Re: [問題] 有關月見草油..

[ayoun22 (貝吉達)]

※ 引述《yytea (天地一沙鷗)》之銘言：
: ※ 引述《minute8 (mia)》之銘言：
: : 我大二時每次生理期一來~臉上都會狂長痘痘
: : 自從吃月見草油半年後
: : 皮膚狀況變好了..重點是也變瘦了耶
: : 效果變好了..也就沒再繼續吃~
: : 而且之後怎麼吃都不會變胖~很少很長痘痘
: : 連生完兩個小孩~也自然就瘦下來
: : 只是少運動..身體都懶懶的..很容易累
: : 所以也不知是剛好體質關係~或是多少有關連吧..
: : 我當時好像一天只吃一顆..生理期來就停用..
: : 好幾年沒吃的我
: 請問 有巧克力囊腫的人
: 適不適宜 吃月見草油呢?

這個是高醫醫訊
http://www.kmuh.org.tw/www/kmcj/data/9101/4871.htm

從巧克力囊腫談子宮內膜異位症

婦產科　陳鴻昇主治醫師(91年1月)


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所謂的巧克力囊腫，就是指子宮內膜異位瘤，是發生於卵巢內的子宮內膜異位症，隨著每
月的月經來潮，這些異位的內膜組織也會產生月經造成經血堆積於卵巢內，形成卵巢腫瘤
，因內容物極像巧克力之狀，故通稱巧克力囊腫。

子宮內膜異位症，顧名思義，就是子宮內膜組織，在子宮內膜以外的地方發育生長所致，
其發生率在生育年齡的婦女約是百分之七，在一等親有內膜異位症的家屬，其發生率是一
般人口的七倍。其發生的原因，有許多的說法，但大部份的學者相信是子宮內膜細胞轉移
到子宮外生長發育所致。而轉移的途徑，最常見的是來自月經期間，經血經由輸卵管逆流
至骨盆腔的器官，故子宮內膜異位症常發生於子宮壁、腹膜、卵巢、輸卵管、腸壁、膀胱
壁等。而另外有些特殊的案例，子宮內膜組織可能經由淋巴或血液循環，轉移到較遠處的
器官，例如直腸、小腸或肺臟、淋巴結，但並不常見。另外，子宮的手術也可能造成子宮
內膜組織轉移到手術傷口，而造成手術傷口的子宮內膜異位症。

臨床上，子宮內膜異位症的患者，依嚴重度的不同，也會表現出不同程度的症狀。常見的
症狀是痛經，通常在月經來潮之前，便開始有腹部的不適。因子宮內膜異位症常常會合併
嚴重的骨盆腔粘黏，造成受孕能力下降，增加子宮外孕的機會。另外月經失調、慢性骨盆
腔疼痛、性交痛、囊腫破裂造成急性骨盆腔疼痛等等，也可能發生。若子宮內膜異位症發
生於肺部，則可能出現週期性咳血，若發生於膀胱，則可能出現血尿的症狀。

在治療方面，可分成藥物治療和手術治療兩方面，可依病患的狀況和治療目標來決定治療
方法。藥物治療方面，由於子宮內膜組織隨著月經週期而生長，故治療目標便是造成無月
經，來達到抑制內膜組織生長的目的。常用的藥物有黃体素、Danazol、Gestrinone、
口服避孕藥、性腺荷爾蒙刺激素類似劑。一般而言，要達到完整的治療效果，藥物治療通
常要持續四至六個月。在藥物治療期間，通常是不會懷孕，也不適合懷孕。故患者若是考
慮懷孕，則可接受手術治療。

手術治療方面，由於腹腔鏡技術的進步，許多的子宮內膜異位症的患者，可使用腹腔鏡手
術來達到治療的目的。但對於腫瘤過大，粘黏太嚴重，或發生於泌尿道或胃腸道等部位的
患者，則較不適於腹腔鏡手術，可採用傳統的開腹手術。手術目標，則要盡量清除異位的
子宮內膜組織，可用切除或電燒的方式來處理。對於仍然要計畫懷孕的患者，則要盡量保
留卵巢和輸卵管的功能，並可於手術時，檢視輸卵管功能是否通暢，並盡量減少術後粘黏
的發生。對於不想生育，且接近停經的婦女，則可考慮切除子宮和卵巢，以達到一勞永逸
的目的。症狀嚴重的患者，無法於手術時完整處理乾淨的話，則可考慮於術後，再給予藥
物治療。

子宮內膜異位症的復發率極高，藥物治療又比手術治療復發率來得高，每年約有5至20％
的復發率，5年的復發率高達40％，故治療後仍要定期追蹤。對於計劃懷孕的婦女，則於
治療後半年內積極懷孕，若無法如願，則可考慮人工生殖技術的協助。對於尚未結婚或是
短時間內無懷孕計劃的患者，則可考慮口服避孕藥，以減低復發率。


北醫保健營養食品學系
http://nutri.tmu.edu.tw/networks/newpage208.htm
月 見 草 油 的 奧 秘


　　月見草（Evening Primose）又稱櫻草，為二年生草本。月見草主要是生長在河畔的沙
地上，但是在高山及沙漠也發現到它的蹤影。月見草的花在傍晚慢慢的盛開，至天亮即凋
謝，是一種只開給月亮看的植物。印地安人是最早使用月見草作治療用途的人類。他們使
用月見草治療外傷、皮膚炎等疾病。19世紀，月見草被帶到歐洲，因它具有治療多種疾病
的功效，所以月見草很快就獲得了【King’s cure all】的美譽。在20世紀初期，科學家
發現在月見草的種子中含有一種特殊的脂肪酸－γ- 次亞麻油酸（Gamma linolenic acid
，GLA）。


　　γ- 次亞麻油酸屬於ω－6不飽和脂肪酸。在體內可由亞麻油酸（linoleic acid）經
酵素催化轉換而來。γ- 次亞麻油酸（GLA）在體內主要功能是合成前列腺素E1（
Prostaglandin E1，PGE1）。前列腺素E1（PGE1）是一種由細胞本身所產生的類荷爾蒙物
質。它具有調控循環系統、免疫系統、生殖系統及皮膚系統等的功能。PGE1對人體的功效
如下：

 擴張血管，降低動脈壓，降低血壓。
 抑制血栓形成及血小板凝聚，維護血循環暢通。
 改善膽固醇代謝，有助健康維持。
 抑制類風濕性關節炎、異位性皮膚炎、乾燥症。
 抑制氣喘和過敏。
 調節體內的雌性素、黃體酮及泌乳激素，改善經前症候群。
 管理皮脂腺的代謝，改善皮膚失調現象。

　　月見草油的發現，使得人類可由食物中直接補充到GLA，不必依賴體內亞麻油酸的轉]
換并使PGE1的合成不受limiting enzyme, d -6 desaturase的影響。植物醫學上，月見草
油被認為能夠治療類風濕性關節炎、異位性皮膚炎、乾燥症、氣喘、過敏、經前症候群、
皮膚失調、血循環問題、糖尿病神經病變、病毒感染後症候群。懷孕婦女及服用癲癇藥物
的人，宜向醫生徵詢。由於GLA普遍存在母乳中，故生產完後就可補充月見草油。

　　月見草油含有極珍貴的GLA，同時它在體內的功效非常廣泛，故再草藥界被譽為
（King’s cure all）


資料來源：

Prog. Lipid Res. 31(2):163-194, 1992

J. Nutri. 128:1411-1414, 1998

Herbal Medicines- A Guide for Health-Care Professional, pg. 110-113, 1996


University of Maryland Medical Center
http://www.umm.edu/altmed/articles/endometriosis-000058.htm

Endometriosis

Endometriosis occurs when endometrial cells -- the cells that make up the
lining of the uterus -- travel outside the uterus to other parts of the body.
These misplaced cells are stimulated by hormones, just like the cells within
the uterus, and build up and then shed blood during menstruation each month.
Blood from these cells causes deposits to build up and form scar tissue,
which can be painful. Endometriosis affects 10 - 20% of American women of
childbearing age. It is one of the main causes of infertility in women.

Signs and Symptoms

One-third of women with endometriosis have no symptoms. The most common
symptoms include the following.
"   Pelvic pain, especially during menstruation
"   Heavy or irregular menstruation
"   Pain during sexual intercourse
"   Infertility or miscarriage
"   Pain with bladder or bowel function, or intestinal pain

What Causes It?
The cause is unknown, but there are three theories.
"   Abnormal functioning of the immune system
"   Retrograde (or reflux) menstruation, in which some menstrual blood
    flows backward through the fallopian tubes
"   Genetic or heredity factors

What to Expect at Your Provider's Office

A physical examination may include gentle pushing on your abdomen and pelvic ex
am. Definitive diagnosis is made with laparoscopy, a surgical procedure that in
serts a fiber-optic rod and camera into the abdomen through a small incision in
 the belly button.

Treatment Options

Because there is no cure, treatments are designed to relieve symptoms.


Drug Therapies

The following drugs can relieve the symptoms of endometriosis.
"   Nonsteroidal anti-inflammatory drugs (such as ibuprofen)
"   Hormone-suppressing drugs (which stop ovulation)


Surgical Procedures

Laparoscopic laser techniques help shrink lesions. Total hysterectomy (removal
of the uterus and ovaries) is recommended only when necessary but does not guar
antee an end to symptoms.

Complementary and Alternative Therapies

In addition to diet, herbs, and supplements, exercise may help prevent
endometriosis. It's unknown whether exercise will help an existing condition.
Because endometriosis is affected by hormones, including estrogen, many
treatments are designed to reduce estrogen levels in the body.

Nutrition and Supplements

"   Eliminate all known food allergens.
"   Eliminate alcohol, caffeine, refined foods, sugar, and saturated fats
    , which can increase inflammation and pain. Avoid non-organic meat and
    milk, which may contain hormones. Some women find vegetarian or vegan
    diets lessen symptoms.
"   Increase intake of whole grains, fresh vegetables, essential fatty
    acids, and vegetable proteins.
"   Fish oil (1,500 mg per day) has been shown to reduce the severity of
    endometriosis in animal studies, but no studies have been done on humans.
"   Vitamin C (1,000 mg three times per day) decreases inflammation. Lower
    dose if diarrhea develops.
"   Vitamin E (400 IU per day) helps balance hormones and the immune
    system.
"   Iron supplementation may be necessary if bleeding is severe.
"   Essential fatty acids (1,000 - 1,500 mg twice a day), found in evening
    primrose oil, borage oil, or flaxseed oil, help reduce levels of
    prostaglandins, which cause cramps and inflammation.
"   High doses of calcium (500 mg four times per day) and magnesium (500 mg
    two times per day) also may help reduce prostaglandin levels. Since
    this is a high dose, take it only during your period.
"   Calcium d-glucarate (500 - 1,000 mg one to three times per day) can
    help rid the body of toxins and may help the body get rid of excess
    estrogen.
"   Diindolylmethane (Indolplex, 1 capsule one to two times per day) helps
    the body to metabolize estrogen in the most beneficial form and not in
    harmful forms.

Herbs
Herbs are generally a safe way to strengthen and tone the body's systems. As
with any therapy, you should work with your health care provider to get your
problem diagnosed before starting any treatment. You may use herbs as dried
extracts (capsules, powders, teas), glycerites (glycerine extracts), or
tinctures (alcohol extracts). Unless otherwise indicated, you should make teas
 with 1 tsp. herb per cup of hot water. Steep covered 5 - 10 minutes for leaf
or flowers, and 10 - 20 minutes for roots. Drink 2 - 4 cups per day. You may
use tinctures alone or in combination as noted.
Chaste tree or chasteberry (Vitex agnus cactus) taken long term (12 - 18
months) for maximum effectiveness. As a capsule, take 225 mg two times per day.
 It is sometimes combined with dong quai ( Angelica sinensis ) (200 mg three
times per day, or 30 drops of tincture per day).
Chaste tree can also be taken with:
"   Dandelion (Taraxacum officinale). Steep 2 - 3 teaspoons dried root in one
    cup boiling water. Strain and cool. Drinks 3 cups per day.
"   Prickly ash ( Zanthoxylum americanum ). Boil 1 - 3 g in one cup water for
    10 minutes. Strain and cool. Drink 3 cups per day.
"   Motherwort (Leonurus cardiaca) . Steep 2 g in a cup of boiling water.
    Strain and cool. Drink 3 cups per day.
    A lipotropic combination helps the liver remove any excess estrogen from
    the body. The combination should include milk thistle (Silybum marianum),
    dandelion, choline, inositol, and methionine.

Traditional Chinese medicine is often used as an alternative treatment for
endometriosis. Herbs often prescribed include corydalis, cnidium, bupleurum,
dong quai, and perilla, sometimes accompanied by acupuncture. Because doses
vary, you should talk to a licensed provider of traditional Chinese medicine.

Natural Hormone Replacement

A qualified natural medicine provider may prescribe natural hormone creams,
such as progesterone, to balance excessive estrogen levels. This should only
be done under the care of a licensed doctor skilled in the use of natural
hormones.
Keep all of your doctors informed whenever you use hormones of any kind.

Homeopathy

Some of the most common remedies are listed below. Usually, the dose is 3 - 5 p
ellets of a 12X to 30C remedy every 1 - 4 hours.
"   Belladonna for menstruation with sensation of heaviness and heat
"   Calcarea phosphoricum for excessive periods with backache
"   Chamomilla for heavy menses with dark clotted blood and pains
"   Cimicifuga racemosa for unbearable pain radiating from hip to hip

Physical Medicine

Do not perform these therapies during menstrual flow.
"   Contrast sitz baths. You will need two basins that you can comfortably sit
    in. Sit in hot water for three minutes, then in cold water for one minute.
    Repeat this three times to complete one set. Do one to two sets per day,
    3 - 4 days per week.
"   Castor oil pack. Apply oil to a soft, clean cloth, place on abdomen, and
    cover with plastic wrap. Place a heat source over the pack and let sit
    for 30 - 60 minutes. Use for three consecutive days.
"   Kegel exercises (contracting and releasing the pelvic muscles).

Acupuncture
Acupuncture may be helpful for reducing pain and helping balance hormone
levels.

Massage
Therapeutic massage may help resolve pelvic congestion.

Special Considerations
Endometriosis often resolves during pregnancy.

Supporting Research
Batchelder HJ, Hudson T, Lewin A, et al. Therapeutic approaches to
endometriosis . The Protocol Journal of Botanical Medicine 1996;Spring:25-60.

Covens AL, Christopher P, Casper RF. The effect of dietary supplementation with
 fish oil fatty acids on surgically induced endometriosis in the rabbit.
Fertil Steril 1988;49:698-703.

Facts About Endometriosis. U.S. Department of Health and Human Services.
National Institutes of Child Health and Human Development. NIH Publication no.
91-2413.

Harel Z, Biro FM, Kottenhahn RK, Rosenthal SL. Supplementation with omega-3
polyunsaturated fatty acids in the management of dysmenorrhea in adolescents.
Am JObstet Gynecol 1996;174:1335-8.

Hudson T, Lewin A, Gerson S, et al. Endometriosis (modality specific condition
 reviews) Protocol J Botan Med . 1996;1:30-46.

Kruzel T. The Homeopathic Emergency Guide. Berkeley, Calif: North Atlantic
Books; 1992:112-114.

Lauritzen C, Reuter HD, Repges R, et al. Treatment of premenstrual tension
syndrome with Vitex agnus-castus. Controlled, double-blind study versus
pyridoxine. Phytomedicine 1997;4:183-9.

McQuade CA. Women's health workshop: endometriosis, fibroids, PMS and HRT.
Medicines from the earth: exploring nature's pharmacy (official proceedings).
Harvard, Mass: Gaia Research Institute; 1997:182-183.

Tureck RW. Endometriosis: diagnosis and initial treatment. Hospital Physician
Obstetrics and Gynecology Board Review Manual. April 1997;3:1-8.

"       Review Date: 9/1/2006
"       Reviewed By: Steven D. Ehrlich, N.M.D., private practice specializing
        in comp
lementary and alternative medicine, Phoenix, AZ. Review provided by VeriMed Hea
lthcare Network.

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貼了那麼多喇賽文章(有興趣的人可以看看)，看起來就是月見草油也許可以止痛

國外的產品介紹是可以用
http://www.womenlivingnaturally.com/product.php?id=52

但是沒有動物及人體試驗的報告，吃了也不知道好還是不好就是了

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◆ From: 60.198.100.110
推 bookmost:吃了好不好就憑個人感覺啦...是聽到很多用的人說有效
推 keying:對經痛的人有效
推 yytea:最近幾天吃了月見草油  倒是臉上開始長痘痘  還要吃嗎?
→ ayoun22:大部分的文獻都是可以改善痘痘，只是少數討論區也有人狂長
→ ayoun22:只是少數討論區也都是同一個網站，有點令人疑惑就是了
→ ayoun22:不過如果心情上已經是不想吃的話，最好就別吃了