Ngaba ngamanye amaxesha uziva uphelelwa ngumphefumlo, okanye udiniwe kancinci xa uhamba? Okanye uziva ubunzima esifubeni sakho kwaye udiniwe kancinci xa intliziyo yakho ibetha? Oku kubangelwa zizizathu ezahlukeneyo. Nangona kunjalo, ngamanye amaxesha unobangela woku kukunyuka nje koxinzelelo lwegazi kwimithambo yegazi emiphungeni yakho. Oogqirha babiza le meko ngokuthi 'yiPulmonary Arterial Hypertension' (PAH). Kwiimeko ezinjalo, inaliti ekhethekileyo esetyenziswa ngoogqirha ukukunceda ibizwa ngokuba yiSildenafil Injection. Makhe sithethe ngale mayeza ngokweenkcukacha namhlanje, akunjalo?
Kwenzeka ntoni kanye kanye ngeli yeza libizwa ngokuba yiSildenafil Injection?
Ngamafutshane, iSildenafil liyeza elinikwa abantu abane-pulmonary arterial hypertension (PAH). Khawuthelekelele nje ukuba imithambo yegazi emincinci emiphungeni yakho ifana nemibhobho ethwala amanzi. Kule meko ye-PAH, okwenzekayo kukuba loo mithambo yegazi iba mncinci kwaye iqine. Emva koko intliziyo kufuneka isebenze nzima kakhulu ukupompa igazi kule mithambo incinci iye emiphungeni. Kufana nokutyhala amanzi ngepayipi evalekileyo kwimpompo yamanzi. Oku kwenza intliziyo idinwe, kwenza kube nzima ukuphefumla, kwaye kukwenze uzive udiniwe ngokukhawuleza.
Kulapho iSildenafil ingena khona. Eli yeza lisebenza ngokukhulula imithambo yegazi emincinci emiphungeni yakho. Oko kukuthi, liyayivula kancinci. Oku kuvumela igazi ukuba lihambe kuyo ngokulula. Kukwanciphisa uxinzelelo emiphungeni yakho. Oku kwenza kube lula ngentliziyo yakho ukupompa igazi, kwenza kube lula ukuphefumla, kwaye kukunika amandla okuhambahamba kancinci. Usenokuba ukhe weva ngeli yeza elibizwa ngegama elithi `(Revatio)`.
Zeziphi izinto ekufuneka uzixelele ugqirha wakho ngaphambi kokuba usebenzise eli yeza?
Oku kubaluleke kakhulu. Ngaphambi kokuba unikwe inaliti yeSildenafil, iqela lakho lezonyango, kuquka oogqirha kunye nabongikazi, kufuneka lizazi ezi zinto. Kuba ezinye iimeko zempilo zisenokungahambelani nale mithi okanye zisenokufuna unyango olukhethekileyo.
Ukuba unayo nayiphi na kwezi zinto, qiniseka ukuba usixelele:
- Ukuba unesiphene sokuzalwa kwilungu lakho lobudoda, okanye imeko efana nesifo sikaPeyronie.
- Ngaba wakha wahlangabezana nengxaki ebizwa ngokuba yi-priapism, ebangela ukuba i-penis iqine ixesha elide ngaphandle kwesizathu?
- Ukuba unengxaki yokopha.
- Ukuba unesifo samehlo okanye unengxaki yokubona.
- Ukuba unesifo sentliziyo (umz. iingxaki zevalvu yentliziyo, ukuhlaselwa yintliziyo).
- Ukuba uxinzelelo lwakho lwegazi, oko kukuthi, uxinzelelo, luphezulu kakhulu okanye luphantsi kakhulu.
- Ukuba wakha waba nesifo esinxulumene negazi, umzekelo, i-sickle cell anemia okanye i-leukemia.
- Ukuba unesifo sezintso.
- Ukuba unesifo sesibindi.
- Ukuba unesifo esibizwa ngokuba sisifo se-pulmonary veno-occlusive disease (PVOD).
- Ukuba unesilonda esiswini.
- Ukuba une-aleji kwiSildenafil, naluphi na olunye unyango, ukutya, iidayi, izithinteli, okanye nantoni na enye, oko kukuthi, ukuba une-aleji.
- Ukuba ukhulelwe okanye ulindele umntwana, oku ngokuqinisekileyo yinto ekufuneka uyikhankanye.
- Ukuba ungumama oncancisayo, yazisa ugqirha wakho ngale nto.
Kuphela kuxa uxela ezi zinto ngokunyaniseka kwaye ungafihli nto apho uya kukwazi ukufumana unyango ngokukhuselekileyo.
Ulisebenzisa njani eli yeza?
I-Sildenafil liyeza elinikwa njengenaliti emthanjeni. Eli asiloyeza onokulithatha ekhaya. Linikwa esibhedlele okanye eklinikhi, phantsi kweliso likagqirha.
Kubalulekile: Eli yeza alivumelekanga ukusetyenziswa ebantwaneni abancinci. Ngoko ke, thetha nogqirha wakho malunga nokulisebenzisa ebantwaneni.
Yintoni omawuyenze ukuba uthatha amayeza amaninzi kakhulu (ukusebenzisa amayeza agqithisileyo)?
Ukuba ucinga ukuba usele kakhulu eli yeza, okanye ngempazamo uthathe i-overdose, fowunela iZiko loLawulo lweTyhefu okanye igumbi likaxakeka lesibhedlele esikufutshane ngoko nangoko.
Enye into: Eli yeza lelakho kuphela. Musa ukwabelana ngeli yeza nabanye abantu nangasiphi na isizathu . Impilo yomntu wonke yahlukile, ngoko ke oko kukusebenzelayo kusenokungasebenzi komnye umntu, kwaye kunokuba yingozi.
Kuthekani ukuba ndiphoswa lidosi leyeza?
Ekubeni eli yeza lidla ngokunikezelwa esibhedlele, akunakwenzeka ukuba uphoswe yidosi. Nangona kunjalo, ukuba ngesizathu esithile awukwazi ukulithatha iyeza lakho ngexesha, yazisa iqela lakho lezempilo ngoko nangoko. Liza kukuxelela into omawuyenze ngokulandelayo.
Ngawaphi amanye amayeza angafanele asetyenziswe kunye nale mithi (anokusebenzisana)?
Oku nako yinto ekufuneka uyilumkele kakhulu. Kukho amayeza anokubangela iziphumo ebezingalindelekanga eziyingozi xa esetyenziswa neSildenafil. Ngoko ke, ukuba uthatha naliphi na kula mayeza alandelayo, musa ukusebenzisa iSildenafil:
- I-Cisapride
- I-Cobicistat
- IiNitrates - Imizekelo iquka i-amyl nitrite, i-isosorbide dinitrate, i-isosorbide mononitrate, kunye ne-nitroglycerin. Ezi zisetyenziswa kakhulu ukunyanga iintlungu zesifuba (i-angina).
- I-Riociguat
- I-Telaprevir
Ukongeza, kukho amanye amayeza anokusebenzisana neSildenafil, nto leyo ethetha ukuba anokuphazamisana nayo. La aquka:
- Amanye amayeza okulwa neentsholongwane ze-HIV okanye i-AIDS
- IBosentan
- Amanye amayeza e-Benign Prostatic Hyperplasia (BPH)
- Amanye amayeza asetyenziselwa ukulawula uxinzelelo lwegazi
- Amanye amayeza osulelo lwefungus - umz. iKetoconazole, iItraconazole
- I-Cimetidine
- I-Erythromycin
- I-Rifampin
Olu luhlu aluphelelanga. Ngoko ke, xelela ugqirha wakho ngawo onke amayeza owasebenzisayo (amiselwe ngugqirha wakho, ngaphandle kwemvume kagqirha), kuquka amayeza emifuno, amachiza, kunye nezongezo zokutya, kunye nokuba uyatshaya, usela utywala, okanye usebenzisa ezinye iziyobisi ezingekho mthethweni. Ezinye zezi zinto zinokudibana nalo mayeza.
Yintoni endifanele ndiyilumkele xa ndisebenzisa eli yeza?
Nika ingqalelo kuzo naziphi na iinguqu emzimbeni wakho ngelixa usebenzisa iSildenafil.
- Ukuba iimpawu zakho (umz., ukuphefumla kancinci, ukudinwa) aziphucuki konke konke, okanye zibonakala zisiba mandundu, xelela iqela lakho lezonyango.
- Ukuba ngequbuliso ubona naluphi na utshintsho ekuboneni okanye ekuveni kwakho, xelela ugqirha wakho ngoko nangoko.
- Usenokuziva unesiyezi xa usebenzisa eli yeza. Ngoko ke, kuphephe ukuqhuba, ukusebenzisa oomatshini, okanye ukwenza nantoni na efuna ukulumka ude wazi kakuhle ukuba eli yeza likuchaphazela njani.
- Musa ukuma ngequbuliso uhleli, okanye uhlale phantsi umi ngequbuliso. Lumka ngakumbi ukuba umdala. Oku kunokunciphisa umngcipheko wokuba nesiyezi kunye nokuwa.
- Kuphephe ukusela utywala. Utywala bunokwenza isiyezi sibe sibi ngakumbi.
Zithini iziphumo ebezingalindelekanga ezinokubakho zale yeza?
Njengayo nayiphi na iyeza, iSildenafil inokubangela ezinye iziphumo ebezingalindelekanga. Asinguye wonke umntu ozifumanayo, kodwa kulungile ukuzazi.
Iziphumo ebezingalindelekanga ekufuneka uxelele ugqirha wakho ngazo ngoko nangoko:
Ukuba ufumana naziphi na kwezi mpawu, kufuneka ufune iingcebiso zonyango ngokukhawuleza:
- Iimpendulo ze-allergy: Ukurhawuzelela kwesikhumba, amaqhuqhuva, ukurhawuzelela, ukudumba kobuso, imilebe, ulwimi, nomqala.
- Ukulahlekelwa kukuva okanye ukukhala kweendlebe.
- Iimpawu zokuhlaselwa yintliziyo: Intlungu okanye ukuxinana esifubeni, intlungu ephuma emagxeni, ezingalweni, okanye emhlathini, isicaphucaphu, ubunzima bokuphefumla, ukubila okubandayo, kunye nokuquleka.
- Utshintsho lwesingqi sentliziyo: Ukuziva ngathi intliziyo yakho ibetha ngokukhawuleza okanye ngokungacwangciswanga, isiyezi, ukuquleka, iintlungu zesifuba, ubunzima bokuphefumla.
- Uxinzelelo lwegazi oluphantsi: isiyezi, ukuquleka, ukubona izinto ezingaqondakaliyo.
- Ukuphefumla okutsha okanye okuya kusiba mandundu.
- Ukuma ixesha elide okanye okubuhlungu.
- Iimpawu zestroke: Ukungaziva mnandi okanye ubuthathaka bobuso, ingalo, okanye umlenze ngequbuliso (ingakumbi kwelinye icala lomzimba), ubunzima bokuthetha, ukudideka, ubunzima bokuhamba, ukulahleka kokulinganisela, isiyezi, intloko ebuhlungu kakhulu, utshintsho embonweni.
- Ukulahlekelwa ngumbono ngequbuliso kwelinye okanye omabini amehlo.
Iziphumo ebezingalindelekanga ezingeyongozi, kodwa ekufuneka zixelwe kugqirha wakho ukuba ziyaqhubeka:
Ezi zinto azisoloko zibalulekile, kodwa ukuba ziyaqhubeka okanye ziyakukhathaza, xelela ugqirha wakho ngazo:
- Ukuhlanjwa kobuso okanye ukubomvu
- Intloko ebuhlungu
- Ukopha empumlweni
- Impumlo egobhozayo okanye exineneyo, njengomkhuhlane
- Ingxaki yokulala
- Isisu esibuhlungu, ukuziva ngathi ungagayi kakuhle ukutya
Olu luhlu alubandakanyi zonke iziphumo ebezingalindelekanga. Ukuba ubona nantoni na engaqhelekanga ukongeza kwezi, buza ugqirha wakho ngayo.
Uligcina njani iyeza?
Ekubeni le injection yeSildenafil inikwa esibhedlele okanye ekliniki, akufuneki uyithathe uye nayo ekhaya. Ngoko ke akufuneki ukhathazeke ngokugcina iyeza.
Umyalezo Wokuya Ekhaya
Kulungile, masikhumbule amanqaku abaluleke kakhulu kwinto esithethe ngayo.
- I-Sildenafil Injection liyeza elifakwa ngemithambo elinyanga ikakhulu uxinzelelo lwegazi oluphezulu lwemithambo yemiphunga (i-PAH).
- Oku kukhulula imithambo yegazi emiphungeni, kwenza kube lula ngentliziyo ukupompa igazi, kwaye kuphucula ukuphefumla.
- Ngokuqinisekileyo kufuneka uxelele ugqirha wakho ngazo naziphi na ezinye izifo onazo, amanye amayeza owasebenzisayo, kunye nazo naziphi na izinto ezibangela ukuba ungabi namdla kwizinto ezithile.
- Eli yeza linikwa esibhedlele okanye ekliniki. Alivumelekanga kubantwana abancinci.
- Kuyingozi kakhulu ukusela oku kunye namayeza athile (ingakumbi ii-nitrate).
- Qaphela izinto ezifana nesiyezi kunye notshintsho lombono. Ukuba ufumana naziphi na iziphumo ebezingalindelekanga, xelela ugqirha wakho ngoko nangoko.
- Eli yeza lelakho wedwa. Musa ukulinika omnye umntu.
Ndiyathemba ukuba olu lwazi luza kukunceda. Ukuba uneminye imibuzo, ungathandabuzi ukubuza ugqirha wakho okanye ingcali yezemithi. Baza kukunceda. Hlala usempilweni!
👩🏽⚕️ Imibuzo eyongezelelweyo (Ii-FAQ)
💬 Ingaba i-Atovaquone kunye ne-Proguanil (Atovaquone; Proguanil / Malarone) zipilisi zemalariya?
Ewe! Le yeyona pilisi yemalariya 'ilungileyo nekhuselekileyo' ehlabathini! Abo batyelela amazwe afana ne-Afrika ne-Indiya apho kukho iingcongconi zemalariya ezininzi banikwa indibaniselwano yala mayeza mabini ukuthintela imalariya (Ukuthintela / Ukuthintela), kwaye abo sele benesifo semalariya banikwa indibaniselwano yala mayeza mabini ukuze bayinyange ngokupheleleyo (Unyango).
💬 La mayeza mabini asebenzisana njani ukubulala i-parasite yemalariya egazini lethu?
Oku kuhlasela i-parasite kumacala omabini! I-Atovaquone iyivala ngokupheleleyo iifektri ze-parasite ye-malaria ezivelisa ukuphefumla/amandla (iMitochondria). Kwelinye icala, iProguanil iyayimisa 'imveliso ye-DNA' ye-parasite (i-Folic acid synthesis). Xa ezi zimbini zenzeka kunye, i-parasite ye-malaria enzima iyafa ngoko nangoko, ayikwazi ukusinda.
💬 Zithini iziphumo eziphambili zokusela ezi pilisi zemalariya (iMalarone)?
Le yipilisi ekhuselekileyo kakhulu (ayibangeli ukurhawuzelelwa kwamehlo/ingqondo njengeChloroquine yangaphambili). Nangona kunjalo, ukuthatha le pilisi kunokubangela 'iintlungu zesisu, ukuhlanza okukhulu kunye norhudo' (ukuphazamiseka kwesisu). Ke ngoko, le pilisi ngokuqinisekileyo kufuneka ithathwe kunye 'nesidlo esimnandi okanye iglasi yobisi/into enamafutha' (kulapho ifunxwa kakuhle ngumzimba). Usenokuba namaphupha angaqhelekanga.
i- sildenafil, uxinzelelo lwegazi oluphezulu lwemithambo yemiphunga, i-revatio, uxinzelelo lwegazi oluphezulu lwemithambo yemiphunga, impilo yentliziyo, iziphumo ebezingalindelekanga, inaliti
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