Izithako eziningi ezivamile zamakhambi, okuhlanganisa itiye eliluhlaza kanye ne-ginkgo biloba, zingase zihlanganyele nemithi kadokotela, ngokusho kokubuyekezwa okusha kocwaningo olushicilelwe kuyi-British Journal of Clinical Pharmacology. Lokhu kusebenzisana kungenza umuthi ungasebenzi kahle futhi ungaba yingozi noma ubulale.
Odokotela bayazi ukuthi amakhambi angaba nomthelela ezinhlotsheni zokwelashwa, abacwaningi beMedical Research Council of South Africa babhala ephepheni elisha. Kodwa ngenxa yokuthi abantu ngokuvamile ababatsheli abahlinzeki babo bezempilo ukuthi yiziphi izidakamizwa ezitholakala ezitolo nezithasiselo abazithathayo, kube nzima kososayensi ukuthi balandelele ukuthi yimiphi imithi nezinhlanganisela zezithako okufanele bazigweme.
Ukubuyekezwa okusha kuhlaziye imibiko engama-49 yokusabela okubi kwezidakamizwa kanye nezifundo ezimbili zokubheka. Iningi labantu ekuhlaziyeni bebelashelwa isifo senhliziyo, umdlavuza, noma ukufakelwa izinso futhi bephuza i-warfarin, ama-statins, izidakamizwa ze-chemotherapy, noma ama-immunosuppressants. Abanye futhi babenokucindezeleka, ukukhathazeka, noma ukuphazamiseka kwengqondo futhi belashwa ngama-antidepressants, ama-antipsychotic, noma ama-anticonvulsants.
Kusukela kule mibiko, abacwaningi banqume ukuthi ukusebenzisana kwemithi yemifino "kungenzeka" ku-51% yemibiko futhi "kungenzeka kakhulu" cishe ku-8% wemibiko. Cishe u-37% wahlukaniswa njengokuhlangana kwezidakamizwa ze-herbal, futhi kuphela ama-4% abhekwa njengokusolisayo.
Komunye umbiko wecala, isiguli esithatha ama-statins sakhala ngamajaqamba nobuhlungu obukhulu emlenzeni ngemva kokuphuza izinkomishi ezintathu zetiye eliluhlaza ngosuku, okuwumphumela ovamile. Abacwaningi babhale ukuthi le mpendulo yayingenxa yomphumela wetiye eliluhlaza emazingeni egazi we-statins, nakuba bathi ucwaningo olwengeziwe luyadingeka ukuze kukhishwe ezinye izimbangela ezingenzeka.
Komunye umbiko, isiguli sishone ngemuva kokuquleka sisabhukuda, yize saphuza imishanguzo yokuthithibalisa izinhlungu ukwelapha lesi sifo. Kodwa-ke, ukuhlolwa kwesidumbu sakhe kwembula ukuthi wehlile amazinga egazi ale mithi, mhlawumbe ngenxa yezithako ze-ginkgo biloba ayevame ukuzithatha, ezithinta umzimba wayo.
Ukuthatha izithako ze-herbal kuye kwahlotshaniswa nezimpawu eziya ziba zimbi kakhulu zokucindezeleka kubantu abathatha ama-antidepressants, kanye nokwenqatshwa kwesitho kubantu abaye baba nezinso, inhliziyo, noma isibindi, abalobi babhala esihlokweni. Ezigulini ezinomdlavuza, izidakamizwa ze-chemotherapy zikhonjiswe ukuthi zisebenzisana nezithako zemithi, okuhlanganisa i-ginseng, i-echinacea, nejusi ye-chokeberry.
Ukuhlaziya kuphinde kwabonisa ukuthi iziguli ezithatha i-warfarin, enciphisa igazi, zabika “ukusebenzelana okubalulekile emtholampilo.” Abacwaningi bacabanga ukuthi la makhambi angase aphazamise ukugaywa kwe-warfarin, ngaleyo ndlela anciphise amandla ayo e-anticoagulant noma abangele ukopha.
Ababhali bathi izifundo eziningi zelebhu kanye nokubhekwa eduze kwabantu bangempela kuyadingeka ukuze kunikezwe ubufakazi obunamandla bokusebenzelana phakathi kwamakhambi athile nezidakamizwa. "Le ndlela izokwazisa iziphathimandla ezilawula izidakamizwa nezinkampani zemithi ukuthi zibuyekeze imininingwane yelebula ngokusekelwe kudatha etholakalayo ukuze kugwenywe imiphumela emibi," babhala.
Uphinde akhumbuze iziguli ukuthi kufanele ngaso sonke isikhathi zitshele odokotela bazo nosokhemisi nganoma yimiphi imithi noma izithasiselo ezizisebenzisayo (ngisho nemikhiqizo ethengiswa njengemvelo noma amakhambi), ikakhulukazi uma zinikezwe imithi emisha.