, ngakho-ke abantu abane-aspirin noma i-salicylate kufanele bagweme ama-black cohosh.
Abantu abanomlando wezindwangu zegazi noma isifo sohlangothi, izifo, isibindi sesibindi kanye nalabo abaphuza imithi yokucindezela kwegazi akufanele basebenzise ama-black cohosh.
I-black cohosh ingaphazamisa ukuphumelela kwe-cisplatin yezidakamizwa ze-chemotherapy.
Ama-black cohosh supplements awazange ahlolwe ukuphepha futhi agcine engqondweni ukuthi ukuphepha kwezidakamizwa kwabesifazane abakhulelwe, omama abahlengikazi, izingane, nalabo abanezimo zezokwelapha noma abaphuza imishanguzo abazange basungulwe. Uma ucubungula ukusetshenziswa kwe-cohosh emnyama, khuluma nomhlinzeki wakho oyinhloko wokunakekelwa kuqala.
Izindlela ezihlukile ku-Black Cohosh
Kunobunye ubufakazi bokuthi ezinye izindlela zokwelashwa ezifana nokukhwabanisa kungase kube nenye inzuzo kwabesifazane abahamba ngesisu. Ucwaningo lubonisa ukuthi ukukhishwa kwesikhumba kungasiza ukunciphisa ukushisa okushisayo nokuthuthukisa ikhwalithi yokulala kubesifazane besilisa.
Izindlela zemvelo ezifana ne-clover ebomvu, soy , i-wort yaseSt. John, ukhilimu we-progesterone , namafutha e-primrose kusihlwa kubonisa nesithembiso ekwelapheni izimpawu ezihlobene nokuya esikhathini. Kodwa-ke, njengokwesimo somnyama omnyama, ucwaningo olwengeziwe luyadingeka ukuze kutholakale ukusebenza kwala mayeza.
Imithombo
Bolle P1, Mastrangelo S, Perrone F, Evandri MG. "I-Estrogen-njengomphumela we-Cimicifuga racemosa okhishwe ngaphansi kwengxenyana njengoba kuhlolwa yi-vivo, ex vivo nase-in vitro test." J Steroid Biochem Mol Biol. 2007-Nov-Dec; 107 (3-5): 262-9.
Borrelli F1, Ernst E. "Black cohosh (Cimicifuga racemosa): ukubuyekezwa okuhlelekile kwezenzakalo ezimbi." Am J Obstet Gynecol. 2008 Nov; 199 (5): 455-66.
Borrelli F1, Ernst E. "Black cohosh (Cimicifuga racemosa) yezimpawu ze-menopausal: ukubuyekezwa okuhlelekile kokusebenza kwayo." Pharmacol Res. 2008 Jul; 58 (1): 8-14.
I-Borrelli F1, u-Ernst E. "Cimicifuga racemosa: ukubuyekezwa okuhlelekile kokuphumelela komtholampilo." I-Eur J Clin Pharmacol. 2002 Jul; 58 (4): 235-41.
I-Kruse SO, i-Löhning A, i-Pauli GF, i-Winterhoff H, i-Nahrstedt A. "Ama-esuki e-Fukiic ne-piscidic acid avela ku-rhizome ka-Cimicifuga racemosa nomsebenzi we-in vitro wesrogenic we-fukinolic acid." I-Planta Med. 1999 Dec; 65 (8): 763-4.
Leach MJ1, Moore V. "Black cohosh (Cimicifuga spp.) Yezimpawu ze-menopausal." I-Cochrane Database Syst Rev. 2012 Sep 12; 9: CD007244.
Isikhungo sikaZwelonke seMpilo eQinisekayo neYokubambisana. "Black Cohosh." I-NCCIH Inombolo Yokushicilelwa: D268. April 2012.
Ukuziphendulela: Ulwazi oluqukethwe kule sayithi luhloswe ngezinjongo zemfundo kuphela futhi aluthathi iseluleko, ukuxilongwa noma ukwelashwa ngudokotela olayisensi. Akuhloselwe ukumboza zonke izinyathelo zokuqapha, ukusebenzisana kwezidakamizwa, izimo noma imiphumela emibi. Kufanele ufune ukunakekelwa okusheshayo kwezokwelapha kunoma yiziphi izinkinga zezempilo bese uthintana nodokotela wakho ngaphambi kokusebenzisa enye imithi noma wenze ushintsho ohlelweni lwakho.