Vardenafil
Qanacsan
- Kahor qaadashada vardenafil,
- Vardenafil waxay sababi kartaa waxyeelo. U sheeg dhakhtarkaaga haddii mid ka mid ah astaamahani ay daran yihiin ama aanad tagin:
- Dhibaatooyinka qaarkood waxay noqon karaan kuwo halis ah. Haddii aad isku aragto mid ka mid ah astaamaha soo socda, isla markiiba wac dhakhtarkaaga:
- Calaamadaha xad dhaafka ah waxaa ka mid noqon kara:
Vardenafil waxaa loo isticmaalaa in lagu daaweeyo cillad aan caadi ahayn (kacsi la'aan, awood la'aanta in la helo ama lagu adkeysto kacsiga) ragga. Vardenafil wuxuu ku jiraa fasal dawooyin ah oo loo yaqaan 'phosphodiesterase (PDE) inhibitors'. Waxay ku shaqeysaa kordhinta socodka dhiigga ee guska inta lagu jiro kicinta galmada. Qulqulka dhiigga ee kordhay wuxuu sababi karaa kacsi. Vardenafil ma daaweyso cillad kacsi ama kordhinta rabitaanka galmada. Vardenafil kama hortageyso uurka ama faafida cudurada galmada lagu kala qaado sida fayraska difaaca jirka ee dadka (HIV).
Vardenafil wuxuu u yimaadaa sida kaniiniga oo si dhakhso leh u kala taga (ku milma afka oo la liqaa biyo la'aan) kaniini oo afka lagu qaato. Badanaa waxaa loo qaataa sida loogu baahdo, cunno ama la'aan, 60 daqiiqo kahor waxqabadka galmada. Vardenafil sida caadiga ah waa in aan la qaadin in ka badan hal jeer 24-kii saacadoodba. Haddii aad leedahay xaalado caafimaad qaarkood ama aad qaadato daawooyinka qaarkood, dhakhtarkaaga ayaa laga yaabaa inuu kuu sheego inaad qaadatid vardenafil marar badan. Si taxaddar leh u raac tilmaamaha ku qoran calaamadaha laguu qoray, oo weydii takhtarkaaga ama farmashiistaha inuu kuu sharxo qayb kasta oo aadan fahmin. Qaado vardenafil sida saxda ah ee lagu faray. Ha ka qaadin wax ka yar ama ka yar ama u qaado si ka badan inta dhakhtarku kuu qoray.
Haddii aad qaadanayso kaniiniga si dhakhso leh u kala tagaya, hubi baakadda khariidadda ka hor intaadan qaadan qiyaastaada ugu horreysa. Ha u isticmaalin mid ka mid ah daawooyinka ku jira baakadka haddii mid ka mid ah finanku dilaaceen, jabeen, ama aysan ku jirin kiniinno. Raac tilmaamaha baakadka si aad kaniiniga uga saarto xirmada khariidadda. Ha isku dayin inaad ku riixdid kaniiniga daloolka. Kadib markaad kaniiniga ka saarto xirmada khariidadda, isla markiiba mari carrabkaaga oo xir afkaaga. Kiniinku si dhakhso leh ayuu u milmi doonaa. Ha ku qaadan kiniinka sida dhaqsaha u kala tagaya biyo ama cabitaanno kale.
Dhakhtarkaagu wuxuu kuu bilaabi doonaa qiyaasta celceliska kiniiniyada vardenafil wuxuuna kordhin doonaa ama yareyn doonaa qiyaastaada iyadoo kuxiran jawaabtaada daawada. Haddii aad qaadanaysid kiniiniyada sida dhakhsaha u kala daadanaya, dhakhtarkaagu ma awoodi doono inuu wax ka beddelo qiyaastaada sababta oo ah kiniinnada sida degdegga ah u kala-baxa ayaa lagu heli karaa oo keliya hal xoog. Haddii aad u baahan tahay qiyaas ka sareysa ama ka hooseysa, dhakhtarkaaga ayaa kuu qori kara kaniiniyada caadiga ah. U sheeg dhakhtarkaaga haddii vardenafil uusan si fiican u shaqeynaynin ama haddii aad la kulanto waxyeelo.
Kiniiniyada Vardenafil ee si dhakhso leh u kala daadanaya laguma beddeli karo kiniiniyada vardenafil. Hubso inaad hesho kaliya nooca vardenafil ee dhakhtarkaagu kuu qoray. Weydii farmashiistahaaga haddii aad wax su'aalo ah ka qabtid nooca vardenafil ee lagu siiyay.
Daawadan waxaa loo qori karaa adeegsiyo kale; Weydii dhakhtarkaaga ama farmashiistaha wixii macluumaad dheeraad ah.
Kahor qaadashada vardenafil,
- u sheeg dhakhtarkaaga iyo farmashiistaha haddii aad xasaasiyad ku leedahay vardenafil, daawooyinka kale. ama mid ka mid ah maaddooyinka ku jira kiniinnada vardenafil. Weydii farmashiistahaaga liiska waxyaabaha ay ka kooban yihiin.
- ha u qaadin vardenafil haddii aad qaadanaysid ama aad dhawaan qaadatay riociguat (Adempas) ama Nitrates sida isosorbide dinitrate (Dilatrate-SR, Isordil, in BiDil), isosorbide mononitrate (Monoket), iyo nitroglycerin (Minitran, Nitro-Dur, Nitromist, Nitrostat, kuwa kale). Nitrate-ku wuxuu u yimaadaa kiniinno, kiniinno subling ah (carrabka hoostiisa), buufisyo, dhejisyo, macmacaan, iyo boomaato. Weydii dhakhtarkaaga haddii aadan hubin in mid ka mid ah daawooyinkaagu ay ku jiraan Nitrate-ka.
- ha u qaadan daawooyinka dariiqyada ku jira Nitrate-ka sida amyl nitrate iyo butyl nitrate (’poppers’) inta aad qaadanaysid vardenafil.
- u sheeg dhakhtarkaaga iyo farmashiistaha waxa kale ee dhakhtar qoro iyo kuwa aan dhakhtar qorin, fiitamiinada, iyo nafaqada nafaqada aad qaadanaysid ama qorsheyneyso inaad qaadato. Hubso inaad sheegto mid ka mid ah kuwan soo socda: alfa blockers sida alfuzosin (Uroxatral), doxazosin (Cardura), prazosin (Minipress), tamsulosin (Flomax, in Jalyn), iyo terazosin; amiodarone (Cordarone, Pacerone); antifungals sida fluconazole (Diflucan), itraconazole (Onmel, Sporanox), iyo ketoconazole (Nizoral); clarithromycin (Biaxin, gudaha Prevpac); sibibramramide (Norpace); erythromycin (E.E.S, E-Mycin, Erythrocin); haloperidol (Haldol); Kahortagayaasha 'protease inhibitors' oo ay ka mid yihiin atazanavir (Reyataz, in Evotaz), indinavir (Crixivan), ritonavir (Norvir, Kaletra), iyo saquinavir (Invirase); daawooyinka dhiig karka ama garaaca wadnaha oo aan joogto ahayn; daawooyin kale ama daaweyn cillad kacsi; methadone (Dolophine, Methadose); moxifloxacin (Avelox); pimozide (Orap); procainamide; quinidine (oo ku taal Nuedexta); sotalol (Betapace, Sorine, Sotylize); thioridazine; iyo verapamil (Calan, Covera, Verelan, kuwa kale). Dhakhtarkaaga ayaa laga yaabaa inuu u baahdo inuu beddelo qiyaasta daawooyinkaaga ama uu si taxaddar leh kuugu ilaaliyo dhibaatooyinka soo raaca. Daawooyin kale oo badan ayaa laga yaabaa inay la falgalaan vardenafil, markaa hubi inaad u sheegto dhakhtarkaaga dhammaan daawooyinka aad qaadanaysid, xitaa kuwa aan ka muuqan liiskan.
- u sheeg dhakhtarkaaga waxa ka soo baxa dhirta aad qaadanaysid, gaar ahaan johannesört wort.
- u sheeg dhakhtarkaaga haddii aad sigaar cabto iyo haddii aad waligaa kacsatay oo qaadatay in ka badan 4 saacadood. Sidoo kale u sheeg dhakhtarkaaga haddii aad leedahay ama aad waligaa yeelatay xaalad saameysa qaabka guska, sida xannibaadda, cavernosal fibrosis, ama cudurka Peyronie; sonkorowga; kolestarool badan; cadaadis dhiig oo sareeya ama hooseeya; garaaca wadnaha oo aan joogto ahayn; wadne qabad; angina (xabad xanuun); istaroog; boogaha caloosha ama xiidmaha; cilad dhiig; dhibaatooyinka unugyada dhiigga sida sickle cell anemia (cudur ku dhaca unugyada dhiigga cas), myeloma badan (kansarka unugyada plasma), ama kansarka dhiigga (kansarka unugyada dhiigga cad); suuxdinta; iyo beerka, kilyaha, ama cudurada wadnaha. Sidoo kale u sheeg dhakhtarkaaga haddii adiga ama qof ka mid ah qoyskaaga aad leedahay ama aad waligaa yeelatay QT syndrome dheer (xaalad wadne) ama retinitis pigmentosus (cudur indhaha ah) ama haddii aad waligaa arag arag la'aan aad u daran, gaar ahaan haddii laguu sheegay in luminta aragga waxaa sababay xannibaadda socodka dhiigga ee neerfaha kaa caawinaya inaad aragto. U sheeg dhakhtarkaaga haddii waligaa uu kugula taliyo xirfadle daryeel caafimaad inaad ka fogaato waxqabadka galmada sababo caafimaad awgood.
- waa inaad ogaataa in vardenafil loogu talagalay kaliya in loo isticmaalo ragga. Haweenku waa inaysan qaadan vardenafil, gaar ahaan haddii ay uur leeyihiin ama ay uur qaadi karaan ama ay naas nuujinayaan. Haddii haweeney uur leh ay qaadato vardenafil, waa inay wacdaa dhakhtarkooda.
- haddii aad qalliin sameyneyso, oo ay ku jiraan qalliinka ilkaha ama wixii daaweyn ilkaha ah, u sheeg dhakhtarka ama dhakhtarka ilkaha inaad qaadanayso vardenafil.
- waa inaad ogaataa in dhaqdhaqaaqa galmada uu culeys ku noqon karo wadnahaaga, gaar ahaan haddii aad wadne xanuun qabto. Haddii aad feedho xanuun dareento inta aad ku guda jirto firfircoonaanta galmada, wac dhakhtarkaaga isla markiiba oo ka fogow waxqabadka galmada illaa dhakhtarkaagu kuu sheego si kale.
- u sheeg dhammaan bixiyeyaashaada daryeelka caafimaadka in aad qaadanayso vardenafil. Haddii aad waligaa ubaahantahay daaweyn caafimaad oo deg deg ah dhibaatada wadnaha, bixiyeyaasha xanaanada caafimaadka ee ku daaweynaya waxay u baahan doonaan inay ogaadaan markii ugu dambeysay ee aad qaadatid vardenafil.
- haddii aad leedahay phenylketonuria (PKU, xaalad la iska dhaxlo oo ay tahay in cunno gaar ah la raaco si looga hortago dib-u-dhac maskaxeed), waa inaad ogaataa in kiniinnada sida dhaqsaha u burburayaa loogu macaaneeyo aspartame, oo ah isha laga helo phenylalanine.
- haddii aad leedahay dulqaad la'aan fructose (xaalad la iska dhaxlo oo jidhku ka maqan yahay borotiinkii looga baahnaa inuu ku burburiyo fructose, [miro sonkor ah oo laga helo macaaneeyeyaasha qaarkood sida sorbitol]), waa inaad ogaataa in kiniinnada sida degdegga ah u burburaya loogu macaaneeyo sorbitol. U sheeg dhakhtarkaaga haddii aad leedahay dulqaad la'aan fructose.
Kala hadal dhakhtarkaaga wax ku saabsan cunitaanka canab-gacmeedka ama cabitaanka casiir canab ah adoo qaadanaya dawadan.
Vardenafil waxay sababi kartaa waxyeelo. U sheeg dhakhtarkaaga haddii mid ka mid ah astaamahani ay daran yihiin ama aanad tagin:
- madax xanuun
- calool xanuun
- laabjeex
- dhaqid
- sanka oo xirma ama duuf leh
- astaamaha hargabka oo kale ah
Dhibaatooyinka qaarkood waxay noqon karaan kuwo halis ah. Haddii aad isku aragto mid ka mid ah astaamaha soo socda, isla markiiba wac dhakhtarkaaga:
- kacsiga oo soconaya in ka badan 4 saacadood
- aragga oo si kadis ah u lumiya (eeg hoos si aad u hesho macluumaad dheeraad ah)
- aragga oo xumaada
- isbeddelada aragtida midabka (aragtida buluugga walxaha, ku adkaanta sheegida farqiga u dhexeeya buluug iyo cagaar, ama aragtida oo adkaata habeenkii)
- dawakhaad
- hoos u dhac lama filaan ah ama maqal la'aan
- dhagaha ka yeeraya
- barar wejiga, cunaha, carrabka, bushimaha, indhaha, gacmaha, cagaha, anqawyada, ama lugaha hoose
- xabeeb
- neefsashada ama wax liqidda oo ku adkaata
- miyir beelid
- finan
- finan
Vardenafil waxay sababi kartaa waxyeelo kale. Wac dhakhtarkaaga haddii aad qabtid dhibaatooyin aan caadi ahayn intaad qaadanaysid dawadan.
Bukaannada qaar waxay la kulmeen lumis lama filaan ah qaar ama dhammaan aragtidooda ka dib markay qaateen vardenafil ama daawooyin kale oo la mid ah vardenafil. Aragga oo yaraada ayaa mararka qaar ahaa mid joogto ah. Lama oga in araga oo lumay ay keentay daawada. Haddii aad isku aragto lumis araga oo lama filaan ah inta aad qaadanaysid vardenafil, isla markiiba wac dhakhtarkaaga. Ha qaadan qaadasho dheeraad ah oo ah vardenafil ama daawooyin la mid ah sida sildenafil (Viagra) ama tadalafil (Cialis) ilaa aad kala hadasho dhakhtarkaaga.
Bukaanjiifka qaar waxay la kulmeen hoos u dhac lama filaan ah ama maqal la'aan kadib markay qaateen vardenafil ama daawooyin kale oo la mid ah vardenafil. Maqal la'aanta badanaa waxay ku lug leedahay hal dheg oo keliya mana laga yaabo inay ka soo rayso. Lama oga in maqal la'aanta ay sababtay daawada.Haddii aad la kulanto lumis maqal oo lama filaan ah, mararka qaarkoodna dhagaha ama wareer, markaad qaadanayso vardenafil, isla markiiba wac dhakhtarkaaga. Ha qaadan qaadasho dheeraad ah oo ah vardenafil ama daawooyin la mid ah sida sildenafil (Viagra) ama tadalafil (Cialis) ilaa aad kala hadasho dhakhtarkaaga.
Haddii aad isku aragto waxyeellooyin daran, adiga ama dhakhtarkaaga ayaa warbixin u diri kara Barnaamijka Ka Warbixinta Dhacdooyinka Xun ee Maamulka Cuntada iyo Dawooyinka (FDA) (http://www.fda.gov/Safety/MedWatch) ama taleefan ( 1-800-332-1088).
Daawadan ku hay weelka ay soo gashay, si adag u xir, iyo meel aysan carruurtu gaarin. Ku keydi heerkulka qolka oo ka fog kuleylka iyo qoyaanka badan (ha ku jirin musqusha).
Daawooyinka aan loo baahnayn waa in lagu tuuraa siyaabo gaar ah si loo hubiyo in xayawaanka, carruurta, iyo dadka kaleba aysan cuni karin. Si kastaba ha noqotee, waa inaadan ku daadinin daawadan musqusha hoosteeda. Taabadalkeed, sida ugufiican ee dawada looga takhalusi karaa waa iyada oo loo maro barnaamijka dib u celinta daawada. La hadal farmashiistahaaga ama la xiriir waaxda qashinka / dib u warshadaynta si aad wax uga ogaato barnaamijyada dib-u-celinta ee bulshadaada. Ka eeg bogga internetka ee 'FDA ee Amni-Qaadashada Daawooyinka (http://goo.gl/c4Rm4p) si aad u hesho macluumaad dheeraad ah haddii aadan marin u helin barnaamijka dib-u-celinta.
Waa muhiim inaad ka ilaaliso dhammaan daawooyinka meel aan la arkeynin oo aysan gaari karin carruurta maaddaama weelal badan (sida kuwa toddobaadlaha kiniiniga ka fiirsada iyo kuwa loogu talagalay dhibcaha isha, kareemada, dhejiyeyaasha, iyo kuwa neefta ku siiya) uma adkeysana carruurta, carruurta yaryarna si fudud ayey ku furi karaan. Si aad uga ilaaliso carruurta yaryar sunta, marwalba xiro daboolka badbaadada isla markaana isla markiiba dhig dawada meel aamin ah - mid kor iyo fog kana fog aragooda oo gaadha. http://www.upandaway.org
Xaalada xad dhaafka ah, wac khadka caawinta ka hortagga sunta 1-800-222-1222. Macluumaadka sidoo kale waxaa laga heli karaa internetka https://www.poisonhelp.org/help. Haddii dhibbanuhu burburay, suuxdin qabtay, neefsashadu dhib ku tahay, ama aan la kici karin, isla markiiba wac adeegyada gurmadka ee 911.
Calaamadaha xad dhaafka ah waxaa ka mid noqon kara:
- dhabar ama muruq xanuun
- aragga oo xumaada
Dhammaan ballamaha la dhig dhakhtarkaaga.
Ha u ogolaan qof kale inuu qaato daawadaada. Weydii farmashiistahaaga wixii su'aalo ah ee aad ka qabto dib u soo celinta daawada laguu qoray.
Waxaa muhiim kuu ah inaad haysato liis qoran oo ku saabsan dhammaan daawooyinka laguu qoro iyo kuwa aan dhakhtar qorin (warqad dhakhtar la aan ah) ee aad qaadanaysid, iyo sidoo kale wax soo saar kasta sida fiitamiinnada, macdanta, ama nafaqooyinka kale ee nafaqada leh. Waa inaad soo qaadataa liiskan markasta oo aad booqato dhakhtar ama haddii isbitaal la dhigo. Sidoo kale waa macluumaad muhiim ah inaad lasocoto haddii ay jiraan xaalado deg deg ah.
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