I-Alprostadil Urogenital

-Delile

• Ngaphambi kokusebenzisa i-alprostadil,
• I-Alprostadil ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:
• Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nenye yalezi zimpawu, shayela udokotela wakho ngokushesha:
• Izimpawu zokudlula ngokweqile zingafaka:

Umjovo we-Alprostadil nama-suppositories asetshenziselwa ukwelapha izinhlobo ezithile zokungasebenzi kahle kwe-erectile (ukungabi namandla, ukungakwazi ukuthola noma ukugcina ukwakhiwa) emadodeni. Umjovo we-Alprostadil kwesinye isikhathi uyasetshenziswa uhlanganiswe nezinye izivivinyo ukuthola ukungasebenzi kahle kwe-erectile. I-Alprostadil isekilasini lemithi ebizwa ngama-vasodilators. Kusebenza ngokuxegisa imisipha nemithambo yegazi ethweni lobudoda ukugcina igazi elanele ethangeni ukuze kuvele ukwakheka.

I-Alprostadil ayelaphi ukungasebenzi kahle kwe-erectile noma inyuse isifiso sobulili. I-Alprostadil ayikuvimbeli ukukhulelwa noma ukusabalala kwezifo ezithathelwana ngocansi njenge-human immunodeficiency virus (HIV).

I-Alprostadil iza njengempuphu ezoxubaniswa noketshezi olunikezwe ephaketheni bese ifakwa endodeni futhi njenge-urethral suppository (i-pellet ezobekwa ekuvulekeni komchamo). I-Alprostadil isetshenziswa njengoba kudingeka ngaphambi kocansi. Ukwakhiwa kungenzeka ngaphakathi kwemizuzu engu-5 kuye kwengu-20 ngemuva kokusebenzisa umjovo nangaphakathi kwemizuzu engu-5 kuye kwengu-10 ngemuva kokusebenzisa i-pellet. Ukwakhiwa kufanele kuthathe cishe imizuzu engama-30 kuye kwengu-60. Umjovo we-Alprostadil akufanele usetshenziswe ngaphezu kokuthathu ngesonto, okungenani amahora angama-24 phakathi kokusetshenziswa. Ama-pellets e-Alprostadil akufanele asetshenziswe ngaphezu kokuphindwe kabili esikhathini samahora angama-24. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Sebenzisa i-alprostadil njengoba iqondisiwe. Ungayisebenzisi ngaphezulu noma ngaphansi kwayo noma uyisebenzise kaningi kunokuyalelwa ngudokotela wakho.

Udokotela wakho uzokuphathisa umthamo wokuqala we-alprostadil ehhovisi lakhe ukunquma isilinganiso esifanele sakho. Ngemuva kokuthi uqale ukusebenzisa i-alprostadil ekhaya, udokotela wakho angakhuphula noma anciphise umthamo wakho kancane kancane. Tshela udokotela wakho uma ungatholi ukuvinjelwa okwanelisayo noma uma ukuvinjelwa kwakho kuhlala isikhathi eside kakhulu, kodwa ungaguquli umthamo wakho ngaphandle kokukhuluma nodokotela wakho.

Kufanele uqeqeshwe udokotela wakho ngaphambi kokusebenzisa i-alprostadil ekhaya. Qiniseka ukuthi uqonda kahle ukuthi ungayisebenzisa kanjani i-alprostadil. Buza udokotela wakho noma usokhemisi uma unemibuzo mayelana nokuthi ungayisebenzisa kanjani imithi yakho.

Ungazisebenzisi kabusha izinaliti, imijovo, ama-cartridges, izitsha, amapelethi noma izinto zokufaka. Lahla izinaliti nemijovo esetshenzisiwe esitsheni esingamelana nokubhoboza. Buza udokotela wakho noma usokhemisi ukuthi usilahla kanjani isitsha.

Buza usokhemisi noma udokotela wakho ikhophi lemininingwane yomkhiqizi yesiguli.

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

Ngaphambi kokusebenzisa i-alprostadil,

• Tshela udokotela wakho kanye nosokhemisi uma une-allergen ku-alprostadil; eminye imithi ye-prostaglandin efana ne-misoprostol (i-Cytotec, e-Arthrotec), i-bimatoprost (i-Lumigan), i-latanoprost (i-Xalatan), ne-travoprost (i-Travatan); noma yimuphi omunye umuthi.
• Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi eminye imishanguzo kadokotela neyokungabhalisi, amavithamini, izithasiselo zokudla okunempilo, nemikhiqizo yamakhambi oyithathayo noma ohlela ukuyithatha. Qiniseka ukuthi usho noma ikuphi kokulandelayo: ama-anticoagulants (’ama-thinner egazi’) njenge-heparin ne-warfarin (i-Coumadin); ukucindezela kokudla; imithi yokwaliwa yizifo, imikhuhlane, umfutho wegazi ophakeme, noma izinkinga zesono; nanoma ikuphi okunye ukwelashwa kokungasebenzi kahle kwe-erectile. Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi.
• Tshela udokotela wakho uma uke welulekwa nguchwepheshe wezempilo ukuthi ugweme ukwenza ucansi ngezizathu zokwelashwa futhi uma uke waba nezinkinga zamangqamuzana egazi njenge-sickle cell anemia (isifo samangqamuzana abomvu egazi), i-leukemia (umdlavuza amangqamuzana amhlophe egazi), i-multiple myeloma (umdlavuza wamaseli e-plasma), i-thrombocythemia (isimo lapho kukhiqizwa khona amaplatelet amaningi kakhulu), noma i-polycythemia (isimo lapho kukhiqizwa khona amangqamuzana egazi abomvu amaningi kakhulu); izimo ezithinta ukuma kwepenisi (i-angulation, i-cavernosal fibrosis, noma isifo se-Peyronie); ukufakelwa i-penile (idivaysi efakwa ngokuhlinzwa ngaphakathi kwepipi ukwelapha ukungasebenzi kahle kwe-erectile); noma ukwehluleka kwenhliziyo. Phinda utshele udokotela wakho ukuthi ngabe wena noma iliphi ilungu lomndeni wakho wake wahlangana negazi emilenzeni noma emaphashini nokuthi ngabe usanda kuhlinzwa kakhulu. Udokotela wakho angakutshela ukuthi ungasebenzisi i-alprostadil.
• uma usebenzisa i-alprostadil pellet, tshela udokotela wakho uma ngabe uke waba nokuncipha, isibazi, noma ukuvuvukala kokuvuleka komchamo kwepipi noma ichopho lepipi. Udokotela wakho uzokutshela ukuthi ungasebenzisi i-alprostadil pellets.
• utshele udokotela wakho uma uke waba nesifo sokopha noma wake waba naso; umlando wokuquleka; noma isifo sezinso, isibindi noma amaphaphu.
• utshele udokotela wakho uma umlingani wakho ekhulelwe noma ehlela ukukhulelwa. Ungasebenzisi i-alprostadil pellets ngaphambi kokwenza ucansi nowesifazane okhulelwe noma owesifazane ongakhulelwa ngaphandle kokusebenzisa isithiyo sekhondomu.
• kufanele wazi ukuthi i-alprostadil ingadala isizungu, ikhanda elikhanyayo, nokuquleka. Ungashayeli imoto noma usebenzise imishini ngemuva kokusebenzisa i-alprostadil uze wazi ukuthi lo muthi ukuthinta kanjani.
• khuluma nodokotela wakho ngokusetshenziswa kotshwala ngenkathi welashwa nge-alprostadil. Utshwala bunganciphisa ukusebenza kwalo muthi.
• kufanele wazi ukuthi inani elincane lokuphuma kwegazi kungenzeka endaweni lapho umuthi unikezwe khona. Lokhu kungakhuphula ubungozi bokudlulisa izifo ezithwalwa yigazi (izimo ezisakazeka ngegazi elinegciwane) njenge-HIV, hepatitis B, kanye ne-hepatitis C phakathi kwakho nomlingani wakho. Tshela udokotela wakho uma wena noma umlingani wakho unesifo esithwalwa ngegazi.

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

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

• ukopha noma ukulimaza endaweni lapho unikeze khona umuthi
• ubuhlungu noma ukuqaqanjelwa ipipi, amasende, imilenze, noma i-perineum (indawo phakathi kwepenisi nengxenyeni)
• imfudumalo noma umuzwa ovuthayo ekuvulekeni komchamo kwepipi
• ubomvu bomthondo
• ikhanda
• ukuhlungu obusemhlane
• izinkinga zesikhumba
• izinkinga zokubona

Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nenye yalezi zimpawu, shayela udokotela wakho ngokushesha:

• ukwakhiwa okuhlala ngaphezu kwamahora we-4
• ububomvu, ukuvuvukala, isisa, noma ukugoba okungavamile kwepipi
• amaqhuqhuva noma izindawo eziqinile epipini
• ukushaya kwenhliziyo okusheshayo
• ukuquleka
• imithambo evuvukile emilenzeni

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 izigaxa ze-alprostadil namakhadibhodi ekamelweni lokushisa futhi kude nokushisa okwedlulele nomswakama (hhayi endlini yangasese). Funda imiyalelo yomkhiqizi ngolwazi mayelana nokuthi isisombululo se-alprostadil singagcinwa isikhathi esingakanani ngemuva kokuxubana nokuthi kufanele sigcinwe kuphi. Ama-pellets e-Alprostadil kufanele agcinwe kwiphakethe lokuqala esiqandisini, kepha angagcinwa ekamelweni lokushisa kuze kube yizinsuku eziyi-14 ngaphambi kokusetshenziswa. Ungawubeki umuthi emazingeni okushisa aphezulu noma uwubeke elangeni ngoba lokhu kuzokwenza ungasebenzi.

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

Lapho usohambweni, ungagcini i-alprostadil emithwalweni ebhekiwe noma uyishiye emotweni lapho ingahle ivezwe amazinga okushisa aqatha. Gcina i-alprostadil pellets ku-ice pack ephathekayo noma epholile.

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 othile esebenzisa i-alprostadil eningi kakhulu, shayela isikhungo sakho sendawo sokulawula ubuthi ku-1-800-222-1222. Uma isisulu siwile noma singaphefumuli, shayela abezimo eziphuthumayo zendawo ku-911.

Izimpawu zokudlula ngokweqile zingafaka:

• ukuquleka
• isiyezi
• ukungaboni kahle
• isicanucanu
• izinhlungu emthondweni ezingapheli
• ukwakhiwa okuhlala isikhathi eside kunamahora we-6

Gcina wonke ama-aphoyintimenti nodokotela wakho. Kubalulekile ukuvakashelwa njalo nodokotela wakho (isb., Njalo ezinyangeni ezintathu).

Ungavumeli noma ubani omunye asebenzise imithi yakho, izinaliti noma imijovo. Buza usokhemisi wakho noma imiphi imibuzo onayo mayelana nokugcwalisa umuthi wakho.

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.

• I-Caverject^®
• I-Caverject Impulse^®
• I-Edex^®
• Muse^®

• IProstaglandin E₁(IPGE₁)