Yini iCialis? Futhi isetshenziselwani?

Imininingwane Yezidakamizwa

Izinto eziningi zingaphazamisa ubusuku bokuthandana: isimo sezulu esibi, ubuthi bokudla, ukuvakashelwa ngumngane ongamenyiwe. Kepha okunye okungafuneki kakhulu ukungasebenzi kahle kwe-erectile. UCialis wakhe umkhankaso womkhiqizo wonke ekuvikeleni kusihlwa kwezothando ekuphelelweni okungazelelwe. Kepha lokho kungukufaka uphawu kwezinga eliphezulu nje. Kuthiwani nge-nitty-gritty? Imithamo, imiphumela emibi, nokunye ukusetshenziswa? Uzokuthola konke lokho nokuningi lapha.

Yini iCialis?

I-Cialis umuthi kadokotela ophatha ngokuyinhloko ukungasebenzi kahle kwe-erectile (ED), kodwa futhi ujwayele ukunikezwa ukwelapha i-prostate ekhulisiwe (benign prostatic hyperplasia noma i-BPH). I-Cialis idayiswa njengesidakamizwa esehlukile, i-Adcirca, yokwelapha umfutho wegazi ophezulu emaphashini (umfutho wegazi ophakeme wamaphaphu).

Yigama lomkhiqizo lomuthi tadalafil , okungokwesigaba sezidakamizwa esibizwa nge-phosphodiesterase inhibitors (PDE5 inhibitors). Uhlobo lwe-5 lwe-Phosphodiesterase iyi-enzyme elawula ukugeleza kwegazi emithanjeni yegazi ezungeze ipipi, amaphaphu nezinye izindawo. Ngokuvimba le enzyme, i-tadalafil ivumela ukugeleza kwegazi okuningi endaweni, okwenza kube lula ukuthola ukwakhiwa ngesikhathi sokwenza ucansi.

I-Arousal, noma kunjalo, imayelana nesikhathi. Abesilisa bavame ukuzibuza ukuthi kufanele bathathe nini i-Cialis nokuthi ihlala isikhathi esingakanani. Ngenhlanhla, kukhona iwindi elihle kakhulu. Kungathatha noma yikuphi phakathi kwemizuzu engu-15 namahora amabili ukuqala ukusebenza. Ngemuva kwalokho, ingahlala amahora angama-36. Ukuyithatha amahora amabili ngaphambi kocansi imvamisa ukubheja okuhle kakhulu. Kodwa-ke, i-Cialis akuyona i-aphrodisiac. Kwenza ukwakhiwa kube lula kepha kusadinga ukuvuselelwa ngokocansi.

Kunezinhlobo eziningi ze-tadalafil, kepha iCialis (eyenziwe ngu-Eli Lilly) ithandwa kakhulu. Kuyabiza futhi. Ngokuya ngamandla nomthamo obekiwe, kungabiza ngaphezulu $ 1,350 ngaphandle komshwalense .

Odokotela bazonikeza i-Cialis, i-generic tadalafil, noma umuthi ofana nalonaI-Viagrayamadoda ane-ED. Kodwa-ke, izingqinamba zezempilo ezifana nesifo senhliziyo, i-cholesterol ephezulu, ukukhuluphala ngokweqile, isifo sikashukela, nezinye kungadala i-ED, ngakho-ke udokotela angafuna ukuhlolela nokwelapha lezo zokuqala noma ngasikhathi sinye.

Kusetshenziselwani iCialis?

I-Cialis yisidakamizwa esinezimo ezihlukahlukene ezinokusetshenziswa okuhlukile okuhlukile. Ngaphandle kokungasebenzi kahle kwe-erectile, i-tadalafil ingaphatha kahle i-benign prostatic hyperplasia (BPH) . I-BPH ukwandiswa kwe-prostate gland okungadala izimpawu zomchamo, njengesidingo esivamile sokuchama noma ukwehluleka ukukhipha ngokuphelele isinye ngesikhathi uchama.

Noma kunjalo, ukusetshenziswa okuyinhloko kwe-Cialis ukwelashwa kwe-ED. I-Cialis isebenza kuphela ukusiza ukufeza ama-erections. Kukhona ulwazi olungelona iqiniso ku-inthanethi mayelana nokuthi imiphi imishanguzo ye-ED engayenza nengakwazi ukuyenza. Ngokuphikisana nalokho ongakufunda noma ukuzwe kwabanye, uCialis uzokwenza hhayi welapha i-libido ephansi noma i-ejaculation ngaphambi kwesikhathi. Futhi ayenzi ukwakheka kube kukhulu, ivimbele izifo ezithathelwana ngocansi, noma ithuthukise amandla okuya ocansini (ngaphandle uma othile enenkinga yokulahlekelwa ukwakhiwa ngesikhathi sokuya ocansini).

I-Cialis ayivunyelwe ukuphatha ukungasebenzi kahle kwezocansi kwabesifazane. Kukhona ama-anecdotes angawodwa mayelana namaCialis akhulisa ukugeleza kwegazi kuya ezithweni zobulili zowesifazane ngendlela efanayo enza ngayo kowesilisa, kuthuthukisa injabulo yabo ne-libido. Kepha azikho izifundo ezilawulwayo zokusekela lokhu. Ezimweni eziningi, ayinamphumela. Kodwa-ke, odokotela kwesinye isikhathi bangahle banikeze i-tadalafil yabesifazane abanomfutho wegazi ophakeme wamaphaphu.

OKUSHIWO: Ungayithenga kanjani ngokuphepha i-Cialis online

Izilinganiso ze-Cialis

I-Cialis ifika ngendlela yethebhulethi namandla amane ahlukene: 2.5 mg, 5 mg, 10 mg, no-20 mg. Umthamo uyehluka kuye ngokuthi ukubekezelelana kwesiguli nobunzima besimo.

Kunezindlela eziningi zokwenza i-Cialis umthamo, kusho uMichael Hall, MD, umsunguli we Umtholampilo WeHolo Longevity . Ngokuvamile ama-20 mg anikezwa ukusetshenziswa kwamahora angama-72. Futhi inganikezwa njengethebhulethi engu-2.5 noma engu-5 mg nsuku zonke kuya ngesimo esiphathwayo. Abanye bathola ukusetshenziswa kwansuku zonke kungasebenza kangcono kuzidingo zabo.

Isilinganiso sokusetshenziswa kwansuku zonke sokwelashwa kwe-BPH ngu-5 mg. I-Brand-name Cialis ayikhonjisiwe ekwelapheni i-pulmonary arterial hypertension. Esikhundleni salokho, odokotela banquma uhlobo oluhlukile lwe-tadalafil olubizwa I-Adcirca ngomthamo omkhulu — 40 mg, kanye ngosuku.

I-Cialis ingaqala ukusebenza noma kuphi phakathi kwemizuzu engu-15 namahora amabili futhi ine-half-life yamahora angu-17.5 . Ukuhlungwa kwesidakamizwa kuzokhuphuka noma kuphi phakathi kwemizuzu engama-30 namahora ayisithupha.

Imikhawulo ye-Cialis

Abesifazane nezingane akufanele bathathe i-Cialis, yize bengathatha i-Adcirca ye-pulmonary arterial hypertension.

Akukho okujwayelekile ukulungiswa kwesilinganiso seziguli esezikhulile ngaphandle kokuthi zikhombisa ukuzwela okukhulu.

UDkt.Hall uphakamisa ukuthi noma imaphi amadoda abenomlando wokushaywa unhlangothi noma isifo senhliziyo adinga ukuqaphela kakhulu ukusetshenziswa kwanoma iyiphi i-phosphodiesterase inhibitor, kubandakanya neCialis. Ngokwengeziwe, Imininingwane yezidakamizwa ka-Eli Lilly uthi noma ngubani onomlando wesimo esisodwa noma eziningi ezilandelayo kufanele azise udokotela wakhe ngaphambi kokuthatha i-Cialis:

• Ukwehluleka kwenhliziyo
• Unhlangothi
• Izinkinga zesibindi noma zezinso
• Izilonda zesisu
• Isifo sikaPeyronie
• I-retinitis pigmentosa
• I-Sickle cell anemia noma i-myeloma eminingi

Ukusebenzisana kweCialis

Ngaphezulu kwaleyo mikhawulo, ngokusho kwe- Ilebuli yezidakamizwa i-FDA , I-Cialis ingaba nokusebenzisana kwezidakamizwa okungaba yingozi nale mithi elandelayo:

• AmaNitrate: Ngasikhathi sinye ukuthatha i-nitroglycerin, isosorbide mononitrate, isosorbide dinitrate, noma iziqhumane zokuzithokozisa ezinjenge-amyl nitrite ne-butyl nitrite kungadala ukwehla okuyingozi kwengcindezi yegazi, okungaholela ekubeni nesiyezi nokuquleka.
• I-Alpha-blockers: Futhi esetshenziselwa ukwelapha i-prostate enwetshiwe kanye nomfutho wegazi ophakeme, izidakamizwa ezinjenge-terazosin, i-tamsulosin, i-doxazosin, i-alfuzosin, ne-silodosin zingadala umfutho wegazi ophansi ngokuyingozi uma uhlanganiswa neCialis.
• Ama-antifungal we-Azole: Eminye imishanguzo yokulwa nokubola (ketoconazole ne-itraconazole) ingakhuphula amazinga e-Cialis egazini, okungahle kwehlise umfutho wegazi lakho phambili.
• Ama-antibiotics e-Macrolide: Amanye ama-antibiotic afana ne-erythromycin, i-clarithromycin, ne-telithromycin angakhuphula amazinga e-Cialis egazini.
• I-HIV protease inhibitors: Le mithi (ikakhulukazi i-ritonavir) ingakhuphula nokuhlushwa kwe-Cialis egazini.
• Utshwala: Njenge-vasodilator emnene (evula imithambo yegazi), ukuphuza ngokweqile ngenkathi uthatha i-Cialis kungadala umfutho wegazi ophansi, isiyezi, ikhanda elibuhlungu, kanye nokwenyuka kwenhliziyo.
• Eminye imishanguzo yomfutho wegazi ophakeme wamaphaphu njenge I-Revatio (sildenafil) .
• Eminye imishanguzo yokungasebenzi kahle kwe-erectile njenge-Viagra (sildenafil) noma i-Levitra (vardenafil).

Yimiphi imiphumela emibi yeCialis?

Njenganoma imuphi omunye umuthi, i-Cialis inamandla okubangela ukusabela okuthile okungathandeki. Imiphumela emibi kakhulu ifaka phakathi:

• Ubuhlungu bekhanda
• Ukugaya ukudla
• Ubuhlungu bemisipha noma ubuhlungu bemisipha
• Ukuhlungu obusemhlane
• Ukuminyana emakhaleni
• Ukuqhuma
• Ubuhlungu besisu noma ukungaphatheki kahle
• Ubuhlungu obusezingalweni noma emilenzeni

Kunemiphumela engemihle emibi noma ngubani ocabanga ngeCialis okufanele ayazi. Izilungiso ezihlala ngaphezu kwamahora amane (ezibizwa ngokuthi yi-priapism) zidinga usizo lwezokwelapha. Ngaphandle kwalokho, kunengozi yokulimala okungapheli ezicutshini ze-penile ezungezile.

Ngenkathi i-Cialis ingaxhunyanisiwe nezinkinga zenhliziyo zesikhathi eside, ingabeka ingcindezi yegazi emazingeni aphansi ayingozi (ikakhulukazi uma ithathwa nenye i-vasodilator), engadala isizungu, iquleke, ihlaselwe yinhliziyo, nesifo sohlangothi.

Ezimweni ezingavamile, i-Cialis nayo ingadala ukulahleka kokuzwa, ukukhala ezindlebeni, noma ukulahleka kombono kwelinye noma kuwo womabili amehlo. Noma ngubani obhekana nokunye kwalokhu kusabela kufanele afune usizo lwezokwelapha ngokushesha.

Noma i-Cialis ingasiza ukugcina ukwakhiwa, ngeke ivimbele ukuphuma kwe-ejaculation, ngakho-ke izindlela zokuvimbela inzalo zisadingeka ukugwema ukukhulelwa.

Futhi ayisebenzi kuwo wonke umuntu (yize isebenza kahle kwabaningi). Ngenhlanhla, kukhona izinketho zokulondoloza. Inketho yokuqala kungaba ukulungisa umthamo noma ukuzama umuthi ohlukile we-ED . Uma lokho kungasebenzi, imijovo ye-penile, amaphampu wokuvimbela i-vacuum, kanye nokufakwa kwe-penile yizindlela ezingasebenza.

I-Cialis vs. Viagra

Kuneziningana izidakamizwa ezahlukene emakethe ekwazi ukwelapha ukungasebenzi kahle kwe-erectile:

Ngabe amanye amaphilisi e-ED aqhathaniswa kanjani neCialis?
Igama lomuthi	Isebenza kanjani	Ukuqhathanisa	Ukonga kwe-SingleCare
I-Viagra (sildenafil)	I-Viagra ihlala kuphela emahoreni ama-3 kuye kwayi-5 (uma iqhathaniswa neCialis, ehlala kuze kufike ku-36), kodwa futhi ibuye ibize kancane. Ngokuvamile, kunqunyelwe ukusetshenziswa njengoba kudingeka, hhayi nsuku zonke.	Qhathanisa neCialis	Thola ikhuphoni le-Viagra
I-Levitra (vardenafil)	ILevitra ithatha kuphela amahora ama-3 kuya kwangu-5 futhi ayihloselwe ukusetshenziswa kwansuku zonke. Njenge-Viagra, imvamisa ishibhile ngandlela-thile kune-Cialis.	Qhathanisa neCialis	Thola isigqebhezana seLevitra
I-Stendra (avanafil)	Lesi sidakamizwa sisebenza ngokushesha okukhulu kune-Cialis, ngakho-ke kuhle ukwenza isenzo socansi okwamanje, futhi sihlala amahora we-6 ngokwesilinganiso. Kodwa-ke, kubiza kakhulu kunezinye izindlela.	Qhathanisa ne-Viagra	Thola ikhadi lesaphulelo

Izinhlobo ezijwayelekile ze-tadalafil, i-sildenafil, ne-vardenafil nazo ziyatholakala ngamanani aphansi kakhulu kunabalingani begama labo. I-Stendra itholakala kuphela njengomuthi wegama lomkhiqizo, njengoba i-generic avanafil ingakavunyelwa.

Yikuphi okungcono kakhulu? Lokho kuya ngomuntu othile. I-Tadalafil ne-sildenafil babonise ukusebenza okufanayo ekwelapheni i-ED . Kodwa-ke, i-tadalafil ingasebenza ngokuqhubekayo lapho ithathwa nsuku zonke, kuyilapho i-sildenafil kufanele ithathwe lapho kudingeka. I-Avanafil icishe ifane ne-sildenafil ekwakhiweni kwamakhemikhali nomphumela. Noma ngubani okwisabelomali angahle abheke inketho ejwayelekile kunegama lomkhiqizo ngoba ayabiza kakhulu. I-Sildenafil, i-tadalafil, ne-vardenafil inakho konke kubonise ukusebenza kahle ekwelapheni izimpawu ze-BPH futhi , yize bekwazi ukusebenzisana kabi nama-alpha-blocker, okunye ukwelashwa okuvamile kwe-BPH.

I-Cialis ne-Viagra ingaba nomphumela ohlukile emzimbeni, kusho uDkt. I-Viagra ivame ukudala i-vasodilation eyengeziwe emzimbeni wonke, kufaka phakathi esifundeni samakhala, okungadala ukuminyana okuningi. I-Viagra ibuye ibe nomthelela esweni, engadala i-hue eluhlaza okwesibhakabhaka, ngoba ingathinta ukusakazwa kwe-retina.

Ekugcineni, ukukhetha umuthi wokungasebenzi kahle kwe-erectile kuncike esimweni esithile sempilo sesiguli, indlela yokuphila, nomlando wezokwelapha. Noma ngubani ocabanga iCialis noma enye yezindlela zayo kufanele thola izeluleko kudokotela ngaphambi kokuqala ukwelashwa.