Panthawi ina, tonsefe takhala ndi chitsimikizo chokwanira pa mankhwala a erectile omwe sanagwiritse ntchito monga sildenafil (Viagra) ndi tadalafil (Cialis). Koma zonyansa monga momwe tingathere, mankhwalawa ndi othandiza kwambiri pakuthandiza amuna ogonana ndi erectile malingaliro. Kafukufuku watsopano ndi malangizo a chipatala akugwiritsanso ntchito mankhwala awa: co-administration ndi mankhwala monga finasteride (Proscar) kapena dutasteride (Avodart), omwe ali 5-alpha-reductase inhibitors omwe amagwiritsidwa ntchito pochizira benign prostatic hyperplasia (BPH).
Makamaka, 5-alpha-reductase inhibitors ndi alpha blockers, mtundu wina wa mankhwala a BPH, chiwerengero cha chiwerengero cha munthu ndi mphamvu yokhala ndi erection - zotsatira zotsutsana zotsutsidwa ndi erectile dysfunction meds monga Cialis. Komanso, mu 2011, a FDA adavomereza Cialis kuti azitsatira zizindikiro za BPH, nayenso (ganizirani zovuta kuti muzitsuka). Choncho Cialis ndi yopindulitsa kwambiri kwa iwo omwe ali ndi BPH!
Kodi Benign Prostatic Hyperplasia (BPH) N'chiyani?
Ngati muli ndi BPH, simungasowe mawu oyamba pa zovuta zake, zowopsya komanso zina zoopsa kwambiri. Komabe, kwa ife tonse omwe sitinatuluke, apa pali zina zokhudza chikhalidwe ichi.
Benign prostatic hyperplasia ndi yowonjezera (nonmalignant) ya prostate gland. Mwa amuna, prostate imapanga njere. Amuna omwe ali ndi BPH, prostate ikhoza kukula kwambiri katatu ndipo imayambitsa kuyambitsa mkodzo. Zindikirani, prostate ndi chong'onong'ono chomwe chimapanga urethra kapena "pee" tube; prostate imakhala pansi pa chikhodzodzo.
Ngakhale khansara ya prostate imakhudzanso matenda a hypertrophy ndi hyperplasia komanso zizindikiro zambiri zoyambirira monga BPH, BPH si khansa. Ndi khalidwe lachilendo limene amuna ambiri a zaka 50 kapena kupitilira amamva pamlingo winawake. Komanso, BPH sangakhale ndi ngozi ina yowonjezera kansa ya prostate.
Ambiri mwa amuna, BPH ndiyomwe imayambitsa matenda ndipo imayambitsa zizindikiro zosadziwika. Pafupifupi gawo limodzi mwa magawo atatu a amuna a ku America amatha kuona zizindikiro zotsatirazi:
- Nthawi zambiri mumakonda kukodza (nthawi zamakono) makamaka usiku
- Mtsinje wofooka womwe umayamba ndi kuima
- Ndikumva kuti mukufunika kuyesa ngakhale mutangomaliza kukodza
- Vuto loyambitsa mkodzo (hesitancy)
- Kukhudza magazi mu mkodzo
Patapita nthawi, BPH ikhoza kumayambitsa mavuto akuluakulu monga matenda a mkodzo, matenda a impso ndi chikhodzodzo. (Kulepheretsedwa kwa prostate yapamwamba imatha kuyambitsa kubwezera mkodzo komwe kumawononga impso ndi chikhodzodzo.)
Chithandizo choyamba cha BPH ndichipatala ndi opaleshoni ( TURP ) yosungidwa kwa anthu omwe amalephera kumwa mankhwala. Amuna omwe ali ndi BPH amachilendo amalandira mitundu iwiri ya mankhwala: alpha blockers (kuganiza terazosin kapena doxazosin) ndi 5-alpha reductase inhibitors monga Proscar ndi Avodart.
Wowerenga wochenjera angazindikire kuti mitundu yonse ya mankhwala a BPH ali ndi alpha m'maina awo; Komabe, njira za mankhwalawa ndizosiyana kwambiri. Alonda blockers amatsitsimutsa minofu m'chikhodzodzo ndi prostate kuti athe kukonzanso mkodzo komanso kuthetsa vutoli. Ngakhale kuti, 5-alpha-reductase inhibitors amawombera mafinoni a BPH osati kuthandizira kutuluka kwa mkodzo, koma, ngati atengeka nthawi yaitali, akhoza kuchepetsa prostate ndikusiya kufunika kwa opaleshoni.
Kuwonjezera Cialis ku Mix
Pa zifukwa zomwe tonsefe tingathe kuziyamikira, kudandaula kwakukulu pakati pa amuna ambiri omwe akulandira mankhwala ndi alpha blockers, 5-alpha-reductase inhibitors kapena onse awiri ndi 15 mpaka 15 peresenti ya gents monga mankhwala ndi erectile ntchito, libido, ndi ejaculation. Pofuna kuthana ndi zotsatirazi zosafuna kuzidziwitsa, madokotala a udokotala ndi madokotala akuyambanso kuwonjezera kuwonjezera pa mankhwalawa. Kuwonjezera apo, mu 2011, a FDA adavomereza kale Cialis kuti azitsatira zizindikiro za BPH, nayonso. Choncho, mwa amuna omwe ali ndi BPH, Cialis amasonyeza kuwirikiza kawiri - zimathandiza pakusamba, ndipo zimathandizira ndi erectile kusagwira ntchito.
Mwamwayi, sayansi imathandizira chizoloŵezi chowonjezera mankhwala omwe cholinga chake chachikulu cha erectile chisamalidwe kwa mankhwala a BPH mankhwala. Mu mayesero akuluakulu othandizidwa ndi Eli Lilly, opanga Cialis (go figure), amuna 695 anapatsidwa Cialis kapena placebo kuwonjezera pa 5-alpha reductase inhibitor finasteride.
Zotsatira zinali zolimbikitsana kwambiri ndi kusintha kwa chiwerengero cha chilakolako chogonana, ntchito yogonana, erectile ntchito ndi chisangalalo chonse cha kugonana chomwe chimapezeka mwa iwo omwe amagwiritsa ntchito Cialis ndi chithandizo chamagetsi. Komanso, zotsatira zake zinali zochepa komanso zolekerera. Zotsatira zinayesedwa pa masabata 4, 12 ndi 26 a mankhwala pogwiritsa ntchito mafunso olembedwa ndi International Index of Erectile Function.
Monga momwe tingayembekezere kuchokera ku maphunziro ambiri pogwiritsa ntchito ndalama zazikulu za Pharma, kupanga kafukufuku wa phunziroli kunali kolimba kwambiri. Kuwonjezera pa zotsatira za placebo, zopereŵera zomwe zingatheke pa phunziroli sizikugwirizana ndi umboni wakuti International Index of Erectile Function inali yothandiza poyerekeza kuperewera kwa mankhwala komanso kupweteka kwa nthawi yayitali. Zindikirani, ofufuza adawoneka yekha pa Cialis co-administration ndi 5-alpha-reductase inhibitor, osati olemba-alpha, nayenso.
Maganizo Otseka
Ngati inu kapena munthu amene mumamukonda akukumana ndi vuto la kugonana lachiwiri kwa mankhwala a BPH monga opaleshoni yamtunduwu ndipo sali kale pa Cialis, onetsetsani kuti mumamuuza dokotala wanu wamkulu kapena dokotala wa urologist. Kuwonjezera kwa Cialis kuchipatala chanu ndi kotetezeka ndi kolekerera ndipo muyenera kuthandiza ndi moyo wanu wogonana ndi zizindikiro za BPH palokha.
Pazowonjezereka, chifukwa cha zotsatira zake zamadzimadzi, kuchepa kwa mlingo wachangu kumagulitsidwanso ngati Propecia, mankhwala operekedwa chifukwa cha tsitsi. Ngakhale anthu omwe amatenga Propecia ndi anyamata omwe ali ndi vuto lochepa la erectile, ndipo Propecia ndi mlingo wotsika kuposa Proscar, Propecia ingasokonezenso ntchito yogonana. Ngati mukugwiritsa ntchito feriyo kuti muteteze tsitsi komanso muli ndi vuto la erectile kapena mavuto enaake, onetsetsani kuti mukudziwitsa dokotala wanu.
> Zotsatira:
> "Kugonana Kumagwira Ntchito Amuna Omwe Ali ndi Zizindikiro Zochepa Zogwiritsa Ntchito Uriniti ndi Kuwonjezeka Kwachizoloŵezi Kusintha kwa Benign Prostatic Hyperplasia: Zotsatira za Mwezi umodzi, Mwezi Wachiwiri, Wopunduka Kachiwiri, Phunziro Lolamulidwa ndi Tadalafil Lolamulidwa ndi Finasteride" ndi S. > Glina > ndi Co- Olemba a Journal of Sexual Medicine (2014).
> Fode M, Sønksen J, McPhee SJ, Ohl DA. Kusokonezeka kwa Tsamba lachiberekero la Amuna. Mu: Hammer GD, McPhee SJ. eds. Maganizo a Matenda: An Introduction to Clinical Medicine, Chisindikizo Chachisanu ndi chiwiri . New York, NY: Hill ya McGraw; 2013. Inapezeka pa 1/21/2015.