Izithasiselo Zokudla Zingahlangana Kanjani Nezidakamizwa Zakho Z kadokotela

-Delile

• Kungani Izithasiselo Zingaphazamisa Izidakamizwa Zomuthi
• Ungazithatha Kanjani Ngokuphepha Izithasiselo
• Izithasiselo Ezijwayelekile Ngokusebenzisana Kwezidakamizwa
• Buyekeza kwe-

UReishi. I-Maca. Ashwagandha. Isiphepho. Ho Shu Wu. CBD. I-Echinacea. UValerian. Izithako zemithi emakethe kulezi zinsuku azinamkhawulo, futhi izimangalo kwesinye isikhathi zizizwa zikhulu kunokuphila.

Ngenkathi kunezinzuzo ezithile ezifakazelwe zokudla okunempilo neziphelele kulawa ma-adaptogens namakhambi we-herbaceous, bewazi ukuthi angaphazamisa umuthi wakho kadokotela?

Ucwaningo lwakamuva lwabantu abadala (abaneminyaka engu-65 nangaphezulu) e-U.K. bathole ukuthi amaphesenti angu-78 ababambiqhaza ayesebenzisa izithasiselo zokudla ezinemithi kadokotela, futhi cishe ingxenye eyodwa kwezintathu yabahlanganyeli babesengozini yokusebenzelana okubi phakathi kwalaba ababili. Khonamanjalo, ucwaningo lwakudala kodwa olukhulu lushicilelwe ngo-2008 yiIjenali Yokwelapha yaseMelika bathole ukuthi cishe amaphesenti angu-40 wabahlanganyeli babo be-1,800 babethatha izithako zokudla. Kulelo chibi labantu abangu-700 +, abacwaningi bathole ukuxhumana okungaphezulu kwe-100 okungenzeka okuphawulekayo phakathi kwezithasiselo nezidakamizwa.

Ngabantu abangaphezu kwesigamu baseMelika abathatha izengezo zokudla zohlobo oluthile noma olunye, ngokusho JAMA,kusaqhubeka kanjani lokhu ukundiza ngaphansi kwe-radar?

Kungani Izithasiselo Zingaphazamisa Izidakamizwa Zomuthi

Okuningi kwalokhu kwehlela ekutheni izinto zicutshungulwa kanjani esibindini. Isibindi singesinye sezindawo eziyinhloko zokuphuka kwemithi ehlukahlukene, kusho uPerry Solomon, MD, umongameli kanye nesikhulu sezokwelapha se-HelloMD. Leli gumbi-amandla akho okukhipha ubuthi emzimbeni-lisebenzisa ama-enzyme (amakhemikhali asiza ukuhlanganisa izinto ezihlukile) ukucubungula ukudla, izidakamizwa notshwala okufakiwe, uqiniseke ukuthi umunca lokho okudingwa ngumzimba wakho futhi uqede konke okunye. Ama-enzyme athile "abelwe" ukucubungula izinto ezithile.

Uma isithasiselo se-herbal sihlanganiswa yi-enzyme efanayo ehlanganisa ezinye izidakamizwa, isengezo siyancintisana nalezo zidakamizwa-futhi singaphambanisa nokuthi ungakanani umuthi umzimba wakho omunca empeleni, kusho uDkt Solomon.

Isibonelo, kungenzeka ukuthi uke wezwa nge-CBD, isengezo semithi esanda kuduma esikhishwe kwi-cannabis, futhi okungenzeka kube yisigebengu esiphazamisa imithi yakho kadokotela. "Kunohlelo olukhulu lwe-enzyme olubizwa ngokuthi i-cytochrome p-450 system oludlala kakhulu ekuguqulweni kwezidakamizwa," usho kanje. "I-CBD iphinde isetshenziswe yilolu hlelo lwe-enzyme efanayo futhi, ngemithamo ephezulu ngokwanele, iqhudelana neminye imithi. Lokhu kungase kubangele ukuthi omunye umuthi ungashintshiwe ngesilinganiso 'esivamile'."

Futhi akuyona i-CBD nje kuphela: "Cishe zonke izithako zemithi zingaba nokuxhumana nemithi kadokotela," kusho uJena Sussex-Pizula, MD, e-University of Southern California. "Bangase bawuvimbele ngokuqondile umuthi ngokwawo; isibonelo, i-warfarin (i-blood thinner) isebenza ngokuvimbela i-vitamin K esetshenziswa amahlule egazi. Uma othile ethatha i-vitamin noma i-supplement enamazinga aphezulu kavithamini K, yayingavimbela ngokuqondile lo muthi. " Izithako ezithile zingaphinde ziguqule indlela imithi emuncwa ngayo emathunjini akho futhi ikhishwe ngezinso, kusho uDkt. Sussex-Pizula.

Ungazithatha Kanjani Ngokuphepha Izithasiselo

Ngaphandle kokuxhumana nemithi kadokotela, kunezinkinga eziningi zokuphepha okufanele uzicabangele ngaphambi kokuthatha isengezo sokudla. Lokhu konke akusho ukuthi kufanele ubalekele izithako zemithi, noma-zingasiza kakhulu ezinye iziguli. "Njengodokotela we-naturopathic, umuthi wamakhambi ungenye yamathuluzi ami asetshenziswa kakhulu ekwelashweni ezimweni ezibucayi nezingalapheki," kusho u-Amy Chadwick, N.D., udokotela we-naturopathic e-Four Moons Spa eSan Diego. Nakuba amanye amakhambi namaminerali engase akwazi ukusebenzisana nemithi, “kukhona namakhambi nezakhi ezisiza ukusekela ukusilela noma ukunciphisa imiphumela emibi yemithi ethile yemithi,” usho kanje. (Bheka: Izizathu Eziyisi-7 Okufanele Ucabange Ukuthatha Isengezo)

Ngokombono wemithi yasentshonalanga, uDkt. Sussex-Pizula uyavuma ukuthi lezi zithasiselo zingasiza kakhulu-inqobo nje uma zithathwa ngaphansi kweso.“Uma kunemininingwane yocwaningo ephakamisa ukuthi isithasiselo singasiza, ngixoxa ngaso neziguli zami,” usho kanje. "Ngokwesibonelo, ucwaningo luyaqhubeka luveza inzuzo ye-turmeric ne-ginger ezigulini ezine-osteoarthritis, futhi ngineziguli eziningana ezengeza izinhlelo zazo zokwelapha ngalokhu kudla okwelapha, okuholela ekulawuleni ubuhlungu obuthuthukisiwe." (Bheka: Kungani Lo Dokotela Wezokudla Eshintsha Umbono Wakhe Kuzithasiselo)

Ngenhlanhla, ingxenye enkulu, awudingi ukuthi ukhathazeke: Noma ngabe kusehlobo lwetiye noma impuphu oyengezile ekuzuzeni, kungenzeka ukuthi uthatha umthamo ophansi kakhulu. "Amakhambi ajwayelekile asetshenziselwa ifomu letiyi noma ifomu lokudla-njengetiye le-passionflower lokunciphisa imithelela, itiye eliluhlaza lezakhi ze-antioxidant, noma ukwengezwa kwama-mushroom e-reishi ku-smoothie yokuxhaswa kwe-adaptogenic - kusilinganiso esivame ukuzuzisa futhi hhayi ephakeme noma enamandla ngokwanele ukuthi angaphazamisa ukusetshenziswa kweminye imithi, "kusho uChadwick.

Uma wenza umsebenzi onzima kakhulu kunalowo-njengokuthatha iphilisi lomthamo ophezulu noma i-capsule-yilapho udinga ngempela ukubonana nodokotela. "La [makhambi] kufanele anikezwe futhi asetshenziswe ngendlela efanele kubantu ngabanye ngokuya ngezidingo zabo ezithile, kubhekwe isimo sabo somzimba, ukuxilongwa kwezokwelapha, umlando, ukungezwani komzimba, kanye nanoma yiziphi ezinye izithasiselo noma imishanguzo abayisebenzisayo," kusho uChadwick. Ukwenza isipele okuhle: Uhlelo lokusebenza lamahhala lweMedisafe luqapha imishanguzo yakho kanye nokudla okunezelwe futhi lungakuxwayisa ngokusebenzisana okuyingozi futhi likukhumbuze ukuthatha izindondo zakho nsuku zonke. (Yingakho ezinye izinkampani zamavithamini eziqondene nawe zenza odokotela batholakale ukuze basize ukwenza ukukhetha izithasiselo kube lula futhi kuphephe kunangaphambili.)

Izithasiselo Ezijwayelekile Ngokusebenzisana Kwezidakamizwa

Ingabe kufanele ukhathazeke nganoma yini oyithathayo? Nalu uhlu lwamakhambi okufanele uwabheke aziwa ngokuxhumana nemithi ethile kadokotela. (Qaphela: Lolu akulona uhlu oluphelele noma indawo yokukhuluma nodokotela wakho).

Isibungu iSt ingenye oyofuna ukuyeqa uma usebenzisa amaphilisi okulawula inzalo, kusho uDkt. Sussex-Pizula. "I-wort yaseSt. John, esetshenziswa abanye abantu njenge-anti-depressant inganciphisa ngokuphawulekayo amazinga emithi ethile egazini njengamaphilisi okulawula ukubeletha, imishanguzo yezinhlungu, imishanguzo ethile yokulwa nokudangala, imishanguzo yokufakelwa, nemithi ye-cholesterol."

"I-St. John's wort kufanele igwenywe uma ithatha izidambisigciwane, i-protease inhibitors, i-NNRTIs, i-cyclosporine, i-immunosuppressive agents, i-tyrosine kinase inhibitors, i-tacrolimus, ne-triazole antifungals," kusho u-Chadwick. Ubuye waxwayisa ngokuthi uma ubuthatha i-SSRI (i-serotonin reuptake inhibitor ekhethiwe) noma i-MAO inhibitor njengoba kushiwo ngumhlinzeki wakho wezokunakekelwa kwempilo, weqa amakhambi afana neSt.

Ephedra umuthi ovame ukukhishwa ngenxa yokunciphisa isisindo noma izinzuzo zokuqinisa amandla-kepha kuza nohlu olude lwezexwayiso. I-FDA empeleni ivimbele ukuthengiswa kwanoma yiziphi izithasiselo eziqukethe i-ephedrine alkaloids (izinhlanganisela ezitholakala kwezinye izinhlobo ze-ephedra) ezimakethe zase-US ngonyaka ka-2004. kubangela izimpawu ezingokwengqondo, futhi kunqamule ukugeleza kwegazi ukuya emathunjini, okubangela ukufa kwamathumbu,” kusho uDkt. Sussex-Pizula. Noma kunjalo, ephedrangaphandle i-ephedrine alkaloids ingatholakala kwezinye izithasiselo zemidlalo, izithambisi zokudla, kanye nama-ephedra teas tea. UChadwick uthi kufanele weqe uma uthatha noma yikuphi kokulandelayo: reserpine, clonidine, methyldopa, reserpine, sympatholytics, MAO inhibitors, phenelzine, guanethidine, kanye ne-peripheral adrenergic blockers. "Kukhona nomthelela owengeziwe ku-caffeine, i-theophylline, ne-methylxanthines," esho, okusho ukuthi kungenza imiphumela ibe namandla. Kungakho kufanele "ugweme noma yiziphi izikhuthazi uma unqunywe i-ephedra ngesizathu sokwelapha-futhi kufanele inqunywe udokotela oqeqeshiwe kuphela." (P.S. Qaphela i-ephedra ezithasiselweni zakho zangaphambi kokujima, futhi.) Futhi khumbula i-ma huang, isithasiselo sekhambi lesiShayina kwesinye isikhathi esidliwa ngendlela yetiye kodwa sisuselwa ku-ephedra. "[Ma huang] uthathwa ngezizathu eziningi, kufaka phakathi ukukhwehlela, i-bronchitis, ubuhlungu bamalunga, ukwehla kwesisindo-kodwa iziguli eziningi azazi ukuthi i-ma huang iyi-ephedra alkaloid," kusho uDkt. Sussex-Pizula. Weluleka ngokuthi i-ma huang inemiphumela emibi esongela ukuphila njenge-ephedra, futhi kufanele igwenywe.

Ivithamini A "kufanele iyekwe ngenkathi iphuza ama-antibiotic e-tetracycline," kusho uChadwick. Ama-antibiotic eTetracycline kwesinye isikhathi anqunyiwe ngezifo zomqubuko nezesikhumba. Lapho i-vitamin A ithathwa ngokweqile, "ingadala ingcindezi eyandayo ngaphakathi kwesistimu yakho yezinzwa, okuholela ekhanda nasezimpawu zezinzwa," kusho uDkt. Sussex-Pizula. Uvithamini A oyisihloko (owaziwa ngokuthi i-retinol, futhi uvame ukusetshenziselwa ukwelapha izinkinga zesikhumba) uvame ukuphepha ngalawa ma-antibiotic kepha kufanele kuxoxwe ngawo nodokotela wakho futhi ayeke ngokushesha uma kuvela izimpawu.

Uvithamini C kungakhuphula amazinga e-estrogen ngokuguqula indlela umzimba ogaya ngayo i-hormone, kusho uBrandi Cole, PharmD, oyilungu lebhodi eleluleka kwezokwelapha ovela ePersona Nutrition. Lokhu kungandisa imiphumela engemihle uma futhi welashwa ngokushintsha ama-hormone noma uthatha izivimbeli-nzalo ezithathwa ngomlomo eziqukethe i-estrogen. Umphumela uvame ukubonakala kakhulu ngemithamo ephezulu kavithamini C ovame ukutholakala kuma-immune immune. (Funda futhi: Ingabe ama-Vitamin C Supplements Ayasebenza?)

CBD ibhalwe njengephephile ngokuvamile ayinayo imiphumela engemihle, futhi ingakwazi ukwelapha ukukhathazeka, ukucindezeleka, ingqondo, ubuhlungu, imisipha ebuhlungu, isithuthwane nokunye okwengeziwe-kodwa ingasebenzisana nabantu abanciphisa igazi kanye nokwelapha ngamakhemikhali, ngakho xoxa nodokotela, kusho uDkt. Solomon.

I-calcium citrate ingalapha i-calcium ephansi yegazi, kodwa "akufanele ithathwe ngama-antiacids ane-aluminium noma i-magnesium futhi ngenkathi iphuza ama-antibiotic e-tetracycline," kusho uChadwick.

Dong quai(Angelica sinensis) -okwaziwa nangokuthi "i-ginseng yesifazane," akufanele ithathwe nge-warfarin, kusho uChadwick. Le mifino ijwayele ukunikezwa izimpawu zokunqamuka kokuya esikhathini.

Uvithamini D imvamisa ibekiwe uma unenkinga (imvamisa kusuka ekungabikho kokuchayeka elangeni), okungaholela ekulahlekelweni wukuqina kwethambo. Ingasetshenziswa futhi ukulawula amasosha akho omzimba nokuqinisa imizwa (amanye ama-naturopaths ayisebenzisela ukunciphisa ukudangala). Lokho kusho ukuthi, "uvithamini D kufanele uqashwe uma usebenzisa i-calcium channel blocker ngaphambi kokwengeza imithamo emikhulu," kusho uChadwick.

Ujinja "akufanele isetshenziswe ngemithamo ephezulu nama-antiplatelet agents," kusho uChadwick. "Njengesengezo ekudleni, ngokuvamile kuphephile." I-ginger ingasiza ekugayeni ukudla futhi inciphise isicanucanu futhi ingase isekele umsebenzi wokuzivikela komzimba njengoba iyi-antibacterial. (Lapha: Izinzuzo Zezempilo ZeGinger)

UGinkgo isetshenziswa ngokwemvelo ukuphazamiseka kwememori njenge-Alzheimer's kepha kunganciphisa igazi, ikwenze kube yingozi ngaphambi kokuhlinzwa. “Lokhu kufanele kumiswe isonto elilodwa ngaphambi kokuhlinzwa,” usho kanje.

Ilayisensi "kufanele kugwenywe uma uthatha i-furosemide," kusho uChadwick. (I-Furosemide umuthi osiza ekunciphiseni ukugcinwa koketshezi). Ubuye weluleka ukweqa i-licorice uma uthatha i- "potassium-depleting diuretics, digoxin, noma i-glycosides yenhliziyo."

I-Melatonin Akufanele isetshenziswe nge-fluoxetine, (aka Prozac, i-SSRI / anti-depressant), kusho uChadwick. I-Melatonin ivame ukusetshenziselwa ukukusiza ukuthi ulale kodwa ingavimbela isenzo se-fluoxetine ku-enzyme i-tryptophan-2,3-dioxygenase, yehlisa ukusebenza kwe-antidepressant.

Potassium "akufanele ingezwe uma uthatha i-potassium-sparing diuretics, kanye neminye imithi yenhliziyo. Mtshele nakanjani udokotela wakho uma uthatha i-potassium," kuxwayisa u-Chadwick. Lokhu kuyiqiniso ikakhulukazi uma uthatha into efana ne-spironolactone, imithi yokucindezela kwegazi evame ukusetshenziselwa ukusiza ukwelapha izimpawu ezihlobene ne-acne ne-PCOS njenge-androgen eyengeziwe. Izithako ze-potassium, kulokhu, zingabulala.

Zinc isetshenziselwa ukusiza ukunciphisa isikhathi somkhuhlane wakho noma umkhuhlane, ukuqinisa amasosha akho omzimba, futhi kungasiza izilonda ziphole, kodwa "kuyavinjelwa ngenkathi uthatha i-ciprofloxacin ne-fluoroquinolone antibiotics," kusho u-Chadwick. Uma iphuzwa neminye imithi (kuhlanganise nemithi yegilo kanye nama-antibiotic athile), i-zinc ingaphinde ihlangane nomuthi esiswini bese yenza ama-complexes, okwenza kube nzima kakhulu ngomzimba ukuthi umunce umuthi, kusho uCole. Hlola kabili nodokotela wakho uma uthatha noma i-zinc-kodwa okungenani, hlukanisa umthamo womuthi wakho kanye ne-zinc ngamahora amabili kuya kwamane ukuze ugweme lokhu kuhlangana, uthi.

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