I-cohosh emnyama, eyaziwa nangokuthi impande yenyoka emnyama noma impande ye-rattlesnake, ivela eNyakatho Melika futhi inomlando omude wokusetshenziswa e-United States. Sekuyiminyaka engaphezu kwamakhulu amabili eminyaka, amaNdiya aseMelika ethole ukuthi izimpande ze-black cohosh zisiza ekunciphiseni ubuhlungu bokuya esikhathini kanye nezimpawu zokunqamuka kokuya esikhathini, okuhlanganisa ukushisa okukhulu, ukukhathazeka, ukushintshashintsha kwemizwa kanye nokuphazamiseka kokulala. Impande ye-black hemp isasetshenziswa kulezi zinjongo nanamuhla.

Isithako esiyinhloko esisebenzayo sempande yi-terpene glycoside, kanti impande iqukethe ezinye izithako ezisebenzayo, okuhlanganisa ama-alkaloid, ama-flavonoid kanye ne-tannic acid. I-Black cohosh ingakhiqiza imiphumela efana ne-estrogen futhi ilawule ibhalansi ye-endocrine, engasiza ekunciphiseni izimpawu zokunqamuka kokuya esikhathini ezifana nokungalali, ukushisa okukhulu, ubuhlungu bomhlane kanye nokulahlekelwa ngokomzwelo.

Njengamanje, ukusetshenziswa okuyinhloko kwesithako se-black cohosh ukuqeda izimpawu ze-perimenopausal. Iziqondiso ze-American College of Obstetricians and Gynecologists mayelana nokusetshenziswa kwemithi yamakhambi yezimpawu ze-perimenopausal zithi zingasetshenziswa izinyanga eziyisithupha, ikakhulukazi ukuqeda ukuphazamiseka kokulala, ukuphazamiseka kwemizwelo kanye nokushisa komzimba.

Njengakwamanye ama-phytoestrogen, kukhona ukukhathazeka ngokuphepha kwama-black cohosh kwabesifazane abanomlando noma umlando womndeni womdlavuza webele. Nakuba kudingeka uphenyo olwengeziwe, olunye ucwaningo lwe-histological kuze kube manje lukhombisile ukuthi i-black cohosh ayinawo umphumela ovuselela i-estrogen kumaseli omdlavuza webele ane-estrogen-receptor, futhi i-black cohosh itholakale ikhulisa umphumela wokulwa nomdlavuza we-tamoxifen.

I-Black cohosh extractIphinde isetshenziswe ekwelapheni izifo zezinzwa zezitshalo ezibangelwa ukunqamuka kokuya esikhathini, futhi inethonya elihle ezinkingeni zokuzala zabesifazane ezifana ne-amenorrhea, izimpawu zokunqamuka kokuya esikhathini ezifana nobuthakathaka, ukucindezeleka, ukushisa okukhulu, ukungazali noma ukubeletha. Iphinde isetshenziswe ekwelapheni izifo ezilandelayo: i-angina pectoris, umfutho wegazi ophakeme, i-arthritis, i-bronchial asthma, ukulunywa yinyoka, ikholera, ukuquleka, i-dyspepsia, i-gonorrhea, i-asthma kanye nokukhwehlela okungapheli okufana nokukhwehlela okukhulu, umdlavuza nezinkinga zesibindi nezinso.

I-cohosh emnyamaakutholakalanga ukuthi isebenzisana neminye imithi ngaphandle kwe-tamoxifen. Umphumela ovame kakhulu otholakale ezivivinyweni zemitholampilo kwakuwukungakhululeki kwesisu. Uma kusetshenziswe imithamo ephezulu, i-black cohosh ingabangela isiyezi, ikhanda elibuhlungu, isicanucanu kanye nokuhlanza. Ngaphezu kwalokho, abesifazane abakhulelwe akufanele basebenzise i-black cohosh ngoba ingakhuthaza ukufinyela kwesibeletho.