ABSTRACT
Introdução: O gengibre predomina no receituário popular como bom para a digestão, gripes e resfriados na forma de infusão para ingestão ou gargarejo. Na indicação médica formal, praticamente ele inexiste. Objetivo: Encontrar, na literatura científica, estudos com boa qualidade metodológica que deem subsídios para umaindicação precisa do uso do gengibre na saúde.Métodos: Foram procurados inicialmente estudos com melhor grau de evidência na Colaboração Cochrane e, depois,nas bases Medline, Lilacs, PubMed, procurando destacar os estudos com melhor qualidade metodológica.Resultados: Encontramos três revisões sistemáticas na Colaboração Cochrane e dezenas de estudos randomizados nas outras fontes de buscas, focalizando principalmente os efeitos sobre náuseas e vômitos na gravidez, com resultados satisfatórios na maioria deles. Dois estudos focaram esses mesmos desfechos em pacientes submetidos à quimioterapia e na cirurgia ginecológica. Um estudo focou a asma, outro estudo focou a osteartrite e outro focoua dislipidemia. Dois estudos realizados em voluntários sadios trataram sobre a influência do gengibre na gastriteesofágica e gástrica. Os resultados que podem ser considerados relevantes foram em gestantes na prevenção de náusease vômitos da gravidez. Os demais foram estudos isolados que, embora relevantes, não têm poder estatístico suficiente para gerar evidência.Conclusão: O gengibre pode ser incorporado como um importante adjuvante na prevenção de náuseas e vômitos, antes de lançarmos mão de medidas terapêuticas alopáticas convencionais. As demais indicações carecem de trabalhos.
Subject(s)
Humans , Male , Female , Pregnancy , Morning Sickness/therapy , Ginger , Hyperemesis Gravidarum/therapy , Ambulatory Surgical Procedures , Drug TherapyABSTRACT
A metoclopramida, se usada no primeiro trimestre da gesðtação, não está associada a aumento do risco de baixo peso em recém-nascidos, parto pré-termo, malformações ou morte peðrinatal. Nível de evidência: 2b = estudo comparativo de baixa quaðlidade metodológica.
Subject(s)
Humans , Female , Pregnancy , Infant, Newborn , Morning Sickness/therapy , Metoclopramide/pharmacology , Metoclopramide/therapeutic use , Pregnancy Trimester, First/physiology , Pregnant WomenABSTRACT
To determine the effect of continuous acupressure at P6.applied by Sea-Bands with acupressure buttons on the frequency and severity of nausea and vomiting of pregnancy during the 8-20 weeks. A two-group quasi-experimental posttest-only and posttest-repeated measure in seventeen medical clinics or offices in southern Tehran was carried out. A convenience sample of Persian-speaking; healthily pregnant women in their 8-20 weeks of pregnancy; who had at least one episode of nausea, vomiting, or both before their prenatal clinic/ office visit where they were recruited. The women were randomly assigned to treatment or placebo groups. Treatment group [1] applied Sea-Bands with acupressure buttons to both wrists for 4 days and removed the Sea-Bands for 3 subsequent days. Placebo group [2] applied the Sea-Bands with out acupressure buttons to both wrists on the same time schedule as group 1. Self-reported daily diaries of the number of times per day that participants experienced nausea, the severity of nausea, the number of vomiting episodes per day, and the severity of vomiting were recorded. Mann-Whitney U test revealed that the treatment group had significantly less frequency and severity of nausea and vomiting of pregnancy while wearing the Sea-Bands than did the placebo group. The treatment group also had significantly less frequency and severity of nausea and vomiting of pregnancy while wearing the Sea-Bands than when not wearing the Sea-Bands. Sea-Bands with acupressure buttons are a noninvasive, inexpensive, safe, and effective treatment for the nausea and vomiting of pregnancy
Subject(s)
Humans , Female , Morning Sickness/therapy , Vomiting/etiology , Vomiting/drug therapy , Nausea/etiology , Nausea/drug therapy , PregnancyABSTRACT
Morning sickness or simple emesis along with nausea is commonly present in 50% ladies during their pregnancy upto 12-14 weeks but when it becomes severe, it is called as hyperemesis gravidarum which exerts deleterious effects on the health of mother as well as of the baby. It may be a symptom of various medical-surgical-gynaecological complications and if it is not controlled in its early phase sometimes a hard decision of termination of pregnancy has to be undertaken. The guideline for treating ailments during pregnancy is first that the drug should be safe not to hinder with the continuation of gestation period. In this protective mode of treatment, our Unani herbal formulations have proved their superiority over the drugs of other systems. Present study was carried out to assess the efficacy of Jawarish Anarain in vomiting during pregnancy and results found were very encouraging