Cov txiaj ntsim tau zoo thiab Kev Phom sij ntawm St. John's Wort rau Me Nyuam Yaus
Yog tias koj tus menyuam tau raug kuaj pom muaj kev ntxhov siab lossis muaj cov cim lossis cov tsos mob ntawm kev nyuaj siab thaum yau , koj yuav xav tias seb cov tshuaj ntsuab St John's wort tej zaum yuav haum rau nws. Dab tsi ua rau peb paub txog kev ua tau zoo thiab kev nyab xeeb ntawm St. John lub tsho tsam hauv kev kho me nyuam kev nyuab siab ?
Dab tsi yog St. John lub Wort?
St. John lub wort yog tshuaj ntsuab ntawm cov tshuaj tua kab khw tseem hu ua Hypericum perforatum .
Nws kuj yog hu ua Klamath weed, hypericum, thiab goatweed. Cov neeg tau qhia txog siv St. John wort rau ntau yam kev mob tshwm sim thiab mob xws li, kev nyuaj siab, mob paj hlwb, teeb meem pw tsaug zog thiab ntxhov siab. John John wort twb tau kawm txog kev kho cov neeg mob siab tsis zoo nyob rau hauv cov menyuam yaus, txawm tias cov kev tshawb fawb tsis ntev los no qhia tau tias nws tsis muaj txiaj ntsig thaum siv los ua li no.
Qhov no flowering nroj tsuag tsis tsuas yog siv rau ntau lub hom phiaj tab sis yog muaj nyob rau hauv ntau yam ntawm cov ntaub ntawv. Cov extract yog muaj nyob ib leeg los yog ua ke nrog lwm cov tshuaj xws li cov khoom noj haus ntxiv hauv cov ntsiav tshuaj, ntsiav tshuaj, kua, los yog cov ntaub ntawv pleev, thiab cov paj saum toj yuav siv tau hauv cov tshuaj yej.
Puas yog St. John lub Wort Tsim nyog rau Kuv Tus Me Nyuam Kev Nyuaj Siab?
Raws li lub National Center for Complementary thiab Alternative Medicine, St. John lub tsho cawm siav tsis yog ib qho pov thawj uas pab tau zoo rau kev nyuaj siab. Txawm li cas los xij, muaj cov kev tshawb fawb pom tau tias nws yuav ua rau kev kho mob ntawm cov neeg muaj mob depressive rau cov neeg laus thaum piv rau cov placebo thiab thaum piv rau cov tshuaj noj tshuaj xws li Zoloft (sertraline.) Muab los rau tag nrho, thaum siv tau zoo.
John's wort zoo nkaus li ua rau cov neeg ua haujlwm tsis zoo (xws li Prozac, Zoloft, Celexa, Zoloft, thiab lwm tus) uas zoo rau kev ua haujlwm zoo thiab kev nyab xeeb rau kev kho kev nyuaj siab rau cov laus.
Cov kev tshawb fawb siv St John's wort hauv kev kho thaum yau kev nyuab siab, hauv kev sib piv, muaj tsawg.
Ib txoj kev tshawb nrhiav 2005 tau pom hais tias St. Johns wort tau ua haujlwm zoo thiab yuav pab tau rau cov hluas thaum muaj kev nyuab siab me ntsis. Ib xyoo 2003 txoj kev tshawb xyuas cov tub hluas uas muaj hnub nyoog 6 txog 16 xyoo pom tau hais tias 25 ntawm 33 leej ntawm cov menyuam no tau ntsib cov lus teb tom qab 8 lub lim tiam ntawm kev kho mob nrog St. John's wort (feem ntau yog titrated txog 900 mg txhua hnub) thiab tau ua zoo rau.
Cov kev tshawb fawb rau cov neeg laus tuaj yeem muab rau peb qee cov kev qhia txog kev noj tshuaj los yog cov nyiaj pab ntxiv rau cov menyuam yaus, tab sis qhov no tsis yog txhua zaus. Cov me nyuam tsis yog cov neeg laus me me xwb uas yuav xav tau cov tshuaj qis dua.
Ib qho piv txwv qhia txog qhov kev txhawj xeeb no yog kev siv cov tshuaj antidepressant tshuaj rau cov menyuam yaus. Tej zaum muaj kev txaus ntshai ntawm kev siv qee yam tshuaj tua kabmob hauv cov neeg tsis tau muaj hnub nyoog 25 xyoos yog tias lawv yuav ua rau kev xav phem lossis kev coj tus cwj pwm . Cov nyhuv sab no tsis tshua tseem ceeb tab sis tseem ceeb txaus rau FDA los muab cov lus ceeb toom rau cov tshuaj antidepressants. Peb tsis muaj cov ntaub ntawv hais txog seb John John wort tej zaum yuav muaj kev txhawj xeeb tib yam, tab sis txij li thaum John John wort tej zaum yuav hloov cov neurotransmitters hauv lub hlwb zoo li cov tshuaj antidepressant, nws yog ib qho lus nug uas nug.
Txawm hais tias muaj kev pheej hmoo siab, kev txhawj xeeb ntawm kev nyuaj siab ib leeg yog txuam nrog kev pheej hmoo siab ntawm kev tua tus kheej, thiab cov niam txiv uas xav tias lawv tus me nyuam muaj kev nyuaj siab yuav tsum paub txog cov kev ceeb toom ntawm kev tua tus kheej .
Kev Sib Tham Tshuaj Kho Mob Nrog St. John's Worts
St. John lub wort muaj peev xwm mus koom nrog ntau cov tshuaj siv. Qhov no tau tshwm sim rau xyoo 2000 thaum FDA tau tawm tswv yim txog kev noj qab haus huv txog cov kev sib tham no. Vim nws cov nyhuv ntawm cov kua thev hauv lub siab, St. John's wort tej zaum yuav txo cov theem (thiab cov txiaj ntsim) ntawm qee cov tshuaj los sis ntxiv rau theem nce kev pheej hmoo ntawm toxicity. Txawm hais tias qee qhov kev sib txuam no yuav yog me lossis tsis txaus ntshai, nws paub tias muaj kev phom sij thiab lub neej txoj sia yuav thaum St John's wort nrog qee cov tshuaj.
Cov tshuaj uas yuav muaj kev cuam tshuam nrog St. John's wort muaj xws li:
- Qee cov tshuaj tua kab mob antidepressants (combining St. John's wort nrog serotonin reuptake inhibitors yuav ua tau rau cov kab mob serotonin syndrome )
- Ib co hnoos thiab txias ua noj
- Cov tshuaj tiv thaiv kev noj qab haus huv hauv lub cev (cov tshuaj tiv thaiv kom tsis txhob muaj menyuam yaus)
- Qee cov tshuaj qaug dab peg
- Qee cov tshuaj siv los kho khees xawj
- Qee cov ntshav thimer xws li Coumadin (warfarin)
- Qee cov tshuaj siv rau kab mob plawv xws li digoxin
- Qee cov tshuaj siv los txo qhov kev pheej hmoo ntawm hloov caj ceg hloov cev
- Qee cov tshuaj tua kab mob
- Qee cov tshuaj HIV xws li indinavir thiab nevirapine
- Qee yam tshuaj ntsuab thiab tshuaj noj haus
Yog tias koj xav tau kev siv ntawm St. John lub tsho me nyuam rau koj tus menyuam, nws tseem ceeb uas koj nrog koj tus kws kho mob lossis tus kws kho mob txog tus kws kho mob tham txog txhua yam tshuaj, tshuaj ntsuab, cov tshuaj yuav tom khw, los yog cov vitamins uas koj tus menyuam noj.
Qhov Teebmeem Phem Nrog St. John Wort
Nws yog qee zaum xav tias cov tshuaj ntsuab muaj "kev ruaj ntseg" los yog lawv tsis muaj kev phom sij vim lawv "natural." Qhov no tsis muaj tseeb, thiab kev npaj tshuaj ntsuab yuav ua rau muaj kev pheej hmoo ntawm qhov kev phom sij xws li tshuaj siv tshuaj. Qhov tseeb tias St. John wort yog "cog raws li" tau coj qee leej neeg xav tias cov khoom no muaj kev nyab xeeb thiab tseem ceeb heev uas yuav tsum nco ntsoov tias ntau cov tshuaj noj, txawm tias cov ntshav thinners thiab cov kws kho mob khomob, raws li. Feem ntau, cov niam txiv yuav tsum ntsuas cov kev pheej hmoo thiab cov txiaj ntsim ntawm cov khoom siv tshuaj ntsuab ntau heev tib yam nkaus li lawv yuav siv cov tshuaj kws kho mob, tab sis qhov no yog qhov yooj yim vim cov khoom herbal tsis raug tswj kom zoo li qub, yam tsawg kawg hauv Tebchaws Asmeskas.
Cov kev mob tshwm sim ntawm St. John lub tsho muaj xws li tshav ntuj, qhov ncauj qhuav, kiv taub hau, mob plab, qaug zog, mob taub hau, thiab ntxhov siab.
Tham nrog Koj Tus Me Nyuam Yaus Ua Ntej Siv St. Johns Wort rau Koj Tus Menyuam
Ua niam txiv, koj xav nrhiav txoj kev kho mob zoo tshaj plaws thiab zoo rau koj tus menyuam. Yog li tham nrog koj tus menyuam tus kws kho mob lossis tus kws kho hlwb txog St. Johns wort ua ntej muab rau nws. Tus kws kho mob tuaj yeem sib tham txog cov kev pheej hmoo thiab cov txiaj ntsim thiab txiav txim siab txog cov kev kho mob zoo tshaj plaws rau koj tus me nyuam qhov xwm txheej.
Yog tias koj tsis paub tseeb yog tias koj tus menyuam cov tsos mob tshwm sim los ntawm kev nyuaj siab , koj tus menyuam puas tshuaj ntsuam los ntawm nws tus kws kho mob, tus kws kho mob rau tus menyuam lossis lwm tus kws paub txog kev noj qab haus huv hauv hlwb ua ntej nws sim kho tej yam ntuj tso. Ntawm qee qhov kev txhawj xeeb yog tias cov kws kho mob feem ntau (tshwj tsis yog nyob rau hauv lub teb chaws Yelemees) pom zoo kom St. John's wort tsuas yog tsis ncav thiab tej zaum yuav tsis paub nrog ob qho txiaj ntsim zoo thiab kev pheej hmoo. Ntxiv rau qhov kev txhawj xeeb no yog hais tias muaj coob tus neeg tsis qhia lawv cov kev siv no ntxiv rau lawv tus kws kho mob. Kev ceeb toom txog kev siv tshuaj yeeb dej cawv saum toj no, qhov no yog hais txog tsis yog thaum nws tawm los mus rau qhov kev tswj kev nyuaj siab, tab sis vim muaj kev sib hloov tshuaj.
Qhov tseem ceeb ntawm kev hais txog kev nyuaj siab thaum yau
Thaum St. Johns wort yuav ua tau lossis tsis tsim nyog rau koj tus menyuam, koj twb tau ua ib ntus loj thiab tseem ceeb rau kev txiav txim siab muaj kev ntxhov siab nyob hauv koj tus menyuam. Kev nyuab siab tsis yog cov me nyuam yaus thiab yog ib qho mob loj heev.
Kev nyuaj siab thaum me nyuam yaus nyuaj siab yuav ua rau tus me nyuam yaus nyuaj siab, thiab cov kev ceeb toom kev nyuab siab ntawm cov me nyuam yaus tsis raug lees paub txhua lub sijhawm. From shyness siab heev rau kev npau taws, ntau tus niam txiv yuav tau xav txog lawv txoj kev coj tus cwj pwm tsis muaj kev nyuaj siab.
Yog koj ntseeg tias koj tus menyuam muaj kev nyuaj siab, tham nrog koj tus menyuam. Kawm ntxiv txog kev siv cov tshuaj los kho kev nyuaj siab rau me nyuam yaus , thiab qhov no qee zaum txawv dua li cov neeg laus. Txoj kev kho zoo tshaj plaws rau thaum yau kev nyuab siab, tab sis, ntau tshaj qhov nrhiav tau cov tshuaj yeeb los yog ntxiv. Koj tus kws kho mob yuav tsum pab koj lossis xa koj mus rau ib tus kws kho mob uas tuaj yeem ua haujlwm nrog koj los daws koj tus menyuam cov kev mob tshwm sim thiab tsim ib lub tswv yim los pab nws nyob raws li qhov ua tau.
> Qhov chaw:
> Forsdike, K., thiab M. Pirotta. St. John lub Wort rau Kev Nyuaj Siab: Scoping Review Txog Kev Pom Zoo thiab Siv Los ntawm General Practitioners nyob rau hauv Cov Kuaj Kho Mob. Phau Ntawv Qhia Tshuaj thiab Tshuaj Phem . 2017 Lub Rau Hli 27. (Epub ua ntej sau).
> National Center for Complementary thiab Integrative Health. St. John lub Wort. Kho tshiab lub Cuaj Hlis 2016. https://nccih.nih.gov/health/stjohnswort/ataglance.htm
> Ng, Q., Venkatanarayanan, N., thiab C. Ho. Kev Siv Tshuaj Siv Hypericum Perforatum (St. John's Wort) hauv Kev Nyuaj Siab: Ib Meta-Analysis. Phau Ntawv Txheeb Txog Kev Xiam Hlwb . 2017. 210: 211-221.