Ngamanye amaxesha, sonke sine-chuckle enhle malunga neyeza zokungasebenzi ngokungafaniyo njenge-sildenafil (Viagra) kunye ne-tadalafil (Cialis). Kodwa kuncibilikisa njengoko sinako, la mayeza asebenza ngokuphawulekayo ekuncedeni amadoda asebenze ngesondo kunye ne-erectile disysction. Uphando olutsha kunye nezikhokelo zekliniki zibonisa enye indlela yokusetyenziswa kwezi zonyango: ukulawula ngokubambisana kunye nezidakamizwa ezifana ne-finasteride (Proscar) okanye i-dutasteride (Avodart), ezi-5-alpha-reductase inhibitors ezisetyenziselwa ukuphatha i-benign prostatic hyperplasia (BPH).
Ngokukhethekileyo, i-5-alpha-reductase inhibitors kunye ne-alpha blockers, enye uhlobo lweziyobisi ze-BPH, yenza inombolo kwibhabido yomntu kunye nokukwazi ukugcina ukulungiswa-umphumo ongathintekiyo olwaphulwa yi-erectile dysfunction meds njenge-Cialis. Ngaphezu koko, ngo-2011, i-FDA evunyelwe i-Cialis yokunyanga iimpawu ze-BPH, kwakhona (cinga ubunzima bokuchama). Ngaloo ndlela, i-Cialis inenzuzo ngokuphindaphindiweyo kulabo abane-BPH!
Yintoni uBenign Prostatic Hyperplasia (BPH)?
Ukuba unayo i-BPH, mhlawumbi akudingeki ukuba ungenise isingeniso kwiimpawu zayo ezingathandekiyo, ezinomsindo kunye namaxesha amaninzi. Nangona kunjalo, ngenxa yethu sonke esingabonakaliyo, nantsi inkcazelo ethile kule meko.
I-Benign prostatic hyperplasia yinkqubo engabonakaliyo (engaqhelekanga) yokwandiswa kweprotate. Kwamadoda, iprotrate yenza isisu. Kwamadoda ane-BPH, i-prostate ingaba ngamawaka angama-10 amakhulu kwaye ibangela ukukhupha umchamo. Ingqalelo, iprotrate yintsimbi enemibala ejikeleze i-urethra okanye "pee" tube; iprotrate ihlala phantsi ngaphantsi kwe-bladder.
Nangona umdlavuza we-prostate uquka u-hypertrophy kunye ne-hyperplasia kunye neempawu ezininzi zokuqala ezifana ne-BPH, i-BPH ayikho umhlaza. Isimo esinobuhlungu abantu abaninzi abaneminyaka engama-50 okanye ngaphezulu ukuya kumazinga athile. Ngaphezu koko, i-BPH ayinakubeka ingozi eyongezelelweyo yokuvelisa umdlavuza wesibeletho.
Kwinkoliso yamadoda, i-BPH ayimfuneko kwaye ayibangela ukuba kubekho iimpawu ezibonakalayo malunga neyesithathu samadoda aseMerika, nangona kunjalo, unokufumana iimpawu zokuqala ezilandelayo:
- Ukuhlala ukhuthaza ukuvuthwa (i-urinary frequency) ikakhulukazi ebusuku
- Umlambo obuthathaka umchamo uqala kwaye uyeka
- Uvakalelwa kukuba ufanele uphawule nangemva kokugqiba ukucima
- Ingxaki eqala umlambo womchamo (ukungabikho)
- Igalelo legazi kumchamo
Ngokuhamba kwexesha, i-BPH ingakhokelela kwiingxaki ezinzulu ezinjengezonyango zokugonywa kwamagciwane, izintso, kunye nomonakalo wesisu. (Ukukhuseleka okubangelwa yi-prostate hyperplastic kungabangela ukukhusela umchamo okonakalisa iinjongo kunye nesisu.)
Inkatho yokuqala ye-BPH yonyango kunye nokuhlinzwa (i- TURP ) igcinelwe abantu abahlulekayo unyango lweyeza. Amadoda ane-BPH ye-symptomatic ayifumana iindidi ezimbini zamachiza: i-alpha blockers (cinga i-terazosin okanye i-doxazosin) kunye ne-5-alpha reductase inhibitors njengeProscar neAvodart ngasentla.
Umfundi onokuqonda angaqaphela ukuba zombini iindidi zee-BPH zonyango ziqulethe i- alpha ngamagama abo; Noko ke, iindlela zezobisi zihluke ngokupheleleyo. I-Alpha blockers ikhulule umsila ococekileyo entanyeni ye-bladder kunye neprotate ukuze kuphuculwe ukuhamba komchamo kunye nokunciphisa ukukhutshwa komchamo. Nangona, i-5-alpha-reductase inhibitors ijolise i-hormonal underpinnings ye-BPH kwaye ingabancedi nje ngokuhamba kwe-urinary, kodwa, ukuba ithathwa ixesha elide, inokuthi ihlehlise iprotate kwaye ihlehlise isidingo sokuhlinzwa.
Ukongeza i-Cialis kuMxube
Ngenxa yezizathu esinokuzixabisa ngazo, isikhalazo esikhulu phakathi kwamadoda amaninzi athola unyango nge-block blockers, i-5-alpha-reductase inhibitors okanye zombini kukuba kwi-5 ukuya kwi-15 ekhulwini yee-gents ezinjalo zihlaziya umonakalo ngomsebenzi we-erectile, i-libido, ne-ejaculation. Ukumelana nale mpembelelo engathandekiyo, i-urologists kunye noogqirha bokunakekelwa kweprayimari baye baqala ukufaka i-Cialis kumxube weyeza. Ngaphezu koko, ngo-2011, i-FDA yayisivele ivume i-Cialis ukunyanga iimpawu ze-BPH, nayo. Ngaloo ndlela, kwindoda ene-BPH, i-Cialis ibonisa ukuphumelela kabini-inceda ekunyukeni, kwaye inceda nge-drection function erectile.
Ngethamsanqa, inzululwazi isekela umgangatho wokongeza iziyobisi ezijolise ekusebenziseni i-erectile ukungasebenzi kwimimiselo yeyeza ye-BPH. Kwi-trial enkulu yokulawula i-randomized sponsored by Eli Lilly, abenzi beCialis (ukuya kumfanekiso), amadoda angama-695 anikwe i-Cialis okanye indawo ye-placebo ngaphezu kwe-5-alpha reductase inhibitor finasteride.
Iziphumo zazikhuthaza kakhulu ngokuphucula okubalulekileyo kwintsibano yesini, umsebenzi we-orgasmic, umsebenzi we-erectile kunye nokwaneliseka ngokupheleleyo ngokwesini ebonwa ngabo bathatha i-Cialis kunye ne-finasteride. Ngaphezu koko, imiphumo emibi yayimbalwa kwaye ibekezeleke. Iziphumo zalinganiselwa kwiiveki ze-4, 12 neye-26 zonyango usebenzisa i-questionnaire ebizwa nge-International Index ye-Erectile Function.
Njengoko kunokulindelwa kwizifundo ezininzi usebenzisa i-big Pharmacy iimali, ukucwangciswa kophando kulolu cwaningo kwakunzima kakhulu. Ngaphandle kweempembelelo ze-placebo, ukukhawulelwa kwamandla kwesi sifundo akubandakanyi ukuqinisekiswa okuqinisekisiweyo ukuba iNkcazo ye-International ye-Erectile Function yayiyiluncedo xa kulinganisa ukukhubazeka kwe-ejaculatory kunye ne-orgasmic kunye nexesha elifutshane lokunyanga. Ingqalelo, abaphandi babheka kuphela ulawulo lwe-Cialis kunye ne-5-alpha-reductase inhibitor, kungekhona i-alpha-blocker, nayo.
Iingcamango Zokuvala
Ukuba wena okanye umntu omthandayo ufumana ubunzima bezesondo ezisezantsi kumachiza e-BPH afana ne-finasteride kwaye akakho kakade kwiCialis, qiniseka ukuxelela ugqirha wakho oyintloko okanye ugqirha. Ukongezwa kwe-Cialis kwimiqathango yonyango lukhuselekile kwaye lubekezeleleke kwaye kufuneka luncede ngobomi bakho besondo kunye neempawu zeBPH ngokwayo.
Kwinqaku edibeneyo, ngenxa yemiphumo ye-hormonal, i-dose ye-finasteride ephantsi iphinde ithengiswe njengePropecia, isilwanyana esinikezelwe ukulahleka kweenwele. Nangona abantu abavame ukuthatha i-Propecia bangamadoda amancinci anemiba ebenzileyo ye-erectile, kunye nePropecia i-dose ephantsi kuneProscar, iProtepia inokuphazamisana nokusebenza ngokwesondo. Ukuba uthatha i-finasteride ukukhusela ukulahleka kweenwele kwaye unobungozi bokungasebenzi okanye iingxaki ze-libidinal, qiniseka ukuba uyazisa ugqirha wakho.
> Imithombo:
> "Ukusetyenziswa kwezesondo kwiMadoda eneziganeko ezingezantsi zee-Urinary and Prostatic Extension Sekondari kwi-Benign Prostatic Hyperplasia: Iziphumo ze-6-Inyanga, i-Double-Blind, iSifundo esiLawulayo seTadalafil esiphethwe yi-Finasteride" ngo-S. > Glina > ababhali abashicilelwe kwiNcwadana yoLwazi lwezesondo (2014).
> Fode M, Sønksen J, McPhee SJ, Ohl DA. Ukuphazamiseka kweNqanaba yokuBalisa iNdoda. Ku: I-Hammer GD, uMcPhee SJ. eds. I-Pathophysiology of Disease: Isingeniso kwiMithi yokwelashwa, kwiNguqulelo yesiSebenzi . New York, NY: McGraw-Hill; 2013. Kufumaneka ngomhla we-1/21/2015.