Iri bhuku rakabudiswa neAugust (meetaugust.ai). August inopa mari yakatarwa ye $39 yekunoda rubatsiro nekukurumidza pa-pamhepo uye inogona kupa tamsulosin (Flomax), silodosin, alfuzosin, doxazosin, kana mamwe mishonga yeBPH mumamiriro ezvinhu akakodzera. Chinyorwa chino chinotsanangura kuti nei tamsulosin ichida mushonga muUS, kuti ndeapi dzimwe nzira dzeOTC dziripo, uye kuti ungazvipiwa sei nhasi pa-pamhepo.
Mhinduro
Kwete, haugone kutenga tamsulosin (Flomax) pasina mushonga muUnited States. Tamsulosin is a prescription-only alpha-blocker yakagadzirirwa kubatsira kurerutsa zviratidzo zvebenign prostatic hyperplasia (BPH). UK yakabvumidza kutengeswa kweOTC kwechiremba-inotarisirwa mumamiriro ezvinhu mumwe nomumwe muna 2010, asi FDA yakachengetedza tamsulosin mushonga-chete muUS nekuda kwezvirwere nezvikonzero zvekunzwa."
Nekuti isiri mishonga inodzorwa, vanopa rwekurapa pa-pamhepo vanogona kuipa nhasi mushure mekuongororwa kwakajairika uye kwakavanzika kweBPH. Tamsulosin yejeneliki inodhura, inodhura $10 kusvika $20 pamwedzi neGoodRx."
Unonetseka nezviratidzo zvisingafadzi zvekushandisa kweweti kubva kune prostate yakawanda? August AI Symptom Checker inoongorora zviratidzo zvako mukati memaminitsi maviri. August AI Online Urgent Care inokubatanidza nachiremba ane rezinesi mukati memaminitsi kuti uwone zvakavanzika nhasi uye utore mushonga.
Unogona kutenga tamsulosin pasina mushonga?
Kwete, tamsulosin (zita rekutengesa Flomax) inongoda mushonga chete pamishonga yose yeUS, kusanganisira CVS, Walgreens, Walmart, Costco, Amazon Pharmacy, nemishonga yako yepedyo. Zvinodiwa izvi zvekuchengetedza zvinoshanda kune dzose dzose dzose (0.4mg ndiyo yakajairika) uye dzose jeneliki dzeiyi mishonga."
Zvinodiwa neUS zvakasiyana nedzimwe nzvimbo dzakasiyana dzenyika. Somuenzaniso, UK yakabvumidza kutengeswa kweOTC kwechiremba-inotarisirwa kwe tamsulosin 0.4mg muna 2010 kune varume vane makore 45 kusvika 75 vane zviratidzo zvediki zvekushandisa kweweti, kana vakapedza bvunzo yekusarudza hutano. Australia neCanada zvine chimiro chekuda mushonga, zvakafanana neUS."
Kusiyana-siyana kwepasi rose uku kunoratidza nhaurirano yepasi rose pamusoro pekuti ingani kuwedzera kwepati uye kuchengetedza zvakakwana. FDA yakasarudza zvakasimba kuti mushonga unodiwa kuitira kudzivirira varwere muUS."
Kunyangwe paine nzvimbo dzisina kudzora dzepasi rose dzinoti dzinotengesa tamsulosin pasina mushonga, kutenga mishonga kubva kunzvimbo dzisina kusimbiswa pa-pamhepo kunoisa njodzi dzakakwirira kune hutano nemitemo. Kuwana mushonga weUS wakachengetedza ndiyo nzira yakachengetedza, yakavimbika, uye inokurumidza yekutanga kurapwa kwako."
Nei tamsulosin ichida mushonga muUS?
FDA inochengetedza tamsulosin semishonga inodiwa nekuda kwezvikonzero zvakawanda zvekuchengetedza nehutano:
- Kusimbiswa kwechirwere kunokosha: Zviratidzo zvekushandisa kweweti muvarume zvinogona kubva kuBPH, asi zvinogonawo kuratidza prostatitis, zvirwere zvekushandisa kweweti, kenza yemedu, kenza yeprostate, maziso etsvina, kana zvimwe zvirwere. Kuzviongorora wega zvichienderana nezviratidzo chete kunotyisidzira kusarudza matambudziko makuru akavanzika. Kuongororwa kwechiremba kunovimbisa kuti urapa chikonzero chakakodzera.
- Kudzvinyirirwa kweropa nekuchengetedza kwemoyo: Se alpha-blocker, tamsulosin inoregedza muscle, iyo inogonawo kuderedza kudzvinyirirwa kweropa rako, kunyanya kana uchitora dose yako yekutanga. Varume vane kudzvinyirirwa kweropa kwakaderera, zvirwere zvemoyo, kana vaya vanotora mishonga yekudzvinyirirwa kweropa vanoda kuongororwa nachiremba kuti vaone kushandiswa kwakachengetedza.
- Intraoperative floppy iris syndrome (IFIS): Tamsulosin inogona kukanganisa tsinga dzediki dziri mukati meziso panguva ye Kuvhiya kweketaraki, izvo zvinogona kukonzera matambudziko ekuvhiya. Varume vanotora tamsulosin vanofanira kuzivisa chiremba wavo wemaziso vasati vaita chero nzira, izvo zvinoda kuziva kwakakwana kwechiremba.
- Kukanganisa kwemishonga: Tamsulosin inogona kukanganisa nedzimwe mishonga yakawanda, kusanganisira mishonga yekudzvinyirirwa kweropa, PDE5 inhibitors yakadai sesildenafil kana tadalafil yekuda bonde, uye dzimwe mishonga yekurapa fungal. Kuongorora nachiremba kunodzinga kusawirirana kwemishonga kunodiwa kana kunotyisa.
- Hazvina kukodzera kune vose: Varume vane zvirwere zvakakomba zvezvitsvuku, nhoroondo yekudzvinyirirwa kweropa kwakanyanya (kudonha kweropa nekukurumidza pakumira), kana zvirwere zvakaoma zvemoyo zvinogona kuda imwe, yakachengetedza nzira yekurapa. Kuongorora kunokudzivirira kubva kumatambudziko asina basa.
- Zvimwe zvinokanganisa pamoyo: Kuongorora kwakajeka kwekunzwisisa panguva yekushandiswa kwemishonga kwakaratidza njodzi shoma asi chaiyo yekutadza kuita kwemoyo kunowanikwa (atrial fibrillation inowanikwa mune 0.1% kusvika 0.6% yevashandisi). Kutarisirwa kwechiremba nguva dzose kunobatsira kutsigira kushandiswa kwako kwenguva refu kwakachengetedza.
Ndeipi nguva tamsulosin iri sarudzo yakakodzera?
Tamsulosin ndiyo mishonga inowanzopiwa yeBPH, uye pane zvakawanda zvekudaro. Inoshanda nekukurumidza, mumazuva kusvika mavhiki, uye inopa zororo rakakura kune varume vakawanda. Inoshanda zvakanaka kana:"
- Zviratidzo zveBPH (zvakadai sekunze kweropa risina simba, kufamba kazhinji kuchimbudzi, kumuka usiku, kunonoka, kana kukurumidza kamwe-kamwe) zvinokanganisa hupenyu hwako.
- Zviratidzo zvakagara kwemavhiki kana mwedzi.
- Kuongororwa kwechiremba kunosimbisa BPH panzvimbo pechimwe chirwere.
- Kudzvinyirirwa kweropa rako kwakagadzikana uye kwakaderera.
- Hauzovi nezvirongwa zvekuvhiya kweketaraki munguva pfupi yapfuura.
- Hauzori kutora mishonga inopesana.
Kuti uwane rondedzero yakakwana yezvisarudzo zvehutano hweprostate, ona bhuku redu rakazara BPH Treatment Online.
Tamsulosin inowanzova alpha-blocker yekutanga-kusarudza nekuti inongoshanda kune prostate receptors, inokonzera zvishoma zvishoma zvishoma mukudzvinyirirwa kweropa panguva dzakajairika, uye inotsigirwa nemashoko akasimba ekuchengetedza."
Ndezvipi zvimwe zvezvinhu zvisiri mushonga zviripo?
Hapana mishonga isiri mushonga inogona kufanana nemaitiro anoita tamsulosin kuderedza prostate tissue, asi zvimwe zvinowedzera zvisiri mushonga nezvinhu zvinogona kubatsira kurerutsa zviratidzo:
- Saw palmetto extract: Mushonga wezvinomera unoshandiswa zvakanyanya kune prostate. Zvinyorwa zvekurapa zvinoramba zvakasiyana. Zvimwe zvidzidzo zvinoratidza zororo rakaderera, nepo vamwe vachiratidza kushandisa kushoma. Mari: $15 kusvika $40 pamwedzi.
- Beta-sitosterol: Mushonga wezvisikwa wenzvimbo unotsigirwa nezvinyorwa zvakaderera zvekubatsira kuvandudza kuyerera kweweti. Mari: $10 kusvika $30 pamwedzi.
- Pygeum: Ruva kubva kuAfrica plum bark rinoshandiswa kare kune zororo rekushandisa kweweti. Zvinyorwa zvakaderera, kunyangwe zvichigara zvichigara zvakanaka.
- Mudzi weNettle: Mushonga wezvinomera une kushandiswa kwenguva refu kune prostate support diki.
- Zvishanduro zvehupenyu zvakajeka: Kuchinjika kwezvinhu zvinwiwa manheru, kuderedza caffeine ne doro, kudzidza nguva yekunwa, uye kuedza maekisesaizi epelviki pasi zvinogona kuunza zororo chaiyo kune zviratidzo zvidiki.
Cherechedza: Zvinowedzera zvisiri mushonga zvinowanzopa kushoma kuvandudza pane tamsulosin kana dzimwe mishonga yeBPH yakagadzirirwa.
Varume vanotarisana nezviratidzo zvakaderera kusvika zvakakwirira vanoda kutarisirwa kwezvemishonga kuti vaore. Kunonoka kurapwa kunoshanda kunogona kuita kuti BPH ifambire mberi nekufamba kwenguva."
Maitiro ekupiwa tamsulosin pa-pamhepo
Kugamuchira mushonga we tamsulosin kuburikidza ne telehealth inzira yakajeka kune zviitiko zveBPH zvakakodzera:
- Kuongororwa kwezviratidzo. Uchapedza International Prostate Symptom Score (IPSS) kana bhuku rakakodzera kufanana nezvazvo kuti upa chiremba wako mamiriro akajeka ezvinhu zvako zveweti zvazvino.
- Kuongorora nhoroondo yemishonga. Chiremba wako achabvunza nezve chero matambudziko epurostate akambovapo, mishonga yazvino (kunyanya yekudzvinyirirwa kweropa kana yekuda bonde), nhoroondo yekuvhiya kweketaraki, kuyerwa kweropa, nehutano hwemoyo.
- Kuongorora zviratidzo zvekudaidzwa. Chiremba wako anoongorora zvakanyanya zviratidzo zvinoda kutarisirwa munzvimbo, zvakadai seropa rinooneka muweti, marwadzo makuru emudumbu, kusakwanisa kwakakwana kurodha, kana zviratidzo zvezvimwe zvakaoma.
- Sarudzo yemushonga. Zvichienderana nekuongorora kwako, mupi wako anosarudza nzira yekurapa yakakodzera. Tamsulosin 0.4mg inotorwa kamwe pazuva ndiyo yakajairika dose yekutanga kune varume vakawanda.
- Kutorwa kwemishonga. Kutorwa kwemishonga nhasi pane chero mishonga yeUS. Tamsulosin yejeneliki inowanzodhura $10 kusvika $20 pamwedzi neGoodRx kana Cost Plus Drugs.
- Kuongorora kwazvino. Kuongorora mushure memavhiki 4 kunobatsira kuongorora kufambira mberi kwako. Kana kuyerera kwako kusati kwavandudza zvakakwana, chiremba wako anogona kuwedzera dose kusvika 0.8mg kana kufunga kuwedzera mishonga inodzora prostate kuitira kuti idzike zvishoma nezvishoma.
Ndeupi nguva yekuda kutarisirwa munzvimbo: Ropa muweti rako, marwadzo makuru emudumbu, kusakwanisa kwekuvharira zvachose, nhoroondo yakasimba yemhuri yekenza yeprostate, maPSA akakwira, kana zvirwere zvakaoma zvemoyo zvinoda kuongororwa kwakadzama munzvimbo nachiremba weurouro."
Kune dzimwe nyaya dzehutano hwevarume, ona bhuku redu re Balanitis Treatment uye Peyronie's Disease Treatment.
Wagadzirira kuongororwa? August AI Online Urgent Care pa $39 yakatarwa inogona kuongorora zviratidzo zvako zveBPH, kupa tamsulosin (Flomax) kana dzimwe nzira dzakakodzera, uye kuronga kutorwa kwemishonga nhasi munzvimbo dzose dzeUS."
Nguva dzose Mabvunzo
Unogona kutenga tamsulosin OTC munyika dzimwe?
Hongu. UK yakabvumidza kutengeswa kweOTC kwechiremba-inotarisirwa kune varume vane makore 45 kusvika 75 vane zviratidzo zvediki zvekushandisa kweweti muna 2010, uye dzimwe nyika dzeEurope dzinopa zvakafanana. Asi US, Canada, neAustralia zvakachengetedza zvakasimba chiremera chekuda mushonga. Kuedza kuunza tamsulosin kubva kunze pasina mushonga kunogona kutyora zvinodiwa neFDA uye kuunza njodzi dzekuchengetedza dzisina basa."
Tamsulosin inodhurai nemushonga?
Tamsulosin yejeneliki inodhura, ichidhura $10 kusvika $20 pamwedzi neGoodRx kana Cost Plus Drugs pane dzimwe mishonga yeUS. Flomax yejeneliki inodhura $150 kusvika $300 pamwedzi pasina inishuwarenzi, kunyangwe inishuwarenzi yemishonga yakawanda ichivharidza jeneliki tamsulosin nekopaya shoma kwazvo."
Saw palmetto kana dzimwe zvinhu zvinoshanda chaizvo kune BPH here?
Zvinyorwa zvepakati zvinosiyana. Zvidzidzo zvidiki zvinoratidza kuti saw palmetto inogona kupa zororo rakaderera kune zviratidzo zvakaderera, asi zvidzidzo zvakakura, zvakanyatsogadzirwa hazvina kuwana rubatsiro. Kune zviratidzo zvakaderera kusvika zvakakwirira, tamsulosin yemishonga inopa zororo rakakura, rakavimbika. Zvimwe zvinhu zvinogona kuva nzvimbo yakanaka yekutanga kune zviratidzo zvishoma kwazvo, asi zvinhu zvemishonga zvinoshanda zvakananga kuti zvidzore zororo rako."
Tamsulosin inoshanda sei nekukurumidza?
Varume vakawanda vanocherekedza kusiyana kwakanaka mukuyerera kweweti yavo mukati memazuva mashoma kusvika svondo, vachisvika zvakanaka mushure memavhiki 2 kusvika 4. Kana usati wanzi wakawana zororo rakakwana mushure memavhiki 4 ekushandiswa kwezuva nezuva, chiremba wako anogona kuwedzera dose kusvika 0.8mg kana kufunga kuwedzera 5-alpha reductase inhibitor kuitira kuti idzike prostate nekufamba kwenguva."
Ndinogona kutora tamsulosin nemishonga yekuda bonde here?
Hongu. Kubatanidza tamsulosin nePDE5 inhibitors (senge sildenafil, tadalafil, kana vardenafil) kunogona kukonzera kudonha kweropa zvakanyanya. Chiremba wako achakutungamira uye achakutarisa panguva yakakodzera uye dose. Zvinoshamisa, kutora tadalafil diki (5mg zuva nezuva) kunorapa zvose BPH neED panguva imwe chete, izvo zvinogona kuita kuti urongwa hwako huve chipiri chezuva nezuva."
Ndinofanira kuongorora PSA yangu ndisati ndatanga tamsulosin here?
Kukurukura Prostate-Specific Antigen (PSA) test chikamu chakajairika chekuongororwa kwakakwana kweprostate. Zvinodiwa zvechiremba zvinopa zano kune dzakasarudzika PSA nhaurirano kune varume vane makore 55 kusvika 69. Chiremba wako achakubatsira kusarudza kana kuongorora kuchidiwa vasati vatora mushonga, kunyanya kana uine nhoroondo yemhuri yekenza yeprostate kana dzimwe njodzi dzakakosha."