I-2021 Umhlahlandlela Wezidakamizwa Oqinisa Igunya Elikhulu Wocansi Wokwelapha Ukwelashwa Kwe-Erectile (ED)

 

Ukuthuthukiswa komlando wokwelashwaUkungasebenzi Kwe-Erectile (ED)

Ukungasebenzi kahle kwe-Erectile bekukhathaza amadoda kusukela ekuqaleni komlando obhaliwe. Imithi yokwelashwa ye-ED isukela emuva ekuqaleni kwekhulu lesishiyagalombili, lapho amadoda aseRoma lasendulo naseGrisi begqoka iziphandla zezitho zangasese zeqhude nezimbuzi. Kholwa ukuthi ingasebenza njenge-aphrodisiac futhi iphromothe umsebenzi wezocansi. Ekupheleni kwekhulu le-18, ukukhishwa kwe-testis yezimvu kwafakwa njengomthombo we-testosterone ukulungisa ukungabi namandla. Ngama-1970s, ukufakwa kwe-penile kwakuzenzele igama njengesixazululo sokungasebenzi kahle kwe-erectile. Ngasikhathi sinye, amaphampu we-penile vacuum ayethola ukuthandwa futhi "ithuluzi lokulingana kwentsha" likaGeddings Osbon (noma i-YED) lalivulela indlela imishini yamapenisi evamile esiyijwayele kuze kube namuhla. Ama-1980s abeka isisekelo senguquko kwezocansi ngocwaningo lukaDkt Giles Brindley. UBrindley wajova i-vasodilator emithanjeni yakhe, okwadala ukuphumula kwemisipha yomzimba futhi kwafaka ukwakhiwa. Ukutholakala kwakhe kwaholela ocwaningweni ngama-vasodilator kanye nama-alpha-blocking agents njengokwelashwa kokungasebenzi kahle kwe-erectile. Intuthuko enkulu yenzeke ekuqaleni kweminyaka yama-1990s, i-sildenafil yamukelwa njengomuthi wenhliziyo, futhi kwatholakala ukuthi abesilisa abathatha lo muthi babebhekene nokuqina, okuhlala isikhathi eside. Lokhu kuholele ekuqhubekeni kocwaningo nge-sildenafil njengesidakamizwa se-erectile, kanti uPfizer wethule iViagra e1998. USildenafil waba yisidakamizwa sokuqala somlomo esivunyelwe ukwelapha i-ED. Ukwelashwa kokungasebenzi kahle kwe-erectile kwaguqulwa ngokutholakala kwe-sildenafil noma i-Viagra. Lokhu kwalandelwa ukusetshenziswa kwe- i-tadalafil ne-vardenafil njengemithi efanayo yomlomo ye-phosphodiesterase-5 inhibitor yokwelapha i-ED ngo-2003. Kwabesilisa abaningi, impilo ayikaze ibe ngcono.

 

Ukuhlolwa kwesimo se-Erectile Dysfunction (ED)

Ukungasebenzi kwe-Erectile (i-ED) yisimo sezokwelapha esivamile sabesilisa, ucwaningo olwenziwe lubonisa ukuthi i-ED iya ngokuya yanda ngeminyaka yobudala: cishe ama-40% wamadoda ayathinteka eneminyaka engama-40 kanti cishe amadoda angama-70% athintekile eneminyaka engama-70. Ubuningi be-ED ephelele inyuke isuka ku-5% lapho ineminyaka engama-40 yaya kwengu-15% eneminyaka engama-70.2 Ubudala bekuyinto eguquguqukayo ehlotshaniswa kakhulu ne-ED. Ukwehla kwesifiso sobulili ngokukhula kweminyaka. Amadoda eqoqweni elidala kunawo wonke (50 kuya ku-59) ayengaphezu kokuphindwe kathathu amathuba okuba nezinkinga zokwakhiwa nokubika isifiso sobulili esiphansi uma kuqhathaniswa namadoda 3 kuya ku-18. Isipiliyoni sokungasebenzi kahle ngokocansi sasibonakala kakhulu phakathi kwamadoda anempilo engeyinhle ngokomzimba nangokomzwelo.

Emashumini ambalwa edlule, kube nokwanda okukhulu ekuqondeni kwethu izindlela zomzimba ezibhekele ukungasebenzi kahle kwe-erectile (ED). Ukungasebenzi kahle kwe-Erectile (ED) sekuyisihloko semidiya enkulu nentshisekelo yomphakathi nokwamukelwa. Okuhambisana nokwanda kolwazi kube ukuqhuma kwezindlela zokwelashwa.

 

Kuyini ukungasebenzi kahle kwe-Erectile (ED)?

Ukungasebenzi kahle kwe-Erectile noma i-disorde (i-ED), ebizwa nangokuthi ukungabi namandla, ukungakwazi ukuthuthukisa nokugcina ukwakhiwa kocansi noma umsebenzi owanelisayo. Imvamisa lapho ukugeleza kwegazi epenisini kunqunyelwe noma izinzwa zilimele. Imvamisa kubangelwa inkinga yezempilo eyisisekelo, efana: nengcindezi, ukukhathala, ukukhathazeka njll Ungazama ukusebenzisa izidakamizwa, uxazulule imbangela, ushintshe indlela ophila ngayo futhi uxazulule izinkinga ezingokwengqondo nezokwelashwa.

Uma ufuna izinketho zokwelapha i-ED yakho, le ndatshana inikeza imininingwane ewusizo kubantu ababhekene nale nkinga, noma labo abasondelene nabo.

(1) Imishini yokungasebenzi kahle kwe-erectile (ED)
Lokhu kubangela ukuthi ipipi lakho likhule futhi liqine lapho igazi ligcwalisa amakamelo amabili aziwa ngokuthi yi-corpora cavernosa, kufana nebhaluni njengoba ligcwele amanzi. Imizwa evela ebuchosheni nasemithanjeni yezitho zangasese iqala inqubo. Noma yini evimba lezi zinkanuko noma evimbela ukugeleza kwegazi ukuya epeni kungadala i-ED.

(2) Izimpawu / Izimpawu zokungasebenzi kahle kwe-erectile (ED)
Indoda ibhekwa njenge-ED lapho kwenzeka lezi zimpawu ezilandelayo:

Unenkinga yokuthola ukwakhiwa
Unenkinga yokwakhiwa
Unenkinga ngokugcina ukwakhiwa kwesikhathi esanele

Ezinye izinkinga zocansi zihlobene ne-ED futhi zingadala izimpawu ezifanayo ku-ED, njenge:

Ukujula ngaphambi kwesikhathi (ukukhipha umjovo ngokushesha kakhulu)
Ukwehluleka ukuba ne-orgasm ngemuva kokuvuselelwa okwanele
Ukujula okubambezelekile (lapho ukukhipha kuthatha isikhathi eside kakhulu) umcibisholo wokuya phezulu
Amazinga aphansi we-testosterone testosterone
I-libido eyehlisiwe noma idrayivu yocansi
Ukungasebenzi emisipheni yaphansi okhalo
Ukuhlukumezeka okhalweni, njengokuphuka kokhalo

Ezinye izifundo zikhombise ukuthi amadoda ane-ED asengozini enkulu yokuhlaselwa yisifo senhliziyo, isifo sohlangothi noma izinkinga zokujikeleza emilenzeni. I-ED nayo ibangela:

Ukuzenyeza
Ukucindezeleka
Ukukhathazeka kwendoda nomlingani wayo

Khuluma nodokotela wakho uma unanoma iyiphi yalezi zimpawu, ikakhulukazi uma sekuphele izinyanga ezintathu noma ngaphezulu. Bangasiza ekutholeni ukuthi ngabe izimpawu zakho zibangelwa yisimo esingaphansi esidinga ukwelashwa. Ihlose ukulungisa noma ukuthuthukisa ukusebenza kwe-erectile, ukusiza impilo yokujikeleza kwegazi nokusiza ikhwalithi yempilo yomuntu

(3) Umehluko phakathi kwe-ED ne-sex drive drive
Abesilisa bangaba nezinhlobo eziningana zezinkinga kufaka phakathi idrayivu yocansi engalungile nezinkinga nge-ejaculation. Kepha i-ED ibhekisa ngqo enkingeni yokuthola noma ukugcina ukwakhiwa. Ungahle ube nokushayela ucansi okunempilo, kepha umzimba ongaphenduli. Isikhathi esiningi kunesisekelo somzimba senkinga.

Yini ebangela ukungasebenzi kahle kwe-erectile (ED)?

Abesilisa babandakanyekile kwinqubo yokwakhiwa kobuchopho, amahomoni, imizwa, izinzwa, imisipha nemithambo yegazi. Noma iyiphi yalezi zinkinga ingadala noma ifake isandla ku-ED. Ngokukhula, inani lamadoda anezimpawu ezithile ze-ED lizokhuphuka ngokwanda kwempilo, kepha ukuguga ngeke kuholele ku-ED. I-ED ingelashwa nganoma yisiphi isikhathi.

Indlela yokuphila ibange i-ED
Ukukhetha indlela yokuphila kunganikela ku-ED, ukubhema, ukuphuza ngokweqile, nokusebenzisa kabi izidakamizwa kungaphazamisa ukujikeleza kwegazi futhi kuholele ekusebenzeni okungasebenzi kahle kwe-erectile. Ukukhuluphala ngokweqile nokuvivinya umzimba okuncane kakhulu kunomthelela ekungasebenzi kahle kwe-erectile. Abesilisa abavocavoca umzimba njalo baba nengozi ephansi yokungasebenzi kahle kwe-erectile.

I-Psychological idale i-ED
Isimo esihle sengqondo singasiza ukuvusa ubuchopho, uma ungaphansi kwengcindezi, izimo zempilo yengqondo njengokucindezeleka noma ukukhathazeka, ubuchopho bakho bungaba nenkinga yokwakha ukuxhumana kwezinzwa nokukhulula ama-hormone abhekele ukudala ukwakhiwa. Ngakho-ke izingqinamba zezengqondo zingaba nomthelela omkhulu ekungasebenzi kahle kwe-erectile.

Izifo Ezingamahlalakhona zidale i-ED
Isixhumanisi phakathi kwezifo ezingamahlalakhona ne-ED sithinta kakhulu sikashukela. Abesilisa abanesifo sikashukela banamathuba aphindwe kabili kuya kathathu okuthola ukungasebenzi kahle kwe-erectile. Noma yisiphi isimo esithinta indlela igazi eligeleza ngayo emzimbeni wakho singaholela ku-ED. Lokhu kufaka phakathi isifo senhliziyo, isifo sokuqina kwemithambo yegazi (ukuqina kwemithambo yegazi), isifo sezinso ne-multiple sclerosis.

Imithi idale i-ED

Imithi eminingi ingadala noma ifake isandla ekungasebenzi kahle kwe-erectile, kufaka phakathi izidakamizwa zengcindezi yegazi, ama-anti-depressants, ama-antihistamine, imithi ye-acid reflux, imithi yezinhlungu ze-opioid. kanye nezithambisi. Khuluma nodokotela wakho uma ucabanga ukuthi umuthi kadokotela noma umuthi ongaphezu kwamanani ungadala izinkinga ze-erectile. Kepha ungalokothi uyeke ukuthatha noma imuphi umuthi ngaphambi kokuxoxa nodokotela wakho.

Ukuhlinzwa kubangele i-ED
Ukwelashwa ngokuhlinzwa noma ngemisebe yomdlavuza wendlala yesinye, umdlavuza wesinye, noma ukukhulisa i-prostate (BPH) kwesinye isikhathi kungalimaza izinzwa nemithambo yegazi eduze kwepipi. Uma umonakalo wezinzwa unomphela, uzodinga ukwelashwa ukuze uthole ukwakhiwa. Kepha kwesinye isikhathi ukuhlinzwa kudala i-ED yesikhashana eba ngcono yodwa ngemuva kwezinyanga eziyi-6 kuye kwezingu-18.

 

Ungazi kanjani ukuthi ubekezelela i-ED?

Ezimweni eziningi, uma ubonakala ungenantshisekelo noma isifiso sobulili, ukungakwazi ukuvuswa, ukuya ocansini okubuhlungu, kungenzeka ukuthi ubhekene nokungasebenzi kahle kwe-erectile. Izikhathi ezithile, noma ngezikhathi ezithile, izinkinga zocansi azikhombisi ukungasebenzi kahle kwe-erectile.

 

Ungayelapha kanjani i-erectile dysfunction (ED)?

Ukungasebenzi kwe-Erectile (ED) kungathinta abesilisa ngeminyaka ehlukene, kepha ngeke kuthinte ikhwalithi yempilo yakhe. Le ndatshana ingakusiza ekutholeni ukwelashwa okufanelekile futhi ikusize ukusekela impilo yezocansi egculisayo futhi uthuthukise ukusebenza kwakho kwe-erectile, kukwenze uzizwe ubuyele esimweni sakho esidala futhi.

Imithi
Kwabesilisa abaningi, bavame ukucabanga ukuthatha imishanguzo yomlomo yokwelashwa kwe-erectile dysfunction (ED) okokuqala, ukusiza ukuthola nokugcina ukwakhiwa. Lezi zidakamizwa zomlomo ezithuthukisa ucansi (PDE5 inhibitors) zifaka i-tadalafil (i-Cialis), i-sildenafil (i-Viagra), i-vardenafil (i-Levitra, i-Staxyn) ne-avanafil (i-Stendra), ngokwenza ngcono ukusebenza kocansi ngokuphumuza imisipha ebushelelezi nokwandisa ukugeleza kwegazi kuye ethangeni. Akufanele uthathe noma iyiphi yalezi zidakamizwa ukwelapha ukungasebenzi kahle kwe-erectile (ED) uma uthatha ama-nitrate wesifo senhliziyo. Ukwelashwa kwe-testosterone (TRT) nakho kunganconywa uma unamazinga aphansi e-testosterone. I-Alprostadil (Caverject, Edex, MUSE) ngomunye umuthi ovunyelwe yi-FDA ongasetshenziswa ukwelapha ukungasebenzi kahle kwe-erectile (ED). Inganikezwa ngezindlela ezimbili: njenge-suppository ye-penile noma njenge-self-injection ezansi noma eceleni kwepenisi. Umjovo wePenile uhlobo oluphumelela kakhulu lokwelashwa kwe-ED kwabesilisa abangakwazi ukuthatha ukwelashwa ngomlomo.

Izinsiza-kusebenza Zomshini
Uma imishanguzo ingasebenzi noma ingafanelekile, amadivayisi we-vacuum kanye nokufakwa kwe-penile njll nezinye izinsiza nakho kungasiza amadoda ukufezekisa noma ukugcina ukwakhiwa. Iphinde yamukelwa ukuthi isetshenziswe kwabesifazane, kube nje kubiza kakhulu. Ama-dilators angasiza abesifazane ababhekana nokuncipha kwesitho sangasese sowesifazane. Amadivayisi afana nama-vibrator angasiza ukusiza ukuthuthukisa ukujabulela ucansi kanye nomvuthwandaba.

Imithi yokwelapha
Kunemithi ethile ehlukile kanye "nezithako zokudla" ezithi zelapha ukungasebenzi kahle kwe-erectile, njenge: Panax ginseng supplements, ginkgo, pomegranate juice, kanye ne-yohimbe supplements njll. Kodwa akuyona yonke imithi "yemvelo" noma izithasiselo eziphephile. Kufanele uthintane nodokotela wakho kuqala ngaphambi kokusebenzisa noma isiphi isengezo, ukuqinisekisa ukuthi kuphephe ngokwanele ekwelapheni i-ED.

Ezengqondo
Ukuphathwa ngomeluleki oqeqeshwe kahle kungakusiza ukuthi ubhekane nokuhlukumezeka ngokocansi okwedlule, ukukhathazeka, ukudangala, istree, nesimo esibi somzimba. Bangakusiza wena nomlingani wakho ukuxhuma kabusha ngokomzwelo, nakho okungasiza i-ED yakho.

Ncoma Ukuhlinzwa
Kwabesilisa abaningi, ukuhlinzekwa kufanele kube yisinyathelo sokugcina, ngokuhlinzwa ngemithambo yokulungisa ezinye zezimbangela ze-ED. Isikhathi sokutakula siyahlukahluka, kepha izinga lokuphumelela liphakeme.

 

Izidakamizwa ezisebenza kahle kakhulu zocansi ze-5 zokwelapha ukungasebenzi kahle kwe-erectile (ED) emhlabeni?

Imibiko eminingi ye-anecdotal ikhombisa ukuthi lezi zidakamizwa ezilandelayo ezi-4 ezandisa ucansi zisebenza kahle kakhulu ukusiza amadoda ukuthi aphathe ukungasebenzi kahle kwe-erectile (ED).

(1)Tadalafil
I-Tadalafil ingeyesigaba semithi yomlomo ebizwa nge-phosphodiesterase (PDE) inhibitors, edayiswa ngaphansi kwegama lomkhiqizo i-Cialis ne-Adcirca, isetshenziselwa ukwelapha ukungasebenzi kahle kwe-erectile (ED) kanye nezimpawu ze-benign prostatic hypertrophy (BPH, i-prostate ekhulisiwe). I-Tadalafil isebenza ngokwandisa ukugeleza kwegazi ukuya epeni ukusiza indoda ukuthi ithole futhi igcine ukwakhiwa. Kwesinye isikhathi, isetshenziselwa ukwelapha umfutho wegazi ophakeme wamaphaphu (PAH) (umfutho wegazi ophakeme emithanjeni yegazi enikeza amaphaphu).

Imibiko eminingi ye-anecdotal ikhombisa ukuthi iTadalafil (Cialis) iyisidakamizwa esihlala isikhathi eside se-PDE5 se-ED, ingahlala ku-36 ~ 72hours.Kunezindlela ezimbili ezihlukile uma kunesidingo sokuthatha i-tadalafil ukwelapha ukungasebenzi kahle kwe-erectile, i-tadalafil ayithinteki ekudleni, kungathathwa njengezinsuku zonke noma isisekelo esidingekayo. Uma i-tadalafil ithatha njengemihla ngemihla, ingahle izame ukwenza ucansi nganoma yisiphi isikhathi phakathi kwamanani akho, ungathathi i-tadalafil kaningi ngaphezu kwesisodwa nsuku zonke, isilinganiso esivamile se-tadalafil singu-2.5 mg kuya ku-5 mg ngomlomo kanye ngosuku. Uma i-tadalafil ikuthatha njengoba kudingeka, imvamisa okungenani imizuzu engama-30 ngaphambi kocansi, isilinganiso esijwayelekile se-tadalafil yi-5 mg kuya ku-20 mg sincike ekuphenduleni i-Cialis (tadalafil) futhi hhayi kaningi ngaphezu kwesisodwa njalo emahoreni angama-24. Umphumela weTadalafil emandleni ezocansi ungahlala kuze kufike emahoreni angama-36 ~ 72. Lapho uthatha i-tadalafil esimisweni esijwayelekile futhi uphuthelwe umthamo, yithathe ngokushesha nje lapho ukhumbula. Uma kuseduze nesikhathi sokulinganisa okulandelayo, weqa umthamo ongabanjwanga, thatha isilinganiso esilandelayo ngesikhathi esijwayelekile. Ungawuphindi kabili umthamo ukuze ubambe. I-Tadalafil idinga isitolo ekamelweni lokushisa kude nokukhanya nomswakama, ayikwazi ukugcina endlini yokugezela, futhi igcine yonke imithi kude nezingane nezilwane ezifuywayo, ingathathwa kuphela ngabantu abadala abaneminyaka eyi-18 nangaphezulu.

Ngaphezu kwalokho, yonke imithi ingadala izingozi nezinzuzo. Noma ngabe i-tadalafil isebenza, ungahle ube nemiphumela emibi ye-tadalafil engafuneki, kufaka phakathi: ikhanda, isisu, ubuhlungu beqolo, ubuhlungu bemisipha, ikhala eligcwele, ukushaywa, noma isiyezi njll. Uma le miphumela emibi iqhubeka noma iba yimbi, sicela utshele udokotela wakho noma usokhemisi ngokushesha. Imvamisa, uma kwenzeka ushintsho lombono noma ukulahleka kombono kungazelelwe (kufaka phakathi ukungaboni ngokuphelele, kwelinye noma kuwo womabili amehlo)), ukwakhiwa okuhlala isikhathi eside okuhlala amahora ama-4 noma ngaphezulu, ukwehla okungazelelwe noma ukulahleka kokuzwa, kwesinye isikhathi ngokukhala ezindlebeni kanye nesiyezi, ukusabela okweqile komzimba (ukuqubuka, ukulunywa / ukuvuvukala, isiyezi esinzima, ukuphefumula kanzima njll) neminye imiphumela emibi, yeka ukuthatha i-tadalafil bese uthola usizo lwezokwelapha khona manjalo.

Okwamanje, amaphilisi / i-capsule yomlomo yeTadalafil (Cialis) ingaxhumana nemithi enqunyiwe nangaphezulu kwamakhompiyutha, amavithamini, kanye nezengezo zokudla noma amakhambi. Ukusiza ukugwema ukuxhumana kweTadalafil, udinga ukuthola ukuthi i-tadalafil ingaxhumana kanjani nenye into oyithathayo, bese ukhuluma nodokotela wakho noma usokhemisi. Ungaqali, ume, noma ushintshe umthamo wanoma imiphi imithi ngaphandle kwemvume kadokotela wakho. Njalo vumela udokotela kanye nosokhemisi mayelana nayo yonke imithi yakho yamanje.

(2)IVardenafil Hydrochloride

I-Vardenafil, eyaziwa nangokuthi igama lomkhiqizo i-Levitra noma i-Staxyn, umuthi osebenzayo ophatha ukungasebenzi kahle kowesilisa, iza njengethebhulethi kanye nokwehliswa ngokushesha (kuncibilika emlonyeni futhi kugwinywe ngaphandle kwamanzi) ithebhulethi ezothathwa ngomlomo. Njengeminye imishanguzo ye-PDE5 ye-ED, i-vardenafil isebenza ngokwandisa ukugeleza kwegazi kuye endondeni. Indlela yokusebenza yeVardenafil eyi-nitric oxide isebenzisa i-enzyme guanylate cyclase okuholele ekwandeni kokuhlanganiswa kwe-cyclic guanosine monophosphate (cGMP) kumaseli wemisipha abushelelezi we-corpus cavernosum. I-cGMP ibangela ukuphumula kwemisipha ebushelelezi, ikhuphule ukugeleza kwegazi kuye endondeni, okuholele ekwakhiweni. Umsebenzi we-Vardenafil uyefana ne-sildenafil noma i-Viagra, kepha i-Viagra ihlala phakathi kwamahora ama-2 no-4, kanti i-Vardenafil (i-Levitra) ihlala amahora ama-4. Kodwa-ke, ukusetshenziswa kwe-vardenafil akulungile kwabesifazane, futhi imiphumela ye-vardenafil ngesikhathi sokukhulelwa noma ekunceliseni abesifazane ayaziwa.

Imibiko eminingi ye-anecdotal ikhombisa ukuthi i-vardenafil iyimithi yokuzikhethela ekwelapheni ukungasebenzi kahle kwe-erectile, isebenza ngokushesha okuncane kune-Viagra (sildenafil) neCialis (tadalafil), ingasebenza kangcono uma i-vardenafil ithathwa imizuzu engama-30 kuya kwengu-60 ngaphambi kocansi. IVardenafil ingathathwa ngokudla noma ngaphandle kokudla. Kepha ukuphuza utshwala akululeki, ngoba kunciphisa ithuba lokuthola ukwakhiwa. Utshwala futhi bungandisa ingozi yemiphumela emibi. Kodwa-ke, iVardenafil isebenza ngokushesha lapho ithathwa esiswini esingenalutho. Umthamo wokuncoma we-vardenafil onconywayo ungu-10 mg, ngokususelwa ekusebenzeni nasekubekezeleleni umthamo ungakhuphukela ku-20 mg noma wehle uye ku-5 mg, kanti umthamo ophakanyisiwe ophakanyisiwe ngu-20 mg. IVardenafil akufanele iphuzwe ngaphezu kwesisodwa ngosuku nganoma yisiphi isilinganiso, sula izandla zakho ngaphambi kokusebenzisa i-vardenafil, susa umthamo ephaketheni le-vardenafil zisuka nje, beka i-vardenafil tablet olimini lwakho bese uyivumela incibilike ngokuphelele. Ungayichobozi noma uyihlukanise ithebhulethi, i-vardenafil akufanele ithathwe ngoketshezi, idinga isitolo ekamelweni lokushisa kude nomswakama nokushisa.

Ungathathi i-vardenafil ngemithi yomphumela ofanayo ndawonye, ​​njenge-avanafil (Stendra), i-sildenafil (i-Viagra), noma i-tadalafil (i-Cialis), ingahle ibe namandla okusebenzisana neminye imithi noma ukudla okuthathayo. Okwamanje, gwema ukusebenzisa imikhiqizo yamagilebhisi, uphuze utshwala nogwayi, kuzokwengeza eminye imiphumela emibi ye-vardenafil. Kufanele ukhulume nodokotela wakho noma usokhemisi lapho ungathatha ithebhulethi ye-vardenafi ngale mithi, ingasiza ukugwema ukuxhumana kwe-vardenafi.

(3)Avanafil
I-Avanafil (iStendra) esinye isidakamizwa se-PDE5, esisetshenziselwa ukwelapha ukungasebenzi kahle komuntu wesilisa (ED). I-Avanafil isebenza njengezinye izidakamizwa ekilasini layo ngokwandisa ukugeleza kwegazi liye endondeni, ngaphandle kohlobo olujwayelekile, kuyindlela yokwelashwa ephephile nephumelelayo ye-ED. Ngokungafani neTadalafil (Cialis) neSildenafil (Viagra), kukhombisa ukukhetha okukhulu kwe-PDE5 ngaphezulu kwe-PDE6 kunayo yomibili i-sildenafil ne-vardenafil, kepha ukukhetha okuncane kune-tadalafil. I-Avanafil ingasetshenziswa yodwa noma neminye imithi, namanje akwaziwa ukuthi i-avanafil iphephile futhi iyasebenza yini ezinganeni.

Imibiko eminingi ye-anecdotal ikhombisa ukuthi i-avanafil ngumuthi omusha we-FDA ovunyiwe we-ED emakethe, usebenza ngokushesha ukwedlula eminye imithi ekilasini elifanayo, vele usebenze imizuzu eyi-15. I-Avanafil ingathathwa ngokudla noma ngaphandle kokudla, ngokubekezelela okukhulu, ingahlala amahora afinyelela kwayisithupha. Amanani emiphumela emibi ye-avanafil aphakathi kwehle kakhulu kuwo wonke ama-PDE5 inhibitors. Futhi, i-avanafil njengomuthi wegama lomkhiqizo, intengo ye-avanafi izobiza kakhulu kunezinye izidakamizwa ezithuthukisa ucansi. Ivela kakhulu kumafomu omlomo (amaphilisi) ekwelapheni inkinga yabesilisa be-ED, kunamandla amathathu wamaphilisi e-avanafil: 50 mg, 100 mg kanye no-200 mg. Kwabesilisa abathatha i-50mg avanafil dosage, badinga ukuthatha imizuzu engama-30 ngaphambi kokuya ocansini; Kwabesilisa abathatha i-avanafil dose ku-100mg naku-200mg, lokho kuthatha imizuzu engu-15 kuphela ngaphambi kokuya ocansini, futhi ungathathi i-avanafil kaningi kaningi ngosuku. I-Avanafil idinga isitolo ekamelweni lokushisa, kude nokushisa okweqile nomswakama (hhayi endlini yangasese), futhi lapho izingane zingafinyeleli khona.

Ngaphezu kwalokho, i-avanafil ibuye ibe nokusebenzisana kwe-pharmacodynamic, udinga ukukhuluma nodokotela wakho noma usokhemisi uma uhlela ukuthatha eminye imishanguzo kadokotela nemithi engabhalisiwe, amavithamini, izithasiselo zokudla okunempilo, nemikhiqizo yamakhambi, engasiza ukugwema ukuxhumana kwe-avanafi kanye nemiphumela emibi ye-avanafi.

(4)I-Dapoxetine Hydrochloride

I-Dapoxetine hydrochloride (hcl) i-serotonin reuptake inhibitor (SSRI) ekhethiwe esebenza okwesikhashana, ekuqaleni yayivunyelwe ukwelashwa okufunwayo kwamadoda ane-ejaculation yangaphambi kwesikhathi (PE). I-Dapoxetine isebenza ngokuvimbela i-serotonin transporter futhi ngemuva kwalokho inyuse isenzo se-serotonin kuma-receptors angaphambi nangemva kwe-postynaptic, iyinto emhlophe ye-powder namanzi-ayincibiliki, ingafakwa ngokushesha emzimbeni, ibekezelelwe kahle, iyisidakamizwa somlomo se-Erectile Dysfunction and Ejaculatory Disorders . Umthamo wokuqala we-dapoxetine yithebhulethi eyodwa ye-30mg, uthathe ithebhulethi ye-dapoxetine 1 ~ 3 amahora ngaphambi kokwenza ucansi, ingakhuphukela ku-dapoxetine 60 mg ngemuva kwamaviki ama-4 amasonto ayi-12, isidingo semithamo ye-ddapoxetine esinconywayo senziwa kanye njalo emahoreni we-24. Imiphumela emibi ejwayelekile ye-dapoxetine ifaka isiyezi, ikhanda nokuphathwa isicanucanu. Uma uthatha eminye imithi, sicela ubuze udokotela wakho noma usokhemisi futhi uqiniseke ukuthi ungathatha nge-dapoxetine, kungasiza ukugwema ukuxhumana kwe-dapoxetine neminye imithi.

 

(5) iSildenafil
I-Sildenafil yimithi yokuqala yomlomo ezokwamukelwa yi-FDA ekwelapheni ulayini wokuqala we-erectile dysfunction (ED), iyisithibeli se-PDE5 esaziwayo. I-Sildenafil isebenza ngokwandisa ukugeleza kwegazi ukuya epeni ngokuxegisa imithambo yegazi nemisipha ebushelelezi ukusiza indoda ukuthola nokugcina ukwakhiwa. Futhi, iSildenafil ingasetshenziswa kwabesilisa nabesifazane ukwelapha umfutho wegazi ophakeme wamaphaphu, isebenza ku-enzyme ye-PDE5 emaphashini ukukhulula imithambo yegazi, lokhu kukhulisa ukuhanjiswa kwegazi emaphashini futhi kunciphise umthwalo wenhliziyo. I-Sildenafil ithandwa kakhulu kunezidakamizwa eziqhathaniswayo, ezinezinhlobo ezijwayelekile nezomkhiqizo. IViagra & Revatio ingathengiswa emakethe ngaphansi kwegama lomkhiqizo weSildenafil, ingathathwa ngomlomo noma ngomjovo emthanjeni, amafomu esikali sildenafil eza njengethebhulethi kanye ne-powder yokumiswa. Ukusetha ngokuvamile kungaphakathi kwemizuzu engu-20 futhi kungahlala cishe amahora amabili.

Ezigulini eziningi ukusebenzisa i-sildenafil ukwelapha ukungasebenzi kahle kwe-erectile (i-ED), isilinganiso esinconyiwe sildenafil yi-50mg, njengoba kudingeka, thatha i-sildenafil okungenani imizuzu engama-30 ngaphambi kocansi, kepha hhayi ngaphezu kwamahora we-4, ihora eli-1 ngaphambili elisebenza kakhulu, yenza ungathathi ngaphezu kwesisodwa ngosuku. Ngokuya ngokusebenza nokubekezelela, umthamo we-sildenafil ungakhuphukela kumthamo ophakanyisiwe ophakanyisiwe we-sildenafil 100 mg noma wehliselwe ku-sildenafil 25 mg, ungathathwa nokudla noma ngaphandle kokudla. Kepha, ukudla okunamafutha amaningi okuhlanganiswa ne-sildenafil kungahle kubambezele ukuthi umuthi uqala ukusebenza ngokushesha kangakanani.

 

 

ISildenafil vs. I-Tadalafil VS Vardenafil VS Avanafil Yikuphi okungcono kakhulu?

I-Sildenafil (Viagra), iTadalafil (Cialis), i-Vardenafil (i-Levitra) ne-Avanafil (i-Stendra) yizidakamizwa ezijwayele ukwenziwa ezenzelwe ukocansi ezenzelwe ukwelapha i-Erectile Dysfunction (ED) yabesilisa, zisebenza ngokwandisa ukugeleza kwegazi kuye endodeni, kungokwalabo isigaba semithi esaziwa nge-PDE5 inhibitors.Sildenafil, Tadalafil, Vardenafil kanye ne-Avanafil basebenza ngezindlela ezifanayo, umuthi ngamunye nje unamakhemikhali ahluke kancane, ngakho-ke umuthi ngamunye uzosebenza uzoba nokwehluka okuncane, kepha kusebenza kahle futhi kubangele imiphumela emibi embalwa .

 

ISildenafil vs Tadalafil (Viagra vs Cialis)
I-Tadalafil ne-sildenafil yizona zinto ezimbili ezivame kakhulu i-phosphodiesterase 5 inhibitors ezisetshenziselwa ukwelapha ukungasebenzi kahle kwe-erectile (i-ED), zombili zisebenza kuphela lapho indoda ivuswa ngocansi, ngokusebenza nokuphepha okufanayo, kungathuthukisa kakhulu ukuzethemba kowesilisa ngokobulili. Kodwa-ke, amadoda amaningi akhetha iTadalafil kune-sildenafil, njengoba ihlala isikhathi eside, isebenza ngokushesha futhi inemiphumela engemihle, i-tadalafil ayikwazi ukuthinteka ngokudla okufana ne-sildenafil. Futhi ngokufanayo, amanye amadoda akhetha i-sildenafil ngemuva kokuzama i-tadalafil engahambelani nawo.

ISildenafil vs Vardenafil (Viagra vs Levitra)
IVardenafil ne-sildenafil nazo zombili zingama-PDE-5 inhibitors akhombiselwe ukwelashwa ukungasebenzi kahle kwamadoda i-erectile (ED). Ngokwesakhiwo, i-vardenafil ifana ne-sildenafil, inamandla amakhulu futhi iyakhetha kakhulu kune-sildenafil ekuvimbeleni i-phosphodiesterase-5. Okwelapha i-ED, umphumela we-vardenafil uyefana ne-sildenafil, womabili angahlala amahora amane kuya kwayisithupha. Okuwukuphela kwenzuzo ye-vardenafil ku-sildenafil, ayivimbeli i-phosphodiesterase-6 ukuguqula ukuqonda kombala, kanti kwesinye isikhathi i-sildenafil iba nomphumela ongejwayelekile. Zombili lezi zidakamizwa zingadliwa ngokudla, kepha iVardenafil ivame ukungathinteki kangako ekudleni noma otshwaleni. Ngaphezu kwalokho, eminye ebikiwe ivimbela i-vardenafil isebenza kangcono kwabanesifo sikashukela kuneminye imithi ye-erectile dysfunction.

ISildenafil vs Avanafil (Viagra vs Stendra)
I-Sildenafil ne-Avanafil ziyafana ngokusebenza, zingumuthi ofanayo we-PDE5 inhibitors, womabili abekezeleleka kahle. I-Avanafil iyisizukulwane sesibili se-phosphodiesterase type 5 inhibitor, esidayiswa kuphela njengegama lomkhiqizo, ngaphandle kwefomu ejwayelekile, ngiyisidakamizwa esisha sha sezocansi emakethe yokwelapha ukungasebenzi kahle kwe-erectile (ED). I-Sildenafil ne-Avanafil yimithi ye-ED esebenza okwesikhashana, kepha i-Avanafil isebenza ngokushesha okukhulu, nge-half-life ende, ivame ukusebenza kungakapheli imizuzu eyi-15 ngemuva kokuyisebenzisa. I-Avanafil iba yindlela yokwelashwa esebenza kahle kakhulu esebenza emakethe njengamanje emakethe. Izindleko nje ze-avanafil ziphakeme kakhulu kunamanye ama-PDE5 inhibitors, kepha i-sildenafil ibonakala ithandwa kakhulu, mhlawumbe inani le-sildenafil liphansi kakhulu futhi livela ngaphambili emakethe.

ITadalafil vs Avanafil (Cialis vs Stendra)
I-Tadalafil ne-avanafil zisebenza ngendlela efanayo, zisetshenziselwa ukwelapha ukungasebenzi kahle komuntu wesilisa (i-ED), zinemiphumela emibi efanayo nokusebenzisana. I-Avanafil yamukelwa yi-US FDA ngo-2012 futhi yaba yi-PDE5I yesine emakethe, ngokubekezelela kahle, isigamu sempilo ye-avanafil inengxenye eyodwa kwezintathu ze-tadalafil. Inokuqala okusheshayo nobude besenzo obufushane kune-tadalafil

 

Tadalafil I-Vardenafil (Cialis vs Levitra)

I-Tadalafil (i-Cialis) ne-Vardenafil (i-Levitra) zivunyelwe i-FDA ukwelapha ukungasebenzi kahle kwe-erectile (i-ED), zivela ekilasini elifanayo lamakhemikhali, iTadalafil iyisidakamizwa sansuku zonke esasilapha i-prostate eyandisiwe, i-Vardenafil isetshenziswa ngokuqinile njengomuthi wokwelapha ye-erectile dysfunction (ED). Kodwa-ke, i-tadalafil isebenza ngokushesha kune-Vardenafil futhi ihlala isikhathi eside ngemiphumela, i-Tadalafil ne-Vardenafil inemiphumela emibi efanayo nokusebenzisana, zombili izidakamizwa zingasetshenziswa noma ngaphandle kokudla njengoba kudingeka ngaphambi kocansi, ukumuncwa kukaVardenafil kuphela okungathinteka yi-high- ukudla ukudla okunamafutha, ukumuncwa kweTadalafil akukwazi ukuthinteka ekudleni.

	Vardenafil	Tadalafil
Isigaba sezidakamizwa	I-Phosphodiesterase-5 (PDE5) inhibitor	I-Phosphodiesterase-5 (PDE5) inhibitor
Isimo	Umkhiqizo & Okujwayelekile	Umkhiqizo & Okujwayelekile
Ifomu	Ithebhulethi yomlomo	Ithebhulethi yomlomo
Umthamo ojwayelekile	5 kuya ku-20 mg njengoba kudingeka ngaphambi kocansi kuze kube kanye ngosuku njengokuyalelwa ngudokotela	5 kuya ku-20 mg njengoba kudingeka ngaphambi kocansi noma 2.5 kuya ku-5 mg kanye nsuku zonke njengokuyalelwa ngudokotela
Ihlala isikhathi	okungenani imizuzu engama-60 ngaphambi kwesandla.	Imizuzu engama-30 ngaphambi kocansi
Okuqhamuka uma udla imishanguzo	ikhala eligobekile noma eligijimayo, ikhanda elibuhlungu, ukuvuvukala, isisu esithukuthele, ukugaya isisu, nobuhlungu beqolo	ikhala eligobekile noma eligijimayo, ikhanda elibuhlungu, ukuvuvukala, isisu esithukuthele, ukugaya isisu, nobuhlungu beqolo
Ukwelashwa okujwayelekile	kuthathwe njengoba kudingeka, ungancomi njengokusetshenziswa kwansuku zonke kwesikhathi eside	kuthathwe njengoba kudingeka, ukusetshenziswa kwansuku zonke kungafaneleka kwabanye abantu.

Sildenafil vs Tadalafil vs Vardenafil vs Avanafil
Sildenafil, Tadalafil, Vardenafil kanye Avanafil ngeke ilaphe ukungasebenzi kahle kwe-erectile (ED), kepha ingahlinzeka ukukhululeka ezimpawu zayo. Umzimba wawo wonke umuntu uphendula umehluko ezidakamizweni ezandisa ucansi, imiphumela emibi iyehluka kuye ngomuntu, ukuphela kwendlela yokwazi ukuthi imuphi umuthi olungele wena mhlawumbe ngokuzama nokwenza amaphutha. Noma usebenza ngqo nodokotela noma usokhemisi, ukulandelela imiphumela emibi futhi unqume ukuthi imuphi umuthi olungele inketho yakho yokwelashwa okungasebenzi kahle kwe-erectile (ED).

I-Phosphodiesterase-5 inhibitors ye-Erectile Dysfunction (ED)
Product	Sildenafil	Tadalafil	Vardenafil	Avanafil
Brand	Viagra	Cialis	Levitra	Stendra
Uhlobo olujwayelekile	Yebo	Yebo	Yebo	Cha
Ifomu	ithebhulethi yomlomo noma ukumiswa oketshezi	ithebhulethi yomlomo	ithebhulethi yomlomo	ithebhulethi yomlomo
Isilinganiso esivamile	25mg, 50mg, 100mg	2.5 mg, 5 mg, 10 mg, 20 mg	5mg, 10mg, 20mg	50mg, 100mg, 200mg
Isikhathi Isikhathi	2 ~ 3hours	kuze kufike kumahora we-36	4 ~ 5 amahora	6 ~ 12 amahora
Ukusetha (amaminithi)	30 ~ 60	15 ~ 30	30 ~ 60	15-30
Ukuncela okwenziwa ukudla	Yebo (ukudla okunamafutha amaningi)	Cha	Yebo (ukudla okunamafutha amaningi)	Cha
Umthamo	njengoba kudingeka	nsuku zonke noma ngeviki	njengoba kudingeka	njengoba kudingeka
Storage	Ku-25 ° C (77 ° F)	Ku-25 ° C (77 ° F)	Ku-25 ° C (77 ° F)	Ithempelesha yegumbi, phakathi kuka-68 ° F kuye ku-77 ° F (20 ° C kuye ku-25 ° C)

 

Okokuzithokozisa okwabiwe ku-Reddit

Nayi eminye impendulo evela kwabakwaRedditors ngemuva kokuzama izidakamizwa ezandisa ucansi ukuphatha i-ED yamadoda:

-phumlani_maphumulo
“Ama-PDE5 inhibitors awakwenzi ube namahloni futhi awabangeli ukuvinjelwa okuzenzekelayo, enza ngcono ukugeleza kwegazi ngakho-ke uma ukhuthazwa ama-erections ayikhwalithi ephezulu. Ngakho-ke uma udinga i-porn ukuze uvuselelwe ngeke balishintshe lelo qiniso. Ngokwesimo se-PE ngicabanga ukuthi ama-PDE5 inhibitors angaba nengqondo kuwo wonke umuntu ukukhulisa ukugeleza kwegazi. Noma iyiphi yalezi zinketho ezingenhla izosebenza kulowo mongo, noma ngabe lokho engikukhethayo kuyi-tadalafil ”

-Inkomba ye-One_
”Sekuyiminyaka emithathu ngisebenzisa i-tadalafil. futhi sengineminyaka engama-3 manje. Ngisike ithebulethi ye-63mg tadalafil ngamakamelo (cishe ama-20mg) bese ngiyithatha njalo ngosuku lwesithathu. Nginezinto lapho ngifisa khona futhi ngizwa kahle. Mangisho ukuthi ngiyakholelwa ngobuqotho ukuthi lokhu kusetshenziswa kungenza ngibe nesibindi kakhulu kunanini ngaphambili empilweni yami ”

—I-NorthGuyinTX
”Ngiphuza i-tadalafil engu-20 mg njalo ekuseni ngamavithamini ami. Ihlala kusistimu yakho amahora angafika kwangu-36, ngempilo engu-1/2 yamahora ayi-18. Ukuthatha i-tadalafil nsuku zonke kungakhathalekile ukuthi yiziphi izinhlelo zocansi ezisebenza kangcono kimi. Anginayo imiphumela emibi, futhi ngilangazelela ukuhamba nganoma yisiphi isikhathi. Lokhu kusiza ngezikhathi ezizenzekelayo. Uma usuthole umthamo olungile we-tadalafil, ngiphakamisa ukuthi uwuthathe njalo ngasikhathi sinye nsuku zonke… ”

--Jim_jonson
”I-Tadalafil ingisiza ukuba ngibe ne-eer eqinile, ethembekile. Ngithola ukuthi ukuba nzima kunciphisa ukuzwa nokukhathazeka ngokwakhiwa kwami, okuholela ekuhlaleni isikhathi eside esp. ngesitayela sezinja. ”

--TheLoneDeranger76
”Ngibe nakho kokubili futhi ngincamela i-tadalafil kune-sildenafil citrate. Ikakhulukazi uma uhlela ukuphinda usebenzise i-MDMA, i-tadalafil iyaqhubeka nokusebenza. I-Sildenafil citrate nayo inginika i-acid reflux nayo. I-Tadalafil ibonakala isebenza kangcono futhi. Ukuvuswa okungcono nokude ”

--Key_Dig_9315
”I-Tadalafil ingcono kune-vardenafil, imiphumela yayo ifinyelela emahoreni angama-36 eyaziwa nangokuthi" iphilisi lempelasonto "kepha umphumela we-vardenafil kanye ne-tadalafil uhlala amahora ama-5 kuphela futhi awusebenzi kangako uma udla ukudla okunamafutha amaningi kepha i-tadalafil isebenza ngempumelelo ngaphandle kwenkinga . ”

—UkuzwaImpisi
”Ngineminyaka engama-58 futhi ngisebenzise i-vardenafi 20 mg iminyaka eminingana. Kusebenza kahle kimi nakunkosikazi ngemiphumela engemihle. ”

--JadmZimz4evr
”Ngine-IPAH. Ngithatha i-tadalafil 40mg ne-Opsumit (macitentan) 10mg. Leyo combo ingisebenzele kahle kule minyaka engama-5 edlule. Ukulaliswa esibhedlela okumbalwa lapha nalaphaya, kodwa kukonke, kungcono kakhulu kunama-5yrs engiwasebenzise angatholakali. Uchwepheshe wami ungitshele ukuthi i-sildenafil ayiqine njenge-tadalafil, kepha umndeni wezidakamizwa ofanayo wobulili obufanayo. Okujwayelekile kubizwa nge-Alyq. Eminye imishwalense ikugcina kuSildenafil ngoba ishibhile. Mhlawumbe ukuthola i-generic kuzosiza ukunciphisa izindleko ze-sildenafil. ”

--UkukhohlisaUkuphila6
”Ngineminyaka engama-33 ubudala. Mina nomkami siyasebenza kakhulu empilweni yethu yezocansi. kodwa kulezi zinyanga ezimbalwa ezedlule nginenkinga enzima yokwakhiwa, yize ingqondo nomzimba wami uthi yebo, ipipi lami lithi cha. Ngakho-ke ngithenga i-sildenafil futhi ngicabanga ukuthi kungangisiza futhi ngamangala ukuthi kungisebenzele ngempela. Kwakunzima ngempela. Ngibona sengathi kuzoqhuma. ”

 

Okuhlangenwe nakho Kwabiwe ku-Quora

Nayi eminye impendulo evela kuQuora ngemuva kokuzama izidakamizwa ezandisa ucansi ukuphatha i-ED yamadoda:

-U-Andres Bruce
"I-Tadalafil yabelana ngokusebenza okuphumelelayo nokuphepha ne-Sildenafil Citrate futhi ithuthukisa ngokuqiniseka ukuqiniseka ngokocansi kweziguli. Ngaphezu kwalokho, iziguli kanye nalabo ezihamba nabo bathambekele ku-tadalafil kuya ku-sildenafil. Ngakho-ke, i-tadalafil ingaba yindlela engcono yokwelashwa kwe-ED ”

-U-Anthony Skilton
”Iphilisi elisha lokuthuthukisa i-ED selifikile emakethe eminyakeni yamuva kanti liyiStendra (Avanafil). Nakhu ukubuka ukuqhathanisa kwe-Avanafil vs Sildenafil Citrate. Zombili lezi zidakamizwa zingasiza ekwelapheni isimo sakho se-ED. Noma kunjalo, i-Avanafil inamandla amakhulu, ngoba inesikhathi eside sokusebenza nemiphumela emibi elinganiselwe. Ngaphezu kwalokho, iSildenafil Citrate ibiza kakhulu futhi ngeke ihlale isikhathi eside. Lokhu kungakudalela imali eningi ngokuhamba kwesikhathi. Sekukonke, u-Avanafil uhamba phambili kunabo bonke ”

—UBob Smith
”I-Tadalafil (Cialis) Nsuku zonke, eyaziwa njengephilisi lempelasonto, ingesinye sezixazululo eziphumelela kakhulu zeziguli ezinokungasebenzi kahle kwe-erectile. Isenzo esisebenzayo neside somuthi senza ukuthi kube lula ukugcina ukwakhiwa okuzinzile nokude, ukwelapha ukukhishwa ngaphambi kwesikhathi nokunye ukungasebenzi kahle. ITadalafil nsuku zonke ingesinye sezidakamizwa ezithengisa kakhulu ezithuthukisa ubulili emhlabeni namuhla ”

-UDennis Rodrigue
”Ukungasebenzi kahle kwe-Erectile kanye nokujula ngaphambi kwesikhathi yizinkinga ezimbili zocansi ezitholakala emadodeni. I-Dapoxetine 60mg idlala indima ebalulekile ekugcineni i-ED ne-PE ngezikhathi zokuhlangana "

—U-Amit Panigrahi
”Ngenkathi izidakamizwa ezinjengoSildenafil (viagra), iTadalafil (Cialis) zisiza icala lokungasebenzi kahle kwe-erectile (ED), azisizi kangako ekwandiseni isikhathi sokuya ocansini. Ezimweni ezinjalo (kusho ukubambezeleka kwe-ejaculation, okusho ukwandisa isikhathi sokuya ocansini) kusetshenziswa esinye isidakamizwa iDapoxetin. Ungathola imikhiqizo yezidakamizwa equkethe i-dapoxetin yokwandisa isikhathi sokuya ocansini. Ezinye izinhlanganisela ziyatholakala njenge-sildenafil + dapoxetin, Tadalafil + dapoxetin… ”

—UDkt.Stam Poupalos
”Ukungasebenzi kahle kwe-Erectile kuyisibonakaliso kunesimo njengoba kungaba nezimbangela ezahlukahlukene ezahlukahlukene. I-Psychological ED ingathathwa njengokungelapheka kwezinye izimo kanti i-ED ngokomzimba, ngenxa yokulimala kwemizwa noma izinkinga zokujikeleza, iyelapheka uma ingalapheki. Kunoma ikuphi usizo luyatholakala olunganqoba lesi simo. ”

- UBob Nicholson
”Ukukhuluma iqiniso, akunandaba ukuthi ukuphi. Ukwelashwa okuphumelela kakhulu kwe-ED i-PDE-5 inhibitor (iSildenafil Citrate, Tadalafil, Vardenafil, kanye ne-generic equivalents)… ”

—UDana Shultze
”ISildenafil isetshenziswa yilabo abanezinkinga ze-Erectile Dysfunction emadodeni. ISildenafil kanye neViagra. ISildenafil yileli philisi elinamandla futhi likhonjisiwe ekwelapheni umfutho wegazi ophakeme wamaphaphu (PAH). ISildenafil isebenza ngokunethezeka kwemisipha ku-penile futhi ithuthukise ukugeleza kwegazi kuyo. Le ndlela yokusebenza ephelele yomuthi isiza amadoda ukufezekisa nokugcina ukwakhiwa isikhathi eside ”

—UJosé Saravia
”Kubukeka sengathi i-sildenafil isebenza kwabakhi bomzimba, isizathu ukuthi i-molecule ye-nitric oxide iyinto esemqoka ye-sildenafil futhi izithasiselo eziningi zokwakha umzimba zakhiwe zizungeze le-molecule efanayo futhi zimakethwa ukuze zisetshenziswe njenge-vasodilator yangaphambi kokuzivocavoca. Futhi, abakhi bomzimba abaningi, bathatha iSildenafil kanye ne-anabolic steroids ngaphambi kokuzivocavoca. ”

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