So wo nso wode St. Yohane Wort? Ɛho hia paa sɛ wubehu saa nneɛma yi!

Ebia woate saa nhabannuru a wɔfrɛ no St. John’s Wort yi ho asɛm pɛn? Nnipa binom de di dwuma ma nneɛma te sɛ adwenemhaw, afoforo nso de di dwuma ma tebea horow te sɛ ADHD (Attention-deficit hyperactivity disorder), OCD (Obsessive-compulsive disorder), honam ani tebea horow, ne brayɛ ho sɛnkyerɛnne ahorow. Nanso ɛho hia sɛ wokae sɛ eyi nyɛ yare biara ano aduru, ayaresa, anaa siw ano. Wobu no sɛ ɛyɛ nhabannuru a wɔde ma.

Nneɛma bɛn na ɛsɛ sɛ woka kyerɛ wo duruyɛfo ansa na woanom `St. Yohane Wort`?

Okay, afei sɛ woresusuw ho sɛ wode saa `St. John's Wort`, nneɛma kakraa bi wɔ hɔ a ɛsɛ sɛ wudi kan ka kyerɛ wo duruyɛfo anaa nnuruyɛfo. Efisɛ, ɛnyɛ biribiara na ɛyɛ adwuma ma obiara. Ɛsɛ sɛ wohu sɛ wowɔ akwahosan tebea bi te sɛ eyinom anaa. Hwɛ nsɛm a wɔahyehyɛ yi:

• So wowɔ mogyatɔw yare, a ɛkyerɛ sɛ wo mogya ntumi nkɔ ntɛmntɛm?
• So wowɔ komayare?
• So wowɔ mogya mmoroso?
• So wowɔ `HIV` anaa `AIDS`?
• So mmerɛwyɛ anaa ɔhaw bi wɔ wo nipadua mu tumi a ɛko tia nyarewa no mu?
• So wowɔ asaabo mu yare?
• So wowɔ mmerɛbo mu yare?
• So wowɔ adwenemyare bi? Ɛno kyerɛ tebea horow te sɛ dadwen, adwenemhaw, anaa adwenemhaw.
• So woanya akisikuru pɛn?
• So woanya nsusuwii, nhyehyɛe, anaa mmɔden a wobɛbɔ sɛ wubekum wo ho pɛn? Anaasɛ obi wɔ w’abusua mu ayɛ saa pɛn? Eyi yɛ asɛmti a ɛyɛ den yiye, nanso ɛho hia sɛ woka kyerɛ wo duruyɛfo .
• So wode aduru bi adi dwuma wɔ nnuru kuw a wɔfrɛ no `MAOI` (Monoamine Oxidase Inhibitors - sɛ nhwɛso no, Carbex, Eldepryl, Marplan, Nardil, Parnate) mu wɔ adapɛn abien a atwam no mu?
• So wo ho yɛ wo hyew wɔ St. John’s Wort, nhabannuru afoforo, afifide, nnuru afoforo, nnuan, kɔla ahorow a wɔayɛ, anaa nneɛma a wɔde sie ho?
• So woanyinsɛn mprempren anaasɛ wowɔ anidaso sɛ wobɛnyinsɛn daakye a enni akyiri?
• So woyɛ ɛna a ɔma nufu?

Ɛho hia paa ma w’ankasa ahobammɔ sɛ wo ne wo duruyɛfo bɛkasa afa saa nneɛma yi ho, woate ase?

Ɔkwan bɛn so na ɛsɛ sɛ mede saa aduru yi di dwuma?

Okay, enti momma yɛnhwɛ sɛnea yɛde eyi bedi dwuma. `Ɔhotefo. John's Wort` taa ba sɛ pill anaa capsule a wode w'ano nom.

• Sɛ wonom eyi a, fa nsu kuruwa bi nom.
• Ɛsɛ sɛ wokenkan akwankyerɛ a ɛwɔ krataa no so no yiye na wudi akyi sɛnea ɛfata. Sɛ ɛnte saa a, bisa wo duruyɛfo anaa nnuruyɛfo ma ɔmma wo nsɛm pii.
• Nom w’aduru no wɔ bere a ɛfata mu, dodow a ɛfata mu. Mma nnom nea ɛboro nea wo duruyɛfo ka kyerɛ wo no da, ɛnte saa? Ɛno betumi de ɔhaw ahorow a ɛho nhia aba.

Sɛ wode eyi rema mmofra nkumaa a, wo ne w’aduruyɛfo kuw no nkasa mfa ho. Ebia ɛho behia sɛ wɔhwɛ yiye titiriw.

Sɛ wususuw sɛ woanom eyinom pii wɔ akwanhyia mu a, mma wo ho nnyɛ wo hu na frɛ Poison Control Center a ɛbɛn wo anaa ayaresabea dan a wɔhwɛ ntɛmpɛ so ntɛm ara. Eyi ho hia paa, efisɛ sɛ obi nom boro so a, ebetumi ayɛ asiane.

Kae eyi: Saa aduru yi yɛ ma wo nkutoo. Mfa mma w’adamfo anaa w’abusua muni bi a ɔwɔ yare no ho sɛnkyerɛnne te sɛ wo. Ɛsono obiara nipadua ne n’akwahosan.

Sɛ wopa nnuru dodow bi a, dɛn na ɛsɛ sɛ woyɛ?

Afei fa no sɛ wo werɛ fii sɛ wobɛnom w’aduru pɛnkoro. Sɛ ɛba saa a, mma ɛnhaw wo.

• Fa dodow a woayera no bere a woakae ara pɛ.
• Nanso, sɛ ɛbɛn bere a wode bɛma wo dodow a edi hɔ bere a wokae no yiye a, twa dodow a woayera no so na fa wo dodow a edi hɔ no wɔ bere a wɔahyɛ da ayɛ no mu.
• Mfa nnuru abien prɛko pɛ esiane biribiara nti. Eyi ma asiane a ɛwɔ hɔ sɛ ebefi mu aba no yɛ kɛse.

So eyi ne nnuru afoforo di nkitaho? Eyi ho hia paa!

Ɛha na ɛsɛ sɛ wohwɛ yiye paa. St. John’s Wort tumi ne nnuru afoforo di nkitaho. Enti, sɛ worenom nnuru foforo biara, nhabannuru, vitamin, anaa nnuru a wɔde ka ho a, ɛho hia yiye sɛ woka ho asɛm kyerɛ wo duruyɛfo .

Mfa `St. John's Wort` ne nnuru yi:

• Nnuru a wɔfrɛ no `MAOI` (nhwɛso: Carbex, Eldepryl, Marplan, Nardil, Parnate) .
• Methylene blue, aduru bi a wɔde gu ntini bi mu

Bio nso, St. John’s Wort betumi ne nnuru ne nneɛma a edidi so yi adi nkitaho:

• Nsaden
• Amiodarone (aduru a wɔde sa komayare) .
• Amphetamines (a wɔde di dwuma ma adwene ne ntini mu yare bi) .
• Aspirin ne nnuru a ɛte sɛ aspirin (e.g. Diclofenac, Ibuprofen) .
• `Bosentan` (aduru a wɔde sa ahurututu mu mogya mmoroso) .
• Nnuru bi a wɔde sa adwenemhaw, dadwen, anaa adwenemyare afoforo (e.g., SSRIs te sɛ Fluoxetine ne Sertraline) .
• Nnuru bi a wɔde sa atiridiinini tiyɛ (sɛ nhwɛso no, triptans te sɛ almotriptan, eletriptan, frovatriptan, naratriptan, rizatriptan, sumatriptan, zolmitriptan) .
• Cyclosporine (aduru a wɔde siw nipadua no mu tumi a ɛko tia nyarewa ano) .
• `Digoxin` (aduru a wɔde sa komayare) .
• Mmea hormone, te sɛ estrogens ne progestins, ne awo ano aduru - St. John’s Wort betumi atew awo ano aduru a etu mpɔn so, enti ebia ebehia sɛ wususuw ɔkwan foforo a wɔfa so siw awo ano ho.
• `Irinotecan` (aduru a wɔde ko tia kokoram) .
• `Linezolid` (aduru a ekum ɔyare mmoawa) .
• `Lithium` (aduru a wɔde sa adwenemyare te sɛ adwenemhaw) .
• Nnuru ahorow a wɔde sa mogya mmoroso ne komayare
• Nnuru a wɔde sa HIV yareɛ (s.e. Protease inhibitors, Non-nucleoside reverse transcriptase inhibitors) .
• Nnuru a ɛma obi dwo bere a wɔreyɛ oprehyɛn no
• `NSAIDs` (nnuru a wɔde kum ɛyaw ne nnuru a ɛko tia ɔyare mmoawa, s.e. ibuprofen, naproxen) .
• `Procarbazine` (aduru a wɔde ko tia kokoram) .
• `Rasagiline` (aduru a wɔde sa Parkinson yare) .
• Sirolimus, Tacrolimus (nnuru a wɔde siw nipadua no mu tumi a ɛko tia nyarewa ano) .
• `Sunitinib` (aduru a wɔde ko tia kokoram) .
• `Theophylline` (aduru a wɔde sa ɔhome mu nyarewa te sɛ ayamtu) .
• `Tramadol` (aduru a wɔde kum ɛyaw) .
• Tryptophan (amino acid bi, ɛtɔ mmere bi a wɔnom sɛ ade a wɔde ka nna ne adwene ho) .
• Warfarin (aduru a ɛmma mogya nkɔ mu) - St. John's Wort tumi sesa ɔkwan a Warfarin fa so yɛ adwuma. Eyi yɛ nea asiane wom.

Saa list yi nwie pɛyɛ. Ebia nnuru afoforo nso wɔ hɔ. Ɛno nti na yɛhyɛ nyansa sɛ ka nnuru a wonom nyinaa ho asɛm kyerɛ wo duruyɛfo, a nhabannuru, nnuru a wɔmfa nkyerɛw, ne aduan a wɔde ka aduan ho ka ho. Sɛ wonom sigaret, wonom nsa, anaa wode nnubɔne a mmara mma ho kwan di dwuma a, hwɛ hu sɛ wobɛka akyerɛ wo duruyɛfo . Eyinom nyinaa betumi ne wo nnuru adi nkitaho.

Dɛn bio na ɛsɛ sɛ mehwɛ yiye wɔ ho bere a mede `St. Yohane Wort`?

Sɛ wode `St. John's Wort`, nneɛma kakraa bi bio wɔ hɔ a ɛsɛ sɛ wohwɛ yiye wɔ ho.

• Adwene mu Akwahosan Ho Ayaresa: Sɛ wɔresa wo yare dedaw wɔ dadwen, adwenemhaw, anaa adwenemhaw foforo bi ho a, ɛsɛ sɛ wode saa aduru yi di dwuma wɔ wo duruyɛfo afotu ase nkutoo. Eyi betumi atwitware w’ayaresa afoforo no mu. Sɛ wo yare no ho sɛnkyerɛnne no ankɔ yiye anaasɛ ɛnsɛe a, kɔ wo duruyɛfo nkyɛn ntɛm ara.
• Owia ho nkate: Ebia saa aduru yi bɛma wo honam ani ayɛ mmerɛw wɔ owia ho. Eyi kyerɛ sɛ ebia ɛnyɛ den sɛ wobɛhyew, wobɛyɛ kɔkɔɔ, anaasɛ wo ho bɛtɔ wo ntɛm. Enti, to owia a wobɛbɔ awiabere no ano hye sɛnea wubetumi biara. Sɛ ɛsɛ sɛ wupue kɔ owia mu a, hyɛ ntade a ɛkata wo honam ani yiye, hyɛ kyɛw, na fa aduru pa a ɛbɔ wo ho ban fi owia ho (anyɛ yiye koraa no SPF 30) di dwuma. Ɛnyɛ adwene pa sɛ wode owia akanea anaa mpa/ntanning beds bedi dwuma.
• Oprehyɛn ne nsensan ho ayaresa:Sɛ woreyɛ aduruyɛ anaa wo sẽ ho ayaresa biara a, di kan ka kyerɛ w’akwahosan kuw no sɛ worenom St. John’s Wort. Ebia wobetu wo fo sɛ gyae aduru a wɔde ka ho no nom nna kakraa bi ansa na wɔayɛ oprehyɛn no.
• Ano a ɛyɛ kusuu: Ebia nnipa binom benya ano a ɛyɛ kusuu bere a wɔrenom aduru yi. Sɛ eyi ba a, wubetumi aboa ma wɔatew so denam aduru a asikre nnim a wobɛwe, ahwiesa a ɛyɛ den a asikre nnim a wobɛnom, ne nsu pii a wobɛnom da mũ no nyinaa so. Nanso, sɛ ɔhaw yi kɔ so anaasɛ emu yɛ den a, wo ne wo duruyɛfo nkasa .

Nnuru a wɔde ma ho nimdeɛ titiriw

Ade foforo a ɛsɛ sɛ yɛma ɛtra yɛn adwenem ni: Wɔnhyɛ nhabannuru anaa aduan a wɔde ka aduan ho ho mmara katee te sɛ nnuru a yɛtɔ wɔ nnurutɔnbea no. Ɛne sɛ, ɛnyɛ bere nyinaa na wɔhyɛ gyinapɛn a emu yɛ den a wɔde hwɛ nneɛma a ɛyɛ papa so.

• Ahotew ne ahoɔden a ɛwɔ saa nneɛma yi mu no betumi ayɛ soronko wɔ nneɛma a wɔde ahyɛ mu biara mu, ne nea wɔde ahyɛ mu biara mu.
• Wɔnnya nkyerɛɛ ahobammɔ ne mfaso a ɛwɔ saa aduan a wɔde ma yi mu ma yare pɔtee biara ho adanse wɔ nyansahu mu.
• Ɛnyɛ nea wɔayɛ saa nnuru yi sɛ wɔde behu yare biara, asa, asa, anaa asiw ano.

Nnwumakuw te sɛ U.S. Aduan ne Nnuru Dwumadibea (FDA) de afotu yi ma de boa adetɔfo ma wɔbɔ wɔn ho ban:

• Kenkan nneɛma a wɔakyerɛw so yiye bere nyinaa na di akwankyerɛ no akyi pɛpɛɛpɛ.
• Esiane sɛ wɔakyerɛw biribi "abɔde mu de" nti, ɛnkyerɛ sɛ asiane biara nni ho koraa sɛ nnipa de bedi dwuma. Abɔde mu nneɛma bi mpo betumi apira.
• Sɛ ɛbɛyɛ yie a, hwehwɛ nneɛma a wɔakyerɛw `USP` (United States Pharmacopeia) wɔ nneɛma a wɔde yɛ aduane no din akyi. Eyi betumi ama woanya gyinapɛn no ho adwene bi.
• Ɛda adi sɛ wɔbɛyɛ nnuru a wɔde ka aduan ho a adwumakuw bi a wogye wɔn di a wogye tom wɔ ɔman no mu yɛ anaa wɔtɔn wɔ nhyehyɛe a emu yɛ den kakra ase.

Dɛn ne nneɛma bɔne a ebetumi afi St. John’s Wort mu aba?

Okay, afei ma yɛnhwɛ nea ebetumi afi mu aba no. Ɛnyɛ obiara na onya nsunsuanso bɔne, nanso nnipa binom nya bi.

Sɛ biribi te sɛ eyi si a, ɛsɛ sɛ wokɔ wo duruyɛfo anaa ayaresabea a ɛbɛn wo ntɛm ara sɛnea wubetumi:

• Nneɛma a ɛma obi ho yɛ no hyew: Eyi betumi ayɛ nea egye ntɛmpɛ. Nsɛnkyerɛnne no bi ne:
• Honam ani akuru, a ɛte sɛ eczema
• Ɛyɛ akisikuru
• Hives (akuru akɛse, kɔkɔɔ, ahonhon, ɛyɛ yaw) .
• Anim, ano, tɛkrɛma, anaa menewa a ɛho ahonhon (eyi betumi ama ayɛ den sɛ ɔbɛhome) .

Nneɛma bɔne bi nso wɔ hɔ a mpɛn pii no ɛnyɛ asiane, nanso sɛ ɛkɔ so anaasɛ ɛhaw wo a, ɛsɛ sɛ woka kyerɛ wo duruyɛfo :

• Nsakrae biara a ɛba nna ho akɔnnɔ anaa nna mu dwumadi mu (ebetumi ayɛ nea ɛso tew anaasɛ ɛkɔ soro) .
• Adwene a ɛyɛ basaa
• Ano a ɛyɛ nwunu
• Tipaeɛ
• Hann ho nkate - Sɛnea yɛadi kan aka no, honam ani haw ahorow ba bere a wɔde wɔn ho hyɛ owia hann mu no.
• Yafunu mu yaw, akisikuru, akisikuru, ne nea ɛkeka ho.

Ebia nneɛma bɔne a ebetumi afi mu aba nyinaa nka saa nsɛm a wɔahyehyɛ yi ho. Sɛ wuhyia biribi a ɛyɛ soronko a, wo ne wo duruyɛfo nka ho asɛm.

Ɔkwan bɛn so na ɛsɛ sɛ mede saa aduru yi sie?

Ɛho hia nso sɛ wode aduru yi sie yiye.

• Fa sie baabi a mmofra ntumi nkɔ hɔ bere nyinaa na ɛnyɛ baabi a wɔn nsa bɛka.
• Fa sie wɔ dan mu hyew (a ɛyɛ digrii Celsius 15 kosi 30, anaa digrii Fahrenheit 59 kosi 86). Anaasɛ, sɛ nneɛma a wɔde ahyɛ mu no kamfo ɔhyew a wɔde sie kyerɛ a, di ɛno akyi.
• Bɔ ho ban fi nsu ho. Ɛno kyerɛ sɛ mfa nsie mmeae a ɛhɔ yɛ nwini te sɛ aguaree.
• Tow aduru biara a ne bere atwam no gu.

Hyɛ no nsow: Asɛm yi de St. John’s Wort ho nsɛm tiawa bi ma. Ɛnyɛ emu nsɛm nyinaa. Sɛ wowɔ nsɛmmisa foforo biara fa saa aduru yi ho a, yɛsrɛ wo ne wo duruyɛfo, nnuruyɛfo, anaa akwahosan ho ɔyaresafo foforo nkasa.

Enti, dɛn ne nkrasɛm a yɛde kɔ fie a efi nea yɛaka ho asɛm no mu?

`Ɔhotefo. John's Wort` yɛ nhabannuru a wɔde ma a nnipa binom de boa wɔ adwene ne nipadua mu tebea horow bi mu. Nanso, akyinnye biara nni ho sɛ ɛsɛ sɛ wo ne wo duruyɛfo kasa ansa na wode adi dwuma. Eyi ho hia paa. Efisɛ ebetumi ayɛ n’ade, anaasɛ "ɛtwetwe," aduruyɛ tebea afoforo a wowɔ anaa nnuru afoforo a worenom. Sɛ saa a, ebetumi apira pii sen sɛ ɛbɛboa.

Ɛnyɛ biribiara a ɛka sɛ "natural" wɔ label no so na ɛyɛ ahobammɔ ma obiara. Enti, kenkan nea wɔakyerɛw so no yiye, di wo duruyɛfo akwankyerɛ akyi pɛpɛɛpɛ, na mfa nneɛma a afoforo ka kyerɛ wo sɛ ahobammɔ wom kɛkɛ nni dwuma.

Afei nso, nnuru a wɔde ka aduan ho te sɛ eyinom nyɛ anwonwakwan so ayaresa. Sɛ wo yare no ho sɛnkyerɛnne no ankɔ yiye, anaasɛ sɛ ɛyɛ kɛse a, kɔ oduruyɛfo nkyɛn ntɛm ara. Ade a eye sen biara a wubetumi ayɛ ne sɛ wobɛbɔ wo amanneɛ na woadi asɛyɛde ho dwuma bere a woresisi w’akwahosan ho gyinae no. Kɔ so nya apɔwmuden!

` St. John's Wort, adwenemyareɛ, nhabannuru, aduane a wɔde ka ho, nsunsuansoɔ bɔne, nnubɔne ho nneyɛeɛ