Zambiri zowonjezera zitsamba, kuphatikizapo tiyi wobiriwira ndi ginkgo biloba, zingagwirizane ndi mankhwala omwe amaperekedwa ndi dokotala, malinga ndi kafukufuku watsopano wofalitsidwa mu British Journal of Clinical Pharmacology. Kuyanjana kumeneku kungapangitse kuti mankhwalawa asagwire ntchito bwino komanso akhoza kukhala oopsa kapena akupha.
Madokotala amadziwa kuti zitsamba zimatha kukhudza njira zamankhwala, ofufuza a Medical Research Council of South Africa alemba mu pepala latsopano. Koma chifukwa anthu nthawi zambiri samauza othandizira awo azaumoyo kuti ndi mankhwala otani omwe akumwa komanso zowonjezera zomwe akumwa, zakhala zovuta kuti asayansi azitha kudziwa kuti ndi mankhwala ati ophatikizira omwe amayenera kupewa.
Ndemanga yatsopanoyo idasanthula malipoti 49 okhudzana ndi zovuta za mankhwala osokoneza bongo komanso maphunziro awiri owonera. Ambiri mwa anthu omwe anali kuwunika anali kulandira matenda a mtima, khansa, kapena kuika impso ndipo anali kumwa warfarin, statins, mankhwala a chemotherapy, kapena immunosuppressants. Ena analinso ndi kupsinjika maganizo, nkhawa, kapena matenda a minyewa ndipo ankapatsidwa mankhwala oletsa kuvutika maganizo, mankhwala oletsa kuvutika maganizo, kapena mankhwala oletsa kukomoka.
Kuchokera ku malipoti awa, ochita kafukufuku adatsimikiza kuti kuyanjana kwa zitsamba ndi mankhwala "kutheka" mu 51% ya malipoti ndipo "mwachiwonekere" pafupifupi 8% ya malipoti. Pafupifupi 37% adasankhidwa kuti azitha kuyanjana ndi mankhwala azitsamba, ndipo 4% okha ndi omwe amakayikira.
Mu lipoti lina, wodwala yemwe amatenga ma statins adadandaula chifukwa cha kukokana kwakukulu kwa mwendo ndi kupweteka atamwa makapu atatu a tiyi wobiriwira patsiku, zomwe ndi zotsatira zofala. Ofufuzawo adalemba kuti kuyankha uku kudachitika chifukwa cha tiyi wobiriwira pamilingo yamagazi a statins, ngakhale adati kafukufuku wochulukirapo akufunika kuti athetse zomwe zingayambitse.
Mu lipoti lina, wodwalayo anamwalira atakomoka posambira, ngakhale amamwa mankhwala oletsa kukomoka pafupipafupi kuti achire matendawa. Komabe, autopsy yake inavumbula kuti iye wachepetsa mlingo wa magazi a mankhwalawa, mwinamwake chifukwa cha ginkgo biloba zowonjezera zomwe amamwanso nthawi zonse, zomwe zinakhudza kagayidwe kawo.
Kutenga mankhwala owonjezera a zitsamba kumagwirizanitsidwa ndi zizindikiro zowonjezereka za kuvutika maganizo kwa anthu omwe amamwa mankhwala osokoneza bongo, komanso kukana kwa ziwalo za anthu omwe ali ndi impso, mtima, kapena chiwindi, olembawo analemba m'nkhaniyi. Kwa odwala khansa, mankhwala a chemotherapy awonetsedwa kuti amagwirizana ndi zowonjezera zitsamba, kuphatikizapo ginseng, echinacea, ndi madzi a chokeberry.
Kafukufukuyu adawonetsanso kuti odwala omwe amamwa warfarin, mankhwala ochepetsa magazi, adanenanso za "kulumikizana kwakukulu." Ofufuza akuganiza kuti zitsamba zimenezi zimatha kusokoneza kagayidwe ka warfarin, motero kumachepetsa mphamvu yake yoletsa magazi kutuluka m’magazi kapena kuyambitsa magazi.
Olembawo akuti maphunziro a labu ochulukirapo komanso kuyang'anitsitsa kwa anthu enieni akufunika kuti apereke umboni wamphamvu wa kugwirizana pakati pa zitsamba ndi mankhwala. "Njirayi idzadziwitsa akuluakulu oyang'anira mankhwala ndi makampani opanga mankhwala kuti asinthe zolemba zomwe zilipo kuti apewe zotsatira zoyipa," adatero.
Amakumbutsanso odwala kuti nthawi zonse aziuza madokotala ndi madokotala za mankhwala aliwonse kapena zowonjezera zomwe akumwa (ngakhale mankhwala ogulitsidwa ngati zachilengedwe kapena zitsamba), makamaka ngati apatsidwa mankhwala atsopano.