ISildenafil, iThebhulethi yomlomo

Umxholo

• Iziphumo ebezingalindelekanga zeSildenafil
• Iziphumo eziqhelekileyo ezichaphazelekayo
• Iziphumo ebezingalindelekanga ezimandundu
• Izilumkiso ezibalulekileyo
• Yintoni iSildenafil?
• Kutheni isetyenziswa
• Ingaba isebenza kanjani
• ISildenafil inokusebenzisana namanye amayeza
• Iziyobisi akufuneki uzisebenzise nge-sildenafil
• Ukudibana okwandisa umngcipheko weziphumo ebezingalindelekanga
• Izilumkiso zikaSildenafil
• Isilumkiso somzimba
• Isilumkiso sokunxibelelana notywala
• Izilumkiso zabantu abaneemeko ezithile zempilo
• Izilumkiso kwamanye amaqela
• Uyithatha njani i-sildenafil
• Isisombululo se-erectile dysfunction (ED)
• Isisombululo se-pulmonary arterial hypertension (PAH)
• Thatha njengoko kuyalelwe
• Ukuqwalaselwa okubalulekileyo kokuthatha i-sildenafil
• Ngokubanzi
• Ukugcina
• Ukuzalisa kwakhona
• Ukuhamba
• Ukubeka iliso kwezonyango
• Ukufumaneka
• Ngaphambi kogunyaziso
• Ngaba zikhona ezinye iindlela?

Amagqabantshintshi esildenafil

1. Ithebhulethi yomlomo kaSildenafil iyafumaneka njengesiyobisi-njengegama leziyobisi kunye nanjengamayeza aqhelekileyo. Amagama eBrand: Viagra, Revatio.
2. I-Sildenafil iza ngeendlela ezintathu: ithebhulethi yomlomo, ukumiswa ngomlomo (ulwelo), kunye nenaliti enikwa kuphela ngugqirha.
3. Itafile yomlomo yeSildenafil isetyenziselwa ukunyanga ukungasebenzi kakuhle kwe-erectile (ED). Isetyenziselwa ukunyanga uxinzelelo lwegazi (pulmonary arterial hypertension) (PAH).

Iziphumo ebezingalindelekanga zeSildenafil

I-Sildenafil yomlomo ithebhulethi ayibangeli ukozela, kodwa inokubangela ezinye iziphumo ebezingalindelekanga.

Iziphumo eziqhelekileyo ezichaphazelekayo

Iziphumo eziqhelekileyo ezichaphazelekayo ze-sildenafil zingabandakanya:

• impumlo
• intloko ebuhlungu
• isisu esimoshakele
• ukugungxula (ubomvu kunye nobushushu ebusweni)
• ingxaki yokulala
• ifiva
• ulwakhiwo oluhlala ixesha elide kunesiqhelo
• usulelo lokuphefumla
• isicaphucaphu
• ukugabha
• inyumoniya
• umqala obuhkungu
• impumlo enemifinya

Ukuba ezi ziphumo zincinci, zinokuhamba zingaphelanga iintsuku okanye iiveki ezimbalwa. Ukuba zinzima kakhulu okanye azihambi, thetha nogqirha wakho okanye usokhemesti.

Iziphumo ebezingalindelekanga ezimandundu

Shayela ugqirha wakho ngokukhawuleza ukuba unemiphumo emibi. Tsalela umnxeba ku-911 ukuba iimpawu zakho ziziva zisongela ubomi okanye ukuba ucinga ukuba unempilo kaxakeka. Iziphumo ebezingalindelekanga ezimandundu kunye neempawu zazo zinokubandakanya oku kulandelayo:

• Uxinzelelo lwegazi oluphantsi. Iimpawu zingabandakanya:
  • ukungaboni kakuhle
  • ukudideka
  • isiyezi
  • isiqaqa
  • intloko elula
  • isicaphucaphu okanye ukugabha
  • ukozela
  • ubuthathaka
• Ukonyusa ukuphefumla kancinci okanye ingxaki yokuphefumla
• Priapism (ulwakhiwo olungayi kuhamba). Iimpawu zingabandakanya:
  • ulwakhiwo oluhlala ngaphezulu kweeyure ezi-4
• Iingxaki zombono. Iimpawu zingabandakanya:
  • ukulahleka kombono ngequbuliso kwiliso elinye okanye omabini
• Iingxaki zokuva. Iimpawu zingabandakanya:
  • ukulahleka ngokukhawuleza kwindlebe
  • i-tinnitus (ukukhala ezindlebeni zakho)
  • isiyezi
• Iingxaki zentliziyo, ezinje ngokuhlaselwa sisifo sentliziyo, ukubetha, okanye ukubetha kwentliziyo ngendlela engaqhelekanga. Iimpawu zingabandakanya:
  • iintlungu zesifuba
  • ukuqhawukelwa ngumphefumlo
  • isiyezi
  • unengxaki yokuthetha
  • ukudideka
  • isicaphucaphu okanye ukugabha
  • ndiziva ndinentloko elula

Iphepha elichazayo ukuba awusenanto oyifunayo: Injongo yethu kukukunika olona lwazi lufanelekileyo nolukhoyo ngoku. Nangona kunjalo, ngenxa yokuba iziyobisi zichaphazela umntu ngamnye ngokwahlukileyo, asinakuqinisekisa ukuba olu lwazi lubandakanya zonke iziphumo ebezingalindelekanga ezinokubakho. Olu lwazi aluthathi ndawo yengcebiso yezonyango. Soloko uxoxa ngeziphumo ebezingalindelekanga ezinokwenzeka kunye nomboneleli wezempilo oyaziyo imbali yakho yezonyango.

Izilumkiso ezibalulekileyo

• Isilumkiso sokubaluleka: Eli chiza linokubangela ukungakhathali, okuyilwakhiwo olungayi kuhamba. Ukuba ulwakhiwo oluhlala ngaphezulu kweeyure ezingama-4, tsalela umnxeba kwi-911 okanye uye kwigumbi likaxakeka elikufutshane. Ukuba ayinyangwa kwangoko, le meko inokubangela umonakalo ongapheliyo kwilungu lakho lobudoda.
• Isilumkiso sokuphulukana nombono ngesiquphe: Eli chiza linokubangela ukulahleka kombono ngequbuliso kwiliso elinye okanye omabini. Oku kunokuba luphawu lwengxaki enkulu yamehlo. Ukuba oku kuyenzeka, yeka ukuthatha i-sildenafil kwaye ubize ugqirha ngoko nangoko.
• Isilumkiso sokuphulukana nokuva ngesiquphe: Eli chiza linokubangela ukulahleka kwendlebe, i-tinnitus (ukukhala ezindlebeni zakho), okanye isiyezi. Ukuba uphulukene nokuva ngequbuliso kunye okanye ngaphandle kwe-tinnitus okanye isiyezi, yeka ukuthatha i-sildenafil kwaye ubize ugqirha ngoko nangoko.
• Sebenzisa isilumkiso kubantwana: Abantwana abane-PAH abathatha eli chiza banokuba semngciphekweni wokufa. Abantwana akufuneki bathathe i-sildenafil.

Yintoni iSildenafil?

I-Sildenafil sisiyobisi esigqirha. Iza ngohlobo lwethebhulethi kunye nokumiswa (ulwelo). Zombini zithathwa ngomlomo. Kuza nakwifom yegazi (IV), enikwa kuphela ngugqirha.

Ithebhulethi yomlomo kaSildenafil iyafumaneka njengegama leziyobisi iViagra kunye neRevatio. Ikwafumaneka njengechiza elenza la machiza. Amachiza enziwe afana nalawo aveliswe ngumenzi ahlala exabisa ixabiso lawo kunexabiso lawo. Ngamanye amaxesha, azinakufumaneka kuwo onke amandla okanye kwifom njengegama legama lophawu.

Kutheni isetyenziswa

Ithebhulethi yomlomo yeSildenafil isetyenziselwa ukunyanga i-ED kunye ne-PAH. Iitafile zomlomo eziqhelekileyo ziyafumaneka kuzo zombini ezi meko, kodwa igama elinegama lophawu lonyango liphatha imeko enye kuphela.

• Viagra: Eli chiza lisetyenziselwa ukunyanga i-ED. Nge-ED, awukwazi ukufumana okanye ukugcina ulwakhiwo.
• Uhlaziyo: Eli chiza lisetyenziselwa ukunyanga i-PAH. Nge-PAH, uxinzelelo lwegazi kwimiphunga yakho luphezulu kakhulu.Intliziyo yakho kufuneka isebenze nzima ukupompa igazi kwimiphunga yakho.

Ingaba isebenza kanjani

I-Sildenafil ikudidi lwamachiza abizwa ngokuba yi-phosphodiesterase type 5 (PDE5) inhibitors. Iklasi leziyobisi liqela lamayeza asebenza ngendlela efanayo. La machiza ahlala esetyenziselwa ukunyanga iimeko ezifanayo.

I-Sildenafil isebenza ngeendlela ezahlukeneyo, kuxhomekeke kwimeko esetyenziselwa ukunyanga.

• Ye-ED: I-Sildenafil isebenza ngokwandisa ukuhamba kwegazi ukuya kwilungu lobudoda. Oku kukunceda ufumane okanye ugcine ulwakhiwo. I-Sildenafil isebenza kuphela kwi-ED ukuba uvukile ngokwesondo.
• Ye-PAH: I-Sildenafil isebenza ngokuphumla kwezihlunu kunye nokuvula imithambo yegazi kwimiphunga yakho. Oku kunciphisa uxinzelelo lwegazi kwimiphunga yakho. I-Sildenafil icothisa ukuqhubela phambili kokugula kwakho. Ikwenza ukuba ube nakho ngakumbi ukwenza umthambo.

ISildenafil inokusebenzisana namanye amayeza

I-Sildenafil ithebhulethi yomlomo inokusebenzisana namanye amayeza, iivithamini, okanye imifuno onokuthi uyithathe. Unxibelelwano kuxa into isitshintsha indlela esebenza ngayo iyeza. Oku kunokuba yingozi okanye kuthintele ichiza ekusebenzeni kakuhle.

Ukukunceda ukunqanda ukusebenzisana, ugqirha wakho kufuneka alawule onke amayeza ngononophelo. Qiniseka ukuba uxelela ugqirha wakho ngawo onke amayeza, iivithamini, okanye imifuno oyithathayo. Ukufumanisa ukuba eli chiza linokusebenzisana njani nenye into oyithathayo, thetha nogqirha wakho okanye usokhemesti.

Imizekelo yamachiza anokubangela ukuhlangana kunye nesildenafil zidweliswe apha ngezantsi.

Iziyobisi akufuneki uzisebenzise nge-sildenafil

Musa ukuthatha la mayeza nge-sildenafil. Ukwenza njalo kunokubangela iziphumo eziyingozi emzimbeni. Imizekelo yala machiza ibandakanya:

• IiNitrate, ezinje nge-isosorbide mononitrate, isosorbide dinitrate, okanye nitroglycerin.
  • Ukuthatha la machiza nge-sildenafil kunokubangela ukuba uxinzelelo lwegazi lwakho lwehle ngesiquphe kwinqanaba elingakhuselekanga.
• I-Guanylate cyclase stimulators, ezinje nge-riociguat.
  • Ukuthatha la machiza nge-sildenafil kunokubangela ukuba uxinzelelo lwegazi lwakho lwehle ngesiquphe kwinqanaba elingakhuselekanga.

Ukudibana okwandisa umngcipheko weziphumo ebezingalindelekanga

Iziphumo ezivela kwisildenafil: Ukuthatha i-sildenafil ngamayeza athile kunyusa umngcipheko weziphumo ebezingalindelekanga ezivela kwi-sildenafil. Kungenxa yokuba inani le-sildenafil emzimbeni wakho liyonyuka. Imizekelo yala machiza ibandakanya:

• Iziyobisi ze-HIV, ezinje nge-ritonavir, indinavir, saquinavir, okanye atazanavir.
  • Ukunyuka kweziphumo ebezingalindelekanga kunokubandakanya uxinzelelo lwegazi oluphantsi, isiyezi, okanye iingxaki zombono. Banokubandakanya ii-erections ezihlala ixesha elide kunesiqhelo.
• Ezinye i-antibiotics, ezifana ne-clarithromycin okanye i-erythromycin.
  • Ukunyuka kweziphumo ebezingalindelekanga kunokubandakanya uxinzelelo lwegazi oluphantsi, isiyezi, okanye iingxaki zombono. Banokubandakanya ii-erections ezihlala ixesha elide kunesiqhelo.
• Ezinye izinto zokubulala ukungunda, ezinje nge ketoconazole okanye itraconazole.
  • Ukunyusa iziphumo ebezingalindelekanga kunokubandakanya uxinzelelo lwegazi, isiyezi, okanye iingxaki zombono. Banokubandakanya ii-erections ezihlala ixesha elide kunesiqhelo.

Iziphumo ebezingalindelekanga ezivela kwamanye amayeza: Ukuthatha i-sildenafil ngamayeza athile kunyusa umngcipheko weziphumo ebezingalindelekanga kwezi ziyobisi. Imizekelo yala machiza ibandakanya:

• I-Alpha-blockers, enjenge-terazosin, i-tamsulosin, i-doxazosin, i-alfuzosin, okanye i-silodosin.
  • Ukunyuka kweziphumo ebezingalindelekanga kunokubandakanya ukwehla koxinzelelo lwegazi, okanye ukuphelelwa ngamandla.
• Uxinzelelo lwegazi iziyobisi, njengeamlodipine.
  • Ukunyuka kweziphumo ebezingalindelekanga kunokubandakanya uxinzelelo lwegazi olusezantsi kakhulu.
• Amanye amachiza okungasebenzi kakuhle kwe-erectile, njenge-avanafil, tadalafil, okanye i-vardenafil.
  • Ukunyuka kweziphumo ebezingalindelekanga kunokubandakanya uxinzelelo lwegazi olusezantsi okanye ii-erections ezihlala ixesha elide kunesiqhelo.

Iphepha elichazayo ukuba awusenanto oyifunayo: Injongo yethu kukukunika olona lwazi lufanelekileyo nolukhoyo ngoku. Nangona kunjalo, ngenxa yokuba iziyobisi zinxibelelana ngokwahlukileyo kumntu ngamnye, asinakuqinisekisa ukuba olu lwazi lubandakanya lonke unxibelelwano olunokwenzeka. Olu lwazi aluthathi ndawo yengcebiso yezonyango. Soloko uthetha nomboneleli wakho wezempilo malunga nokunxibelelana okunokubakho nawo onke amayeza amiselweyo, iivithamini, amayeza kunye nezongezo, kunye namayeza owathethayo.

Izilumkiso zikaSildenafil

Eli chiza liza nezilumkiso ezininzi.

Isilumkiso somzimba

I-Sildenafil inokubangela ukusabela okugwenxa. Iimpawu zingabandakanya:

• ingxaki yokuphefumla
• ukudumba komqala okanye ulwimi lwakho

Ukuba uvelisa ezi mpawu, tsalela umnxeba ku-911 okanye uye kwigumbi lexakeka elikufutshane.

Sukuphinda ulithathe eli chiza ukuba ukhe waba negazi kulo. Ukuyithatha kwakhona kunokuba yingozi (kubangele ukufa).

Isilumkiso sokunxibelelana notywala

Ukusetyenziswa kweziselo ezinesiselo esinxilisayo kuphakamisa umngcipheko wexinzelelo lwegazi olusuka kwi-sildenafil. Ukuba usela utywala, thetha nogqirha wakho. Kuya kufuneka ukuba ujonge uxinzelelo lwegazi ngelixa uthatha eli chiza.

Izilumkiso zabantu abaneemeko ezithile zempilo

Kubantu abaneengxaki zentliziyo: Eli chiza linokuhlisa uxinzelelo lwegazi. Ukuba uneengxaki ezithile zentliziyo kwiinyanga ezi-6 ezidlulileyo, cela ugqirha wakho ukuba eli chiza likhuselekile kuwe. Ezi ngxaki zibandakanya isifo sentliziyo, ukubetha, okanye ingxaki esongela ubomi yesingqisho senhliziyo. Thetha nogqirha wakho ukuba unoxinzelelo lwegazi olusezantsi okanye oluphezulu, okanye unembali yokusilela kwentliziyo okanye isifo semithambo.

Kubantu abanesifo se-veno-occlusive isifo (PVOD) se-pulmonary Ukuthatha eli chiza kunokonakalisa ukusebenza kwentliziyo yakho. Akufanele uthathe eli chiza.

Kubantu abanengxaki yamehlo: Eli chiza linokubangela ukulahleka kombono ngequbuliso kwiliso elinye okanye omabini amehlo. Oku kunokuba ngumqondiso we-non-arteritic anterior ischemic optic neuropathy (NAION). Ukuba ubusele unayo i-NAION okanye une-optic disc, unokuba semngciphekweni omkhulu we-NAION kunye notshintsho lombono ngeli chiza.

Kubantu abaneengxaki ngemilo yelungu labo lobudoda: Ukuba unengxaki nobume bepenisi yakho, njengesifo sikaPeyronie, eli chiza liphakamisa umngcipheko wokuba ulwakhiwo oluhlala ngaphezulu kweeyure ze-4.

Kubantu abanembali yezilonda esiswini okanye ukopha: Eli chiza liphakamisa umngcipheko wokuphuma kwesisu, izilonda, okanye imingxunya encinci kuludwe lwenkqubo yakho yokwetyisa. Ezi ziganeko zinokubulala (zibangele ukufa). Ziyakwenzeka nanini na, kunye okanye ngaphandle kweempawu.

Kubantu abane-sickle cell anemia: Eli chiza linokubangela ubunzima obuqhelekileyo be-sickle cell anemia ebizwa ngokuba yi-vaso-occlusive crisis. Ukuba une-sickle cell anemia, buza ugqirha wakho ukuba ngaba eli chiza likhuselekile kuwe.

Izilumkiso kwamanye amaqela

Abafazi abakhulelweyo: Uphando ngezilwanyana alukhange lubonakalise umngcipheko kwimveku engekazalwa xa umama ethatha ichiza. Nangona kunjalo, akukho zifundo zaneleyo zenziweyo ebantwini kusetyenziswa ichiza kwi-PAH ukubonisa ukuba ichiza libeka umngcipheko kwimveku engekazalwa.

Thetha nogqirha wakho ukuba ukhulelwe okanye uceba ukukhulelwa. Kubonakala ngathi akunakwenzeka ukuba eli chiza lonzakalise ukukhulelwa. Nangona kunjalo, eli chiza kufuneka lisetyenziswe kuphela ngexesha lokukhulelwa ukuba kufuneka ngokucacileyo.

I-Viagra okanye i-generic sildenafil ye-ED akufuneki isetyenziswe kubafazi.

Kubafazi abancancisayo: Xa isetyenziselwa i-PAH, i-sildenafil inokudlula ibisi lwebele kwaye inokubangela iziphumo ebezingalindelekanga kumntwana oncanciswa. Thetha nogqirha wakho xa uncelisa umntwana wakho. Kuya kufuneka uthathe isigqibo sokuba uyeke ukuncancisa okanye uyeke ukuthatha eli yeza.

I-Viagra okanye i-generic sildenafil ye-ED akufuneki isetyenziswe kubafazi.

Kubantu abadala: Izintso, isibindi, okanye intliziyo yabantu abadala asenokungasebenzi njengokuba bebefudula besenza. Oku kunokubangela ukuba umzimba wakho uqhubekeke neziyobisi ngokuthe chu. Ngenxa yoko, inani eliphezulu leziyobisi lihlala emzimbeni wakho ixesha elide. Oku kuphakamisa umngcipheko weziphumo ebezingalindelekanga.

Kubantwana: Eli chiza alikhuthazwa kubantwana abangaphantsi kweminyaka eli-18 ubudala. Kwisifundo esinye, abantwana abane-PAH abathathe eli chiza babenamathuba amaninzi okufa.

Uyithatha njani i-sildenafil

Zonke iidosi ezinokwenzeka kunye neefom zamachiza azinakufakwa apha. Umthamo wakho, ifom yeziyobisi, kunye nokuba ulithatha kangaphi iziyobisi kuya kuxhomekeka:

• iminyaka yakho
• imeko inyangwa
• imbi kangakanani imeko yakho
• ezinye iimeko zonyango onazo
• usabela njani kwidosi yokuqala

Isisombululo se-erectile dysfunction (ED)

Ngokwesiqhelo: ISildenafil

• Ifom: ithebhulethi yomlomo
• Amandla: 25 mg, 50 mg, 100 mg

Igama lebrand: Viagra

• Ifom: ithebhulethi yomlomo
• Amandla: 25 mg, 50 mg, 100 mg

Idosi yabantu abadala (iminyaka eyi-18-64 iminyaka)

• Umyinge oqhelekileyo: I-50 mg, ithathwa njengoko ifunekayo malunga neyure e-1 ngaphambi komsebenzi wesondo. Ingathathwa imizuzu engama-30 ukuya kwiiyure ezi-4 ngaphambi kokuba usebenze ngesondo.
• Ubuninzi besilinganiso: 100 mg kanye ngemini.

Umthamo womntwana (iminyaka eyi-0-17 iminyaka)

Eli chiza aliqinisekiswanga ukuba likhuselekile okanye liyasebenza kubantwana abangaphantsi kweminyaka eli-18.

Umthamo omkhulu (iminyaka eyi-65 nangaphezulu)

Izintso, isibindi, okanye intliziyo yabantu abadala asenokungasebenzi njengokuba bebefudula besenza. Oku kunokubangela ukuba umzimba wakho uqhubekeke neziyobisi ngokuthe chu. Ngenxa yoko, inani eliphezulu leziyobisi lihlala emzimbeni wakho ixesha elide. Oku kuphakamisa umngcipheko weziphumo ebezingalindelekanga.

Ugqirha wakho unokukuqala ngedosi esezantsi ye-sildenafil. Oku kunokunceda ukukhusela amanqanaba eli chiza ekwakheni emzimbeni wakho.

Isisombululo se-pulmonary arterial hypertension (PAH)

Ngokwesiqhelo: ISildenafil

• Ifom: ithebhulethi yomlomo
• Amandla: 20 mg

Igama lebrand: Uhlaziyo

• Ifom: ithebhulethi yomlomo
• Amandla: 20 mg

Idosi yabantu abadala (iminyaka eyi-18-64 iminyaka)

• Umyinge oqhelekileyo: 5 okanye 20 mg, ithathwa kathathu ngemini malunga neeyure ezi-4 ukuya kwezi-6 ngokwahlukeneyo.
• Ubuninzi besilinganiso: 20 mg, ithathwa kathathu ngemini malunga neeyure ezi-4 ukuya kwezi-6 ngokwahlukeneyo.

Umthamo womntwana (iminyaka eyi-0-17 iminyaka)

Eli chiza akufuneki lisetyenziswe kubantwana abangaphantsi kweminyaka eli-18 ubudala.

Umthamo omkhulu (iminyaka eyi-65 nangaphezulu)

Izintso, isibindi, okanye intliziyo yabantu abadala asenokungasebenzi njengokuba bebefudula besenza. Oku kunokubangela ukuba umzimba wakho uqhubekeke neziyobisi ngokuthe chu. Ngenxa yoko, inani eliphezulu leziyobisi lihlala emzimbeni wakho ixesha elide. Oku kuphakamisa umngcipheko weziphumo ebezingalindelekanga.

Ugqirha wakho unokukuqala ngedosi esezantsi ye-sildenafil. Oku kunokunceda ukukhusela amanqanaba eli chiza ekwakheni emzimbeni wakho.

Iphepha elichazayo ukuba awusenanto oyifunayo: Injongo yethu kukukunika olona lwazi lufanelekileyo nolukhoyo ngoku. Nangona kunjalo, ngenxa yokuba iziyobisi zichaphazela umntu ngamnye ngokwahlukileyo, asinakuqinisekisa ukuba olu luhlu lubandakanya zonke iidosi ezinokubakho. Olu lwazi aluthathi ndawo yengcebiso yezonyango. Soloko uthetha nogqirha wakho okanye usokhemesti malunga needosi ezikulungeleyo.

Thatha njengoko kuyalelwe

Ithebhulethi yomlomo kaSildenafil isetyenziselwa unyango lwexesha elifutshane lwe-ED, kunye nonyango lwexesha elide lwe-PAH. Kuza nomngcipheko omkhulu ukuba awuyithathi njengoko kumiselwe.

Ukuba uyeka ukuthatha iyeza ngesiquphe okanye ungathathi kwaphela:

• Ye-ED: Iimpawu zakho ze-ED aziyi kuphucula.
• Ye-PAH: Imeko yakho ayizukubangcono, kwaye inokuba mandundu. Kwakhona, ngekhe ukwazi ukuzilolonga.

Ukuba uphosa idosi okanye awuthathi ichiza kwishedyuli:

• Ye-ED: Iimpawu zakho ze-ED aziyi kuphucula.
• Ye-PAH: Eli yeza alinakusebenza kakuhle okanye linokuyeka ukusebenza ngokupheleleyo. Ukuze eli chiza lisebenze kakuhle, isixa esithile kufuneka sibe semzimbeni wakho ngalo lonke ixesha.

Ukuba uthatha kakhulu: Unokuba namanqanaba ayingozi amachiza emzimbeni wakho. Iimpawu libanda, eli chiza kungabandakanya:

• uxinzelelo lwegazi oluphantsi
• isiqaqa
• isiyezi
• iingxaki zombono
• iingxaki zokuva
• isisu esimoshakele
• iintlungu zesifuba

Ukuba ucinga ukuba uthathe eli chiza kakhulu, tsalela ugqirha okanye indawo yolawulo lwetyhefu yendawo. Ukuba iimpawu zakho zinzima, tsalela umnxeba ku-911 okanye uye kwigumbi likaxakeka elikufutshane ngoko nangoko.

Yintoni omele uyenze xa uphosa idosi:

• Ye-ED: Thatha idosi yakho imizuzu engama-30 ukuya kwiiyure ezi-4 ngaphambi kokuba wenze umsebenzi wakho olandelayo wesondo.
• Ye-PAH: Thatha idosi yakho ngokukhawuleza ukuba ukhumbule. Kodwa ukuba ukhumbula iiyure ezimbalwa ngaphambi kwethamo lakho elilandelayo, thabatha idosi enye kuphela. Ungaze uzame ukubamba ngokuthatha iidosi ezimbini ngaxeshanye. Oku kunokubangela iziphumo ebezingalindelekanga eziyingozi.

Ungaxela njani ukuba ichiza liyasebenza:

• Ye-ED: Kuya kufuneka ukuba ufumane kwaye ugcine ulwakhiwo xa uvuswa ngokwesondo.
• Ye-PAH: Kuya kufuneka ukwazi ukuzilolonga ngokulula. Ugqirha wakho uya kukujonga ukuze uqiniseke ukuba eli chiza liyasebenza na.

Ukuqwalaselwa okubalulekileyo kokuthatha i-sildenafil

Gcina ezi zinto ziqwalaselwe engqondweni ukuba ugqirha wakho ukumisela i-sildenafil.

Ngokubanzi

• Ungalithatha eli chiza kunye okanye ngaphandle kokutya.
• Unokuyisika okanye uyityumze ithebhulethi.
• Xa uthatha iyeza lixhomekeka kwimeko yokunyangwa:
  • Ye-ED: Ungalithatha eli chiza nanini na emini.
  • Ye-PAH: Thatha eli chiza kathathu ngemini malunga neeyure ezingama-4-6 ngokwahlukana. Thatha ngamaxesha afanayo yonke imihla.

Ukugcina

• Gcina iipilisi ze-sildenafil kubushushu begumbi phakathi kwe-59 ° F kunye ne-86 ° F (15 ° C kunye ne-30 ° C).
• Gcina iipilisi ze-sildenafil kude nokukhanya.
• Sukugcina eli yeza kwiindawo ezifumileyo okanye ezimanzi, ezinjengezindlu zangasese.

Ukuzalisa kwakhona

Imigqaliselo yolu nyango iyahlaziywa. Akunyanzelekanga ukuba ufune iyeza elitsha ukuze eli gciwane lizaliswe kwakhona. Ugqirha wakho uza kubhala inani lezinto ezigcwalisiweyo kugunyaziswe ngugqirha wakho.

Ukuhamba

Xa uhamba namayeza akho:

• Soloko uphatha amayeza akho kunye nawe. Xa ubhabha, ungaze uyibeke kwingxowa ekhangelwe. Yigcine kwibhegi yakho yokuqhubela phambili.
• Musa ukuzikhathaza ngoomatshini beX-ray kwisikhululo seenqwelo-moya. Abakwazi ukulimaza amayeza akho.
• Kusenokufuneka ubonise abasebenzi besikhululo seenqwelomoya ilebhile yekhemesti yakho. Soloko uphatha ikhonteyina eneleta emiselweyo yentsusa.
• Musa ukubeka eli yeza kwigumbi leglavu lemoto yakho okanye ulishiye emotweni. Qiniseka ukuthintela ukwenza oku xa imozulu ishushu kakhulu okanye ibanda kakhulu.

Ukubeka iliso kwezonyango

Ukuba uthatha eli chiza kwi-PAH, ugqirha wakho unokujonga uxinzelelo lwegazi kunye nokubetha rhoqo.

Ukufumaneka

Ayizizo zonke iikhemesti ezigcina eli chiza. Xa ugcwalisa amayeza akho, qiniseka ukutsalela umnxeba phambili ukuze uqiniseke ukuba ikhemesti yakho iyayiphatha.

Ngaphambi kogunyaziso

Iinkampani ezininzi zeinshurensi zifuna ukugunyazwa kwangaphambili kwesi siyobisi. Oku kuthetha ukuba ugqirha wakho unokufuna ukufumana imvume kwinkampani yakho yeinshurensi ngaphambi kokuba inkampani yakho yeinshurensi ihlawule amayeza.

Ngaba zikhona ezinye iindlela?

Kukho ezinye iziyobisi ezikhoyo ukunyanga imeko yakho. Abanye banokukulungela ngcono kunabanye. Thetha nogqirha wakho ngezinye iindlela zamachiza ezinokusebenzela wena.

Iphepha elichazayo ukuba awusenanto oyifunayo: I-Healthline yenze yonke imizamo yokuqinisekisa ukuba lonke ulwazi luchanekile, lubanzi kwaye luhlaziyiwe. Nangona kunjalo, eli nqaku akufuneki lisetyenziswe endaweni yolwazi kunye nobuchule bengcali yezempilo enelayisensi. Kuya kufuneka usoloko uqhagamshelana nogqirha wakho okanye nolunye uqeqesho kwezonyango ngaphambi kokuba uthathe nawaphi na amayeza. Ulwazi lweziyobisi oluqulethwe apha luyakwazi ukutshintsha kwaye alujoliswanga ekusetyenzisweni konke okunokwenzeka, imikhombandlela, izilumkiso, izilumkiso, ukuhlangana kweziyobisi, ukungahambelani komzimba, okanye iziphumo ezibi. Ukungabikho kwezilumkiso okanye olunye ulwazi ngesiyobisi esinikiweyo akubonisi ukuba indibaniselwano yeziyobisi ikhuselekile, iyasebenza, okanye ifanelekile kuzo zonke izigulana okanye konke ukusetyenziswa okuthile.