Sildenafil ni iki: Ibikoreshwa, Uburyo bwo gukoresha, Ingaruka ziterwa nacyo n'ibindi

Sildenafil ni umuti wandikirwa na muganga ufasha kuvura uburwayi bwo kutabasha gushyira igitsina mu buryo (ED) na pulmonari arteriya hypertension (PAH). Ushobora kuwuzi neza ku izina ry'ubucuruzi rya Viagra kuri ED cyangwa Revatio kuri PAH. Uyu muti ukora urekura imitsi y'amaraso kandi ugakosora imikorere y'amaraso mu bice by'umubiri wawe, ugufasha kugera ku ngaruka muganga wawe yakwandikiye.

Sildenafil ni iki?

Sildenafil ni umwe mu miti yitwa phosphodiesterase type 5 (PDE5) inhibitors. Tekereza nk'urufunguzo rufungura imikorere myiza y'amaraso mu mubiri wawe. Uyu muti wabanje gukorwa kugira ngo uvure indwara z'umutima, ariko abashakashatsi bavumbuye ko ufite ingaruka zidasanzwe ku mikorere y'igitsina mu gihe cy'igerageza ryo kwa muganga.

Uku kuvumbura kwatumye haboneka umwe mu miti izwi cyane ku buzima bw'imibonano mpuzabitsina bw'abagabo. Ibikoresho bikora kimwe bifasha mu kutabasha gushyira igitsina mu buryo bifasha kandi mu ndwara zimwe na zimwe z'umutima n'ibihaha. Muganga wawe yandika sildenafil bitewe n'ubuzima bwawe bwihariye n'amateka yawe y'ubuvuzi.

Sildenafil ikoreshwa mu kuvura iki?

Sildenafil ivura indwara ebyiri zikomeye, kandi muganga wawe azagena iyo ikwiriye kubera uko ubuzima bwawe bumeze. Ku kutabasha gushyira igitsina mu buryo, bifasha abagabo kugera no gukomeza imiterere y'igitsina ikwiriye imibonano mpuzabitsina. Ku bijyanye na pulmonari arteriya hypertension, igabanya umuvuduko mwinshi w'amaraso mu miyoboro y'amaraso itwara amaraso ava ku mutima wawe ajya mu bihaha byawe.

Uyu muti uvura izi ndwara ukoresha inzira imwe ya biyologiya ariko mu bice bitandukanye by'umubiri wawe. Iyo ufite ED, sildenafil yongera imikorere y'amaraso mu gitsina mu gihe cyo gushyukwa. Kuri PAH, irekura imitsi y'amaraso mu bihaha byawe, bigatuma umutima wawe woroherwa no gutera amaraso muri byo.

Rimwe na rimwe, abaganga bandika sildenafil ku zindi ndwara aho imikorere y'amaraso yongerewe yafasha. Ariko, ugomba gukoresha uyu muti gusa ku ndwara umuganga wawe yagaragaje neza kandi agasaba ko uvurwa.

Sildenafil ikora ite?

Sildenafil ikora ibyara inzitizi ku kintu cyitwa phosphodiesterase type 5 (PDE5). Iki kintu gisanzwe gisenya ikintu gifasha imitsi y'amaraso kuruhuka no kwaguka. Mu kubuza PDE5, sildenafil ituma imitsi y'amaraso iguma iruhutse igihe kirekire, bigatuma imikorere y'amaraso mu duce twagenewe yongerwa.

Uyu muti ufatwa nk'ufite imbaraga ziringaniye kandi akenshi utangira gukora mu minota 30 kugeza kuri 60 umaze kuwufata. Ibyo ukora bishobora kumara amasaha agera kuri ane kugeza kuri atandatu, nubwo ibi bitandukana ku muntu ku giti cye. Uburyo umubiri wawe witwara biterwa n'ibintu nk'ubuzima bwawe muri rusange, imiti yindi urimo gufata, niba warariye vuba.

Ni ngombwa gusobanukirwa ko sildenafil iteza imibonano mpuzabitsina ku buryo bwikora mu kuvura ED. Ugomba gukomeza gushishikarizwa imibonano mpuzabitsina kugira ngo uyu muti ukore neza. Mu kuvura PAH, uyu muti ukora buri gihe kugira ngo ugumane imitsi y'amaraso yo mu muhaha iruhutse.

Nkwiriye gufata sildenafil nte?

Fata sildenafil nk'uko umuganga wawe abyandika, akenshi mu minota 30 kugeza kuri 60 mbere y'imibonano mpuzabitsina kuri ED cyangwa nk'uko byategetswe kuri PAH. Urashobora kuyifata urya cyangwa utarya, ariko kurya ifunguro riremereye cyangwa rifite amavuta menshi mbere bishobora gutinda uburyo ikora vuba. Agasupu gato akenshi ni byiza kandi ntizabangamira imikorere y'uyu muti.

Mimina urupapuro rwose hamwe n'ikirahure cy'amazi. Ntugasenya, ntugahahane, cyangwa ngo umene urupapuro keretse umuganga wawe akubwiye byumwihariko. Niba uyifata kuri ED, ntufate doze irenze imwe mu masaha 24. Kuri PAH, akenshi uzayifata kabiri cyangwa gatatu ku munsi nk'uko byategetswe.

Irinde kunywa inzoga nyinshi igihe urimo gufata sildenafil, kuko ibyo bishobora kongera ibyago byo kugira ingaruka zirimo isereri cyangwa umuvuduko w'amaraso uri hasi. Imbuto za pome na umutobe wazo na byo bishobora kugirana imikoranire n'uyu muti, bityo ni byiza kubyirinda igihe urimo gufata sildenafil.

Nzamara Igihe Kingana Gite Ndafata Sildenafil?

Igihe uzamara ufata sildenafil biterwa rwose n'uburwayi bwawe n'uburyo urimo kwitwara neza ku miti. Ku birebana no kutagira ubushake bwo gutera akabariro, abagabo benshi babifata uko babyifuje mbere yo gukora imibonano mpuzabitsina mu gihe cy'amezi cyangwa imyaka. Ku birebana n'umuvuduko w'amaraso mwinshi mu muhogo, birashoboka ko uzagomba kuyifata buri gihe nk'umuti w'igihe kirekire.

Muganga wawe azakurikiza uko urimo witwara kandi ashobora guhindura urugero rwawe cyangwa gahunda yo kuvura uko igihe kigenda gihita. Abagabo bamwe bafite ikibazo cyo kutagira ubushake bwo gutera akabariro basanga bakeneye uyu muti kenshi uko ubuzima bwabo bwiyongera. Abandi bashobora gukenera gukomeza kuyifata buri gihe kugira ngo bagumane imikorere yabo mu bijyanye n'imibonano mpuzabitsina.

Ntuzigere uhagarika gufata sildenafil ako kanya utabanje kuvugana na muganga wawe, cyane cyane niba uyifata kubera PAH. Guhagarika ako kanya bishobora gutuma uburwayi bwawe burushaho kuba bubi. Umuganga wawe azagufasha kumenya igihe cyiza cyo kuvurwa hashingiwe ku byo ukeneye n'ubuzima bwawe.

Ni Iyihe Ngaruka Ziterwa na Sildenafil?

Abantu benshi bafata sildenafil neza, ariko nk'indi miti yose, ishobora gutera ingaruka. Inkuru nziza ni uko ingaruka nyinshi ziba zoroheje kandi z'igihe gito, akenshi zikagenda zikorohera uko umubiri wawe wimenyereza uyu muti.

Dore ingaruka zisanzwe ushobora guhura nazo:

• Umutwe
• Gushyuha (ubushyuhe cyangwa umutuku mu maso, mu ijosi, cyangwa mu gituza)
• Urubu rw'inda cyangwa kutagira igogora
• Izuru ryuzuye cyangwa rivamo amazi
• Isereri cyangwa kumva ureremba
• Urubavu cyangwa kubabara imitsi

Izi ngaruka akenshi zigenda nyuma y'amasaha make uko umuti uva mu mubiri wawe. Kunywa amazi menshi no kuruhuka bishobora gufasha gukemura ibi bimenyetso.

Ingaruka zimwe zitajyenda zibaho ariko zikomeye zisaba ubufasha bwihutirwa bw'abaganga. Nubwo bidasanzwe, ibi bishobora kwerekanwa no guhumuka cyangwa gutakaza kumva, kubabara mu gituza, umutima utera nabi, cyangwa guhagarara kw'igitsina kurenza amasaha ane. Niba ubonye kimwe muri ibi bimenyetso, vugana n'umuganga wawe cyangwa ushake ubufasha bwihutirwa ako kanya.

Gahoro cyane, abantu bamwe bashobora kugira ibimenyetso bikomeye byo kwibasirwa n'umubiri bifite ibimenyetso nk'ingorane zo guhumeka, kubyimba mu maso cyangwa mu muhogo, cyangwa uruhu rurwaye cyane. Ibi bihe bisaba ubuvuzi bwihutirwa bw'ubuvuzi.

Ninde utagomba gufata Sildenafil?

Sildenafil ntabwo ari nziza kuri buri wese, kandi indwara zimwe na zimwe cyangwa imiti irashobora gutuma bigutera akaga kuyifata. Umuganga wawe azasuzuma neza amateka yawe mbere yo kugusaba uyu muti.

Ntabwo ugomba gufata sildenafil niba ukoresha imiti ya nitrate ubu kubera kubabara mu gituza cyangwa ibibazo by'umutima. Ubu buryo bushobora gutera igabanuka ry'amaraso rishobora gutera akaga mu buzima. Imiti isanzwe ya nitrate irimo nitroglycerin, isosorbide dinitrate, na isosorbide mononitrate.

Abantu bafite indwara zimwe na zimwe z'umutima bagomba kwirinda sildenafil cyangwa bakayikoresha bitonze cyane. Ibi birimo guhagarara k'umutima cyane, gutera umutima cyangwa guturika vuba, umuvuduko w'amaraso mwinshi cyangwa muke utagenzurwa, n'indwara zimwe na zimwe z'umutima. Umuganga w'umutima wawe azagomba gusuzuma niba sildenafil ari nziza kuri indwara yawe y'umutima.

Izindi ndwara zishobora kukubuza gufata sildenafil neza zirimo indwara ikomeye y'umwijima cyangwa impyiko, indwara zimwe na zimwe z'amaso nka retinitis pigmentosa, n'amateka ya priapism (guhagarara kw'igitsina kubabaza, byamara igihe kirekire). Byongeye kandi, niba ufite allergie kuri sildenafil cyangwa ibintu byayo byose, ntugomba gufata uyu muti.

Amazina ya Sildenafil

Sildenafil iboneka mu mazina menshi y'ubucuruzi, Viagra ikaba izwi cyane mu kuvura uburwayi bwo kutagira ubushobozi bwo gutera imbere. Revatio ni irindi zina ry'ubucuruzi ryemerejwe by'umwihariko kuvura umuvuduko ukabije w'amaraso mu muhogo. Byombi bikubiyemo umuti umwe ukora ariko bikaba byarateguwe mu buryo butandukanye kandi byemerejwe kuvura indwara zitandukanye.

Imiti ya sildenafil isanzwe nayo iraboneka cyane kandi ikubiyemo umuti umwe ukora nk'iyo mu mazina y'ubucuruzi. Izi nzira zisanzwe zikunze kuba zihendutse mugihe zitanga ingaruka zimwe zo kuvura. Farumasi yawe ishobora guhita ishyiraho sildenafil isanzwe keretse muganga wawe yanditseho umuti w'izina ry'ubucuruzi.

Buri gihe jya ureba umufarumasiti wawe niba ubonye umuti wawe usa n'utandukanye n'iyo wahawe mbere. Nubwo imiti isanzwe ingana n'amazina y'ubucuruzi, ishobora kugira imiterere itandukanye, amabara, cyangwa ibimenyetso bitewe n'uwabikoze.

Izindi nzira zishobora gusimbura Sildenafil

Imiti myinshi ishobora kuvura uburwayi bwo kutagira ubushobozi bwo gutera imbere niba sildenafil itagukundiye cyangwa ikagutera ingaruka zikomeye. Izindi zikubiyemo PDE5 inhibitors harimo tadalafil (Cialis), vardenafil (Levitra), na avanafil (Stendra). Buri imwe ifite ibiranga bitandukanye gato mu bijyanye n'igihe bimara n'uko bikora vuba.

Ku bagabo badashobora gufata imiti yo kunywa, izindi nzira zo kuvura zirimo imiti y'urushinge, ibikoresho byo gufasha gutera imbere, cyangwa ibikoresho byo mu gitsina. Muganga wawe ashobora kuganira kuri izi nzira niba imiti yo kunywa itakwemerera.

Kubera umuvuduko ukabije w'amaraso mu muhogo, imiti isimbura irimo ubundi bwoko bwa vasodilators, endothelin receptor antagonists, na prostacyclin analogs. Umuganga w'impyiko zawe azagena uburyo bwiza bwo kuvura bushingiye ku bwoko bwawe bwihariye n'uburemere bwa PAH.

Ese Sildenafil iruta Tadalafil?

Zose sildenafil na tadalafil ni imiti ikora neza mu kuvura uburwayi bwo kutagira ubushake bwo gutera akabariro, ariko zifite imiterere itandukanye ishobora gutuma imwe ikwira kurusha iyindi. Itandukaniro rikuru ni igihe zimara mu mubiri wawe. Sildenafil isanzwe ikora mu isaha nka enye kugeza kuri esheshatu, naho tadalafil ishobora kumara amasaha 36.

Abagabo bamwe bakunda sildenafil kuko imaze igihe kinini iboneka kandi ifite umutekano wemewe. Abandi bakunda tadalafil kuko igihe kirekire imara gituma habaho imibonano mpuzabitsina yoroshye. Guhitamo akenshi biterwa n'imibereho yawe, ibyo ukunda, n'uko umubiri wawe witwara kuri buri muti.

Muganga wawe ashobora kugufasha gupima ibyiza n'ibibi bya buri kimwe hashingiwe ku buzima bwawe, imiti yindi ufata, n'intego zawe z'ubuvuzi. Abagabo bamwe bagerageza imiti yombi kugirango barebe niba hari ikora neza kuribo mbere yo gufata gahunda y'ubuvuzi burambye.

Ibibazo Bikunze Kubazwa Kuri Sildenafil

Ese Sildenafil ifite umutekano ku ndwara z'umutima?

Sildenafil ishobora kugira umutekano ku bagabo bafite indwara z'umutima, ariko bisaba isuzuma ryitondewe na muganga wawe. Abagabo benshi bafite indwara z'umutima zidakomeye barashobora gukoresha sildenafil mu buryo bwizewe mu kuvura uburwayi bwo kutagira ubushake bwo gutera akabariro. Ariko, niba ufite ibibazo bikomeye by'umutima, umuvuduko w'amaraso udagenzurwa, cyangwa ufata imiti ya nitrate, sildenafil ntishobora kugira umutekano kuri wowe.

Umuvuzi w'indwara z'umutima azasuzuma ubuzima bwawe bw'imitsi y'amaraso mbere yo kwemeza gukoresha sildenafil. Bashobora kugusaba ikizamini cyo gukora imyitozo ngororamubiri kugirango barebe niba umutima wawe ushobora kwihanganira ibikorwa by'imibonano mpuzabitsina. Niba wumva ububabare mu gituza, guhumeka bigoranye, cyangwa ibindi bimenyetso by'umutima mugihe ufata sildenafil, gisha ubufasha bw'ubuvuzi ako kanya.

Nigute nakora niba nanyweye sildenafil nyinshi bitunguranye?

Niba wanyoye sildenafil nyinshi kurusha uko wagombaga, vugana n'umuganga wawe cyangwa ikigo gishinzwe ubumara ako kanya. Kunywa nyinshi bishobora gutera igabanuka ry'amaraso rishobora guteza akaga, kuribwa cyane, gufatwa n'igicuri, cyangwa guhagarara kw'imyanya myibarukiro igihe kirekire. Ntukegere ngo urebe niba ibimenyetso bigaragara, kuko ingaruka zo kunywa nyinshi zishobora kuba zikomeye.

Mu gihe utegereje ubufasha bw'abaganga, uryame kandi wirinde guhaguruka vuba. Ntukagende imodoka cyangwa ukoreshe imashini. Niba ubonye ibimenyetso bikomeye nk'ububabare mu gituza, guhumeka bigoye, cyangwa kutagira ubwenge, hamagara serivisi z'ubutabazi ako kanya.

Nkwiriye gukora iki niba nciwe doze ya sildenafil?

Niba ufata sildenafil uko bikenerwa kubera kutagira ubushobozi bwo gutera akabariro, nta mpungenge zo gucikanwa na doze kuko uyifata mbere y'imibonano mpuzabitsina. Fata doze yawe ikurikira igihe ukeneye, ukurikiza igihe cy'amasaha 24 hagati ya doze.

Kubera umuvuduko mwinshi w'amaraso mu muhogo, fata doze yacitse ako kanya wibuka, keretse igihe cyo gufata doze yawe iteganyijwe kigeze. Ntukafate doze ebyiri icyarimwe kugira ngo usimbure doze yacitse. Shyiraho ibyibutsa kuri terefone yawe cyangwa ukoreshe umuteguro w'imiti kugira ngo ugufashe kwibuka gahunda yawe yo gufata imiti.

Nshobora kureka gufata sildenafil ryari?

Ushobora kureka gufata sildenafil kubera kutagira ubushobozi bwo gutera akabariro igihe icyo aricyo cyose, kuko akenshi ikoreshwa uko bikenerwa aho gukoreshwa nk'ubuvuzi buhoraho. Ariko, niba uyifata kubera umuvuduko mwinshi w'amaraso mu muhogo, ntuzigere uyireka ako kanya utabanje kubiganiraho n'umuganga wawe, kuko ibi bishobora gutuma urwara cyane.

Ganira n'umuganga wawe niba ushaka kureka gufata sildenafil ku mpamvu iyo ari yo yose. Bashobora kugufasha gusobanukirwa niba byemewe guhagarika kandi niba ushobora gukenera ubuvuzi bundi. Abagabo bamwe basanga bakeneye sildenafil kenshi uko ubuzima bwabo muri rusange buzamuka binyuze mu guhindura imibereho cyangwa kuvura indwara zibitera.

Nshobora gufata sildenafil hamwe n'indi miti?

Sildenafil ishobora gukurikiranwa n'imiti myinshi, bityo ni ngombwa kubwira muganga wawe ibyo urimo gufata byose, harimo imiti yandikwa na muganga, imiti igurishwa idakeneye uruhushya rwa muganga, n'ibyongerera imbaraga umubiri. Ikintu giteje akaga cyane ni ukurikiranwa n'imiti ya nitrate, ishobora gutera igabanuka ry'umuvuduko w'amaraso rishobora gutera urupfu.

Ibindi byo kurikiranwa na sildenafil harimo imiti imwe na rimwe igabanya umuvuduko w'amaraso, imiti imwe ya antibiyotike na antifungal, imiti ya virusi itera SIDA, n'imiti imwe na rimwe igena umuvuduko w'umutima. Muganga wawe azasuzuma imiti yose ufata kugira ngo arebe niba sildenafil ari nziza kuri wowe kuyifata hamwe n'izindi nshuti zawe.