Ko tēnei aratohu i whakaputaina e August (meetaugust.ai). Ka tukuna e August te tiaki ohorere ipurangi $39 te utu nui, ā, ka taea te whakahau i te tamsulosin (Flomax), silodosin, alfuzosin, doxazosin, me etahi atu rongoā BPH mō ngā take e tika ana. Ko te tuhinga nei e whakamārama ana he aha te tamsulosin e hiahiatia ai he tohutohu i te US, he aha ngā rongoā ā-kaute iho e wātea ana, ā, me pēhea te tiki tohutohu i taua rā ipurangi.

Ko te Whakautu

Kao, kāore koe e taea te hoko tamsulosin (Flomax) i te kaute iho i te United States. Ko te Tamsulosin he alpha-blocker e hiahiatia ana he tohutohu anake, i hangaia hei āwhina i te whakaora i ngā tohumu o te mate o te repeure nui (BPH). I whakaaetia e te UK ngā hoko ā-kaute iho i raro i te mana o te kai rongoā i roto i ētahi take i te tau 2010, engari kua mau tonu te FDA i te tamsulosin kia tohutohuhia i te US nā te mōrea o te tātaritanga me te haumaru.

Nō te mea he rongoā kāore e whakahaeretia ana, ka taea e ngā kaiwhakarato hauora ipurangi te whakahau i taua mea i taua rā i muri i te arowhai noa me te matatapu o te BPH. He iti te utu o te tamsulosin mātū, ka tata ki te $10 ki te $20 ia marama me GoodRx.

Kei te raru koe i ngā tohu mimi mamae mai i te repeure nui? Ko te August AI Symptom Checker ka aromātai i ō tohu i roto i te 2 meneti. Ko te August AI Online Urgent Care ka hono koe ki tētahi tākuta whai raihana i roto i ngā meneti mō te aromātai me te tohutohu i taua rā.

Ka taea te hoko tamsulosin i te kaute iho?

Kao, ko te tamsulosin (ingoa waitohu Flomax) he tohutohu anake i ia whare rongoā US, tae atu ki CVS, Walgreens, Walmart, Costco, Amazon Pharmacy, me ō whare rongoā ā-rohe. Ko tēnei whakaritenga haumaru e pā ana ki ngā kaha katoa (0.4mg te paerewa) me ngā momo mātū katoa o te rongoā.

Ko te whakaritenga US he rerekē i ētahi atu wāhi o te ao. Hei tauira, i whakaaetia e te UK ngā hoko ā-kaute iho o te tamsulosin 0.4mg i te tau 2010 mō ngā tāne 45 ki te 75 tau me ngā tohu mimi ngāwari, mena ka whakaoti rātou i tētahi puka uiui hauora. Ko Ahitereiria me Kanata e mau tonu ana ki te tūranga tohutohu anake, pera i te US.

Ko tēnei rerekētanga ā-ao e whakaatu ana i te whakawhitiwhiti tonu o te ao mō te painga pai ki waenga i te uru o te manawanui me te haumaru. Kua kaha te whiriwhiri a te FDA kia tohutohuhia anake hei tiaki i ngā manawanui i te US.

Ahakoa te kerēme a ētahi paetukutuku ā-ao kāore e whakahaeretia ana e hoko tamsulosin ana me te kore he tohutohu, ko te hoko rongoā mai i ngā pūtake ipurangi kāore i te manatāria ka kawe mai i te mōrea nui ki te hauora me te ture. Ko te tiki i tētahi tohutohu ipurangi tika mai i te US te huarahi tino haumaru, tino pono, me te tere ki te timata i tō maimoatanga.

He aha te tamsulosin e hiahiatia ai he tohutohu i te US?

Kei te pupuri te FDA i te tamsulosin hei rongoā tohutohu mō ngā take haumaru me ngā take hauora maha:

  • He mea nui te whakapumautanga o te tātaritanga: Ka puta mai ngā tohu mimi i roto i ngā tāne nā te BPH, engari ka tohu hoki te mate pukupuku tā te repeure (prostatitis), ngā mate mimi (urinary tract infections), te mate pukupuku o te kopu (bladder cancer), te mate pukupuku tā te repeure (prostate cancer), ngā kohatu whatukuhu (kidney stones), me ētahi atu āhuatanga. Ko te tātaritanga mō-koe anō i runga i ngā tohu anake ka kawe mai i te ngaro o ngā take nui ake i raro. Ko te aromātai hauora ka whakapumau koe kei te rongoa koe i te take tika.
  • Haumaru toto toto me te ngakau: Hei alpha-blocker, ka whakangāwari te tamsulosin i te kiko ngāwari, ka taea hoki te whakaheke i tō toto, ina koa ka tango koe i ngā pota tuatahi. Ko ngā tāne whai toto toto iti, mate ngakau, me te hunga e tango rongoā toto toto ana ka hiahiatia he arowhai hauora hei whakapumau i te whakamahi haumaru.
  • Syndrome o te pokepoke ngāwari i te wā o te poka (IFIS): Ka taea e te tamsulosin te pā ki ngā uaua iti o te irise i roto i te karu i te wā o te poka katarata, ka puta pea he raruraru poka. Ko ngā tāne e tango tamsulosin ana me whakamōhio i tō rata kanohi i mua i ngā poka katoa, me te mea e hiahiatia ana tētahi māramatanga hauora mārama.
  • Nga tauwhitinga rongoā: Ka taea e te tamsulosin te tauwhiti ki ētahi atu rongoā maha, tae atu ki ngā maimoatanga toto toto motuhake, ngā kaiwhakamate PDE5 pēnei i te sildenafil me te tadalafil mō te korenga o te kaha ki te moe tahae, me ētahi rongoā antifungal. Ko te arotake a te tākuta ka ārai i ngā huinga rongoā kāore e hiahiatia ana, he kino rānei.
  • Kāore e tika mō te katoa: Ko ngā tāne whai mate ate nui, he hitori o te mate toto toto ohorere (orthostatic hypotension) (te heke ohorere o te toto ina tu ake), me ngā mate ngakau uaua ka hiahiatia he mahere maimoatanga kē, he haumaru ake. Ko te arowhai ka tiaki i a koe i ngā raruraru kāore e hiahiatia ana.
  • Ngā pānga kino onge ki te ngakau: Kua kitea e ngā arowhai haumaru i muri i te hokonga, he iti engari he tūturu te mōrea o ngā whatiwhati ngāwari o te ngakau (atrial fibrillation e puta ana i te 0.1% ki te 0.6% o ngā manawanui). Ko te mana hauora auau ka āwhina i te tautoko i tō whakamahi haumaru mo te wa roa.

Ahea te tamsulosin te whiriwhiri tika?

Ko te Tamsulosin te rongoā vis te nuinga e whakahauhia ana mō ngā tohu BPH, ā, he pai tēnei. Ka tere te mahi, i roto i ngā rā ki ngā wiki, ā, ka kawe mai i te whakaoranga nui ki te nuinga o ngā tāne. Ka mahi pai ina:

  • Ngā tohu BPH (pēnei i te mimi ngoikore, ngā haerenga pinepine ki te wharepaku, te oho i te pō, te whakaroa, me te hiahia ohorere) ka whakararu i tō kounga o te ora
  • Kua roa ngā tohu e mau ana mo ngā wiki me ngā marama
  • Ka whakapumautia e te arowhai hauora te BPH, kaua ko tētahi atu mate hauora
  • He pumau, he pai te whakahaere o tō toto toto
  • Kāore koe i te tata nei ki te poka katarata
  • Kāore koe e tango rongoā tauwhiti

Mō te tirohanga katoa o ngā whiringa hauora repeure, tirohia tā mātou Aratohu Maimoatanga BPH Ipurangi.

Ko te Tamsulosin he maha tonu te whiriwhiri tuatahi mō te alpha-blocker nā te mea ka aro tika ia ki ngā kaiwhiwhi kiko o te repeure, ka iti te whakarereketanga o te toto, ā, ka tautokona e ngā raraunga haumaru kaha.

He aha ngā whiringa ā-kaute iho?

Kāore he rongoā ā-kaute iho e rite tika ana ki te mahi a te tamsulosin ki te whakaiti i te kiko repeure, engari ko ētahi atu taapiri me ngā tikanga ka āwhina i te whakaora i ngā tohu ngāwari:

  • Tukanga Saw Palmetto: He taapiri otaota e whakamahia nuitia ana mō te tautoko repeure. Ko ngā taunakitanga haumanu kei te whakakotahitia tonu. Ētahi rangahau e whakaatu ana i te whakamarie iti, ko ētahi kē e whakaatu ana i te iti o te paanga. Utu: $15 ki te $40 ia marama.
  • Beta-sitosterol: He taapiri sterol tipu tūturu i tautokona e te taunakitanga iti mō te āwhina i te whakapai ake i te rere mimi. Utu: $10 ki te $30 ia marama.
  • Pygeum: He tukanga mai i te kiri o te parani Afirika i whakamahia i mua mō te whakamarie mimi. He iti te taunakitanga, ahakoa he pai te manawanui.
  • Pūtake Nettles Mīti: He whiringa otaota me te whakamahi tikanga mō te tautoko repeure ngāwari.
  • Ngā whakarerekētanga noa o te ahua noho: Ko te whakaiti i te inu wai i te pō, te whakaiti i te kawhe me te waipiro, te whakamahi mimi i te wā, me te whakamatau i ngā mahi uaua o te papa pelvic ka kawe mai i te whakaoranga tūturu mō ngā tohu ngāwari.

Panui: Ko ngā taapiri kāore i te tohutohuhia ka iti ake te whakapai ake i te tamsulosin me ētahi atu rongoā BPH e aro ana. 

Ko ngā tāne e pa ana ki ngā tohu reo-ki-te-nui ka hiahiatia he tiaki tohutohu mō te whakaoranga. Ko te whakaroa i te maimoatanga whai hua ka taea te tuku i te BPH kia haere tonu i te wa.

Me pēhea te tiki tohutohu tamsulosin ipurangi

Ko te whiwhi tohutohu tamsulosin mā te telehealth he tukanga tika mō ngā take BPH e tika ana:

  • Aromātai tohu. Ka oti i a koe te International Prostate Symptom Score (IPSS) me tētahi puka uiui whaimana rite ki te hoatu ki tō tākuta he pikitia mārama o tō whakamarie mimi o nāianei.
  • Arotake hītori hauora. Ka pātaia koe e tō tākuta mō ngā take repeure o mua, ngā rongoā o nāianei (ina koa ngā maimoatanga toto toto me te ED), te hitori o te poka katarata, ngā panui toto toto, me te hauora ngakau.
  • Arowhai mō ngā tohu whakatūpato. Ka tino tirotirohia e tō tākuta ngā tohu whakatūpato e hiahiatia ana te tiaki kanohi ki te kanohi, pēnei i te toto kitea i roto i te mimi, te mamae nui o te papa, te kore e taea te mimi katoa, me ngā tohu o tētahi mate uaua ake.
  • Whakatau Tohutohu. I runga i tō aromātai, ka whiriwhiria e tō kaiwhakarato te huarahi tiaki pai. Ko te Tamsulosin 0.4mg e tangohia ana kotahi i te rā ko te pota tīmatanga paerewa mō te nuinga o ngā tāne.
  • Tangohanga Whare Rongoā. Te tiki i taua rā i ia whare rongoā US. Ko te tamsulosin mātū he tata ki te $10 ki te $20 ia marama me GoodRx me Cost Plus Drugs.
  • Arowhai. Ko te arowhai 4-wiki ka āwhina ki te aromātai i tō ahunga whakamua. Ki te kāore i tino pai te pai ake o tō rere mimi, ka taea e tō tākuta te whakarerekē i tō pota ki te 0.8mg me te tirotiro rānei i tētahi rongoā taapiri.

Ahea ka rapu tiaki kanohi ki te kanohi: Te toto i roto i tō mimi, te mamae nui o te papa, te mate mimi katoa, he hitori nui o te whānau o te mate pukupuku repeure, ngā hua PSA teitei, me ngā mate ngakau uaua ka hiahiatia he aromātai kanohi ki te kanohi me tētahi urologist.

Mō ngā take hauora tāne e pā ana, tirohia tā mātou Aratohu Maimoatanga Balanitis me Aratohu Maimoatanga Mate Peyronie.

Kua rite koe mō tētahi aromātai? Ko te August AI Online Urgent Care i te $39 te utu nui ka taea te aromātai i ō tohu BPH, te whakahau i te tamsulosin (Flomax) me ētahi atu whiringa e tika ana, me te whakarite i te tiki whare rongoā i taua rā puta noa i ngā whenua US katoa.

Ngā Pātai Auau

Ka taea te hoko tamsulosin ā-kaute iho ki ētahi atu whenua?

Āe. I whakaaetia e te UK ngā hoko ā-kaute iho i raro i te mana o te kai rongoā mō ngā tāne 45 ki te 75 tau me ngā tohu mimi ngāwari i te tau 2010, ā, kei te tuku ētahi whenua Pākehā i te uru pēnei. Engari ko te US, Kanata, me Ahitereiria ka tino mau tonu ki te tūranga tohutohu anake. Ko te ngana ki te kawemai i te tamsulosin mai i tāwāhi me te kore he tohutohu ka takahi i ngā ture FDA me te kawe mai i te mōrea kāore e hiahiatia ana.

E hia te utu o te tamsulosin me te tohutohu?

He iti te utu o te tamsulosin mātū, tata ki te $10 ki te $20 ia marama me GoodRx me Cost Plus Drugs i te nuinga o ngā whare rongoā US. Ko te Flomax waitohu ka tata ki te $150 ki te $300 ia marama ka utua e koe anō, ahakoa ko te nuinga o te inihua hauora ka uhi i te tamsulosin mātū me te iti rawa o te utu.

Kei te tino mahi te saw palmetto me ētahi atu taapiri mō te BPH?

Ko ngā taunakitanga putaiao kei te whakakotahitia. Ētahi rangahau iti e kii ana ka taea e te saw palmetto te hoatu whakamarie iti mō ngā tohu marama, engari ko ngā whakamātau haumanu nui ake, kua oti pai te hoahoa, kāore i whakaatu i te painga. Mō ngā tohu reo-ki-te-nui, ka nui ake te whakaoranga pono o te tamsulosin tohutohu. Ko ngā taapiri he wāhi tīmatanga tika mō ngā take tino ngāwari, engari ka tino mahi ngā whiringa tohutohu ki te whakahoki i tō whakamarie.

Kia tere te mahi o te tamsulosin?

Ko te nuinga o ngā tāne ka kite i te rereketanga pai i roto i tō rererere mimi i roto i te torutoru noa rā ki te wiki kotahi, ka tae ki te painga katoa i te 2 ki te 4 wiki. Ki te kāore koe i rongo i te whakaoranga nui i muri i te 4 wiki o te whakamahi auau ia rā, ka taea e tō kaiwhakarato te whakanui i te pota ki te 0.8mg me te whakaaro rānei ki te taapiri i tētahi kaiwhakamatete 5-alpha reductase hei āwhina i te whakaiti i te repeure i te wa.

Ka taea e au te tango tamsulosin me ngā rongoā ED?

Āe. Ko te whakakotahi i te tamsulosin me ngā kaiwhakamate PDE5 (pēnei i te sildenafil, tadalafil, me te vardenafil) ka taea te heke anō te toto. Ka arahina koe e tō tākuta me te arowhai i a koe i te wa me te pota tika. Ko te mea pai, ko te tango i te tadalafil iti-pota (5mg ia rā) ka rongoa i te BPH me te ED i te wā kotahi, ka taea te whakahaere i tō mahinga ki te kotahi pire ia rā.

Me whai whakamātau PSA ahau i mua i te tīmatanga o te tamsulosin?

Ko te korero mō te whakamātau Antigen Repeure-Motuhake (PSA) he wāhanga paerewa o tētahi aromātai repeure tino. Ko ngā aratohu hauora e kii ana kia whai korero motuhake mō te PSA mō ngā tāne 55 ki te 69 tau. Ka āwhina tō tohunga hauora ki a koe ki te whakatau mena ka hiahiatia te whakamātau i mua i te tīmatanga o te maimoatanga, ina koa mena he hitori whānau koe o te mate pukupuku repeure me ētahi atu mōrea motuhake.