"Sildenafil citrate": babuye umva ixesha! Ukuphononongwa, ixabiso kunye nemiyalelo yokusebenzisa

kwekhono Erectile - ingxaki leyo echaphazela abantu abaninzi. Iingxaki ubomi sex kunokwenzeka zombini phambi ukugula kakhulu, kwaye ngenxa luxinzelelo olungamandla okanye umothuko. Kuyo nayiphi na imeko, sex onamandla-ethe kakhulu lo mba.

Ngethamsanqa, iingxaki kunye nokungabikho ulwakhiwo ingasombululwa. Kaninzi, izigulane emiselweyo ichiza "sildenafil citrate", eyaziwa ngokuba yi "Viagra" ngokubanzi. Abantu abaninzi banomdla imibuzo malunga nokuba yintoni na sixhobo nendlela osichaphazela ngayo umzimba. Yimalini ichiza? Ingaba kukho naziphi na iingxaki ngasemva wokwamkelwa kwakhe?

Ukubunjwa kunye nefomu yokhululo iziyobisi

Ukulungiselela "sildenafil" evela ngokohlobo amacwecwe amancinane elimbhoxo umbala oluhlaza. Iphutha amhlophe kwaye yeka-namhlophe. Kwikhemesti zingathengwa namadyungudyungu kunye amacwecwe 1, 2, 4, 10 okanye 20.

Eyona nto iphambili esebenzayo i citrate sildenafil - 100 mg, 50 mg okanye 25 mg e tablet nganye. Ngokwendalo, ukwakhiwa iqulethe ezinye izinto abancedisayo, xa monohydrate ingakumbi lactose, nemagnesium stearate, isodiyam croscarmellose, microcrystalline neselulosi kunye povidone. Ukutyabeka film yenziwa Polyvinyl utywala, macrogol, talc, titanium dioxide, kunye nedayi ezisekelwe zentsimbi kunye aluminium.

Iimpawu eziphambili imithi

Sildenafil citrate ayikho ngaphandle uyakhetha inhibitor tsikloguanozinmonofosfata uhlobo oluthile phosphodiesterase yesihlanu, nenoxanduva kohlulwe cGMP.

Ukuze siqonde indlela yokusebenza, kuyimfuneko kuqala ukuqwalasela inkqubo ukwakha. It linxulunyaniswa ukukhululwa kumzimba cavernous ka-nitric oxide, ekhokelela kumanqanaba ka cGMP buyasikhulula izihlunu agudileyo umzimba cavernous nokwandisa ithombo legazi - yinto lolwakhiwo lobudoda.

Sildenafil alunasiphumo kwi corpus cavernosum ngqo. Kodwa, xa ziyibuyisela umva inqanaba cGMP phosphodiesterase waphawula uphuculo eza kuphucula isiphumo ekukhutshelwe nitrogen oxide kunye, ngokufanelekileyo, inika enkulu ugcwalisa umthamo wegazi umzimba cavernous.

Emva ulawulo ngomlomo, iyeza esebenzayo ako phantse ngephanyazo. Kwi-avareji, bioavailability yalo 40-60%. Ngokubanzi, isiphumo ichiza ivela emva kwemizuzu engama-60 emva kokungenisa, nangona eli nani ingahluka imizuzu engama-30 ukuya kwi-90. Nethe osisiqu esebenzayo esibindini. emathunjini exchange output kunye nemveliso nezintso. Kungenxa yoko le nto iipilisi ukuba izigulane abaneengxaki kwi nezintso nomhlehlo wesibindi, kunokwenzeka kuphela emva kweemviwo ngokucokisekileyo ngugqirha.

Zintoni ezibonisa ukuba ukusetyenziswa?

Mhlawumbi uphawu kuphela ukuba ukusetyenziswa kweziyobisi "citrate sildenafil" yi erectile kwekhono - ezizezi, ukungakwazi ukufezekisa nokugcina akuvuki. Kubalulekile ukuphawula ukuba ichiza lusebenza kuphela inkanuko yesini eyaneleyo. Yaye "Sildenafil citrate" macwecwe hayi zenzelwe ukuba amabhinqa. Emva kwako konke oku ukulungiselela - hayi arhente causative, indlela yayo yokusebenza lu dityanisiwe ukwanda kwemali egazini ebonelela akuvuki, kodwa hayi nokonyuka inkanuko yesini.

Ichiza "Sildenafil Citrate": Instruction kunye noLawulo

Ngoko nangoko ke kubalulekile ukuqaphela ukuba phambi kokuthatha iipilisi kufuneka udibane nogqirha. Kuphela ingcali ngokuchanileyo ukukhetha ithamo kakhulu ngempumelelo. Ngokubanzi, amadoda eyabelwe ukuqala ekufumaneni mg 50 esisebenza. Xa kungekho mali eyimfuneko indlela lanyuka ukuya kwi-100 mg. Ukuba, icala, idosi sokuqala ukuba iziphumo ezibi, ibe ngama-25 mg. Ngelo xesha zingasetyenziswa mg hayi ngaphezulu kwe-100 kweziyobisi esebenzayo. Ayikhuthazwa ukusebenzisa ipilisi ngaphezu kanye ngemini. Esithathwa abantu abaphethwe isifo sezintso isibindi 25 mg.

Ingaba kukho naziphi na Izimo?

Nangoko oko kukuthi ukuba olu nyango uye Izimo, ukusuka apho kuluhlu qiniseka ukuba ufunda:

• hypersensitivity ukuba naziphi na izinto abasemthethweni (wayeqhelene ngokusondeleyo kunye nokwakheka phambi ukusebenzisa);
• njengoko "citrate sildenafil" yandisa amanyathelo nitrate, loo nto ayinakusetyenziswa kunye nezinye donators-nitric oxide, naluphi na uhlobo nitrate kunye nitrites;
• ukuphazamiseka kwendlela ukutya lactose, ingakumbi, ukunyamezelana kunye yelactose izivuka, iswekile-galactose malabsorption;
• ichiza ayenzelwanga ukuba izigulane ngaphantsi kweminyaka eli-18 ubudala, ngokunjalo kwabasetyhini.

Kukwakho ke Izimo isihlobo ebizwa ngokuba apho ukwamkelwa kunokwenzeka, kodwa kuphela isilumkiso kakhulu. Eli qela kunokuquka deformation ezahlukeneyo yokwakheka ze lobudoda, wegazi, thrombocythaemia, irhengqe cell anemia, ilifa retinitis pigmentary, izifo kunye nokopha, kuquka amaxesha isilonda etsolo esiswini namathumbu.

Ezinokuba yingozi na izifo ezifana lwegazi kunye hypotension, angina ezingazinzanga, ukusilela intliziyo, stroke, iposi kutshanje engabalulekanga.

Zintoni iziphumo ebezingalindelekanga kunokwenzeka?

Ngaphandle kwento yokuba ichiza azifane ibanga iziphumo ebezingalindelekanga ezimandundu, kunjalo kunokwenzeka. Ezi ziquka:

• intlungu esiswini kunye esifubeni, kuthibaza, ubuso nokudumba, ukudinwa, ukwanda uvakalelo ekukhanyeni;
• ziyabagulisa;
• ukuphazamiseka kwenkqubo luvo, kuquka ukuphuthelwa okanye hypersomnia, paresthesias, neuralgia, amaphupha ezingaqhelekanga, unditsho, stroke, Ataxia, sehle ingqondo;
• iingxaki kwinkqubo yegazi, kuquka ukunyuka ezibukhali okanye ngokuwa uxinzelelo lwegazi, iposi engabalulekanga, tachycardia, syncope, arrhythmias, thrombosis ebuchotsheni semithambo, ukusilela sentliziyo cardiomyopathy;
• ukuphelelwa umoya, ukukhohlela, epistaxis, sinusitis, iphika, ukomelezwa ekhoyo khohlo, isifuba kunye nezinye ukuphazamiseka kwenkqubo nokuphefumla;
• ukuphazamiseka ye phecana wokudla, ezizezi, isicaphucaphu, ukugabha, glossitis, ukudumba, stomatitis, gingivitis, ukopha efakwa, kome na isifo somlomo, dysphagia;
• Ukususela mvo inokuba buhlungu emehlweni, ukungaboni, cataract, ukwenzakala conjunctival, iintlungu kunye ukuduma, vertigo, ukungeva.

Phakathi kwezinye iziphumo ebezingalindelekanga ziquka synovitis atrity, myalgia, iintlungu ithambo, nokudumba peripheral, unxano okungaqhelekanga, uphuhliso sifo seswekile ukutshabalala, njengokuba kunye nezilonda dermal, anorgasmia, ukubila ukwanda, ngumchamo, oluzinzileyo kunye ulwakhiwo elide kakhulu.

Ngaba libanda, kunokwenzeka?

ulwazi oluchanekileyo malunga libanda, iziyobisi hayi. Kunjalo, ukusetyenziswa rhoqo ngeedosi eziphezulu kakhulu of "Sildenafil citrate" ichiza kwandisa umngcipheko yeziphumo ebezingalindelekanga - ezizezi, isiyezi, iyangongoza, ukuphazamiseka ngumbono umbala, urhudo, isicaphucaphu. Yiyo le nto kufuneka ulandele ngokungqongqo pamo ekucetyiswa ngugqirha wakho, yaye ukuba kukho na kubola ukubona ngoko nangoko yincutshe.

Ichiza "Sildenafil Citrate": ixabiso

Kakade ke, ukuba izigulane ezininzi kubaluleke kakhulu umbuzo kweendleko isiyobisi. Kubaluleke kangakanani ke buxabise ichiza "citrate sildenafil"? Ixabiso kule meko sehluka kakhulu. Yonke into apha kuxhomekeke kumenzi, igama lorhwebo (kukho iziyobisi eziliqela kunye nokwakheka efanayo esisiseko), Pharmacy nkqubo kwamaxabiso, umzi yokuhlala, njalo njalo. D.

70-110 engange - kunokubiza kakhulu efonini mnye "Sildenafil Citrate" iziyobisi. Ekhawuntareni kwaye kunokuba iphakheji lonke, kodwa ixabiso layo liya kuba ngokwendalo ngaphezulu - 1100 engange.

Imithi Izigulane '

Kakade ke, izigulane ezininzi banomdla ngaphambi kokuba uthenge izimvo ziingcali kunye namanye amadoda sele kwafuneka ixesha ukuzama eli yeza. Izimvo oogqirha ukuba becala HIV, ukususela ichiza "Sildenafil" ngokwenene ukwenza umsebenzi wayo - ngokukhawuleza ibonelela akuvuki, akukhathaliseki nokuba kungenxa utshintsho komzimba okanye kwengqondo.

Kakade ke, izigulane ukuba sibhengeze yobungcali babo ayikho ngokukhawuleza kakhulu, ukuze erectile kwekhono - yobuzaza wonke umntu. Kunjalo ngokwenene iipilisi kunceda ukuhlangabezana nale ngxaki kunye nokuseka ubomi babantu bokwabelana ngesondo. ukusebenza kwabo buhlala iiyure eziliqela. Abanye abantu bade bathi imvakalelo ngexesha lokwabelana ngesondo, luphuhle igcwaliswe. Price of ichiza iyafikeleleka kakhulu, nto leyo nayo inzuzo ebalulekileyo. iziphumo ebezingalindelekanga kubonakaliswa kumaxesha ngamaxesha, kodwa le ngozi unxulunyaniswa ulwamkelo phantse nasiphi na isiyobisi.