Created at:1/13/2025
Ukujova kwe-Papaverine kuyimithi kadokotela esiza ukuphumuza imisipha ebushelelezi emithanjeni yegazi nakwezinye izingxenye zomzimba wakho. Uma kujovwa, kusebenza ngokuvimba izimpawu ezithile ezenza imisipha iqine, okwenza igazi ligeleze ngokukhululeka ezindaweni ezincishisiwe noma eziqiniwe.
Le mithi ingeyeqembu lemithi ebizwa ngokuthi ama-vasodilators, okusho ukuthi ivula imithambo yegazi. Udokotela wakho angase ancome ukujova kwe-papaverine uma ezinye izindlela zokwelapha zingasebenzi kahle noma uma udinga ukukhululeka ngokushesha ezinkingeni ezithile zokujikeleza kwegazi.
Ukujova kwe-Papaverine kulapha ukwelapha izimo eziningana lapho ukujikeleza kwegazi okungahambi kahle kubangela izinkinga. Ukusetshenziswa okuvamile kakhulu ukungasebenzi kahle kwe-erectile lapho imithi yomlomo ingasebenzi ngempumelelo noma ingafaneleki kuwe.
Ngaphandle kokungasebenzi kahle kwe-erectile, odokotela ngezinye izikhathi basebenzisa ukujova kwe-papaverine ukwelapha imisipha yomthambo wegazi eqinile engenzeka ngesikhathi senqubo ethile yezokwelapha. Kungasiza futhi ngezinkinga zokujikeleza kwegazi ezingalweni zakho noma emilenzeni, nakuba lokhu kusetshenziswa kungavamile namuhla.
Ezindaweni zasemtholampilo, ochwepheshe bezokwelapha bangasebenzisa i-papaverine ukwelapha ukuvaleka okungazelelwe emithanjeni yegazi noma ukusiza ukuphumuza imithambo yegazi ngesikhathi sokuhlinzwa okuthile. Ifomu lokujova livumela ukulawula okunembile ukuthi kungakanani umuthi ofinyelela endaweni ethintekile.
Ukujova kwe-Papaverine kusebenza ngokuvimba i-enzyme ebizwa ngokuthi i-phosphodiesterase, evame ukugcina imisipha ebushelelezi iqiniwe. Lapho le enzyme ivalekile, imisipha ezindongeni zemithambo yegazi iyaphumula futhi imithambo ivuleka kakhulu.
Kucabange njengokukhulula ibhande eliqinile elizungeze ipayipi lengadi. Uma ingcindezi ikhishiwe, amanzi amaningi angageleza ngokukhululeka. Ngokufanayo, lapho i-papaverine iphumuza imisipha ezungeze imithambo yakho yegazi, igazi eliningi lingageleza endaweni eliyidingayo.
Umuthi uthathwa njengomuthi olinganiselwe futhi uvamise ukusebenza phakathi kwemizuzu emi-5 kuya kweli-10 ngemuva kokujovwa. Imiphumela ingahlala noma yikuphi kusukela emizuzwini engama-30 kuya emahoreni amaningi, kuye ngomthamo kanye nokuphendula kwakho emuthini.
I-Papaverine injection kufanele inikezwe ngendlela eqondile udokotela wakho ayiyalayo ngayo. Ukuze kulashwe ukungasebenzi kahle kwesitho sobulili, uzozifundela ukuthi ungayijova kanjani ngqo ohlangothini lwesitho sakho sobulili usebenzisa inaliti enhle kakhulu, efana naleyo abantu abanesifo sikashukela abayisebenzisela i-insulin.
Umhlinzeki wakho wezempilo uzokufundisa inqubo efanele yokujova ngesikhathi sokuqokwa kwakho kokuqala. Bazokukhombisa ukuthi ungahlanzela kanjani indawo yokujova, ukuthi ungayibamba kanjani isirinji ngendlela efanele, nokuthi ungawujova kuphi ngqo umuthi ukuze uthole imiphumela engcono kakhulu.
Ngaphambi kokujova ngakunye, geza izandla zakho kahle futhi uhlanze indawo yokujova nge-alcohol swab. Gcina umuthi esiqandisini sakho, kodwa vumela ukuthi ufike ezingeni lokushisa legumbi ngaphambi kokujova. Ungalokothi wabelane ngezinaliti noma amasirinji nanoma ubani omunye.
Ukuze kusetshenziswe ezinye izinhlobo zokwelapha, i-papaverine injection ivamise ukunikezwa ochwepheshe bezempilo ezindaweni zomtholampilo. Indlela eqondile incike esimweni esithile eselashwayo nokuthi umuthi udinga ukulethwa kuphi emzimbeni wakho.
Ubude bokwelashwa nge-papaverine injection buhluka kakhulu kuye ngesimo sakho esithile nokuthi uphendula kanjani kahle emuthini. Ukuze kulashwe ukungasebenzi kahle kwesitho sobulili, amanye amadoda ayisebenzisa ngezikhathi ezithile njengoba kudingeka, kanti amanye angase ayisebenzise njalo.
Udokotela wakho uzofuna ukukubona njalo ukuze ahlolisise ukuthi umuthi usebenza kahle kangakanani nokuthi ngabe uhlangabezana nemiphumela emibi. Bangase balungise umthamo wakho noma baphakamise ukuzama ukwelashwa okuhlukile uma i-papaverine ingakuniki imiphumela oyidingayo.
Kubalulekile ukuthi ungasebenzisi umjovo we-papaverine kaningi kunokuba udokotela wakho ekuncoma. Ukuwusebenzisa kaningi kungase kuwenze ungasebenzi kahle ngokuhamba kwesikhathi noma kwandise ingozi yakho yokuthuthukisa izicubu ezinamanxeba endaweni yokujova.
Njengayo yonke imithi, umjovo we-papaverine ungenza imiphumela emibi, nakuba kungewona wonke umuntu oyitholayo. Imiphumela emibi evame kakhulu ivame ukuba milde futhi yesikhashana.
Nansi imiphumela emibi ongase uyithole, uqala ngaleyo evame kakhulu:
Le miphumela emibi ejwayelekile ivame ukunyamalala yodwa emahoreni ambalwa futhi ngokuvamile ayidingi ukunakekelwa kwezokwelapha ngaphandle kokuthi iba nzima noma ingathuthuki.
Imiphumela emibi engathi sína ayivamile kodwa idinga ukunakekelwa kwezokwelapha ngokushesha. Lokhu kufaka phakathi ukuvuka isikhathi eside okuhlala ngaphezu kwamahora angu-4 (okubizwa nge-priapism), isiyezi esibi esingathuthuki, ukuphuma kwegazi okungavamile noma ukuqina, noma izimpawu zokutheleleka endaweni yokujova njengokubomvu okwandayo, ukufudumala, noma ubovu.
Abanye abantu bangase babe nemiphumela emibi engavamile kodwa engathi sína njengokushaya kwenhliziyo okungajwayelekile, ubuhlungu besifuba, noma ubunzima bokuphefumula. Uma uqaphela noma yiziphi zalezi zimpawu, xhumana nodokotela wakho ngokushesha noma funa ukunakekelwa kwezokwelapha eziphuthumayo.
Umjovo we-papaverine awuphephile kuwo wonke umuntu, futhi udokotela wakho uzobukeza ngokucophelela umlando wakho wezokwelapha ngaphambi kokuwunika. Abantu abanezimo ezithile zenhliziyo, isifo sesibindi esibi, noma labo abathatha imithi ethile kungenzeka bangabi ngabazali abahle balokhu kwelashwa.
Akufanele usebenzise umjovo we-papaverine uma unenkinga yokungezwani komzimba ne-papaverine noma ezinye izithako emuthini. Xoxela udokotela wakho nganoma yiziphi izimo zokungezwani komzimba emithini, ikakhulukazi uma uke waba nezimo zokungezwani komzimba kwamanye ama-vasodilators noma imithi ejovwayo.
Amadoda anconywe ukuthi angabi nomsebenzi wezocansi ngenxa yezinkinga zenhliziyo akufanele asebenzise i-papaverine ekungasebenzi kahle kwesitho sobulili. Umsebenzi womzimba ohilelekile ocansini ungafaka ingcindezi eyengeziwe enhliziyweni yakho, okungase kube yingozi uma unezimo ezithile zenhliziyo nemithambo yegazi.
Abantu abathatha imithi ethile, ikakhulukazi ama-blood thinners noma imithi yokucindezela igazi eliphezulu, bangase badinge ukuqashwa okukhethekile noma ukulungiswa komthamo. Udokotela wakho uzobukeza yonke imithi yakho yamanje ukuze aqinisekise ukuthi umjovo we-papaverine uphephe kuye.
Umjovo we-Papaverine uyatholakala ngaphansi kwamagama amaningi e-brand, nakuba futhi ngokuvamile utholakala njengomuthi ojwayelekile. Amanye amagama e-brand ongase uwabone afaka i-Pavabid, Cerespan, kanye ne-Papacon, nakuba ukutholakala kungahluka ngendawo.
Inguqulo ejwayelekile yomjovo we-papaverine iqukethe isithako esifanayo esisebenzayo njengezinguqulo zegama le-brand futhi isebenza ngempumelelo. Udokotela wakho noma usokhemisi angakusiza ukuthi uqonde ukuthi iyiphi inguqulo engcono kakhulu esimweni sakho kanye nokuhlinzekwa komshuwalense.
Noma ngabe usebenzisa igama le-brand noma inguqulo ejwayelekile, into ebaluleke kakhulu ukuthi uthole imithi yakho ekhemisi elihlonishwayo futhi ulandele imiyalelo kadokotela wakho ngqo. Abakhiqizi abahlukene bangase babe nezidingo zokugcina ezihlukile kancane noma amazinga okugxila.
Uma umjovo we-papaverine ungakulungele noma ungasebenzi kahle ngokwanele, kunezinketho eziningi zokwelapha udokotela wakho angazicabangela. Ekungasebenzi kahle kwesitho sobulili, eminye imithi ejovwayo efana ne-alprostadil noma ukwelashwa okuhlanganisiwe kungase kusebenze ngempumelelo.
Imithi yomlomo efana ne-sildenafil (Viagra), i-tadalafil (Cialis), noma i-vardenafil (Levitra) ivame ukuzanywa kuqala ekungasebenzi kahle kwesitho sobulili ngoba kulula ukuyisebenzisa futhi inemiphumela emincane eminingi kubantu abaningi. Kodwa-ke, lokhu akusebenzi kuwo wonke umuntu, yingakho imijovo efana ne-papaverine ingase inconywe.
Ezinye izindlela ezingezona imithi zihlanganisa amadivaysi e-vacuum, izithako zesitho sobulili, noma izinguquko zendlela yokuphila njengokuthuthukisa ukudla, ukuzivivinya, nokuphatha ingcindezi. Udokotela wakho angakusiza ukuthi uhlole lezi zinketho uma umjovo we-papaverine ungafaneleki esimweni sakho.
Ngezinye izimo i-papaverine elapha zona, ezinye izindlela zingabandakanya eminye imithi ekhulisa imithambo yegazi, izinqubo zokuhlinzwa, noma izinhlobo ezahlukene zamadivaysi ezokwelapha, kuye ngokuthi ukuxilongwa kwakho.
Umujovo we-papaverine ne-alprostadil bobabili bangamakhambi asebenzayo okungasebenzi kahle kwesitho sobulili, kodwa basebenza ngendlela ehlukile futhi banezinzuzo ezihlukene. I-Alprostadil ivame ukuba namandla amakhulu futhi ingasebenza kangcono emadodeni anokungasebenzi kahle kwesitho sobulili okukhulu.
Kodwa-ke, umjovo we-papaverine uvame ukubangela imiphumela emincane emibi efana nobuhlungu besitho sobulili, okuhlangenwe nakho ngamadoda athile nge-alprostadil. I-Papaverine nayo ivamise ukuba ibize kancane kune-alprostadil, okwenza kube yindlela engabizi kakhulu yokusetshenziswa kwesikhathi eside.
Ukukhetha phakathi kwale mithi kuncike ekuphenduleni kwakho ngakunye, ukubekezelelana kwemiphumela emibi, nezintandokazi zakho. Abanye odokotela baqala nge-papaverine ngoba ithambile, kanti abanye bakhetha i-alprostadil ngenxa yempumelelo yayo ephezulu.
Udokotela wakho angase aze asikisele ukuzama kokubili ukuze abone ukuthi yikuphi okusebenza kangcono kuwe, noma angase ancome umjovo ohlanganisiwe oqukethe womabili lawo makhambi kanye nezinye izithako zokuthuthukisa ukusebenza kahle.
Umjovo we-Papaverine ungaphephile kubantu abanezifo zenhliziyo, kodwa udinga ukugadwa ngokucophelela kwezokwelapha. Umuthi unganciphisa umfutho wegazi, okungase kube usizo kwezinye izimo zenhliziyo kodwa kube yinkinga kwezinye.
Udokotela wakho wenhliziyo nodokotela obhalela i-papaverine kuzodingeka basebenzisane ukuze banqume ukuthi iphephile yini esimweni sakho senhliziyo esithile. Bazocabangela izinto ezinjengemithi yakho yamanje, ukuthi isifo sakho senhliziyo silawulwa kahle kangakanani, nokuthi uvunyelwe yini ukwenza ucansi.
Uma unesifo senhliziyo futhi ucabangela umjovo we-papaverine, yiqiniso ngokuphelele nodokotela wakho mayelana nezimpawu zakho, imithi yamanje, nanoma yiziphi izinguquko zakamuva esimweni sakho. Ukuqapha njalo kungase kudingeke ukuqinisekisa ukuthi umuthi uhlala uphephile kuwe.
Uma ngengozi ujova i-papaverine eningi kakhulu, xhumana nodokotela wakho noma funa ukwelashwa ngokushesha, ikakhulukazi uma uhlangabezana nemiphumela emibi emibi. Ukweqisa kungabangela umfutho wegazi ophansi kakhulu, ukuvuka isikhathi eside, noma ezinye izinkinga ezinzima.
Ukuze kusetshenziswe ukungasebenzi kahle kwe-erectile, uma uthola ukuvuka okuhlala ngaphezu kwamahora angu-4, lokhu kuyisimo esiphuthumayo sezokwelapha esibizwa ngokuthi i-priapism. Iya egumbini eliphuthumayo ngokushesha, njengoba lesi simo singabangela umonakalo unomphela uma singelashwa ngokushesha.
Ungalokothi uzame ukulungisa ukweqisa ngokuthatha eminye imithi noma ulinde ukubona ukuthi izimpawu ziyathuthuka zodwa. Ochwepheshe bezokwelapha banemithi ethile yokwelapha ukweqisa kwe-papaverine engavimbela izinkinga ezinzima.
Njengoba umjovo we-papaverine uvame ukusetshenziswa njengoba kudingeka kunokuba ngeshejuli ejwayelekile, ukuphuthelwa umthamo ngokuvamile akuyona into ekhathazayo. Ukuze uthole ukungasebenzi kahle kwe-erectile, uyayisebenzisa uma uhlela ukwenza ucansi.
Uma usebenzisa umjovo we-papaverine ngenye imbangela edinga ukulinganiswa njalo, xhumana nodokotela wakho ukuze uthole isiqondiso sokuthi wenzeni ngomthamo ongawutholanga. Ungaphindi kabili imithamo ukuze ulungise okungatholwanga.
Gcina umkhondo wokuthi wawusebenzise nini umuthi okokugcina ukuze uqiniseke ukuthi awuwusebenzisi kaningi kakhulu. Odokotela abaningi batusa ukulinda okungenani amahora angama-24 phakathi kwemithamo ukunciphisa ingozi yemiphumela emibi.
Ngokuvamile ungaqeda ukusebenzisa umjovo we-papaverine noma nini lapho ukhetha, njengoba kungewona umuthi odinga ukuncishiswa kancane kancane. Kodwa-ke, ngaso sonke isikhathi kungcono ukuxoxa ngohlelo lwakho lokwelashwa nodokotela wakho ngaphambi kokwenza izinguquko.
Uma uyeka ngenxa yemiphumela emibi noma ngoba awusebenzi kahle ngokwanele, udokotela wakho angase afune ukulungisa umthamo wakho noma azame ukwelashwa okuhlukile. Ungahlupheki ngezinkinga ezingaxazululwa kalula ngoshintsho olulula ohlelweni lwakho lokwelashwa.
Amanye amadoda athola ukuthi ukungasebenzi kahle kwabo kwe-erectile kuyathuthuka ngokuhamba kwesikhathi ngezinguquko zokuphila, ukwelashwa kwezimo ezingaphansi, noma ukuxazululwa kwezinto ezibangela ukucindezeleka. Udokotela wakho angakusiza ukuthi unqume ukuthi ngabe ukuqhubeka nokwelashwa kusadingeka.
Ngokuvamile kungcono ukugwema utshwala uma usebenzisa umjovo we-papaverine, njengoba zombili lezi zinto zinganciphisa umfutho wegazi lakho. Uma zihlanganisiwe, zingase zibangele ukwehla ngokweqile komfutho wegazi, okuholela isiyezi, ukuquleka, noma ezinye izimpawu eziyingozi.
Uma ukhetha ukuphuza utshwala ngezikhathi ezithile, zinciphise ezingeni elincane futhi unake indlela ozizwa ngayo. Ungalokothi uphuze kakhulu ngaphambi noma ngemuva kokusebenzisa umjovo we-papaverine, futhi ngaso sonke isikhathi ubeke phambili ukuphepha kwakho ngaphezu kokuphuza emphakathini.
Xoxa nodokotela wakho ngemikhuba yakho yokuphuza utshwala ukuze bakunikeze iseluleko esiqondene nawe sokuthi utshwala bungasebenzisana kanjani nokwelashwa kwakho kwe-papaverine kanye nanoma yimiphi eminye imithi oyithathayo.