Ho latela tlhahlobo e ncha ea lipatlisiso e phatlalalitsoeng ho British Journal of Clinical Pharmacology, litlatsetso tse ngata tse tloaelehileng tsa litlama, ho kenyeletsoa tee e tala le ginkgo biloba, li ka sebelisana le meriana e fanoang ke ngaka. Litšebelisano tsena li ka etsa hore moriana o se sebetse hantle 'me o ka ba kotsi kapa oa bolaea.
Lingaka lia tseba hore litlama li ka susumetsa mekhoa ea phekolo, bafuputsi ba tsoang Lekhotleng la Lipatlisiso tsa Bongaka la Afrika Boroa ba ngola pampiring e ncha. Empa hobane batho hangata ha ba bolelle bafani ba bona ba tlhokomelo ea bophelo hore na ba noa meriana le li-supplement life ntle le lengolo la ngaka, ho bile thata hore bo-rasaense ba tsebe hore na ke metsoako efe ea meriana le li-supplement tseo ba lokelang ho li qoba.
Tlhahlobo e ncha e hlahlobile litlaleho tse 49 tsa likarabelo tse mpe tsa meriana le lithuto tse peli tsa ho shebella. Bongata ba batho ba neng ba le tlhahlobong ena ba ne ba phekoloa lefu la pelo, kankere, kapa ho kenngoa ha liphio 'me ba ne ba nka warfarin, li-statin, meriana ea chemotherapy, kapa li-immunosuppressants. Ba bang ba ne ba boetse ba e-na le khatello ea maikutlo, matšoenyeho, kapa lefu la methapo 'me ba ile ba phekoloa ka li-antidepressants, li-antipsychotics, kapa li-anticonvulsants.
Ho tsoa litlalehong tsena, bafuputsi ba fumane hore tšebelisano-'moho ea litlama le lithethefatsi e ne e le "ho ka etsahala" ho 51% ea litlaleho le "ho ka etsahala haholo" ho hoo e ka bang 8% ea litlaleho. Hoo e ka bang 37% e ne e arotsoe e le likamano tse ka bang teng tsa lithethefatsi tsa litlama, 'me ke 4% feela e neng e nkoa e le e belaetsang.
Tlalehong e 'ngoe ea nyeoe, mokuli ea nkang li-statin o ile a tletleba ka ho opeloa ke maoto le bohloko bo boholo ka mor'a ho noa likopi tse tharo tsa tee e tala ka letsatsi, e leng phello e tloaelehileng. Bafuputsi ba ngotse hore karabelo ena e bakiloe ke phello ea tee e tala maemong a mali a li-statin, leha ba itse ho hlokahala lipatlisiso tse ling ho thibela lisosa tse ling tse ka bang teng.
Tlalehong e 'ngoe, mokuli o hlokahetse ka mor'a ho tšoaroa ke sethoathoa ha a ntse a sesa, leha a ne a noa meriana ea kamehla ea ho thibela ho thothomela ho phekola boemo bona. Leha ho le joalo, tlhahlobo ea setopo sa hae e senotse hore o ne a fokotsehile maemong a hae maling, mohlomong ka lebaka la li-supplement tsa ginkgo biloba tseo a neng a li noa khafetsa, tse ileng tsa ama metabolism ea tsona.
Bangoli ba ngola sehloohong sena hore ho nka li-supplement tsa litlama ho boetse ho amahanngoa le matšoao a mpefatsang a khatello ea maikutlo ho batho ba nkang meriana ea ho tepella maikutlo, le ho haneloa ha litho ho batho ba kileng ba kenngoa liphio, pelo kapa sebete. Bakeng sa bakuli ba kankere, meriana ea chemotherapy e bontšitsoe e sebelisana le li-supplement tsa litlama, ho kenyeletsoa ginseng, echinacea le lero la chokeberry.
Tlhahlobo e boetse e bontšitse hore bakuli ba nkang warfarin, e leng sesebelisoa sa ho fokotsa mali, ba tlalehile "likamano tsa bohlokoa tsa bongaka." Bafuputsi ba nahana hore litlama tsena li ka 'na tsa sitisa metabolism ea warfarin, ka hona tsa fokotsa bokhoni ba eona ba ho thibela mali ho bokellana ha mali kapa tsa baka ho tsoa mali.
Bangoli ba re ho hlokahala lithuto tse ling tsa laboratori le ho ela hloko haholoanyane batho ba sebele ho fana ka bopaki bo matla ba tšebelisano lipakeng tsa litlama le lithethefatsi tse itseng. “Mokhoa ona o tla tsebisa balaoli ba taolo ea lithethefatsi le lik'hamphani tsa meriana ho ntlafatsa tlhahisoleseling ea mabitso ho latela lintlha tse fumanehang ho qoba litla-morao tse mpe,” ba ngotse.
O boetse o hopotsa bakuli hore ba lokela ho lula ba bolella lingaka tsa bona le bo-rakhemisi ka meriana kapa li-supplement tseo ba li nkang (esita le lihlahisoa tse rekisoang e le tsa tlhaho kapa tsa litlama), haholo-holo haeba ba fuoe moriana o mocha.