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Yintoni iCialis? Kwaye isetyenziselwa ntoni?

Ulwazi lweziyobisi

Inala lezinto linokuphazamisa ingokuhlwa yothando: imozulu embi, ityhefu yokutya, utyelelo kumhlobo ongamenywanga. Kodwa enye yezona zingafunekiyo kukungasebenzi kakuhle kwe-erectile. I-Cialis yakha iphulo lophawu olupheleleyo ekukhuseleni iingokuhlwa zothando kwiziphelo ezingalindelekanga. Kodwa yile nto nje yokubeka uphawu kwinqanaba lomgangatho. Kuthekani nge-nitty-gritty? Iidosi, iziphumo ebezingalindelekanga, kunye nolunye usetyenziso? Uya kufumana konke oko kunye nokunye apha.

Yintoni iCialis?

Cialis sisiyobisi esimiselweyo esinyanga ikakhulu ukungasebenzi kakuhle kwe-erectile (ED), kodwa kukwaqheleke ukuba kunyangwe iprostate eyandisiweyo (benign prostatic hyperplasia okanye iBPH). I-Cialis ithengiswa njengesiyobisi esahlukileyo, i-Adcirca, ukunyanga uxinzelelo lwegazi oluphezulu kwimiphunga (uxinzelelo lwegazi).

Ligama lophawu lweziyobisi tadalafil Elikudidi lweziyobisi olubizwa ngokuba yi-phosphodiesterase inhibitors (PDE5 inhibitors). Uhlobo lwe-Phosphodiesterase 5 luyi-enzyme elawula ukuhamba kwegazi kwimithambo yegazi ejikeleze ipenisi, imiphunga kunye nezinye iindawo. Ngokuthintela le enzyme, i-tadalafil ivumela ukuhamba kwegazi okungakumbi kuloo ndawo, isenza ukuba kube lula ukufumana ulwakhiwo ngexesha lokwabelana ngesondo.

Ukuvuka, nangona kunjalo, konke malunga nexesha. Amadoda ahlala ezibuza ukuba bayithatha nini iCialis kwaye ihlala ixesha elingakanani. Ngethamsanqa, kukho iwindow entle enkulu. Ingathatha naphi na phakathi kwemizuzu eli-15 kunye neeyure ezimbini ukuba zisebenze. Emva koko inokuhlala kwiiyure ezingama-36. Ukuyithatha iiyure ezimbini ngaphambi kwesondo kuhlala kuyinto efanelekileyo ukubheja. Nangona kunjalo, i-Cialis ayikho i-aphrodisiac. Kwenza ukuba kube lula ukwakhiwa kodwa kusafuna ukuvuselelwa ngokwesondo.

Kukho iintlobo ezininzi ze-tadalafil, kodwa i-Cialis (eyenziwe ngu-Eli Lilly) ithandwa kakhulu. Kuyabiza kakhulu. Kuxhomekeke kumandla nakwidosi emiselweyo, inokubiza ngaphezulu $ 1,350 ngaphandle kweinshurensi .

Oogqirha baya kumisela i-Cialis, i-generic tadalafil, okanye iyeza elifana neloViagrayamadoda ane-ED. Nangona kunjalo, imeko yezempilo engaphantsi kwesifo sentliziyo, icholesterol ephezulu, ukutyeba kakhulu, isifo seswekile, kunye nezinye kunokubangela i-ED, ke ugqirha unokufuna ukuvavanya nokunyanga ezo zokuqala okanye ngaxeshanye.

I-Cialis isetyenziselwa ntoni?

I-Cialis sisiyobisi esiguquguqukayo esinezicelo ezimbalwa ezahlukeneyo. Ngaphandle kokungasebenzi kakuhle kwe-erectile, i-tadalafil inokunyanga ngokufanelekileyo i-benign prostatic hyperplasia (BPH) . I-BPH kukukhulisa i-prostate gland enokubangela iimpawu zokuchama, ezinje ngemfuno yokuchama rhoqo okanye ukungakwazi ukukhupha isinyi ngokupheleleyo ngexesha lokuchama.

Nangona kunjalo, ukusetyenziswa okuphambili kweCialis lunyango lwe-ED. I-Cialis isebenza ngokukodwa ukunceda ukufezekisa ukulungiswa. Kukho ulwazi olungelulo kwi-intanethi malunga nokuba amayeza ka-ED angenza ntoni kwaye angenakwenza ntoni. Ngokuchasene noko unokufunda okanye ukuva kwabanye, uCialis uya kuthi hayi Philisa i-libido ephantsi okanye i-ejaculation ngaphambi kwexesha. Kwaye ayenzi ukulungiswa okukhulu, ukuthintela izifo ezidluliselwa ngeentlobano zesini, okanye ukuphucula amandla esondo (ngaphandle kokuba umntu enengxaki yokuphulukana nolwakhiwo ngexesha lokwabelana ngesondo).

I-Cialis ayivunyelwe ukunyanga ukungasebenzi ngokwesondo kwabasetyhini. Kukho ii-anecdotes ezizimeleyo malunga ne-Cialis eyonyusa ukuhamba kwegazi kwizitho zangasese zowesifazane ngendlela efanayo eyenzela indoda, ukuphucula ulonwabo kunye ne-libido. Kodwa azikho izifundo ezilawulwayo zokuyibuyisela le nto. Kwiimeko ezininzi, ayinampembelelo. Nangona kunjalo, oogqirha ngamanye amaxesha banokumisela i-tadalafil yabasetyhini abane-pulmonary arterial hypertension.

Ezinxulumene: Ungayithenga njani ngokukhuselekileyo i-Cialis kwi-Intanethi

Iidosi zeCialis

I-Cialis iza kwifom yethebhulethi kunye namandla amane ahlukeneyo: 2.5 mg, 5 mg, 10 mg, kunye ne-20 mg. Ukulinganisa kuyahluka ngokuxhomekeka kunyamezelo lwesigulana kunye nobunzima bemeko.

Zininzi iindlela zokwenza idosi yeCialis, utshilo uMichael Hall, MD, umsunguli we Iklinikhi yokuPhila ixesha elide . Ngokwesiqhelo i-20 mg inikwa ukusetyenziswa kweeyure ezingama-72. Inokunikwa njengecwecwe le-2.5 okanye le-5 mg yonke imihla ngokuxhomekeke kwimeko yokunyangwa. Abanye bafumanisa ukuba ukusetyenziswa kwemihla ngemihla kunokuba luncedo ngakumbi kwiimfuno zabo.

Umyinge wokusetyenziswa kwemihla ngemihla kunyango lwe-BPH yi-5 mg. Igama leBrand-Cialis aliboniswanga kunyango lwexinzelelo lwe-pulmonary arterial hypertension. Endaweni yoko, oogqirha bamisela uhlobo olwahlukileyo lwe-tadalafil ebizwa ngokuba I-Adcirca kwidosi ephezulu-40 mg, kube kanye ngosuku.

I-Cialis inokuthi isebenze naphi na phakathi kwemizuzu eyi-15 kunye neeyure ezimbini kwaye Ubomi besiqingatha seyure eziyi-17.5 . Ukuxinana kwesiyobisi kuya kuphakama naphina phakathi kwemizuzu engama-30 kunye neeyure ezintandathu.

Izithintelo zeCialis

Abafazi nabantwana akufuneki bathathe i-Cialis, nangona banokuthatha i-Adcirca ye-pulmonary arterial hypertension.

Akukho sihlengahlengiso somthamo kwizigulana ezalupheleyo ngaphandle kokuba zibonisa uvakalelo oluphakamileyo.

UGqr.Hall ucebisa ukuba nawaphina amadoda anembali yokubetha okanye yokuhlaselwa sisifo sentliziyo kufuneka alumke ngakumbi ekusebenziseni nayiphi na iphosphodiesterase inhibitor, kubandakanya neCialis. Ukongeza, Ulwazi lweziyobisi luka-Eli Lilly uthi nabani na onembali enye okanye nangaphezulu kwezi meko zonyango zilandelayo kufuneka axelele ugqirha ngaphambi kokuba athathe i-Cialis:

Ukumelwa yintliziyo
Ukubetha
Iingxaki zesibindi okanye zezintso
Izilonda esiswini
Isifo sikaPeyronie
I-Retinitis pigmentosa
I-Sickle cell anemia okanye i-myeloma eninzi

Ukudibana kweCialis

Ngaphezulu kwezi zithintelo, ngokwe Ileyibheli yeziyobisi yeFDA , I-Cialis inokuba nokudibana kweziyobisi okunokuba yingozi kula mayeza alandelayo:

AmaNitrate: Kwangelo xesha linye ukuthatha i-nitroglycerin, isosorbide mononitrate, isosorbide dinitrate, okanye ii-poppers zokuzonwabisa ezinjenge-amyl nitrite kunye ne-butyl nitrite inokubangela ukwehla okunobungozi kuxinzelelo lwegazi, olunokubangela isiyezi kunye nokuphelelwa ngamandla.
Iibhlokhi zeAlfa: Isetyenziselwa ukunyanga iprostate eyandisiweyo kunye noxinzelelo lwegazi, iziyobisi ezinje nge-terazosin, tamsulosin, doxazosin, alfuzosin, kunye ne-silodosin inokubangela uxinzelelo lwegazi oluyingozi xa idityaniswe neCialis.
I-Azole yokubola: Ezinye iziyobisi ezichasayo (i-ketoconazole kunye ne-itraconazole) inokunyusa amanqanaba e-Cialis kwigazi, enokuthi yehlise uxinzelelo lwegazi ngakumbi.
I-Macrolide antibiotics: Ezinye i-antibiotics ezifana ne-erythromycin, i-clarithromycin, kunye ne-telithromycin inokunyusa amanqanaba e-Cialis egazini.
I-HIV protease inhibitors: La machiza (ngakumbi i-ritonavir) anokunyusa uxinzelelo lwe-Cialis egazini.
Utywala: Njenge-vasodilator encinci (iyanciphisa imithambo yegazi), ukusela kakhulu utywala ngelixa uthatha i-Cialis kunokubangela uxinzelelo lwegazi, isiyezi, intloko ebuhlungu kunye nokunyuka kwentliziyo.
Amanye amayeza emithambo yegazi njenge Uhlaziyo (sildenafil) .
Olunye unyango lwe-erectile dysfunction NjengeViagra (sildenafil) okanye iVevitra (vardenafil).

Zithini iziphumo ebezingalindelekanga zeCialis?

Njengalo naliphi na ichiza, i-Cialis inokubangela iimpembelelo ezithile. Iziphumo eziqhelekileyo zibandakanya:

Intloko ebuhlungu
Ukutya
Ubuhlungu bemisipha okanye iintlungu zemisipha
Umqolo obuhlungu
Ukuxinana kwempumlo
Ukuhluza
Intlungu yesisu okanye ukungonwabi
Ubuhlungu kwiingalo okanye emilenzeni

Kukho iziphumo ebezingalindelekanga ezimandundu ekufuneka zaziwe nangubani na ocinga ngeCialis. Izilungiso ezihlala ngaphezu kweeyure ezine (ezibizwa ngokuba yi-priapism) zifuna uncedo lwezonyango. Ngaphandle koko, kukho umngcipheko wokonakala okungapheliyo kwizicubu zepenile ezingqongileyo.

Ngelixa i-Cialis ingakhange inxulunyaniswe neengxaki zentliziyo yexesha elide, inokuwisa uxinzelelo lwegazi kumanqanaba asezantsi anobungozi (ngakumbi xa ithathwa nenye ivasodilator).

Kwiimeko ezinqabileyo, i-Cialis inokubangela nokulahleka kokuva, ukukhala ezindlebeni, okanye ukulahleka kombono kwelinye okanye omabini amehlo. Nabani na ohlangabezana nenye yezi mpendulo kufuneka afune unyango kwangoko.

Nangona i-Cialis inokukunceda ukugcina i-erection, ayizukuthintela i-ejaculation, ngoko ke izinto zokuthintela inzala zisafuneka ukuthintela ukukhulelwa.

Kwaye ayisebenzi kuwo wonke umntu (nangona iyasebenza kuninzi). Ngethamsanqa, kukho ukhetho lokugcina. Inketho yokuqala iya kuba kukuhlengahlengisa idosi okanye ukuzama ichiza elahlukileyo le-ED . Ukuba ayisebenzi, inaliti yeepenile, iimpompo zokuthintela intsholongwane, kunye nokufakwa kweepenile zezinto ezinokubakho.

ICialis vs Viagra

Zininzi iziyobisi ezahlukeneyo Kwimarike enokunyanga ukungasebenzi kakuhle kwe-erectile:

Zithelekiswa njani ezinye iipilisi ze-ED neCialis?
Igama leziyobisi	Ingaba isebenza kanjani	Thelekisa	Ugcino olulodwa
Viagra (isildenafil)	I-Viagra ihlala kuphela kwi-3 ukuya kwi-5 iiyure (xa kuthelekiswa neCialis, ehlala ukuya kuthi ga kwi-36), kodwa kaninzi kuhlala kungabizi kakhulu. Rhoqo, imiselwe ukusetyenziswa njengoko kufuneka, hayi yonke imihla.	Thelekisa neCialis	Fumana ikhuphoni yeViagra
Ilevitra (vardenafil)	I-Levitra ithatha kuphela iiyure ezingama-3 ukuya kwezi-5 kwaye ayenzelwanga ukuba isetyenziswe yonke imihla. NjengeViagra, ihlala itshiphu kuneCialis.	Thelekisa neCialis	Fumana ikhuphoni yeLevitra
IStendra (avanafil)	Eli chiza lisebenza ngokukhawuleza okukhulu kuneCialis, ke lilungile ukukhuthaza okwangoku isenzo sesondo, kwaye sihlala iiyure ezingama-6 ngokomndilili. Nangona kunjalo, ikwabiza kakhulu kunezinye iindlela.	Thelekisa neViagra	Fumana ikhadi lesaphulelo

Iinguqulelo eziqhelekileyo ze-tadalafil, i-sildenafil, kunye ne-vardenafil nazo ziyafumaneka ngamaxabiso asezantsi kakhulu kunabalingane begama labo. I-Stendra ifumaneka kuphela njengegama lophawu lweziyobisi, njengoko i-generic avanafil ingekavunywa.

Yeyiphi eyona ilungileyo? Oko kuxhomekeke kumntu othile. I-Tadalafil kunye ne-sildenafil ubonakalise ukusebenza ngokufanayo kunyango lwe-ED . Nangona kunjalo, i-tadalafil inokusebenza ngokuqhubekayo xa ithathwa yonke imihla, ngelixa i-sildenafil kufuneka ithathwe xa kufuneka njalo. I-Avanafil iyafana ne-sildenafil kulwakhiwo lwekhemikhali kunye nefuthe. Nabani na ohlahlo-lwabiwo mali unokujonga kukhetho oluqhelekileyo kunokuba ligama lophawu kuba benokufikeleleka ngakumbi. ISildenafil, i-tadalafil, kunye ne-vardenafil inayo yonke ubonakalise ukusebenza ngokunyanga iimpawu ze-BPH , nangona banokunxibelelana ngokungalunganga ne-alpha-blockers, olunye unyango oluqhelekileyo lwe-BPH.

I-Cialis kunye neViagra inokuba nefuthe elahlukileyo emzimbeni, utshilo uGqirha Hall. I-Viagra ithambekele ekubangeleni ngakumbi i-vasodilation kuwo wonke umzimba, kubandakanya nengingqi yempumlo, enokubangela ukuxinana okuninzi. I-Viagra ikwanefuthe elisweni, elinokubangela i-hue eluhlaza okwesibhakabhaka, njengoko inokuba nefuthe ekujikelezeni kwe-retina.

Ekugqibeleni, ukukhetha ichiza lokungasebenzi kakuhle kwe-erectile kuxhomekeke kwimeko ethile yempilo yesigulana, indlela yokuphila, kunye nembali yezonyango. Nabani na ocinga ngeCialis okanye enye yeendlela ezizezinye kufuneka fumana iingcebiso zonyango kugqirha ngaphambi kokuqala unyango.