Vuto la erectile dysfunction (ED) ndi vuto la thanzi lomwe anthu ambiri amakumana nalo, koma silimakambidwa kwambiri. Anthu ambiri amaopa kulankhula za vutoli, ndipo amachita manyazi kulankhula za ilo. Koma kwenikweni ndi lofala kwambiri, ndipo pali mankhwala othandiza. Kotero lero tikambirana za mankhwala amodzi otere, Alprostadil (dzina lodziwika kuti Muse). Tiyeni tikambirane za izi mwaubwenzi komanso momveka bwino.
Kodi Alprostadil (Muse) ndi chiyani?
Mwachidule, Alprostadil ndi mankhwala omwe amagwiritsidwa ntchito pochiza amuna omwe ali ndi vuto la erectile dysfunction (ED). Amabwera ngati piritsi laling'ono (suppository) lomwe limayikidwa mu mbolo. Ntchito yake yayikulu ndikuthandiza mbolo kuti iume panthawi yogonana ndikusungabe kuima. Imachita izi mwa kukhudza mwachindunji mitsempha yamagazi mu mbolo, ndikuwonjezera kuyenda kwa magazi.
Zinthu zomwe muyenera kuuza dokotala wanu musanagwiritse ntchito mankhwalawa
Musanapereke Alprostadil kwa inu, dokotala wanu ayenera kudziwa mbiri yonse ya thanzi lanu. Izi zili choncho chifukwa kugwiritsa ntchito mankhwalawa ndi matenda enaake kungakhale koopsa. Chifukwa chake, ngati muli ndi zotsatirazi, onetsetsani kuti mwauza dokotala wanu za izi.
| Matenda/vuto | N’chifukwa chiyani muyenera kuuza dokotala ? (Kufotokozera kosavuta) |
|---|---|
| Kukhala ndi mawonekedwe osazolowereka a mbolo | Zingakhale zovuta kuyika mankhwalawo bwino, komanso zingakhale zopweteka. |
| Matenda otuluka magazi | Pali chiopsezo chachikulu cha kutuluka magazi pang'ono pamene mankhwala aperekedwa. |
| Matenda omwe angayambitse mavuto opweteka komanso a nthawi yayitali (monga matenda a Sickle cell, Leukemia, Multiple Myeloma) | Mankhwalawa ali ndi chiopsezo chachikulu choyambitsa kupweteka kwa chiberekero (priapism) komwe kumatha kwa maola ambiri. |
| Ngati dokotala wanu wakulangizani kuti mupewe kuchita zachiwerewere | Ngati kugonana sikuli koyenera kwa inu chifukwa cha zifukwa zina, monga matenda a mtima, sikoyenera kugwiritsa ntchito mankhwalawa. |
| Kuthamanga kwa magazi kotsika | Mankhwalawa angayambitse kutsika kwa kuthamanga kwa magazi kwambiri, zomwe zimapangitsa zinthu monga kukomoka. |
| Ngati muli ndi chojambulira cha mbolo | Uphungu wa dokotala ukufunika chifukwa mankhwalawa angakhudze piritsi. |
| Kuvuta kukodza | Zingakhale chifukwa cha vuto la mkodzo, komwe mankhwala amalowetsedwa. |
| Kutupa kwa alprostadil kapena mankhwala ena, zakudya, kapena utoto | Ndikofunikira kudziwa izi kuti tipewe vuto lalikulu la ziwengo. |
| Ngati mnzanu ali ndi pakati kapena akuyembekeza kutenga pakati | Izi ndizofunikira kwambiri. Kusamala kwapadera kumafunika chifukwa zotsalira za mankhwala zimatha kufalikira kwa mnzanuyo ndikukhudza mwana wosabadwayo. |
Kodi mumagwiritsa ntchito bwanji izi?
Mankhwalawa ayenera kugwiritsidwa ntchito pa mbolo yokha. Dokotala wanu kapena katswiri wodziwa bwino ntchito adzakufotokozerani momwe mungagwiritsire ntchito. Ndikofunikira kwambiri kutsatira malangizo amenewo molondola.
- Khalani aukhondo: Sambani m'manja mwanu bwino ndi sopo musanagwiritse ntchito mankhwalawo komanso mutagwiritsa ntchito.
- Tsatirani malangizo awa: Gwiritsani ntchito mlingo wokhawo womwe dokotala wanu wakupatsani. Musagwiritse ntchito mopitirira muyeso womwe mwapatsidwa.
- Kuchuluka kwa kagwiritsidwe ntchito:Mankhwala awa si oyenera kumwedwa tsiku lonse. Ndi oyenera kugwiritsidwa ntchito pokhapokha ngati pakufunika kutero. Musagwiritse ntchito kuposa kawiri mu maola 24.
- Werengani phukusi la wodwala: Nthawi zonse werengani phukusi la wodwala lomwe limabwera ndi mankhwala anu. Chidziwitso chomwe chili mmenemo chingasinthe.
Kodi mungachite chiyani ngati mugwiritsa ntchito mopitirira muyeso molakwika?
Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, imbani nthawi yomweyo ku National Poison Information Centre ku Colombo National Hospital . Kapena pitani ku Emergency Treatment Unit (ETU) ya chipatala chapafupi.
Mankhwalawa aperekedwa kwa inu nokha. Musagawane ndi wina aliyense pazifukwa zilizonse.
Mankhwala ena omwe angagwirizane ndi mankhwalawa
Ndikofunikira kwambiri kuuza dokotala wanu za mankhwala ena aliwonse omwe mukumwa. Makamaka, ngati mukumwa mankhwala othamanga magazi, muyenera kuwauza za izi. Chifukwa chakuti Alprostadil imathanso kuchepetsa kuthamanga kwa magazi, kumwa mankhwala onse awiri pamodzi kungayambitse kuthamanga kwa magazi anu kutsika kwambiri. Komanso, uzani dokotala wanu za mankhwala ena aliwonse, mavitamini, kapena mankhwala azitsamba omwe mukumwa.
Zinthu zofunika kukumbukira mukamagwiritsa ntchito mankhwalawa
- Chizungulire ndi mutu wopepuka: Ngati mukumva chizungulire kapena mutu wopepuka panthawi yogonana mukumwa mankhwalawa, zitha kukhala chifukwa cha kuthamanga kwa magazi kochepa. Ngati izi zitachitika, gonani pansi nthawi yomweyo miyendo yanu itakwezedwa. Ngati zizindikiro zikupitirira, imbani dokotala nthawi yomweyo.
- Ngati muli ndi mnzanu woyembekezera: Izi ndizofunikira kwambiri. Ngati mnzanuyo ali ndi pakati, kapena angatenge mimba, muyenera kugwiritsa ntchito kondomu. Izi zili choncho chifukwa mankhwalawa amatha kulowa m'mimba ndikuvulaza mwana wosabadwayo. Ngati muli ndi kukayikira pang'ono kuti mnzanuyo ali ndi pakati, uzani dokotala wanu nthawi yomweyo.
- Palibe chitetezo ku matenda opatsirana pogonana:
- Sungani kutali ndi ana ndi ziweto.
- Kusunga mufiriji (njira yabwino): Ikani mapaketi osatsegulidwa mufiriji. Koma musamaundane. Tetezani ku kutentha kwambiri ndi kuwala. Musatsegule paketiyo mpaka itakonzeka kugwiritsidwa ntchito. Tayani mankhwala otha ntchito.
- Kusunga pa kutentha kwa chipinda: Ngati kuli kofunikira, mutha kusunga pa kutentha kwa chipinda (pansi pa madigiri 30 Celsius) kwa masiku 14. Komabe, ngati kuli kofunikira, musasunge padzuwa lachindunji kapena pamalo otentha, monga thunthu la galimoto. Tayani mankhwala otsala patatha masiku 14.
- Alprostadil ndi mankhwala omwe amabayidwa mu mbolo chifukwa cha vuto la kusowa maliseche. Musachite mantha kapena kuchita manyazi kulankhula ndi dokotala wanu za izi.
- Musanamwe mankhwalawa, uzani dokotala wanu za matenda anu onse ndi mankhwala ena omwe mukumwa.
- Mankhwalawa ayenera kugwiritsidwa ntchito monga momwe dokotala wanenera. Musagwiritse ntchito kuposa kawiri mu maola 24.
- Ngati mukumva zizindikiro monga kutupa kowawa komwe kumatenga maola opitilira 4 kapena kukhala ndi vuto lalikulu la ziwengo, funsani upangiri wa dokotala nthawi yomweyo.
- Ngati mnzanu ali ndi pakati kapena angatenge mimba, onetsetsani kuti mwagwiritsa ntchito kondomu pogonana.
- Mankhwalawa sateteza matenda opatsirana pogonana, kuphatikizapo kachilombo ka HIV.
Chofunika kwambiri, kugwiritsa ntchito mankhwalawa sikukutetezani inu kapena mnzanu ku kachilombo ka HIV kapena matenda ena opatsirana pogonana. Muyenera kugwiritsa ntchito njira zina zodzitetezera, monga makondomu.
Kodi zotsatirapo zake zingakhale zotani?
Monga mankhwala ena aliwonse, Alprostadil ingayambitse zotsatira zina zoyipa. Zina mwa izo ndi zazikulu, pomwe zina ndizofala.
| Ngati mukukumana ndi zizindikiro izi, pitani kwa dokotala kapena pitani kuchipatala mwamsanga. | |
|---|---|
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa milomo/lilime/nkhope. |
| Kukhazikika kwa nthawi yayitali kapena kupweteka | Khunyu lomwe limatenga maola opitilira 4. Izi ndi zadzidzidzi. |
| Kugunda kwa mtima mofulumira kapena kosasinthasintha | Zinthu monga kugunda kwa mtima ndi kupweteka pachifuwa. |
| Zizindikiro za kuthamanga kwa magazi kotsika | Chizungulire chachikulu, maso abuluu, ndi kukomoka. |
| Kutupa kwa bondo ndi mapazi | Makamaka kutupa mwadzidzidzi. |
| Kuvuta kukodza | Kulephera kukodza kapena kupweteka. |
| Zizindikiro zomwe nthawi zambiri sizili zazikulu, koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira | |
| Kupweteka m'mimba, m'matumbo, m'miyendo, kapena pakati pa anus ndi mbolo | Izi nthawi zambiri zimakhala zofatsa ndipo zimatha zokha. |
| Kufiira kwa mbolo | Izi zitha kuchitika chifukwa cha kuchuluka kwa magazi m'thupi. |
| Kumva kutentha kapena kutentha pamalo omwe jakisoniyo adayikidwa | Izi zitha kuchitika pamene mankhwala akugwira ntchito. |
| Dontho laling'ono la magazi | Kawirikawiri zimachitika chifukwa chopereka mankhwala molakwika. |
Mndandandawu sukuphatikizapo zotsatirapo zonse zomwe zingachitike. Ngati mukukumana ndi vuto lililonse lachilendo, lankhulani ndi dokotala wanu za vutoli.
Kodi mankhwalawo angasungidwe bwanji?
Ndikofunikira kwambiri kusunga mankhwala awa moyenera.
Funsani dokotala wanu za njira yotetezeka yochotsera mankhwala omwe atha ntchito kapena omwe sakufunidwa.
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