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Chii chinonzi finasteride uye chii chinoshandiswa?

Chii chinonzi finasteride uye chii chinoshandiswa?Zvinodhaka Info

Chii chinonzi mhanza yemurume uye kuwedzerwa kweprostate kune zvakafanana? Ose ari maviri anorapwa ne finasteride-uye ndipo panogumira kufanana kwavo. Chii? Iri gwaro rinotsanangura mamiriro arinobata, mhedzisiro mhedzisiro, uye kumwe kurapa.





Chii chinonzi finasteride?

Finasteride ndeye 5-alpha reductase inhibitor. Inoshanda nekudzivirira kugadzirwa kweiyo 5-alpha reductase enzyme, iyo inoshandura testosterone kuita dihydrotestosterone (DHT), ichikurudzira kukura kweprostate uye ichikonzera kurasikirwa kwebvudzi. Mhedzisiro yeDHT ndeyemuno, zvichireva kuti kuvapo kwayo mumusoro hakuratidzi kuwedzerwa kweprostate uye zvinopesana. Kunyangwe zvakadaro, finasteride, pasi pemazita akasiyana uye pamadosi akasiyana, inoshanda pakurapa ese mamiriro. Mazita ezve brand for finasteride anosanganisira Proscar (yeakawedzera prostate) uye Propecia (yekurasikirwa nevhudzi). Mushonga uyu unogona zvakare kudzora njodzi yekenza yepasi-giredhi reprostate.



Chii chinonzi finasteride chinoshandiswa?

Chikafu neDrug Administration (FDA) yakabvumidza finasteride yekurapa benign prostatic hyperplasia (BPH) uye androgenetic alopecia, kuonda zvishoma nezvishoma kwebvudzi. Kumbira mupi wezvehutano nezve zvimwe zvekushandisa zvisiri izvo.

Benign prostatic hyperplasia

Zita rechiratidzo Proscar inogona kushandiswa yoga kana kusanganiswa neCardura (doxazosin) kurapa BPH, kuwedzera kweprostate gland. Kana iyo gland yeprostate yakura, inoitsimbirira neiyo urethra. Zviratidzo zveBPH, zvinoenderana ne Urology Kuchengeta Nheyo , inosanganisira:

  • Urinary chengetedzo - kutadza kuburitsa dundira zvizere
  • Kunzwa kukurumidza kuita weti
  • Kuva neutete kuyerera kweweti
  • Zvakaoma nekuita weti
  • Inoda kumanikidza kuita weti

Zvidzidzo zvakaratidza kuti varume vanotora finasteride kwemwedzi gumi nemaviri vakacherechedzwa vane 23% kudzikisira muzvidziviriro uye 18% kudzikisira muzvizhinji zvisingakuvadzi, kuwedzera kwetswanda, uye 19% kuderedzwa kwehuwandu hweprostatic vhoriyamu, anodaro Douglas P. Jeffrey , MD, chiremba wemhuri muOregon uye chipangamazano wezvekurapa we eMediHealth .Izvo zvakakosha kutora finasteride kwemwedzi mitanhatu kusvika kugumi nemaviri saizi yeprostate isati yaderedzwa zvakakwana kugadzirisa zviratidzo zvine hukama neBPH. Zviratidzo zvinosunungurwa chero bedzi mushonga uchiramba uchienderera kwemakore. Kamwe mushonga ukamiswa zviratidzo zvekutanga zveBPH zvinowanzo dzoka. Iyo mishonga inoonekwa yakachengeteka kuti ishandiswe kwenguva refu.



Iyi njodzi yemamiriro aya inowedzera nezera. Hafu yevarume vese vari pakati pemakore makumi mashanu nerimwe, uye makumi matanhatu kubva muzana kusvika makumi mapfumbamwe kubva muzana yeavo vakura kupfuura makumi masere vanowana zviratidzo zvinokonzerwa neprostate yakawedzerwa, sekureva National Institute yechirwere cheshuga uye Digestive uye itsvo (NIDDK). Finasteride inogona kudzora BPH, asi hairape. Kune vamwe vanhu, zvinoderedza kudiwa kwekuvhiyiwa kweprostate.

Hume yemurume mhanza

Propecia inogona kubata uyerogenetic alopecia-yemurume mhanza. Mushonga uyu idosi-repazasi wefinasteride kupfuura Proscar. Inobatsira kunatsiridza kudzikisira ndege uye kurasikirwa nevhudzi pamusoro peganda. Nekudaro, hazvibatsire kutetepa bvudzi patembere, sekureva Medline Uyezve .

Propecia inononoka kurasikirwa kwebvudzi uye inogona kubatsira mukukura kwebvudzi idzva, zvinoenderana ne Kaiser Permanente . Vanhu vazhinji havaone kuvandudzwa kwemwedzi mitatu kana mitanhatu mushure mekutanga mushonga, uye zvinongoshanda chete kana ukaramba uchinwa. Kana iwe ukamira, bvudzi rako idzva kukura rinowira mukati memwedzi mitanhatu kusvika gumi nemiviri yekurega.



Finasteride inoshanda kupfuura kurapwa kwemusoro kwemurume kurasika bvudzi, maererano Dr. Jeffrey. Zvimwe zveongororo zvinoti varume vanowana rakakosha bvudzi regrowth mushure memakore maviri ekushandisa pamwe nekuwedzera zvakanyanya kuvandudzwa kwevechidiki varume vari pakati pemakore gumi nemasere nemakumi mana.

Finasteride dzimwe nguva inoshandiswa kurapa mamwe mamiriro asiri-ezita. Kunze-chitaridzi zvinoreva kuti FDA haina kubvumidza mushonga wekurapa mamiriro acho; zvisinei, anecdotal humbowo hwakaratidza kuti hunogona kubatsira. Mimwe yemamiriro aya inosanganisira:

Hirsutism

Aya mamiriro anokonzeresa kukura kwebvudzi muvakadzi. Kukura kwebvudzi kunoonekwa munzvimbo dzemuviri uko bvudzi risinganyanyo kukura, senge pamuromo wepamusoro, chirebvu, chifuva, dumbu, uye musana. Pakati pe5% ne10% yevakadzi vane hirsutism, sekureva kwe Cleveland Clinic . Zvinowanzoitika zvinosanganisira polycystic ovary syndrome (PCOS), kuenda kumwedzi, mimwe mishonga, uye mamwe mamiriro ehutano anokonzerwa nemazinga epamusoro e testosterone.



Transgender hormone therapy (murume kusvika mukadzi)

Finasteride dzimwe nguva inobatsira mukurapa kwehomoni kune vakadzi ve transgender kudzikisa kukura kwebvudzi pane dzimwe nzvimbo dzemuviri kunze kwemusoro.

Kudzivirira kenza yeprostate

Finasteride inogona kudzikisa njodzi yekenza yepasi-giredhi reprostate. Chidzidzo chikuru chakawana kuti finasteride yakanyanyisa kudzikisa njodzi yekenza yeprostate mune varume vane makore makumi mashanu nemashanu zvichikwira, sekureva National Cancer Institute . Chidzidzo chimwe chete ichi chinoratidza kuti kunyangwe mushonga unodzikisa njodzi yekenza yeprostate, inowedzera mukana wekutsvaga gomarara reprostate repamusoro, iro rine hukasha uye rakaoma kurapa. Nekudaro, a ongororo ichangoburwa , iyo yakatevera varume vachitora finasteride kwemakore makumi maviri, havana kuwana kuwedzera kwekufa kwekenza yeprostate.



Dr. Howard Parnes, mumwe wevanyori vechidzidzo ichi, anotenda kuti mhedzisiro yekutanga inoratidza kuwedzera kwechirwere chepamusoro chegomarara inotsanangurwa zviri nyore, zvishoma zvishoma, nekuvandudzwa kwekuonekwa nekuda kwezvinodhaka zvinhu. Kuderedza saizi yeprostate gland kwakawedzera mukana wekuwana wakanaka muenzaniso pane biopsy yekuongororwa, uye finasteride inoita kunge inovandudza kunzwisisika kweiyo PSA bvunzo yekuonekwa kwekenza yeprostate cancer.

Iyo FDA haina kubvumidza finasteride yekudzivirira cancer.



Finasteride madheji

Finasteride inowanikwa mu1 mg uye 5 mg mapiritsi, maererano ne Chiremba's Desk Reference ( PDR ). Chaiwo madheji emamiriro akasiyana ndeaya:

  • BPH: 5 mg zuva nezuva, inotorwa pamwe kana isina chikafu, kwemwedzi mitanhatu, inosvika pamwedzi gumi nemiviri kana zvichidikanwa. Shandisa iri yoga kana musanganiswa naCardura (doxazosin).
  • Kurasika kwemurume bvudzi 1 mg zuva nezuva kwemwedzi mitatu. Iwe unofanirwa kucherechedza kuvandudzwa mukati memwedzi gumi nemiviri. Kana pasina kuvandudzwa, kumwe kurapwa kungave kusiri kuzoshanda. Unofanirwa kunge wakaramba uchishandiswa kutsigira zvakanakira mushonga.
  • Hirsutism muvakadzi: 5 mg zuva nezuva, angave ega kana akabatanidzwa nemumuromo ekudzivirira kubata pamuviri.
  • Transgender hormone kurapa: 1 kusvika 5 mg zuva nezuva, maererano Katie Imborek , MD, co-director weYunivhesiti yeIowa's LGBTQ Clinic.

Ndeipi mhedzisiro yemhedzisiro yefinasteride?

Sezvo nemishonga yese, finasteride inogona kukonzera mhedzisiro. Haasi munhu wese anosangana nekushata; zvisinei, iwe unofanirwa kuziva izvo zvinogona kuita finasteride mhedzisiro, izvo zvinogona kusanganisira kusagadzikana pabonde. Zvinoenderana ne PDR , zvinowanzoitika mhedzisiro zvinosanganisira:



  • Erectile kusagadzikana
  • Kuderedza chishuwo chepabonde
  • Zvinetso ne ejaculation, kusanganisira yakaderedzwa vhoriyamu ejaculate
  • Marwadzo mumachende
  • Kushungurudzika

Zvimwe zvakakomba mhedzisiro, kusanganisira iyo yeergic reaction, ndeiyi:

  • Mapundu
  • Itching
  • Mikoko
  • Kuzvimba kwemiromo nechiso
  • Kunetseka kufema kana kumedza

Kana iwe uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchingeita n hukasha

Finasteride inogona zvakare kuwedzera njodzi yako yekuva nekenza yemazamu, maererano ne Yunivhesiti yeMichigan . Iwe unofanirwa kubata chiremba kana iwe ukaona:

  • Mazamu mapundu
  • Kurwadziwa kwepamuviri kana unyoro
  • Kubuda kwemboro
  • Mamwe mazamu anochinja

Kunyangwe izvo zvinogona kuitika mhedzisiro, finasteride irizvine njodzi mukushandisa pakuvandudza bvudzi kukura kwechikamu chevarume vechidiki. Haifanirwe kushandiswa pasina hurukuro. Kunyatso kuongorora kweanogona kuita epfupi-kwenguva uye marefu-marefu mhedzisiro uye nekunzwisisa kuti kurasikirwa kwekuvandudza kwemwedzi mipfumbamwe kusvika gumi nemiviri mushure mekumisa finasteride kwakakosha kuti uongorore usati watanga, anodaro Dr. Jeffrey. Sezvo finasteride iine tsika yekudzikisa mazinga ePSA inoda kuti PSA itariswe uye kuve neyakaongororwa yedhijitari rectal bvunzo (DRE) yekutarisa iyo prostate. Iko kune mukana wekuvhara gomarara reprostate nekuda kwekudzikira kwePSA. DRE inofanira kuitwa isati yatanga kurapwa uye pamwedzi mitanhatu mushure mekutanga. Gore negore DRE inozove yakakosha.

Nyevero yeFinasteride

Vamwe varume vanoona post-finasteride syndrome (PFS) pavanomira kutora mushonga. PFS inosanganisira zvinoramba zvichirara pabonde, zvetsinga, zvepanyama uye zvepfungwa zvakashata mhedzisiro.Post-finasteride syndrome haina kunyatso tsanangurwa uye inomiririra inopokana syndrome. Iyo inosanganisirwa neboka rezvepabonde, zvemuviri, uye zvepfungwa zviratidzo zvinokura panguva kana mushure mekugadziriswa kwemari uye inogona kuenderera mushure mekurega. Zviratidzo zvinosanganisira kudzikira libido, ED, uye ejaculatory kusagadzikana uye kushushikana, sekureva kwaDkt Jeffrey. Mune zvimwe zviitiko, zviratidzo zvakanyangarika nekufamba kwenguva asi mune mamwe zvakagara kwemakore mazhinji.

Iko hakuna kurapwa uye mashoma, kana aripo, marapirwo, maererano ne PFS Nheyo .Iyo hwaro inoratidza kuti pave paine 16,198 yakashata yekupindura zvinodhaka mishumo pasirese, 63 vanozivikanwa kuzviuraya, uye 23 nyika dzinopa yambiro nezve mushonga. Ivo vari kushanda nesimba kuti vabvise mushonga kubva pamusika, kana, kana zvirinani, kuve nenyevero dzakasimba dzakadhindwa pane ese mirau uye mapepa emashoko evarwere.

Kunyangwe finasteride yanga ichibatanidzwa nekuderera kwekenza yepasi-giredhi reprostate, iyo 2003 kudzidza wakawana kuti inogona kuwedzera njodzi yako yekukura yepamusoro-giredhi reprostate cancer, inova ine hukasha hweprostate cancer Zvidzidzo zvinotevera, zvakaita seiya yakaburitswa mu Kenza Kudzivirira Kutsvagisa , pakupedzisira haina kuwana kuwanda kwakakosha mukukwirisa-giredhi reprostate cancer mune avo vanotora finasteride.

Vakadzi vane nhumbu kana vanogona kuve nepamuviri havafanire kubata mahwendefa emari sezvo uyu mushonga ungakonzera kuremara kwekuzvara.

Pane here zvimwe zvinotsiva finasteride?

Dzimwe nzira dzekugadzirisa mari dzinoenderana nechikonzero chaunotora mushonga.

Avodart (dutasteride) yeBPH

Avodart inogadzira 4-azasteroid komputa inobata BPH. Inoshanda nekudzivirira kutendeuka kwe testosterone kuendadihydrotestosterone (DHT), iyo inovandudza kuyerera kwerini uye inogona kudzora kudikanwa kwekuvhiyiwa kweprostate. Iishandise iri yoga kana nemushonga Flomax (tamsulosin).

Alpha-anovharira BPH

Alpha-blockers inoshanda nekuzorodza mhasuru mudundira neprostate uye inobatsira vanosvika makumi manomwe kubva muzana evarume vane BPH, sekureva Harvard Hutano . Izvi zvinotanga kushanda muinenge vhiki imwe kana mbiri uye zvine mashoma mhedzisiro. Alpha-blockers anosanganisira:

  • Rapaflo (silodosin)
  • Flomax (tamsulosin)
  • Uroxatral (alfuzosin)

Ivo havana mhedzisiro pamukana wekuvandudza gomarara reprostate.

Dzimwe nzira dzemurume mhanza

Kuwedzera kune finasteride, iyo yeku-pamusoro-the-counter yekurapa misoro inogona kurwisa mhanza yemurume. Rogaine (minoxidil) inowanikwa semvura kana furo, yakakwizwa mumusoro zuva nezuva, sekureva Mayo Clinic . Zvinogona kutora inokwana mwedzi mitanhatu usati watanga kuona kumwe kurasikirwa kwebvudzi uye bvudzi nyowani kukura. Mushonga wacho unongoshanda chete iwe uchinge waushandisa. Paunomira, chero bvudzi nyowani kukura rinogona kurasikirwa.

Asiri-mishonga ekurapa anosanganisira kuvhiya bvudzi, kana kuvhiya kwekudzorera, uye laser therapy. Iwe ungangoda kanopfuura kamwe chete kuvhiyiwa, uye inishuwarenzi kazhinji haifukidze aya marapiro.