I-Testosterone, iTransdermal Patch

-Delile

• Izexwayiso ezibalulekile
• Yini i-testosterone?
• Kungani kusetshenziswa
• Isebenza kanjani
• Imiphumela emibi ye-testosterone
• Imiphumela emibi ejwayelekile
• Imiphumela emibi kakhulu
• I-testosterone ingaxhumana neminye imithi
• Ukusebenzisana okungakhuphula ubungozi bemiphumela emibi
• Ukusebenzisana okungadinga izinguquko zomthamo
• Izixwayiso ze-testosterone
• Izexwayiso zamadoda anezimo ezithile zempilo
• Izexwayiso kwamanye amaqembu
• Ungayithatha kanjani i-testosterone
• Ifomu lezidakamizwa namandla
• Isikali se-hypogonadism eyinhloko
• Isikali se-hypogonadotropic hypogonadism
• Thatha njengoba kuqondisiwe
• Ukucatshangelwa okubalulekile kokuthatha i-testosterone
• Jikelele
• Isitoreji
• Ukugcwalisa kabusha
• Ukuvakasha
• Ukuzilawula
• Ukuqapha komtholampilo
• Ukutholakala
• Ngaphambi kokugunyazwa
• Ingabe zikhona ezinye izindlela?

Amaphuzu avelele we-testosterone

1. I-testosterone transdermal patch iyatholakala njengesidakamizwa esinegama lomkhiqizo. Akutholakali njengomuthi ojwayelekile. Igama lomkhiqizo: Androderm.
2. I-Testosterone iza ngalezi zinhlobo: i-transdermal patch, i-gel, i-topical solution, i-gel ekhaleni, ne-buccal tablet. Kubuye futhi kufakwe lapho umhlinzeki wezokunakekelwa kwezempilo akufaka ngaphansi kwesikhumba sakho, kanye namafutha umhlinzeki wezokunakekelwa kwezempilo akufaka emsipheni wakho.
3. I-testosterone transdermal patch isetshenziselwa ukwelapha abesilisa abane-hypogonadism. Abesilisa abanalesi simo abakwazi ukwenza ngokwanele i-testosterone testosterone.

Izexwayiso ezibalulekile

• Ukuhlaselwa yinhliziyo noma isexwayiso sohlangothi: Lesi sidakamizwa singandisa ingozi yokuhlaselwa yisifo senhliziyo noma isifo sohlangothi.
• Isexwayiso samahlule egazi: Ukusetshenziswa kwalesi sidakamizwa kungahle kuhlotshaniswe nobungozi obandayo be-pulmonary embolism (amahlule egazini emaphashini akho) noma i-vein thrombosis ejulile (amahlule egazi emithanjeni ejulile yemilenze yakho).
• Isixwayiso sokusetshenziswa kabi: I-Testosterone ingasetshenziswa kabi. Kukhona ingozi eyengeziwe yokusebenzisa kabi uma uthatha lo muthi ngemithamo ephakeme kunalokho okuyalelwe udokotela wakho, noma uma uwusebenzisa kanye namanye ama-anabolic steroids. Ukusebenzisa kabi i-testosterone kungaholela ezinkingeni ezinkulu zempilo. Lokhu kufaka phakathi ukuhlaselwa yinhliziyo, ukwehluleka kwenhliziyo, ukudangala, kanye ne-psychosis. Udokotela wakho angakutshela okuningi ngobungozi bokusetshenziswa kabi kwe-testosterone.

Yini i-testosterone?

I-testosterone ngumuthi kadokotela. Iza ngalezi zinhlobo: i-transdermal patch, i-gel, i-topical solution, i-gel ekhaleni, ne-buccal tablet. Iphinde itholakale njengokufakwa okufakwa ngaphansi kwesikhumba sakho ngumhlinzeki wezokunakekelwa kwempilo, kanye namafutha afakwa emisipha yakho ngumhlinzeki wezokunakekelwa kwempilo.

Isiqephu se-testosterone transdermal siyatholakala njengesidakamizwa segama elithi Androderm. Ayitholakali njengomuthi ojwayelekile.

I-testosterone yinto elawulwayo. Lokho kusho ukuthi ukusetshenziswa kwayo kulawulwa nguhulumeni wase-U.S.

Kungani kusetshenziswa

I-testosterone isetshenziselwa ukwelapha abesilisa abane-hypogonadism. Abesilisa abanalesi simo abakwazi ukwenza ngokwanele i-testosterone testosterone.

Isebenza kanjani

I-testosterone ingeyesigaba semithi ebizwa nge-androgens. Isigaba semithi siyiqembu lemithi esebenza ngendlela efanayo. Le mithi ivame ukusetshenziselwa ukwelapha izimo ezifanayo.

Lesi sidakamizwa sisebenza ngokungeza i-testosterone emzimbeni wakho.

Imiphumela emibi ye-testosterone

I-testosterone transdermal patch ayibangeli ukozela, kepha ingadala eminye imiphumela emibi.

Imiphumela emibi ejwayelekile

Eminye yemiphumela emibi ejwayelekile engenzeka ngokusetshenziswa kwe-testosterone transdermal patch ifaka:

• ububomvu, ukucasuka, ukuvutha, namabhamuza kusayithi lokufaka isicelo
• ukuhlungu obusemhlane

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:

• I-prostate ekhulisiwe. Izimpawu zingafaka:
  • ukwanda kokuchama ebusuku
  • Inkinga yokuqala ukusakaza kwakho komchamo
  • uchame kaningi emini
  • ukuphuthuma komchamo (isifiso sokuya endlini yangasese khona manjalo)
  • izingozi zomchamo
  • ukungakwazi ukwedlulisa umchamo
  • ukugeleza komchamo obuthakathaka
  • Umdlavuza wendlala yesinye
  • Amahlule egazi emaphashini akho noma emithanjeni yemilenze yakho. Izimpawu zingafaka:
    • ubuhlungu bomlenze, ukuvuvukala, noma ubomvu
    • inkinga yokuphefumula
    • ubuhlungu besifuba
  • Isifo senhliziyo noma isifo sohlangothi
  • Isibalo sesidoda esehlisiwe (singenzeka lapho kuthathwa imithamo emikhulu yomuthi)
  • Ukuvuvukala kwamaqakala akho, izinyawo, noma umzimba
  • Amabele akhulisiwe noma abuhlungu
  • I-apnea yokulala (izinkinga zokuphefumula ngesikhathi sokulala)
  • Izilungiso ezihlala isikhathi esingaphezu kwamahora amane

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.

I-testosterone ingaxhumana neminye imithi

I-testosterone transdermal patch ingasebenzisana 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 zemithi engadala ukusebenzisana ne-testosterone zibhalwe ngezansi.

Ukusebenzisana okungakhuphula ubungozi bemiphumela emibi

Ukuthatha i-testosterone ngemithi ethile kuphakamisa ubungozi bakho bemiphumela emibi evela kule mithi. Izibonelo zale mithi zifaka:

• I-hormone ye-Adrenocorticotropic noma i-corticosteroids. Ukuthatha i-testosterone ngale mithi kungakhuphula i-fluid build-up (edema) emzimbeni wakho. Udokotela wakho uzokuqapha eduze ukuze akhe uketshezi, ikakhulukazi uma unesifo senhliziyo, isibindi noma izinso.

Ukusebenzisana okungadinga izinguquko zomthamo

Izibonelo zale mithi zifaka:

• I-insulini. Ukuthatha i-testosterone kungehlisa izinga likashukela egazini. Uma uthatha i-testosterone nge-insulin, udokotela wakho angadinga ukunciphisa umthamo wakho we-insulin.
• Abanciphisa igazi njenge-warfarin, i-apixaban, i-dabigatran, noma i-rivaroxaban powder. Ukuthatha i-testosterone kungashintsha ukuthi igazi lakho lihlangana kanjani. Udokotela wakho angadinga ukuqapha ngokucophelela ukuthi imithi yakho yokunciphisa igazi isebenza kanjani.

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 kanye nezithasiselo, kanye nemithi oyithenga uphuza yona.

Izixwayiso ze-testosterone

Lesi sidakamizwa siza nezixwayiso eziningana.

Izexwayiso zamadoda anezimo ezithile zempilo

Kwabesilisa abanesifo sesibindi: Uma unesifo sesibindi, ukuthatha lo muthi kungadala ukuthi umzimba wakho ugcine uketshezi, kubangele ukuvuvukala (i-edema).

Kwabesilisa abanesifo senhliziyo: Uma unesifo senhliziyo, i-testosterone ingadala ukugcinwa kukasawoti namanzi. Lokhu kungadala ukuvuvukala (i-edema) noma ukwehluleka kwenhliziyo.

Kwabesilisa abanesifo sezinso: Uma unesifo sezinso noma umlando wesifo sezinso, ukuthatha lesi sidakamizwa kungadala ukuthi umzimba wakho ugcine uketshezi, kubangele ukuvuvukala (i-edema).

Kwabesilisa abanomdlavuza webele: Akufanele usebenzise lesi sidakamizwa uma unomdlavuza webele. Ukuthatha lesi sidakamizwa kungenza umdlavuza wakho ube mubi kakhulu.

Kwabesilisa abanomdlavuza wendlala yesinye: Akufanele usebenzise lesi sidakamizwa uma unomdlavuza wendlala yesinye. Ukuthatha lesi sidakamizwa kungenza umdlavuza wakho ube mubi kakhulu.

Kwabesilisa abakhuluphele ngokweqile: Uma ukhuluphele ngokweqile, ukuthatha lo muthi kungenza ukuphefumula ngenkathi ulele kube nzima kakhulu. Kungabangela ukuphefumula kokulala.

Kwabesilisa abanesifo sikashukela: Ukuthatha lo muthi kunganciphisa amazinga kashukela egazini lakho. Uma welapha isifo sikashukela nge-insulin, udokotela wakho angadinga ukwehlisa isilinganiso sakho se-insulin.

Okwabesilisa abane-prostate enwetshiwe: Lesi sidakamizwa singenza izimpawu zesibindi sakho esikhulisiwe zibe zimbi kakhulu. Udokotela wakho uzokuqapha ngokubonisa izimpawu eziya ziba zimbi ngenkathi uthatha lesi sidakamizwa.

Izexwayiso kwamanye amaqembu

Kwabesifazane abakhulelwe: Lesi sidakamizwa asinqunyelwe abesifazane. I-testosterone yisigaba X somuthi wokukhulelwa. Izidakamizwa zesigaba X akufanele zisetshenziswe ngesikhathi sokukhulelwa.

Kwabesifazane abancelisayo: Lesi sidakamizwa asinqunyelwe abesifazane. Akufanele isetshenziswe kwabesifazane abancelisayo. Akwaziwa ukuthi yimalini i-testosterone edlula obisini lwebele lomuntu, kepha lo muthi ungadala ukusabela okubi kakhulu enganeni enceliswa ibele. Kungadala nezinkinga ngenani lobisi umama akwazi ukukhiqiza.

Okwabadala: Ukushintshwa kwe-testosterone akufanele kusetshenziswe kwabadala nge-andropause (ukwehla okuhlobene nobudala ku-testosterone). Alukho ulwazi olwanele lokuphepha lwesikhathi eside olutholakalayo lokuhlola ubungozi kubantu abadala bomdlavuza wesinye kanye nesifo senhliziyo noma ukuwohloka kwe-prostate ekhulisiwe ngenkathi uthatha lo muthi.

Okwezingane: Lo muthi awufundwanga ezinganeni. Akufanele isetshenziswe ezinganeni ezingaphansi kweminyaka eyi-18. Ukusetshenziswa ezinganeni kungadala ukuthi amathambo abo avuthwe ngokushesha ngaphandle kokuphakama okukhulayo. Lokhu kungadala ukuthi ingane iyeke ukukhula ngokushesha kunokulindelekile, futhi ingane ingaba mfushane.

Ungayithatha kanjani i-testosterone

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

• iminyaka yakho
• isimo esilashwa
• ubunzima besimo sakho
• ezinye izimo zezokwelapha onazo
• ukuthi usabela kanjani esilinganisweni sokuqala

Ifomu lezidakamizwa namandla

Umkhiqizo: Androderm

• Ifomu: isichibi se-transdermal
• Amandla: 2 mg, 4 mg

Isikali se-hypogonadism eyinhloko

Isilinganiso sabadala (abaneminyaka engu-18 nangaphezulu)

• Isilinganiso sokuqala sokuqala: I-4-mg transdermal patch eyodwa isetshenziswe ubusuku ngabunye emhlane wakho, esiswini, engalweni ephezulu, noma ethangeni.
• Ukulungiswa kwesilinganiso: Udokotela wakho angalungisa isilinganiso sakho ngokuya ngamazinga akho e-testosterone ekuseni. Imithamo ejwayelekile yesondlo ingu-2-6 mg ngosuku.
• Umthamo omkhulu: 6 mg ngosuku.

Isilinganiso sengane (iminyaka yobudala engu-0-17)

Lo muthi akufanele usetshenziswe ezinganeni ezingaphansi kweminyaka engu-18. Ukusetshenziswa ezinganeni kungadala ukuthi amathambo avuthwe ngokushesha okukhulu ngaphandle kokukhula okuphakeme. Lokhu kungadala ukuthi ingane iyeke ukukhula ngokushesha kunokulindelekile, okungaholela ekuphakameni kwabantu abadala okufushane.

Isikali se-hypogonadotropic hypogonadism

Isilinganiso sabadala (abaneminyaka engu-18 nangaphezulu)

• Isilinganiso sokuqala sokuqala: I-4-mg transdermal patch eyodwa isetshenziswe ubusuku ngabunye emhlane wakho, esiswini, engalweni ephezulu, noma ethangeni.
• Ukulungiswa kwesilinganiso: Udokotela wakho angalungisa isilinganiso sakho ngokuya ngamazinga akho e-testosterone ekuseni. Imithamo ejwayelekile yesondlo ingu-2-6 mg ngosuku.
• Umthamo omkhulu: 6 mg ngosuku.

Isilinganiso sengane (iminyaka yobudala engu-0-17)

Lo muthi akufanele usetshenziswe ezinganeni ezingaphansi kweminyaka engu-18. Ukusetshenziswa ezinganeni kungadala ukuthi amathambo avuthwe ngokushesha okukhulu ngaphandle kokukhula okuphakeme. Lokhu kungadala ukuthi ingane iyeke ukukhula ngokushesha kunokulindelekile, okungaholela ekuphakameni kwabantu abadala okufushane.

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

I-testosterone transdermal patch isetshenziselwa ukwelashwa isikhathi eside. Kuza nezingozi ezinkulu uma ungayithathi njengokuyalelwe.

Uma uyeka ukuthatha umuthi ngokungazelelwe noma ungawuthathi nhlobo: Izimpawu ezivela esimweni sakho ngeke zelashwe.

Uma uphuthelwa imithamo noma ungaphuzi umuthi ngesikhathi: Imithi yakho kungenzeka ingasebenzi kahle noma ingayeka 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.

Uma ucabanga ukuthi uthathe kakhulu lo muthi, shayela udokotela wakho noma funa ukuholwa yi-American Association of Poison Control Centers ku-1-800-222-1222 noma ngethuluzi labo eliku-inthanethi. Kepha uma izimpawu zakho zinzima, shayela ku-911 noma uye egumbini lezimo eziphuthumayo eliseduze ngokushesha.

Okufanele ukwenze uma uphuthelwa umthamo: 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: Izimpawu zakho ze-testosterone ephansi kufanele zibe ngcono.

Ukucatshangelwa okubalulekile kokuthatha i-testosterone

Gcina lokhu kubheka engqondweni uma udokotela wakho ekunika i-testosterone.

Jikelele

• Sebenzisa isichibi se-testosterone ngasikhathi sinye usuku ngalunye.

Isitoreji

• Gcina iziqeshana ze-testosterone transdermal ekamelweni lokushisa eliphakathi kuka-68 ° F no-77 ° F (20 ° C no-25 ° C).
• Zigcine kude nokukhanya.
• Faka isichibi esikhunjeni sakho ngemuva nje kokuvula isikhwama sokuzivikela. Ungasigcini isichibi ngemuva kokuvulwa kwesikhwama saso esivikelayo. Uma uvula isichibi futhi ungadingi ukusisebenzisa, silahle kude.
• Lahla amachashazi asetshenzisiwe endaweni lapho izingane nezilwane ezifuywayo zingakwazi ukufinyelela kuzo.

Ukugcwalisa kabusha

Imithi kadokotela yalomuthi iyagcwaliseka kuze kube kahlanu ezinyangeni eziyisithupha njengoba kuyinto elawulwa ngoHlelo III. 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.

Ukuzilawula

• Faka isichibi ubusuku ngabunye emhlane, esiswini, engalweni, noma ethangeni.
• Susa isichibi sosuku oludlule ngaphambi kokufaka esisha.
• Ungasebenzisi isiza sokufaka isicelo kabili ezinsukwini eziyi-7.
• Linda okungenani amahora amathathu ngemuva kokufaka isichibi ngaphambi kokugeza, ukubhukuda noma ukugeza indawo yokufaka isicelo.

Ukuqapha komtholampilo

Udokotela wakho angenza izivivinyo ngenkathi uthatha lo muthi. Lezi zivivinyo zifaka:

• Ukuhlolwa kwe-hemoglobin ne-hematocrit: Udokotela wakho angahlola igazi lakho ukuthola inani elinyukile lamaseli abomvu egazi.
• Ukuhlolwa kwezinga le-cholesterol: Udokotela wakho angahlola i-cholesterol yegazi lakho ngoba i-testosterone ingakhuphula izinga le-cholesterol yakho.
• Ukuhlolwa kokusebenza kwesibindi: Udokotela wakho angahlola ukuthi isibindi sakho sisebenza kahle kanjani.
• Ukuhlolwa kwezinga le-testosterone: Udokotela wakho angaqapha amazinga akho e-testosterone ukuqinisekisa ukuthi umthamo wakho ulungile.
• Ukuhlolwa kwe-Prostate nokuhlolwa kwe-prostate-specific antigen (PSA): Uma umdala, udokotela wakho angahlola indlala yakho kanye namazinga akho e-PSA ukuze aqiniseke ukuthi indlala yakho iphilile.

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 uzodinga 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.