Icyo Alprostadil (Umuvuduko wa Urethral) ari cyo: Ibikoresho, Urutonde rw'imiti, Ingaruka ziterwa n'iyo miti n'ibindi

Alprostadil urethral suppository ni umuti wandikirwa abantu ufasha abagabo kugira imitsi iyo bafite ikibazo cyo kutagira imitsi. Ni agasanduku gato ushyira mu muryango w'igitsina cyawe, aho gishonga kandi kigafatwa mu gice gikikije. Uyu muti urimo igice cya sintetike cy'ikintu gisanzwe umubiri wawe ukora cyitwa prostaglandin E1, gifasha kongera urujya n'uruza rw'amaraso kugira ngo habeho imitsi.

Alprostadil (Umuvuduko wa Urethral) ni iki?

Alprostadil urethral suppository ni agasanduku gato, gafite ubunini nk'umuceri, karimo umuti wagenewe kuvura ikibazo cyo kutagira imitsi. Ushyira iyi suppository muri urethra yawe, ari yo tuyobe twerekeza inkari hanze y'igitsina cyawe. Uwo muti urashonga hanyuma ugakora ahantu honyine kugira ngo ugufashe kugira imitsi.

Ubu bwoko bwa alprostadil butandukanye n'inkingo kuko ntibusaba inshinge. Iyi suppository izwi kandi ku izina ry'ubucuruzi rya MUSE, risobanura Medicated Urethral System for Erection. Ifatwa nk'ubuvuzi bwa kabiri ku kibazo cyo kutagira imitsi, bisobanura ko abaganga bakunda kugerageza imiti yo kunywa mbere.

Uyu muti ukora ukoresha ahantu hihariye ukeneye cyane. Bitandukanye n'ibinini bigenda mu mubiri wawe wose, iyi suppository itanga umuti mu gice cy'igitsina. Ubu buryo bwihariye bushobora gufasha abagabo batagize intsinzi n'imiti yo kunywa cyangwa batayifata kubera izindi ndwara.

Alprostadil (Umuvuduko wa Urethral) ikoreshwa mu iki?

Alprostadil urethral suppository ikoreshwa cyane cyane mu kuvura ikibazo cyo kutagira imitsi mu bagabo. Iyi ndwara isobanura ko ugira ingorane zo kugira cyangwa gukomeza imitsi ikomeye bihagije kugira ngo ukore imibonano mpuzabitsina. Uyu muti ushobora gufasha niba ikibazo cyawe cyo kutagira imitsi giterwa n'ibibazo by'umubiri, ibintu byo mu mutwe, cyangwa uruvange rwabyo byombi.

Abaganga bashobora gutanga umuti nk'uyu iyo imiti yo kunywa nk'iyo bita sildenafil itagize icyo ikora kuri wowe. Ni n'uburyo bwo gufata umuti iyo udashobora gufata imiti ivura uburemba bwo kunywa kubera indwara z'umutima cyangwa uko ifatanya n'indi miti urimo gufata. Abagabo bamwe bakunda ubu buryo kuko bukora vuba kurusha ibinini, akenshi mu minota 10 kugeza kuri 20.

Uyu muti ushobora gufasha abagabo bafite indwara zitandukanye zibatera uburemba. Muri zo harimo diyabete, umuvuduko ukabije w'amaraso, indwara z'umutima, cyangwa kwangirika kw'imitsi biturutse ku kubagwa cyangwa gukomereka. Ariko, ni ngombwa gusobanukirwa ko uyu muti uvura ibimenyetso by'uburemba aho kuvura icyateye iyo ndwara.

Alprostadil (Uburyo bwo kunyuzwa mu muyoboro w'inkari) ikora ite?

Alprostadil ikora yigana ikintu kamere umubiri wawe ukora cyitwa prostaglandin E1. Uyu muti ufatwa nk'ufite imbaraga ziringaniye kandi ukora ureka imitsi yoroshye yo mu gitsina cyawe ikaruhuka no kwagura imitsi y'amaraso. Iyo iyi mitsi y'amaraso yagutse, amaraso menshi ashobora kujya mu gitsina, bigatuma gihaguruka.

Uyu muti ushonga vuba iyo ushyizwemo, akenshi mu minota mike. Uyu muti ukoreshwa unyuze mu rukuta rw'umuyoboro w'inkari ugakwirakwira mu gice cy'igitsina gihaguruka. Ibi bikorwa akenshi bifata iminota 10 kugeza kuri 20 kugira ngo gitsina gihaguruke gishobora kumara iminota 30 kugeza kuri 60.

Bitandukanye n'indi miti ivura uburemba ikora mu mubiri wawe wose, alprostadil ikora ahantu honyine mu gitsina. Iki gikorwa cyihariye gisobanura ko gishobora gukora niba ufite ibibazo byo gutembera kw'amaraso ahandi mu mubiri wawe. Ariko, imikorere y'uyu muti iterwa no kugira imitsi y'amaraso ikora neza mu gice cy'igitsina.

Nkwiriye gufata nte Alprostadil (Uburyo bwo kunyuzwa mu muyoboro w'inkari)?

Ugomba gushyira alprostadil suppository uhagaze kandi umaze kunyara. Mbere na mbere, oza intoki zawe neza kandi urebe neza ko urutoki rwawe rwa penis rumeze neza. Kunyara mbere yo gushyiramo bifasha kuko umusemburo muto w'inkari usigara muri urethra yawe ufasha suppository gushonga neza.

Uku n'uburyo wakoresha suppository neza kandi neza:

• Kura suppository mu gipapuro cyayo mbere yo kuyikoresha
• Fata penis yawe uyihagazeho kandi uyirambure buhoro kugirango ufungure urwungano rwa urethra
• Shyira suppository hafi santimetero imwe muri urethra ukoresheje igikoresho cya plastike
• Kanda buto kuri icyo gikoresho kugirango ureke suppository
• Kura igikoresho hanyuma ukore massage penis yawe buhoro mu gihe cy'amasegonda 10 kugirango bifashe gukwirakwiza umuti
• Guma uhagaze cyangwa ugenda mu gihe cy'iminota 10 kugirango bifashe umuti gukora

Ntabwo ukeneye gufata uyu muti hamwe n'ibiryo cyangwa amazi kuko ushyirwa mu buryo butaziguye muri urethra. Ariko, umusemburo muto w'inkari muri urethra yawe nyuma yo kunyara mu by'ukuri ufasha suppository gushonga no gukora neza. Muganga wawe azagutangiza ku gipimo gito gikorera kandi ashobora kugihindura bitewe n'uko bikora neza kuri wewe.

Nzagenda Mfata Alprostadil (Urethral Route) Igihe Kingana Gite?

Ugomba gukoresha alprostadil suppositories gusa uko bibaye ngombwa kubikorwa by'imibonano mpuzabitsina, ntabwo ari nk'umuti wa buri munsi. Abagabo benshi bakoresha rimwe na rimwe iyo bateganya gukora imibonano mpuzabitsina. Nta gihe cyagenwe cyo kuvura kuko uyu muti wagenewe gukoreshwa rimwe na rimwe aho gukoreshwa buri munsi.

Muganga wawe azakurikiza uko witwara ku muti mu gihe cyo gusura. Abagabo bamwe basanga imikorere yabo yo guhagarara neza igenda irushaho uko igihe kigenda gihita hamwe no gukoresha rimwe na rimwe, mu gihe abandi bashobora gukenera gukomeza kuyikoresha igihe kirekire. Ikintu cyingenzi n'ukubona uburinganire bukwiye hagati y'imikorere neza no gucunga ingaruka zose ushobora guhura nazo.

Ni ngombwa kutagomba gukoresha imiti ya alprostadil inshuro zirenga ebyiri mu masaha 24 cyangwa inshuro zirenga zirindwi mu cyumweru. Kuyikoresha kenshi bishobora kongera ibyago byo kugira ingaruka ziterwa n'iyo miti kandi bishobora gutuma itagira akamaro uko igihe kigenda gihita. Buri gihe ukurikize amabwiriza yihariye ya muganga wawe yerekeye uburyo bwo gukoresha iyi miti.

Ni Iyihe Ngaruka Ziterwa na Alprostadil (Uburyo bwo kunyuzamo mu muyoboro w'inkari)?

Abagabo benshi bakoresha imiti ya alprostadil bagira ingaruka zimwe, ariko akenshi ziba nto kandi zikamaraho igihe gito. Ingaruka zisanzwe zibaho ahantu nyirizina ukoresha umuti. Kumva icyo witegura bishobora kugufasha kumva witeguye kandi ufite icyizere cyo gukoresha ubu buvuzi.

Ingaruka zisanzwe ushobora kugira zirimo:

• Gushya gake cyangwa kubabara mu muyoboro w'inkari nyuma yo kuyishyiramo
• Kuva amaraso make cyangwa amaraso make mu muyoboro w'inkari
• Kuribwa umutwe cyangwa kumva ureremba
• Ubukana cyangwa gutukura mu maguru
• Kubyimba gake ku gice cy'igitsina cy'umugabo
• Kubabara mu gice cy'ibitsina cy'umugabo

Izi ngaruka zisanzwe akenshi zishira mu minota mike kugeza ku isaha imwe nyuma yo gukoresha umuti. Kumva gushya akenshi ni ingaruka igaragara cyane, ariko akenshi biragabanuka uko umenyera umuti.

Ingaruka zikomeye ntizisanzwe ariko zisaba ubufasha bwihuse bwa muganga. Izi ngaruka zitabaho kenshi ariko z'ingenzi zirimo:

• Guhagarara kw'igitsina kurenza amasaha 4 (priapism)
• Kubabara cyane mu gitsina cy'umugabo cyangwa mu gice cy'igihimba
• Kuva amaraso menshi mu muyoboro w'inkari
• Kugorana kw'inkari cyangwa kutabasha gusohora inkari
• Ibimenyetso by'ubwandu nk'umuriro, guhinda umushyitsi, cyangwa ibintu bidasanzwe bisohoka
• Guta igihagararo cyangwa kuribwa umutwe cyane

Niba wumva igitsina cyawe gihagaze amasaha arenga 4, ibi ni ibibazo by'ubuzima bisaba kuvurwa ako kanya. Iyo igitsina kimaze igihe kirekire gihagaze, bishobora kwangiza imitsi y'igitsina igihe kitavuwe vuba. Kimwe n'ibyo, niba ufite ububabare bukomeye, kuva amaraso menshi, cyangwa ibimenyetso by'ubwandu, vugana na muganga wawe ako kanya.

Ninde utagomba gufata Alprostadil (Uburyo bwo mu muyoboro w'inkari)?

Imiti ya Alprostadil ntishobora gukoreshwa na buri wese, kandi hariho ibintu byinshi by'ingenzi utagomba gukoresha uyu muti. Muganga wawe azasuzuma neza amateka yawe y'ubuzima n'ubuzima bwawe ubu mbere yo kugusaba uyu muti.

Ntabwo ugomba gukoresha imiti ya alprostadil niba ufite indwara zimwe na zimwe zishobora gutuma uyu muti ugira akaga:

• Anemi ya selile ya sickle cyangwa izindi ndwara z'amaraso zigira ingaruka ku kuvura amaraso
• Leukemia cyangwa izindi kanseri z'amaraso
• Myeloma nyinshi (ubwoko bwa kanseri y'amagufa)
• Kugorama gukomeye kw'igitsina (indwara ya Peyronie)
• Urethral stricture cyangwa kugabanuka kw'umuyoboro w'inkari
• Balanitis cyangwa izindi ndwara z'igitsina

Izi ndwara zirashobora kongera ibyago byo guhura n'ibibazo bikomeye nk'igitsina gihagaze igihe kirekire, kuva amaraso, cyangwa koroshya ibibazo by'ubuzima bihari. Muganga wawe azatekereza kandi niba ufata imiti ishobora gukorana n'alprostadil mu buryo buteye akaga.

Byongeye kandi, hariho ibintu bimwe na bimwe bisaba kwitonda cyane. Abagabo bafite indwara z'umutima, umuvuduko w'amaraso muke, cyangwa abafata imiti igabanya amaraso bakeneye gukurikiranwa byihariye. Niba ufite diyabete, indwara y'impyiko, cyangwa ibibazo by'umwijima, muganga wawe ashobora gukenera guhindura urugero rwawe cyangwa kugukurikirana neza.

Birakwiye kandi kumenya ko uyu muti ukoreshwa gusa ku bagabo kandi ntugomba gukoreshwa n'abagore cyangwa abana. Niba ukorana imibonano mpuzabitsina n'umukunzi wawe ushobora gutwita, ganira na muganga wawe ku bijyanye no kuboneza urubyaro, kuko ingaruka za alprostadil ku gutwita ntizizwi neza.

Alprostadil (Uburyo bwo mu muyoboro w'inkari) Amazina y'ubwoko

Izina rikunda gukoreshwa cyane rya alprostadil yo mu muyoboro w'inkari ni MUSE, risobanura Medicated Urethral System for Erection (Uburyo bwo mu muyoboro w'inkari buvura guhagarara kw'igitsina). Iri ni ryo zina ry'ubwoko ushobora cyane kuzabona mugihe muganga wawe agutegeka uyu muti cyangwa mugihe uwufashe muri farumasi.

MUSE ikorwa na Vivus, Inc. kandi imaze kuboneka muri Leta Zunze Ubumwe z'Amerika kuva mu mpera za za 1990. Uyu muti uza mu buryo bwihariye burimo ibishishwa by'umuti n'ibikoresho byihariye byagenewe koroshya no gukora neza igihe ushyirwamo.

Mugihe MUSE ari ryo zina ry'ubwoko ry'ibanze, za farumasi zimwe na zimwe zishobora kugira ubwoko bwa generic bwa alprostadil suppositories. Ariko, ubwoko bwa generic ntibukunda kuboneka kuri ubu bwoko bw'uyu muti. Buri gihe menya neza ko urimo gufata umuti muganga wawe yagutegetse, kandi ntukavangavange ubwoko butandukanye cyangwa uburyo butandukanye butabanje kugisha inama umuganga wawe.

Alprostadil (Uburyo bwo mu muyoboro w'inkari) Izindi nzira

Niba alprostadil suppositories zitagukundiye cyangwa zikagutera ingaruka zitari nziza, hariho izindi nzira zivura neza uburwayi bwo kutagira ubushobozi bwo gutera akabariro. Muganga wawe ashobora kugufasha gushakisha izi nzira kugirango abone uburyo bukora neza kubera uko ubuzima bwawe bumeze.

Imiti yo kunywa akenshi ni yo ikoreshwa mbere na mbere mu kuvura uburwayi bwo kutagira ubushobozi bwo gutera akabariro kandi birashobora kuba byiza kubigerageza niba utaragerageje:

• Sildenafil (Viagra) - ikora amasaha 4-6
• Tadalafil (Cialis) - ishobora gukora amasaha agera kuri 36
• Vardenafil (Levitra) - isa na sildenafil ariko ishobora gukora neza kuri bamwe mu bagabo
• Avanafil (Stendra) - ikora vuba, akenshi mumiminota 15

Niba imiti yo kunywa itabereye, hariho izindi miti ikoreshwa mu buryo butaziguye isa n'iyo bakoresha mu gutera imiti ya alprostadil. Inshinge za Alprostadil (Caverject, Edex) zikubiyemo guterwa umuti mu ruhande rw'igitsina. Nubwo bishobora gutera ubwoba, abagabo benshi basanga inshinge zikora neza kurusha imiti iterwa, kandi urushinge ruto cyane.

Ku bagabo bakunda uburyo butakoresha imiti, ibikoresho bikoreshwa mu gufasha igitsina guhagarara birashobora gukora neza. Ibi bikoresho bikoresha umwuka wo gukurura amaraso mu gitsina, bigatuma gihagarara, kikagumana n'uruziga rwo kugifunga. Nubwo bitajya bikora ako kanya nk'imiti, ibi bikoresho bikora neza ku bashakanye benshi.

Mu gihe izindi miti zitagize icyo zikora, ibikoresho bishyirwa mu gitsina bitanga igisubizo kirambye. Ibi bikoresho bishyirwa mu buryo bw'ubuvuzi, bituma ugira igitsina gihagaze igihe cyose ubishakiye. Nubwo bisaba kubagwa, ibikoresho bya none birizewe cyane kandi bifite urwego rwo hejuru rwo gushimisha hagati y'abagabo n'abo bashakanye.

Ese Alprostadil (Uburyo bwo mu nzira y'inkari) iruta Sildenafil (Viagra)?

Niba imiti ya alprostadil iterwa iruta sildenafil biterwa n'ubuzima bwawe bwite n'ibyo ukunda. Imiti yombi ikora neza ku bibazo byo kutagira igitsina gihagaze, ariko zikora mu buryo butandukanye kandi zifite inyungu zitandukanye. Abaganga benshi batangirana n'imiti yo kunywa nka sildenafil kuko byoroshye gukoresha kandi bifite ingaruka nke zigaragara aho ikoreshwa.

Sildenafil ifite inyungu zigaragara ku bagabo benshi. Ifatwa nk'ikibazo cyoroshye, ikora ku bagabo benshi bafite ibibazo byo kutagira igitsina gihagaze, kandi ingaruka zayo zikunda kuba nto kandi zihita zishira. Urashobora kuyifata urya cyangwa utarya, kandi akenshi ikora mu minota 30 kugeza kuri 60. Abagabo benshi basanga imiti yo kunywa yoroshye kandi itavuna kurusha imiti iterwa.

Ariko, imiti ya alprostadil ifite akamaro kayo mu bihe bimwe na bimwe. Ikora vuba kurusha sildenafil, akenshi mu minota 10 kugeza kuri 20, kandi ishobora gufasha ku bagabo batabasha gufata imiti yo kunywa kubera indwara z'umutima cyangwa imiti ihura. Uyu muti kandi ukora ahantu honyine, bityo ushobora gufasha niba ufite ibibazo by'imitsi ahandi mu mubiri wawe.

Gu hitamo hagati y'iyi miti akenshi biterwa n'ubuzima bwawe bwihariye n'ibyo ukunda. Niba ufite indwara y'umutima kandi ufata imiti ya nitrate, ntushobora gukoresha sildenafil mu buryo bwizewe, ariko alprostadil ishobora kuba igisubizo. Ku rundi ruhande, niba utishimiye igitekerezo cyo gushyira umuti mu mubiri, sildenafil ishobora kuba igisubizo cyiza kuri wewe.

Ibikunze Kubazwa Kuri Alprostadil (Uburyo bwo mu muyoboro w'inkari)

Ese Alprostadil (Uburyo bwo mu muyoboro w'inkari) irakwiriye ku bagabo bafite indwara z'umutima?

Imiti ya alprostadil irashobora kuba myiza ku bagabo bafite indwara zimwe na zimwe z'umutima ugereranije n'imiti yo kunywa ivura kutagira ubushake bwo gutera imbere. Bitandukanye na sildenafil n'indi miti isa nayo, alprostadil ntigira ingaruka zikomeye ku miti y'umutima nka nitrate. Ariko, ugomba kubanza kuganira ku ndwara yawe y'umutima neza na muganga wawe mbere yo gutangira gufata uyu muti.

Uyu muti ushobora gutera impinduka z'agateganyo ku gipimo cy'amaraso n'umuvuduko w'umutima, bityo muganga wawe azashaka kukugenzura neza niba ufite indwara y'umutima. Abagabo bafite indwara z'umutima zitajegajega, abafite ibitero by'umutima bya vuba, cyangwa guhagarara k'umutima bikomeye bashobora gukenera kwirinda imiti yose ivura kutagira ubushake bwo gutera imbere kugeza igihe indwara yabo y'umutima izaba imeze neza.

Nkwiriye gukora iki niba nshyizeho alprostadil nyinshi mu buryo butunganye?

Niba ushyizeho umuti mwinshi mu buryo butunganye cyangwa ukoresheje urugero rurenze urwanditse, vugana na muganga wawe cyangwa usabe ubufasha bw'ubuvuzi ako kanya. Gukoresha alprostadil nyinshi bishobora gutera ubushake bwo gutera imbere burambye (priapism), igabanuka rikomeye ry'igipimo cy'amaraso, cyangwa izindi ngorane zikomeye.

Ntugategereze kureba niba ibimenyetso bigaragara - biruta kwitonda no gushaka inama z'abaganga ako kanya. Niba wumva igitsina cyawe gihagaze amasaha arenga 4, kuribwa cyane, guhinda umushyitsi, cyangwa guhumeka nabi, jya mu cyumba cy'abarwayi b'igitaraganya ako kanya. Ibi bimenyetso bisaba ubuvuzi bwihutirwa.

Nkwiriye gukora iki niba nciwe urugero rwa Alprostadil?

Kubera ko imiti ya alprostadil ikoreshwa gusa iyo bikenewe mu bikorwa by'imibonano mpuzabitsina, nta kintu nk'icyo cyo "gucikwa urugero" mu buryo busanzwe. Uyu muti ntufatwa ku gihe giteganijwe nk'imiti ya buri munsi. Urayikoresha gusa iyo uteganya gukora imibonano mpuzabitsina.

Niba wari ugamije gukoresha umuti ariko ukibagirwa, uracyashobora kuwukoresha igihe utarenze umubare ntarengwa wateganijwe. Wibuke kutagira imiti irenze ibiri mu gihe cy'amasaha 24 cyangwa inshuro zirenga zirindwi mu cyumweru.

Nshobora kureka gufata Alprostadil ryari?

Ushobora kureka gukoresha imiti ya alprostadil igihe icyo aricyo cyose utagomba kugabanya urugero buhoro buhoro. Kubera ko uyu muti ukoreshwa gusa uko bikenewe, nta kaga ko gukurwaho ibimenyetso cyangwa ingaruka zigaruka iyo urekeye kuwukoresha.

Ariko, ni byiza kuganira na muganga wawe niba uteganya kureka gukoresha umuti burundu. Bashobora gushaka gushakisha ubundi buryo bwo kuvura cyangwa gukora iperereza niba hari uburwayi bwihishe bwagize impinduka. Abagabo bamwe basanga kuvura indwara nka diyabete cyangwa umuvuduko ukabije w'amaraso bituma imikorere yabo y'igitsina igenda neza.

Nshobora gukoresha imiti ya Alprostadil hamwe na kondomu?

Yego, urashobora gukoresha kondomu hamwe na imiti ya alprostadil, kandi akenshi birasabwa. Gukoresha kondomu birashobora gufasha kurinda uwo mwashakanye imiti isigaye no kugabanya ibyago byo kwandura indwara zandurira mu mibonano mpuzabitsina. Umuti ntuzagira ingaruka ku mikorere ya kondomu.

Ariko, abagabo bamwe basanga imiti ishobora gutera ububabare buke cyangwa kugabanya kumva, bishobora kugira ingaruka ku byishimo by'abafatanyabikorwa bombi. Niba ubonye ibimenyetso bidasanzwe cyangwa niba uwo mwashakanye agize umujinya, ganira na muganga wawe ku buryo bwiza bwo guhangana n'ikibazo cyawe.