IAlprostadil Urogenital

Umxholo

• Ngaphambi kokusebenzisa i-alprostadil,
• I-Alprostadil inokubangela iziphumo ebezingalindelekanga. Tshela ugqirha wakho ukuba ngaba ezinye zeempawu zinzima okanye azihambi:
• Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. Ukuba ufumana nayiphi na le mpawu, biza ugqirha wakho ngokukhawuleza:
• Iimpawu zokudlula ngaphezulu zinokubandakanya:

Inaliti ye-Alprostadil kunye ne-suppositories zisetyenziselwa ukunyanga iintlobo ezithile ze-erectile dysfunction (impotence; ukungakwazi ukufumana okanye ukugcina ulwakhiwo) emadodeni. Inaliti ye-Alprostadil ngamanye amaxesha isetyenziswa ngokudibanisa nezinye iimvavanyo ukufumanisa ukungasebenzi kakuhle kwe-erectile. I-Alprostadil ikudidi lwamayeza abizwa ngokuba yi-vasodilators. Isebenza ngokuphumla izihlunu kunye nemithambo yegazi kwilungu lobudoda ukugcina igazi elaneleyo kwilungu lobudoda ukuze ulwakhiwo lwenzeke.

I-Alprostadil ayiphilisi ukungasebenzi kakuhle kwe-erectile okanye yonyuse umnqweno wesini. I-Alprostadil ayikuthinteli ukukhulelwa okanye ukusasazeka kwezifo ezosulela ngokwabelana ngesondo ezifana ne-human immunodeficiency virus (HIV).

I-Alprostadil iza njengomgubo wokudityaniswa nolwelo olunikezwe kwiphakheji kwaye itofelwe kwilungu lobudoda nanjenge-urethral suppository (ipelete kufuneka ibekwe kumngxunya wokuchama kwilungu lobudoda). I-Alprostadil isetyenziswa njengoko kufuneka ngaphambi komsebenzi wesondo. Ukulungiswa kunokwenzeka ngaphakathi kwemizuzu emi-5 ukuya kwengama-20 emva kokusebenzisa inaliti nangaphakathi kwemizuzu emi-5 ukuya kweli-10 emva kokusebenzisa ipellet. Ulwakhiwo kufuneka luhlale malunga nemizuzu engama-30 ukuya kwengama-60. Inaliti ye-Alprostadil akufuneki isetyenziswe ngaphezulu kwamaxesha amathathu ngeveki, ubuncinci iiyure ezingama-24 phakathi kokusetyenziswa. I-Alprostadil pellets akufuneki isetyenziswe ngaphezulu kokuphindwe kabini kwisithuba seeyure ezingama-24. Landela izikhokelo kwileyibhile yakho yonyango ngononophelo, kwaye ubuze ugqirha wakho okanye usokhemesti ukuba achaze nayiphi na indawo ongayiqondiyo. Sebenzisa i-alprostadil ngokuchanekileyo njengoko kuyalelwe. Sukuyisebenzisa ngaphezulu okanye ngaphantsi okanye uyisebenzise rhoqo kunokuyalelwa ngugqirha.

Ugqirha wakho uya kulawula idosi yokuqala ye-alprostadil eofisini yakhe ukumisela idosi efanelekileyo kuwe. Emva kokuba uqale ukusebenzisa i-alprostadil ekhaya, ugqirha wakho unokunyusa kancinci okanye anciphise idosi yakho. Tshela ugqirha wakho ukuba awufumani ulwaneliseko olwanelisayo okanye ukuba ulungiso lwakho luhlala ixesha elide, kodwa ungatshintshi idosi yakho ungakhange uthethe nogqirha wakho.

Kuya kufuneka uqeqeshwe ngugqirha wakho ngaphambi kokusebenzisa i-alprostadil ekhaya. Qiniseka ukuba uyayiqonda ngqo indlela yokusebenzisa i-alprostadil. Buza ugqirha wakho okanye usokhemesti ukuba unayo nayiphi na imibuzo malunga nendlela yokusebenzisa amayeza akho.

Sukuphinda usebenzise iinaliti, iisirinji, iikhatriji, iibhotile, iipellethi, okanye izixhobo zokuzisebenzisa. Lahla iinaliti kunye neesirinji esele zisetyenzisiwe. Buza ugqirha wakho okanye usokhemesti ukuba usilahla njani isikhongozeli.

Buza usokhemesti okanye ugqirha wakho ngekopi yolwazi lomenzi wesigulana.

Eli yeza linokumiselwa ezinye izinto; buza ugqirha wakho okanye usokhemesti ngolwazi oluthe kratya.

Ngaphambi kokusebenzisa i-alprostadil,

• xelela ugqirha wakho kunye nosokhemisti ukuba ngaba uxabisa i-alprostadil; amanye amayeza e-prostaglandin anje nge-misoprostol (Cytotec, eArthrotec), bimatoprost (Lumigan), latanoprost (Xalatan), kunye travoprost (Travatan); okanye naliphi na iyeza.
• xelela ugqirha wakho kunye nosokhemesti ukuba loluphi olunye amayeza amiselweyo kunye nalawo angabhalwanga, iivithamini, izongezo zesondlo, kunye nemveliso yamayeza owathathayo okanye oceba ukuyithatha. Qiniseka ukuba ukhankanya nayiphi na kwezi zinto zilandelayo: i-anticoagulants ('thinner') ezinje ngeparparin kunye newarfarin (Coumadin); ukutya ukucinezela; amayeza e-allergies, ukubanda, uxinzelelo lwegazi oluphezulu, okanye iingxaki zesinus; kunye nolunye unyango lwe-erectile dysfunction. Ugqirha wakho unokufuna ukutshintsha amayeza akho okanye akubeke esweni ngononophelo kwiziphumo ebezingalindelekanga.
• xelela ugqirha wakho ukuba ukhe wacetyiswa ngugqirha ukuba unqande isenzo sesondo ngenxa yezizathu zonyango kwaye ukuba ukhe waba neengxaki zeeseli yegazi ezinjengearheng cell anemia (isifo seeseli ezibomvu zegazi), ileukemia (umhlaza iiseli ezimhlophe zegazi), ii-myeloma ezininzi (umhlaza weeseli ze-plasma), i-thrombocythemia (imeko ekuveliswa ngayo iiplatelets ezininzi), okanye i-polycythemia (imeko apho iiseli ezibomvu zegazi ziveliswa kakhulu); iimeko ezichaphazela ukumila kwepenisi (i-angulation, cavernosal fibrosis, okanye isifo se-Peyronie); ukufakelwa kwepenile (isixhobo esibekwe ngotyando ngaphakathi kwilungu lobudoda ukunyanga ukungasebenzi kakuhle kwe-erectile); okanye ukusilela kwentliziyo. Xelela ugqirha wakho ukuba wena okanye naliphi na ilungu losapho lwakho wakhe wanamaqhaga egazi emilenzeni okanye emiphungeni kwaye ukuba nje kutshanje uye wenziwa utyando olukhulu. Ugqirha wakho unokukuxelela ukuba ungasebenzisi i-alprostadil.
• ukuba usebenzisa i-alprostadil pellet, xelela ugqirha wakho ukuba ukhe wanako okanye wakha wanomncinci, unezikrelemnqa, okanye ukudumba kokuvulwa komchamo kwilungu lobudoda okanye incam yelungu lobudoda. Ugqirha wakho uya kukuxelela ukuba ungasebenzisi i-alprostadil pellets.
• xelela ugqirha wakho ukuba ukhe wanesifo sokopha; imbali yokufa isiqaqa; okanye isifo sezintso, sesibindi okanye semiphunga.
• xelela ugqirha wakho ukuba iqabane lakho likhulelwe okanye liceba ukukhulelwa. Sukusebenzisa i-alprostadil pellets ngaphambi komsebenzi wesondo nowasetyhini okhulelweyo okanye owasetyhini onokukhulelwa ngaphandle kokusebenzisa isithintelo sekhondom.
• Kuya kufuneka uyazi ukuba i-alprostadil inokubangela ukuba ube nesiyezi, ukuba krwada, kunye nokuphelelwa ngamandla. Musa ukuqhuba imoto okanye usebenzise oomatshini emva kokusebenzisa i-alprostadil de ube uyazi ukuba lonyango lukuchaphazela njani.
• thetha nogqirha wakho malunga nokusetyenziswa kotywala ngexesha lonyango lwakho kunye ne-alprostadil. Utywala bunokunciphisa ukusebenza kweli yeza.
• Kuya kufuneka uyazi ukuba ukopha okuncinci kunokubakho kwindawo apho unikwe khona iyeza. Oku kunokunyusa umngcipheko wokuhambisa izifo ezithwala igazi (iimeko ezisasazeka ngegazi elichaphazelekileyo) njenge-HIV, hepatitis B, kunye ne-hepatitis C phakathi kwakho neqabane lakho. Tshela ugqirha wakho ukuba ngaba wena okanye iqabane lakho unesifo esithwala igazi.

Ngaphandle kokuba ugqirha wakho akuxelele ngenye indlela, qhubeka nokutya okuqhelekileyo.

I-Alprostadil inokubangela iziphumo ebezingalindelekanga. Tshela ugqirha wakho ukuba ngaba ezinye zeempawu zinzima okanye azihambi:

• ukopha okanye ukugruzuka kwindawo apho usebenze khona amayeza
• iintlungu okanye ukuqaqamba kwilungu lobudoda, amasende, imilenze, okanye i-perineum (indawo phakathi kwepenisi kunye ne-rectum)
• ukufudumeza okanye ukuvutha kwemvakalelo ekuvulekeni komchamo kwilungu lobudoda
• ubomvu bendoda
• intloko ebuhlungu
• umqolo obuhlungu
• iingxaki zolusu
• iingxaki zombono

Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. Ukuba ufumana nayiphi na le mpawu, biza ugqirha wakho ngokukhawuleza:

• ulwakhiwo oluhlala ngaphezulu kweeyure ezingama-4
• ubomvu, ukudumba, ukuthamba, okanye ukugoba ngokungaqhelekanga kwelungu lobudoda
• amaqhuqhuva okanye iindawo ezinzima kwilungu lobudoda
• ukubetha kwentliziyo ngokukhawuleza
• isiqaqa
• imithambo idumbile emilenzeni

Ukuba uhlangabezana neziphumo ebezingalindelekanga ezimandundu, wena okanye ugqirha wakho ungathumela ingxelo kwiNkqubo yoKutya kunye nezoLawulo (i-FDA) yeMedWatch yeNkqubo yokuNgxelo ngezeMeko eziGwenxa kwi-Intanethi (http://www.fda.gov/Safety/MedWatch) okanye ngomnxeba ( 1-800-332-1088).

Gcina eli yeza kwisikhongozeli lifikile, livalekile, kwaye alifumaneki ebantwaneni. Gcina iibhotile zealprostadil kunye neekhatriji kubushushu begumbi kwaye kude nobushushu obuninzi kunye nokufuma (hayi kwigumbi lokuhlambela). Funda imiyalelo yomenzi ngolwazi malunga nokuba isisombululo se-alprostadil singagcinwa ixesha elingakanani emva kokuxubana nalapho kufuneka igcinwe khona. Iipelethi zeAlprostadil kufuneka zigcinwe kwiphakheji yoqobo kwifriji, kodwa inokugcinwa kubushushu begumbi ukuya kwiintsuku ezili-14 ngaphambi kokusetyenziswa. Musa ukubeka amayeza kumaqondo obushushu aphezulu okanye uwabeka elangeni ngokuthe ngqo kuba oku kuyakwenza ukuba kungasebenzi.

Kubalulekile ukugcina onke amayeza ngaphandle kwamehlo kunye nokufikelela kwabantwana njengezikhongozeli ezininzi (ezinje ngeeveki zeepilisi zeveki kunye nezo zamehlo, iikhrim, iipatches, kunye ne-inhalers) azinyangeki kwaye abantwana abancinci banokuzivula ngokulula. Ukukhusela abantwana abancinci kwiityhefu, soloko ukhiya iminqwazi yokhuseleko kwaye ubeke amayeza kwindawo ekhuselekileyo-leyo iphakame kwaye iphakame kwaye ingabonakali kubo kwaye ifikelele kuyo. http://www.upandaway.org

Xa useluhambeni, ungagcini i-alprostadil kwimithwalo ekhangelwe okanye uyishiye emotweni apho inokuvezwa bubushushu obugqithisileyo. Gcina i-alprostadil pellets kwindawo ephathekayo yomkhenkce okanye epholileyo.

Amayeza angafunekiyo kufuneka achithwe ngeendlela ezizodwa zokuqinisekisa ukuba izilwanyana zasekhaya, abantwana kunye nabanye abantu abanakuzisebenzisa. Nangona kunjalo, akufuneki uligungxule eli yeza kwindlu yangasese. Endaweni yoko, eyona ndlela yokulahla amayeza akho yinkqubo yokubuyisa amayeza. Thetha kumayeza wakho okanye unxibelelane nesebe lakho lenkunkuma / lokurisayikilisha ukuze ufunde malunga neenkqubo zokubuyisa kwindawo ohlala kuyo. Jonga i-FDA's Safe Disposal of Medicines website (http://goo.gl/c4Rm4p) ngolwazi oluthe kratya ukuba awunakho ukufikelela kwinkqubo yokubuyisa.

Ukuba umntu usebenzisa i-alprostadil kakhulu, tsalela iziko lakho lolawulo lwetyhefu kwindawo yoku-1-800-222-1222. Ukuba ixhoba liye lawa okanye aliphefumli, tsalela umnxeba iinkonzo zongxamiseko zengingqi kwi911.

Iimpawu zokudlula ngaphezulu zinokubandakanya:

• isiqaqa
• isiyezi
• ukungaboni kakuhle
• isicaphucaphu
• iintlungu kwilungu lobudoda elingahambiyo
• ulwakhiwo oluhlala ixesha elide kuneeyure ezingama-6

Gcina lonke ixesha lokudibana nogqirha wakho. Kubalulekile ukutyelela rhoqo kunye nogqirha wakho (umz., Zonke iinyanga ezi-3).

Ungavumeli nabani na ukuba asebenzise amayeza akho, iinaliti okanye iisirinji. Buza usokhemesti wakho nayiphi na imibuzo onayo malunga nokuzalisa amayeza akho.

Kubalulekile ukuba ugcine uluhlu olubhaliweyo lwawo onke amayeza owasebenzisayo amayeza owasebenzisayo, kunye nezinye iimveliso ezinjengeevithamini, iiminerali, okanye ezinye izongezo zokutya. Kuya kufuneka uze nolu luhlu qho xa undwendwela ugqirha okanye ungeniswe esibhedlele. Kukwabalulekile ulwazi ukuba uphathe nawe xa kukho imeko kaxakeka.

• Caverject^®
• Impembelelo yeCaverject^®
• Edex^®
• Ndithelekelele^®

• IProstaglandin uE₁(IPHEPHA₁)