Yini i-Tadalafil: Ukusetshenziswa, Umthamo, Imiphumela Eceleni nokuningi

I-Tadalafil iyimithi kadokotela esetshenziselwa ikakhulukazi ukwelapha ukungasebenzi kahle kwe-erectile (ED) kanye ne-benign prostatic hyperplasia (BPH). Ingaphansi kohlobo lwemithi ebizwa ngokuthi yi-phosphodiesterase type 5 (PDE5) inhibitors, esebenza ngokuthuthukisa ukugeleza kwegazi ezingxenyeni ezithile zomzimba. Le mithi isize izigidi zamadoda ukuthi abuyisele ukuzethemba futhi bathuthukise izinga lempilo yabo.

Yini i-Tadalafil?

I-Tadalafil iyimithi enamandla kodwa ebekezelelekayo esiza amadoda anokungasebenzi kahle kwe-erectile ukuthi afinyelele futhi alondoloze ama-erections afanele umsebenzi wezocansi. Isebenza ngokukhulula imisipha ebushelelezi emithanjeni yegazi, okuvumela ukwanda kokugeleza kwegazi e-penis lapho kuvuselelwa ngokocansi. Le mithi iphinde isebenze ekwelapheni izimpawu ze-prostate enwetshiwe, okwenza ukuchama kube lula futhi kube lula.

Okuhlukanisa i-tadalafil phakathi kwemithi ye-ED ubude bayo besikhathi sokusebenza. Ngenkathi eminye imithi efanayo ihlala amahora angu-4-6, i-tadalafil ingahlala isebenza kuze kube amahora angu-36, okuyenza ithole isidlaliso esithi "ipilisi lempelasonto." Leli windi elandisiwe linikeza ukuzenzela okwengeziwe nokuguquguquka ebudlelwaneni obusondelene.

Yini i-Tadalafil Esetshenziselwa Yona?

I-Tadalafil iphatha izimo ezimbili eziyinhloko ezivame ukuthinta amadoda njengoba ekhula. Ngokungasebenzi kahle kwe-erectile, kusiza ukubuyisela impendulo yemvelo ye-erectile ngesikhathi sokuvuselelwa ngokocansi. Nge-benign prostatic hyperplasia, ilula izimpawu zomchamo njengokuchama njalo, ukugeleza okubuthakathaka, nobunzima bokuqala ukuchama.

Udokotela wakho angase akubhalele i-tadalafil uma uhlangabezana nobunzima bokuthola noma ukugcina ama-erections aqinile ngokwanele ukusebenza kahle ngokocansi. Iphinde ibhalwe lapho i-prostate enwetshiwe ibangela izimpawu zomchamo ezicasulayo eziphazamisa imisebenzi yansuku zonke noma ukulala.

Ngesinye isikhathi, odokotela banikeza i-tadalafil kuzo zombili izimo ngasikhathi sinye, ikakhulukazi njengoba i-ED ne-BPH zivame ukwenzeka ndawonye emadodeni amadala. Le ndlela yokwelapha ephindwe kabili ingathuthukisa kakhulu kokubili ukusebenza ngokocansi nokunethezeka komchamo ngemithi eyodwa.

Isebenza Kanjani I-Tadalafil?

I-Tadalafil isebenza ngokuvimba i-enzyme ebizwa ngokuthi i-phosphodiesterase type 5 (PDE5), evame ukwephula ikhemikhali eligcina imithambo yegazi iphumulele. Ngokuvimbela le enzyme, i-tadalafil ivumela imithambo yegazi ukuthi ihlale ivulekile isikhathi eside, ithuthukisa ukugeleza kwegazi ezinqeni ngesikhathi sokuvuka ngokocansi kanye nesendlalelo kanye nendawo yesinye.

Lo muthi ubhekwa njengomuthi olungile phakathi kokwelashwa kwe-ED. Isebenza kahle kumadoda amaningi anokungasebenzi kahle kancane kuya okulingene, futhi amaningi anamacala abucayi nawo abona ukuthuthuka okukhulu. Okubalulekile ukuthi ithuthukisa ukusabela komzimba wakho kwemvelo ekukhuthazeni ngokocansi kunokubangela ukuvuka okuzenzakalelayo.

Ngezimpawu zesendlalelo, i-tadalafil iphumuza imisipha ebushelelezi esendlalelweni nasentanyeni yesinye. Lokhu kuphumula kunciphisa ingcindezi ku-urethra, okwenza kube lula ukuthi umchamo ugeleze futhi kunciphisa lowo muzwa ongamnandi wokungapheleli kwesinye.

Kufanele Ngiyithathe Kanjani I-Tadalafil?

Thatha i-tadalafil ngendlela enembile njengoba udokotela wakho ekunqumele ngayo, ngokuvamile kanye ngosuku ngaphandle kokudla noma ngaphandle kokudla. Ungayithatha ngamanzi, ubisi, noma ijusi, futhi isikhathi sokudla asithinti ngokuphawulekayo ukuthi isebenza kahle kangakanani. Kodwa-ke, gwema ijusi le-grapefruit, njengoba lingakhuphula amazinga omuthi egazini lakho.

Uma uthatha i-tadalafil yokungasebenzi kahle njengoba kudingeka, yithathe okungenani imizuzu engama-30 ngaphambi komsebenzi wokocansi. Ukuze uyisebenzise nsuku zonke, yithathe ngesikhathi esifanayo nsuku zonke ukuze ugcine amazinga aqhubekayo ohlelweni lwakho. Ungagxobi, uhlafune, noma uhlukanise amaphilisi ngaphandle uma udokotela wakho ekuyala ngqo ukuthi wenze kanjalo.

Nawa amathiphu asebenzayo okuthatha i-tadalafil ngempumelelo:

• Thatha esiswini esingenalutho noma ngesidlo esilula ukuze kumuncwe ngokushesha
• Gwema ukudla okukhulu, okunamafutha amaningi ngaphambi kokuthatha umuthi, njengoba kungahle kubambezele imiphumela yawo
• Nciphisa ukusetshenziswa kotshwala, njengoba kunganciphisa ukusebenza komuthi
• Hlala unamanzi, ikakhulukazi uma uwuthatha ngezimpawu ze-prostate

Lezi zinyathelo ezilula zingasiza ekuqinisekiseni ukuthi uthola inzuzo enkulu emuthini wakho ngenkathi unciphisa noma yimiphi imiphumela engaba khona.

Kufanele Ngiyithathe Isikhathi Esingakanani I-Tadalafil?

Ubude bokwelashwa nge-tadalafil buxhomeke esimweni sakho esithile nokuthi usabela kanjani kahle emuthini. Ekungasebenzi kahle kwe-erectile, amadoda amaningi ayithatha isikhathi eside njengoba kudingeka noma nsuku zonke, kuye ngendlela yokuphila yawo nezintandokazi zawo. Ngezimpawu ze-prostate, ukwelashwa kuvame ukuqhubeka njengoba i-BPH iyisimo esingamahlalakhona.

Udkt wakho cishe uzoqala ngesikhathi sokuhlola samaviki amaningana ukuze ahlulele ukuthi umuthi usebenza kahle kangakanani kuwe nokuthi ngabe unayo yini imiphumela emibi. Uma i-tadalafil ibonakala isebenza kahle futhi itholeka kahle, ungaqhubeka nokuyithatha unomphela ngaphansi kokuqondiswa kwezokwelapha.

Ukuqokwa okulandelayo okuvamile kubalulekile ukuqapha impendulo yakho nokulungisa imithamo uma kudingeka. Amanye amadoda athola ukuthi izimpawu zawo zithuthuka kakhulu futhi anganciphisa umthamo wawo ngokuhamba kwesikhathi, kanti amanye agcina umthamo ofanayo iminyaka ngokuqhubeka nokuzuza.

Yini Imiphumela Emibi Ye-Tadalafil?

Amadoda amaningi ayamela kahle i-tadalafil, kodwa njengayo yonke imithi, ingabangela imiphumela emibi. Izindaba ezinhle ukuthi imiphumela emibi emibi ayivamile, futhi imiphumela emibi eminingi emincane ivame ukuncipha njengoba umzimba wakho ujwayela umuthi emavikini ambalwa.

Imiphumela emibi ejwayelekile ongase uyithole ihlanganisa:

• Ukukhathala ikhanda (ngokuvamile kulula futhi okwesikhashana)
• Ukungagayeki kahle noma ukuphazamiseka kwesisu
• Ubuhlungu emhlane noma ukuqaqamba kwemisipha
• Ukuvuvukala noma ukushisa ebusweni bakho, entanyeni, noma esifubeni
• Ukhuhlane noma amakhala agobhozayo
• Isiyezi, ikakhulukazi uma usukuma ngokushesha

Le miphumela emibi ejwayelekile ivamise ukulawuleka futhi ivame ukuthuthuka ngokuhamba kwesikhathi. Ukuhlala unamanzi futhi uthatha imithi ngemva kokudla kungasiza ekunciphiseni ukuphazamiseka kwesisu.

Nakuba kungavamile, eminye imiphumela emibi idinga ukunakekelwa kwezempilo ngokushesha. Xhumana nodokotela wakho ngokushesha uma uhlangabezana nalokhu:

• Ukuvuka okuluhlaza okuhlala ngaphezu kwamahora angu-4 (priapism)
• Ukulahlekelwa umbono okungazelelwe noma izinguquko embonweni
• Ukulahlekelwa ukuzwa okungazelelwe noma ukukhala ezindlebeni
• Ubuhlungu besifuba noma ukushaya kwenhliziyo okungajwayelekile
• Isiyezi esikhulu noma ukuquleka
• Ukungezwani komzimba nezinto ezithile njengokuqubuka, ukuluma, noma ukuvuvukala

Le miphumela emibi engathí sina ayivamile kodwa idinga ukuhlolwa kwezokwelapha ngokushesha ukuze kuvinjelwe izinkinga.

Ubani Ongafanele Athathwe I-Tadalafil?

I-Tadalafil ayifanele wonke umuntu, futhi izimo ezithile zezempilo noma imithi ingenza ingaphephile. Udokotela wakho uzobuyekeza ngokucophelela umlando wakho wezokwelapha kanye nemithi yamanje ngaphambi kokunquma i-tadalafil ukuze aqinisekise ukuthi iphephile kuwe.

Akufanele uthathe i-tadalafil uma njengamanje usebenzisa imithi ye-nitrate ngezinhlungu zesifuba noma izinkinga zenhliziyo. Le nhlanganisela ingabangela ukwehla okuyingozi kwengcindezi yegazi okungase kubeke impilo engozini. Imithi ejwayelekile ye-nitrate ihlanganisa i-nitroglycerin, i-isosorbide mononitrate, ne-isosorbide dinitrate.

Izimo eziningana zezempilo zidinga ukuqapha okukhethekile noma zingakuvimbela ukuthi ungathathi i-tadalafil:

• Isifo senhliziyo esibi noma ukuhlaselwa yinhliziyo kwakamuva
• Ingcindezi yegazi ephezulu noma ephansi engalawuleki
• Isifo sesibindi noma sezinso esibi
• Umlando wokushaywa unhlangothi noma izifo zokuphuma kwegazi
• Izimo ezithile zamehlo njenge-retinitis pigmentosa
• Ukungezwani komzimba ku-tadalafil noma imithi efanayo

Udktela wakho uzolinganisela izinzuzo nezingozi ngokusekelwe emlandweni wakho wezempilo ukuze anqume ukuthi i-tadalafil ilungele yini wena.

Amagama Omkhiqizo we-Tadalafil

I-Tadalafil itholakala ngaphansi kwamagama amaningi omkhiqizo, i-Cialis iyona eyaziwa kakhulu. I-Cialis yaba igama lomkhiqizo wokuqala lapho umuthi uqala ukuthola imvume ye-FDA, futhi isaqashelwa kabanzi futhi inikezwa odokotela emhlabeni wonke.

Amanye amagama omkhiqizo afaka i-Adcirca, evunywe ngokuqondile i-pulmonary arterial hypertension ngemithamo ephezulu. Izinhlobo ezivamile ze-tadalafil nazo ziyatholakala futhi ziqukethe isithako esifanayo esisebenzayo njengezinhlobo ezinamagama omkhiqizo, ngokuvamile ngentengo ephansi.

Noma ngabe uthola i-tadalafil enegama lomkhiqizo noma ejwayelekile, ukusebenza kahle komuthi kanye nephrofayili yokuphepha kuhlala kufana. Umkhemisi wakho angakusiza ukuthi uqonde ukuthi iyiphi inguqulo oyitholayo futhi aphendule noma yimiphi imibuzo ngomehluko phakathi kwemikhiqizo.

Ezinye Izindlela ze-Tadalafil

Uma i-tadalafil ingasebenzi kahle kuwe noma ibangela imiphumela emibi, ezinye izindlela ziyatholakala. Ezinye izithiyo ze-PDE5 ezifana ne-sildenafil (Viagra) ne-vardenafil (Levitra) zisebenza ngendlela efanayo kodwa zinezikhathi ezihlukene zesenzo kanye namaphrofayili emiphumela emibi.

Ukuze kuthuthukiswe ukungasebenzi kahle, izinketho ezingezona zemithi zifaka amadivayisi e-vacuum, imijovo ye-penile, noma ukufakelwa okuhlinzekwayo kwamadoda angasabeli emithini yomlomo. Ushintsho lwendlela yokuphila njengokuzivocavoca njalo, ukuphatha ingcindezi, nokubhekana nezimo zezempilo ezingaphansi kungathuthukisa kakhulu ukusebenza kahle.

Ngezimpawu ze-prostate, ama-alpha-blockers afana ne-tamsulosin noma i-doxazosin asebenza ngendlela ehlukile kune-tadalafil kodwa angasebenza kahle ngokulinganayo. Amanye amadoda azuza ekwelashweni okuhlanganisiwe kusetshenziswa zombili izinhlobo zemithi ngaphansi kokugadwa kwezokwelapha okucophelelayo.

Ingabe i-Tadalafil Ingcono Kune-Sildenafil?

Kokubili i-tadalafil ne-sildenafil zisebenza kahle kakhulu ekwelapheni ukungasebenzi kahle kwesitho sobulili, kodwa zinezici ezingafani ezingenza enye ifaneleke kakhulu kuwe kunenye. Umehluko omkhulu ukuthi zihlala isikhathi esingakanani zisebenza emzimbeni wakho.

I-Tadalafil ihlala kuze kube amahora angu-36, kanti i-sildenafil ivamise ukusebenza amahora angu-4-6. Lesi sikhathi eside sinikeza i-tadalafil ithuba lokuzenzela nokusebenzisa ngempelasonto. Kodwa-ke, i-sildenafil ivame ukusebenza ngokushesha, ngokuvamile ngemizuzu engu-30-60 uma iqhathaniswa nama-tadalafil angu-1-2 amahora.

Ukudla nakho kuyithinta ngendlela ehlukile le mithi. Ukudla okunamafutha amaningi kungahlehlisa kakhulu ukusebenza kwe-sildenafil, kanti i-tadalafil ayithinteki kangako ukudla. Indlela yakho yokuphila, ubudlelwano bakho, nezintandokazi zakho zizokusiza ukuthi unqume ukuthi iyiphi imithi esebenza kangcono esimweni sakho esithile.

Imibuzo Evame Ukubuzwa Nge-Tadalafil

Ingabe i-Tadalafil iphephile ezigulini zenhliziyo?

I-Tadalafil ingaphepha kumadoda amaningi anezifo zenhliziyo, kodwa idinga ukuhlolwa kwezokwelapha ngokucophelela kuqala. Udokotela wakho wenhliziyo nodokotela oqokelayo kuzodingeka bahlole ukuthi isimo senhliziyo yakho sinzima kangakanani futhi baqinisekise ukuthi uhlelo lwakho lwe-cardiovascular lungakwazi ukubhekana nezidingo zomzimba zomsebenzi wobulili.

Umuthi ngokwawo ngokuvamile awuyigcili inhliziyo, kodwa umsebenzi wobulili wenyusa izinga lokushaya kwenhliziyo nomfutho wegazi okwesikhashana. Amadoda anezifo zenhliziyo ezinzile angakwazi ukukhuphuka izitebhisi ezimbili ngaphandle kobuhlungu besifuba noma ukuphefumula kanzima ngokuvamile angasebenzisa i-tadalafil ngokuphepha ngaphansi kokuqondisa kwezokwelapha.

Ngingenzani uma ngiphuzile i-Tadalafil eningi ngengozi?

Uma ngengozi uthatha i-tadalafil eningi kunaleyo oyinikiwe, xhumana nodokotela wakho noma isikhungo sokulawula ubuthi ngokushesha, noma ngabe uzizwa ulungile. Ukuphuza okuningi kungabangela ukwehla okuyingozi komfutho wegazi, ukuvuvukala isikhathi eside, noma isiyezi esibi esingaholela ekuweni.

Ungazami ukulwa nomthamo owedlulele ngokuthatha eminye imithi noma ukulinda uwedwa. Funani usizo lwezokwelapha ngokushesha, ikakhulu uma uhlangabezana nobuhlungu besifuba, isiyezi esikhulu, ukuquleka, noma ukuvuka okuhlala amahora angaphezu kwamane.

Kufanele Ngenzeni Uma Ngedlula Umthamo We-Tadalafil?

Uma uthatha i-tadalafil nsuku zonke futhi weqa umthamo, yithathe ngokushesha lapho ukhumbula, ngaphandle uma sekuseduze isikhathi somthamo wakho olandelayo. Kulokho, weqa umthamo owuqophile futhi uqhubeke neshejuli yakho ejwayelekile. Ungalokothi uthathe imithamo emibili ngesikhathi esisodwa ukuze ulungise umthamo owuqophile.

Ukuze isetshenziswe njengoba kudingeka, vele uthathe umthamo wakho olandelayo uma uhlela ukuba nempilo yocansi, ulandela imihlahlandlela yesikhathi ejwayelekile. Ukuqopha umthamo ngezikhathi ezithile ngeke kuthinte ukusebenza kahle komuthi jikelele ngesimo sakho.

Ngingayeka Nini Ukuthatha I-Tadalafil?

Ungayeka ukuthatha i-tadalafil nganoma yisiphi isikhathi ngaphandle kokuhlangabezana nezimpawu zokuhoxisa, kodwa kungcono ukuxoxa ngalesi sinqumo nodokotela wakho kuqala. Uma uyithatha ngenxa yokungasebenzi kahle kwe-erectile futhi ufuna ukuyeka, cabangela ukuthi ngabe izinkinga ezingaphansi zixazululiwe yini noma ngabe ungenza inzuzo endleleni yokwelapha ehlukile.

Ngezimpawu ze-prostate, ukuyeka i-tadalafil cishe kuzobangela ukuthi izimpawu zakho zibuye ngoba i-BPH yisimo esingapheli. Udokotela wakho angakusiza ukuthi ulinganise izinzuzo zokuqhubeka nokwelashwa ngokumelene nanoma yiziphi izinkathazo ongase ube nazo mayelana nokusetshenziswa kwesikhathi eside.

Ngingakwazi Yini Ukuphuza Utshwala Ngenkathi Ngithatha I-Tadalafil?

Ungaphuza utshwala ngokulinganisela ngenkathi uthatha i-tadalafil, kodwa ukusetshenziswa kotshwala ngokweqile kungaphazamisa ukusebenza kahle komuthi futhi kwandise ingozi yakho yemiphumela emibi. Utshwala bunganciphisa umfutho wegazi futhi banciphise ukugeleza kwegazi e-penis, kuphikisane nezinzuzo ze-tadalafil.

Zilinganisele ekuphuzeni okukodwa noma okubili uma uhlela ukuthatha i-tadalafil. Ukuphuza kakhulu kungakhuphula ingozi yakho yesiyezi, ikhanda elibuhlungu, kanye nokushaya kwenhliziyo okusheshayo uma kuhlanganiswe nalolu hlobo lomuthi.