Yeyiphi ipilisi ekhuselekileyo yokungasebenzi kakuhle?

Imfundo yezeMpilo

Ukungasebenzi kakuhle kwe-Erectile (i-ED) kukungakwazi ukufumana okanye ukugcina ulwakhiwo olomelele ngokwaneleyo ngokwesondo. Kumadoda amaninzi, ukungasebenzi kakuhle kwe-erectile kunzima kwaye kuxinzelelo lokujongana nazo zombini ngokwasemzimbeni nangokweemvakalelo. Amayeza ka-ED abe lubabalo olusindisayo kwizigidi zamadoda kwihlabathi liphela, kodwa kunokuba nzima ukufumana ikhuselekile Ipilisi yokungasebenzi kakuhle. Amachiza athandwa kakhulu e-ED yiViagra, Cialis, Levitra, kunye neStendra. Makhe sijonge kula magama aziwayo ompendulo ukuze siphendule: Sesiphi esona siyobisi sikhuselekileyo sokungasebenzi kakuhle kwe-erectile?

Isebenza njani iyeza le-ED?

Ukungasebenzi kakuhle kwe-erectile kuchaphazela uninzi Izigidi ezingama-30 zamadoda eUnited States, kwaye kuhlala kubangelwa kukudibana kwemiba yengqondo neyomzimba echaphazela ingqondo, iihomoni, izihlunu, imithambo yegazi, kunye nemithambo-luvo. Unyango lwe-erectile ukungasebenzi kunceda ukuphucula ukusebenza kwe-erectile ngokwandisa iziphumo ze-nitric oxide, ikhemikhali emzimbeni opholisa izihlunu zepenile. Oku kukonyusa ukuhamba kwegazi ukuya kwilungu lobudoda, evumela amadoda ukuba afumane kwaye agcine ulwakhiwo olomelele ngokwaneleyo kwisini. Ukuba isetyenziswe ngokuchanekileyo ngabantu abasempilweni, amayeza e-ED akhuselekile ukuba angasetyenziswa kwaye anokunceda amadoda azive onwabile ngobomi babo besondo.

Ubungakanani

Umahluko ophambili phakathi kwamayeza e-ED aziwa kakhulu- Viagra , Cialis , ILevitra , kunye neStendra-zingakanani iindleko zamachiza, zithathwa njani, zihlala ixesha elingakanani, kunye neziphumo ebezingalindelekanga. Umzekelo, iViagra ihlala ihlala emzimbeni malunga neeyure ezine ukuya kwezintlanu ngaphambi kokuba iphele ngokupheleleyo. I-Cialis, kwelinye icala, ihlala emzimbeni ukuya kuthi ga kwiiyure ezingama-36 kwaye inokunceda amadoda ukuba afumane ulungelelwaniso nangaliphi na ixesha ngeli xesha.

Xa uthelekisa ukuba amayeza ahlukeneyo aqala ngokukhawuleza kangakanani ukusebenza, zombini iViagra kunye neCialis zithatha malunga nemizuzu engama-30 ukuqala ukusebenza, ngelixa iLevitra kunye neStendra inokuqala ukusebenza ngokukhawuleza nje emva kwemizuzu eli-15 emva kokungena. Kubalulekile ukuba uqaphele ukuba xa unyanga ukungasebenzi kakuhle kweepilisi ze-ED, ukuvuselelwa ngokwesondo kuyafuneka ukunceda iipilisi zenze umsebenzi wazo. Akwanelanga ukuthatha ngokulula ipilisi.

Amanye amayeza onyango lwe-ED anokuthathwa yonke imihla endaweni yesiseko esifunekayo. I-Cialis ithandwa kwesi sizathu-ivumela amadoda ukuba abelane ngesondo nanini na kuba iyaqhubeka ijikeleza egazini. Kwiphepha elingaphandle kwembonakalo, iViagra kufuneka ithathwe iyure enye ukuya kwezine ngaphambi kokuzibandakanya kwezesondo kwaye ithathwa idosi ephezulu kakhulu.

Iindleko

Iindleko zecandelo ngalinye likwayinto ekufuneka ziqwalaselwe; Amayeza e-erectile dysfunction awaziwa ngokungabizi. Igama leBrand Viagra libiza kakhulu malunga $ 70 ipilisi nganye, ngelixa uhlobo oluqhelekileyo lujikeleze kuphela iidola ezingama-40 ngepilisi nganye. I-Cialis ixabisa malunga ne- $ 12 ngepilisi nganye okanye $ 360 unikezelo lwenyanga, kwaye i-Levitra inexabiso eliphakathi leedola ezili-111 ngepilisi nganye. Nangona iipilisi ze-ED zibiza, ezininzi iinkampani ezinjenge-SingleCare zinikezela ngamakhuphoni amayeza e-ED kwi-intanethi.

Konke oku kuthetha ukuba nangona amayeza e-ED esebenza ukunceda amadoda ukuba afumane kwaye agcine ulwakhiwo, ahluke kakhulu kwindlela asebenza ngayo nokuba zibiza malini. Ukuba unomdla ekufundeni ngakumbi malunga nezinto ezithile zendlela amayeza e-ED asebenza ngayo okanye ufuna ukufumana eyona ndlela ineendleko zokubandakanya iipilisi ze-ED ebomini bakho, kungcono uthethe nengcali yezonyango.

Ngawaphi amayeza e-ED aneziphumo ebezingalindelekanga?

Nangona amayeza e-ED esebenza kwaye enceda izigidi zamadoda kwihlabathi liphela, zisenokubangela iziphumo ebezingalindelekanga. Amanye amayeza e-ED aya kubangela iziphumo ebezingalindelekanga ezahlukeneyo kunezinye. Le theyibhile ilandelayo idwelisa iziphumo ebezingalindelekanga ezichaphazela amayeza e-ED.

Iziphumo ebezingalindelekanga zeepilisi ze-ED
Viagra (sildenafil citrate)	I-Cialis (tadalafil)	Ilevitra (vardenafil)	IStendra (avanafil)
Isicaphucaphu Intloko ebuhlungu Ukuhluza Impumlo eqinileyo Impumlo enemifinya Umbono omfiliba Intlungu yezihlunu Ukutya Umqolo obuhlungu Ukuba nesiyezi Irhashalala	Intloko ebuhlungu Ukutya Ukuhluza Umqolo obuhlungu Ukuba nesiyezi Ukuxinana kwempumlo Ubuhlungu bemisipha	Intloko ebuhlungu Ukuhluza Impumlo eqinileyo Impumlo enemifinya Ukuba nesiyezi Umbono utshintsha	Intloko ebuhlungu Ukuba nesiyezi Ukuhluza Isisu esimoshakele Umqolo obuhlungu Ukuqunjelwa

ILevitra inobuncinci obunokubangela iziphumo ebezingalindelekanga kuba kufuneka idosi esezantsi yokwenza ulwakhiwo , ngokuka Isikolo seYunivesithi yaseBoston seNyango yezeSondo . Oku akuthethi ukuba ayizukubangela iziphumo ebezingalindelekanga nangona. Umzimba womntu ngamnye uya kusabela kunyango ngendlela eyahlukileyo. Kuyenzeka ukuba umntu omnye angabinaziphumo ebezingalindelekanga konke konke, kwaye omnye umntu abe neziphumo ebezingalindelekanga ezininzi. Kuyenzeka ukuba umntu omnye afumane iziphumo ebezingalindelekanga kuhlobo olunye lwamayeza e-ED kodwa hayi kolunye.

Isigxina se-ED

Enye yezona zinto zixhalabisayo malunga neziyobisi ze-ED kukuba ngaba azinakubangela ukungasebenzi kakuhle kwe-erectile. Kunqabile kakhulu ukuba oku kuyenzeka, nangona kunokwenzeka ukuba amanye amadoda aphuhlise ukuxhomekeka kumayeza e-ED aya kwenza ukuba ulwakhiwo ngaphandle kwabo lube nzima ngakumbi. Ngamanye amaxesha, amayeza e-ED anokubangela ukulungiswa okungapheliyo okuhlala ixesha elide kuneeyure ezine, ezinokuba buhlungu kwaye zibangele ukonakala kwexesha elide ukuba ziyekwe zinganyangwa. Ukuba uthatha ipilisi ye-ED efana neViagra kwaye une-erection ehlala ixesha elingaphezulu kweeyure ezine (imeko eyaziwa ngokuba yi-priapism), kungcono ukufuna uncedo lwezonyango ngokukhawuleza ngenxa yomngcipheko womonakalo osisigxina we-penile.

Umbono utshintsha

Esinye seziphumo ebezingalindelekanga ezinokubakho kakhulu kwiipilisi ze-ED ezinjengeViagra kunye neLevitra lutshintsho lombono.Ngokwewebhusayithi esemthethweni yeViagra, ukuthatha amayeza ngamanye amaxesha kunokubangela ngesiquphe ukulahleka kombono kwelinye okanye omabini amehlo. Oku kunokuba luphawu lwengxaki enkulu yamehlo ebizwa ngokuba yi-non-arteritic anterior ischemic optic neuropathy (NAION). Abantu abathatha amayeza e-ED kunye notshintsho lombono kufuneka bafune iingcebiso kwezonyango ngokukhawuleza ukuthintela ukonakala kwamehlo okanye ukulahleka kombono.

Ukuhlaselwa yintliziyo kunye nokubetha

Iziphumo ezinqabileyo nezibi kakhulu zamayeza e-ED njengeViagra kukuhlaselwa sisifo sentliziyo kunye nemivumbo. Abantu abaneengxaki zentliziyo ezinje ngesifo sentliziyo ngabona basemngciphekweni wokuba nesifo sentliziyo okanye ukubetha ngenxa yokuthatha la mayeza, yiyo loo nto kungacetyiswanga kula maqela abantu.

Loluphi unyango olukhuselekileyo lwe-ED?

Eyona pilisi ikhuselekileyo ye-ED yile ichazwe ngugqirha wakho. Oogqirha bathatha izinto ezininzi ekuqwalaseleni ngaphambi kokuyalela amayeza kwaye banokucebisa ipilisi enye ye-ED ngaphezulu kwenye ngokusekwe kubudala bakho, ubunzima, okanye imbali yezonyango.

Ezinye iipilisi ze-ED zithandwa kakhulu kunezinye, kodwa oku akuthethi ukuba enye isebenza ngcono okanye ikhuselekile kunezinye. Umzekelo, iViagra ayithathwa njengekhuselekileyo kuneCialis okanye i-vise versa, kodwa ipilisi nganye inokubangela iintlobo ezahlukeneyo zeziphumo ebezingalindelekanga.

IViagra yeyona pilisi ye-ED ithandwayo, kwaye iCialis kunye neLevitra yimizuzwana esondeleyo. Xa uqwalasela iipilisi ze-ED, kuhlala kuluvo olulungileyo ukuba wazi naziphi na izilumkiso okanye izithintelo amayeza anokuba nazo. Zonke iipilisi ze-erectile dysfunction, umzekelo, akufuneki zithathwe nge-nitrate, ezinje nge-nitroglycerin okanye iziyobisi ezitalatweni ezaziwa ngokuba ziipopper (i-amyl nitrate, i-amyl nitrite okanye i-butyl nitrate), kuba olu dibaniso lunokubangela ukwehla okukhulu koxinzelelo lwegazi.

Ungazithatha njani iipilisi ze-ED ngokukhuselekileyo

Inxalenye ebalulekileyo yokuthatha iipilisi ze-ED kukwazi ukuzithatha ngokukhuselekileyo. Xa uthathwe ngokufanelekileyo, amayeza e-ED anokusebenza kakhulu, kwaye oogqirha kunye nabaphandi bayazi ukuba lingakanani iyeza elifunekayo ukuze usebenze. Olu luhlu lulandelayo uluhlu lweedosi ezisemgangathweni zamayeza athandwa kakhulu e-ED, kunye nendlela yokuthatha ngokukhuselekileyo kunye nokuba bathatha ixesha elingakanani emsebenzini.

Iidosi ezisemgangathweni zeepilisi ze-ED
	Viagra (isildenafil)	I-Cialis (tadalafil)	Ilevitra (vardenafil)	IStendra (avanafil)
Ithamo	50 mg	10 mg	10 mg	100 mg
Kuthatha ixesha elingakanani ukusebenza?	Imizuzu engama-30-iiyure ezininzi	Imizuzu engama-30-iiyure ezininzi	Imizuzu engama-30-iiyure ezininzi	15-30 imizuzu
Imiyalelo yokuthatha	Kuthathwe kwisisu esingenalutho i-1-4 iiyure ngaphambi kokulalana	Kuthathwe ubuncinci imizuzu engama-30 ngaphambi kokuba usebenze ngesondo	Kuthathwe iyure e-1 ngaphambi komsebenzi wesondo	Kuthathwe kwangexesha njengemizuzu eli-15 ngaphambi kokuba usebenze ngesondo

Ukuba ipilisi ye-ED ayikusebenzeli, kubalulekile ukuba uqaphele ukuba ukuthatha ngaphezulu kwedosi enye okanye ukuyithatha rhoqo kunokuba kufuneka kunganyusi ukusebenza kweyeza. Oku kunokukhokelela kwiziphumo ebezingalindelekanga okanye kubangele ukuvela komzimba okunokubusongela ubomi.

Ngubani ekufuneka hayi uthathe amayeza e-ED?

Amayeza okungasebenzi kakuhle kwe-Erectile awalunganga kuye wonke umntu, utshoU-Lev Elterman, MD, intloko ye-urology e Isibhedlele saseWeiss Memorial eChicago kwaye ungumnini Iziko le-Elterman lezeMpilo yaBasetyhini kunye naMadoda . NgokukaGqirha Elterman, la maqela abantu alandelayo akufuneki athathe amayeza e-ED:

• Abantu abathatha i-nitroglycerin okanye naluphi na uhlobo lonyango oluqukethe i-nitroglycerin efana ne-Imdur okanye i-Nitropaste.
• Abantu abangakwaziyo ukwenza imisebenzi yomzimba ngaphandle kokuphefumla okufutshane njengokuhamba ngezinyuko ezibini okanye inqanaba elifanayo lomsebenzi womzimba.
• Izigulana ezinembali yentliziyo ezinesimo sentliziyo esingaziwayo kwaye kufuneka kuvavanywe (kufuneka kuvavanywe novavanyo loxinzelelo).
• Abo bagulayo okanye abanganyamezelaniyo ngamayeza e-ED ngomlomo.

Ukongeza, abantu abanoxinzelelo lwegazi oluphantsi, uxinzelelo lwegazi oluphezulu, isifo se-coronary disease, arrhythmias, okanye abo bathe bahlaselwa sisifo sentliziyo okanye ukubetha kufuneka bathethe nogqirha babo malunga nokuba iipilisi zokungasebenzi kakuhle ze-erectile zilungile na kubo.

Ukusebenzisana kweziyobisi

Xa ucinga ukuthatha iipilisi zokungasebenzi kakuhle njenge-Viagra, kubalulekile ukuba uqaphele ukuba akufuneki zithathwe ngexesha elinye kunye namayeza athile ngenxa yokubanakho Unxibelelwano lweziyobisi . Nalu uluhlu lwamayeza angafanele kuthathwa kunye neViagra:

• Iibhloko zeAlpha
• Iziyobisi zepulmonary arterial hypertension
• Iziyobisi zokuzonwabisa (iipopper) eziqukethe ii-nitrites
• Ritonavir
• Amlodipine
• Amyl nitrate
• Saquinavir
• Doxazosin
• I-Riociguat
• Ketoconazole
• Itraconazole
• Isosorbide
• Erythromycin
• Ilevitra (vardenafil)
• I-Cialis (tadalafil)
• INitroglycerin (iyeza eliqhelekileyo lokuyalela abantu abane-angina, ukusilela kwentliziyo, okanye uxinzelelo lwegazi)

Ukuba awuqinisekanga ukuba kufanelekile na okanye ungazithathi na iziyobisi ze-erectile dysfunction, kuhlala kulunge kakhulu ukuhlala kwicala elikhuselekileyo kwaye uthethe nengcali yezempilo. Ugqirha wakho unokucebisa amayeza afanelekileyo kuwe ngokusekelwe kwiimpawu zakho kunye nembali yonyango.