Umbhali: John Stephens
Umhla Wokudalwa: 24 Eyomqungu 2021
Hlaziya Umhla: 26 Eyenkanga 2024
Anonim
Transdermal testosterone replacement therapy - Video abstract 43475
Ividiyo: Transdermal testosterone replacement therapy - Video abstract 43475

Umxholo

Amagqabantshintshi e testosterone

  1. I-testosterone transdermal patch iyafumaneka njengesiyobisi segama. Ayifumaneki njengechiza eliqhelekileyo. Igama lebrand: Androderm.
  2. I-Testosterone iza kwezi ndlela: i-patch transdermal patch, i-gel, i-gel, i-nasal gel kunye ne-tablet ye-buccal. Kuza njengokufakelwa ukuba umboneleli wezempilo afake phantsi kolusu lwakho, kunye neoyile eyonelelwa ngumboneleli wezempilo kwimisipha yakho.
  3. I-testosterone transdermal patch isetyenziselwa ukunyanga abesilisa abane-hypogonadism. Amadoda anale meko akakwazi ukwenza ngokwaneleyo i-hormone testosterone.

Izilumkiso ezibalulekileyo

  • Ukuhlaselwa yintliziyo okanye isilumkiso sokubetha: Eli chiza linokunyusa umngcipheko wokuhlaselwa sisifo sentliziyo okanye ukubetha.
  • Isilumkiso samahlwili egazi: Ukusetyenziswa kwesi sidakamizwa kunokunxulumene nomngcipheko okhulayo we-pulmonary embolism (i-clots yegazi kwimiphunga yakho) okanye i-vein thrombosis (i-clots yegazi kwimithambo enzulu yemilenze yakho).
  • Isilumkiso sokusetyenziswa gwenxa: I-testosterone inokusetyenziswa gwenxa. Kukho umngcipheko okhulayo wokusetyenziswa gwenxa ukuba uthatha eli chiza ngeedosi eziphezulu kunokuba ugqirha ugqirha, okanye ukuba ulisebenzisa kunye nezinye i-anabolic steroids. Ukusetyenziswa gwenxa kwe testosterone kungakhokelela kwiingxaki ezinzulu zempilo. Oku kubandakanya ukubetha kwentliziyo, ukusilela kwentliziyo, uxinzelelo kunye nengqondo. Ugqirha wakho angakuxelela ngakumbi ngomngcipheko wokusetyenziswa gwenxa kwe testosterone.

Yintoni i testosterone?

I-testosterone sisiyobisi sikagqirha. Iza kwezi ndlela: i-patch transdermal patch, i-gel ye-topical, isisombululo se-topical, i-nasal gel kunye ne-tablet ye-buccal. Ikwafumaneka njengofakelo olufakwe phantsi kolusu ngumboneleli wezempilo, kunye neoyile efakwe kwimisipha yakho ngumboneleli wezempilo.


I-testosterone transdermal patch iyafumaneka njenge-brand-name drug drug Androderm. Ayifumaneki njengechiza eliqhelekileyo.

I-testosterone yinto elawulwayo. Oko kuthetha ukuba ukusetyenziswa kwayo kulawulwa ngurhulumente wase-US.

Kutheni isetyenziswa

I-testosterone isetyenziselwa ukunyanga abesilisa abane-hypogonadism. Amadoda anale meko akakwazi ukwenza ngokwaneleyo i-hormone testosterone.

Ingaba isebenza kanjani

I-testosterone yeyodidi lweziyobisi ezibizwa ngokuba zii-androgens. Iklasi leziyobisi liqela lamayeza asebenza ngendlela efanayo. La machiza ahlala esetyenziselwa ukunyanga iimeko ezifanayo.

Eli chiza lisebenza ngokongeza i-testosterone emzimbeni wakho.

Iziphumo ebezingalindelekanga ze testosterone

I-testosterone transdermal patch ayibangeli ukozela, kodwa inokubangela ezinye iziphumo ebezingalindelekanga.

Iziphumo eziqhelekileyo ezichaphazelekayo

Ezinye zeziphumo ebezingalindelekanga ezinokubakho ngokusetyenziswa kweqhekeza le testosterone transdermal zibandakanya:

  • ububomvu, ukucaphuka, ukutshisa, kunye namadyungudyungu kwindawo yesicelo
  • umqolo obuhlungu

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:

  • Iprostate eyandisiweyo. Iimpawu zingabandakanya:
    • ukwanda komchamo ebusuku
    • ingxaki yokuqalisa umchamo wakho
    • uchama amaxesha amaninzi emini
    • ukungxamiseka komchamo (umnqweno wokuya kwindlu yangasese kwangoko)
    • iingozi zomchamo
    • ukungakwazi ukugqithisa umchamo
    • ukuhamba komchamo obuthathaka
    • Umhlaza wedlala lobudoda
    • Amahlwili egazi kwimiphunga yakho okanye kwimithambo yemilenze yakho. Iimpawu zingabandakanya:
      • iintlungu zomlenze, ukudumba, okanye ubomvu
      • ingxaki yokuphefumla
      • iintlungu zesifuba
    • Ukuhlaselwa yintliziyo okanye ukubetha
    • Ukuthoba isidoda (kunokubakho xa kuthathwa iidosi ezinkulu)
    • Ukudumba kwamaqatha, iinyawo, okanye umzimba
    • Amabele awandisiweyo okanye abuhlungu
    • I-apnea yokulala (iingxaki zokuphefumla ngexesha lokulala)
    • Izilungiso ezihlala ixesha elide kuneeyure ezine

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.


I-Testosterone inokusebenzisana namanye amayeza

I-testosterone transdermal patch 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 ne-testosterone zidweliswe apha ngezantsi.

Ukudibana okunokunyusa umngcipheko weziphumo ebezingalindelekanga

Ukuthatha i-testosterone kunye neziyobisi ezithile kuphakamisa umngcipheko weziphumo ebezingalindelekanga ezivela kula machiza. Imizekelo yala machiza ibandakanya:

  • Adrenocorticotropic hormone okanye i-corticosteroids. Ukuthatha i-testosterone ngala machiza kunokunyusa ukwakheka kolwelo (i-edema) emzimbeni wakho. Ugqirha wakho uya kukujonga ngokusondeleyo kulwakhiwo lwamanzi, ngakumbi ukuba unentliziyo, isibindi, okanye isifo sezintso.

Ukudibana okunokufuna utshintsho kumthamo

Imizekelo yala machiza ibandakanya:

  • I-insulin. Ukuthatha i-testosterone kunokunciphisa inqanaba leswekile yegazi. Ukuba uthatha i-testosterone nge-insulin, ugqirha wakho unokufuna ukunciphisa umthamo wakho we-insulin.
  • Abacoci begazi abanjenge-warfarin, apixaban, dabigatran, okanye i-rivaroxaban powder. Ukuthatha i-testosterone kunokutshintsha indlela igazi elijiyileyo ngayo. Ugqirha wakho unokufuna ukubeka esweni ngakumbi ukuba amayeza akho acoca igazi asebenza njani.

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 neziyobisi ezingaphaya kwekhawunta ozithathayo.

Izilumkiso ze testosterone

Eli chiza liza nezilumkiso ezininzi.

Izilumkiso kumadoda aneemeko ezithile zempilo

Kumadoda anezifo zesibindi: Ukuba unesifo sesibindi, ukuthatha eli chiza kunokubangela ukuba umzimba wakho ugcine ulwelo, kubangele ukudumba (i-edema).

Kumadoda anesifo sentliziyo: Ukuba unesifo sentliziyo, i-testosterone inokubangela ukugcinwa kwetyuwa kunye namanzi. Oku kunokubangela ukudumba (i-edema) kunye okanye ngaphandle kwentliziyo.

Kumadoda anesifo sezintso: Ukuba unesifo sezintso okanye imbali yesifo sezintso, ukuthatha eli chiza kunokubangela ukuba umzimba wakho ugcine ulwelo, kubangele ukudumba (i-edema).

Kumadoda anomhlaza webele: Akufanele usebenzise eli liyeza ukuba unomdlavuza webele. Ukuthatha eli chiza kunokwenza ukuba umhlaza ube nzima.

Kumadoda anomhlaza wesibeletho: Akufanele ulisebenzise eli chiza ukuba unomdlavuza webele. Ukuthatha eli chiza kunokwenza ukuba umhlaza ube nzima.

Kumadoda atyebileyo: Ukuba utyebe kakhulu, ukuthatha eli chiza kunokwenza ukuphefumla ngelixa ulele nzima ngakumbi. Ingakhokelela ekuphefumlweni kokulala.

Kumadoda anesifo seswekile: Ukuthatha eli chiza kunokunciphisa amanqanaba eswekile yegazi. Ukuba uphatha isifo seswekile nge-insulin, ugqirha wakho unokufuna ukunciphisa idosi ye-insulin.

Kumadoda ane-Prostate eyandisiweyo: Eli chiza linokwenza ukuba iimpawu zeprostate yakho ezandisiweyo zibe mbi ngakumbi. Ugqirha wakho uya kukujonga ngeempawu ezibaxekileyo ngelixa uthatha eli chiza.

Izilumkiso kwamanye amaqela

Abafazi abakhulelweyo: Eli chiza ayimiswanga kwabasetyhini. I-Testosterone yecandelo X lokukhulelwa iziyobisi. Udidi X iziyobisi akufuneki zisetyenziswe ngexesha lokukhulelwa.

Kubafazi abancancisayo: Eli chiza ayimiswanga kwabasetyhini. Akufanele isetyenziswe kubafazi abancancisayo. Ayaziwa ukuba ingakanani i-testosterone edlula kubisi lwebele lomntu, kodwa eli chiza linokubangela iimpendulo ezimbi emntwaneni oncanciswa. Kananjalo kunokubangela iingxaki kwinani lobisi umama akwazi ukuluvelisa.

Kubantu abadala: Ukutshintshwa kweTesttosterone akufuneki kusetyenziswa kubantu abadala nge-andropause (ukwehla okunxulumene nobudala kwi-testosterone). Akukho lwazi lwaneleyo lokhuseleko lwexesha elide olukhoyo lokuvavanya umngcipheko kubantu abadala abanesifo somhlaza kunye nesifo sentliziyo okanye ukuwohloka kweprostate eyandisiweyo ngelixa uthatha eli chiza.

Kubantwana: Eli yeza khange lifundwe ebantwaneni. Akufanele isetyenziswe kubantwana abangaphantsi kweminyaka eli-18. Ukusetyenziswa kwabantwana kunokubangela ukuba amathambo abo akhule ngokukhawuleza ngaphandle kokonyusa ukuphakama. Oku kunokubangela ukuba umntwana ayeke ukukhula msinyane kunokuba bekulindelwe, kwaye umntwana abe mfutshane.

Uyithatha njani i testosterone

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

  • iminyaka yakho
  • imeko inyangwa
  • ubuzaza bemeko yakho
  • ezinye iimeko zonyango onazo
  • usabela njani kwidosi yokuqala

Ifom yeziyobisi kunye namandla

Igama lebrand: Androderm

  • Ifom: Isikhutshana esidlulayo
  • Amandla: 2 mg, 4 mg

Isisombululo se-hypogonadism ephambili

Umthamo wabantu abadala (abaneminyaka eli-18 nangaphezulu)

  • Isiqalo sokuqala sokuqala: Inqaku elinye le-4-mg transdermal patch lisetyenziswe busuku ngabunye emqolo, isisu, ingalo ephezulu, okanye ithanga.
  • Uhlengahlengiso lwesilinganiselo: Ugqirha wakho unokuhlengahlengisa idosi yakho ngokuxhomekeke kumanqanaba e-testosterone yakho yasekuseni. Iidosi zokulungisa eziqhelekileyo zi-2-6 mg ngosuku.
  • Ubuninzi besilinganiso: 6 mg ngosuku.

Umthamo womntwana (iminyaka eyi-0-17 iminyaka)

Eli yeza akufuneki lisetyenziswe kubantwana abangaphantsi kweminyaka eli-18. Ukusetyenziswa kwabantwana kunokubangela ukuba amathambo akhule ngokukhawuleza ngaphandle kokonyusa ukuphakama. Oku kunokubangela ukuba umntwana ayeke ukukhula ngokukhawuleza kunokuba bekulindelwe, okunokubangela ukuphakama okufutshane kwabantu abadala.

Umthamo wehypogonadotropic hypogonadism

Umthamo wabantu abadala (abaneminyaka eli-18 nangaphezulu)

  • Isiqalo sokuqala sokuqala: Inqaku elinye le-4-mg transdermal patch lisetyenziswe busuku ngabunye emqolo, isisu, ingalo ephezulu, okanye ithanga.
  • Uhlengahlengiso lwesilinganiselo: Ugqirha wakho unokuhlengahlengisa idosi yakho ngokuxhomekeke kumanqanaba e-testosterone yakho yasekuseni. Iidosi zokulungisa eziqhelekileyo zi-2-6 mg ngosuku.
  • Ubuninzi besilinganiso: 6 mg ngosuku.

Umthamo womntwana (iminyaka eyi-0-17 iminyaka)

Eli yeza akufuneki lisetyenziswe kubantwana abangaphantsi kweminyaka eli-18. Ukusetyenziswa kwabantwana kunokubangela ukuba amathambo akhule ngokukhawuleza ngaphandle kokonyusa ukuphakama. Oku kunokubangela ukuba umntwana ayeke ukukhula ngokukhawuleza kunokuba bekulindelwe, okunokubangela ukuphakama okufutshane kwabantu abadala.

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

I-testosterone transdermal patch isetyenziselwa unyango lwexesha elide. Kuza nomngcipheko omkhulu ukuba awuyithathi njengoko kumiselwe.

Ukuba uyeka ukuthatha iyeza ngesiquphe okanye ungathathi kwaphela: Iimpawu ezivela kwimeko yakho azizukunyangwa.

Ukuba uphosa idosi okanye awuthathi ichiza kwishedyuli: Amayeza akho anokungasebenzi kakuhle okanye angayeka 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.

Ukuba ucinga ukuba uthathe eli chiza kakhulu, tsalela ugqirha wakho okanye ufune isikhokelo kuMbutho waseMelika wamaZiko oLawulo lweTyhefu ngo-1-800-222-1222 okanye ngesixhobo sazo esikwi-intanethi. Kodwa ukuba iimpawu zakho zinzima, tsalela umnxeba ku-911 okanye uye kwigumbi likaxakeka elikufutshane ngoko nangoko.

Yintoni omele uyenze xa uphosa idosi: 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: Iimpawu zakho ze testosterone ephantsi kufuneka zibengcono.

Ukuqwalaselwa okubalulekileyo kokuthatha i-testosterone

Gcina ezi ngqwalaselo engqondweni ukuba ugqirha wakho ukumisela i-testosterone.

Ngokubanzi

  • Faka i-testosterone patch ngexesha elifanayo ngosuku ngalunye.

Ukugcina

  • Gcina i-testosterone transdermal patches kubushushu begumbi phakathi kwe-68 ° F kunye ne-77 ° F (20 ° C kunye ne-25 ° C).
  • Zigcine kude nokukhanya.
  • Faka isiciko kulusu lwakho kanye emva kokuba uvule isingxobo sokhuselo. Sukugcina isichibi emva kokuba kuvulwe isingxobo saso sokhuselo. Ukuba uvula i-patch kwaye awudingi ukuyisebenzisa, yilahle kude.
  • Lahla amabala asetyenzisiweyo kwindawo apho abantwana kunye nezilwanyana zasekhaya zingenako ukufikelela kuzo.

Ukuzalisa kwakhona

Umyalelo weli yeza uyaphinda uphinde uphindaphindwe kahlanu kwiinyanga ezintandathu okoko ilawulwa yiShedyuli III. 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.

Ukuzilawula

  • Faka isiciko ubusuku ngabunye emqolo, isisu, ingalo ephezulu, okanye ithanga.
  • Susa isikhewu sosuku oludlulileyo ngaphambi kokufaka esitsha.
  • Sukusebenzisa indawo efanayo yesicelo kabini kwiintsuku ezisi-7.
  • Linda ubuncinci iiyure ezi-3 emva kokuba ufake isicatshulwa ngaphambi kokuba uhlambe, uqubha, okanye uhlambe indawo yesicelo.

Ukubeka iliso kwezonyango

Ugqirha wakho unokwenza uvavanyo ngelixa uthatha eli chiza. Olu vavanyo lubandakanya:

  • Uvavanyo lwehemoglobin kunye nehematocrit: Ugqirha wakho unokujonga igazi lakho ukuba ayonyuka na inani leeseli ezibomvu.
  • Uvavanyo lwenqanaba lecholesterol: Ugqirha wakho unokujonga i-cholesterol yakho yegazi kuba i-testosterone inokunyusa izinga le-cholesterol yakho.
  • Uvavanyo lomsebenzi wesibindi: Ugqirha wakho unokujonga ukuba isibindi sakho sisebenza njani.
  • Uvavanyo lwenqanaba le testosterone: Ugqirha wakho unokujonga amanqanaba akho e-testosterone ukuqinisekisa ukuba idosi yakho ichanekile.
  • Uvavanyo lwe-Prostate kunye novavanyo lwe-antigen (PSA): Ukuba ukhulile, ugqirha wakho unokujonga i-prostate yakho kunye namanqanaba akho e-PSA ukuqinisekisa ukuba i-prostate yakho iphilile.

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 uyakufuna ukufumana imvume kwinkampani 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.

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