Ingabe uyayisebenzisa futhi i-St. John's Wort? Kubaluleke kakhulu ukwazi lezi zinto!

Cishe uke wezwa ngalo muthi obizwa ngokuthi i-St. John's Wort? Abanye abantu bawusebenzisela izinto ezifana nokucindezeleka, abanye basebenzisela izimo ezifana ne-ADHD (Attention-deficit hyperactivity disorder), i-OCD (Obsessive-compulsive disorder), izimo zesikhumba, kanye nezimpawu zokunqamuka kokuya esikhathini. Kodwa kubalulekile ukukhumbula ukuthi lokhu akuyona ikhambi, ukwelashwa, noma ukuvimbela noma yisiphi isifo. Kubhekwa njengesithasiselo samakhambi.

Yiziphi izinto okufanele uzitshele udokotela wakho ngaphambi kokuthatha i-'St. John's Wort'?

Kulungile, manje uma ucabanga ukusebenzisa le 'St. John's Wort', kunezinto ezimbalwa okudingeka uzitshele udokotela wakho noma usokhemisi kuqala. Ngoba, akuzona zonke izinto ezisebenzela wonke umuntu. Badinga ukwazi ukuthi unezinkinga zempilo ezifana nalezi. Bheka lolu hlu:

• Ingabe unenkinga yokopha, okusho ukuthi igazi lakho alivali kalula?
• Unesifo senhliziyo?
• Ingabe unaso isifo somfutho wegazi ophakeme?
• Ingabe une-'HIV' noma 'AIDS'?
• Ingabe kukhona ubuthakathaka noma inkinga ohlelweni lokuzivikela lomzimba wakho?
• Ingabe unesifo sezinso?
• Unesifo sesibindi?
• Ingabe unesifo sengqondo? Lokho kusho izimo ezifana nokukhathazeka, ukucindezeleka, noma ukusangana.
• Wake waba nesifo sohlangothi ngaphambili?
• Wake waba nemicabango, amacebo, noma imizamo yokuzibulala? Noma ukhona yini emndenini wakho owake wakwenza lokho? Lesi yisihloko esibucayi kakhulu, kodwa kubalulekile ukutshela udokotela wakho .
• Uke wasebenzisa umuthi eqenjini lemithi ebizwa ngokuthi i-'MAOI' (okungukuthi, i-Monoamine Oxidase Inhibitors - isibonelo, i-Carbex, i-Eldepryl, i-Marplan, i-Nardil, i-Parnate) emasontweni amabili edlule?
• Ingabe une-allergy ku-St. John's Wort, amanye amakhambi, izitshalo, eminye imithi, ukudla, imibala yokwenziwa, noma izilondolozi?
• Ingabe ukhulelwe njengamanje noma unethemba lokukhulelwa maduze nje?
• Ingabe ungumama oncelisayo?

Kubaluleke kakhulu ukuze uphephe ukukhuluma nodokotela wakho ngalezi zinto, uyaqonda?

Ngingawusebenzisa kanjani lo muthi?

Kulungile, ake sibone ukuthi singayisebenzisa kanjani le nto. I-`St. John's Wort` ivame ukuza ngesimo sephilisi noma i-capsule oyiphuza ngomlomo.

• Uma uphuza lokhu, phuza nengilazi yamanzi.
• Kufanele ufunde imiyalelo esephaketheni ngokucophelela bese uyilandela ngokufanele. Ngaphandle kwalokho, cela udokotela wakho noma usokhemisi ukuze uthole ulwazi olwengeziwe.
• Phuza imithi yakho ngesikhathi esifanele, ngenani elifanele. Ungalokothi uthathe okungaphezu kwalokho udokotela wakho akutshele kona, akunjalo? Lokho kungabangela izinkinga ezingadingekile.

Uma unikeza lokhu izingane ezincane, khuluma nethimba lakho lezokwelapha ngakho. Kungadingeka ukunakekelwa okukhethekile.

Uma ucabanga ukuthi uphuze kakhulu ngengozi lokhu, ungesabi futhi ngokushesha shayela i-Poison Control Center noma igumbi lezimo eziphuthumayo esibhedlela. Lokhu kubaluleke kakhulu, njengoba uphuze kakhulu kungaba yingozi.

Khumbula lokhu: Lo muthi ungowakho kuphela. Ungawuniki umngane noma ilungu lomndeni elinezimpawu ezifanayo nezakho. Umzimba nempilo yomuntu wonke kuhlukile.

Yini okufanele uyenze uma uphuthelwa umthamo wemithi?

Manje ake ucabange ukuthi ukhohliwe ukuphuza umuthi wakho kanye. Uma lokho kwenzeka, ungakhathazeki.

• Thatha umthamo ophuthelwe ngokushesha nje lapho ukhumbula.
• Kodwa-ke, uma kuseduze kakhulu nesikhathi somthamo wakho olandelayo uma ukhumbula, yeqa umthamo ophuthelwe bese uthatha umthamo olandelayo ngesikhathi esihleliwe.
• Ungathathi imithamo emibili yemithi ngesikhathi esisodwa nganoma yisiphi isizathu. Lokhu kwandisa ingozi yemiphumela emibi.

Ingabe lokhu kuyasebenzisana neminye imithi? Lokhu kubaluleke kakhulu!

Yilapho okudingeka uqaphele khona kakhulu. I-St. John's Wort ingasebenzisana neminye imithi. Ngakho-ke, uma uthatha eminye imithi, amakhambi, amavithamini, noma izithasiselo, kubaluleke kakhulu ukutshela udokotela wakho ngazo.

Ungasebenzisi i-`St. John's Wort` nale mithi:

• Imithi ebizwa ngokuthi `MAOI` (izibonelo: Carbex, Eldepryl, Marplan, Nardil, Parnate)
• I-Methylene blue, umuthi ofakwe emthanjeni

Ngaphezu kwalokho, i-St. John's Wort ingasebenzisana nemithi nezinto ezilandelayo:

• Utshwala
• I-Amiodarone (umuthi wesifo senhliziyo)
• Ama-amphetamine (asetshenziselwa ezinye izifo zengqondo nezezinzwa)
• I-aspirini kanye nemithi efana ne-aspirin (isib. i-Diclofenac, i-Ibuprofen)
• `Bosentan` (umuthi womfutho wegazi ophezulu wamaphaphu)
• Eminye imithi yokucindezeleka, ukukhathazeka, noma ezinye izifo zengqondo (isb., ama-SSRI afana ne-Fluoxetine ne-Sertraline)
• Eminye imithi esetshenziselwa ikhanda elibuhlungu (isib., ama-triptan afana ne-almotriptan, i-eletriptan, i-frovatriptan, i-naratriptan, i-rizatriptan, i-sumatriptan, i-zolmitriptan)
• I-Cyclosporine (umuthi osetshenziswa ukulawula amasosha omzimba)
• `Digoxin` (umuthi wesifo senhliziyo)
• Ama-hormone abesifazane, njenge-estrogens nama-progestin, kanye namaphilisi okulawula inzalo - i-St. John's Wort anganciphisa ukusebenza kwamaphilisi okulawula inzalo, ngakho-ke kungadingeka ucabangele enye indlela yokulawula inzalo.
• `Irinotecan` (umuthi wokulwa nomdlavuza)
• `I-Linezolid` (i-antibiotic)
• `I-Lithium` (umuthi osetshenziselwa izifo zengqondo ezifana ne-bipolar)
• Imithi ehlukahlukene yokwelapha umfutho wegazi kanye nesifo senhliziyo
• Imithi yokutheleleka nge-HIV (isib. Ama-Protease inhibitors, ama-Non-nucleoside reverse transcriptase inhibitors)
• Ama-sedative ngesikhathi sokuhlinzwa
• `Ama-NSAID` (iziqeda-zinhlungu kanye nemithi yokulwa nokuvuvukala, isib. i-ibuprofen, i-naproxen)
• `I-Procarbazine` (umuthi wokulwa nomdlavuza)
• `Rasagiline` (umuthi wesifo sikaParkinson)
• I-Sirolimus, i-Tacrolimus (imithi yokulawula amasosha omzimba)
• `Suninib` (umuthi wokulwa nomdlavuza)
• `Theophylline` (umuthi osetshenziselwa izifo zokuphefumula ezifana ne-asthma)
• `Tramadol` (umuthi wokuqeda izinhlungu)
• I-Tryptophan (i-amino acid, ngezinye izikhathi ethathwa njengesengezo sokulala kanye nesimo sengqondo)
• I-Warfarin (umuthi ovimbela ukujiya kwegazi) - I-St. John's Wort ingashintsha indlela i-Warfarin esebenza ngayo. Lokhu kuyingozi.

Lolu hlu aluphelele. Kungase kube neminye imithi. Yingakho sincoma ukuthi utshele udokotela wakho ngayo yonke imithi oyithathayo, okuhlanganisa imithi yamakhambi, imithi engagunyaziwe ngudokotela, kanye nezithasiselo zokudla. Qiniseka ukuthi utshela udokotela wakho uma ubhema, uphuza utshwala, noma usebenzisa izidakamizwa ezingekho emthethweni. Konke lokhu kungathintana nemithi yakho.

Yini enye okufanele ngiyiqaphele uma ngisebenzisa i-`St. John's Wort`?

Uma usebenzisa i-`St. John's Wort`, kunezinto ezimbalwa okudingeka uziqaphele.

• Ukwelashwa Kwempilo Yengqondo: Uma usuvele welashwa ngenxa yokukhathazeka, ukucindezeleka, noma esinye isimo sengqondo, kufanele usebenzise lesi sithasiselo kuphela ngaphansi kweseluleko sikadokotela wakho. Lokhu kungaphazamisana nezinye izindlela zakho zokwelapha. Uma izimpawu zakho zingathuthuki noma zingabi zimbi kakhulu, bona udokotela wakho ngokushesha.
• Ukuzwela elangeni: Lo muthi ungenza isikhumba sakho sizwele elangeni. Lokhu kusho ukuthi ungasha kalula, ube bomvu, noma ube namabala kalula. Ngakho-ke, nciphisa ukuchayeka kwakho elangeni emini ngangokunokwenzeka. Uma kufanele uphume elangeni, gqoka izingubo ezimboza isikhumba sakho kahle, gqoka isigqoko, bese usebenzisa umuthi omuhle wokuvikela ilanga (okungenani i-SPF 30). Akuwona umqondo omuhle ukusebenzisa izibani zelanga noma imibhede/amadokodo okushiswa kwesikhumba.
• Ukuhlinzwa kanye nokwelashwa kwamazinyo:Uma unezinqubo zezokwelapha noma zamazinyo, tshela ithimba lakho lezempilo kusenesikhathi ukuthi uthatha i-St. John's Wort. Bangase bakucebise ukuthi uyeke ukuthatha lesi sithasiselo ezinsukwini ezimbalwa ngaphambi kwenqubo.
• Umlomo owomile: Abanye abantu bangase babe nomlomo owomile ngenkathi bethatha lo muthi. Uma lokhu kwenzeka, ungasiza ekunciphiseni lokhu ngokuhlafuna i-gum engenashukela, ukumunca amaswidi aqinile angenashukela, nokuphuza amanzi amaningi usuku lonke. Kodwa-ke, uma le nkinga iqhubeka noma inzima, khuluma nodokotela wakho .

Ukwaziswa okukhethekile mayelana nezithasiselo zemithi

Nansi enye into okufanele uyikhumbule: Izithasiselo zezitshalo noma zokudla azilawulwa ngokuqinile njengemithi esiyithenga ekhemisi. Okusho ukuthi, izindinganiso eziqinile zokulawula ikhwalithi aziphoqelelwe ngaso sonke isikhathi.

• Ubumsulwa namandla ale mikhiqizo kungahluka kusuka ephaketheni elilodwa kuya kwelinye, kanye nomkhiqizo owodwa kuya komunye.
• Ukuphepha nokusebenza kahle kwalesi sithasiselo sokudla kunoma yisiphi isifo esithile akukafakazelwa ngokwesayensi.
• Le mikhiqizo ayihloselwe ukuxilonga, ukwelapha, ukwelapha, noma ukuvimbela noma yisiphi isifo.

Izinhlangano ezifana ne-US Food and Drug Administration (FDA) zinikeza lawa macebiso ukusiza abathengi ukuthi bazivikele:

• Funda njalo amalebula omkhiqizo ngokucophelela futhi ulandele imiyalelo ngqo.
• Ukuthi into ethile ibhalwe ngokuthi “yemvelo” akusho ukuthi kuphephile ngokuphelele ukuthi abantu bayisebenzise. Ngisho nezinye izinto zemvelo zingaba yingozi.
• Uma kungenzeka, funa imikhiqizo ene-`USP` (United States Pharmacopeia) ohlwini ngemuva kwegama lesithako. Lokhu kungakunikeza umbono othile ngendinganiso.
• Izithasiselo ezenziwe noma ezithengiswa yinkampani yokudla noma yemithi ethembekile, eqashelwa kuzwelonke cishe zikhiqizwa ngaphansi kokulawulwa okuqinile.

Yimiphi imiphumela emibi engaba khona ye-St. John's Wort?

Kulungile, manje ake sibheke imiphumela emibi engaba khona. Akuwona wonke umuntu othola imiphumela emibi, kodwa abanye abantu bayayithola.

Uma kwenzeka into efana nale, kufanele uye kudokotela wakho noma esibhedlela esiseduze ngokushesha okukhulu:

• Ukusabela kokungezwani komzimba: Lokhu kungaba yisimo esiphuthumayo. Izimpawu zifaka:
• Izilonda zesikhumba, ezifana ne-eczema
• Ukuluma
• Amaqhubu (amaqhubu amakhulu, abomvu, avuvukele, alumayo)
• Ukuvuvukala kobuso, izindebe, ulimi, noma umphimbo (lokhu kungabangela ubunzima bokuphefumula)

Kukhona nemiphumela emibi evame ukungabi yingozi, kodwa kufanele utshele udokotela wakho uma iqhubeka noma ikukhathaza:

• Noma yiluphi ushintsho esifisweni socansi noma emsebenzini wocansi (kungaba ukwehla noma ukwanda)
• Isiyezi
• Umlomo owomile
• Ikhanda elibuhlungu
• Ukuzwela ukukhanya - Njengoba kushiwo ngaphambili, izinkinga zesikhumba zenzeka uma zibekwe elangeni.
• Ubuhlungu besisu, ukuqunjelwa, isicanucanu, njll.

Lolu hlu lungase lungahlanganisi yonke imiphumela emibi engaba khona. Uma uhlangabezana nanoma yini engavamile, khuluma nodokotela wakho ngayo.

Ngingawugcina kanjani lo muthi?

Kubalulekile futhi ukugcina lo muthi ngendlela efanele.

• Gcina njalo kude nezingane futhi kude nazo.
• Gcina ekamelweni lokushisa (phakathi kwama-degree Celsius angu-15 no-30, noma ama-degree Fahrenheit angu-59 no-86). Noma, uma ilebula lephakheji lincoma izinga lokushisa lokugcina, landela lokho.
• Vikela umswakama. Lokho kusho ukuthi ungayigcini ezindaweni ezimanzi njengendlu yokugezela.
• Lahla noma yimuphi umuthi ophelelwe yisikhathi.

Qaphela: Lesi sihloko sinikeza isifinyezo esifushane se-St. John's Wort. Asiqukethe yonke imininingwane. Uma uneminye imibuzo mayelana nalo muthi, sicela ukhulume nodokotela wakho, usokhemisi, noma omunye umhlinzeki wezempilo.

Ngakho-ke, yimiphi imiyalezo okufanele siyithathe ekhaya evela kulokho esixoxe ngakho?

I-`St. John's Wort` iyisengezo semithi abanye abantu abasisebenzisayo ukusiza ngezimo ezithile zengqondo nezomzimba. Kodwa-ke, kufanele ukhulume nodokotela wakho ngaphambi kokuyisebenzisa. Lokhu kubaluleke kakhulu. Ngoba ingasabela, noma "iphazamise," nezinye izimo zezokwelapha onazo noma eminye imithi oyiphuzayo. Uma kunjalo, ingenza umonakalo omkhulu kunokuhle.

Akuyona yonke into ethi "yemvelo" elebula ephephile kuwo wonke umuntu. Ngakho-ke, funda ilebula ngokucophelela, ulandele imiyalelo kadokotela wakho ngqo, futhi ungasebenzisi nje izinto abanye abakutshela ukuthi ziphephile.

Futhi, izithasiselo ezinjengalezi azizona izindlela zokwelapha eziyisimangaliso. Uma izimpawu zakho zingathuthuki, noma ziba zimbi kakhulu, bona udokotela ngokushesha. Into engcono kakhulu ongayenza ukuba nolwazi nomthwalo wemfanelo lapho wenza izinqumo ngempilo yakho. Hlala uphilile!

I- St. John's Wort, impilo yengqondo, amakhambi, izithasiselo, imiphumela emibi, ukusabela kwezidakamizwa