Sildenafil

Qanacsan

• Kahor qaadashada sildenafil,
• Sildenafil 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 astaamaha soo socda, isla markiiba wac dhakhtarkaaga:

Sildenafil (Viagra) waxaa loo isticmaalaa in lagu daaweeyo cillad aan caadi ahayn (kacsi la'aan, awood la'aanta in la helo ama lagu adkeysto kacsiga) ragga. Sildenafil (Revatio) waxaa loo isticmaalaa in lagu wanaajiyo awooda jimicsiga dadka qaangaarka ah ee qaba dhiig karka sambabada (PAH; cadaadiska dhiigga oo sareeya ee maraakiibta dhiigga u qaada sambabada, taasoo keenta neefta oo gaabisa, wareer, iyo daal). Carruurtu waa inaysan caadi ahaan qaadan sildenafil, laakiin xaaladaha qaarkood, dhakhtar ayaa laga yaabaa inuu go'aansado in sildenafil (Revatio) ay tahay daawada ugu fiican ee lagu daaweeyo xaaladda ilmaha. Sildenafil wuxuu ku jiraa fasal dawooyin ah oo loo yaqaan 'phosphodiesterase (PDE) inhibitors'. Sildenafil wuxuu daaweeyaa cillad kacsi iyadoo kordhinaysa socodka dhiigga ee guska inta lagu jiro kicinta galmada. Qulqulka dhiigga ee kordhay wuxuu sababi karaa kacsi. Sildenafil wuxuu ku daaweeyaa PAH adoo nasinaya xididdada dhiigga ee sanbabada si loogu oggolaado dhiiggu inuu si fudud ugu socdo.

Haddii aad u qaadanaysid sildenafil si aad u daweysid cillad aan caadi ahayn, waa inaad ogaataa inaysan daweynayn cillad aan kacsi lahayn ama kordhinin rabitaanka galmada. Sildenafil kama hortageyso uurka ama faafida cudurada galmada lagu kala qaado sida fayraska difaaca jirka ee aadanaha (HIV).

Sildenafil wuxuu u yimaadaa kiniin ahaan iyo ganaax (dareere; Revatio kaliya) si afka looga qaato.

Haddii aad u qaadanaysid sildenafil si aad u daaweyso cillad aan caadi ahayn, raac tilmaamaha dhakhtarkaaga iyo tilmaamaha ku xusan cutubkan. Qaado sildenafil sida loogu baahdo kahor waxqabadka galmada. Waqtiga ugu fiican ee la qaato sildenafil waa qiyaastii 1 saac kahor waxqabadka galmada, laakiin waxaad qaadan kartaa daawada waqti kasta 4 saac ilaa 30 daqiiqo kahor waxqabadka galmada. Sildenafil sida caadiga ah waa in aan la qaadin wax ka badan hal mar 24-kii saacadoodba. Haddii aad leedahay xaalado caafimaad oo gaar ah ama aad qaadato daawooyinka qaarkood, dhakhtarkaagu wuxuu kuu sheegi karaa inaad si yar u qaadato sildenafil. Waad qaadan kartaa sildenafil cunto ama ha cunin. Si kastaba ha noqotee, haddii aad sildenafil ku qaadato cunto dufan badan leh, waxay qaadan doontaa waqti dheer in daawadu bilawdo inay shaqeyso.

Haddii aad u qaadanaysid sildenafil si aad u daaweyso PAH, raac tilmaamaha dhakhtarkaaga iyo tilmaamaha ku xusan cutubkan. Waxay u badan tahay inaad sildenafil qaadato seddex jeer maalintii cunno ama la'aan. Qaado sildenafil qiyaastii isla waqtiyadii maalin kasta, oo meel dhig qiyaastaada qiyaastii 4 ilaa 6 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 sildenafil 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.

Dareeraha si fiican u rux 10 ilbidhiqsi ka hor intaan la isticmaalin si isku mid ah loogu qaso daawada. U isticmaal saliingaha afka laga qaato ee lagu siiyay daawadaada si aad u cabirto oo aad u qaadato inta aad qaadanayso. Raac tilmaamaha soo-saaraha si aad u isticmaashid una nadiifisid saliingaha afka laga qaato. Ha ku qasin dareeraha dawooyinka kale ama ha ku darin wax kasta oo aad ugu dareyso daawada.

Haddii aad u qaadanaysid sildenafil cillad aan caadi ahayn, dhakhtarkaaga ayaa kuu bilaabi doona qiyaas celcelis ah sildenafil wuxuuna kordhin doonaa ama yareyn doonaa qiyaastaada iyadoo kuxiran jawaabtaada daawada. U sheeg dhakhtarkaaga haddii sildenafil uusan si fiican u shaqeynaynin ama haddii aad la kulanto waxyeelo.

Haddii aad u qaadanaysid sildenafil PAH, waa inaad ogaataa in sildenafil ay maamusho PAH laakiin ma daaweyso. Sii wad qaadashada sildenafil xitaa haddii aad caafimaad qabtid. Ha u joojin qaadashada sildenafil adiga oo aan la hadlin dhakhtarkaaga.

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

Daawadan ayaa mararka qaarkood loo qoraa adeegsiyo kale; Weydii dhakhtarkaaga ama farmashiistaha wixii macluumaad dheeraad ah.

Kahor qaadashada sildenafil,

• u sheeg dhakhtarkaaga iyo farmashiistaha haddii aad xasaasiyad ku leedahay sildenafil, daawooyin kale, ama wax kasta oo ka mid ah waxyaabaha ku jira alaabada sildenafil. Weydii farmashiistahaaga liiska waxyaabaha ay ka kooban yihiin.
• ha qaadan sildenafil haddii aad qaadanaysid ama aad dhawaan qaadatay riociguat (Adempas) ama nitrates (daawooyinka xanuunka laabta) sida isosorbide dinitrate (Isordil), 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-yo.
• ha u qaadan daawooyinka dariiqyada ku jira Nitrate-ka sida amyl nitrate iyo butyl nitrate (’poppers’) inta aad qaadanaysid sildenafil.
• u sheeg dhakhtarkaaga iyo farmashiistaha dawooyinka dhakhtar qoro iyo kuwa aan dhakhtar qorin, fiitamiinnada, iyo nafaqada nafaqada ee 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; amlodipine (Norvasc, Amturnide, Tekamlo); antifungals qaarkood sida itraconazole (Onmel, Sporanox) iyo ketoconazole (Nizoral); daawooyinka xinjirowga lidka ku ah ('khafiifiyeyaasha dhiigga') sida warfarin (Coumadin, Jantoven); barbiturates qaarkood sida butalbital (Butapap, Fioricet, Fiorinal, kuwa kale) iyo secobarbital (Seconal); beta blockers sida atenolol (Tenormin, Tenoretic), labetalol (Trandate), metoprolol (Lopressor, Toprol XL, in Dutoprol), nadolol (Corgard, in Corzide), iyo propranolol (Hemangeol, Inderal LA, InnoPran); bosentan (Tracleer); cimetidine; efavirenz (Sustiva, oo ku taal Atripla); erythromycin (E.E.S, E-Mycin, Erythrocin); Kahortagayaasha 'protease inhibitors' oo ay ka mid yihiin amprenavir (Agenerase; mar dambe lagama heli karo Mareykanka), atazanavir (Reyataz, in Evotaz), darunavir (Prezista, in Prezcobix), fosamprenavir (Lexiva), indinavir (Crixivan), lopinavir (Kaletra), nelfinair Viracept), ritonavir (Norvir, Kaletra), saquinavir (Invirase), iyo tipranavir (Aptivus); nevirapine (Viramune); daawooyinka kale ama aaladaha lagu daaweeyo cillad la'aanta kacsiga; daawooyinka dhiig karka; daawooyinka qaarkood ee suuxdinta oo ay ku jiraan carbamazepine (Carbatrol, Epitol, Tegretol, kuwa kale), phenobarbital, iyo phenytoin (Dilantin, Phenytek); rifabutin (Mycobutin); iyo rifampin (Rifadin, Rimactane, Rifamate, Rifater). 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 sildenafil, 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 ama qorsheyneyso inaad qaadato, gaar ahaan St. John's wort.
• u sheeg dhakhtarkaaga haddii aad sigaar cabto, haddii aad waligaa kacsatay oo qaadatay dhowr saacadood, iyo haddii dhawaan aad lumisay tiro badan oo ah dheecaannada jidhka (fuuqbax). Tani waxay dhici kartaa haddii aad ku jiran tahay qandho, shuban, ama matag; dhidid badan; ama ha cabin dareereyaal kugu filan. Sidoo kale u sheeg dhakhtarkaaga haddii aad qabto ama aad waligaa qabtay cudur sambabada ah (PVOD; xididdada xididdada sanbabada); nabar caloosha ah; wadnaha, kilyaha, ama cudurka beerka; wadne qabad; garaaca wadnaha oo aan joogto ahayn; istaroog; xabad xanuun; cadaadis dhiig oo sareeya ama hooseeya; kolestarool badan; cilad dhiig; Dhibaatooyinka wareegga dhiigga, dhibaatooyinka unugyada dhiigga sida sickle cell anemia (cudur ku dhaca unugyada dhiigga cas), myeloma badan (kansarka unugyada dhiigga), ama leukemia (kansarka unugyada dhiigga cad); xaaladaha saamaynaya qaabka guska (tusaale ahaan, ciqaabida, faleebo cavernosal, ama cudurka Peyronie); ama sonkorow. Sidoo kale u sheeg dhakhtarkaaga haddii adiga ama qof ka mid ah qoyskaaga uu leeyahay ama uu weligiis ku dhacay cudur indhaha ah sida retinitis pigmentosa (xaalad indhaha laga dhaxlo oo sababa araga oo lumiya) ama haddii aad waligiis arag aragti la'aantu si lama filaan ah u dhacdo, gaar ahaan haddii aad loo sheegay in araga oo lumay ay sabab u tahay xannibaadda socodka dhiigga ee dareemayaasha kaa caawinaya inaad aragto.
• haddii aad tahay qof dumar ah oo aad u qaadanaysid sildenafil si aad u daaweyso PAH, u sheeg dhakhtarkaaga haddii aad uur leedahay, qorsheyso inaad uur yeelato, ama aad naas nuujiso. Haddii aad uur yeelato intaad qaadanaysid sildenafil, wac dhakhtarkaaga.
• haddii aad qalliin ku jirto, oo ay ku jiraan qalliinka ilkaha, u sheeg dhakhtarkaaga ama dhakhtarkaaga ilkaha inaad qaadanayso sildenafil.
• haddii aad qaadanayso sildenafil si aad u daaweyso cillad kacsi, u sheeg dhakhtarkaaga haddii waligaa kugula taliyo xirfadle daryeel caafimaad si aad uga fogaato dhaqdhaqaaqa galmada sababo caafimaad ama haddii aad waligaa la kulantid xanuun laabta ah inta lagu jiro dhaqdhaqaaqa galmada. Dhaqdhaqaaqa galmada wuxuu culeys ku noqon karaa wadnahaaga, gaar ahaan haddii aad wadne xanuun qabto. Haddii aad isku aragto xanuun laabta, dawakhaad, ama lallabbo inta lagu jiro dhaqdhaqaaqa galmada, isla markiiba wac dhakhtarkaaga oo ka fogow waxqabadka galmada illaa dhakhtarkaagu kuu sheego si kale.
• u sheeg dhammaan bixiyeyaashaada daryeelka caafimaadka inaad qaadanayso sildenafil. 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 qaadatay sildenafil.

Kala hadal dhakhtarkaaga cunista canab-gacmeedka iyo cabitaanka casiirka canabka marka aad qaadanaysid dawadan.

Haddii aad u qaadanaysid sildenafil cillad aan caadi ahayn, uma badna inaad seegto qaddar maaddaama daawadan loo qaato sida loogu baahan yahay, oo aan ku jirin jadwalka qiyaasta daawada caadiga ah.

Haddii aad u qaadanayso sildenafil PAH, qaado qiyaasta la seegay isla marka aad xasuusato. Si kastaba ha noqotee, haddii ay ku dhowdahay waqtiga qiyaasta xigta, ka bood qiyaasta la seegay oo sii wad jadwalka daawadaada caadiga ah. Ha qaadan laba-qaadasho si aad uhesho mid kaa dhaafay.

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

• madax xanuun
• laabjeex
• shuban
• biyo raaciyo (dareemid diirimaad)
• sanka oo dhiig ka imanayo
• dhibaato xagga hurdada ama hurdada ah
• kabuubyo, gubasho, ama xoqitaan gacmaha, gacmaha, cagaha, ama lugaha
• muruq xanuun
• isbeddelada aragtida midabka (aragtida buluug buluug ah walxaha ama ku adkaanta sheegidda faraqa u dhexeeya buluug iyo cagaar)
• dareenka iftiinka

Dhibaatooyinka qaarkood waxay noqon karaan kuwo halis ah. Haddii aad isku aragto mid ka mid ah astaamaha soo socda, isla markiiba wac dhakhtarkaaga:

• aragga oo si kadis ah u lumiya (eeg hoos si aad u hesho macluumaad dheeraad ah)
• aragga oo xumaada
• hoos u dhac lama filaan ah ama maqal la'aan
• dhagaha ka yeeraya
• dawakhaad ama madax-wareer
• miyir beelid
• xabad xanuun
• neefta oo kugu yaraata
• kacsiga oo xanuun leh ama soconaya wax ka badan 4 saacadood
• cuncun ama gubasho inta lagu jiro kaadida
• finan

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

Waxaa jiray warbixino sheegaya wadno qabad, istaroog, garaaca wadnaha oo aan joogto ahayn, dhiig bax maskaxda ama sambabada, dhiig kar, iyo geeri lama filaan ah oo ku dhacday ragga uqaaday sildenafil cillad kacsi. Inta badan, laakiin maahan dhammaantood, dadkaan waxay lahaayeen dhibaatooyin wadno kahor intaysan qaadan sildenafil. Lama oga in dhacdooyinkan ay sababeen sildenafil, dhaqdhaqaaqa galmada, wadno xanuun, ama isku dar ah sababahan iyo sababo kale. Kala hadal dhakhtarkaaga khataraha qaadashada sildenafil.

Bukaanjiifka qaar waxay la kulmeen hoos u dhac lama filaan ah ama maqal la'aan kadib markay qaateen sildenafil ama daawooyin kale oo la mid ah sildenafil. 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 qaarna maqal dhegaha ama wareer, intaad qaadanaysid sildenafil, isla markiiba wac dhakhtarkaaga. Haddii aad u qaadanaysid sildenafil (Viagra) cillad aan caadi ahayn, ha u qaadan wax qiyaas ah oo dheeraad ah sildenafil (Viagra) ama daawooyin la mid ah sida tadalafil (Cialis) ama vardenafil (Levitra) ilaa aad kala hadasho dhakhtarkaaga. Haddii aad u qaadanayso sildenafil (Revatio) PAH, ha joojin qaadashada daawadaada illaa aad kala hadlayso dhakhtarkaaga.

Sildenafil 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).

Daawadan ku hay weelka ay soo gashay, si adag u xir, iyo meel aysan carruurtu gaarin. Kiniiniga ku keydi heerkulka qolka oo ka fog kuleylka iyo qoyaanka badan (ha ku dhigin musqusha). Kaydinta ka joojinta heerkulka qolka ama qaboojiyaha, laakiin ha barafaynin. Tuur wixii hakin ah ee aan la isticmaalin 60 maalmood ka dib.

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

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.

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.

• Revatio^®
• Viagra^®