I-cohosh emnyama (i- Cimicifuga racemosa ) isityalo esisetyenziswe kwimithi yamachiza. Ilungu lekhaya le-buttercup, linomlando omdala wokusetyenziswa kwonyango ye-arthritis kunye neentlungu zomzimba. Nangona kunjalo, namhlanje, i-cohosh emnyama ithathwa ngokukhawuleza ukuba ikhutshwe kweempawu ezinxulumene nokuyeka umyeni.
I-asidi yeFukinolic (isakhi esifumaneka kwi-cohosh emnyama) ibonakala ibe nomsebenzi onjengo-estrogen.
Abacebisi bakhombisa ukuba iziphumo ezinjenge-black cohosh ezinokuthi zinokubaluleka kubasetyhini njengoko zifumana ukuhla kwe-menopause ezinxulumene namazinga abo e-estrogen (into ebalulekileyo ekuphuhlisweni kweempawu ze-menopausal). Ngaloo nto, i-cohosh emnyama ihlawulwa ngezinye iinkqubo njengenye indlela engokwemvelo ukuya kwiyeza le-hormone.
Ukusetyenziswa kwaBlack Cohosh
I-cohosh ebomvu isetyenziswe njengendlela yokulungisa isisombululo sempawu ezinxulumene nokuphuma kwindoda, kuquka ukutshisa okutshisa, ukukhupha ebusuku, ukuphazamiseka kwemizwelo, kunye nokomama wesisu.
Ukongezelela, amaxesha amnyama athetha ukunyanga izitenxo zokusesikweni kunye nokunciphisa iimpawu zesifo se- premenstrual syndrome .
Uphando nge-Black Cohosh
Nangona i-cohosh ebomvu iphakathi kweendlela ezidumileyo zendalo zempawu ze-menopausal, iimvavanyo zokuvavanya kwayo zivelise iziphumo ezingqubuzanayo.
Uphando olunzulu kunabo bonke abamnyama kunye neempawu ze-menopausal ziquka ingxelo epapashwe kwiDatabase yaseCchrane yeeNkqubo eziPhezulu ngo-2012.
Kule ngxelo, izazinzulu zijonge ezili-16 iimvavanyo zekliniki ezipapashwe ngaphambili (kunye nabangama-2,027 abasetyhini) abaqhathanisa nemiphumo ye-cohosh ebantwini kwi-placebo, i-hormone yonyango, i-clover ebomvu kunye namanye amanyathelo okonyango lweempawu ze-menopausal.
Kuhlalutyo lwabo, abalobi bahlaziyiweyo abafumananga umehluko omkhulu phakathi kwe-cohosh emnyama kunye ne-placebo ekuphumuleni kokutshisa okutshisa.
Ingakumbi, i-hormone yonyango yokutshintshwa kubonakala iyasebenza ngakumbi kunokuba i-black cohosh ibe yindawo yokutshisa i-flash. Ngenxa yokunqongophala kwedatha, akukho zigqibo eziqinileyo ezinokubanjwa ngokubhekiselele ekusebenzeni komntu omnyama ekuphatheni iimpawu ezinjengobombele besisu kunye nobusuku bobusuku.
Ekubeni iiphononongo ezihlolisisiweyo "ziyimpumelelo engaqinisekiyo," abaphengululi babika ukuba uphando olongezelelweyo malunga nokusetyenziswa kwe-black cohosh kunyango lweempawu ze-menopausal lufanelekile.
Kufuneka kwakhona kuqatshelwe ukuba izifundo ezimbalwa ziye zavavanya ukuphumelela kokusebenza kwamnyama njengonyango lweengxaki zokuya esikhathini. Sekunjalo, uphando olwaluqala (olubandakanya uphando olusekelwe kumatshini olupapashwe kwi- Journal of Steroid Biochemistry kunye ne-Molecular Biology ngo-2007) lubonisa ukuba u-cohosh omnyama unokunceda ukunciphisa intlungu yokuya esikhathini.
Iimpawu eziPhezulu kunye nezoKhuseleko
Ukusetyenziswa kwe-cohosh emnyama kungabangela uluhlu lwemiphumo emibi, njengentloko, ubunzima kwimilenze, ukunyanzeliswa, uxinzelelo lwegazi oluphantsi, isisongela, ukufihla, ukuhlanza nokufumana ubunzima.
Ukugqithisa ngokweqile kwamanzi omnyama kungabangela ukuxhamla, ukuphazamiseka okubonakalayo kunye nokunyaniseka kwentliziyo.
Kukho iingxelo ezininzi ze-hepatitis kunye nokuhluleka kwesibindi phakathi kwabasetyhini abathabatha i-cohosh emnyama.
Nangona engaziwa ukuba ngaba ama-black cohosh abe negalelo ekuphuhlisweni kwezi meko, iingcali ze-United States ze-Pharmacopeia zikhuthaza abesifayeli ukuba bayeke ukusetyenziswa kwe-black cohosh baze bafune unyango xa befumana iimpawu ezifana nesisu esiswini, umchamo omnyama kunye ne-jaundice.
Ukongezelela, i-cohosh emnyama kufuneka igwenywe ngabantu abaneengxaki ze-hormone (ezifana nomhlaza wesifuba, umdlavuza weprotate, endometriosis, kunye ne-uterine fibroids), kunye nalabo abanembali yegazi, i-stroke, i-seizures, kunye / okanye isibindi isifo. Abantu abasebenzisa imishanguzo yokuxinzelelo lwegazi kufuneka baphinde baphephe u-black cohosh.
Ngenxa yokusebenza kwayo kwe-estrogen, kunokhathazeka ukuba i-cohosh emnyama ingaphazamisa ukusebenza kwe-hormone yonyango yokutshintshwa okanye ukukhulelwa komlomo.
Ukhuseleko lwabafazi abamnyama kumabhinqa abakhulelweyo okanye abancancisayo okanye abantwana abazange bamiswe. I-cohosh ebomvu ingakhuthaza izithintelo ze-uterine kwaye ibangele ukukhulelwa kwesisu.
Ngomhla ka-Agasti 2006, iMpilo Canada yacebisa abathengi banxibelelwano obukhoyo phakathi komnxeba omnyama kunye nomonakalo wesibindi. NgoJuni 2007, i-United States i-Pharmacopeia icebisa ukuba iilebhu zomkhiqizo omnyama ziqulethe ingxelo. I-American Botanical Council iye yabala ukuba akukho ubungqina obaneleyo bokuqinisekisa ukuba kucetywayo.
I-cohosh emnyama ayifanele idideke kunye ne-herb blue cohosh ( iCaulophyllum thalictroides ), i- cohosh emhlophe, i-bugbane, i- Cimicifuga foetida , i-sheng ma okanye i-white baneberry. Ezi ziintlobo zineempembelelo ezahlukeneyo, kunye ne-blue cohosh kunye ne-cohosh emhlophe, ngokukodwa, ingaba yingozi. Kukho ingxelo yengxelo yeengxaki ze-neurological kwi-post-term baby emva kokuqulunqwa kwabasebenzi kunye nomxube wezityalo ze-black cohosh kunye ne-blue cohosh.
Abantu abaneentlobo zezityalo kwi-buttercup (i- Ranunculaceae ) intsapho kufuneka bakuphephe ukuhlaselwa kwamnyama.
I-cohosh ebomnyama iqulethe ixabiso elincinci le-acid e-salicylic, ngoko ke abantu abane-aspirin okanye i-salicylates kufuneka bakuphephe ukuhlaselwa kwamnyama.
Abantu abaneembali zegazi okanye i-stroke, ukuxhatshazwa, isifo sesibindi kunye nalawo athabatha unyango lwexinzelelo lwegazi aphezulu akufanele asebenzise i-cohosh emnyama.
I-cohosh emnyama ingaphazamisa ukusebenza kwe-cisplatin ye-chemotherapy.
Ukuxhaswa kwama-Black cohosh abazange bavavanyelwe ukhuseleko kwaye bahlale bekhumbula ukuba ukhuseleko lwezongezelelo kwabasetyhini abakhulelwe, oomama, abantwana kunye nalabo abanezifo zonyango okanye abathabatha imishanguzo abazange basungulwe. Ukuba uqwalasela ukusetyenziswa kwe-black cohosh, thetha nomncedisi wakho oyintloko wokunakekela.
Eminye i-Black Cohosh
Kukho ubungqina bokuba ezinye iindlela zokwelapha ezinjenge- acupuncture zingaba yinzuzo ethile kubasetyhini abadlulayo. Uphando lubonisa ukuba ukukhwa kwamanzi kunokunceda ukunciphisa ukutshisa okutshisa kunye nokuphucula umgangatho wobuthongo kubasetyhini bamadoda.
Izilwanyana zendalo ezifana ne-red clover, soy , iSort John's wort, i- progesterone , kunye ne- oil primrose i-oli ibonisa kwakhona isithembiso kunyango lweempawu ezinxulumene nokuphuma kwindoda. Nangona kunjalo, njengoko kwimeko ye-black cohosh, uphando olongezelelweyo lufunekayo ukuchonga ukusebenza kwezi mpendulo.
Imithombo
IBolle P1, iMastrangelo S, Perrone F, uEvandri MG. "I-Estrogen-njengempembelelo yeCimicifuga racemosa i-subct fraction evanywe yi-vivo, ex vivo kunye ne-in vitro." J Steroid Biochem Mol Biol. 2007-Nov-Dec; 107 (3-5): 262-9.
Borrelli F1, Ernst E. "U-Black cohosh (uCimicifuga racemosa): ukuhlaziywa okuhlelekile kweziganeko ezimbi." IJ Obstet Gynecol. 2008 Nov; 199 (5): 455-66.
Borrelli F1, Ernst E. "I-cohosh yaseMnyama (iCimicifuga racemosa) yeempawu ze-menopausal: ukuhlaziywa okucwangcisiweyo kokusebenza kwayo." Pharmacol Res. 2008 Julayi; 58 (1): 8-14.
Borrelli F1, Ernst E. "I-Cimicifuga racemosa: ukuhlaziywa okucwangcisiweyo kokusebenza kliniki." I-Eur J Clin Pharmacol. 2002 Jul; 58 (4): 235-41.
I-Kruse SO, iLöhning A, i-Pauli GF, i-Winterhoff H, i-Nahrstedt A. "I-esuki ye-Fukiic kunye ne-piscidic acid esuka kwi-rhizome yeCimicifuga racemosa kunye nomsebenzi we-in vitro wesrogenic we-fukinolic acid." Planta Med. NgoDisemba ka-1999; 65 (8): 763-4.
Leach MJ1, Moore V. "I-black cohosh (iCimicifuga spp.) Yeempawu ze-menopausal." I-Cochrane Database Syst Rev. 2012 Sep 12; 9: CD007244.
IZiko leSizwe leMpilo eQinisiweyo kunye neyoManyeneyo. "Black Cohosh." I-NCCIH yokupapashwa kweNombolo: D268. Epreli 2012.
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.