Umlobi: Marcus Baldwin
Usuku Lokudalwa: 15 Ujuni 2021
Ukuvuselela Usuku: 22 Usepthemba 2024
Anonim
Transdermal testosterone replacement therapy - Video abstract 43475
Ividiyo: Transdermal testosterone replacement therapy - Video abstract 43475

-Delile

Ama-patches we-testosterone transdermal asetshenziselwa ukwelapha izimpawu ze-testosterone ephansi emadodeni amadala ane-hypogonadism (isimo lapho umzimba ungakhiqizi i-testosterone yemvelo eyanele). I-Testosterone isetshenziselwa kuphela amadoda anamazinga aphansi e-testosterone abangelwa izimo ezithile zezokwelapha, kufaka phakathi ukuphazamiseka kwamasende, i-pituitary gland, (indlala encane ebuchosheni), noma i-hypothalamus (ingxenye yobuchopho) edala i-hypogonadism. Udokotela wakho uzo-oda izivivinyo ezithile zelebhu ukuze ahlole amazinga akho e-testosterone ukubona ukuthi aphansi yini ngaphambi kokuba uqale ukusebenzisa ama-testosterone transdermal patches. I-testosterone akufanele isetshenziselwe ukwelapha izimpawu ze-testosterone ephansi emadodeni ane-testosterone ephansi ngenxa yokuguga ('hypogonadism' ehlobene nobudala). I-testosterone isekilasini lemithi ebizwa ngama-hormone e-androgenic. I-testosterone yihomoni ekhiqizwa ngumzimba enikela ekukhuleni, ekukhuleni nasekusebenzeni kwezitho zobulili zesilisa kanye nezici ezijwayelekile zesilisa. Ama-patches we-testosterone transdermal asebenza ngokufaka i-testosterone evame ukukhiqizwa ngumzimba.


I-Transdermal testosterone iza njengesichibi esizosebenza esikhunjeni. Ngokuvamile kusetshenziswa ubusuku ngabunye phakathi kuka-8: 00 kusihlwa. naphakathi kwamabili futhi washiya endaweni yawo amahora angama-24. Faka ama-testosterone patches ngasikhathi sinye njalo kusihlwa. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Sebenzisa ama-testosterone patch (es) njengoba nje kuqondisiwe. Ungasebenzisi iziqeshana ezingaphezulu noma ezimbalwa noma usebenzise iziqubu kaningi kunokuyalelwa ngudokotela wakho.

Khetha indawo emhlane wakho, esiswini, emathangeni, noma ezingalweni ezingaphezulu ukuze usebenzise ama-patch (es) akho. Qiniseka ukuthi indawo oyikhethile ayinawo amafutha, anoboya, kungenzeka ukuthi ajuluke kakhulu, ngaphezu kwethambo elifana nehlombe noma inqulu, noma kungenzeka ube ngaphansi kwengcindezi yokuhlala noma ukulala. Ungafaki ama-patch (es) esikhwameni noma endaweni yesikhumba enezilonda ezivulekile, amanxeba, noma ukucasuka. Futhi qiniseka ukuthi isichibi sizohlala sicabalele esikhunjeni futhi ngeke sidonswe, sisongwe noma sandiswe ngesikhathi somsebenzi ojwayelekile. Khetha indawo ehlukile ubusuku ngabunye bese ulinda okungenani izinsuku eziyi-7 ngaphambi kokufaka esinye isichibi endaweni osuyisebenzisile.


Sebenzisa ama-testosterone patches ngokushesha ngemuva kokuvula. Ungasebenzisi uma uphawu lwesikhwama luphukile noma uma isichibi sibonakala sonakele. Musa ukusika amabala.

Ngemuva kokufaka ama-patch (es), ungagezi, ugeze, ubhukude noma ugeze lapho usebenzise khona umuthi okungenani amahora amathathu. Gqoka ama-testosterone patch (ama) wakho ngaso sonke isikhathi uze ulungele ukusebenzisa ama-patch (es) amasha. Ungasusi izigaxa zakho ngaphambi kokubhukuda, ukugeza, ukushawa, noma ukwenza ucansi.

Ukuzivocavoca noma ukujuluka okweqile kungaxegisa isichibi noma kubangele ukuthi iwe. Uma isichibi sikhululeka, bushelelezi phansi ngeminwe yakho. Uma isichibi siwa ngaphambi kwemini, faka isichibi esisha. Uma isichibi siwa ngemuva kwemini, ungafaki isichibi esisha kuze kufike isikhathi sakho sokufaka isicelo esilandelayo kusihlwa. Musa ukunamathisela isichibi se-testosterone esikhunjeni.

Udokotela wakho angalungisa umthamo wakho we-testosterone kuye ngenani le-testosterone egazini lakho ngesikhathi sokwelashwa kwakho.

Amachashazi e-testosterone angalawula isimo sakho kepha ngeke aselaphe. Qhubeka nokusebenzisa ama-testosterone patches noma ngabe uzizwa uphilile. Ungayeki ukusebenzisa ama-testosterone patches ngaphandle kokukhuluma nodokotela wakho. Uma uyeka ukusebenzisa i-testosterone, izimpawu zakho zingabuya.


Ukuze usebenzise amabala e-testosterone, landela lezi zinyathelo:

  1. Hlanza futhi womise indawo lapho uzofaka khona isichibi.
  2. Dabula isikhwama se-foil emaphethelweni bese ususa isichibi. Musa ukuvula isikhwama uze ulungele ukufaka isichibi.
  3. Cwecwa i-liner evikelayo ne-disc yesiliva esikhwameni bese usilahla.
  4. Beka isichibi esikhunjeni sakho ngohlangothi olunamathelayo bese ucindezela phansi ngokuqinile ngentende yesandla imizuzwana eyi-10. Qiniseka ukuthi isichibi sinamathele ngokuphelele esikhunjeni sakho, ikakhulukazi emaphethelweni.
  5. Lapho usukulungele ukususa isichibi, sidonse esikhunjeni, ugoqe isichibi esisetshenzisiwe sibe uhhafu ngamacala anamathelayo abambeke ndawonye, ​​bese usilahla ngokuphepha, ukuze singatholakali nezilwane ezifuywayo. Izingane nezilwane ezifuywayo zingalimala uma zihlafuna noma zidlala ngamachashazi asetshenzisiwe.
  6. Faka isichibi esisha ngokushesha ngokulandela izinyathelo 1-4.

Lo muthi ungabekelwa okunye ukusetshenziswa; buza udokotela wakho noma usokhemisi ukuthola eminye imininingwane.

Ngaphambi kokusebenzisa ama-testosterone patches,

  • Tshela udokotela kanye nosokhemisi wakho uma uxabana ne-testosterone, noma imiphi eminye imishanguzo, noma ezinye izithako ezikuma-testosterone patches. Buza usokhemisi wakho ukuthola uhlu lwezithako.
  • Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi imishanguzo kadokotela neyokungabhalisi, amavithamini, izithasiselo zokudla okunempilo, nemikhiqizo yamakhambi oyisebenzisayo noma oyisebenzisayo. Qiniseka ukuthi usho noma yikuphi kokulandelayo: ama-anticoagulants (’ama-thinner egazi’) njenge-warfarin (i-Coumadin, i-Jantoven), i-insulin (i-Apridra, i-Humalog, i-Humulin, nezinye); kanye ne-steroids yomlomo efana ne-dexamethasone, i-methylprednisolone (i-Medrol), ne-prednisone (i-Rayos). Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi.
  • Tshela udokotela wakho uma unomdlavuza webele noma unomdlavuza wendlala yesinye noma kungenzeka. Udokotela wakho uzokutshela ukuthi akufanele usebenzise i-testosterone transdermal patch.
  • Tshela udokotela wakho uma uke waba nezinkinga zomchamo ngenxa ye-benign prostate hyperplasia (BPH; i-prostate ekhulisiwe), amazinga aphezulu egazi e-calcium, i-apnea yokulala (ukuphazamiseka kokulala okubangela ukuphefumula ukuma isikhashana ngesikhathi sokulala), isifo sikashukela, noma amaphaphu, inhliziyo, izinso, noma isifo sesibindi.
  • kufanele wazi ukuthi i-transdermal testosterone isetshenziswa kuphela emadodeni amadala. Izingane, intsha, nabesifazane akufanele basebenzise lo muthi. I-Testosterone ingahle imise ukukhula kwamathambo futhi ibangele ukuthomba okungaphambi kwesikhathi (ukuthomba kwasekuqaleni) ezinganeni nasebusheni. Uma i-testosterone isetshenziswa ngowesifazane okhulelwe, angakhulelwa, noma ancelise ibele, ingalimaza ingane.
  • khuluma nodokotela wakho ngezingozi nezinzuzo zokusebenzisa i-testosterone transdermal patch uma uneminyaka engu-65 noma ngaphezulu. Amadoda amadala akufanele ajwayele ukusebenzisa i-testosterone, ngaphandle kwalapho ene-hypogonadism.
  • Tshela udokotela wakho ukuthi ngabe uzoba nokuhlolwa kwe-magnetic resonance imaging (i-MRI; isivivinyo sezokwelapha esisebenzisa ozibuthe abanamandla ukuthatha izithombe zangaphakathi komzimba). Udokotela wakho mhlawumbe uzokutshela ukuthi ususe ama-testosterone patch (es) akho ngaphambi kokuhlolwa.
  • kufanele wazi ukuthi ama-testosterone patches angagqokwa ngesikhathi sokwenza ucansi. Akunakwenzeka ukuthi umlingani wakho azoboniswa inani elingaphansi kwe-testosterone. Shayela udokotela ngokushesha uma umlingani wakho wesifazane eba nezinduna ezintsha noma ezikhulayo, noma ekhulisa izinwele ezindaweni ezintsha emzimbeni wakhe.
  • kufanele wazi ukuthi isikhumba sakho singacasuka lapho ufaka khona ama-patch. Uma lokhu kwenzeka, ungafaka inani elincane likakhilimu we-hydrocortisone endaweni ngemuva kokukhipha ama-patch (es) akho. Uma isikhumba sakho sihlala sicasukile ngemuva kwalokhu kwelashwa, shayela udokotela wakho. Udokotela wakho angakunikeza ukhilimu ohlukile ozowusebenzisa endaweni ecasukile.
  • kufanele wazi ukuthi kube nemibiko yemiphumela emibi kakhulu kubantu abasebenzisa i-testosterone ngemithamo ephezulu, kanye neminye imikhiqizo yama-hormone abesilisa, noma izindlela ezingezona eziyalelwe ngudokotela. Le miphumela emibi ingafaka isifo senhliziyo, ukwehluleka kwenhliziyo, noma ezinye izinkinga zenhliziyo; unhlangothi futhi mini-unhlangothi; isifo sesibindi; ukuquleka; noma ushintsho lwezempilo yengqondo njengokucindezeleka, imania (ukuthukuthela, imizwa ejabule ngokungajwayelekile), isimilo esinolaka noma esingenabo ubungane, ukubona izinto ezingekho (ukubona izinto noma ukuzwa amazwi angekho), noma ukukhohlisa (ukuba nemicabango noma izinkolelo eziyinqaba ezingenasisekelo empeleni) . Abantu abasebenzisa amanani aphakeme we-testosterone kunalokho okunconywe ngudokotela bangathola nezimpawu zokuhoxa ezifana nokudangala, ukukhathala ngokweqile, ukulangazelela, ukucasuka, ukungahlaliseki, ukulahlekelwa isifiso sokudla, ukungakwazi ukulala noma ukulala, noma ukwehla kokushayela ucansi, uma ngokungazelelwe uyeke ukusebenzisa i-testosterone. Qiniseka ukuthi usebenzisa i-testosterone transdermal patch ncamashi njengoba uqondiswe udokotela wakho.

Ngaphandle kokuthi udokotela wakho akutshele ngenye indlela, qhubeka nokudla okuvamile.

Faka ama-patch (es) alahlekile ngokushesha nje lapho ukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo olandelayo, weqa umthamo ongabanjwanga bese uqhubeka neshejuli yakho ejwayelekile yokulinganisa. Ungafaki ama-patches angeziwe ukwenza umthamo ongabanjwanga.

I-testosterone yeTransdermal ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:

  • ukushisa okufana nokusha, ubuhlungu, ububomvu, ubulukhuni, ukushisa, noma ukulunywa endaweni osebenzise kuyo iziqeshana
  • amabele akhulisiwe noma athambile
  • induna
  • ukudana
  • ikhanda

Eminye imiphumela emibi ingaba mibi. Izimpawu ezilandelayo azivamile, kepha uma uhlangabezana nenye yazo, shayela udokotela wakho ngokushesha:

  • ubuhlungu bomlenze ophansi, ukuvuvukala, imfudumalo, noma ubomvu
  • ukuphelelwa umoya
  • inkulumo ehamba kancane noma enzima
  • isiyezi noma ukuquleka
  • ubuthakathaka noma ukuba ndikindiki kwengalo noma komlenze
  • ubuhlungu besifuba
  • ukuvinjelwa okwenzeka ngaphezu kokujwayelekile noma okungapheli
  • ukuvuvukala kwezandla, izinyawo, namaqakala
  • ubunzima bokuchama, ukugeleza komchamo obuthakathaka, ukuchama kaningi, isidingo ngokungazelelwe sokuchama ngokushesha
  • isicanucanu
  • ukuhlanza
  • ukuphuzi kwesikhumba noma kwamehlo
  • ukuqubuka
  • isifuba
  • ukulunywa
  • ukuphefumula kanzima, ikakhulukazi ebusuku

Izimagqabhagqabha ze-testosterone zingadala ukwehla kwenani lesidoda (amaseli okuzala abesilisa) akhiqizwayo, ikakhulukazi uma esetshenziswa ngemithamo ephezulu. Khuluma nodokotela wakho ngezingozi zokusebenzisa lo muthi uma uyindoda futhi ungathanda ukuba nezingane.

I-testosterone ingakhuphula ubungozi bokuba nomdlavuza wendlala yesinye. Khuluma nodokotela wakho ngezingozi zokusebenzisa lo muthi.

I-testosterone ingadala eminye imiphumela emibi. Shayela udokotela wakho uma unezinkinga ezingavamile ngenkathi usebenzisa lo muthi.

Uma uthola imiphumela emibi kakhulu, wena noma udokotela wakho ungathumela umbiko kuhlelo lwe-Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting online (http://www.fda.gov/Safety/MedWatch) noma ngocingo ( 1-800-332-1088).

Gcina le mithi esitsheni efike ngayo, ivalwe ngokuqinile, futhi lapho izingane zingafinyeleleki khona. Gcina ekamelweni lokushisa futhi kude nokushisa okweqile nomswakama (hhayi endlini yangasese). Izimagqabhagqabha ze-testosterone zingaqhuma uma zivezwe ukushisa okukhulu noma ingcindezi.

Gcina ama-testosterone transdermal patches endaweni ephephile ukuze kungabikho omunye umuntu ongayisebenzisa ngengozi noma ngenhloso. Gcina umbhalo walokho ukuthi zingaki iziqinti ezisele ukuze wazi ukuthi kukhona yini ezingekho.

Kubalulekile ukugcina yonke imishanguzo ingabonakali futhi ifinyeleleke ezinganeni njengoba iziqukathi eziningi (njengezingqondo zamaphilisi zamasonto onke kanye nalawo amaconsi wamehlo, okhilimu, amabala, kanye nama-inhalers) azimeleki ezinganeni futhi izingane ezincane zingazivula kalula. Ukuvikela izingane ezisencane ekufakeni ubuthi, hlala uvala amakepisi okuphepha bese ubeka umuthi endaweni ephephile - eyodwa ephezulu futhi engekho futhi engabonakali kubo futhi efinyelela kuyo. http://www.upandaway.org

Imithi engadingeki kufanele ilahlwe ngezindlela ezikhethekile zokuqinisekisa ukuthi izilwane ezifuywayo, izingane nabanye abantu abakwazi ukuzidla. Kodwa-ke, akufanele ukhiphe le mithi ethoyilethi. Esikhundleni salokho, indlela engcono kakhulu yokulahla imithi yakho ngohlelo lokubuyisa umuthi. Khuluma nosokhemisi wakho noma uthinte umnyango wangakini wokulahla udoti / wokusebenzisa kabusha ukuze ufunde ngezinhlelo zokubuyisa emphakathini wakho. Bheka iwebhusayithi yakwa-FDA's Safe Disposal of Medicines (http://goo.gl/c4Rm4p) ukuthola eminye imininingwane uma ungakwazi ukufinyelela kuhlelo lokubuyisa.

Uma ugqoka amabala amaningi kakhulu, noma ugqoka amachashazi isikhathi eside, i-testosterone eningi kakhulu ingangena egazini lakho. Uma kunjalo, ungathola izimpawu zokweqisa ngokweqile.

Uma kwenzeka ukweqisa ngokweqile, shayela ucingo losizo lokulawula ubuthi ku-1-800-222-1222. Imininingwane iyatholakala online ku-https: //www.poisonhelp.org/help. Uma isisulu siwile, saba nokuquleka, sinenkinga yokuphefumula, noma singakwazi ukuvuswa, shayela ngokushesha abezimo eziphuthumayo ku-911.

Gcina wonke ama-aphoyintimenti nodokotela wakho kanye nelabhorethri. Udokotela wakho uzo-oda izivivinyo ezithile zebhu ukuze ahlole impendulo yomzimba wakho ku-testosterone.

I-testosterone ingaphazamisa imiphumela yezivivinyo ezithile zaselebhu. Ngaphambi kokuhlolwa, tshela udokotela wakho kanye nabasebenzi belebhuthi ukuthi usebenzisa amabala e-testosterone.

Ungavumeli omunye umuntu asebenzise imithi yakho. Ama-patches we-testosterone transdermal ayinto elawulwayo. Okubhalwe phansi kungagcwaliswa izikhathi ezimbalwa kuphela; buza usokhemisi wakho uma unemibuzo.

Kubalulekile ukuthi ugcine uhlu olubhaliwe lwayo yonke imishanguzo oyisebenzisayo kadokotela kanye nokungabhaliswanga (ngaphezulu kokuthenga), kanye nanoma yimiphi imikhiqizo efana namavithamini, amaminerali, noma ezinye izithako zokudla. Kufanele uze nalolu hlu njalo uma uvakashela udokotela noma uma ungeniswa esibhedlela. Kubaluleke kakhulu futhi nemininingwane ebalulekile ukuthi uphathe uma kwenzeka kunezimo eziphuthumayo.

  • Androderm®
  • Isivivinyo®

Lo mkhiqizo onophawu alusekho emakethe. Ezinye izindlela ezijwayelekile zingatholakala.

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