Yini i-Alprostadil (Indlela ye-Intracavernosal): Ukusetshenziswa, Umthamo, Imiphumela Eceleni nokuningi

I-Alprostadil intracavernosal injection iyikhambi elibhalwe ngudokotela elisetshenziselwa ukwelapha ukungasebenzi kahle kwe-erectile (ED) emadodeni. Lokhu kwelashwa kuhilela ukujova inani elincane lomuthi ngqo epenis ukusiza ukufeza nokugcina i-erection efanelekayo yomsebenzi wezocansi.

Ungase ucabangele le nketho uma imithi ye-ED yomlomo ingasebenzi kuwe noma ingafaneleki ngenxa yezinye izimo zempilo. Ngenkathi umqondo wokujova ungase ubonakale usabisa ekuqaleni, amadoda amaningi athola ukuthi lokhu kwelashwa kuyasebenza futhi kulawuleka uma sebeqonda ukuthi kusebenza kanjani.

Yini i-Alprostadil?

I-Alprostadil iyinguqulo yokwenziwa ye-prostaglandin E1, into yemvelo umzimba wakho oyikhiqizayo. Uma isetshenziselwa ukungasebenzi kahle kwe-erectile, iza njengempushana enezinambuzane exutshwa noketshezi ngaphambi kokujova.

Umuthi usebenza endaweni epenis kunokuthi uthinte wonke umzimba wakho njengoba amaphilisi e-ED omlomo enza. Le ndlela eqondiwe ingasiza ikakhulukazi uma unezimo ezithile zenhliziyo noma uthatha imithi eyenza ukwelashwa kwe-ED yomlomo kungafaneleki.

Udkt wakho ngokuvamile uzokunika lokhu lapho okunye ukwelashwa kungasebenzi noma uma udinga isixazululo esithembeke kakhulu sokufeza ama-erection.

Yini i-Alprostadil Esetshenziselwa Yona?

I-Alprostadil intracavernosal injection isetshenziselwa ikakhulukazi ukwelapha ukungasebenzi kahle kwe-erectile emadodeni angakwazi ukufeza noma ukugcina i-erection eqinile ngokwanele ukwenza ucansi. Lokhu kwelashwa kungasiza kungakhathaliseki ukuthi yini ebangela i-ED yakho.

Udkt wakho angase ancome lo muthi uma une-ED ngenxa yezimbangela ezihlukahlukene ezingaphansi. Lokhu kungabandakanya isifo sikashukela, izinkinga zemithambo yegazi, ukulimala kwemizwa, noma izinto ezingokwengqondo ezithinta ikhono lakho lokuthola i-erection.

Lo muthi ngezinye izikhathi usetshenziselwa izinjongo zokuxilonga ukusiza udokotela wakho ukuthi aqonde ukuthi yini ebangela ukungasebenzi kahle kwakho. Ngesikhathi salezi zivivinyo, ukusabela kwakho emjovweni kusiza ukunquma ukuthi inkinga ingokomzimba noma inezinye izimbangela.

Isebenza Kanjani I-Alprostadil?

I-Alprostadil isebenza ngokukhulula imisipha ebushelelezi esithweni sakho sangasese nokwandisa imithambo yegazi. Lokhu kuvumela igazi eliningi ukuthi ligeleze esithweni sangasese ngenkathi kunciphisa ukugeleza kwegazi, okudala ukuvuka.

Uma ujova umuthi ku-corpora cavernosa (izicubu ezinama-spongy esithweni sakho sangasese), iqala ukusebenza phakathi kwemizuzu emi-5 kuya kwengama-20. Umuthi usebenza ngqo ezicutshini lapho ujovwe khona, yingakho ungasebenza ngisho nalapho imithi yomlomo ingasebenzi.

Lokhu kuthathwa njengenketho yokwelapha enamandla ngokulinganisela. Ithembeke kakhulu kunezithako zomlomo kumadoda amaningi, kodwa idinga ukulungiswa okwengeziwe kanye nekhono lokuyisebenzisa kahle.

Kufanele Ngiyithathe Kanjani I-Alprostadil?

Uzojova i-alprostadil ngqo ohlangothini lwesitho sakho sangasese usebenzisa inaliti enhle kakhulu. Udokotela wakho noma umhlengikazi uzokufundisa inqubo efanele ngesikhathi sokuvakasha kwakho kokuqala, futhi uzokwenza kuze kube uzizwa ukhululekile ukuzenzela wena.

Indawo yokujova kufanele ihlanzwe nge-alcohol swab ngaphambi kokusetshenziswa ngakunye. Uzozungeza phakathi kohlangothi lwesobunxele nesiqondiso sesitho sakho sangasese ngomjovo ngamunye ukuvimbela ukulimala kwezicubu. Inaliti ingena ku-corpus cavernosum, igwema imithambo ebonakalayo kanye ne-urethra.

Awudingi ukuthatha lo muthi nokudla noma amanzi njengoba ujovwa ngqo esithweni sangasese. Kodwa-ke, kufanele ugweme utshwala ngaphambi kokuyisebenzisa, njengoba utshwala bungaphazamisa ikhono lakho lokuthola ukuvuka.

Udokotela wakho uzoqala ngomthamo ophansi futhi awunyuse kancane kancane ngesikhathi sokuvakasha ehhovisi kuze kube yilapho uthola inani elifanele elikusebenzelayo. Ungalokothi ulungise umthamo wakho wedwa, njengoba umuthi omningi ungabangela ukuvuka okude, okubuhlungu.

Kufanele Ngiyithathe Isikhathi Esingakanani I-Alprostadil?

Ungasebenzisa umjovo we-alprostadil intracavernosal isikhathi eside njengoba udokotela wakho encoma futhi uma isasebenza kuwe. Ngokungafani neminye imithi, akukho mkhawulo wesikhathi othize wokusebenzisa lokhu kwelashwa.

Amadoda amaningi asebenzisa lo muthi kuphela uma efuna ukuba nomsebenzi wobulili, ngokuvamile okungaphezu kwesisodwa ngosuku futhi okungaphezu kathathu ngesonto. Ukuwusebenzisa kaningi kungakhuphula ingozi yakho yemiphumela emibi nokulimala kwezicubu.

Udokotela wakho uzofuna ukukubona njalo ukuze aqaphele ukuthi ukwelashwa kusebenza kahle kangakanani nokuhlola noma yimiphi imiphumela emibi. Bangase balungise umthamo wakho noma baphakamise izinguquko ohlelweni lwakho lokwelashwa ngokusekelwe ekuphenduleni kwakho nanoma yiziphi izinkathazo eziphakamayo.

Yini Imiphumela Emiqoka Ye-Alprostadil?

Imiphumela emibi evame kakhulu yenzeka ngqo endaweni yokujova futhi ivame ukuba yiminyene noma iphakathi nendawo. Ukuqonda ukuthi yini ongayilindela kungakusiza ukuthi uzizwe ulungiseleleke kakhulu futhi wazi ukuthi ungaxhumana nini nodokotela wakho.

Imiphumela emibi evamile ongase uyithole ihlanganisa:

• Ubuhlungu noma ukuqaqamba ezinqeni zakho ngemuva komjovo
• Ukuphuma igazi okuncane noma ukulimala endaweni yokujova
• Umuzwa ovuthayo noma obhabhayezayo ngesikhathi somjovo
• Ukuvuvukala endaweni yokujova
• Ikhanda elincane noma isiyezi

Le miphumela ngokuvamile yesikhashana futhi iyathuthuka njengoba umzimba wakho ujwayela umuthi. Ubuhlungu buvame ukuhlala imizuzu embalwa kuya ehora elilodwa.

Imiphumela emibi ebucayi ayivamile kodwa idinga ukunakekelwa kwezokwelapha ngokushesha. Lokhu kufaka phakathi ukuqina okude okuhlala ngaphezu kwamahora angu-4 (okubizwa ngokuthi i-priapism), ubuhlungu obukhulu, noma izimpawu zokutheleleka endaweni yokujova.

Amanye amadoda angase athuthukise izicubu ze-fibrous noma amaqhuma amancane ezindaweni zokujova ngokusebenzisa isikhathi eside. Yingakho ukushintshanisa izindawo zokujova nokulandela imiyalelo kadokotela wakho ngokucophelela kubaluleke kakhulu.

Ngokuvamile, amanye amadoda ahlangabezana nokwehla kwegazi, ukuquleka, noma ukushaya kwenhliziyo okungajwayelekile. Le miphumela yesistimu ayivamile ngoba umuthi usebenza endaweni ethile, kodwa ingenzeka, ikakhulukazi ngemithamo ephezulu.

Ubani Ongafanele Athole I-Alprostadil?

Akufanele usebenzise i-alprostadil intracavernosal injection uma unezimo ezithile zezokwelapha noma usebenzisa imithi ethile. Udokotela wakho uzobuyekeza umlando wakho wezokwelapha ngokucophelela ngaphambi kokukuchazela lo muthi.

Kufanele ugweme lo muthi uma unezimo ezenza ukuziphatha ngokocansi kungafaneleki, njengesifo senhliziyo esibi noma umfutho wegazi ophezulu ongagadiwe. Amadoda anezifo ezithile zegazi, njengesifo se-sickle cell noma i-leukemia, nawo akufanele asebenzise lo muthi.

Lo muthi awufaneleki uma unomlando we-priapism (ukuqina isikhathi eside) noma uma usebenzisa izinciphisi zegazi ezenza ingozi yokopha ikhule kakhulu. Amadoda anesifo sesibindi esibi noma labo abangavumelani ne-alprostadil kufanele futhi bagweme lo muthi.

Uma unokufakelwa kwe-penile, ukutheleleka ngamathumbu omchamo, noma ukungajwayeleki okuthile kwe-anatomical ye-penis, udokotela wakho cishe uzoncoma ezinye izindlela zokwelapha esikhundleni salokho.

Amagama Omkhiqizo we-Alprostadil

I-Alprostadil intracavernosal injection itholakala ngaphansi kwamagama amaningi omkhiqizo, i-Caverject iyilena evame kakhulu ukuchazwa. Amanye amagama omkhiqizo afaka i-Edex ne-Prostin VR.

Lezi zinhlobo ezihlukene ziqukethe isithako esifanayo esisebenzayo kodwa zingase zibe nokwakheka okuhlukile noma amasistimu okujova. Udokotela wakho uzokhetha umkhiqizo ofaneleka kakhulu izidingo zakho kanye nezinga lokunethezeka.

Ezinye izinhlobo ziza ngamadivayisi e-auto-injector enza inqubo yokujova ibe lula futhi inembe kakhulu. Ikhemisi lakho lingakukhombisa ukuthi ungayisebenzisa kanjani noma yiluphi uhlelo udokotela wakho aluchazayo.

Ezinye Izindlela ze-Alprostadil

Uma umjovo we-alprostadil intracavernosal ungasebenzi kuwe noma ubangela imiphumela eminingi, ezinye izindlela zokwelapha ziyatholakala. Udokotela wakho angakusiza ukuthi uhlole lezi ezinye izindlela ngokusekelwe esimweni sakho esithile.

Imithi yomlomo efana ne-sildenafil (Viagra), tadalafil (Cialis), noma i-vardenafil (Levitra) ivame ukuzanywa kuqala ngoba kulula ukuyisebenzisa. Lezi zithiyo ze-PDE5 zisebenza ngendlela ehlukile kune-alprostadil futhi zingase zisebenze ngisho noma imijovo ingasebenzanga.

Ama-suppositories e-alprostadil urethral (MUSE) aletha umuthi ofanayo ngendlela ye-urethra esikhundleni somjovo. Nakuba ingahlaseli kangako, ngokuvamile ayisebenzi kangako kunemijovo.

Amadivayisi okuvusa i-vacuum, izitshalo ze-penile, kanye nokwelashwa kokufaka i-testosterone (uma une-testosterone ephansi) ezinye izinketho udokotela wakho angase axoxe ngazo nawe.

Ingabe i-Alprostadil Ingcono Kune-Viagra?

I-Alprostadil ne-Viagra zisebenza ngendlela ehlukile futhi ngamunye unokuhle kwakhe kuye ngesimo sakho. Akukho noyedwa

I-Alprostadil ingaba yingozi encane kunezithako zomlomo ze-ED kwamanye amadoda anezifo zenhliziyo ngoba isebenza endaweni ethile kunokuthinta lonke uhlelo lwakho lwe-cardiovascular. Kodwa-ke, usadinga imvume yezokwelapha ngaphambi kokuyisebenzisa.

Udokotela wakho uzohlola ukuthi ngabe ukuzijabulisa ngokocansi kuphephile yini esimweni senhliziyo yakho ngaphambi kokunquma noma yikuphi ukwelashwa kwe-ED. Bazocabangela izinkinga zakho zenhliziyo ezithile, imithi yamanje, kanye nesimo sempilo esiphelele.

Kufanele ngenzeni uma ngingahlosi ukusebenzisa i-Alprostadil eningi kakhulu?

Uma ujova i-alprostadil eningi kakhulu, ungase uthole ukuvuka okuluhlaza okuhlala amahora angaphezu kwangu-4. Lokhu kuyisimo esiphuthumayo sezokwelapha esibizwa nge-priapism esidinga ukwelashwa ngokushesha ukuvimbela ukulimala unomphela.

Yiya egumbini eliphuthumayo ngokushesha uma ukuvuka kwakho kuhlala isikhathi esingaphezu kwamahora angu-4 noma kuba buhlungu. Ungalindi ukubona ukuthi ngabe kuyanyamalala yini ngokwako. Ukwelashwa okusheshayo kungavimbela ukulimala unomphela esithweni sakho sangasese.

Kufanele ngenzeni uma ngiphuthelwa umthamo we-Alprostadil?

I-Alprostadil isetshenziswa kuphela uma ufuna ukuba nomsebenzi wezocansi, ngakho-ke akukho isimiso sokulinganisa esivamile okufanele silondolozwe. Akudingeki ukhathazeke ngokuthi

I-Alprostadil ngokuvamile iqala ukusebenza phakathi kwemizuzu emi-5 kuya kwengama-20 ngemuva komjovo. Amadoda amaningi aqaphela ukuqala kokuvuka ngaphakathi kwemizuzu eyi-10, futhi umphumela ogcwele uvame ukuthuthuka ngaphakathi kwemizuzu engama-20.

Ukuvuka ngokuvamile kuhlala imizuzu engama-30 kuya emahoreni ama-2, kuye ngomthamo wakho nokuphendula komuntu ngamunye. Ubude buvame ukuba buqaguleke kakhulu kunezithako zomlomo, ezingasiza ekuhleleni imisebenzi esondelene.