Hemodialysis nephropathy Cov neeg mob yuav tsum ua li cas yog tias lawv ntsib Uremic Pruritus? Koj puas tau siv cov tshuaj tshiab rau kev kho mob?

Cov tawv nqaij khaus yog ib qho teeb meem uas tshwm sim thiab ntxhov siab rau cov neeg mob hemodialysis nephropathy thaum lub sij hawm kho ntshav. Kev tshawb fawb qhia tau hais tias ntau dua 42% ntawm kev kho hemodialysis (MHD) cov neeg mob muaj qhov khaus khaus heev, thiab ntau dua 73% hais tias lawv khaus khaus ntawm daim tawv nqaij. Uremic pruritus yog mob ntev thiab tsis muaj zog. Lub sijhawm pib yog feem ntau nyob rau lub caij ntuj no thiab thaum hmo ntuj. Nws yog tshwj xeeb yog qhov txawv txav ntawm qhov khaus thiab tsis xis nyob thoob plaws lub cev lossis hauv zos. Cov tawv taub hau, hauv pliaj, caj dab thiab nraub qaum, hauv siab, plab, thiab caj dab yog qhov chaw. Sab nraub qaum yog qhov chaw khaus khaus tshaj plaws. Cov tawv nqaij khaus muaj feem cuam tshuam rau tus neeg mob pw tsaug zog, mus ob peb vas, thiab txawm tias kev sib raug zoo. Nyob rau hauv cov xwm txheej hnyav, kev puas tsuaj rau daim tawv nqaij vim yog khawb yuav ua rau cov tsos mob khaus khaus, ua rau lub voj voog tsis zoo, txo tus neeg mob lub neej zoo, thiab tseem ua rau tus nqi mus pw hauv tsev kho mob thiab kev tuag mus ntev. Tsis tsuas yog qhov no cuam tshuam rau lawv lub neej zoo, nws tuaj yeem cuam tshuam tsis zoo rau lawv lub hlwb. Yog li, yuav ua li cas cov neeg mob hemodialysis thiab kab mob raum yuav ua li cas nrog khaus tawv nqaij?

Nyem rau Cistanche rau mob raum

Ua rau khaus tom qab uremic dialysis

Tsis txaus hemodialysis

Tsis zoo li lub raum uas pab lub cev detoxify nws tus kheej 24 teev nyob rau ib hnub, hemodialysis feem ntau tsuas yog tshem tawm ib feem ntawm co toxins thiab tsis tuaj yeem hloov lub raum detoxification muaj nuj nqi. Nws tsis tuaj yeem tshem tawm qhov nruab nrab thiab loj molecular co toxins hauv cov ntshav. Qhov nruab nrab thiab loj molecules ntawm lub sij hawm ntev hemodialysis cov neeg mob Kev tsub zuj zuj ntawm co toxins ntau dhau ntawm lub cev tuaj yeem ua rau khaus tawv nqaij.

electrolyte metabolism tsis meej

Cov neeg mob uas muaj hemodialysis nephropathy feem ntau ntsib cov teeb meem ntawm cov metabolism hauv electrolyte vim lub raum tsis ua haujlwm. Ntawm lawv, nce ntshav phosphorus thiab txo qis ionized calcium ntau ntau yog qhov tshwm sim. Cov kev hloov pauv no txhawb kev tso tawm ntawm cov tshuaj parathyroid hormone (PTH), ua rau theem nrab hyperparathyroidism. Secondary hyperparathyroidism tsis tsuas yog ua rau tawv nqaij khaus, tab sis kuj yuav ua rau muaj teeb meem xws li hypercalcemia, calcification ntawm daim tawv nqaij, thiab khaus ntawm daim tawv nqaij hypertrophy.

Nitrogen metabolite khaws cia

Cov neeg mob hemodialysis feem ntau muaj qhov txawv txav ntawm cov tshuaj lom metabolites vim lub raum tsis ua haujlwm, lim ntshav tsis txaus, lossis lwm yam laj thawj, uas ua rau khaus tawv nqaij. Piv txwv li, ntshav siab phosphorus ua ke nrog calcium los tsim calcium phosphate, uas tso rau hauv daim tawv nqaij lossis lwm cov ntaub so ntswg. Cov deposits ntxiv irritates lub zos cheeb tsam. Cov paj hlwb induce pruritus. Txawm hais tias kev kho mob lim dej tuaj yeem tshem tawm qee cov co toxins tawm hauv lub cev, cov co toxins loj thiab nruab nrab hauv lub cev tseem tuaj yeem ua rau hauv lub cev, ua rau khaus tawv nqaij, thiab ua rau cov tsos mob xws li dryness, scaling, thiab khaus.

tawv nqaij qhuav

Cov neeg mob uas tau txais kev kho mob mus sij hawm ntev yog ua rau cov tawv nqaij qhuav thiab tsis muaj dej noo vim atrophy ntawm cov qog sebaceous thiab hws qog thiab endocrine tsis ua haujlwm, uas ua rau khaus. Qhov tshwm sim ntawm cov neeg mob ntshav lim ntshav yog 50% mus rau 85%, thiab nws yog tus cwj pwm los ntawm atrophy ntawm cov qog qog nqaij hlav thiab thickening ntawm basal txheej, ua rau muaj kev nce hauv pH hauv zos thiab txo qis hauv dej ntawm stratum corneum. Lub epidermal ya raws cov ntsiab lus ntawm cov neeg mob uas muaj uric pruritus, tshwj xeeb tshaj yog cov neeg mob dialysis, yog ho txo. Cov kev tshawb fawb tau pom tias cov neeg mob lim ntshav tau nce cov dej hauv transepidermal poob, qhia tias lawv cov kab mob epidermal puas lawm, thiab cov tawv nqaij qhuav dej los ntawm kev lim dej ultrafiltration ntxiv ua rau cov tawv nqaij qhuav.

Systemic micro-inflammatory xeev

Kev tsis haum tshuaj tiv thaiv kab mob hauv lub cev lossis kev nthuav qhia ntau ntxiv ntawm cov kab mob tiv thaiv kab mob hauv cov neeg mob hemodialysis qhia tias qhov pib ntawm pruritus yog ze rau ntau yam kev tiv thaiv kab mob. Cov kev tshawb fawb tau pom tias muaj ntau yam uas tswj kev tiv thaiv kab mob los yog mob, xws li cov qe ntshav dawb siab, hypoalbuminemia, thiab hyperferritinemia, muaj feem xyuam rau kev mob hnyav heev. Tsis tas li ntawd, cov cim inflammatory xws li hom 1 pab T hlwb, C-reactive protein, interleukin (IL)-6, thiab IL-2 tau nce ntxiv hauv cov neeg mob ntshav qab zib uas muaj pruritus. Nyob rau hauv xyoo tas los no, ib tug series ntawm cytokines tau pom muaj kev koom tes nyob rau hauv lub pathogenesis ntawm pruritus, xws li IL-2, IL-4, IL-13, thiab IL-31.

Noj tsis txaus

Cov neeg mob ntshav qab zib mob ntshav qab zib feem ntau muaj cov khoom noj tsis txaus vim muaj cov co toxins ntau ntxiv, tsis qab los noj mov, thiab kev noj zaub mov tsis zoo (xws li kev txwv dej, txwv ntsev, thiab lwm yam), uas tuaj yeem ua rau cov tsos mob ntawm daim tawv nqaij khaus.

lwm yam

Cov neeg mob uremia feem ntau nrog rau lwm yam kab mob, xws li ntshav qab zib, hypercalcemia, thiab lwm yam, uas tuaj yeem ua rau khaus khaus.

Yuav ua li cas nrog uremic khaus

Txhim kho kev lim ntshav txaus

Uremic pruritus tuaj yeem tshwm sim los ntawm kev sib sau ntawm uremic toxins hauv lub cev, nce ntshav calcium thiab phosphorus qib, thiab nce qib ntawm parathyroid hormone hauv cov ntshav. Raws li ib txwm muaj, cov neeg mob uremic xav tau hemodialysis los hloov lub raum ua haujlwm, tab sis hemodialysis tsuas tuaj yeem tshem tawm cov co toxins me me thiab tsawg tsawg ntawm cov tshuaj molecule nruab nrab hauv cov ntshav, thiab tshem tawm cov nyhuv loj ntawm cov co toxins tsis zoo. Hauv qhov no, kev txhim kho kev lim ntshav tuaj yeem raug txiav txim siab los txhim kho qhov txaus ntawm kev lim ntshav. Cov kev ntsuas tshwj xeeb suav nrog: (1) Ua kom cov tshuaj dialysate nce ntxiv: Los ntawm kev siv tshuaj dialysate nce ntxiv, kev tshem tawm kev lim ntshav tuaj yeem txhim kho, pab tshem tawm cov co toxins hauv lub cev, thiab txo cov tsos mob. (2) Siv high-flux dialyzers: High-flux dialyzers muaj kev lim dej ntau dua thiab tuaj yeem tshem tawm cov co toxins zoo dua thiab txhim kho cov neeg mob cov tsos mob uremia. High-flux hemodialysis tuaj yeem tshem tawm qhov nruab nrab thiab loj molecular co toxins thaum txo tus neeg mob lub xeev micro-inflammatory. (3) Hemoperfusion pulse therapy: Rau cov neeg mob uas muaj refractory uremic pruritus, hemoperfusion pulse therapy yuav raug sim los pab tshem tawm macromolecular co toxins los ntawm lub cev, li no alleviating daim tawv nqaij khaus.

Kev siv tshuaj zoo

Cov tshuaj hauv qab no tuaj yeem siv rau uremic pruritus (1) Cov tshuaj tiv thaiv kab mob vwm: Gabapentin thiab pregabalin tam sim no tau txais txiaj ntsig zoo rau kev kho mob uric pruritus. Raws li gamma-aminobutyric acid-related anticonvulsants, lawv ua ntawm voltage-dependent Alterations nyob rau hauv calcium channels ua paj hlwb impulses tseem ceeb rau pruritus. (2) Opioid receptor agonists / antagonists: Ntau qhov kev sim thiab kev soj ntsuam soj ntsuam kev tshawb fawb tau lees paub lub luag haujlwm ntawm opioid receptors nyob rau hauv mob pruritus thiab pruritus hauv HD cov neeg mob. (3) Antihistamines: Lawv feem ntau siv tshuaj los kho mob pruritus. Cov kev kho mob tam sim no tuaj yeem muab faib ua histamine receptor antagonists, xws li diphenhydramine, hydroxyzine, loratadine lossis cetirizine. thiab mast cell stabilizers xws li sodium cromoglycate, zinc sulfate, thiab ketotifen. (4) Emollients nrog cov dej siab: Cov tshuaj pleev ib ce xws li pramoxine thiab capsaicin tuaj yeem siv los txhim kho CKD-aP. Ob lub tebchaw no ua rau hypoesthesia thiab loog los ntawm kev thaiv cov hlab ntsha impulses ntawm daim tawv nqaij. Li no ua tiav cov nyhuv ntawm alleviating pruritus. (5) Cov tshuaj uas muag muag tshiab: Nafurafine hydrochloride qhov ncauj disintegrating ntsiav tshuaj yog ib yam tshuaj siv los kho uremic pruritus ntsig txog hemodialysis. Cov tshuaj no, tsim los ntawm Nyiv Toray, yog ib qho kev xaiv kappa (kappa)-opioid receptor agonist. Ntxiv nrog rau uremic pruritus, nalfurapine hydrochloride kuj tseem siv los kho pruritus hauv cov neeg mob uas muaj kab mob siab thiab pruritus hauv peritoneal dialysis cov neeg mob.

Tsis tas li ntawd, nws yog ib qho tsim nyog yuav tsum siv cov vitamin D kom ntxiv calcium raws li cov lus qhia kho mob thiab kho cov dialysate kom tsim nyog calcium concentration los tiv thaiv qhov tshwm sim ntawm hypercalcemia. Tsis tas li ntawd, cov tshuaj uas txo cov phosphorus, xws li lanthanum carbonate, cinacalcet, thiab lwm yam, thiab cov tshuaj uas txhim kho parathyroid muaj nuj nqi, xws li paricalcitol, calcitriol, thiab lwm yam., kuj tseem siv tau. Cov tshuaj no pab tswj cov metabolism hauv electrolyte thiab txo cov tsos mob ntawm daim tawv nqaij khaus.

Kho tus cwj pwm noj mov

Txwv tsis pub noj zaub mov phosphorus kom txo cov plab hnyuv nqus ntawm phosphorus. Tshwj xeeb, cov neeg mob noj phosphorus txhua hnub yuav tsum tswj hwm ntawm 800-1000 mg. Nyob rau tib lub sijhawm, tswj kev noj zaub mov kom zoo thiab noj cov zaub mov txaus los txhim kho kev noj zaub mov tsis zoo. Noj tsawg dua cov khoom noj, uas muaj ntau yam additives thiab siab phosphorus ntsiab lus. Kev noj phosphorus ntau ntxiv tuaj yeem ua rau cov neeg mob hyperparathyroidism thiab khaus khaus. Cov khoom noj uas muaj phosphorus siab muaj xws li cov kaus poom, cov lauj kaub kub, offal, txiv ntseej, nplej, thiab lwm yam. Yog tias hyperphosphatemia tsis tswj tau zoo, koj tuaj yeem noj cov tshuaj phosphorus-txo raws li cov lus qhia kho mob, xws li sevelamer, lanthanum carbonate chewable ntsiav tshuaj, calcium acetate, lwm.

tu tawv nqaij

Ua kom koj cov tawv nqaij huv thiab noo, siv cov tshuaj ntxuav me me thiab ntxuav lub cev, thiab tsis txhob da dej ntau dhau. Xaiv cov moisturizing emollient uas muaj cov khoom xyaw xws li aloe vera thiab vitamin E los pab daws cov tawv nqaij qhuav thiab khaus khaus. Kwv yees li ntawm 85% ntawm cov neeg mob uas muaj uremic pruritus yuav tsim cov tsos mob ntawm daim tawv nqaij qhuav, ntxiv rau qhov hnyav ntawm qhov khaus. Emollients feem ntau muaj txiaj ntsig zoo hauv kev txhim kho cov tsos mob ntawm dryness thiab txo qhov khaus nrog ob peb yam tsis zoo. Yog li, emollients tuaj yeem siv los ua thawj kab kev kho mob rau cov tsos mob ntawm daim tawv nqaij qhuav, khaus khaus.

kev kho mob phais

(1) Parathyroidectomy: Hyperparathyroidism tuaj yeem ua rau uremic pruritus. Yog tias kev lim ntshav thiab kev kho tshuaj tsis zoo hauv kev txhim kho cov tsos mob khaus, tag nrho parathyroidectomy yuav raug txiav txim siab. Qhov kev phais no tuaj yeem txo qis cov tshuaj hormones parathyroid thiab txo nws cov teebmeem ntawm daim tawv nqaij, yog li txhim kho cov tsos mob khaus. (2) Kev hloov pauv hauv lub raum: Rau qee cov neeg mob uas muaj kev hloov pauv hauv lub raum mus rau qhov hnyav uremic pruritus uas tsis tuaj yeem daws qhov teeb meem pruritus txawm tias tom qab kev kho mob ntau zaus, kev hloov raum yuav raug txiav txim siab. Kev hloov hauv lub raum tuaj yeem kho uremic khaus los ntawm cov hauv paus hauv paus los ntawm kev ua kom lub raum ua haujlwm ib txwm muaj thiab txo lossis tshem tawm cov tsub zuj zuj ntawm cov co toxins, yog li txo cov tsos mob khaus khaus.

Suav kho mob

Cov tshuaj suav tshuaj tau siv txoj hauv kev tshiab rau kev kuaj mob thiab kev kho mob khaus hauv cov neeg mob uremic thiab tau ua pov thawj tias muaj txiaj ntsig zoo hauv kev kho mob. Cov kev kho mob suav nrog acupuncture, acupoint massage, auricular siab, suav tshuaj da dej, suav tshuaj fumigation, thiab lwm yam.

Kev sab laj txog kev puas siab puas ntsws thiab kev saib xyuas lub neej

(1) Kev sab laj txog kev puas siab puas ntsws: Kev khaus khaus tsis tsuas yog cuam tshuam rau tus neeg mob lub cev kev noj qab haus huv tab sis kuj tseem tuaj yeem cuam tshuam tsis zoo rau nws txoj kev puas siab puas ntsws. Cov neeg ua haujlwm kho mob yuav tsum tau ua tib zoo saib xyuas lub siab lub ntsws ntawm cov neeg mob, muab kev sab laj txog kev puas siab puas ntsws thiab kev txhawb nqa, thiab pab lawv tsim kev ntseeg siab rau kev kov yeej tus kab mob. (2) Kev tu lub neej: Chav tsev kub yog qhov tsim nyog rau tus neeg mob kom txias; Nyob rau lub caij nplooj zeeg, lub caij ntuj no, thiab lub caij ntuj qhuav, huab cua noo ntawm qhov chaw nyob sab hauv tsev tuaj yeem nce ntxiv; xyuas kom muaj zaub mov txaus, tsis txhob noj cov zaub mov ntsim thiab khaus khaus, thiab tsis txhob haus cawv, muaj zog tshuaj yej lossis kas fes; Cov neeg mob khaus tawv nqaij yuav tsum tau so thiab koom nrog kev tawm dag zog lub cev kom tsim nyog los txhim kho lawv txoj kev tiv thaiv thiab tiv thaiv.

Lub hauv paus ntsiab lus ntawm kev kho mob tag nrho yuav tsum tau npaj tsim nyog rau kev kho tus kheej tom qab lees paub tus neeg mob lub hnub nyoog, cov kab mob yav dhau los, cov tshuaj noj, thiab qhov zaus thiab qhov ntev ntawm pruritus. Txhua yam uas ua rau ua rau khaus khaus, xws li kev ua xua thiab khaus khaus, yuav tsum zam. Kev ntxhov siab, ethanol, lossis zaub mov ntsim.

Cov tawv nqaij khaus hauv cov neeg mob hemodialysis thiab kab mob raum yog ib qho teeb meem uas yuav tsum tau kho txhua yam. Los ntawm kev kho tus cwj pwm noj mov, kev siv tshuaj zoo, txhim kho kev lim ntshav, kho tawv nqaij, thiab kev tawm tswv yim txog kev puas siab puas ntsws, peb tuaj yeem txo cov tsos mob khaus khaus thiab txhim kho tus neeg mob lub neej zoo. Tib lub sijhawm, cov neeg mob yuav tsum muaj tus cwj pwm zoo, tsim kev ntseeg siab rau kev kov yeej tus kab mob, thiab ua haujlwm nrog cov neeg ua haujlwm kho mob kom kov yeej qhov teeb meem no.

Nws yuav tsum raug sau tseg tias txhua tus neeg mob qhov xwm txheej tshwj xeeb yuav txawv, yog li thaum tsim ib txoj kev kho mob, kev kho tus kheej yuav tsum ua raws li tus neeg mob qhov xwm txheej tshwj xeeb. Tsis tas li ntawd, nrog kev txhim kho txuas ntxiv ntawm kev kho mob thev naus laus zis, ntau txoj kev kho tshiab yuav muaj nyob rau yav tom ntej, muab kev kho mob zoo dua rau cov neeg mob hemodialysis nephropathy.

Thaum kawg, peb xav hais tias txawm tias khaus ntawm daim tawv nqaij yog ib qho teeb meem ntxhov siab, nws tsis tuaj yeem daws tau. Tsuav yog cov neeg mob thiab cov neeg ua haujlwm kho mob ua haujlwm ua ke thiab siv cov kev kho mob uas tsim nyog thiab tsim nyog, kuv ntseeg tias qhov teeb meem no yuav daws tau thiab cov neeg mob hemodialysis thiab mob raum tuaj yeem rov qab muaj lub neej zoo thiab zoo siab.

Cistanche kho mob raum li cas?

Cistancheyog ib hom tshuaj suav tshuaj ntsuab siv rau ntau pua xyoo los kho ntau yam mob, suav nrog kab mob raum. Nws yog muab los ntawm cov stems qhuav ntawm Cistanche deserticola, ib tsob nroj nyob rau hauv cov suab puam ntawm Tuam Tshoj thiab Mongolia. Lub ntsiab active Cheebtsam ntawm cistanche yogphenylethanoidglycosides, echinacoside cov tshuaj, thiabacteoside, uas tau pom tias muaj txiaj ntsig zoo rau lub raum kev noj qab haus huv.

Kab mob raum, tseem hu ua kab mob raum, hais txog ib yam mob uas lub raum ua haujlwm tsis zoo. Qhov no tuaj yeem ua rau muaj cov khoom pov tseg thiab cov co toxins hauv lub cev, ua rau muaj ntau yam tsos mob thiab teeb meem. Cistanche tuaj yeem pab kho mob raum ase los ntawm ntau lub tswv yim.

Ua ntej, cistanche tau pom tias muaj cov nyhuv diuretic, txhais tau tias nws tuaj yeem ua rau cov zis ntau ntxiv thiab pab tshem tawm cov khoom pov tseg ntawm lub cev. Qhov no tuaj yeem pab txo lub nra ntawm lub raum thiab tiv thaiv kev tsim cov co toxins. Los ntawm kev txhawb nqa diuresis, cistanche kuj tseem tuaj yeem pab txo qis ntshav siab, ib qho teeb meem ntawm cov kab mob raum.

Ntxiv mus, cistanche tau pom tias muaj cov teebmeem antioxidant. Kev ntxhov siab oxidative, tshwm sim los ntawm qhov tsis sib xws ntawm kev tsim cov dawb radicals thiab lub cev tiv thaiv antioxidant, ua lub luag haujlwm tseem ceeb hauv kev mob raum. ies pab neutralize dawb radicals thiab txo Oxidative kev nyuaj siab, yog li tiv thaiv lub raum los ntawm kev puas tsuaj. Cov phenylethanoid glycosides pom hauv cistanche tau tshwj xeeb hauv kev tshem tawm cov dawb radicals thiab inhibiting lipid peroxidation.

Tsis tas li ntawd, cistanche tau pom tias muaj cov nyhuv anti-inflammatory. Kev mob yog lwm yam tseem ceeb hauv kev loj hlob thiab kev loj hlob ntawm cov kab mob raum. Cistanche's anti-inflammatory zog pab txo cov zus tau tej cov pro-inflammatory cytokines thiab inhibit qhov ua kom o yuav tsum tau txoj kev, yog li alleviating o nyob rau hauv lub raum.

Tsis tas li ntawd, cistanche tau pom tias muaj cov teebmeem immunomodulatory. Hauv cov kab mob hauv lub raum, lub cev tiv thaiv kab mob tuaj yeem ua rau tsis zoo, ua rau muaj kev mob ntau dhau thiab cov ntaub so ntswg puas. Cistanche pab tswj lub cev tiv thaiv kab mob los ntawm kev hloov kho thiab kev ua haujlwm ntawm lub cev tiv thaiv kab mob, xws li T hlwb thiab macrophages. Txoj cai tiv thaiv kab mob no pab txo qhov mob thiab tiv thaiv kev puas tsuaj ntxiv rau lub raum.

Ntxiv mus, cistanche tau pom los txhim kho lub raum kev ua haujlwm los ntawm kev txhawb nqa kev tsim kho ntawm lub raum hlab nrog cov hlwb. Lub raum tubular epithelial hlwb ua lub luag haujlwm tseem ceeb hauv kev pom thiab rov nqus cov khoom pov tseg thiab electrolytes. Hauv kab mob raum, cov hlwb no tuaj yeem raug puas tsuaj, ua rau lub raum ua haujlwm puas. Cistanche lub peev xwm los txhawb kev tsim kho ntawm cov hlwb no pab kho lub raum kom zoo thiab txhim kho lub raum tag nrho.

Ntxiv nrog rau cov kev cuam tshuam ncaj qha rau lub raum, cistanche tau pom tias muaj txiaj ntsig zoo rau lwm yam kabmob thiab lub cev hauv lub cev. Txoj hauv kev zoo rau kev noj qab haus huv no tseem ceeb tshwj xeeb hauv cov kab mob raum, vim tias tus mob feem ntau cuam tshuam rau ntau lub cev thiab lub cev. che tau pom tias muaj kev tiv thaiv rau lub siab, lub plawv, thiab cov hlab ntsha, uas feem ntau cuam tshuam los ntawm kab mob raum. Los ntawm kev txhawb nqa kev noj qab haus huv ntawm cov kabmob no, cistanche pab txhim kho lub raum tag nrho thiab tiv thaiv kev mob ntxiv.

Hauv kev xaus, cistanche yog cov tshuaj suav tshuaj ntsuab siv rau ntau pua xyoo los kho mob raum. Nws cov active Cheebtsam muaj diuretic, antioxidant, anti-inflammatory, immunomodulatory, thiab regenerative teebmeem, uas pab txhim kho lub raum ua haujlwm thiab tiv thaiv ob lub raum los ntawm kev puas tsuaj ntxiv. , cistanche muaj txiaj ntsig zoo rau lwm yam kabmob thiab lub cev, ua rau nws txoj hauv kev zoo rau kev kho mob raum.