full article Iraqi Medical Journal VOL . 54 No. 2 Dec .2008 Arabic
Abstract
اﺳﺘﺨﺪام اﻷﻋﺸﺎب ﻟﻠﺴﻜﺮي ﻓﻲ اﻟﻤﻮﺻﻞ : دراﺳﺔ اﻟﺨﺼﺎﺋﺺ وﻣﺮاﺟﻌﺔ اﻷدﻟﺔ .
ﻞ ﻧﺒﯿﻞ ﻧﺠﯿﺐ ﻓﺎﺿ* * – ﻛﻠﯿﺔ ﻃﺐ ﻧﯿﻨﻮى ، ﻓﺮع اﻟﻄﺐ – اﻟﻤﻮﺻﻞ ، ﺟﺎﻣﻌﺔ اﻟﻤﻮﺻﻞ اﻟﻌﺮاق
اﻟﻤﻠﺨﺺ
ﺗﻤﮭﯿﺪ :ﺪم . ﻣﻨﺬ اﻟﻘ ، ﺗﺴﺘﺨﺪم اﻷﻋﺸﺎب ﻟﻌﻼج اﻟﺴﻜﺮي ﻓﻲ اﻟﻌﺎﻟﻢ أﺟﻤﻊ واﺳﺘﺨﺪام اﻷﻋﺸﺎب ﺑﺸﻜﻠﮫ اﻟﺮاھﻦ ﻣﺬھﺐ ﻓﻲ اﻟﻄﺐ ﻏﯿﺮ ﻗﺎﺋﻢ ﻋﻠﻰ دﻟﯿﻞ ﺮ ، وﻗﺪ ﻧﺠﻤﺖ ﻣﻨﮫ اﻟﻜﺜﯿﺮ ﻣﻦ اﻟﻤﺨﺎﻃ .ﺺ واﺳﺘﺨﺪام اﻷﻋﺸﺎب ﻣﺤﻠﯿﺎ ﻏﯿﺮ ﻣﺴﺘﻄﻠﻊ اﻟﺨﺼﺎﺋ . اﻷھﺪاف: ﺻﻞ ﯾﮭﺪف ھﺬا اﻟﺒﺤﺚ إﻟﻰ دراﺳﺔ ﺧﺼﺎﺋﺺ اﺳﺘﺨﺪام اﻷﻋﺸﺎب ﻟﻠﺴﻜﺮي ﻓﻲ اﻟﻤﻮ ، وﻣﺮاﺟﻌﺔ اﻷدﻟﺔ ﺣﻮل ﻓﺎﻋﻠﯿﺔ ھﺬه اﻷﻋﺸﺎب ﻓﻲ ﺧﻔﺾ ﺳﻜﺮ اﻟﺪم ﺎ ، ﯿﺘﮭ ّ وﺳﻤ ﻚ ، إن ﻛﺎن ﻟﮭﺎ ذﻟ. اﻟﻄﺮق : 215 ھﺬه دراﺳﺔ ﻣﻘﻄﻌﯿﺔ وﺻﻔﯿﺔ ﺷﻤﻠﺖ ﻣﺮﯾﻀﺎ َ ﺑﺎﻟﺴﻜﺮي ً ﻣﺼﺎﺑﺎ ء ﺎر َ ـﺸﻮَ ﻣُﻌ اﻹﺧﺘﯿ ، ﻓﻲ ﻋﯿﺎدة اﻟﺴﻜﺮي ﻓﻲ 2 ﻣﺴﺘﺸﻔﻰ اﻟﺴﻼم ﻓﻲ اﻟﻤﻮﺻﻞ أﺛﻨﺎء ﺷﮭﺮ آذار ﻣﻦ ﻋﺎم 005 . ﺖ اﻟﻤﻌﻠﻮﻣﺎت اﻟﻤﻄﻠﻮﺑﺔ ﻣﻦ اﻟﻤﺮﺿﻰ ﺑﺎﺳﺘﺨﺪام َ وﻟﻘﺪ ﺟُﻤﻌ ﺟﺪول اﺳﺘﻄﻼﻋﻲ ﻣﺨﺼﺺ ﺎ ، أﻣﺎ اﻷدﻟﺔ ﻋﻠﻰ ﻓﺎﻋﻠﯿﺔ ھﺬه اﻷﻋﺸ ب وﺳﻤﯿﺘﮭﺎ ﻓﻠﻘﺪ روﺟﻌﺖ ﻓﻲ ﻗﻮاﻋﺪ اﻟﺒﯿﺎﻧﺎت اﻻﻟﻜﺘﺮوﻧﯿﺔ )P ubMed ،M edline ،D iaMed.( اﻟﻨﺘﺎﺋﺞ: %ﻦ 40 ﻣﺴﺘﺨﺪﻣﻮ اﻷﻋﺸﺎب ﻧﺴﺒﺔ ﻗﺪرھﺎ َﻞّﺷﻜ . ﺴﺘﻄﻠﻌﯿ ُ ﻣﻦ اﻟﻌﺪد اﻟﻜﻠﻲ ﻟﻠﻤﺮﺿﻰ اﻟﻤ وﻟﻢ ﯾﺆﺛﺮ اﻟﺠﻨﺲ أو اﻟﺘﺤﺼﯿﻞ اﻟﺜﻘﺎﻓﻲ ﻋﻠﻰ ﻧﺴﺒﺔ اﺳﺘﺨﺪام اﻷﻋﺸﺎب . ﺎ 40 وﻛﺎن ﻋﺪد اﻷﻋﺸﺎب اﻟﻤﺴﺘﺨﺪﻣﺔ ﻧﻮﻋ. ﻛﻤﺎ ﻛﺎن اﺳﺘﺨﺪام اﻷﻋﺸﺎب ﻋﻠﻰ اﻷﻏﻠﺐ ﻗﺼﯿﺮ اﻟﻤﺪى ،ً وﻣﺘﻘﻄﻌﺎ ي ، . ﻷدوﯾﺔ اﻟﺴﻜﺮ ً وﺗﻜﻤﯿﻠﯿﺎ %45 وﺗﺒﯿﻦ أن ﻧﺴﺒﺔ ﻓﻘﻂ ﻣﻦ ﻣﺴﺘﺨﺪﻣﻲ اﻷﻋﺸﺎب ﯾﺴﺘﺨﺪﻣﻮن أﻋﺸﺎﺑﺎ ﻓﻲ اﻹﻧﺴﺎن أو اﻟﺤﯿﻮان ً ﺛﺒﺘﺖ ﻓﻌﺎﻟﯿﺘﮭﺎ ﻓﻲ ﺧﻔﺾ اﻟﺴﻜﺮ ﺗﺠﺮﯾﺒﯿﺎ ، %47 ﻓﻲ ﺣﯿﻦ أن ﻣﻨﮭﻢ ﻛﺎن ﯾﺴﺘﺨﺪم أﻋﺸﺎﺑﺎ ذات ﺳﻤﯿﺔ ﺔ .ﻛﻤ ﺎ ّ ﻣﺴﺠﻠ ﺎ ﺗﺒﯿﻦ أن اﻟﺴﯿﻄﺮة ﻋﻠﻰ اﻟﺴﻜﺮي ﻟﺪى ﻣﺴﺘﺨﺪﻣﻲ اﻷﻋﺸﺎب ﺿﻌﯿﻔﺔ ﻛﺤﺎﻟﮭﺎ ﻟﺪى ﻣﻦ ﻻ ﯾﺴﺘﺨﺪﻣﮭ . ً : اﻹﺳﺘﻨﺘﺎﺟﺎت رﺑﻤﺎ ﻛﺎﻧﺖ ﺑﻌﺾ اﻷﻋﺸﺎب ذات ﻓﺎﻋﻠﯿﺔ ﻣﺜﺒﺘﺔ ﺗﺠﺮﯾﺒﯿﺎ ﻚ ، وﻟﻜﻦ اﻟﻜﺜﯿﺮ ﻣﻨﮭﺎ ﻟﯿﺲ ﻛﺬﻟ ﻣﮫ ، ﺑﻞ وﺗﻌﺘﺒﺮ ﺳﺎ . إن ً اﺳﺘﺨﺪام اﻷﻋﺸﺎب ﻟﻠﺴﻜﺮي ﻣﺤﻠﯿﺎ ھﻲ ﻣﻤﺎرﺳﺔ ﻏﯿﺮ ﺳﺪﯾﺪه وﯾﺴﺘﻮﺟﺐ ﺗﻨﻈﯿﻤﮫ رﺳﻤﯿﺎ . إن ﻣﻌﺎﻟﺠﻲ اﻟﺴﻜﺮي ﻣﺪﻋﻮون ﻟﺤﯿﺎزة ﻣﻌﻠﻮﻣﺎت ﻣﻨﺎﺳﺒﺔ ﻋﻦ اﻷﻋﺸﺎب. 2008 اﻟﻤﺠﻠﺔ اﻟﻄﺒﯿﺔ اﻟﻌﺮاﻗﯿﺔ 54 اﻟﻤﺠﻠﺪ (2) اﻟﻌﺪد
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