I-cohosh emnyama, eyaziwa ngokuba yingcambu yenyoka emnyama okanye iingcambu zerattlesnake, ivela eMntla Melika kwaye inembali ende yokusetyenziswa eMelika. Kangangeenkulungwane ezingaphezu kwamakhulu amabini, amaNdiya aseMelika afumanise ukuba iingcambu ze-black cohosh zinceda ekunciphiseni iintlungu zokuya exesheni kunye neempawu zokuya exesheni, kubandakanya i-hot flusher, ixhala, utshintsho lweemvakalelo kunye nokuphazamiseka kokulala. Ingcambu ye-black hemp isasetyenziswa kwezi njongo nanamhlanje.

Isithako esisebenzayo sengcambu yi-terpene glycoside, kwaye ingcambu iqulethe ezinye izithako ezisebenzayo, kuquka ii-alkaloids, ii-flavonoids kunye ne-tannic acid. I-Black cohosh inokuvelisa iziphumo ezifana ne-estrogen kwaye ilawule ulungelelwaniso lwe-endocrine, olunokunceda ekunciphiseni iimpawu zokuya exesheni ezifana nokungalali, ubushushu, iintlungu zomqolo kunye nokulahlekelwa ziimvakalelo.

Okwangoku, eyona ndlela iphambili yokusebenzisa i-black cohosh extract kukunciphisa iimpawu ze-perimenopausal. Izikhokelo ze-American College of Obstetricians and Gynecologists malunga nokusetyenziswa kwamayeza esintu kwiimpawu ze-perimenopausal zithi zingasetyenziswa ukuya kuthi ga kwiinyanga ezintandathu, ingakumbi ukunciphisa ukuphazamiseka kokulala, ukuphazamiseka kweemvakalelo kunye nobushushu.

Njengakwezinye ii-phytoestrogens, kukho inkxalabo malunga nokhuseleko lwe-black cohosh kubasetyhini abanembali okanye imbali yosapho yomhlaza webele. Nangona kufuneka uphando oluthe kratya, uphando olunye lwe-histological ukuza kuthi ga ngoku lubonise ukuba i-black cohosh ayinayo impembelelo evuselela i-estrogen kwiiseli zomhlaza webele ze-estrogen-receptor, kwaye i-black cohosh ifunyenwe ukuba yonyusa isiphumo sokulwa nomhlaza webele se-tamoxifen.

Isicatshulwa se-cohosh esimnyamaIkwasetyenziselwa ukunyanga iingxaki zemithambo-luvo zezityalo ezibangelwa kukuyeka ukuya exesheni, kwaye inefuthe elihle kwiingxaki zokuzala zabasetyhini ezifana ne-amenorrhea, iimpawu zokuya exesheni ezifana nobuthathaka, ukudakumba, ubushushu obuphezulu, ukungazali okanye ukuzala. Ikwasetyenziselwa ukunyanga ezi zifo zilandelayo: i-angina pectoris, uxinzelelo lwegazi oluphezulu, isifo samathambo, i-bronchial asthma, ukulunywa yinyoka, ikholera, ukuxhuzula, i-dyspepsia, i-gonorrhea, i-asthma kunye nokukhwehlela okungapheliyo okufana nokukhwehlela, umhlaza kunye neengxaki zesibindi nezintso.

I-cohosh emnyamaakukafunyaniswa ukuba isebenzisana nezinye iziyobisi ngaphandle kwe-tamoxifen. Isiphumo esiqhelekileyo esifunyenwe kwizilingo zeklinikhi yayikukungonwabi kwesisu. Kwiidosi eziphezulu, i-black cohosh inokubangela isiyezi, intloko ebuhlungu, isicaphucaphu kunye nokuhlanza. Ukongeza, abafazi abakhulelweyo akufuneki basebenzise i-black cohosh kuba inokukhuthaza ukushwabana kwesibeleko.