St. John tus Wort Yooj Yim Kev Nyuaj Siab?

Lub paj cog, St. John wort ( Hypericum perforatum ) tau npe vim hais tias lub ci daj daj tau hais kom tawg rau thawj zaug nyob ib ncig ntawm St. John Baptist lub hnub yug. Lo lus "wort" txhais hais tias "cog" nyob rau hauv Askiv Laus.

Vim Li Cas Cov Tib Neeg Siv St. John Wort?

Cov neeg tau siv St. John lub wort rau ntau pua xyoo. Niaj hnub no, cov tshuaj ntsuab feem ntau siv los tswj cov kev mob tshwm sim ntawm kev nyuaj siab, tab sis nws tseem raug tshawb rau cov kev txhawj xeeb nram qab no:

Ib qho roj uas tau los ntawm St. John lub tsho yog siv los kho qhov nqaij thiab kho rau lwm yam mob xws li eczema thiab hemorrhoids.

Cov txiaj ntsig ntawm St John lub Wort

1) Kev nyuaj siab

Txawm hais tias cov txiaj ntsim ntawm St. John wort tseem raug tshawb, tag nrho, cov tim khawv pom tau hais tias St. John lub wort tej zaum yuav zoo dua li cov placebo nyob rau hauv kev ua kom tsis txhob muaj kev nyuab siab me-rau-nrab. Ib xyoo 2015 txoj kev tshawb nrhiav luam tawm hauv Annals of Family Medicine , piv txwv, xyuas seb cov tshuaj tua kab mob puas zoo dua li cov placebo hauv qhov chaw zov me nyuam. Rau qhov kev soj ntsuam, cov kws tshawb fawb tau soj ntsuam txog 66 daim ntawv tshawb fawb yav dhau los (nrog tag nrho ntawm 15,161 tus neeg koom tes) thiab pom hais tias cov tshuaj noj antidepressant thiab St. John lub tsho tawm los kuj zoo dua li cov placebo.

St. John lub wort tau ua rau muaj kev tawm tsam tsawg dua vim tias muaj kev phom sij ntawm cov teebmeem (tricyclic and tetracyclic antidepressants), cov tshuaj serotonin reuptake inhibitors (SSRIs), ib tug noradrenaline reuptake inhibitor (NRI), serotonin-noradrenaline reuptake inhibitor (SNRI; venlafaxine), thiab noradrenergic thiab cov kab mob antidepressant serotonergic (NaSSAs).

2) Kev Nyuaj Siab

Cov kev tshawb fawb tshaj plaws hauv St. John wort thiab kev nyuab siab loj muaj xws li ib daim ntawv qhia luam tawm hauv Cochrane Database ntawm Kev Tshawb Xyuas Kev Tshawb Fawb hauv xyoo 2008. Rau daim ntawv tshaj xo, cov neeg tshawb xyuas tau tshawb xyuas 29 kev tshawb pom yav dhau los (nrog tag nrho 5489 cov neeg koom) uas sib piv cov teebmeem ntawm St.

John's wort rau cov placebo lossis cov tshuaj noj antidepressant rau ib lub sijhawm ntawm 4 mus rau 12 lub lim tiam.

Nyob rau hauv lawv txoj kev xav, txoj kev tshawb fawb sau tau pom tias St. John lub tsho tiv thaiv kab mob yuav zoo dua li cov placebo thiab zoo li cov tshuaj tiv thaiv antidepressants, tab sis cov tshuaj ntsuab tau tshwm sim kom tsawg.

Cov sau phau ntawv tau sau tseg rau hauv lawv txoj kev tshawb nrhiav tias cov kev tshawb fawb tau ua hauv cov teb chaws hais lus German (qhov twg St. John wort muaj keeb kwm ntev siv thiab feem ntau pom zoo los ntawm cov kws kho mob) qhia txog cov txiaj ntsig zoo dua li kev tshawb fawb hauv Tebchaws Meskas thiab lwm lub tebchaws.

Kev Tivthaiv Phem Los thiab Tshuaj Kev Sib Thoob

St. John's wort tau muag cov khw muag tshuaj, khw muag khoom noj, thiab cov khw muag khoom noj haus huv, uas yuav ua rau koj ntseeg tias nws muaj kev nyab xeeb, tab sis cov tshuaj ntsuab muaj feem xyuam nrog ntau cov tshuaj siv ntau vim yog txoj kev tawg cia nyob hauv siab (nws tuaj yeem txo qhov kev siv tshuaj ntawm cov tshuaj, tab sis nws kuj yuav ua rau muaj kev noj tshuaj zoo dua).

Txawm hais tias cov tshuaj ntev los muaj cov tshuaj antidepressants, warfarin, hnoos thiab tshuaj txias, immunosuppressants, cov tshuaj tiv thaiv kabmob, tshuaj rau mob cancer, mob plawv, thiab HIV / AIDS, sedatives, ntshav thinners, thiab tshuaj tua kab mob, thiab ntau cov tshuaj thiab tshuaj, koj yuav tsum tau nrog koj tus kws kho mob thiab tus kws muag tshuaj ua ntej nws yuav siv tshuaj los yog ntxiv.

Noj St. John wort thaum koj tseem tab tom noj qee yam antidepressants (los yog yam khoom uas ua rau serotonin nce) tau txuam nrog serotonin syndrome, qhov xwm txheej uas yuav ua tau los ntawm ntau tshaj ntawm serotonin. Cov tsos mob kuj muaj xws li kev xav tsis meej, kub cev, kev hnov ​​mob, xeev siab, ua kom tsis muaj zog, tawm hws, thiab shakiness. Yog tias koj pom muaj cov tsos mob no, tsis txhob noj St. John wort thiab nrhiav kev kho mob tam sim ntawd. Qee yam tshuaj (xws li 5-hydroxytryptophan (5-HTP), L-tryptophan, thiab hnyav) kuj tseem nce tau serotonin thiab yuav tsum zam.

St. John lub tsho (qhov ncauj lossis tshuaj pleev) tuaj yeem ua rau koj cov tawv nqaij thiab lub qhov muag mus rau lub hnub ci.

Yog tias koj muaj mob los yog noj tshuaj uas ua rau koj cov tawv nqaij ua kom muaj zog rau lub hnub ci, nrog koj tus kws kho mob tham kom muaj kev phom sij.

Nyob rau hauv cov kev tshawb fawb, feem ntau cov kev mob tshwm sim los ntawm kev siv lub qhov ncauj siv sij hawm luv luv hauv St. John's wort muaj nrog rau mob plab me ntsis, kev tsis haum rau tawv nqaij, nkees, tsis tswm, ntxhov siab, kev sib deev lossis erectile kawg, kiv taub hau, zawv plab, tingling, qhov ncauj qhuav, mob taub hau, thiab mob siab. Psychosis yog ib qho tsis tshua muaj tshwm sim, tiam sis tseem ua tau rau sab nraud. Cov kev mob tshwm sim los ntawm kev siv tshuaj pleev muaj xws li cov tawv nqaij tawm pob.

Yog tias koj cev xeeb tub, pub niam mis, sim pub me nyuam, los yog koj noj cov tshuaj tiv thaiv kab mob hauv qhov ncauj, nws tseem ceeb uas koj nrog koj tus kws kho mob tham ua ntej noj St. John lub tsho.

Muaj qee yam kev txhawj xeeb tias St. John lub tsho muaj teebmeem rau cov tibneeg uas muaj kev txhawj xeeb-mob siab tsis meej (ADHD), kev puas siab puas ntsws bipolar (nws tuaj yeem ua rau mania lossis ua kom lub voj voog), kev nyuab siab loj, tus mob schizophrenia (yuav ua rau kom muaj kev puas siab ntsws ), thiab Alzheimer's disease. Nws yuav tsum tsis txhob noj los ntawm hloov hloov neeg.

St. John lub wort yuav tsum tsis txhob noj li thaj tsam ob lub lis piam ua ntej phais tas li. Qee qhov chaw ceev faj siv kev siv ntawm St. John lub tsho ntev txog rau lub hli yuav ua teeb meem hauv cov neeg mob uas siv kev phais mob nrog tshuaj loog.

Lub Kab Hauv Qab

Yog tias koj lossis ib tus neeg koj paub yog nyob nrog kev nyuaj siab, koj tuaj yeem nrhiav lwm txoj hau kev los tswj koj cov tsos mob. Txawm tias txoj kev tshawb fawb los ntawm St John lub tsho yeej muaj nuj nqis, nws tseem ceeb heev uas koj ua haujlwm nrog koj tus kws kho mob thiab sib tham seb nws puas tsim nyog rau koj, tsis yog ua rau koj tus kheej. Kev ncua los yog kho cov txheej txheem kho mob yuav muaj kev rau txim loj. Muab cov lus qhia ntev npaum li cas, nws tseem ceeb heev uas koj qhia tag nrho koj cov kws kho mob thiab koj tus kws muag tshuaj kom paub tseeb tias koj tsis noj dab tsi uas yuav cuam tshuam nrog St. John's wort.

> Qhov chaw:

> Linde K, Kriston L, Rücker G, thiab lwm tus. Kev Ua Haujlwm Zoo thiab Kev Txim Siab ntawm Cov Tshuaj Pharmacological Rau Kev Nyuaj Siab Kev Nyuaj Siab hauv Kev Zov Me Nyuam: Kev saib xyuas qhov systematic thiab Kev Teev Npe Network. Ann Fam Med. 2015 Jan-Feb; 13 (1): 69-79.

> Linde K, Berner MM, Kriston L. St John Wort rau Kev Nyuaj Siab. Cochrane Database Syst Rev. 2008 Oct 8; (4): CD000448.

Disclaimer: Cov ncauj lus hauv lub vev xaib no yog tsim rau kev kawm nkaus xwb thiab tsis yog ib qho chaw pauv hloov tswv yim, kuaj lossis kho los ntawm ib tus kws kho mob uas muaj ntawv tso cai. Nws tsis yog los npog tag nrho tej yam yuav tau ceev faj, kev sib tiv tau yeeb tshuaj, kev tshwm sim lossis kev phom sij. Koj yuav tsum nrhiav kev kho mob sai rau txhua yam teeb meem kev noj qab haus huv thiab nrog koj tus kws kho mob tham ua ntej siv lwm yam tshuaj los yog hloov koj txoj kev tswj hwm.