Dzidza mhedzisiro yemhedzisiro mhedzisiro uye maitiro ekuzvidzivirira

Zvinodhaka Info

Finasteride is steroid-like mishonga inowanzo gadzirirwa kurapa benign prostatic hyperplasia (yakawedzera prostate) uye mhanza yemurume. Iwe ungangodaro uchizviwana mumishonga makabati uye mafamesi semazita ezita Proscar kana Propecia , kunyangwe a generic vhezheni inowanikwawo.

Mushonga unoshanda nekudzivirira kushandurwa kwe testosterone kuita dihydrotestosterone (DHT), iyo inokonzeresa kukura kweprostate gland uye bvudzi follicle shrinkage. Inobudirira mukuderedza saizi yeprostate kune vazhinji varwere uye zvikamu zviviri kubva muzvitatu zvevarume vanozvitora kuti vasiye bvudzi mushumo regrowth , maererano neHarvard. Ndichiri zvimwe zvidzidzo zvemari vakurudzira kudzoserwa kwebvudzi rechikadzi futi, hazviwanzo kupihwa vakadzi kana vana, kunyanya vakadzi vane nhumbu, sezvo zvichikonzera kuremara kwekuzvara.

Panguva imwe chete kurapa murume dhiza bvudzi kurasikirwa uye BPH, mbiri dzakapararira dzevanhurume, dzinoita kuti finasteride iite senge yehutano hwechirume. Saka ndozvazviri? Kunyange ichinyatso shamisa, finasteride haina kukwana. Tarisa kupfuura mabhenefiti epamusoro-soro, uye iwe unowana akasiyana maforaidhaidhi mhedzisiro, yambiro, uye kudyidzana kwezvinodhaka. Verenga pamusoro kuti utarise zvakadzama pane ese matatu.

RELATED: Chii chinonzi Proscar? | Chii chinonzi Propecia? | Chii chinonzi Finasteride?

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Mhedzisiro yemhedheni

Propecia neProscar zvinowanzo kuve nemoyo murefu, asi zvinouya nechero hwakawanda hwehuwandu hwemhedzisiro. Finasteride ndeyekirasi yezvinodhaka inonzi 5-alpha reductase inhibitors, iyo inokanganisa huwandu hwehomoni uye inoderedza kuita kwehurume hwehomoni, dzimwe nguva zvichikonzera mhedzisiro yemitezo.

• Kushaya simba / erectile kudzvinyirira (inodzoserwa nekurega kwemishonga)
• Ejaculation kusagadzikana
• Yakadzikira vhoriyamu ejaculate
• Yakaderedzwa huwandu hwehurume
• Yakaderedzwa bonde kutyaira

Pamusoro pemhedzisiro yakadomwa pamusoro, mamwe mhedzisiro anowanzoitika ane chiitiko cheinenge 1% -10% yevarwere vanotora mushonga anosanganisira:

• Orthostatic hypotension (yakaderera ropa kumhanya pakamira)
• Dzungu
• Kutemwa nemusoro
• Kushaya simba

Chekupedzisira, zvishoma-zvakajairika zvakashata mhedzisiro, inowanzoonekwa mune isingasviki 1% -2% yevarwere vanotora finasteride, inosanganisira:

• Dzihwa
• Mapundu eganda
• Kuderera kweropa
• Testicular kurwadziwa
• Zamu unyoro

Varwere vanotora finasteride vanogona zvakare kuona kuwedzera weti. Nekudaro, pakurapa kweBPH (iyo inowanzo dzivirira weti), izvi zvinogona kumiririra kudzoka kune hutano hwekuyerera.

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Yakakomba mhedzisiro mhedzisiro ye finasteride

Zvakajairika finasteride mhedzisiro mhedzisiro zvinokwana kuve kusagadzikana, asi hazvisi chinhu kunze kweyakajairika yemishonga yekurapa. Muzviitiko zvisingawanzoitika, zvakadaro, zvakanyanya mhedzisiro mhedzisiro inogona kuitika iyo inoda kurapwa. Izvi zvinosanganisira:

• Kuramba uine erectile kusagadzikana : Mune kudzidza kuchangobva kuitika , 1.4% yevarume vakatanga 5-alpha reductase inhibitor kurapwa vakagadzira kusagadzikana pabonde kwakaramba kuripo mazuva makumi mapfumbamwe mushure mekumisa mushonga. Haisi kushaya simba nekusingaperi sezvakataurwa nevamwe vezvenhau, asi zvinogona kukanganisa hupenyu hwepabonde hwezuva nezuva panguva uye mushure mekurapwa.
• Kushaya mbereko: Kuti zvive pachena, uku hakusi kushaya mbereko kwehupenyu hwese. Vamwe varume vanogona kusangana nehurombo hwemhando yepamusoro pavanotora finasteride, iyo inowanzoita nani mushure mekumira kwemushonga.
• Kushungurudzika: Finasteride zvinogona kukonzera shanduko kune hippocampus , iyo inogadzirisa mhinduro dzemanzwiro, zvichitungamira kune dzakasuruvara nyika uye pfungwa dzekuzviuraya. Kushungurudzika uye kushushikana kunogona zvakare kubva kune inogona kuvharirwa basa repabonde.
• Kuwedzera njodzi yekenza yemazamu: Zvimwe zvidzidzo vakabvunza kubatana pakati peye finasteride kurapa uye kenza yemazamu yemurume, nepo vamwe vasina kuwana kuwirirana. Zvakadaro, chero munhu anotora mushonga anofanirwa kuziva nezvezviratidzo zvekenza sekukura kwemazamu, kuzvimba, kurwadziwa, mapundu, kana kuburitswa kwemazamu, uye shanyira chiremba kana iyi mhedzisiro ichiramba.
• Njodzi yepamusoro yekenza yepamusoro giredhi reprostate : Zvinoenderana ne kudzidza neNew England Journal of Medicine , finasteride inoderedza njodzi yekenza yeprostate cancer, asi inogona kuwedzera njodzi yekenza yeprostate cancer. Mhedzisiro yenguva refu yakaratidza kuti hapana musiyano muzvibodzwa zvekupona uchienzanisa varwere vanowana finasteride maringe ne placebo, uye vanofungidzirwa kuti vanopa mukuwana uku ndekwekuti finasteride inonyatso kuvandudza kugona kuona mhando yekenza iyi.
• Allergic reaction: Muzviitiko zvisingawanzoitika, finasteride inogona kukonzeresa kukonzeresa. Zviratidziro senge mikoko, kunetseka kufema, uye rurimi kana huro kuzvimba kunoda kurapwa nekukurumidza.

Zviratidzo zvekuona hazvisi zvakajairwa zvemari zvemhedzisiro, kunyangwe kudzidza kumwe chete akawana kuwirirana. Nekudaro, yaive saizi diki yemuenzaniso, saka kumwezve kuyedza kungave kuri kudikanwa kusimbiswa. Asi izvi hazvireve kuti hazvikuvadzi zvachose kuchiratidzo chako. Sekureva kwaDr. Yuna Rapaport, MD, MPH, director we Manhattan Ziso , finasteride pachayo inogona kukonzeresa kukuvara kweiyo retina uye optic nerve, iyo isingakanganise kuona kwako chaiko, asi inogona kuwanikwa pamufananidzo wakakosha. Pamusoro pezvo, mishonga yeprostate yakafanana neFlomax inogona kukanganisa nzira iris inogadzira uye inoita kumwe kuvhiya, kunyanya kuvhiya kwemaziso, kunonetsa.

Dementia inogona kunge iri kunetsekana, kunyanya nekuti dihydrotestosterone inokanganisa kugona kwekuziva. Iyo Zvinyorwa zveNeurological Sayenzi yakawana njodzi dzakakwira dzekushushikana mukati memakore maviri ekutanga e5-alpha reductase inhibitor therapy, asi hapana njodzi yakawedzera mushure meizvozvo.

Mushure mekusangana (kana kuverenga nezve) mimwe yemhedzisiro, vamwe varume vanozoda kucheka kurapwa kwavo kwemari. Iko hakuna mimwe mhedzisiro yakakomba kana kubvisa mushure mekusiya finasteride inotonhorera turkey, asi kurasikirwa kwebvudzi uye kukura kweprostate kungangotangazve kunze kwekunge kumwe kurapwa kuchitora nzvimbo.

Yambiro yeFinasteride

Kazhinji, finasteride inzira yekurapa yakachengeteka. Izvo zvakati, pamwe chikuru kutora kubva kune ese aya mhedzisiro ndeyekuti haisi yemunhu wese. Zvinoenderana ne Propecia ruzivo rwemishonga kubva kumugadziri wayo, Merck, uye iyo FDA, finasteride haina kuratidzwa kuti ishandiswe mumadzimai kana kuvarwere vevana. Uye izvi zvinonyanya kuitika kune vakadzi vane nhumbu. Mhedzisiro yemushonga pavana vasati vaberekwa vechirume inogona kukuvadza zvekuti iyo FDA inonyevera vanaamai vanotarisira kuti vasabatore kunyange mapiritsi ePropecia akaputswa kana akapwanywa.

Chero ani ane pre-huripo chirwere chechiropa kana chiropa chinoshanda zvisina kujairika anofanirwa kungwarira kana achishandisa finasteride nekuti inonyanya kugadziriswa muchiropa. Hapana chaiwo ekugadzirisa madosi anorayirwa.

Iko kune maviri akajairwa mafinasteride madosi: 1 mg uye 5 mg. Kana ichishandiswa kukura kwebvudzi mune varwere vane mhanza yemurume kana androgenetic alopecia, vanachiremba vanowanzo gadza 1 mg doses, nepo varwere veBPH vachiwanzoda 5 mg. Maitiro akakura kupfuura 5 mg haana kukurudzirwa.

Kunyangwe finasteride inogona kubata kurasikirwa kwebvudzi, kuenderera kwekushandisa kunodiwa kuchengetedza mhedzisiro yayo. Murwere anotanga kurapwa kwemari anoona mhedzisiro, ndokumira, achaona izvo mhedzisiro ichidzoka. Iyo 1 mg dose iri yakachengeteka kushandiswa kwenguva refu , asi zvinogona zvakare kukonzeresa mhedzisiro.

Kubatana kweFinasteride

Kunyangwe ayo mhedzisiro mhedzisiro uye yambiro, finasteride haina kuratidza kubatana kwakakosha nechero mimwe mishonga mumakiriniki ekuedzwa. Zvakadaro, pane mibvunzo yakajairika nezvekutora mimwe mishonga yakajairika padivi pePropecia kana Proscar.

Varwere vanonetsekana nezve finasteride's propensity yekukonzera kusagadzikana kwe erectile (ED) uye zvimwe zvinetso zvekubereka vanogona kushamisika kana vachigona kuzvitora panguva imwe chete neViagra, Cialis, kana mamwe madhiragi eDD. Mhinduro ndeyokuti hungu. Kwete chete izvo zvinogona kushandiswa pamwechete, asi kushandiswa panguva imwe chete kunogona kubatsira kudzikamisa kana kudzivirira mamwe mitezo yepabonde.

Asi zvakadii nezve mamwe marapiro ekukura kwebvudzi senge Rogaine ( minyoro ) kana biotin ? Ehe, ese ari maviri akachengeteka kushandiswa panguva imwe chete ne finasteride . Ramba uchifunga, zvisinei, kuti Rogaine ine yayo seti yemhedzisiro mhedzisiro, iyo iyo murwere anogona kusangana pamwe neye finasteride mhedzisiro.

Kurapa kweTesttosterone kurapwa zvakare kwakachengeteka kuti ishandiswe nefinasteride mune varwere vane yakaderera testosterone.

Ko doro? Kazhinji, doro uye finasteride mubatanidzwa wakachengeteka. Zvisinei, zvimwe zvidzidzo kuratidza kuti zuva nezuva, kudhakwa kunogona kuwedzera njodzi yekenza yeprostate cancer, sezvinoita finasteride. Nekudaro, kushandisa uyu mushonga neakakwira zuva nezuva kunwa doro theoretically kunogona kuwedzera njodzi.

Maitiro ekudzivirira emari finasteride mhedzisiro

Zvinosuruvarisa, migumisiro yechirwere haisi nguva dzose inodzivirirwa. Dzimwe nguva, zvinongoitika. Zvakadaro, mamwe matanho uye matanho ekuchengetedza anogona kudzikisa njodzi yemhedzisiro yemhedzisiro.

Yekutanga chengetedza ndeye kutora mishonga sekurairwa nachiremba wehutano. Varwere vanogona kuitora pamwe kana vasina chikafu, asi vanofanirwa kungotora imwe chete pazuva (chero nguva yezuva). Kazhinji, madhiragi emushonga haaonekwe kwemwedzi mitatu, mushure meizvozvo kushandiswa kusingachinji kunodiwa kune mabhenefiti akasimba.

Zvakare, ramba uchifunga kuti mamwe mhedzisiro anogona kungova echinguvana. Iyo mhedzisiro inogona kuderera paunoramba uchinwa mushonga, uye anonyatsopera mushure mekumisa mushonga, sekureva kwaDr. Rapaport. Nekudaro, varwere vane zviitiko zvakashata vanogona kuvamisa nekumira mushonga. Kune zvimwe zviitiko zvekusagadzikana pabonde izvo zvinogona kupfuurira kwenguva refu zvisati zvapera.

Chinokosha ndeichi: Ko mabhenefiti emubhadharo anodarika izvo zvinogona kuitika mhedzisiro? Asi mhinduro yacho haisi nyore. Inosiyana pamunhu wega wega, zvinoenderana nemamiriro avo, nhoroondo yekurapa, zvakakosha, nezvimwe. Kufambisa kwakanakisa kwemunhu chero upi zvake achifunga mushonga senge Propecia kana Proscar kutora mazano ekurapa kubva kuna chiremba.