Mlembi: Marcus Baldwin
Tsiku La Chilengedwe: 15 Kuni 2021
Sinthani Tsiku: 18 Novembala 2024
Anonim
Transdermal testosterone replacement therapy - Video abstract 43475
Kanema: Transdermal testosterone replacement therapy - Video abstract 43475

Zamkati

Zigamba za testosterone transdermal zimagwiritsidwa ntchito kuthana ndi zizindikiro za testosterone yotsika mwa amuna achikulire omwe ali ndi hypogonadism (vuto lomwe thupi silimatulutsa testosterone wachilengedwe wokwanira). Testosterone imagwiritsidwa ntchito kokha kwa amuna omwe ali ndi ma testosterone ochepa omwe amayamba chifukwa cha matenda ena, kuphatikiza kusokonezeka kwa machende, gland pituitary, (kachingwe kakang'ono muubongo), kapena hypothalamus (gawo laubongo) lomwe limayambitsa hypogonadism. Dokotala wanu amalamula mayeso ena a labu kuti muwone kuchuluka kwanu kwa testosterone kuti muwone ngati ali otsika musanayambe kugwiritsa ntchito zigamba za testosterone transdermal. Testosterone sayenera kugwiritsidwa ntchito pochiza matenda otsika a testosterone mwa amuna omwe ali ndi testosterone yotsika chifukwa chakukalamba ('hypogonadism' yokhudzana ndi zaka). Testosterone ili mgulu la mankhwala otchedwa mahomoni a androgenic. Testosterone ndi hormone yopangidwa ndi thupi yomwe imathandizira kukula, kukula, ndikugwira ntchito kwa ziwalo zogonana zamwamuna komanso mawonekedwe amphongo. Zigawo za testosterone transdermal zimagwira ntchito m'malo mwa testosterone yomwe nthawi zambiri imapangidwa ndi thupi.


Transdermal testosterone imabwera ngati chigamba chogwiritsa ntchito pakhungu. Amagwiritsidwa ntchito usiku uliwonse pakati pa 8:00 pm ndipo pakati pausiku ndikunyamuka m'malo mwa maola 24. Ikani zigamba za testosterone mozungulira nthawi yomweyo usiku uliwonse. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Gwiritsani ntchito testosterone patch (es) ndendende momwe mwalangizira. Osayika zigamba zocheperako kapena kugwiritsa ntchito zigamba pafupipafupi kuposa momwe adanenera dokotala.

Sankhani malo kumbuyo kwanu, m'mimba, ntchafu, kapena m'manja kuti mugwiritse ntchito zigamba zanu. Onetsetsani kuti malo omwe mwasankhawo alibe mafuta, aubweya, otuluka thukuta kwambiri, pamfupa monga paphewa kapena m'chiuno, kapena atapanikizika pakukhala kapena kugona. Osayika mafuta pachikopa kapena pakhungu lokhala ndi zilonda, zilonda, kapena mkwiyo. Onetsetsani kuti chigamba chake chikhala mosasunthika pakhungu ndipo sichingakokedwe, kupindidwa, kapena kutambasulidwa panthawi yanthawi zonse. Sankhani malo osiyana usiku uliwonse ndikudikirira masiku osachepera 7 musanagwiritse ntchito chigamba china pamalo omwe mudagwiritsapo kale ntchito.


Gwiritsani ntchito zigamba za testosterone mutangotsegula. Osagwiritsa ntchito ngati chikwama chachikwama chathyoledwa kapena ngati chigamba chikuwoneka kuti chawonongeka. Osadula zigamba.

Mukatha kugwiritsa ntchito zigamba, musasambe, kusamba, kusambira, kapena kuchapa komwe mudapaka mankhwalawa kwa maola atatu. Valani zigawo zanu za testosterone nthawi zonse mpaka mutakonzeka kugwiritsa ntchito zigamba zatsopano. Osachotsa zigamba musanasambe, kusamba, kusamba, kapena kugonana.

Kuchita masewera olimbitsa thupi kapena thukuta kwambiri kumatha kumasula chigamba kapena kupangitsa kuti igwe. Ngati chigamba chimasunthika, chekeni ndi zala zanu. Ngati chigamba chikugwa masana, pezani chigamba chatsopano. Ngati chigamba chimagwa masana, osayikanso chigamba chatsopano mpaka nthawi yomwe mudzakwere madzulo omwewo. Osamamatira chigamba cha testosterone pakhungu.

Dokotala wanu amatha kusintha testosterone wanu kutengera kuchuluka kwa testosterone m'magazi anu mukamalandira chithandizo.

Zigamba za testosterone zitha kuwongolera matenda anu koma sizingachiritse. Pitirizani kugwiritsa ntchito zigamba za testosterone ngakhale mutakhala bwino. Osasiya kugwiritsa ntchito zigamba za testosterone osalankhula ndi dokotala. Mukasiya kugwiritsa ntchito testosterone, zizindikiro zanu zimatha kubwerera.


Kuti mugwiritse ntchito zigamba za testosterone, tsatirani izi:

  1. Sambani ndi kuumitsa malo omwe mungagwiritsire ntchito chigambacho.
  2. Dulani thumba lonyamuliralo m'mphepete ndikuchotsa chigambacho. Osatsegula thumba mpaka mutakonzeka kuyika chigamba.
  3. Chotsani chovala chotetezera ndi siliva pachidutswacho ndikuzitaya.
  4. Ikani chigamba pakhungu lanu ndi mbali yomata pansi ndikukanikiza mwamphamvu ndi dzanja lanu kwa masekondi 10. Onetsetsani kuti chigamba chakhazikika kwathunthu pakhungu lanu, makamaka kuzungulira m'mbali.
  5. Mukakhala okonzeka kuchotsa chigambacho, chotsani pakhungu, pindani chigamba chogwiritsidwa ntchito pakati ndi mbali zomata zomata, ndikuchotsani bwinobwino, kuti chisapezeke ndi ziweto. Ana ndi ziweto zitha kuvulazidwa ngati zimatafuna kapena kusewera ndi zigamba zomwe zagwiritsidwa kale ntchito.
  6. Ikani chigamba chatsopano nthawi yomweyo potsatira njira 1-4.

Mankhwalawa amatha kupatsidwa ntchito zina; funsani dokotala wanu kapena wamankhwala kuti mudziwe zambiri.

Musanagwiritse ntchito zigamba za testosterone,

  • Uzani dokotala wanu komanso wamankhwala ngati muli ndi vuto la testosterone, mankhwala ena aliwonse, kapena chilichonse mwazigawo za testosterone. Funsani wamankhwala wanu kuti awonetse mndandanda wazosakaniza.
  • Uzani dokotala wanu komanso wamankhwala mankhwala ndi mankhwala osapatsirana, mavitamini, zowonjezera zakudya, ndi mankhwala azitsamba omwe mukugwiritsa ntchito kapena omwe mukugwiritsa ntchito. Onetsetsani kuti mwatchulapo izi: maanticoagulants ('ochepetsa magazi') monga warfarin (Coumadin, Jantoven), insulin (Apridra, Humalog, Humulin, ena); ndi steroids amlomo monga dexamethasone, methylprednisolone (Medrol), ndi prednisone (Rayos). Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
  • uzani dokotala wanu ngati muli ndi khansa ya m'mawere kapena muli ndi khansa ya prostate. Dokotala wanu angakuuzeni kuti simuyenera kugwiritsa ntchito testosterone transdermal patch.
  • uzani dokotala wanu ngati mwakhalapo ndi vuto la kukodza chifukwa cha benign prostate hyperplasia (BPH; prostate wokulitsa), magazi okhala ndi calcium yambiri, matenda obanika kutulo (matenda ogona omwe amachititsa kupuma kuti kuime kanthawi kochepa mukamagona), matenda ashuga, kapena mapapu, mtima, impso, kapena matenda a chiwindi.
  • muyenera kudziwa kuti transdermal testosterone imangogwiritsidwa ntchito mwa amuna akulu. Ana, achinyamata, ndi amayi sayenera kugwiritsa ntchito mankhwalawa. Testosterone ikhoza kuyimitsa kukula kwa mafupa ndikupangitsa kutha msinkhu (kutha msinkhu) mwa ana ndi achinyamata. Ngati testosterone imagwiritsidwa ntchito ndi mayi wapakati, atha kutenga pakati, kapena akuyamwitsa, zitha kuvulaza mwanayo.
  • lankhulani ndi dokotala wanu za kuopsa ndi phindu logwiritsa ntchito testosterone transdermal patch ngati muli ndi zaka 65 kapena kupitirira. Amuna achikulire sayenera kugwiritsa ntchito testosterone, pokhapokha ngati ali ndi hypogonadism.
  • uzani adotolo anu ngati mukhala ndi mayeso owonera maginito (MRI; mayeso azachipatala omwe amagwiritsa ntchito maginito amphamvu kujambula mkati mwa thupi). Dokotala wanu angakuuzeni kuti muchotse zigawo zanu za testosterone musanayeze mayeso.
  • muyenera kudziwa kuti zigamba za testosterone zitha kuvalidwa panthawi yogonana. Sizingatheke kuti mnzanu apezeke ndi testosterone ochepa. Itanani dokotala nthawi yomweyo ngati mnzanu wapamtima atuluka ziphuphu zatsopano kapena zikuchulukirachulukira, kapena akukula tsitsi m'malo atsopano mthupi lake.
  • muyenera kudziwa kuti khungu lanu limatha kukwiya pamalo omwe mungagwiritse ntchito zigamba. Izi zikachitika, mutha kupaka kirimu kakang'ono ka hydrocortisone kuderalo mutachotsa zigawo zanu. Ngati khungu lanu limakwiya pambuyo pa mankhwalawa, itanani dokotala wanu. Dokotala wanu angakupatseni kirimu wina kuti muwagwiritse ntchito kuderalo.
  • muyenera kudziwa kuti pakhala pali malipoti azovuta zomwe zimachitika kwa anthu omwe amagwiritsa ntchito testosterone pamlingo wambiri, pamodzi ndi mankhwala ena ogonana amuna kapena akazi, kapena njira zina kupatula kutsogozedwa ndi dokotala. Zotsatirazi zitha kuphatikizira matenda a mtima, kulephera kwa mtima, kapena mavuto ena amtima; sitiroko ndi mini-sitiroko; matenda a chiwindi; kugwidwa; kapena kusintha kwa thanzi lam'mutu monga kupsinjika, mania (kukwiya, kusangalala modabwitsa), nkhanza kapena kusakhala abwenzi, kuyerekezera zinthu (kuwona zinthu kapena kumva mawu omwe kulibe), kapena zosokeretsa (kukhala ndi malingaliro kapena zikhulupiriro zachilendo zomwe zilibe maziko) . Anthu omwe amagwiritsa ntchito testosterone mopitirira muyeso kuposa momwe dokotala akuwalimbikitsira atha kukhala ndi zizindikilo zakutha monga kukhumudwa, kutopa kwambiri, kulakalaka, kukwiya, kusakhazikika, kusowa njala, kulephera kugona kapena kugona, kapena kutsika kwa kugonana, ngati mwadzidzidzi lekani kugwiritsa ntchito testosterone. Onetsetsani kuti mukugwiritsa ntchito testosterone transdermal patch chimodzimodzi monga adalangizira dokotala.

Pokhapokha dokotala atakuwuzani zina, pitirizani kudya zomwe mumadya.

Ikani zigamba zomwe mwaphonya mukangokumbukira. Komabe, ngati ili pafupi nthawi ya mlingo wotsatira, dumpha mlingo womwe umasowa ndikupitiliza dongosolo lanu lokhazikika. Musagwiritse ntchito zigamba zowonjezera kuti mugwiritse ntchito mlingo womwe mwaphonya.

Transdermal testosterone imatha kubweretsa zovuta. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

  • zotupa zotentha, kupweteka, kufiira, kuuma, kuwotcha, kapena kuyabwa pamalo omwe mudayikapo zigamba
  • kukulitsa kapena kufunda mabere
  • ziphuphu
  • kukhumudwa
  • mutu

Zotsatira zina zoyipa zingakhale zazikulu. Zizindikiro zotsatirazi sizachilendo, koma ngati mungakumane ndi zina mwazi, itanani dokotala wanu mwachangu:

  • kupweteka kwa mwendo, kutupa, kutentha, kapena kufiira
  • kupuma movutikira
  • mawu odekha kapena ovuta
  • chizungulire kapena kukomoka
  • kufooka kapena kufooka kwa mkono kapena mwendo
  • kupweteka pachifuwa
  • zovuta zomwe zimachitika koposa masiku onse kapena zomwe sizichoka
  • kutupa kwa manja, mapazi, ndi akakolo
  • kuvuta kukodza, kuchepa kwamkodzo, kukodza pafupipafupi, kufunikira kukodza mwadzidzidzi nthawi yomweyo
  • nseru
  • kusanza
  • chikasu cha khungu kapena maso
  • zidzolo
  • ming'oma
  • kuyabwa
  • kuvuta kupuma, makamaka usiku

Zilonda za testosterone zimatha kuchepa umuna (umuna wamwamuna), makamaka ngati agwiritsidwa ntchito kwambiri. Lankhulani ndi dokotala wanu za kuopsa kogwiritsa ntchito mankhwalawa ngati ndinu bambo ndipo mukufuna kukhala ndi ana.

Testosterone imatha kuwonjezera chiopsezo chokhala ndi khansa ya prostate. Lankhulani ndi dokotala wanu za kuopsa kogwiritsa ntchito mankhwalawa.

Testosterone imatha kuyambitsa zovuta zina. Itanani dokotala wanu ngati muli ndi zovuta zina mukamagwiritsa ntchito mankhwalawa.

Mukakumana ndi zovuta zina, inu kapena adokotala mutha kutumiza lipoti ku pulogalamu ya Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting pa intaneti (http://www.fda.gov/Safety/MedWatch) kapena pafoni ( 1-800-332-1088).

Sungani mankhwala awa mu chidebe chomwe chidabwera, chatsekedwa mwamphamvu, komanso chosafikira ana. Zisungeni kutentha ndi kutali ndi kutentha kwambiri ndi chinyezi (osati kubafa). Zilonda za testosterone zimatha kuphulika zikawotchedwa kapena kukakamizidwa kwambiri.

Sungani zigamba za testosterone m'malo otetezedwa kuti wina aliyense asazigwiritse ntchito mwangozi kapena mwadala. Onetsetsani kuti ndi zingati zomwe zatsala kuti mudziwe ngati pali zina zomwe zikusowa.

Ndikofunika kuti mankhwala onse asamawonekere komanso kuti ana asamafikire ngati muli zidebe zambiri (monga mapiritsi a mlungu ndi mlungu ndi omwe amatsikira m'maso, mafuta, zigamba, ndi opumira) sizolimbana ndi ana ndipo ana aang'ono amatha kuzitsegula mosavuta. Pofuna kuteteza ana ang'ono kuti asatenge poyizoni, nthawi zonse tsekani zipewa zachitetezo ndikuyika mankhwalawo pamalo otetezeka - omwe ali pamwamba ndi kutali komanso osawonekera ndi kufikira. http://www.upandaway.org

Mankhwala osafunikira ayenera kutayidwa munjira zapadera zowonetsetsa kuti ziweto, ana, ndi anthu ena sangamwe. Komabe, simuyenera kuthira mankhwalawa mchimbudzi. M'malo mwake, njira yabwino yoperekera mankhwala anu ndikadongosolo lobwezera mankhwala. Lankhulani ndi wamankhwala wanu kapena lemberani dipatimenti yakunyumba / yobwezeretsanso kwanuko kuti muphunzire zamapulogalamu obwezeretsanso mdera lanu. Onani tsamba la FDA's Disposal of Medicines webusayiti (http://goo.gl/c4Rm4p) kuti mumve zambiri ngati mulibe pulogalamu yobwezera.

Ngati mumavala zigamba zambiri, kapena kuvala zigamba zazitali kwambiri, testosterone imatha kulowa m'magazi anu. Zikatero, mungakhale ndi zizindikiro za kumwa mopitirira muyeso.

Mukadwala mopitirira muyeso, itanani foni yothandizira poyizoni pa 1-800-222-1222. Zambiri zimapezekanso pa intaneti pa https://www.poisonhelp.org/help. Ngati wozunzidwayo wagwa, watenga khunyu, akuvutika kupuma, kapena sangathe kudzutsidwa, nthawi yomweyo itanani anthu azadzidzidzi ku 911.

Sungani maimidwe onse ndi dokotala wanu ndi labotale. Dokotala wanu amalamula mayeso ena a labu kuti muwone momwe thupi lanu limayankhira testosterone.

Testosterone imatha kusokoneza zotsatira za mayeso ena a labotale. Musanayesedwe, uzani adotolo ndi omwe akuwayesa kuti mukugwiritsa ntchito zigamba za testosterone.

Musalole kuti wina aliyense agwiritse ntchito mankhwala anu. Mapazi a testosterone transdermal ndi chinthu cholamulidwa. Malangizo amatha kudzazidwanso kangapo; funsani wamankhwala wanu ngati muli ndi mafunso.

Ndikofunika kuti musunge mndandanda wamankhwala onse omwe mumalandira komanso osalembetsa (owerengera) omwe mukumwa, komanso zinthu zilizonse monga mavitamini, michere, kapena zakudya zina. Muyenera kubwera nawo pamndandandawu nthawi iliyonse mukapita kukaonana ndi dokotala kapena ngati mwalandiridwa kuchipatala. Ndikofunikanso kuthana nanu pakagwa mwadzidzidzi.

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