Sildenafil, Ithebhulethi Yomlomo

-Delile

• Imiphumela emibi ye-Sildenafil
• Imiphumela emibi ejwayelekile
• Imiphumela emibi kakhulu
• Izexwayiso ezibalulekile
• Yini i-sildenafil?
• Kungani kusetshenziswa
• Isebenza kanjani
• ISildenafil ingaxhumana neminye imithi
• Izidakamizwa okungafanele uzisebenzise ne-sildenafil
• Ukusebenzisana okwandisa ubungozi bemiphumela emibi
• Izexwayiso zeSildenafil
• Isexwayiso somzimba
• Isexwayiso sokusebenzisana kotshwala
• Izexwayiso zabantu abanezimo ezithile zempilo
• Izexwayiso kwamanye amaqembu
• Ungayithatha kanjani i-sildenafil
• Isilinganiso sokungasebenzi kahle kwe-erectile (ED)
• Isilinganiso se-pulmonary arterial hypertension (PAH)
• Thatha njengoba kuqondisiwe
• Ukucatshangelwa okubalulekile kokuthatha i-sildenafil
• Jikelele
• Isitoreji
• Ukugcwalisa kabusha
• Ukuvakasha
• Ukuqapha komtholampilo
• Ukutholakala
• Ngaphambi kokugunyazwa
• Ingabe zikhona ezinye izindlela?

Amaphuzu avelele we-sildenafil

1. Ithebhulethi yomlomo kaSildenafil iyatholakala njengezidakamizwa ezinamagama futhi njengemithi ejwayelekile. Amagama omkhiqizo: IViagra, Revatio.
2. ISildenafil iza ngezinhlobo ezintathu: ithebhulethi yomlomo, ukumiswa ngomlomo (uketshezi), nomjovo onikezwa udokotela kuphela.
3. Ithebhulethi yomlomo kaSildenafil isetshenziselwa ukwelapha ukungasebenzi kahle kwe-erectile (ED). Ibuye isetshenziselwe ukwelapha umfutho wegazi ophakeme wamaphaphu (PAH).

Imiphumela emibi ye-Sildenafil

Ithebhulethi yomlomo kaSildenafil ayibangeli ukozela, kepha ingadala eminye imiphumela emibi.

Imiphumela emibi ejwayelekile

Imiphumela emibi ejwayelekile ye-sildenafil ingafaka:

• ukuphuma kwamakhala
• ikhanda
• isisu esibuhlungu
• ukuqhuma (ukubomvu nokufudumala kobuso)
• inkathazo yokulala
• imfiva
• ukwakhiwa okuhlala isikhathi eside kunokujwayelekile
• ukutheleleka kokuphefumula
• isicanucanu
• ukuhlanza
• i-bronchitis
• Umphimbo obuhlungu
• ikhala eligijimayo

Uma le miphumela imnene, ingahle ihambe zingakapheli izinsuku ezimbalwa noma amasonto ambalwa. Uma zinzima kakhulu noma zingahambi, khuluma nodokotela wakho noma usokhemisi.

Imiphumela emibi kakhulu

Shayela udokotela wakho ngokushesha uma unemiphumela emibi kakhulu. Shayela u-911 uma izimpawu zakho zizizwa zisongela impilo noma uma ucabanga ukuthi unezimo eziphuthumayo zezokwelapha. Imiphumela emibi kanye nezimpawu zayo zingafaka okulandelayo:

• Umfutho wegazi ophansi. Izimpawu zingafaka:
  • ukungaboni kahle
  • ukudideka
  • isiyezi
  • ukuquleka
  • ubumhlophe
  • isicanucanu noma ukuhlanza
  • ubuthongo
  • ubuthakathaka
• Ukwanda komoya omncane noma inkinga yokuphefumula
• I-Priapism (i-erection engeke ihambe). Izimpawu zingafaka:
  • ukwakhiwa okuhlala isikhathi esingaphezu kwamahora ama-4
• Izinkinga zombono. Izimpawu zingafaka:
  • ukulahleka kombono kungazelelwe kwelinye noma kuwo womabili amehlo
• Izinkinga zokuzwa. Izimpawu zingafaka:
  • ukulahlekelwa ukuzwa okungazelelwe
  • i-tinnitus (ukukhala ezindlebeni zakho)
  • isiyezi
• Izinkinga zenhliziyo, njengokuhlaselwa yinhliziyo, isifo sohlangothi, noma ukushaya kwenhliziyo okungajwayelekile. Izimpawu zingafaka:
  • ubuhlungu besifuba
  • ukuphelelwa umoya
  • isiyezi
  • kunzima ukukhuluma
  • ukudideka
  • isicanucanu noma ukuhlanza
  • ngizizwe nginekhanda elincane

Ukuzikhulula: Inhloso yethu ukukunikeza imininingwane efanelekile futhi yamanje. Kodwa-ke, ngoba izidakamizwa zithinta umuntu ngamunye ngokuhlukile, asikwazi ukuqinisekisa ukuthi lolu lwazi lubandakanya yonke imiphumela emibi engaba khona. Lolu lwazi aluyithathi indawo yeseluleko sezokwelapha. Hlala uxoxa ngemiphumela emibi engaba khona nomhlinzeki wezokunakekelwa kwempilo owazi umlando wakho wezokwelapha.

Izexwayiso ezibalulekile

• Isexwayiso se-Priapism: Lesi sidakamizwa singadala ukukhathazeka, okuyi-erection engeke ihambe. Uma une-erection ehlala amahora angaphezu kwama-4, shayela u-911 noma uye egumbini lezimo eziphuthumayo eliseduze. Uma ungelashwa khona manjalo, lesi simo singadala ukulimala unomphela endodeni yakho.
• Isexwayiso sokulahlekelwa umbono ngokungazelelwe: Lesi sidakamizwa singadala ukulahleka kombono kungazelelwe kwelinye noma kuwo womabili amehlo. Lokhu kungaba uphawu lwenkinga yamehlo engathi sína. Uma lokhu kwenzeka, yeka ukuthatha i-sildenafil bese ushayela udokotela wakho ngokushesha.
• Isexwayiso sokulahlekelwa ukuzwa okungazelelwe: Lesi sidakamizwa singadala ukulahleka kokuzwa, i-tinnitus (ukukhala ezindlebeni zakho), noma isiyezi. Uma ulahlekelwa ukuzwa okungazelelwe nge-tinnitus noma ngesiyezi, yeka ukuthatha i-sildenafil bese ushayela udokotela wakho ngokushesha.
• Sebenzisa ezinganeni isexwayiso: Izingane ezine-PAH ezithatha lesi sidakamizwa zingase zibe sengozini enkulu yokufa. Izingane akufanele zithathe i-sildenafil.

Yini i-sildenafil?

USildenafil umuthi kadokotela. Iza ngesimo sethebhulethi nokumiswa (uketshezi). Zombili zithathwa ngomlomo. Kubuya futhi ngendlela efakwa emthanjeni (IV), enikezwa kuphela ngudokotela.

Ithebhulethi yomlomo kaSildenafil iyatholakala njengezidakamizwa ezibizwa ngegama iViagra neRevatio. Iphinde itholakale njengomuthi ojwayelekile. Imithi ejwayelekile ijwayele ukubiza imali encane kunohlobo lwamagama. Kwezinye izimo, kungenzeka zingatholakali ngawo wonke amandla noma ifomu njengesidakamizwa esinegama lomkhiqizo.

Kungani kusetshenziswa

Ithebhulethi yomlomo kaSildenafil isetshenziselwa ukwelapha i-ED ne-PAH. Amathebulethi womlomo ojwayelekile atholakala kuzo zombili lezi zimo, kepha izidakamizwa ezinamagama omuthi ngamunye zelapha eyodwa kuphela yezimo.

• I-Viagra: Lesi sidakamizwa sisetshenziselwa ukwelapha i-ED. Nge-ED, awukwazi ukuthola noma ukugcina ukwakhiwa.
• Isibuyekezo: Lesi sidakamizwa sisetshenziselwa ukwelapha i-PAH. Nge-PAH, umfutho wegazi emaphashini akho uphezulu kakhulu.Inhliziyo yakho kufanele isebenze kanzima ukupompa igazi emaphashini akho.

Isebenza kanjani

USildenafil ungowesigaba semithi ebizwa nge-phosphodiesterase type 5 (PDE5) inhibitors. Isigaba semithi siyiqembu lemithi esebenza ngendlela efanayo. Le mithi ivame ukusetshenziselwa ukwelapha izimo ezifanayo.

I-Sildenafil isebenza ngezindlela ezahlukahlukene, kuya ngesimo esisetshenziselwa ukwelapha.

• Okwe-ED: I-Sildenafil isebenza ngokwandisa ukugeleza kwegazi ukuya endondeni. Lokhu kukusiza ukuthi uthole noma ugcine ukwakhiwa. I-Sildenafil isebenza kuphela ku-ED uma uvuswa ngocansi.
• Okwe-PAH: ISildenafil isebenza ngokudambisa imisipha nokuvula imithambo yegazi emaphashini akho. Lokhu kunciphisa umfutho wegazi emaphashini akho. ISildenafil ibambezela ukuqhubeka kokugula kwakho. Kukwenza ukwazi nokuzivocavoca umzimba ngokwengeziwe.

ISildenafil ingaxhumana neminye imithi

Ithebhulethi yomlomo kaSildenafil ingaxhumana neminye imithi, amavithamini, noma amakhambi okungenzeka ukuthi uthatha. Ukusebenzisana kulapho into iguqula indlela umuthi osebenza ngayo. Lokhu kungaba yingozi noma kuvimbele umuthi ukuthi usebenze kahle.

Ukusiza ukugwema ukuxhumana, udokotela wakho kufanele aphathe yonke imithi yakho ngokucophelela. Qiniseka ukuthi utshela udokotela wakho ngayo yonke imithi, amavithamini, noma amakhambi owathathayo. Ukuthola ukuthi lo muthi ungahlangana kanjani nokunye okuthathayo, khuluma nodokotela wakho noma usokhemisi.

Izibonelo zezidakamizwa ezingadala ukusebenzisana ne-sildenafil zibalwe ngezansi.

Izidakamizwa okungafanele uzisebenzise ne-sildenafil

Ungathathi le mithi nge-sildenafil. Ukwenza kanjalo kungadala imiphumela eyingozi emzimbeni. Izibonelo zale mithi zifaka:

• Ama-nitrate, afana ne-isosorbide mononitrate, isosorbide dinitrate, noma i-nitroglycerin.
  • Ukuthatha le mithi nge-sildenafil kungadala ukuthi umfutho wegazi lakho wehle ngokungazelelwe ube sezingeni elingaphephile.
• Ama-Guanylate cyclase stimulators, afana ne-riociguat.
  • Ukuthatha le mithi nge-sildenafil kungadala ukuthi umfutho wegazi lakho wehle ngokungazelelwe ube sezingeni elingaphephile.

Ukusebenzisana okwandisa ubungozi bemiphumela emibi

Imiphumela emibi evela ku-sildenafil: Ukuthatha i-sildenafil ngemithi ethile kuphakamisa ubungozi bakho bemiphumela emibi evela ku-sildenafil. Lokhu kungenxa yokuthi inani le-sildenafil emzimbeni wakho liyanda. Izibonelo zale mithi zifaka:

• Izidakamizwa ze-HIV, njenge-ritonavir, indinavir, saquinavir, noma i-atazanavir.
  • Imiphumela emibi eyengeziwe ingafaka umfutho wegazi ophansi, isiyezi, noma izinkinga zokubona. Zingafaka nokufakwa okuhlala isikhathi eside kunokujwayelekile.
• Amanye ama-antibiotic, njenge-clarithromycin noma i-erythromycin.
  • Imiphumela emibi eyandisiwe ingafaka umfutho wegazi ophansi, isiyezi, noma izinkinga zombono. Zingafaka nokufakwa okuhlala isikhathi eside kunokujwayelekile.
• Ama-antifungal athile, njenge-ketoconazole noma i-itraconazole.
  • Imiphumela emibi eyandisiwe ingafaka umfutho wegazi ophansi, isiyezi, noma izinkinga zombono. Zingafaka nokufakwa okuhlala isikhathi eside kunokujwayelekile.

Imiphumela emibi evela kwezinye izidakamizwa: Ukuthatha i-sildenafil ngemithi ethile kukhulisa ubungozi bemiphumela emibi evela kule mithi. Izibonelo zale mithi zifaka:

• I-Alpha-blockers, efana ne-terazosin, i-tamsulosin, i-doxazosin, i-alfuzosin, noma i-silodosin.
  • Imiphumela emibi eyandisiwe ingabandakanya ukwehla komfutho wegazi, noma ukuquleka.
• Izidakamizwa zengcindezi yegazi, njenge-amlodipine.
  • Imiphumela emibi eyandisiwe ingafaka umfutho wegazi ophansi kakhulu.
• Ezinye izidakamizwa zokungasebenzi kahle kwe-erectile, njenge-avanafil, tadalafil, noma i-vardenafil.
  • Imiphumela emibi eyengeziwe ingafaka umfutho wegazi ophansi noma ama-erections ahlala isikhathi eside kunokujwayelekile.

Ukuzikhulula: Inhloso yethu ukukunikeza imininingwane efanelekile futhi yamanje. Kodwa-ke, ngoba izidakamizwa zisebenzisana ngokwehlukile kumuntu ngamunye, asikwazi ukuqinisekisa ukuthi lolu lwazi lubandakanya konke ukuxhumana okungenzeka. Lolu lwazi aluyithathi indawo yeseluleko sezokwelapha. Hlala ukhuluma nomhlinzeki wakho wezokunakekelwa kwempilo mayelana nokuhlangana okungenzeka ngayo yonke imishanguzo kadokotela, amavithamini, amakhambi nezithako, kanye nemithi oyithenga uphuza yona.

Izexwayiso zeSildenafil

Lesi sidakamizwa siza nezixwayiso eziningana.

Isexwayiso somzimba

I-Sildenafil ingadala ukusabela okweqile komzimba. Izimpawu zingafaka:

• inkinga yokuphefumula
• ukuvuvukala komphimbo wakho noma ulimi

Uma uthuthukisa lezi zimpawu, shayela ku-911 noma uye egumbini lezimo eziphuthumayo eliseduze.

Ungaphinde uwuthathe lo muthi uma ngabe uke waba nokungezwani komzimba nawo. Ukuyithatha futhi kungaba yingozi (kungadala ukufa).

Isexwayiso sokusebenzisana kotshwala

Ukusetshenziswa kweziphuzo eziqukethe utshwala kuphakamisa ingozi yakho yengcindezi yegazi ephansi evela ku-sildenafil. Uma uphuza utshwala, khuluma nodokotela wakho. Ungadinga ukuthi ubhekwe nengcindezi yakho yegazi ngenkathi uthatha lo muthi.

Izexwayiso zabantu abanezimo ezithile zempilo

Kubantu abanezinkinga zenhliziyo: Lesi sidakamizwa singehlisa umfutho wegazi. Uma uke waba nezinkinga ezithile zenhliziyo ezinyangeni eziyisithupha ezidlule, buza udokotela wakho ukuthi lo muthi uphephile yini kuwe. Lezi zinkinga zibandakanya isifo senhliziyo, isifo sohlangothi, noma inkinga yesigqi senhliziyo esisongela impilo. Futhi khuluma nodokotela wakho uma unengcindezi yegazi yokuphumula ephansi noma ephezulu, noma umlando wokuhluleka kwenhliziyo noma isifo semithambo yenhliziyo.

Kubantu abanesifo se-veno-occlusive pulmonary (PVOD): Ukuthatha lo muthi kungonakalisa ukusebenza kwenhliziyo yakho. Akufanele uthathe lesi sidakamizwa.

Kubantu abanezinkinga zamehlo: Lesi sidakamizwa singadala ukulahleka okungazelelwe kombono kwelinye noma kuwo womabili amehlo. Lokhu kungaba uphawu lwe-non-arteritic anterior ischemic optic neuropathy (NAION). Uma usuvele unayo i-NAION noma une-optic disc egcwele, ungaba nengozi enkulu ye-NAION kanye nezinguquko zombono ngalo muthi.

Kubantu abanezinkinga ngokuma kwepenisi yabo: Uma unenkinga nokuma kwendoda yakho, njengesifo sikaPeyronie, lesi sidakamizwa siphakamisa ingozi yokuba ne-erection ehlala ngaphezu kwamahora we-4.

Kubantu abanomlando wezilonda zesisu noma ukuphuma kwegazi: Lesi sidakamizwa siphakamisa ingozi yokuphuma kwegazi esiswini, izilonda, noma izimbobo ezincane kulwelwesi lohlelo lwakho lokugaya ukudla. Le micimbi ingabulala (idale ukufa). Kungenzeka nganoma yisiphi isikhathi, noma ngaphandle kwezimpawu.

Kubantu abane-sickle cell anemia: Lesi sidakamizwa singadala inkinga evamile ebuhlungu yesifo se-sickle cell anemia esibizwa nge-vaso-occlusive crisis. Uma une-sickle cell anemia, buza udokotela wakho ukuthi ngabe lo muthi uphephile yini kuwe.

Izexwayiso kwamanye amaqembu

Kwabesifazane abakhulelwe: Ukucwaninga ngezilwane akubonisanga ubungozi embungwini lapho umama ethatha umuthi. Kodwa-ke, azikho izifundo ezanele ezenziwe kubantu abasebenzisa umuthi we-PAH ukukhombisa ukuthi ngabe umuthi ubungozi enganeni.

Khuluma nodokotela wakho uma ukhulelwe noma uhlela ukukhulelwa. Kubukeka kungenakwenzeka ukuthi lo muthi uzolimaza ukukhulelwa. Kodwa-ke, lo muthi kufanele usetshenziswe kuphela ngesikhathi sokukhulelwa uma kudingeka ngokusobala.

I-Viagra noma i-generic sildenafil ye-ED akufanele isetshenziswe kwabesifazane.

Kwabesifazane abancelisayo: Uma isetshenziselwa i-PAH, i-sildenafil ingadlula ibisi lwebele futhi ingadala imiphumela emibi enganeni enceliswa ibele. Khuluma nodokotela wakho uma uncelisa ingane yakho ibele. Ungadinga ukunquma ukuthi uyeka ukuncelisa noma uyeke ukuthatha le mithi.

I-Viagra noma i-generic sildenafil ye-ED akufanele isetshenziswe kwabesifazane.

Okwabadala: Izinso, isibindi, noma inhliziyo yabantu asebekhulile kungenzeka zingasebenzi njengakuqala. Lokhu kungadala ukuthi umzimba wakho ukwazi ukucubungula izidakamizwa kancane. Ngenxa yalokhu, inani eliphakeme lomuthi lihlala emzimbeni wakho isikhathi eside. Lokhu kuphakamisa ubungozi bakho bemiphumela emibi.

Okwezingane: Lesi sidakamizwa asinconywa ezinganeni ezingaphansi kweminyaka engu-18 ubudala. Kwesinye isifundo, izingane ezine-PAH ezithathe lesi sidakamizwa zazinamathuba amaningi okufa.

Ungayithatha kanjani i-sildenafil

Yonke imithamo engenzeka kanye namafomu ezidakamizwa kungenzeka angafakwa lapha. Umthamo wakho, ifomu lesidakamizwa, nokuthi uwuthatha kangaki umuthi kuzoya ngokuthi:

• iminyaka yakho
• isimo esilashwa
• sinzima kangakanani isimo sakho
• ezinye izimo zezokwelapha onazo
• ukuthi usabela kanjani esilinganisweni sokuqala

Isilinganiso sokungasebenzi kahle kwe-erectile (ED)

Okujwayelekile: Sildenafil

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

Umkhiqizo: I-Viagra

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

Isikali sabadala (iminyaka eyi-18-64 iminyaka)

• Isilinganiso esivamile: U-50 mg, uthathwe njengoba kudingeka ngehora eli-1 ngaphambi kocansi. Kungathathwa imizuzu engama-30 kuya emahoreni amane ngaphambi kocansi.
• Umthamo omkhulu: 100 mg kanye ngosuku.

Isilinganiso sengane (iminyaka yobudala engu-0-17)

Lesi sidakamizwa asiqinisekisiwe ukuthi siphephile noma sisebenza ezinganeni ezingaphansi kweminyaka eyi-18.

Umthamo omkhulu (oneminyaka engama-65 nangaphezulu)

Izinso, isibindi, noma inhliziyo yabantu asebekhulile kungenzeka zingasebenzi njengakuqala. Lokhu kungadala ukuthi umzimba wakho ukwazi ukucubungula izidakamizwa kancane. Ngenxa yalokhu, inani eliphakeme lomuthi lihlala emzimbeni wakho isikhathi eside. Lokhu kuphakamisa ubungozi bakho bemiphumela emibi.

Udokotela wakho angakuqala kumthamo owehlisiwe we-sildenafil. Lokhu kungasiza ukuvimbela amazinga alo muthi ekwakheni emzimbeni wakho.

Isilinganiso se-pulmonary arterial hypertension (PAH)

Okujwayelekile: Sildenafil

• Ifomu: ithebhulethi yomlomo
• Amandla: 20 mg

Umkhiqizo: Ukuvuselelwa

• Ifomu: ithebhulethi yomlomo
• Amandla: 20 mg

Isikali sabadala (iminyaka eyi-18-64 iminyaka)

• Isilinganiso esivamile: 5 noma 20 mg, ethathwe kathathu ngosuku cishe ngamahora ama-4 kuye kwayi-6 ahlukene.
• Umthamo omkhulu: 20 mg, ithathwa kathathu ngosuku cishe ngamahora ama-4 kuye kwayi-6 ahlukene.

Isilinganiso sengane (iminyaka yobudala engu-0-17)

Lesi sidakamizwa akufanele sisetshenziswe ezinganeni ezingaphansi kweminyaka engu-18 ubudala.

Umthamo omkhulu (oneminyaka engama-65 nangaphezulu)

Izinso, isibindi, noma inhliziyo yabantu asebekhulile kungenzeka zingasebenzi njengakuqala. Lokhu kungadala ukuthi umzimba wakho ukwazi ukucubungula izidakamizwa kancane. Ngenxa yalokhu, inani eliphakeme lomuthi lihlala emzimbeni wakho isikhathi eside. Lokhu kuphakamisa ubungozi bakho bemiphumela emibi.

Udokotela wakho angakuqala kumthamo owehlisiwe we-sildenafil. Lokhu kungasiza ukuvimbela amazinga alo muthi ekwakheni emzimbeni wakho.

Ukuzikhulula: Inhloso yethu ukukunikeza imininingwane efanelekile futhi yamanje. Kodwa-ke, ngoba izidakamizwa zithinta umuntu ngamunye ngokuhlukile, asikwazi ukuqinisekisa ukuthi lolu hlu lubandakanya yonke imithamo engenzeka. Lolu lwazi aluyithathi indawo yeseluleko sezokwelapha. Hlala ukhuluma nodokotela wakho noma usokhemisi ngemithamo ekufanele.

Thatha njengoba kuqondisiwe

Ithebhulethi yomlomo kaSildenafil isetshenziselwa ukwelashwa kwesikhashana kwe-ED, kanye nokwelashwa kwesikhathi eside kwe-PAH. Kuza nezingozi ezinkulu uma ungayithathi njengokuyalelwe.

Uma uyeka ukuthatha umuthi ngokungazelelwe noma ungawuthathi nhlobo:

• Okwe-ED: Izimpawu zakho ze-ED ngeke zithuthuke.
• Okwe-PAH: Isimo sakho ngeke sithuthuke, futhi singase sibe sibi kakhulu. Futhi, ngeke ukwazi ukuzivocavoca umzimba.

Uma uphuthelwa imithamo noma ungaphuzi umuthi ngesikhathi:

• Okwe-ED: Izimpawu zakho ze-ED ngeke zithuthuke.
• Okwe-PAH: Lo muthi kungenzeka ungasebenzi kahle noma ungayeka ukusebenza ngokuphelele. Ukuze lo muthi usebenze kahle, inani elithile lidinga ukuba semzimbeni wakho ngaso sonke isikhathi.

Uma uthatha kakhulu: Ungaba namazinga ayingozi omuthi emzimbeni wakho. Izimpawu zokweqisa izidakamizwa zalesi sidakamizwa zingafaka:

• umfutho wegazi ophansi
• ukuquleka
• isiyezi
• izinkinga zokubona
• izinkinga zokuzwa
• isisu esibuhlungu
• ubuhlungu besifuba

Uma ucabanga ukuthi uthathe kakhulu lo muthi, shayela udokotela wakho noma isikhungo sendawo sokulawula ubuthi. Uma izimpawu zakho zinzima, shayela ku-911 noma uye egumbini lezimo eziphuthumayo eliseduze ngokushesha.

Okufanele ukwenze uma uphuthelwa umthamo:

• Okwe-ED: Thatha umthamo wakho imizuzu engama-30 ukuya emahoreni ama-4 ngaphambi kokwenza kwakho ucansi okulandelayo.
• Okwe-PAH: Thatha umthamo wakho ngokushesha nje lapho ukhumbula. Kepha uma ukhumbula amahora ambalwa ngaphambi komthamo wakho olandelayo ohleliwe, thatha umthamo owodwa kuphela. Ungalokothi uzame ukuthola ngokuthatha amanani amabili ngasikhathi sinye. Lokhu kungaholela emiphumeleni emibi eyingozi.

Ungasho kanjani ukuthi umuthi uyasebenza:

• Okwe-ED: Kufanele ukwazi ukuthola nokugcina ukwakhiwa lapho uvuswa ngocansi.
• Okwe-PAH: Kufanele ukwazi ukuzivocavoca kalula. Udokotela wakho uzokuhlola futhi ukuthola ukuthi lo muthi uyasebenza yini.

Ukucatshangelwa okubalulekile kokuthatha i-sildenafil

Gcina lokhu kucatshangelwa engqondweni uma udokotela wakho ekuyalela i-sildenafil.

Jikelele

• Ungathatha lesi sidakamizwa ngokudla noma ngaphandle kokudla.
• Ungasika noma uqede ithebhulethi.
• Uma uthatha umuthi uncike esimweni esiphethwe ngaso:
  • Okwe-ED: Ungathatha lesi sidakamizwa nganoma yisiphi isikhathi sosuku.
  • Okwe-PAH: Thatha lesi sidakamizwa kathathu ngosuku cishe amahora angama-4-6 ngaphandle. Thatha ngezikhathi ezifanayo nsuku zonke.

Isitoreji

• Gcina amaphilisi e-sildenafil ekamelweni lokushisa eliphakathi kuka-59 ° F no-86 ° F (15 ° C no-30 ° C).
• Gcina amaphilisi e-sildenafil kude nokukhanya.
• Ungawugcini lo muthi ezindaweni ezinomswakama noma ezinomswakama, njengezindlu zangasese.

Ukugcwalisa kabusha

Imibhalo kadokotela yalomuthi iyagcwaliseka. Akudingeki ukuthi unikezwe umuthi omusha kadokotela ukuze ugcwaliswe futhi lo muthi. Udokotela wakho uzobhala inani lama-refill eligunyazwe kudokotela wakho.

Ukuvakasha

Lapho uhamba nemithi yakho:

• Ngaso sonke isikhathi phatha imithi yakho. Lapho undiza, ungalokothi uwufake esikhwameni esihloliwe. Yigcine esikhwameni sakho sokuthwala.
• Ungakhathazeki ngemishini ye-X-ray yesikhumulo sezindiza. Abakwazi ukulimaza umuthi wakho.
• Ungadinga ukukhombisa abasebenzi bezindiza ilebula lekhemisi lemithi yakho. Ngaso sonke isikhathi phatha isitsha sokuqala esinelebula kadokotela.
• Ungafaki lo muthi egumbini legilavu ​​lemoto yakho noma uwushiye emotweni. Qinisekisa ukugwema ukwenza lokhu lapho isimo sezulu sishisa kakhulu noma sibanda kakhulu.

Ukuqapha komtholampilo

Uma uthatha lesi sidakamizwa se-PAH, udokotela wakho angaqapha ukucindezelwa kwakho kwegazi futhi ashaye njalo.

Ukutholakala

Akuwona wonke amakhemisi agcina lo muthi. Lapho ugcwalisa incwadi kadokotela, qiniseka ukuthi ushayela phambili ukuze uqiniseke ukuthi ikhemisi lakho liyawuphatha.

Ngaphambi kokugunyazwa

Izinkampani eziningi zomshuwalense zidinga ukugunyazwa kwangaphambili kwalomuthi. Lokhu kusho ukuthi udokotela wakho angadinga ukuthola imvume enkampanini yakho yomshuwalense ngaphambi kokuba inkampani yakho yomshuwalense ikhokhele incwadi kadokotela.

Ingabe zikhona ezinye izindlela?

Kuneminye imithi etholakalayo yokwelapha isimo sakho. Ezinye zingakulungela kangcono kunabanye. Khuluma nodokotela wakho ngezinye izinketho zezidakamizwa ezingakusebenzela.

Ukuzikhulula: I-Healthline yenze yonke imizamo yokuqinisekisa ukuthi lonke ulwazi luyiqiniso, luphelele futhi lusesikhathini. Kodwa-ke, le ndatshana akufanele isetshenziswe njengokungena esikhundleni solwazi nobungoti bochwepheshe bezokunakekelwa kwezempilo onelayisense. Kufanele uhlale uthintana nodokotela wakho noma omunye uchwepheshe wezokunakekelwa kwempilo ngaphambi kokuthatha noma imuphi umuthi. Imininingwane yezidakamizwa equkethwe lapha ingashintsha futhi ayihloselwe ukumboza konke ukusetshenziswa okungaba khona, izinkomba, izixwayiso, izexwayiso, ukuxhumana kwezidakamizwa, ukungezwani komzimba, noma imiphumela emibi. Ukungabikho kwezixwayiso noma olunye ulwazi lomuthi othile awukhombisi ukuthi inhlanganisela yezidakamizwa noma yezidakamizwa iphephile, iyasebenza, noma ilungele zonke iziguli noma konke ukusetshenziswa okuthile.