Kuwongolera mapiritsi a erectile kulephera, mankhwala, & mankhwala

Maphunziro a Zaumoyo

Pofika zaka 70, pafupifupi 70% ya amuna ku United States kukumana ndi vuto la erectile, lotchedwanso kupanda mphamvu. Mwanjira ina, kulephera kukwaniritsa kapena kusunga erection ndi vuto lodziwika bwino. Mwamwayi, nthawi zambiri imachiritsidwa komanso imachiritsidwa ndimapiritsi a erectile.

Kodi mapiritsi ogwira mtima kwambiri ndi ati?

Kutengera ndi chomwe chimayambitsa vutoli, mankhwala omwe amalembedwa kwambiri pakamwa ndi awa:

• sildenafil (Viagra, Revatio)
• tadalafil (Adcirca, Cialis)
• vardenafil (Levitra, Staxyn)
• avanafil (Stendra)

Ngakhale mapiritsi onsewa amagwiritsidwa ntchito mofananira, amasiyana. Amaletsa enzyme yotchedwa phosphodiesterase mtundu wa 5. Izi phosphodiesterase mtundu wa 5 inhibitors (PDE5 inhibitors kapena PDE5i) sizimayambitsa chilakolako chogonana; Amathandizira kuthamanga kwa magazi kupita ku mbolo komwe kumakupatsani mwayi wopeza zovuta.

Kodi mapiritsi osagwira ntchito amagwira ntchito?

Sildenafil (Viagra), vardenafil (Levitra), avanafil (Stendra), ndi tadalafil (Cialis) onse amawonedwa ngati mankhwala oyamba a ED chifukwa chazotheka komanso chitetezo.

Musanamwe mankhwala aliwonse a ED, uzani dokotala wanu za mankhwala aliwonse omwe mumamwa kale, kuphatikizapo mavuto ena azaumoyo, monga matenda amtima, kuthamanga kwa magazi, kapena matenda ashuga. Mankhwala ena amalumikizana ndi mapiritsiwa.Mwachitsanzo, simuyenera kugwiritsa ntchito PDE5 inhibitors ngati mukumwetsanso mankhwala a nitrate ndikuyenera kusamala ngati muli pa alpha-blockers.Kukhala wowonekera bwino ndi dokotala wanu kumakuthandizani kudziwa mankhwala abwino kwambiri komanso chithandizo chamankhwala osokoneza bongo kwa inu.

Mankhwala osokoneza bongo a Erectile

Mankhwala otsatirawa omwe amavomerezedwa ndi FDA amafunsidwa kuti athetsere ED.

Sildenafil (Viagra)

Mwinanso dzina lodziwika bwino la mankhwala osokoneza bongo a ED omwe amalimbikitsidwa kuti athetse vuto la erectile, Viagra ndi PDE5 inhibitor. Viagra imapezeka mu 25 milligram (mg) mpaka mapiritsi a 100 mg. Amatengedwa pakamwa pafupifupi mphindi 30 asanayambe kukondana, ndipo zotsatira zake zimatha kukhala maola anayi mpaka asanu.

Ngakhale osakhala osokoneza bongo, pali chiopsezo cha zotsatirazi mukamamwa sildenafil:

• chizungulire
• kutaya kumva kapena kulira m'makutu
• kupweteka m'mimba ndi mseru
• kupweteka mutu
• kutentha kapena kufiira pankhope, m'khosi, kapena pachifuwa
• Kuchuluka kwa mphuno
• kutsegula m'mimba
• kupweteka kwa msana
• mavuto okumbukira
• kulephera kusiyanitsa mitundu yobiriwira ndi buluu

Sildenafil imapezekanso ngati Revatio, mapiritsi otsika kapena jakisoni, koma kokha pochizira matenda a pulmonary arterial hypertension (PAH), osati chifukwa cha kuwonongeka kwa erectile.

Tadalafil (Adcirca, Cialis)

Tadalafil ndi PDE5i, monga sildenafil, yomwe imakulitsa magazi kupita ku mbolo kuti ikonzeke. Zimathandizira zotsatira za mankhwala achilengedwe amitsempha yamagazi omwe amatchedwa nitric oxide, omwe amathandiza minofu m'mitsempha ya mbolo kumasuka ndikutambalala, kulola magazi ambiri kulowa. Ili ndi mawonekedwe osiyana pang'ono poyerekeza ndi Sildenafil ndipo amatha maola awiri kuti akwaniritse bwino kwambiri. Komabe, zotsatira zake zimatha kukhala mpaka maola 36.

Ngati tadalafil imatengedwa ngati ikufunika, mulingo wake ndi 5 mg mpaka 20 mg pakamwa musanachite zogonana. Komabe, amuna ena amakonda kutenga Cialis tsiku lililonse. Mlingo woyamba wogwiritsidwa ntchito tsiku ndi tsiku ndi 2.5 mg, wotengedwa kamodzi tsiku lililonse nthawi yomweyo. Potsirizira pake, wodwalayo amasintha kukhala gawo lokonzekera tsiku lililonse pakati pa 2.5 mg ndi 5 mg.

Zotsatira zofala kwambiri za tadalafil ndizo:

• yothina kapena yothamanga m'mphuno
• kuchapa
• mutu
• kupweteka kwa msana
• kukhumudwa m'mimba
• kupweteka kwa miyendo

Tadalafil imapezekanso ngati Adcirca, koma yokhayo yothandizira kupwetekedwa kwa magazi m'mapapo mwanga (PAH), osati chifukwa cha kukanika kwa erectile.

Vardenafil (Levitra, Staxyn)

PDE5 inhibitor ina, vardenafil (Levitra, Staxyn), ndi mankhwala am'kamwa omwe amatengedwa pakufunika mphindi 60 asanagonane. Mutha kumwa mankhwala osokoneza bongo a erectile mpaka kamodzi patsiku monga adalangizidwa ndi dokotala wanu.

Odwala ambiri amayamba ndi 10 mg mlingo wa vardenafil, komabe amapezeka ngati mankhwala akumwa mu 2.5 mg, 5 mg, 10 mg, ndi 20 mg Mlingo.

Zili ndi zovuta zina zotere monga mankhwala ena a PDE5i, kuphatikiza:

• mutu
• chizungulire
• kukhumudwa m'mimba

Monga zoletsa zonse za PDE5,Vardenafil amatha kulumikizana ndi mankhwala ena. Siziyenera kuperekedwa kwa odwala omwe ali ndi mphamvu za CYP3A4 zoletsa ngati ketoconazole ndi ritonavir, kapena kwa odwala omwe ali ndi matenda amtima, omwe akutenga nitrate ngati nitroglycerin, yomwe imaperekedwa kuti iteteze kupweteka pachifuwa.

Chichiri (Stendra)

PDE5 inhibitor yofulumira kwambiri yomwe ilipo, Avanafil (Stendra) imatha kufikira kwambiri pambuyo pa mphindi 30-45. Amamwa pakamwa mphindi 30 musanagonane ndipo amatha kugwira ntchito kwa maola 6-12.

Zotsatira zoyipa za avanafil ndizo:

• mutu
• kuchapa
• mphuno yodzaza
• chikhure

Kodi mapiritsi a ED amatenga nthawi yayitali bwanji? Kuyerekeza kwa PDE5i

Kodi Stendra ndiyothandiza kuposa Viagra?

Stendra (avanafil) ndi Viagra (sildenafil) onsewa ndi othandiza PDE5 inhibitors omwe amagwiritsidwa ntchito pochiza kuwonongeka kwa erectile.Monga zoletsa zonse za PDE5, zimagwira ntchito kupumula minofu yosalala ndikuchulukitsa magazi kupita ku mbolo.

Kusiyanitsa kwakukulu pakati pa mankhwala awiriwa operewera sichothandiza, koma kuyambira ndi kutalika kwake.

Stendra imagwira ntchito mwachangu ndipo itha kukhala yothandiza mphindi 15 zokha musanachite zogonana.Itha kukhala mpaka maola 12. Mofananamo, Viagra imayenera kutengedwa mphindi 30 mpaka 60 musanagonane, ndipo imatha pafupifupi maola 5.

ZOKHUDZA: Stendra vs Viagra: Kusiyana Kwakukulu ndi Kufanana

Zomwe zili bwino: Viagra kapena Cialis kapena Levitra?

Kusiyana kwakukulu pakati pa zoletsa zonse za PDE5 ndikoyamba ndi nthawi yayitali yamankhwala.

Levitra (vardenafil) ndi Viagra (sildenafil) ali makamaka ofanana .

Levitra iyenera kutengedwa ola limodzi musanachite zogonana, pomwe sildenafil ili ndi zenera lokulirapo. Itha kumwedwa kulikonse kuyambira mphindi 30 mpaka maola 4 musanagonane. Nthawi yomwe zimatengera kugwira ntchito imasiyanasiyana malinga ndi munthu.

Mukayerekezera Cialis kupita ku Viagra ndi Levitra, pali zosiyana ziwiri:

1. Cialis imatha kutengedwa ngati pakufunika, kapena tsiku lililonse. Viagra ndi Levitra samatengedwa kamodzi patsiku, pokhapokha ngati pakufunika kutero.
2. Cialis imatenga nthawi yayitali kuposa Viagra kapena Levitra, kulikonse kuyambira 24 mpaka 36 maola (kapena kupitilira ngati atengedwa tsiku lililonse) poyerekeza ndi 4 mpaka 5 maola.

Mankhwala ena a ED

Chifukwa pali zifukwa zambiri zomwe zimalepheretsa kugonana, pali njira zina zochiritsira zomwe anthu ambiri amagwiritsa ntchito kuti athetse vutoli komanso thanzi lawo logonana. Izi zikuphatikiza:

• Kutema mphini
• Kulankhula othandizira (upangiri)
• Kusintha kwa zakudya ndi zakudya
• Kusinkhasinkha
• Chitani masewera olimbitsa thupi
• Zomera za penile ndi mapampu

Kapena, mankhwala owonjezera pa makineti ndi mavitamini omwe anthu ena amati ndi othandiza paumoyo wa amuna. Zina mwazosankha ndi izi:

• L-arginine
• Ginseng
• Yohimbe

Popeza pali zoopsa kuti mankhwalawa atha kulumikizana ndi mankhwala ena, nthawi zonse muyenera kupeza upangiri kuchipatala musanayambike pa counter kapena mankhwala achilengedwe.

ZOKHUDZA: Machiritso achilengedwe a kukanika kwa erectile

Dokotala wanu angakulimbikitseninso njira zotsatirazi zosagwira ntchito.

Alprostadil (Caverject, Viridal, MUSE)

Alprostadil ndi njira yachiwiri yothandizira kulephera kwa erectile. Mankhwalawa amapezeka ngati jakisoni (Caverject, Viridal) kapena aurethralchowonjezera (MUSE). Ndi vasodilator yomwe imachepetsa mitsempha yamagazi kuti iwonjezere magazi kulowa mu mbolo ndikulola erection.

Testosterone m'malo

Ngati mulibe mahomoni ogonana amuna kapena akazi okhaokha, testosterone, dokotala wanu atha kupereka upangiri wothandizirana ndi testosterone kuti athetse vuto logonana. Izi zitha kugwiritsidwa ntchito zokha kapena kuphatikiza mankhwala ndi mankhwala ena.

Magulu anu a testosterone amatha kuyesedwa ndi kuyesa magazi kosavuta.Pambuyo pamavuto okumana, zizindikiro za testosterone yotsika, mahomoni ofunikira pazomwe zimachitika, ndi monga:

• Kuchepetsa kugonana
• Kukula kwa m'mawere
• Kutaya tsitsi
• Kuchuluka mafuta thupi
• Ikani mphamvu yamphamvu ndi kukula kwake

Mukayamba mankhwala a mahomoni, izi ndi zina zoyipa zomwe zingachitike:

• Kusungidwa kwamadzimadzi
• Ziphuphu
• Kukula kwa mawere ndi prostate
• Kuchepetsa kubereka
• Wonjezerani m'maselo ofiira ofiira
• Zizindikiro zakumphuno zakugona

ZOKHUDZA: Upangiri Wotsogolera ku Kulephera kwa Erectile

Momwe mungasankhire njira yoyenera kwa inu

Kulephera kwa erectile kumachiritsidwa ndipo nthawi zambiri kumachiritsidwa. Ikhoza kukhala ngati chizindikiro chochenjeza, chizindikiro choyamba cha zochitika monga matenda amtima, kuthamanga kwa magazi, matenda a impso, cholesterol, shuga, kunenepa kwambiri, kumwa mowa mwauchidakwa, kapena matenda amitsempha. Mukauza dokotala wanu za ED, zitha kuthandizira pakuzindikira msanga.

Ndibwino kuti mulankhule momasuka ndi dokotala wanu kapena katswiri wa zamitsempha pazomwe mwakumana nazo kuti mudziwe kuti ndi iti chithandizo idzagwira ntchito bwino pazizindikiro zanu, zosowa zanu, komanso moyo wanu. Ngati mungaganize zogula mankhwala alionse kapena zowonjezera pa intaneti, onetsetsani kuti mukugula kuchokera patsamba lodalirika komanso lodziwika. Fufuzani zizindikiritso za mankhwalawa kuti mupewe zinthu zabodza kapena zosungunuka, ndipo musazigule popanda mankhwala.