Moni! Kodi dokotala wanu wakupatsani mankhwala a Sildenafil kapena munthu wina m'banja mwanu? Mungachite mantha pang'ono mukamva dzina la mankhwalawa, chifukwa mankhwalawa amadziwikanso ndi matenda ena. Koma musachite mantha. Sildenafil ndi mankhwala omwe amagwiritsidwa ntchito pochiza matenda osiyanasiyana. M'nkhaniyi, tikambirana zomwe muyenera kudziwa zokhudza Sildenafil, makamaka pankhani yochiza kuthamanga kwa magazi m'mapapo, kapena omwe amadziwika kuti Pulmonary Arterial Hypertension (PAH).
Kodi kwenikweni chimachitika ndi mankhwala awa ndi chiyani?
Chabwino, choyamba tiyeni timvetse tanthauzo la matenda a pulmonary arterial hypertension (PAH). Tangoganizani kuti muli ndi mitsempha yopyapyala yamagazi yomwe imanyamula magazi kupita ku mapapo anu. Chimene chimachitika mu mkhalidwe uwu ndi chakuti mitsempha yamagaziyo imachepa pang'onopang'ono, ndipo kuthamanga kwa magazi mkati mwake kumawonjezeka mosafunikira. Kenako mtima wanu umavutika kupompa magazi kudzera m'mitsempha yopapatizayi kupita ku mapapo anu. Uku ndi kupsinjika kwakukulu pamtima.
Apa ndi pomwe Sildenafil imagwira ntchito. Imagwira ntchito pomasula mitsempha yamagazi yomwe yachepa komanso yomwe ili ndi kuthamanga kwa magazi kowonjezereka. Izi zimachepetsa kuthamanga kwa magazi m'mapapo, zomwe zimathandiza mtima kupopa magazi mosavuta. Zotsatira zake, mutha kupuma mosavuta, kuyenda pang'ono, komanso kuchita zinthu zatsiku ndi tsiku moyenera. Mwina mudamvapo za mankhwalawa pansi pa dzina la `Revatio`.
Zinthu zomwe muyenera kuuza dokotala wanu musanamwe mankhwalawa
Sildenafil ndi mankhwala omwe ayenera kugwiritsidwa ntchito mosamala kwambiri. Chifukwa chake, ndikofunikira kuti dokotala wanu akupatseni chithunzi chonse cha thanzi lanu musanapereke mankhwala awa. Ngati muli ndi vuto lililonse lomwe latchulidwa patebulo pansipa, onetsetsani kuti mwauza dokotala wanu za matendawo.
| Kodi muli ndi mikhalidwe iyi? | N’chifukwa chiyani kuli kofunika kudziwa zambiri za nkhaniyi? |
|---|---|
| Matenda a mtima, mbiri ya matenda a mtima, kuthamanga kwa magazi kwambiri kapena kutsika | Popeza sildenafil imakhudza kuthamanga kwa magazi, izi zitha kukhala zoopsa kwa munthu amene ali ndi matenda a mtima. |
| Matenda a maso, mavuto a maso | Sildenafil nthawi zambiri siingakhudze masomphenya, choncho ngati muli kale ndi vuto la masomphenya, muyenera kuuza dokotala wanu. |
| Matenda a impso kapena chiwindi | Impso ndi chiwindi ndi ziwalo zomwe zimachotsa mankhwala m'thupi. Ngati ziwalozi sizikugwira ntchito bwino, mlingo wa mankhwalawo ungafunike kusinthidwa. |
| Matenda otuluka magazi kapena zilonda zam'mimba | Ndikofunikira kudziwa za matendawa, chifukwa sildenafil ingawonjezere pang'ono chiopsezo cha kutuluka magazi. |
| Matenda okhudzana ndi maselo a magazi (monga matenda a magazi otchedwa sickle cell anemia, khansa ya m'magazi) | Pali chiopsezo cha mavuto ochokera ku Sildenafil ndi matenda awa. |
| Matenda a sildenafil kapena mankhwala ena, zakudya, kapena utoto | Ngati muli ndi vuto lililonse la ziwengo, dokotala wanu ayenera kudziwa za izo. |
| Ngati muli ndi pakati, mukuyesera kutenga pakati, kapena mukuyamwitsa | Pazochitika zotere, upangiri wa dokotala ndi wofunikira kuti muganizire za momwe mwana angakhudzire. |
| Mavuto a mbolo (monga matenda a Peyronie, mbiri ya priapism) | Izi ndizofunikira kudziwa ngati pali chiopsezo chowonjezeka cha kugonana kopweteka komanso kwa nthawi yayitali, komanso zotsatirapo zoyipa za mankhwalawa. |
Kodi ndiyenera kugwiritsa ntchito bwanji mankhwalawa?
Njira yogwiritsira ntchito mankhwalawa ndi yosavuta kwambiri, koma ndikofunikira kwambiri kutsatira malangizo molondola.
- Mezani piritsi ndi kapu ya madzi.
- Mungathe kumwa izi musanadye kapena mutadya. Komabe, ngati mukumva kupweteka m'mimba, ndi bwino kumwa izi pamodzi ndi chakudya.
- Imwani mankhwalawo panthawi yomwe mwapatsidwa (nthawi zambiri maola 4-6 aliwonse) monga momwe dokotala wanu wanenera. Musamwe mankhwala opitirira muyeso womwe mwapatsidwa.
- Musasiye kumwa mankhwala mwadzidzidzi popanda upangiri wa dokotala.
- Tangoganizani kuti mwamwa mankhwala ochulukirapo kuposa omwe mwauzidwa. Ngati zimenezo zitachitika, musazengereze. Imbani National Poisons Information Centre ku National Hospital mwachangu, kapena pitani ku Emergency Department (ETU) ya chipatala chapafupi.
Mankhwalawa aperekedwa kwa inu nokha. Musagawane ndi wina aliyense, ngakhale atakhala ndi zizindikiro zomwezo monga inu.
Kodi mungachite chiyani ngati mwaphonya mlingo wa mankhwala?
Ngati mwaiwala kumwa mlingo, imwani mwamsanga mukangokumbukira. Komabe, ngati nthawi yanu yotsatira yayandikira, dumphani mlingo womwe mwaphonya ndikumwa mlingo wotsatira panthawi yomwe mwakonza. Musamwe mlingo wowirikiza kawiri pazifukwa zilizonse.
Mankhwala ena omwe angagwirizane ndi mankhwalawa
Sildenafil imatha kuyanjana ndi mankhwala ena, zomwe zingayambitse zotsatirapo zoopsa . Chifukwa chake ndikofunikira kuuza dokotala wanu za mankhwala onse omwe mukumwa.
| Musamwe Sildenafil ndi mankhwalawa! | |
|---|---|
| Mitundu ya Nitrates Mwachitsanzo: Isosorbide dinitrate, Isosorbide mononitrate, Nitroglycerin | Mankhwala awa amagwiritsidwa ntchito kwambiri pochiza kupweteka pachifuwa pa matenda a mtima. Kumwa mankhwalawa ndi Sildenafil kungayambitse kuthamanga kwa magazi kotsika kwambiri. |
| Riociguat | Iyi ndi mankhwala ena a kuthamanga kwa magazi m'mapapo. Kutenga zonsezi pamodzi kungayambitse kuthamanga kwa magazi pang'ono kwambiri. |
| Cisapride, Cobicistat, Telaprevir | Awa ndi mankhwala omwe amagwiritsidwa ntchito pochiza matenda ena ndipo amatha kuyanjana ndi Sildenafil. |
| Ngati mukugwiritsa ntchito mankhwalawa, onetsetsani kuti mwadziwitsa dokotala wanu. | |
| Mankhwala oletsa kachilombo ka HIV kapena Edzi | Bosentan |
| Mankhwala ena ochepetsa kuthamanga kwa magazi | Mankhwala ena a benign prostatic hyperplasia (BPH) |
| Mankhwala ochizira matenda a bowa (monga Ketoconazole, Itraconazole) | Erythromycin, Cimetidine, Rifampin |
Mndandandawu sunathe. Choncho uzani dokotala wanu za mankhwala onse, mavitamini, zitsamba, ndi zowonjezera zomwe mumamwa. Uzaninso dokotala wanu ngati mumasuta kapena kumwa mowa.
Kodi zotsatirapo zake zingakhale zotani?
Monga mankhwala ena aliwonse, Sildenafil ingayambitse zotsatira zina zoyipa. Ngakhale zambiri mwa izi ndi zazing'ono, pali zinthu zina zomwe tiyenera kuzidziwa bwino.
| Zotsatira Zam'mbali | Kufotokozera ndi choti muchite |
|---|---|
| Ngati mukumva zizindikiro izi, uzani dokotala wanu nthawi yomweyo kapena pitani kuchipatala. | |
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime kapena pakhosi. |
| Kusintha kwa masomphenya kapena kumva | Kutaya mwadzidzidzi masomphenya m'diso limodzi kapena onse awiri, kuchepa kwa kumva, kapena kulira m'makutu. |
| Zizindikiro za matenda a mtima | Kupweteka kapena kulimba pachifuwa, paphewa, pa mkono, kapena pa nsagwada, nseru, kuvutika kupuma. |
| Zizindikiro za Stroke | Kusanza mwadzidzidzi kapena kufooka pankhope, mkono, kapena mwendo, kuvutika kulankhula, kusokonezeka. |
| Kuthamanga kwa magazi kotsika | Chizungulire, kukomoka, kusawona bwino. |
| Kuvuta kupuma kwambiri | Kupuma pang'ono kapena koipa kwambiri mutamwa mankhwala. |
| Zotsatirapo zomwe nthawi zambiri siziyenera kuda nkhawa nazo, koma ngati zikupitirira, muyenera kuuza dokotala wanu. | |
| Mutu | Kufiira kwa nkhope, kusapeza bwino m'mimba, kutuluka magazi m'mphuno, kutsekeka kwa mphuno, kusowa tulo. |
Mankhwalawa angakupangitseni kumva chizungulire pang'ono . Choncho musachite chilichonse chomwe chimafuna kukhala maso, monga kuyendetsa galimoto kapena kugwiritsa ntchito makina, mpaka mutadziwa momwe zimakukhudzirani. Makamaka ngati ndinu okalamba, musadzuke kapena kukhala pansi mofulumira . Chitani pang'onopang'ono. Kumwa mowa kungapangitse chizungulirechi kukhala choopsa , choncho pewani.
Uthenga Wopita Nawo Kunyumba
- Sildenafil ndi mankhwala ofunikira kwambiri a matenda oopsa a m'mapapo. Nthawi zonse imwani monga momwe dokotala wanu wanenera, mu mlingo woyenera, komanso panthawi yoyenera.
- Musanayambe kumwa mankhwalawa, uzani dokotala wanu za matenda ena onse omwe muli nawo (makamaka matenda a mtima, maso, impso, kapena chiwindi) ndi mankhwala ena onse omwe mukumwa.
- Musamwe Sildenafil pamodzi ndi nitrates, zomwe zingayambitse kuthamanga kwa magazi kotsika kwambiri.
- Ngati mukukumana ndi mavuto aakulu monga kupweteka pachifuwa, kulephera kuona mwadzidzidzi, kapena kuvutika kupuma, funsani upangiri wa dokotala nthawi yomweyo.
- Mankhwalawa ndi anu okha. Musagawane ndi wina aliyense. Sungani pamalo omwe ana ndi ziweto sangafikire.
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