Umhlahlandlela wamaphilisi we-erectile ukungasebenzi, izidakamizwa, nemithi
Imfundo YezempiloNgeminyaka engu-70, cishe 70% wamadoda e-United States bazobhekana nokungasebenzi kahle kwe-erectile, okwaziwa nangokuthi ukungabi namandla. Ngamanye amagama, ukungakwazi ukufeza noma ukugcina ukwakhiwa kuyinkinga ejwayelekile kakhulu. Ngenhlanhla, kuvame ukwelashwa kalula futhi kuyelapheka ngamaphilisi e-erectile dysfunction.
Yimaphi amaphilisi asebenza kahle kakhulu e-erectile dysfunction?
Ngokuya ngesizathu esiyimbangela yalesi simo, imishanguzo evame kakhulu ebekiwe yomlomo ye-erectile dysfunction ifaka:
- i-sildenafil (i-Viagra, Revatio)
- i-tadalafil (i-Adcirca, i-Cialis)
- i-vardenafil (i-Levitra, iStaxyn)
- i-avanafil (Stendra)
Yize ngalinye lalawa maphilisi lisebenza lisebenzisa inqubo efanayo, ngalinye linokuhluka. Zivimbela i-enzyme ebizwa nge-phosphodiesterase type 5. Lezi zinhlobo ze-phosphodiesterase type 5 inhibitors (PDE5 inhibitors noma i-PDE5i) azibangeli ukuvuswa kocansi; zithuthukisa ukugeleza kwegazi ziye endondeni zikuvumela ukuthi ubhekane nokuvuswa okunempilo.
Ngabe amaphilisi e-erectile dysfunction ayasebenza?
I-Sildenafil (i-Viagra), i-vardenafil (i-Levitra), i-avanafil (i-Stendra), ne-tadalafil (i-Cialis) konke kubhekwa njengokwelashwa komugqa wokuqala we-ED ngenxa yokusebenza ngempumelelo nokuphepha.
Ngaphambi kokuthatha noma iyiphi yale mithi ye-ED, tshela udokotela wakho nganoma yimiphi imithi noma izithasiselo osuvele uzithatha, kanye nezinye izindaba zezempilo, njengesifo senhliziyo, umfutho wegazi ophansi, noma isifo sikashukela. Imithi ethile iyasebenzisana nalawa maphilisi.Isibonelo, akufanele usebenzise noma yimaphi ama-PDE5 inhibitors uma futhi usebenzisa izidakamizwa ze-nitrate futhi ukuqapha kuyadingeka uma uku-alpha-blockers.Ukungafihli lutho nodokotela wakho kuzokusiza ekutholeni umuthi ongcono kakhulu nokwelashwa kokungasebenzi kahle kwe-erectile.
Izidakamizwa zokungasebenzi kahle kwe-Erectile
Imithi elandelayo evunyelwe yi-FDA ivame ukunikezwa ukwelapha i-ED.
I-Sildenafil (Viagra)
Mhlawumbe umuthi odume kakhulu wegama lomkhiqizo we-ED onconyelwe ukwelapha ukungasebenzi kahle kwe-erectile, iViagra iyi-PDE5 inhibitor. I-Viagra itholakala kuma-25 milligram (mg) kuya kumaphilisi we-100 mg. Kuthathwa ngomlomo cishe imizuzu engama-30 ngaphambi kokuvuselelwa ngokocansi, futhi imiphumela yayo ingahlala amahora amane kuya kwamahlanu.
Yize kungewona umlutha, kunengozi yemiphumela emibi elandelayo lapho uthatha i-sildenafil:
- isiyezi
- ukulahlekelwa ukuzwa noma ukukhala ezindlebeni
- ubuhlungu besisu kanye nesicanucanu
- ikhanda
- imfudumalo noma ubomvu ebusweni, entanyeni, noma esifubeni
- ukuminyana kwamakhala
- isifo sohudo
- ukuhlungu obusemhlane
- izinkinga zememori
- ukungakwazi ukwehlukanisa phakathi kwemibala eluhlaza nokuhlaza okwesibhakabhaka
Sildenafil iyatholakala njenge-Revatio, iphilisi lomthamo ophansi noma umjovo, kepha kuphela ekwelashweni komfutho wegazi ophakeme wamaphaphu (PAH), hhayi owe-erectile dysfunction.
I-Tadalafil (Adcirca, Cialis)
I-Tadalafil iyi-PDE5i, efana ne-sildenafil, ekhuphula ukugeleza kwegazi liye epeni ukuze kube lula ukwakhiwa. Ithuthukisa umthelela wemithambo yegazi yamakhemikhali engokwemvelo ekhiqizwa ebizwa nge-nitric oxide, esiza imisipha esemithanjeni yepeni ukuthi iphumule futhi ivuleke, ivumele igazi eliningi lingene. Inokwakhiwa kwamakhemikhali okuhlukile okuncane uma kuqhathaniswa neSildenafil futhi kungathatha amahora amabili ukufinyelela ekusebenzeni okuphezulu. Noma kunjalo, imiphumela yayo ingahlala kuze kube ngamahora angama-36.
Uma i-tadalafil ithathwa njengoba kudingeka, isilinganiso siyi-5 mg kuya ku-20 mg ngomlomo ngaphambi kokuya ocansini. Kodwa-ke, amanye amadoda akhetha ukuthatha i-Cialis nsuku zonke. Umthamo wokuqala wokusetshenziswa kwansuku zonke ngu-2.5 mg, uthathwa kanye nsuku zonke ngasikhathi sinye. Ekugcineni, isiguli sizoshintshela kudosi yesondlo yansuku zonke phakathi kuka-2.5 mg no-5 mg.
Imiphumela emibi kakhulu ejwayelekile ye-tadalafil ifaka:
- ikhala eligcwele noma eligijimayo
- ukuqhuma
- ikhanda
- ukuhlungu obusemhlane
- isisu esibuhlungu
- izinhlungu ezithweni
I-Tadalafil iyatholakala njenge-Adcirca, kepha yenzelwa kuphela ukwelashwa kwe-pulmonary arterial hypertension (PAH), hhayi eyokungasebenzi kahle kwe-erectile.
I-Vardenafil (Levitra, Staxyn)
Enye i-PDE5 inhibitor, i-vardenafil (i-Levitra, i-Staxyn), yisidakamizwa somlomo esithathwa njengoba kudingeka imizuzu engama-60 ngaphambi kocansi. Ungathatha lesi sidakamizwa sokungasebenzi kahle kwe-erectile kuze kube kanye ngosuku njengoba kunconywe udokotela wakho.
Iziguli eziningi ziqala ngomthamo we-10 mg we-vardenafil, kepha itholakala njengomuthi womlomo ku-2.5 mg, 5 mg, 10 mg, naku-20 mg doses.
Inemiphumela emibi efanayo efana nezinye izidakamizwa ze-PDE5i, kufaka phakathi:
- ikhanda
- isiyezi
- isisu esibuhlungu
Njengawo wonke ama-PDE5 inhibitors,IVardenafil ingaxhumana nezinye izidakamizwa. Akufanele kunikezwe iziguli ezithatha i-CYP3A4 inhibitors enamandla njenge-ketoconazole ne-ritonavir, noma iziguli ezinesifo esibi senhliziyo, ezithatha ama-nitrate afana ne-nitroglycerin, enqunyelwe ukuvimbela ubuhlungu besifuba.
I-Avanafil (Stendra)
I-PDE5 inhibitor esetshenziswe ngokushesha kakhulu etholakalayo, i-Avanafil (iStendra) ingafinyelela ekugxileni okuphezulu ngemuva kwemizuzu engama-30-45 kuphela. Kuthathwa ngomlomo imizuzu engama-30 ngaphambi kocansi futhi kungasebenza amahora angu-6-12.
Imiphumela emibi ejwayelekile ye-avanafil ifaka:
- ikhanda
- ukuqhuma
- ikhala eligcwele
- Umphimbo obuhlungu
Ahlala isikhathi esingakanani amaphilisi e-ED? Ukuqhathanisa kwe-PDE5i
Ngabe iStendra isebenza kangcono kuneViagra?
I-Stendra (avanafil) ne-Viagra (sildenafil) womabili la ma-PDE5 inhibitors asebenza ekwelapheni ukungasebenzi kahle kwe-erectile.Njengawo wonke ama-PDE5 inhibitors, asebenza ngokuphumuza imisipha ebushelelezi nokwandisa ukugeleza kwegazi okuya endondeni.
Umehluko omkhulu phakathi kwemithi emibili yokungasebenzi kahle kwe-erectile akukhona ukusebenza kwayo, kepha ukuqala kwayo nobude bayo.
I-Stendra isebenza ngokushesha futhi kungenzeka isebenze ngokushesha nje imizuzu eyi-15 ngaphambi kocansi.Ingahlala amahora angafika kwangu-12. Ngokuqhathanisa, i-Viagra kufanele ithathwe imizuzu engama-30 kuye kwangama-60 ngaphambi kocansi, futhi ihlala cishe amahora amahlanu.
OKUSHIWO: I-Stendra vs Viagra: Umehluko Omkhulu nokufana
Yikuphi okungcono: i-Viagra noma i-Cialis noma i-Levitra?
Umehluko omkhulu phakathi kwawo wonke ama-PDE5 inhibitors ukuqala nesikhathi sokusebenza kwezidakamizwa.
ILevitra (vardenafil) neViagra (sildenafil) yilezi ikakhulukazi efana .
I-Levitra kufanele ithathwe ihora elilodwa ngaphambi kocansi, kanti i-sildenafil inewindi elikhudlwana. Ingathathwa noma yikuphi ukusuka emizuzwini engu-30 kuye emahoreni amane ngaphambi kocansi. Isikhathi esisithathayo ukusebenza siyehluka kumuntu ngamunye.
Uma uqhathanisa I-Cialis iya kuViagra ne-Levitra, kunokwehluka okubili okubalulekile:
- I-Cialis ingathathwa lapho kudingeka, noma nsuku zonke. I-Viagra ne-Levitra abathathwa isikhathi esingaphezu kwesisodwa ngosuku, kuphela uma kudingeka.
- I-Cialis ihlala isikhathi eside kakhulu kune-Viagra noma i-Levitra, noma yikuphi kusuka emahoreni angama-24 kuye kwangama-36 (noma ngokuqhubekayo uma ithathwa nsuku zonke) ngokuqhathaniswa namahora we-4 kuye kuma-5.
Ezinye izindlela zokwelashwa ze-ED
Ngoba kunezimbangela eziningi zokungasebenzi kahle ngokocansi, kunezindlela ezahlukahlukene zokwelashwa abantu abaningi abazisebenzisayo ukwenza ngcono isimo nempilo yabo yezocansi. Lokhu kufaka phakathi:
- Ukuthoma
- Ukwelashwa kokukhuluma (ukwelulekwa)
- Ukushintsha kokudla nokudla
- Ukuzindla
- Ukuzivocavoca umzimba
- Ukufakwa kwe-penile namaphampu
Noma, izengezo ezithengwa ekhawunteni namavithamini abanye abantu ababika ukuthi zisebenza kahle empilweni yabesilisa. Ezinye izinketho ezidumile zifaka:
- L-arginine
- IGinseng
- Yohimbe
Njengoba kunengozi yokuthi la makhambi angahlangana nezinye izidakamizwa, kufanele njalo ufune izeluleko kudokotela wakho ngaphambi kokuqala noma yikuphi ukwelashwa noma okwemvelo.
OKUSHIWO: Ukwelashwa kwemvelo kokungasebenzi kahle kwe-erectile
Udokotela wakho futhi angancoma ukwelashwa okulandelayo kokungasebenzi kahle kwe-erectile.
I-Alprostadil (Caverject, Viridal, MUSE)
I-Alprostadil iyindlela yokwelashwa komugqa wesibili wokungasebenzi kahle kwe-erectile. Lesi sidakamizwa sitholakala njengomjovo (Caverject, Viridal) noma aumchamoi-suppository (MUSE). Kuyi-vasodilator evula imithambo yegazi ukukhuphula ukugeleza kwegazi liye endondeni futhi ivumele ukwakhiwa.
Ukushintshwa kwe-testosterone
Uma unamazinga aphansi e-hormone yowesilisa, i-testosterone, udokotela wakho angase asikisele ukwelashwa kokushintshwa kwe-testosterone ukuthuthukisa ukungasebenzi kahle kwezocansi. Lokhu kungasetshenziswa kukodwa noma kuhlanganiswe neminye imithi kanye nezindlela zokwelapha.
Amazinga akho e-testosterone angahlolwa ngokuhlolwa kwegazi okulula.Ngaphandle kwezinkinga zokwakhiwa, izimpawu ze-testosterone ephansi, i-hormone ebalulekile yokwenziwa okujwayelekile, kufaka phakathi:
- Ukuncipha kocansi
- Ukukhula kwamabele
- Ukulahleka kwezinwele zomzimba
- Ukwanda kwamafutha omzimba
- Beka ngamandla emisipha nosayizi
Uma uqala ukwelashwa kwe-hormone, lena eminye yemiphumela emibi engaba khona:
- Ukugcinwa kwamanzi
- Izinduna
- Amabele akhulisiwe ne-prostate
- Ukwehla kokuzala
- Khulisa amangqamuzana abomvu egazi
- Izimpawu zokuphefumula zokulala
OKUSHIWO: Umhlahlandlela wokugcina wokungasebenzi kahle kwe-Erectile
Ungayikhetha kanjani inketho ekufanele
Ukungasebenzi kahle kwe-Erectile kuyelapheka futhi kuyelapheka kaningi. Ingasebenza futhi njengesibonakaliso sesixwayiso, inkomba yokuqala ye- izimo ezicashile njengesifo senhliziyo, umfutho wegazi ophakeme, isifo sezinso, i-cholesterol ephezulu, isifo sikashukela, ukukhuluphala, ukusebenzisa kabi utshwala, noma ukuphazamiseka kwemizwa. Uma utshela udokotela wakho nge-ED, kungasiza ngokuxilongwa kusenesikhathi.
Kungcono ukukhuluma ngokukhululekile kudokotela wakho noma uchwepheshe we-urology mayelana nesipiliyoni sakho ukuthola ukuthi yikuphi izinketho zokwelashwa izosebenzela kangcono izimpawu zakho, izidingo zakho, nendlela ophila ngayo. Uma uthatha isinqumo sokuthenga noma yimiphi imishanguzo kadokotela noma izithasiselo online, njalo qinisekisa ukuthi uthenga kusuka kuwebhusayithi ethembekile nedumile. Bheka imininingwane ekhemisi ukugwema imikhiqizo yomgunyathi noma ehlanjululwe, futhi ungalokothi uzithenge ngaphandle kwencwadi kadokotela.