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

I-Tamsulosin iyikhambi elisiza amadoda anezimpawu ze-prostate enwetshiwe ukuba achame kalula. Isebenza ngokukhulula imisipha ezungeze i-prostate yakho nomphimbo wesinye, okunganciphisa ukucindezeleka nokungakhululeki ongase ukuzwe lapho uzama ukukhipha isinye sakho. Le mithi emnene kodwa esebenzayo isize izigidi zamadoda ukuba zibuyisele ukulawula izimpawu zazo zomchamo futhi zithuthukise izinga lempilo yazo.

Yini i-Tamsulosin?

I-Tamsulosin ingeyeqembu lemithi ebizwa ngokuthi ama-alpha-blockers. Cabanga ngayo njengomkhululi wemisipha oqondiswe ngqo emsipheni obushelelezi endaweni yakho ye-prostate nesinye. Lapho le misipha iqina kakhulu, ingacindezela i-urethra yakho (ithubhu elithwala umchamo uphume emzimbeni wakho) futhi yenze ukuchama kube nzima noma kungakhululeki.

Umuthi waqala ukuthuthukiswa ngeminyaka yawo-1990 futhi selokhu waba ngomunye wemithi evame ukunqunywa kakhulu yokwelapha i-benign prostatic hyperplasia (BPH), okuyigama lezokwelapha le-prostate enwetshiwe. Ithathwa njengokwelashwa kokuqala, okusho ukuthi odokotela bavame ukuyincoma njengendlela yokuqala ngenxa yokusebenza kwayo kanye nephrofayili yemiphumela emibi emnene.

Yini i-Tamsulosin Esetshenziselwa Yona?

I-Tamsulosin ikakhulukazi inikezwa ukwelapha izimpawu zomchamo ze-benign prostatic hyperplasia (BPH). Njengoba amadoda ekhula, i-prostate gland yawo ngokwemvelo ikhula ngobukhulu, futhi lokhu kukhula kungacindezela i-urethra, kudale umphumela we-bottleneck owenza ukuchama kube yinselele.

Izimpawu i-tamsulosin esiza ukuzixazulula zihlanganisa ukusakaza komchamo okubuthakathaka, ubunzima bokuqala ukuchama, ukuchama njalo (ikakhulukazi ebusuku), nomuzwa wokuthi isinye sakho asikwazi ukuba sikhishwe ngokuphelele ngemva kokuchama. Amadoda amaningi nawo athola izifiso ezingazelelwe zokuchama ezingaba nzima ukuzilawula.

Ngesinye isikhathi, odokotela bangase banikeze i-tamsulosin ngaphandle kwemvume ukusiza ukudlulisa amatshe ezinso. Izakhiwo ezifanayo zokuphumuza imisipha ezisiza ngezimpawu ze-prostate zingasiza namatshe ukuthi ahambe kalula ngamathumbu akho omchamo, nakuba lokhu kusetshenziswa kudinga ukugadwa ngokucophelela kwezokwelapha.

Isebenza Kanjani I-Tamsulosin?

I-Tamsulosin ithathwa njengomuthi oqinile ngokulinganisela osebenza ngokuvimba ama-receptors athile abizwa ngokuthi ama-alpha-1 receptors. Lawa ma-receptors atholakala emsipheni obushelelezi we-prostate yakho, intamo yesinye, kanye ne-urethra. Uma i-tamsulosin ivimba lawa ma-receptors, ivimbela amasignali amakhemikhali athile ekucinini kwale misipha.

Umphumela ukuthi imisipha iyaphumula, okwandisa indlela yokuthi umchamo ugeleze ngayo. Lokhu akulinciphisi i-prostate yakho, kodwa kunciphisa ingcindezi nokumelana okwenza ukuchama kube nzima. Abantu abaningi baqaphela ukuthuthuka phakathi nezinsuku ezimbalwa kuya evikini ngemuva kokuqala umuthi.

Okuthuthukisa i-tamsulosin ikakhulukazi ukukhetha kwayo. Yenzelwe ukuthi iqondise ama-alpha-1A receptors ngokuqondile, okuyilawa atholakala kakhulu emithanjeni ye-prostate. Lokhu kukhetha kusiza ukunciphisa imiphumela kwezinye izingxenye zomzimba wakho ngenkathi kwandisa izinzuzo zezimpawu zomchamo.

Kufanele Ngiyithathe Kanjani I-Tamsulosin?

I-Tamsulosin kufanele ithathwe ngendlela eqondile udokotela wakho ayiyalile ngayo, ngokuvamile kanye ngosuku cishe imizuzu engama-30 ngemuva kokudla okufanayo nsuku zonke. Ukuyithatha ngemuva kokudla kusiza umzimba wakho ukuthi umunce umuthi ngokuqhubekayo futhi kunganciphisa ingozi yokuba nesiyezi noma ukukhathala.

Gwinya ikhaphule ngayo yonke ingilazi yamanzi egcwele. Ungayichobozi, uhlafune, noma uvule ikhaphule, ngoba lokhu kungakhipha umuthi omningi ngesikhathi esisodwa futhi kwandise ingozi yakho yemiphumela emibi. Ikhaphule yenzelwe ukukhipha umuthi kancane kancane usuku lonke ukuze usebenze kahle.

Uma uqala nje ukuthatha i-tamsulosin, udokotela wakho cishe uzoqala ngomthamo ophansi ukuze abone ukuthi umzimba wakho usabela kanjani. Bangase bakhuphule umthamo kancane kancane uma kudingeka. Kubalulekile ukubekezela, njengoba kungathatha amasonto amaningana ukuzwa izinzuzo eziphelele zomuthi.

Zama ukuthatha i-tamsulosin ngesikhathi esifanayo nsuku zonke ukuze ugcine amazinga aqhubekayo ohlelweni lwakho. Abantu abaningi bakuthola kuwusizo ukuxhuma ukuthatha imithi yabo nomkhuba wansuku zonke, njengemva kwasekuseni noma isidlo sakusihlwa, ukusiza ukukhumbula umthamo wabo wansuku zonke.

Kufanele Ngiyithathe Isikhathi Esingakanani I-Tamsulosin?

I-Tamsulosin ngokuvamile iyindlela yokwelapha yesikhathi eside ozoqhubeka nayo uma nje isiza izimpawu zakho futhi uyayibekezelela kahle. Njengoba i-BPH iyisimo esingamahlalakhona esivame ukuqhubeka kancane kancane ngokuhamba kwesikhathi, amadoda amaningi adinga ukwelashwa okuqhubekayo ukuze agcine ukukhululeka kwezimpawu.

Udokotela wakho uzohlola njalo ukuthi umuthi usebenza kahle kangakanani kuwe nokuthi ngabe uhlangabezana nemiphumela emibi ekhathazayo. Lokhu kuhlolwa kuvame ukwenzeka njalo ezinyangeni ezimbalwa ekuqaleni, bese kungase kuhlaliswe kude uma ukwelashwa kwakho kuzinzile.

Amanye amadoda angase akwazi ukunciphisa umthamo wawo ngokuhamba kwesikhathi uma izimpawu zawo zithuthuka kakhulu, kanti abanye bangase badinge ukwandisa umthamo noma bangeze eminye imithi. Okubalulekile ukusebenza eduze nomhlinzeki wakho wezempilo ukuze uthole indlela esebenza kahle kakhulu esimweni sakho esithile.

Ungayeki ukuthatha i-tamsulosin ngokuzumayo ngaphandle kokukhuluma nodokotela wakho kuqala. Ngenkathi ngokuvamile kuphephile ukuyeka, ukwenza kanjalo kungase kubangele ukuthi izimpawu zakho zibuye, futhi kwezinye izimo, ukuyeka kungazelelwe kungaholela ekubhebhethekeni okwesikhashana kobunzima bokuchama.

Yiziphi Imiphumela Eceleni ye-Tamsulosin?

Njengayo yonke imithi, i-tamsulosin ingabangela imiphumela emibi, nakuba abantu abaningi beyibekezelela kahle. Ukuqonda ukuthi okulindelekile kungakusiza ukuthi uzizwe uqiniseka kakhulu ngokwelashwa kwakho futhi wazi ukuthi ungaxhumana nini nomhlinzeki wakho wezempilo.

Imiphumela emibi evame kakhulu ngokuvamile imnene futhi ivame ukuthuthuka njengoba umzimba wakho ujwayela umuthi:

• Isiyezi noma ukungakhululeki, ikakhulukazi uma usukuma ngokushesha
• Ikhanda elibuhlungu
• Ukhwehlela noma ikhala elivaliwe
• Ukozela noma ukukhathala
• Isicanucanu noma isisu esibuhlungu
• Ubuhlungu emhlane
• Ukwehla kwevolumu yesidoda ngesikhathi sokuchama

Le miphumela evamile ivame ukunyamalala phakathi nezinsuku ezimbalwa kuya emavikini njengoba umzimba wakho ujwayela umuthi. Uma ziqhubeka noma ziba yinkinga, udokotela wakho angavame ukulungisa umthamo wakho noma isikhathi sokuthatha umuthi ukuze anciphise lezi zinkinga.

Imiphumela emibi engavamile kodwa ebucayi idinga ukunakekelwa kwezokwelapha ngokushesha, nakuba ingavamile:

• Isiyezi esibi noma ukuquleka
• Ubuhlungu besifuba noma ukushaya kwenhliziyo okusheshayo
• Ukuvuka okubuhlungu okuhlala ngaphezu kwamahora angu-4
• Ukuphendula okubi kakhulu komzimba okunezinduna, ukuvuvukala, noma ubunzima bokuphefumula
• Ushintsho olungazelelwe embonweni noma ubuhlungu emehlweni

Into ekhethekile ekhathazayo kubantu besilisa abahlelelwe ukuhlinzwa kwamehlo yi-Intraoperative Floppy Iris Syndrome (IFIS). Uma uthatha i-tamsulosin futhi udinga ukuhlinzwa kwamehlo, qiniseka ukuthi wazisa udokotela wakho wamehlo kusenesikhathi ukuze akwazi ukuthatha izinyathelo ezifanele.

Ubani Ongafanele Athole I-Tamsulosin?

I-Tamsulosin ayifanele wonke umuntu, futhi izimo ezithile zezokwelapha noma izimo zenza kungafaneleki. Udokotela wakho uzobuyekeza ngokucophelela umlando wakho wezokwelapha ngaphambi kokukuyala lo muthi ukuze aqinisekise ukuthi uphephile kuwe.

Akufanele uthathe i-tamsulosin uma unokungezwani nayo noma nganoma yiziphi izithako zayo, noma uma unomlando wokuphendula okubi kakhulu komzimba kwamanye ama-alpha-blockers. Abantu abanezifo zesibindi ezinzima bangase badinge nokugwema i-tamsulosin noma badinge ukuqapha okukhethekile nokulungiswa komthamo.

Izimo eziningana zezokwelapha zidinga ukuqapha okwengeziwe nokuqapha okuseduze uma kucatshangelwa i-tamsulosin:

• Umfutho wegazi ophansi noma umlando wokuphelelwa amandla
• Isifo senhliziyo noma ukushaya kwenhliziyo okungajwayelekile
• Isifo sezinso
• Ukuhlinzwa kwamehlo okuhleliwe noma okunye ukuhlinzwa kwamehlo
• Umlando womdlavuza wendlala yesinye

I-Tamsulosin ingasebenzisana neminye imithi, ikakhulukazi leyo esetshenziselwa ukwelapha umfutho wegazi ophezulu, ukungasebenzi kahle kwe-erectile, noma imithi ethile elwa nesikhunta. Njalo nikeza udokotela wakho uhlu oluphelele lwazo zonke izidakamizwa, izithasiselo, nemikhiqizo yezitshalo oyithathayo.

Abesifazane nezingane akufanele bathathe i-tamsulosin, njengoba yenzelwe ngqo i-anatomy yomgudu womchamo wesilisa futhi ayizange ifundelwe ukuphepha kulaba bantu.

Amagama Omkhiqizo we-Tamsulosin

I-Tamsulosin itholakala ngaphansi kwamagama amaningi omkhiqizo, i-Flomax iyona brand yokuqala eyaziwa kakhulu. Amanye amagama omkhiqizo afaka i-Flomaxtra, i-Urimax, ne-Tamnic, nakuba ukutholakala kuhluka ngokuya ngezwe nesifunda.

I-Tamsulosin ejwayelekile itholakala kabanzi futhi iqukethe isithako esifanayo esisebenzayo njengama-brand-name versions. Imithi ejwayelekile kufanele ihlangabezane nezindinganiso ezifanayo eziqinile zekhwalithi nokusebenza kahle njengemithi ye-brand-name, okwenza kube enye indlela engabizi kubantu abaningi.

Noma ngabe uthola i-tamsulosin ye-brand-name noma ejwayelekile, umuthi usebenza ngendlela efanayo futhi unikeza izinzuzo ezifanayo. Ikhemisi lakho lingase lishintshe ngokuzenzakalelayo i-tamsulosin ejwayelekile ngaphandle uma udokotela wakho ecela ngqo i-brand-name version.

Ezinye Izindlela ze-Tamsulosin

Uma i-tamsulosin ingasebenzi kahle kuwe noma ibangela imiphumela emibi, kukhona izindlela eziningi zokwelapha ezitholakalayo. Udokotela wakho angakusiza ukuthi uhlole lezi zinketho ukuze uthole indlela engcono kakhulu yesimo sakho esithile.

Ezinye izivimbeli ze-alpha zisebenza ngendlela efanayo ne-tamsulosin kodwa zingase zibe namaphrofayili ahlukene emiphumeleni engemihle. Lokhu kufaka phakathi i-alfuzosin (Uroxatral), i-doxazosin (Cardura), i-terazosin (Hytrin), kanye ne-silodosin (Rapaflo). Ngayinye inezici ezihlukile ezingenza enye ilungele izidingo zakho kunezinye.

Izivimbeli ze-5-alpha reductase njenge-finasteride (Proscar) kanye ne-dutasteride (Avodart) zisebenza ngendlela ehlukile ngokunciphisa ngempela i-prostate ngokuhamba kwesikhathi. Le mithi ingasetshenziswa yodwa noma ihlanganiswe nezivimbeli ze-alpha zamadoda anama-prostate amakhulu.

Kumadoda angasabeli kahle emithini, kunezindlela eziningana ezingahlaseli kakhulu kanye nezinketho zokuhlinzwa ezitholakalayo. Lokhu kusukela ekwelashweni okusehhovisi kuya ezinqubweni zokuhlinzwa eziphelele, kuye ngosayizi we-prostate yakho nobukhulu bezimpawu zakho.

Ingabe i-Tamsulosin Ingcono Kune-Alfuzosin?

Kokubili i-tamsulosin ne-alfuzosin ziyizivimbeli ze-alpha ezisebenzayo zokwelapha izimpawu ze-BPH, kodwa zinezinye izinto ezibalulekile ezingenza enye ilungele wena kunezinye. Akukho noyedwa

Imithi yomibili ivame ukubekezeleka kahle futhi isebenza kahle kumadoda amaningi ane-BPH. Udokotela wakho uzocabangela izinto ezinjengomfutho wegazi lakho, eminye imithi oyithathayo, nezintandokazi zakho siqu lapho encoma ukuthi yiluphi uhlobo lwe-alpha-blocker olungasebenza kangcono kuwe.

Imibuzo Evame Ukubuzwa Mayelana ne-Tamsulosin

Ingabe i-Tamsulosin iphephile ezigulini zenhliziyo?

I-Tamsulosin ingasetshenziswa ngokuphepha ngamadoda amaningi anezifo zenhliziyo, kodwa idinga ukuqapha ngokucophelela nokucatshangelwa kwesimo sakho senhliziyo esithile. Njengoba i-tamsulosin inganciphisa umfutho wegazi, udokotela wakho uzodinga ukuhlola ukuthi lo mphumela ungasebenzisana yini nemithi yakho yenhliziyo noma isimo sakho.

Uma unezifo zenhliziyo, udokotela wakho angase aqale ngomthamo ophansi futhi aqaphe umfutho wegazi lakho eduze lapho uqala i-tamsulosin. Bazobuye babuyekeze yonke imithi yakho yenhliziyo ukuze baqinisekise ukuthi akukho ukusebenzisana okuyinkinga okungathinta impilo yakho yenhliziyo nemithambo yegazi.

Ezinye izimo zenhliziyo, njengezinhlobo ezithile zezinkinga zokushaya kwenhliziyo noma ukuhluleka kwenhliziyo okukhulu, kungase kudingeke ukuqapha okukhethekile noma ezinye izindlela zokwelapha. Hlala uxoxa ngomlando wakho ophelele wenhliziyo nodokotela wakho ngaphambi kokuqala i-tamsulosin.

Ngingenzani uma ngingahlosile ngisebenzisa i-Tamsulosin eningi kakhulu?

Uma ngengozi uthatha i-tamsulosin eningi kunaleyo ebekiwe, xhumana nodokotela wakho noma isikhungo sokulawula ubuthi ngokushesha, ngisho noma uzizwa ulungile. Ukuthatha i-tamsulosin eningi kakhulu kungabangela umfutho wegazi ophansi kakhulu, okungaba yingozi futhi kudingeke ukunakekelwa kwezokwelapha.

Izimpawu ze-tamsulosin overdose zihlanganisa isiyezi esikhulu, ukuquleka, ukushaya kwenhliziyo okusheshayo, noma ukuzizwa ubuthakathaka kakhulu. Uma uhlangabezana nalezi zimpawu, funa ukunakekelwa kwezokwelapha eziphuthumayo ngokushesha. Ungazami ukuzishayela wena esibhedlela - shayela usizo oluphuthumayo noma ucele omunye umuntu ukuthi akuqhubele.

Ukuvimbela ukweqisa umthamo ngengozi, gcina i-tamsulosin yakho esitsheni sayo sokuqala ngamalebula acacile, futhi cabanga ukusebenzisa umhleli wamaphilisi uma uthatha imithi eminingi. Ungalokothi uphinde imithamo uma ukhohlwa ukuthatha umuthi wakho.

Kufanele Ngenzeni Uma Ngiphuthelwa Umthamo We-Tamsulosin?

Uma uphuthelwa umthamo we-tamsulosin, yithathe ngokushesha lapho ukhumbula, kodwa kuphela uma sekudlule amahora angaphansi kwangu-12 kusukela ngesikhathi sakho esijwayelekile somthamo. Uma sekudlule amahora angaphezu kwangu-12 noma sekuseduze isikhathi somthamo wakho olandelayo, weqa umthamo ophuthelwe bese ubuyela esimisweni sakho esijwayelekile.

Ungalokothi uthathe imithamo emibili ngesikhathi esisodwa ukuze ulungise umthamo ophuthelwe, ngoba lokhu kungandisa ingozi yakho yemiphumela emibi efana nesiyezi nokwehla kwegazi. Kungcono ukuphuthelwa umthamo owodwa kunokubeka engcupheni yokuthatha imithi eningi kakhulu ngesikhathi esisodwa.

Uma uvame ukukhohlwa ukuthatha i-tamsulosin yakho, cabanga ukusetha i-alamu yansuku zonke noma ukuyixhuma esimisweni sansuku zonke njengokudla. Ukuthatha imithi nsuku zonke ngokuqhubekayo kusiza ukugcina amazinga aqinile omuthi ohlelweni lwakho ukuze kulawulwe izimpawu ngendlela efanele.

Ngingayeka Nini Ukuthatha I-Tamsulosin?

Kufanele uyeke kuphela ukuthatha i-tamsulosin ngemuva kokuxoxa ngakho nodokotela wakho, njengoba i-BPH ngokuvamile iyisimo esingapheli esidinga ukuphathwa okuqhubekayo. Udokotela wakho uzokusiza ukuthi uhlole ukuthi izimpawu zakho zithuthuke ngokwanele yini ukuzama ukuphumula emithini noma ngabe ezinye izindlela zokwelapha zingase zifanele.

Amanye amadoda angase akwazi ukunciphisa umthamo wawo noma aphumule ku-tamsulosin uma izimpawu zawo zithuthuke kakhulu, usayizi we-prostate yawo uzinzile, noma uma behlinzwe i-BPH yabo. Kodwa-ke, izimpawu zivame ukubuyela uma imithi iyekwa ngokuphelele.

Uma wena nodokotela wakho ninquma ukuyeka i-tamsulosin, bangase bancomise ukuncishiswa kancane kancane kunokuyeka kungazelelwe. Le ndlela isiza ukunciphisa ingozi yokubuyela emuva kwezimpawu futhi ikuvumela ukuthi uqaphele ukuthi umzimba wakho usabela kanjani ekushintsheni komuthi.

Ngingayithatha I-Tamsulosin Ngeminye Imithi?

I-Tamsulosin ingahlangana nezinhlobo eziningana zemithi, ngakho-ke kubalulekile ukwazisa udokotela wakho ngakho konke okuthathayo, okuhlanganisa imithi kadokotela, imithi etholakala ngaphandle kwemvume kadokotela, kanye nezithasiselo. Ezinye izinto ezingahlangana zingalawulwa ngokulungiswa komthamo noma ukuqapha ngokucophelela, kanti ezinye zingase zidinge ezinye izindlela zokwelapha.

Imithi evame ukuhlangana ne-tamsulosin ihlanganisa eminye imithi yokwehlisa umfutho wegazi, imithi yokwelapha ukungasebenzi kahle kwe-erectile njenge-sildenafil (Viagra), eminye imithi elwa nesikhunta, kanye namanye ama-antibiotics. Lokhu kuhlangana kungandisa ingozi yokwehla komfutho wegazi noma eminye imiphumela emibi.

Udokotela wakho nomuthi wakho womuthi bangakusiza ukuthi ubone ukuthi yini engase ihlangane futhi bakhe uhlelo lwemithi oliphephile. Bangase batusa ukuthatha imithi ethile ngezikhathi ezihlukene zosuku noma ukulungisa imithamo ukunciphisa izingozi zokuhlangana ngenkathi kugcinwa ukusebenza kahle.