Kodi mumagwiritsanso ntchito St. John's Wort? Ndikofunikira kwambiri kudziwa zinthu izi!

Mwina munamvapo za mankhwala otchedwa St. John's Wort? Anthu ena amagwiritsa ntchito mankhwalawa pa zinthu monga kuvutika maganizo, ena pa matenda monga ADHD (Attention-deficit hyperactivity disorder), OCD (Obsessive-compulsive disorder), matenda a pakhungu, ndi zizindikiro za kusamba. Koma ndikofunikira kukumbukira kuti ichi si mankhwala, chithandizo, kapena kupewa matenda aliwonse. Amaonedwa ngati mankhwala owonjezera a zitsamba.

Kodi ndi zinthu ziti zomwe muyenera kuuza dokotala wanu musanamwe mankhwala a 'St. John's Wort'?

Chabwino, tsopano ngati mukuganiza zogwiritsa ntchito 'St. John's Wort' iyi, pali zinthu zingapo zomwe muyenera kuuza dokotala wanu kapena wamankhwala kaye. Chifukwa, si chilichonse chomwe chimagwira ntchito kwa aliyense. Ayenera kudziwa ngati muli ndi matenda ngati awa. Onani mndandanda uwu:

• Kodi muli ndi matenda otuluka magazi, zomwe zikutanthauza kuti magazi anu sauma mosavuta?
• Kodi muli ndi matenda a mtima?
• Kodi muli ndi matenda amagazi othamanga?
• Kodi muli ndi 'HIV' kapena 'AIDS'?
• Kodi pali kufooka kulikonse kapena vuto lililonse mu chitetezo cha mthupi lanu?
• Kodi mukudwala matenda a impso?
• Kodi muli ndi matenda a chiwindi?
• Kodi muli ndi matenda aliwonse amisala? Izi zikutanthauza matenda monga nkhawa, kuvutika maganizo, kapena kusokonezeka maganizo.
• Kodi mudadwalapo sitiroko kale?
• Kodi munayamba mwaganizapo, mwakonzapo, kapena kuyesera kudzipha? Kapena kodi pali aliyense m'banja mwanu amene anachitapo zimenezo? Iyi ndi nkhani yovuta kwambiri, koma ndikofunikira kuuza dokotala wanu .
• Kodi mwagwiritsa ntchito mankhwala omwe ali m'gulu la mankhwala otchedwa `MAOI` (kutanthauza, Monoamine Oxidase Inhibitors - mwachitsanzo, Carbex, Eldepryl, Marplan, Nardil, Parnate) m'masabata awiri apitawa?
• Kodi muli ndi vuto la ziwengo chifukwa cha St. John's Wort, zitsamba zina, zomera, mankhwala ena, zakudya, mitundu yopangira, kapena zosungira?
• Kodi muli ndi pakati panopa kapena mukuyembekezera kutenga pakati posachedwa?
• Kodi ndinu mayi woyamwitsa?

Ndikofunikira kwambiri kuti mukhale otetezeka kulankhula ndi dokotala wanu za zinthu izi, mukumvetsa?

Kodi ndiyenera kugwiritsa ntchito bwanji mankhwalawa?

Chabwino, tiyeni tiwone momwe tingagwiritsire ntchito izi. `St. John's Wort` nthawi zambiri imabwera ngati piritsi kapena kapisozi yomwe mumamwa.

• Mukamwa izi, imwani ndi kapu ya madzi.
• Muyenera kuwerenga malangizo omwe ali pa phukusi mosamala ndikuwatsatira moyenera. Apo ayi, funsani dokotala wanu kapena wamankhwala kuti mudziwe zambiri.
• Imwani mankhwala anu panthawi yoyenera, muyeso woyenera. Musamwe mankhwala ochulukirapo kuposa momwe dokotala wanu wanenera, sichoncho? Zimenezo zingayambitse mavuto osafunikira.

Ngati mukupereka izi kwa ana aang'ono, lankhulani ndi gulu lanu lachipatala za izi. Chisamaliro chapadera chingafunike.

Ngati mukuganiza kuti mwamwa mopitirira muyeso mwangozi, musachite mantha ndipo nthawi yomweyo imbani Poison Control Center kapena chipinda chadzidzidzi cha chipatala chapafupi. Izi ndizofunikira kwambiri, chifukwa kumwa mopitirira muyeso kungakhale koopsa.

Kumbukirani izi: Mankhwalawa ndi a inu nokha. Musapatse mnzanu kapena wachibale wanu amene ali ndi zizindikiro zofanana ndi zanu. Thupi la aliyense ndi thanzi lake ndi zosiyana.

Kodi mungachite chiyani ngati mwaphonya mlingo wa mankhwala?

Tangoganizani kuti munayiwala kumwa mankhwala anu kamodzi. Ngati zimenezo zitachitika, musadandaule.

• Imwani mlingo womwe mwaphonya mwamsanga mukangokumbukira.
• Komabe, ngati nthawi yoti mutenge mlingo wotsatira ili pafupi kwambiri ndi nthawi yomwe mwakumbukira, dumphani mlingo womwe mwaphonya ndikumwa mlingo wotsatira panthawi yomwe mwakonza.
• Musamwe mankhwala awiri nthawi imodzi pazifukwa zilizonse. Izi zimawonjezera chiopsezo cha zotsatirapo zoyipa.

Kodi izi zimagwirizana ndi mankhwala ena? Izi ndizofunikira kwambiri!

Apa ndi pamene muyenera kusamala kwambiri. St. John's Wort imatha kuyanjana ndi mankhwala ena. Chifukwa chake, ngati mukumwa mankhwala ena, zitsamba, mavitamini, kapena zowonjezera, ndikofunikira kwambiri kuuza dokotala wanu za mankhwalawa.

Musagwiritse ntchito `St. John's Wort` pamodzi ndi mankhwala awa:

• Mankhwala otchedwa `MAOI` (zitsanzo: Carbex, Eldepryl, Marplan, Nardil, Parnate)
• Methylene blue, mankhwala obayidwa mumtsempha

Kuphatikiza apo, St. John's Wort ingagwirizane ndi mankhwala ndi zinthu zotsatirazi:

• Mowa
• Amiodarone (mankhwala a matenda a mtima)
• Amphetamines (yogwiritsidwa ntchito pa matenda ena amisala ndi mitsempha)
• Aspirin ndi mankhwala ofanana ndi a aspirin (monga Diclofenac, Ibuprofen)
• `Bosentan` (mankhwala ochizira kuthamanga kwa magazi m'mapapo)
• Mankhwala ena ochizira kuvutika maganizo, nkhawa, kapena matenda ena amisala (monga SSRIs monga Fluoxetine ndi Sertraline)
• Mankhwala ena omwe amagwiritsidwa ntchito pa mutu wa mutu waching'alang'ala (monga ma triptan monga almotriptan, eletriptan, frovatriptan, naratriptan, rizatriptan, sumatriptan, zolmitriptan)
• Cyclosporine (mankhwala ogwiritsidwa ntchito polamulira chitetezo cha mthupi)
• `Digoxin` (mankhwala a matenda a mtima)
• Mahomoni achikazi, monga ma estrogen ndi ma progestin, ndi mapiritsi oletsa kubereka - St. John's Wort amatha kuchepetsa mphamvu ya mapiritsi oletsa kubereka, kotero mungafunike kuganizira njira ina yolerera.
• `Irinotecan` (mankhwala oletsa khansa)
• `Linezolid` (mankhwala opha tizilombo toyambitsa matenda)
• `Lithium` (mankhwala ogwiritsidwa ntchito pa matenda amisala monga bipolar)
• Mankhwala osiyanasiyana a kuthamanga kwa magazi ndi matenda a mtima
• Mankhwala opatsirana ndi kachilombo ka HIV (monga Protease inhibitors, Non-nucleoside reverse transcriptase inhibitors)
• Mankhwala ochepetsa ululu panthawi ya opaleshoni
• `NSAIDs` (mankhwala ochepetsa ululu ndi oletsa kutupa, monga ibuprofen, naproxen)
• `Procarbazine` (mankhwala oletsa khansa)
• `Rasagiline` (mankhwala a matenda a Parkinson)
• Sirolimus, Tacrolimus (mankhwala owongolera chitetezo chamthupi)
• `Suninib` (mankhwala oletsa khansa)
• `Theophylline` (mankhwala ogwiritsidwa ntchito pa matenda opumira monga mphumu)
• `Tramadol` (mankhwala ochepetsa ululu)
• Tryptophan (amino acid, nthawi zina imatengedwa ngati chowonjezera pa tulo ndi malingaliro)
• Warfarin (mankhwala omwe amaletsa magazi kuundana) - St. John's Wort ingasinthe momwe Warfarin imagwirira ntchito. Izi ndi zoopsa.

Mndandandawu sunathe. Pakhoza kukhala mankhwala ena. Ndicho chifukwa chake tikukulimbikitsani kuti muuze dokotala wanu za mankhwala onse omwe mumamwa, kuphatikizapo mankhwala azitsamba, mankhwala osaperekedwa ndi dokotala, ndi zowonjezera zakudya. Onetsetsani kuti mwauza dokotala wanu ngati mumasuta fodya, kumwa mowa, kapena kugwiritsa ntchito mankhwala osokoneza bongo. Zonsezi zingakhudze mankhwala anu.

Ndi chiyani china chomwe ndiyenera kusamala nacho ndikamagwiritsira ntchito `St. John's Wort`?

Mukagwiritsa ntchito `St. John's Wort`, pali zinthu zina zomwe muyenera kusamala nazo.

• Chithandizo cha Thanzi la Maganizo: Ngati mukulandira kale chithandizo cha nkhawa, kuvutika maganizo, kapena vuto lina la maganizo, muyenera kugwiritsa ntchito chowonjezera ichi motsatira malangizo a dokotala wanu. Izi zitha kusokoneza njira zina zochiritsira. Ngati zizindikiro zanu sizikusintha kapena kuipiraipira, pitani kwa dokotala nthawi yomweyo.
• Kumva ku dzuwa: Mankhwalawa angapangitse khungu lanu kukhala losamva ku dzuwa. Izi zikutanthauza kuti mungapse mosavuta, kufiira, kapena kutupa mosavuta. Choncho, chepetsani kukhudzana ndi dzuwa masana momwe mungathere. Ngati muyenera kutuluka padzuwa, valani zovala zophimba khungu lanu bwino, valani chipewa, ndipo gwiritsani ntchito mafuta abwino oteteza khungu ku dzuwa (osachepera SPF 30). Si bwino kugwiritsa ntchito nyali za dzuwa kapena malo opaka utoto.
• Opaleshoni ndi chithandizo cha mano:Ngati mukuchita opaleshoni ya mano kapena ya dokotala, uzani gulu lanu lachipatala pasadakhale kuti mukumwa St. John's Wort. Angakulimbikitseni kuti musiye kumwa mankhwala owonjezera masiku angapo opaleshoni isanachitike.
• Pakamwa pouma: Anthu ena amatha kuuma pakamwa akamamwa mankhwalawa. Ngati izi zitachitika, mutha kuchepetsa vutoli mwa kutafuna chingamu chopanda shuga, kuyamwa maswiti olimba opanda shuga, komanso kumwa madzi ambiri tsiku lonse. Komabe, ngati vutoli likupitirira kapena ndi lalikulu, lankhulani ndi dokotala wanu .

Chidziwitso chapadera chokhudza zowonjezera zitsamba

Nayi chinthu china choyenera kukumbukira: Zakudya zowonjezera zitsamba kapena zakudya sizimalamulidwa mokwanira monga momwe timagulira ku pharmacy. Izi zikutanthauza kuti, miyezo yokhwima yowongolera khalidwe si nthawi zonse yofunikira.

• Kuyera ndi mphamvu za zinthuzi zimatha kusiyana kuchokera pa phukusi limodzi kupita ku lina, komanso kuchokera ku mtundu wina kupita ku wina.
• Chitetezo ndi kugwira ntchito kwa chakudya chowonjezera ichi pa matenda enaake sizinatsimikizidwe mwasayansi.
• Mankhwalawa sanapangidwe kuti azindikire, kuchiza, kuchiritsa, kapena kupewa matenda aliwonse.

Mabungwe monga US Food and Drug Administration (FDA) amapereka malangizo awa kuti athandize ogula kudziteteza:

• Nthawi zonse werengani zilembo za mankhwala mosamala ndipo tsatirani malangizo molondola.
• Kungoti chinthu china chalembedwa kuti "chachilengedwe" sizikutanthauza kuti ndi chotetezeka kwa anthu kugwiritsa ntchito. Ngakhale zinthu zina zachilengedwe zingakhale zovulaza.
• Ngati n'kotheka, yang'anani zinthu zomwe zili ndi `USP` (United States Pharmacopeia) pambuyo pa dzina la chosakaniza. Izi zingakupatseni lingaliro la muyezo.
• Zakudya zowonjezera zopangidwa kapena kugulitsidwa ndi kampani yodalirika komanso yodziwika bwino ya chakudya kapena mankhwala m'dziko lonselo zimakhala zosavuta kupangidwa motsogozedwa ndi malamulo okhwima.

Kodi zotsatirapo zake zingakhale zotani chifukwa cha St. John's Wort?

Chabwino, tsopano tiyeni tiwone zotsatira zake. Si aliyense amene amalandira zotsatira zake, koma ena amalandira.

Ngati chinthu chonga ichi chichitika, muyenera kupita kwa dokotala wanu kapena kuchipatala chapafupi mwamsanga:

• Matenda a ziwengo: Izi zitha kukhala zadzidzidzi. Zizindikiro zake ndi izi:
• Zilonda za pakhungu, zofanana ndi eczema
• Kuyabwa
• Zilonda (zazikulu, zofiira, zotupa, zotupa zoyabwa)
• Kutupa kwa nkhope, milomo, lilime, kapena pakhosi (izi zingayambitse kupuma movutikira)

Palinso zotsatirapo zina zomwe nthawi zambiri sizimakhala zoopsa, koma muyenera kuuza dokotala wanu ngati zikupitirira kapena zikukuvutitsani:

• Kusintha kulikonse kwa chilakolako chogonana kapena zochita zogonana (kungakhale kuchepa kapena kuwonjezeka)
• Chizungulire
• Pakamwa pouma
• Mutu
• Kumva kukhudza kuwala - Monga tanenera kale, mavuto a khungu amapezeka pamene kuwala kwa dzuwa kukuwonekera.
• Kupweteka m'mimba, kudzimbidwa, nseru, ndi zina zotero.

Mndandandawu sungakhale ndi zotsatirapo zonse zomwe zingachitike. Ngati mukukumana ndi vuto lililonse lachilendo, lankhulani ndi dokotala wanu za vutoli.

Kodi ndiyenera kusunga bwanji mankhwalawa?

Ndikofunikanso kusunga mankhwala awa moyenera.

• Nthawi zonse isungeni kutali ndi ana komanso kutali ndi iwo.
• Sungani kutentha kwa chipinda (pakati pa madigiri 15 ndi 30 Celsius, kapena madigiri 59 ndi 86 Fahrenheit). Kapena, ngati chizindikiro cha phukusi chimalimbikitsa kutentha kosungira, tsatirani zimenezo.
• Tetezani ku chinyezi. Izi zikutanthauza kuti musasunge m'malo onyowa monga m'bafa.
• Tayani mankhwala aliwonse omwe atha ntchito.

Dziwani: Nkhaniyi ikufotokoza mwachidule za St. John's Wort. Siili ndi tsatanetsatane wonse. Ngati muli ndi mafunso ena okhudza mankhwalawa, chonde lankhulani ndi dokotala wanu, wamankhwala, kapena wothandizira zaumoyo wina.

Ndiye, kodi mauthenga oti tikambirane ndi ati?

`St. John's Wort` ndi mankhwala owonjezera omwe anthu ena amagwiritsa ntchito pochiza matenda ena amisala ndi thupi. Komabe, muyenera kulankhula ndi dokotala musanagwiritse ntchito. Izi ndizofunikira kwambiri. Chifukwa zimatha kusokoneza, kapena "kusokoneza," matenda ena omwe muli nawo kapena mankhwala ena omwe mukumwa. Ngati ndi choncho, zitha kuvulaza kwambiri kuposa zabwino.

Sizinthu zonse zomwe zili ndi mawu akuti "zachilengedwe" pa chizindikirocho zomwe zili zotetezeka kwa aliyense. Choncho, werengani chizindikirocho mosamala, tsatirani malangizo a dokotala wanu molondola, ndipo musagwiritse ntchito zinthu zomwe ena amakuuzani kuti ndi zotetezeka.

Komanso, mankhwala owonjezera ngati awa si mankhwala ochiritsa mozizwitsa. Ngati zizindikiro zanu sizikusintha, kapena zikakula kwambiri, pitani kwa dokotala nthawi yomweyo. Chinthu chabwino kwambiri chomwe mungachite ndikudziwa bwino komanso kukhala ndi udindo popanga zisankho zokhudzana ndi thanzi lanu. Khalani ndi thanzi labwino!

Wort wa St. John, thanzi la maganizo, zitsamba, zowonjezera, zotsatirapo zake, zotsatira za mankhwala