Avanafil

Qanacsan

• Kahor qaadashada avanafil,
• Avanafil wuxuu sababi karaa 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 astaamahan, wac takhtarkaaga isla markiiba ama u hesho daaweyn caafimaad oo deg-deg ah:

Avanafil waxaa loo isticmaalaa in lagu daaweeyo cillad aan caadi ahayn (ED: awood la'aan; awood la'aanta in la helo ama lagu hayo kacsiga ragga). Avanafil wuxuu ku jiraa nooc daawooyin 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. Avanafil ma daaweynayo cillad kacsi ama kordhinta rabitaanka galmada. Avanafil kama hortageyso uurka ama faafida cudurada galmada lagu kala qaado sida fayraska difaaca jirka ee dadka (HIV).

Avanafil wuxuu u yimaadaa kiniin ahaan afka laga qaato. Ragga qaata daawooyinka 100- mg ama 200-mg, avanafil waxaa badanaa lagu qaataa ama ma lahan raashin sida loogu baahdo, qiyaastii 15 daqiiqo kahor waxqabadka galmada. Ragga qaata daawada 50-mg, avanafil waxaa badanaa la qaataa ama cunno la'aan sida loo baahdo, qiyaastii 30 daqiiqo kahor waxqabadka galmada. Ha u qaadan avanafil in ka badan hal jeer 24 saacadood. 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 avanafil 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.

Dhakhtarkaagu wuxuu kuugu bilaabi doonaa qiyaas celcelis ah avanafil waxaana laga yaabaa inuu kordhiyo ama yareeyo qiyaastaada iyadoo kuxiran sida aad uga jawaab celiso daawada. U sheeg dhakhtarkaaga haddii avanafil uusan si fiican u shaqeynaynin ama haddii aad la kulanto waxyeelo.

Weydii farmashiistahaaga ama dhakhtarkaaga nuqul ka mid ah macluumaadka soo saaraha ee bukaanka.

Daawadan waxaa loo qori karaa adeegsiyo kale; Weydii dhakhtarkaaga ama farmashiistaha wixii macluumaad dheeraad ah.

Kahor qaadashada avanafil,

• u sheeg dhakhtarkaaga iyo farmashiistaha haddii aad xasaasiyad ku leedahay avanafil, daawooyin kale, ama wax ka mid ah maaddooyinka ku jira kiniinnada avanafil. Weydii farmashiistahaaga ama ka hubi macluumaadka bukaanka liiska waxyaabaha ay ka kooban yihiin.
• ha u qaadan avanafil 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 qaadaneyso avanafil.
• u sheeg dhakhtarkaaga iyo farmashiistaha waxa kale ee dhakhtar qoro iyo kuwa aan dhakhtar qorin, fiitamiinnada, nafaqada nafaqada, iyo alaabta dhirta ah ee aad qaadanayso ama aad 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), silodosin (Rapaflo), iyo terazosin; dawooyinka qaarkood ee fangaska sida fluconazole (Diflucan), itraconazole (Onmel, Sporanox), iyo ketoconazole (Nizoral); danaysane (Emend); clarithromycin (Biaxin, gudaha Prevpac); diltiazem (Cardizem, Cartia, Tiazac); erythromycin (EE.S, E-Mycin, Erythrocin); Kahortagayaasha 'protease inhibitors' sida atazanavir (Reyataz, in Evotaz), fosamprenavir (Lexiva), indinavir (Crixivan), nelfinavir (Viracept), ritonavir (Norvir, Kaletra), iyo saquinavir (Invirase); daawooyin kale ama daaweyn cillad kacsi; daawooyinka dhiig karka; nefazodone; verapamil (Calan, Covera, Verelan, kuwa kale); iyo telithromycin (Ketek). 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 sidoo kale la macaamili kara avanafil, markaa hubi inaad u sheegto dhakhtarkaaga dhammaan daawooyinka aad qaadanaysid, xitaa kuwa aan ka muuqan liiskan.
• u sheeg dhakhtarkaaga haddii waligiis uu takhtarku kugula taliyay inaad ka fogaato dhaqdhaqaaqa galmada sababo caafimaad awgood, haddii qalliin wadnaha lagugu sameeyay 6dii bilood ee la soo dhaafay 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; wadne qabad; istaroog; garaaca wadnaha oo aan joogto ahayn; halbowle xiran; angina (xabad xanuun); cadaadis dhiig oo sareeya ama hooseeya; wadnaha oo istaaga; 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); boogaha; dhibaatooyinka dhiigbaxa; ama cudurka beerka ama kalyaha. Sidoo kale u sheeg dhakhtarkaaga haddii aad leedahay ama aad waligaa ku dhacday cudurka 'retinitis pigmentosa' (cudur naadir ah oo indhaha laga dhaxlo) ama haddii aad waligaa arag arag la'aan aad u daran, gaar ahaan haddii laguu sheegay in aragga oo lumay ay sabab u tahay xannibaadda socodka dhiigga ee dareemayaasha kaa caawinaysa inaad aragto.
• waa inaad ogaataa in avanafil kaliya loogu talagalay ragga. Haweenku waa inaysan qaadan avanafil, gaar ahaan haddii ay uur leeyihiin ama uur yeelan karaan ama naasnuujinayaan. Haddii haweeney uur leh ay qaadato avanafil, waa inay wacdaa dhaqtarkeeda.
• kala hadal dhakhtarkaaga wixii ku saabsan isticmaalka aaminka ah ee cabitaanka khamriga inta lagu jiro daweyntaada avanafil. Haddii aad cabto qamri aad u tiro badan (in ka badan seddex koob oo khamri ah ama seddex xabbo oo whiskey ah) inta aad qaadanayso avanafil waxaad u badan tahay inaad la kulanto waxyeelo gaar ah oo avanafil ah sida dawakhaad, madax xanuun, garaaca wadnaha oo dhakhso ah, iyo dhiig kar .
• haddii aad qalliin ku jirto, oo ay ku jiraan qalliinka ilkaha, u sheeg dhakhtarka ama dhakhtarka ilkaha inaad qaadanayso avanafil.
• waa inaad ogaataa in dhaqdhaqaaqa galmada uu culeys ku noqon karo wadnahaaga, gaar ahaan haddii aad wadne xanuun qabto. Haddii aad isku aragto xanuun feedhaha ah, wareer, ama lallabbo inta lagu jiro dhaqdhaqaaqa galmada, isla markiiba wac dhakhtarkaaga oo ka fogow waxqabadka galmada illaa dhakhtarkaagu si kale kuu sheego.
• u sheeg dhammaan bixiyeyaashaada daryeelka caafimaadka inaad qaadanayso avanafil. Haddii aad waligaa ubaahantahay daaweyn caafimaad oo deg deg ah dhibaatada wadnaha, bixiyeyaasha daryeelka caafimaadka ee ku daaweynaya waxay u baahan doonaan inay ogaadaan markii ugu dambeysay ee aad qaadatid avanafil.

Kala hadal dhakhtarkaaga wax ku saabsan cunitaanka canab-gacmeedka iyo cabitaanka casiir canab ah adoo qaadanaya dawadan.

Avanafil wuxuu sababi karaa waxyeelo. U sheeg dhakhtarkaaga haddii mid ka mid ah astaamahani ay daran yihiin ama aanad tagin:

• madax xanuun
• dhaqid
• dhabar xanuun

Dhibaatooyinka qaarkood waxay noqon karaan kuwo halis ah. Haddii aad isku aragto mid ka mid ah astaamahan, wac takhtarkaaga isla markiiba ama u hesho daaweyn caafimaad oo deg-deg ah:

• kacsi soconaya in ka badan 4 saacadood
• araga oo si lama filaan ah ugu lumay hal ama labada indhood (eeg hoosta si aad u hesho macluumaad dheeraad ah)
• lumis maqal oo lama filaan ah (eeg hoos si aad u hesho macluumaad dheeraad ah)
• dhagaha ka yeeraya
• dawakhaad
• finan
• cuncun
• baalasha indhaha oo barara

Avanafil wuxuu sababi karaa waxyeelo kale. Wac dhakhtarkaaga haddii aad qabtid dhibaatooyin aan caadi ahayn intaad qaadanaysid dawadan.

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).

Bukaannada qaar waxay la kulmeen lumis lama filaan ah qaar ama dhammaan aragtidooda ka dib markay qaateen daawooyin la mid ah avanafil. 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 lama filaan ah inta aad qaadanaysid avanafil, wac dhakhtarkaaga isla markiiba. Ha u qaadan qaddarro kale oo ah avanafil ama daawooyin la mid ah sida sildenafil (Revatio, Viagra), tadalafil (Cialis) ama vardenafil (Levitra) illaa aad dhakhtarkaaga kala hadlayso.

Bukaanjiifka qaar waxay la kulmeen hoos u dhac lama filaan ah ama maqal la'aan kadib markay qaateen daawooyin kale oo la mid ah avanafil. Maqal la'aantu badanaa waxay ku lug lahayd hal dheg oo had iyo jeer ma fiicnaanin markii daawada la joojiyo. Lama oga in maqal la'aanta ay sababtay daawada. Haddii aad isku aragto lumis maqal oo lama filaan ah, mararka qaarkoodna dhagaha ama wareer, markaad qaadanayso avanafil, isla markiiba wac dhakhtarkaaga. Ha u qaadan qaddarro kale oo ah avanafil ama daawooyin la mid ah sida sildenafil (Revatio, Viagra), tadalafil (Cialis) ama vardenafil (Levitra) ilaa aad dhakhtarkaaga kala hadlayso.

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.

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.

• Stendra^®