Kev ua tsis taus pa yog ib qho teeb meem uas cuam tshuam rau ntau tus txiv neej. Teeb meem nrog lub neej zoo tuaj yeem tshwm sim ob qho tib si thaum muaj mob hnyav, thiab ua rau muaj kev ntxhov siab hnyav lossis kev puas hlwb. Txawm li cas los xij, cov neeg sawv cev ntawm kev sib deev muaj zog yog qhov nkag siab rau lub ntsiab lus no.
Zoo zoo, cov teeb meem uas tsis muaj erection tuaj yeem daws tau. Feem ntau, cov neeg mob tau muab tshuaj Sildenafil Citrate, kuj hu ua Viagra. Thiab ntau tus neeg txaus siab rau cov lus nug txog qhov kev kho no yog dab tsi thiab nws cuam tshuam rau lub cev li cas. Tus nqi tshuaj npaum li cas? Puas muaj teeb meem thaum noj nws?
Kev sib xyaw thiab ntau npaum li cas ntawm cov tshuaj
Sildenafil muaj nyob rau hauv daim ntawv me me oval xiav lossis xiav ntsiav tshuaj. Ntawm qhov txhaum lawv yog dawb thiab yuav luag dawb. Hauv lub tsev muag tshuaj koj tuaj yeem yuav cov pob hlwv nrog 1, 2, 4, 10 lossis 20 ntsiav tshuaj.
Cov khoom xyaw tseem ceeb yog sildenafilcitrate - 100 mg, 50 mg lossis 25 mg hauv ib ntsiav tshuaj. Lawm, lwm yam excipients muaj nyob rau hauv cov muaj pes tsawg leeg, tshwj xeeb tshaj yog lactose monohydrate, magnesium stearate, croscarmellose sodium, microcrystalline cellulose thiab povidone. Lub tsho zaj duab xis yog tsim los ntawm polyvinyl cawv, macrogol, talc, titanium dioxide, thiab hlau thiab txhuas dyes.
Main pharmacological zog
Sildenafil citrate tsis muaj dab tsi ntau tshaj li kev xaiv inhibitor ntawm cycloguanosine monophosphate, ib qho tshwj xeeb phosphodiesterase hom tsib, uas yog lub luag haujlwm rau kev tawg ntawm cGMP.
Yuav kom nkag siab txog cov txheej txheem ntawm kev txiav txim, nws tsim nyog ua ntej txiav txim siab txog txheej txheem ntawm erection. Nws yog txuam nrog kev tso tawm ntawm nitric oxide nyob rau hauv lub cavernous lub cev, uas ua rau kom ib tug nce nyob rau hauv cGMP theem, so ntawm cov nqaij ntshiv ntawm lub corpora cavernosa thiab ib tug nce nyob rau hauv cov ntshav khiav - qhov no ua kom ib tug erection ntawm noov.
Sildenafil tsis ncaj qha cuam tshuam rau lub cev cavernous. Tab sis, vim qhov inhibition ntawm phosphodiesterase, nce qib ntawm cGMP tau pom, uas txhim kho cov txiaj ntsig ntawm nitric oxide tso tawm thiab, raws li, ua kom lub cev puv hauv lub cev nrog cov ntshav ntim ntau.
Tom qab noj, cov khoom nquag tau absorbed yuav luag tam sim ntawd. Qhov nruab nrab, nws bioavailability yog 40-60%. Raws li txoj cai, cov nyhuv ntawm kev noj tshuaj tshwm sim 60 feeb tom qab noj, txawm hais tias daim duab no tuaj yeem sib txawv ntawm 30 mus rau 90 feeb. Metabolism ntawm cov tshuaj nquag tshwm sim hauv daim siab. Cov khoom ntawm cov metabolism yog tawm los ntawm cov hnyuv thiab lub raum. Tias yog vim li cas kev noj tshuaj los ntawm cov neeg mob uas muaj teeb meem hauv kev ua haujlwm ntawm lub raum thiab lub siab tsuas yog ua tau tom qab kuaj xyuas los ntawm kws kho mob.
Cov lus qhia siv dab tsi?
Y Tej zaum tsuas yog qhov taw qhia rau kev siv tshuaj "Sildenafil Citrate" yog erectile kawg, uas yog, tsis muaj peev xwm ua tiav thiab tswj kev erection. Nws yuav tsum raug sau tseg tias cov tshuaj no tsuas yog siv tau thaum muaj kev sib deev tsim nyog. Thiab cov ntsiav tshuaj Sildenafil Citrate tsis yog rau cov poj niam. Tom qab tag nrho, cov tshuaj no tsis yog ib qho kab mob, nws cov txheej txheem ntawm kev ua haujlwm yog txuam nrog kev nce hauv cov ntshav, uas muab erection, tab sis tsis yog nrog kev nce siab hauv kev sib deev.
Tshuaj "Sildenafil citrate": cov lus qhia thiab koob tshuaj
Tam sim ntawd nws yuav tsum tau muab sau tseg tias ua ntej koj pib noj tshuaj, koj yuav tsum tau sab laj nrog kws kho mob. Tsuas yog tus kws kho mob tshwj xeeb tuaj yeem xaiv qhov koob tshuaj zoo tshaj plaws. Raws li txoj cai, cov txiv neej thawj zaug tau muab tshuaj noj 50 mg ntawm cov khoom xyaw nquag. Thaum tsis muaj cov tshuaj tiv thaiv tsim nyog, tus nqi nce mus rau 100 mg. Yog tias, ntawm qhov tsis sib xws, thawj koob tshuaj ua rau muaj kev mob tshwm sim, nws raug txo mus rau 25 mg. Nyob rau tib lub sijhawm, koj tuaj yeem noj tsis pub ntau tshaj 100 mg ntawm cov tshuaj nquag. Nws tsis pom zoo kom siv cov ntsiav tshuaj ntau dua ib zaug hauv ib hnub. Cov koob tshuaj rau cov neeg muaj mob raum thiab mob siab yog 25mg.
YPuas muaj contraindications?
Tam sim ntawdNws yog tsim nyog hais tias cov tshuaj no muaj contraindications, cov npe uas yuav tsum tau nyeem:
- hypersensitivity rau ib yam ntawm cov khoom siv (ua tib zoo nyeem cov khoom ua ntej siv);
- txij li "Sildenafil Citrate" txhim kho cov txiaj ntsig ntawm nitrates, nws tsis tuaj yeem siv nrog rau lwm tus neeg pub nitric oxide, txhua hom nitrates thiab nitrites;
- mob ntawm lactose metabolism, tshwj xeeb yog lactose intolerance, nrog rau lactase deficiency, qabzib-galactose malabsorption;
- Cov khoom no tsis yog siv rau cov neeg mob hnub nyoog qis dua 18 xyoo lossis poj niam.
Tseem muaj qhov hu ua tus txheeb ze contraindications, tawm tsam qhov kev txais tos tuaj yeem ua tau, tab sis tsuas yog nrog txhua qhov ua tau ceev faj. Cov pab pawg no suav nrog ntau yam anatomical deformities ntawm noov, leukemia, thrombocythemia, sickle cell anemia, hereditary retinitis pigmentosa, kab mob nrog los ntshav, nrog rau lub sij hawm ntawm exacerbation ntawm peptic rwj ntawm lub plab thiab cov hnyuv.
Muaj peev xwm txaus ntshai yog cov kab mob xws li kub siab, hypotension, tsis ruaj khov angina, plawv tsis ua haujlwm, mob stroke, myocardial infarction tsis ntev los no.
Yuav muaj kev phiv dab tsi?
Txawm hais tias cov tshuaj tsis tshua ua rau muaj kev phiv loj, lawv tseem ua tau. Cov no suav nrog:
- mob plab thiab hauv siab, ua daus no, o ntawm lub ntsej muag, asthenia, hypersensitivity rauteeb;
- kev tsis haum;
- cov kab mob hauv lub paj hlwb nrog rau kev qaug zog lossis insomnia, parasthesias, neuralgias, npau suav txawv txav, convulsions, stroke, ataxia, txo qis reflexes;
- teeb meem plawv, suav nrog ntshav siab lossis qis, myocardial infarction, tachycardia, syncope, arrhythmias, cerebral thrombosis, cardiomyopathy thiab plawv tsis ua haujlwm;
- ua tsis taus pa, hnoos, ntswg los ntshav, sinusitis, bronchitis, hnoos ntau ntxiv, mob hawb pob thiab lwm yam kab mob ua pa;
- mob plab zom mov, xws li xeev siab, ntuav, glossitis, colitis, stomatitis, gingivitis, qhov quav los ntshav, qhov ncauj qhuav, dysphagia;
- mob qhov muag, pom kev cuam tshuam, cataracts, conjunctival puas, tinnitus mob thiab suab nrov, vertigo, lag ntseg yog ua tau los ntawm kev hnov.
Lwm cov kev mob tshwm sim muaj xws li cov kab mob synovitis, mob caj dab, myalgia, mob pob txha, peripheral edema, pathological nqhis dej, kev loj hlob ntawm gout thiab ntshav qab zib tsis ruaj khov, nrog rau daim tawv nqaij rwj, anorgasmia, tawm hws ntau, tso zis tsis txaus, tsis tu ncua thiab ntev erection..
Nws puas tuaj yeem noj tshuaj ntau dhau?
Tsis muaj ntaub ntawv qhia meej txog kev siv tshuaj ntau dhau. Txawm li cas los xij, tsis tu ncua ntawm cov koob tshuaj ntau dhau ntawm cov tshuaj "Sildenafil citrate" ua rau muaj qhov tshwm sim ntawm cov kev mob tshwm sim, xws li kiv taub hau, plawv palpitations, xim tsis pom kev,raws plab, xeev siab. Tias yog vim li cas nws thiaj li yuav tsum tau ua tib zoo saib xyuas cov koob tshuaj uas tus kws kho mob pom zoo, thiab yog tias muaj qhov tsis zoo, hu rau tus kws kho mob tam sim ntawd.
Tshuaj "Sildenafil citrate": nqe
Tau kawg, rau ntau tus neeg mob, lo lus nug ntawm tus nqi ntawm cov tshuaj tshwj xeeb yog qhov tseem ceeb heev. Yog li cas cov tshuaj "Sildenafil citrate" yuav raug nqi li cas? Tus nqi nyob rau hauv cov ntaub ntawv no fluctuates dav. Txhua yam ntawm no nyob ntawm cov chaw tsim khoom, lub npe kev lag luam (muaj ntau yam tshuaj nrog tib lub hauv paus muaj pes tsawg leeg), txoj cai nqi ntawm lub tsev muag tshuaj, lub nroog ntawm qhov chaw nyob, thiab lwm yam.
70-110 rubles - qhov no yog pes tsawg ib ntsiav tshuaj ntawm Sildenafil Citrate yuav raug nqi. Koj tuaj yeem yuav tag nrho pob ntawm lub tsev muag tshuaj, tab sis nws tus nqi, ntawm chav kawm, yuav siab dua - txog 1,100 rubles.
Kev tshuaj xyuas cov neeg mob txog tshuaj
Tau kawg, ntau tus neeg mob ua ntej yuav khoom txaus siab rau kev xav ntawm cov kws tshaj lij thiab lwm tus txiv neej uas twb tau sim cov tshuaj no. Cov kws kho mob cov lus pom zoo feem ntau yog qhov zoo, txij li cov tshuaj "Sildenafil" tiag tiag tiv nrog nws txoj haujlwm - nws sai sai muab erection, tsis hais seb nws puas yog vim kev hloov pauv ntawm lub cev lossis lub hlwb.
Ib txwm, cov neeg mob lawv tus kheej tsis nrawm heev los tshaj tawm lawv cov kev paub dhau los, vim tias kev ua haujlwm tsis zoo ntawm erectile yog ib lub ntsiab lus tseem ceeb rau txhua tus txiv neej. Txawm li cas los xij, cov tshuaj yeej pab daws qhov teeb meem thiab tsim kom muaj kev sib deev lub neej. Cov nyhuv ntawm lawvkav ntev li ob peb teev. Qee tus txiv neej txawm nco ntsoov tias kev hnov qab thaum sib deev ua kom ci thiab khaus ntau dua. Tus nqi ntawm cov tshuaj yog pheej yig heev, uas yog ib qho tseem ceeb kom zoo dua. Cov kev phiv tshwm sim ib ntus, tab sis yuav luag txhua yam tshuaj los nrog qhov kev pheej hmoo no.
