Avanafil

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ʻO Avanafil pauka waihona ʻike

inoa	ʻO kaʻala Avanafil
Hoʻolaha	ʻO ka pauma
Cas	330784-47-9
ʻAna	≥99%
Palekana	nsoluble i loko o ka wai a i wai wai paha, hoʻoheheʻe maoli i ka waikawa Acetic, ethyl ester.
Molecular Weight	483.95g / mol
ʻO ka Melt Point	150-152 ° C
Ka Lā Molecular	C23H26ClN7O3
Hoʻoponopono	100mg
ʻO ka hoʻomakaʻana	Nā 30minutes
Papa	Kauka Hana Kalikino

 

Loiloi ʻo Avanafil

Ua ʻike anei ʻoe ma mua o 30 miliona mau kāne ma ʻAmelika Hui Pū ʻIa i loaʻa i ka erectile hana (ED)? Hōʻike kēlā i ke kumu he nui nā lāʻau ED i kūʻai ʻia ma ka US. ʻO kekahi o ia ʻano lāʻau ʻo avanafil. ʻO Stendra ka inoa inoa avanafil i kamaʻāina paha ʻoe me.

ʻO Avanafil (Stendra) he PDE-5 (phosphodiesterase-type 5) mea kāohi i ālai iā PDE-5.

Ke lawe ʻoe i kēia lāʻau, e hoʻomaha ia i kekahi mau kīʻaha koko a me nā mākala i kou kino e kōkua iā ʻoe e kūkulu i ke kūkulu ʻana ma ka hoʻonui ʻana i ke kahe o ke koko i kāu peni. No kēia kumu, hoʻohana ʻia ia e mālama i ka hana erectile (ED). E like me Levitra® (vardenafil), Cialis® (tadalafil), a me Viagra® (sildenafil), e maʻalahi ʻo avanafil iā ʻoe e kūkulu a mālama i ke kūkulu ʻana no kekahi manawa.

He mea hou ʻo Avanafil (Stendra®), i hoʻomohala ʻia i nā makahiki 2000 e Mitsubishi Tanabe Pharma ma Iapana. Ua ʻae ka United States Food and Drug Administration (FDA) i ka lāʻau i ʻApelila 2012 no ka mālama ʻana iā ED, ʻoiai ʻo ka European Medicines Agency (EMA) i ʻae ʻia i Iune 2013.

Mai nā mea he nui loiloi avanafil, e ʻike ʻoe heʻuʻuku kāna mau hopena i hoʻohālikelike ʻia me Levitra, Cialis, Viagra, a me nā lāʻau ʻē aʻe o ED.

E ʻeli hohonu a ʻike hou aʻe e pili ana i kēia lāʻau.

 

Pehea ʻo Avanafil e mālama ai i nā hana Erectile

Avanafil Hoʻohana ʻia e mālama iā ED a i ʻole impotence, i wehewehe ʻia e like me ka hiki ʻole e kiʻi a mālama i kahi kūkulu. Hāʻule ʻo Avanafil i ka mahele o nā lāʻau e kāohi i ka phosphodiesterase.

Hoʻomaopopo no ʻoe e kiʻi i kahi kūkulu, hoʻopiha ʻia kou mau kīʻaha koko penile i ke koko. Hana ʻia kēia ke piʻi ka nui o ka nui o nā kīʻaha koko, no laila ke lawe nei i ke koko i kāu peni. I ka manawa like, e emi ka nui o nā kīʻaha koko e lawe ana i ke koko mai kāu peni a laila e hōʻoia ana i ka noho ʻana o ke koko i loko o kou mauʻiʻo penile, no laila ke hoʻomau nei ke kūkulu ʻana.

Ke hoʻoulu ʻia ʻoe i ka moekolohe, pono ʻoe e kūkulu i kūkulu. E hoʻokuʻu kēia kukulu i kāu peni e hoʻokuʻu i ka nitric oxide, kahi hui e hoʻoulu ai i ka guanylate cyclase (kahi enzyme) e hana i cGMP (cyclic guanosine monophosphate), kahi ʻelele intracellular nui e hoʻoponopono i nā hana physiological.

ʻO ka ʻoiaʻiʻo, ʻo kēia cyclic nucleotide ke kuleana no ka hoʻomaha a me ka hōʻemi ʻana o nā kīʻaha koko e lawe i ke koko mai a i ka peni e hoʻokumu i kahi kūkulu. Ke luku kekahi enzyme ʻē aʻe i cGMP, e loaʻa hou nā kīʻaha koko i ko lākou nui kumu e waiho ai ke koko i ka peni, a ʻo ia ka hōʻailona o ka hopena o ke kūkulu ʻana.

Ke lawe ʻoe i ka avanafil, e hoʻōki ia PDE-5 mai ka hōʻino ʻana iā cGMP, ʻo ia hoʻi e noho lōʻihi ka cGMP a hoʻomau i kou kūkulu ʻana. ʻO ka lōʻihi o ka noho ʻana o ka cGMP, ʻo ka lōʻihi o ka noho ʻana o ke koko i loko o kāu peni a ʻo ka lōʻihi o kāu kūkulu ʻana.

 

He kūpono ʻo Avanafil (Stendra) no ka mālama ʻana i nā hana o Erectile?

ʻOiai ʻo avanafil (Stendra) kahi lāʻau lapaʻau ED hou, he nui nā noiʻi e hōʻoia i kona pono i ka mālama ʻana iā ED. I loko o kekahi mau noiʻi ʻelima i mālama ʻia i ka makahiki 2014 e ʻike inā he maikaʻi kēia lāʻau, ʻoi aku ka nui o 2,200 mau kāne i komo, a ʻo lākou āpau i hana ʻia i ka erectile.

I ka hopena o ke aʻo ʻana, ua ʻike ʻia ka maikaʻi loa o ka avanafil i ka hoʻomaikaʻi ʻana i ka IIEF-EF, ka helu kuhikuhi honua i hoʻohana ʻia e loiloi i nā pilikia e pili ana i ke kūkulu ʻana.

ʻO nā kāne āpau i lawe i kēia lāʻau i hōʻike i nā mea hou i kā lākou IIEF-EF ma nā kaha mai 50 a 200mg. Ua hōʻike pū ʻia nā hopena noiʻi ua ʻoi aku ka maikaʻi o ka avanafil ma nā ʻoi kiʻekiʻe o 200mg. Hoʻokaʻawale kēia i ka avanafil mai nā lāʻau ED ʻē aʻe e hopena i nā hopena maikaʻi ʻole i nā kaupaona kiʻekiʻe.

Ma kahi noiʻi ʻē aʻe i mālama ʻia ma 2012, ua ʻike ʻia ua ʻae maikaʻi ʻia ka avanafil a maikaʻi loa i ka mālama ʻana iā ED. ʻO nā kāne ʻelua i komo i ka noi i hōʻike i ka hoʻomaikaʻi maikaʻi loa ma nā kau ma waena o 100 a 200mg.

I nā hoʻokolohua hoʻokolohua e pili ana i ka avanafil, hōʻike ka poʻe noiʻi hōʻike ia i kahi hoʻonui koʻikoʻi i nā loli like ʻole e pili ana iā ED. Ua pili kēia mau hoʻāʻo ma luna o 600 mau kāne i nā makahiki o 23-88.

I kahi pōkole, kūpono ka avanafil i ka lāʻau no ED. Ua hōʻoia he mau noiʻi hiki iā ia ke hana i nā hoʻomaikaʻi ʻana i ana a koʻikoʻi hoʻi i ke kūkulu ʻana no nā kāne āpau me ED, me ka nānā ʻole i ko lākou mau makahiki.

 

ʻO wai ka ʻoi aku ka maikaʻi ʻO Avanafil a i ʻole ʻo Tadalafil?

ʻO Avanafil ka lāʻau ED hou loa ma ka makeke, akā ʻoi aku ka maikaʻi ma mua o nā lāʻau ED he nui. Hoʻohana ʻia ʻo Avanafil a i ʻole Tadalafil e mālama i ka hana erectile, akā aia kekahi mau ʻano ʻokoʻa i kā lākou ʻano hana.

ʻOiai ʻo tadalafil (Cialis) kahi lāʻau lapaʻau kūpono no nā prostate a me nā ʻōuli erectile i hoʻonui ʻia, ʻo Stendra ka mea koho mua loa no ka poʻe i loaʻa ka erectile.

 

ʻO Avanafil vs. Tadalafil: ʻO ka mea hea e holo wikiwiki?

Lawe ʻo Tadalafil a me nā lāʻau ʻē aʻe erectile hanauna mua ma waena o 30 mau minuke i hoʻokahi hola no ka hopena o ko lākou hopena. A i kekahi mau hihia, ma hope o kou ʻai ʻana i kahi mea kaumaha, hiki i nā lāʻau ke lawe ma mua o hoʻokahi hola e hoʻomaka ai ka hana. ʻAʻole kēia ka hihia me avanafil.

Inā ʻoe ma waena o 100 - 200mg o ka huahana, ʻike ʻoe i ka hopena avanafil ma loko o 15 mau minuke. ʻO ka manaʻo hiki iā ʻoe ke lawe i kekahi mau minuke ma mua o kou hoʻomaka ʻana i ka moekolohe. ʻOiai inā ʻoe e lawe i kahi lāʻau haʻahaʻa o ka avanafil, e ʻōlelo i 50mg, e kūkulu mau ʻoe i kūkulu ma waena o 30 mau minuke.

 

ʻO Avanafil vs. Tadalafil: ʻO wai ka mea i loaʻa nā hopena ʻē aʻe?

ʻOiai he hopena ʻē aʻe kā avanafil, ʻaʻole like ka nui o kēia mau hopena me ka tadalafil. ʻO ka nā hopena ʻaoʻao avanafil ʻaʻohe mea maikaʻi ʻole e like me kā ka tadalafil. ʻO kahi laʻana, ʻaʻole paha ʻo avanafil e hoʻohaʻahaʻa i ke kahe o ke koko a me ka ʻike maka ʻole. nā hopena ʻelua e pili ana i ka tadalafil a me nā lāʻau ʻē aʻe o ED.

ʻO kekahi mea maikaʻi aʻe o ka avanafil hiki ke lawe ʻia i nā koina kiʻekiʻe me ka ʻole o nā hopena ʻaoʻao. I ka ʻoiaʻiʻo, hiki ke lawe i nā kaha kiʻekiʻe a hiki i ka 200mg me ka hopohopo ʻole e pili ana i nā hopena ʻaoʻao.

Hana ʻokoʻa ʻo Avanafil mai ka tadalafil no ka mea pahuhopu kēia i ka phosphodiesterase-type 5 enzyme, me ka hoʻouka ʻole ʻana i nā ʻenima phosphodiesterase e like me PDE11, PDE6, PDE3, a me PDE1

 

ʻAʻohe o Avanafil i hoʻopili ʻia e ka meaʻai.

ʻO Tadalafil a me nā lāʻau ʻē aʻe erectile hanauna mua e emi mai ka maikaʻi ma hope o ka ʻai ʻana i nā papa nui o nā meaʻai me ka momona momona. He hana nui kēia e hoʻohana iā lākou ʻoiai ʻoe e nānā i kāu manawa ʻai a maʻalahi hoʻi e pili ana i ka mea āu e ʻai ai.

Ma ka ʻaoʻao ʻē aʻe, ʻaʻole pili ka avanafil i ka meaʻai i ʻai ʻia, ʻo ia hoʻi e leʻaleʻa ʻoe i ka hopena avanafil ʻoiai ka manawa āu e ʻai ai a me kāu mea e ʻai ai. No kēia kumu, ʻoi aku ka maikaʻi o ka ʻai ʻana i nā meaʻai ikaika ma mua o ka hoʻohana ʻana i kēia lāʻau i hiki iā ʻoe ke lawa ka ikehu no kāu hana moekolohe.

 

ʻO Avanafil vs Tadalafil: ʻO wai ka mea i hiki ke hoʻohana ʻia me ka waiʻona?

He ʻōlelo aʻoaʻo e kaupalena a pale aku paha i ka ʻalekohola ke hoʻohana ʻia kahi lāʻau lapaʻau tadalafil. ʻIke ʻia ʻo Tadalafil e hoʻohaʻahaʻa i ke kahe o ke koko, no laila ke lawe pū ʻia me ka wai ʻona hiki ke hoʻohaʻahaʻa hou i ke kahe o ke koko i nā pae koʻikoʻi.

ʻO ka lawe ʻana i kēia lāʻau me ka wai ʻona e pili pū ʻia me nā ʻōuli e like me ka palpitations puʻuwai, ʻeha poʻo, flushing, maule ʻana, lightheadedness, a me ka dizziness. Ma ka ʻaoʻao ʻē aʻe, palekana loa ʻo Stendra e hoʻohana ai, ʻoiai ma hope o ka lawe ʻana i ka ʻalekohola. Hiki iā ʻoe ke leʻaleʻa a ʻekolu lawelawe ʻana o ka waiʻona ma mua o ka lawe ʻana iā Stendra, a ʻaʻohe hopena a me nā pilikia ʻē aʻe i kou olakino.

Eia naʻe, ʻaʻole kēia manaʻo hiki iā ʻoe ke hele i kahi binge a laila hoʻohana iā Stendra. Pono ʻoe e hoʻohana i ka waiʻona i ke kūpono no ka mea ʻo ka waiʻona ponoʻī kekahi e pilikia ai ke olakino. He mea hoʻohiamoe ka waiʻona, a ke hoʻohana nui ʻoe i ia mea, e hoʻoliʻiliʻi ia i kou makemake moekolohe a paʻakikī iā ʻoe e kūkulu i kūkulu. ʻO ke kumu o ka waiʻona hōʻole i ka manaʻo o ka lāʻau ED e hoʻokō.

E like me ka mea i ʻike ʻia, he nui nā keu o ka avanafil hoʻopālaha. ʻO ia ke kumu e makemake ai nā kauka he nui e kauoha iā ia i kā lākou mau maʻi.

 

He aha nā lāʻau ʻē aʻe e hana ai Hana iā Avanafil?

ʻOiai ʻaʻole hiki ke hoʻohana ʻia kekahi mau lāʻau i ka hui ʻana, hiki i kekahi ke hoʻohui ʻia e hoʻomaikaʻi i ko lākou pono. ʻAʻole hiki ke hoʻohui ʻia nā lāʻau ʻo ia ka mea e launa pū kekahi me kekahi a hopena i kahi hopena maikaʻi ʻole. ʻO ia ke kumu ma mua o kou kau ʻana i nā lāʻau, e hoʻomaopopo inā ʻoe ma kahi lāʻau ʻē aʻe. ʻO kēia hoʻi ka hihia inā makemake ʻoe e hoʻololi i nā lāʻau a i ʻole nā ​​mea hana. Mai hana i kekahi mea iā ʻoe iho me ka ʻole e hoʻopili i kāu kauka.

ʻO kahi laʻana, aʻoaʻo ikaika ʻia ʻoe mai ka hoʻohana ʻana i ka avanafil me ka hui pū ʻana me nā lāʻau e like me Levitra, Staxyn (vardenafil), tadalafil (Cialis), a me Viagra (sildenafil). Hoʻohana ʻia kēia mau lāʻau e mālama iā ED a me ka hypertension arterial (pulmonary). No laila me ka hoʻohana pū ʻana iā lākou me ka avanafil hiki ke hoʻonui i kou kino a hana i nā hopena koʻikoʻi.

Ma mua o kou hoʻomaka ʻana e hoʻohana i ka avanafil, e hoʻomaopopo i kāu mea mālama ola inā ʻoe e lawe i nā lāʻau ʻē aʻe, keu hoʻi:

• ʻO nā lāʻau i hoʻohana ʻia e mālama i ka hana erectile.
• ʻO nā lāʻau ʻino e like me telithromycin, erythromycin, clarithromycin, a me nā mea ʻē aʻe
• ʻO nā lāʻau antifungal āpau, i waena o lākou ketoconazole, itraconazole, a me nā mea ʻē aʻe
• ʻO nā lāʻau i hoʻohana ʻia no ka mālama ʻana i kahi maʻi prostate a i ʻole ke koko kiʻekiʻe, e like me tamsulosin, terazosin, silodosin, prazosin, doxazosin, alfuzosin, a me nā mea ʻē aʻe.
• ʻO nā lāʻau Hepatitis C e like me telaprevir a me boceprevir a me nā mea ʻē aʻe.
• ʻO nā lāʻau HIV / AIDS e like me saquinavir, ritonavir, indinavir, atazanavir, a me nā mea ʻē aʻe.

 

ʻAʻole laulā nā papa inoa ma luna. Aia kekahi mau lāʻau e like me Doxazosin a me Tamsulosin ke hoʻohana pū ʻia me ka avanafil e hopena i nā hopena ʻino. Hoʻohui ʻia, hiki i nā lāʻau ʻē aʻe he nui a kūʻai aku paha me ka avanafil. Hoʻopili kēia i nā huahana lāʻau a me nā huaora. ʻO ka laina lalo ʻaʻole e hoʻohana i kekahi lāʻau i ka hoʻohui me ka avanafil me ka ʻike ʻole o kāu kauka.

ʻAʻole wale ia nā lāʻau e pono ai ʻoe e makaʻala, akā e akahele hoʻi ʻoe ke loaʻa iā ʻoe kekahi ʻano olakino olakino. No laila ma mua o kou hoʻohana ʻana i ka avanafil, e hoʻomaopopo i kāu kauka inā loaʻa iā ʻoe kekahi o nā pilikia olakino e hiki mai ana.

• Penina kūlohelohe - inā loaʻa iā ʻoe kahi penis curved a i ʻole he maʻi kīnā ʻole kā kāu peni, nui nā manawa kūpono e hoʻopili ʻia kou olakino inā ʻoe e hoʻohana i ka avanafil.
• Inā ʻoe he 50 mau makahiki a ʻoi paha
• Inā ʻoe e ʻeha nei i kahi diski lehulehu, nā maʻi aʻa o ke aʻa, a i ʻole he maka liʻiliʻi ke kīʻaha cup-to-disc i kou mau maka, a inā e ʻeha nei ʻoe i ka maʻi puʻuwai a i ʻole ka maʻi kō, nā momona momona o ke koko (Hyperlipidemia) a i ʻole ke koko kiʻekiʻe kaomi (hypertension).

 

Nā kūlana ʻē aʻe āu e lawe ai i ka maka o kāu kauka me:

• Nā pilikia maka koʻikoʻi
• ʻEha ʻeha koʻikoʻi (angina)
• Kuʻi naʻau kaulike (arrhythmia)
• Nā pilikia me nā kīʻaha koko e like me ka idiopathic subaortic stenosis a i ʻole aorta stenosis
• ʻO ka hōʻeha puʻuwai i ʻike ʻia i loko o nā mahina ʻeono i hala.
• ʻO ka'ōpū naʻauʻino
• Mōʻaukala
• Ke koko haʻahaʻa (hypotension)
• Nā maʻi Retine
• ʻO ka Retentitis pigmentosa
• Hahau i loko o nā mahina ʻeono i hala
• Nā maʻiʻino
• Nā maʻiʻeha
• Ka maʻi ʻaʻai e pili ana i ke koko (leukemia a i ʻole myeloma maha)
• Anemia Sickle-cell, me nā mea ʻē aʻe

Hoʻopili nā mea pale PDE5, Stendra pū, hana pū me kekahi mau mea kūpale CYP3A4 a me nā alpha-blockers. No kēia kumu, he mea nui e hoʻomaopopo i kāu kauka inā ʻoe e hoʻohana nei i kēia mau lāʻau. Ma ke ʻano holoʻokoʻa, he huahana kūpono a palekana ʻo avanafil no ka mālama ʻana iā ED.

 

Nā pono ʻo Avanafil

Hoʻohana nui ʻia ʻo Avanafil e mālama i ka hana erectile. Loaʻa i kekahi mau pōmaikaʻi ʻo avanafil ka ʻoiaʻiʻo ʻoi aku ka wikiwiki o kāna hana ma mua o nā lāʻau ʻē aʻe āpau i hoʻohana ʻia no ka mālama ʻana iā ED. Hiki iā ʻoe ke lawe he ʻumikūmālima mau minuke ma mua o kou moekolohe ʻana a e maikaʻi nō ia.

ʻO kekahi mea maikaʻi aʻe o ka avanafil ʻaʻole pono ʻoe e lawe ia i kēlā me kēia lā e pono ai, hiki iā ʻoe ke lawe iā ia a i ka wā e pono ai ia. ʻAe maikaʻi ʻo Avanafil e ke kino a hiki ke lawe ʻia me ka ʻole o ka meaʻai. ʻAʻohe o ʻAilana hopena ʻē aʻe e like me nā lāʻau ED ʻē aʻe, a hiki nō iā ʻoe ke lawe iā ia ma hope o ka inu ʻana i ka waiʻona.

ʻO ka mālama ʻana iā ED kahi wale nō o hoʻohana ʻo avanafil. Hoʻohana ʻia kēia huahana no ka mālama ʻana i ko Raynaud hanana, kahi maʻi i hopena i kekahi ʻāpana o ke kino e anuanu a maloʻo ʻole. Hana ʻia ka hanana o Raynaud ke emi kahi kahe o ke koko i ka ʻāpana o ke kino, e like me ka ihu, nā kuli, nā nipples, nā manamana wāwae, a me nā pepeiao. Hoʻohuli kēia ʻano i nā loli i ke kala o ka ʻili.

 

Pehea e pono ai ke kōkua hou aʻe mai Avanafil 

E kōkua ʻo Avanafil iā ʻoe e kūkulu i kahi kūkulu, akā ʻaʻole ia he manaʻo hiki iā ʻoe ke hoʻopau me ka foreplay. No laila ma mua o kou moekolohe ʻana, hoʻokomo i kāu pakanā i ka foreplay e like me kāu e hana ai me ka lawe ʻole ʻana i ka lāʻau. E hoʻomanaʻo e kōkua wale ʻo avanafil iā ʻoe e kūkulu i kahi kūkulu ke hāpai ʻia ʻoe i ka moekolohe.

Mai inu i ka nui o ka waiʻona ma mua o kou hoʻohana ʻana i ka avanafil. ʻO ka nui paha o ka waiʻona e pale iā ʻoe mai ka leʻaleʻa ʻana i ka hopena avanafil a hiki i ka piha. ʻO ka hui pū ʻana i ka waiʻona a me ka avanafil hiki ke hana i nā hopena ʻē aʻe e like me ka lī ʻana e hoʻohaʻahaʻa ai i kāu hoʻokele wahine a me kāu hana.

Hōʻalo i ka inu ʻana i ka wai huaʻiku ma loko o 24 mau hola āu e hoʻolālā ai e lawe i ka avanafil a moekolohe. Loaʻa i ka wai hua waina kekahi mau kemika e hoʻonui i nā pae avanafil i kāu kahe o ke koko no laila e hoʻonui ana i nā manawa o ka ʻike ʻana i nā hopena ʻaoʻao.

Hoʻohanohano i kāu koho ʻana me ka mea mālama ola i hiki iā ia ke nānā i kāu holomua. Inā ʻaʻole ʻoe e kūkulu i kahi kūkulu ma hope o ka lawe ʻana i ka avanafil a komo i ka foreplay, a i ʻole inā kūkulu ʻoe i kahi kūkulu, akā ʻaʻole lōʻihi ka lōʻihi o ka moekolohe a hōʻea i kahi orgasm, pono ʻoe e hōʻike i kāu kauka.

Pili ka mea like inā ikaika loa ka avanafil iā ʻoe; ke nānā ʻole kāu kūkulu ʻana ma hope o kou pau ʻana me ka moekolohe. E hoʻomaopopo i kāu kauka e pili ana i kēia i hiki iā ia ke hōʻemi i kāu mea hana. Eia kekahi, e hoʻomanaʻo ʻaʻole e lawe i nā avanafil hou aʻe ma mua o ka mea a ke kauka i kauoha ai.

 

Ke hoʻohana nei iā Avanafil (Stendra)

No ka holo pono ʻana o ka avanafil, e kōkua inā lawe ʻoe iā ia e like me ka mea i kauoha ʻia e kāu kauka. E haʻi ke kauka iā ʻoe i ka nui o kāu e lawe ai a i nā manawa hea.

E like me nā lāʻau erectile hana pono ʻole ʻole, maʻalahi ka hoʻohana ʻana i ka avanafil. Hele mai ka lāʻau i ka pauka a i ʻole ka papa papa. Ma muli o ka wikiwiki o ka hana ʻana a ka avanafil, pono ʻoe e lawe ma waena o 15 - 30 mau minuke ma mua o ka moekolohe ʻana. Inā kau kauka no ʻoe i kahi lāʻau haahaa o ka avanafil, e ʻōlelo i 50mg i ka lā, koi ʻia ʻoe e lawe i ka lāʻau i lalo o 30 mau minuke ma mua o ka moekolohe. ʻO ia ke ala ʻoi loa e hōʻoia i ka lawe piha ʻana o kou kino i ka lāʻau. He mea pono e hoʻomaopopo hiki iā ʻoe ke lawe i ka pauma avanafil ke pōloli ʻaʻole ia e hopena maikaʻi ʻole i kou kino.

Paipai ʻia ʻoe e ʻai i kēia lāʻau wale nō i kēlā me kēia lā. E nānā kāu mea olakino i ka pane ʻana o kou kino i ka lāʻau a hoʻoponopono paha i ka lāʻau no ʻoe e loaʻa ai nā pono avanafil.

Ke lilo nei ʻoe i lāʻau lapaʻau, pono ʻoe e kamaʻilio me kāu kauka e hāʻawi iā ʻoe i kauka i mua kūʻai ʻo avanafil. E nīnau ke kauka iā ʻoe i kekahi mau nīnau a, inā hiki, e hoʻokō i kekahi mau hoʻokolohua e kōkua ai e hoʻoholo i nā kūpono avanafil kūpono iā ʻoe e kaukaʻi ʻia i kāu maʻamau. ola, makahiki, a me nā lāʻau ʻē aʻe āu e hoʻohana nei paha. E hoʻopili i ka avanafil e hoʻohana e like me ka ʻike ma ka lepili huahana a i ʻole i hōʻike ʻia e kāu kauka. E hoʻomanaʻo ʻaʻole mālama ʻo avanafil i nā kūlana olakino ʻē aʻe ma mua o kā ED a me Raynaud hanana.

Loaʻa ʻo Avanafil i ʻekolu ikaika ʻokoʻa: 50, 100, a me 200mg. E hoʻomaka paha kāu kauka iā ʻoe ma ka ikaika 100mg, akā hiki ke hoʻololi i ke ana ma muli o ka pane ʻana o kou kino. I kēlā me kēia manawa āu e kūʻai ai i ka pauma avanafil, e hōʻoia i ka lepili e hōʻoia ai iā ʻoe ka ikaika kūpono i kuhikuhi ʻia nāu.

 

kaiapuni

Pono e hoʻokomo i ka loiloi o ED i kahi loiloi olakino piha e ʻike ai inā aia he kumu kumu, a hoʻoholo pū kekahi i nā koho lapaʻau ʻē aʻe. ʻO kahi laʻana, hiki i kahi hui o nā pilikia psychological a me ke kino ke kumu iā ED.

Hoʻolohi kekahi o nā kūlana kino i ka pane moekolohe i hopena i ka hopohopo e hiki ke hoʻopili i ka hana moekolohe. Ke mālama ʻia kēia ʻano, hiki ke hoʻihoʻi i ka hoʻokamakama kolohe. ʻO nā kumu kūlohelohe o ED ka:

• Atherosclerosis (moku koko clogged)
• ʻO ka maʻi maʻi
• Ke kaheʻie kiʻekiʻe
• High naʻokoko
• Obesity
• Diabetes
• Metabolic syndrome - He kūlana kēia e hoʻonui ai ke kaomi koko, nā kiʻekiʻe o ka insulin, ka kolesterol, a me nā momona o ke kino.
• ʻO ka moʻo'ōlelo nui
• Parkinson ka maʻi
• ʻO ka hoʻohana lāʻau

 

• ʻO ka maʻi o Peyronie - inā ulu kaʻiʻo makaʻu i ka peni
• ʻAlekohola a me ka lāʻau hoʻomāinoino / lāʻau
• Nā pilikia moe
• Nā ʻeha a i ʻole nā ​​ʻoki ʻana i ka iwi kuamoo a i ʻole pelvic
• Nā mālama no ka prostate hoʻonui ʻia a i ʻole ka maʻi ʻaʻai prostate
• Haʻahaʻa testosterone

 

He mea nui ka lolo i ka hoʻonāukiuki wahine. Hoʻomaka kekahi mau mea e hoʻopili i ka hoʻonāukiuki i ka moekolohe mai ka lolo. ʻO nā kumu psychological o ED pū kekahi:

• Ka pīhoihoi, kaumaha, a i ʻole nā ​​kūlana ʻē aʻe e pili ana i ka noʻonoʻo ola
• ka hoʻonaʻauao
• Nā pilikia pili i ka hopena ma muli o ke kamaʻilio maikaʻi ʻole, ke koʻikoʻi, a me nā hopohopo ʻē aʻe
• He ola moekolohe maikaʻi ʻole
• haʻahaʻa manaʻo hilahila a hilahila paha
• Ka hiki ʻole ke impregnate i kāu hoapili

Ma mua o ke kauka ʻana aku o kāu kauka iā avanafil iā ʻoe, e nānā ʻo ia i nā pilikia ma luna wale nō, akā ʻo nā mea aʻe:

 

Nā pilikia o Cardiovascular

Inā loaʻa iā ʻoe kahi maʻi maʻi maʻi maʻi maʻi i hana mua ʻia, loaʻa paha iā ʻoe kahi maʻi maʻi puʻuwai ke komo ʻoe i ka moekolohe. No kēia kumu, ʻaʻole koi ʻia ka lapaʻau erectile e hana i ka avanafil no nā mea i loaʻa i ka maʻi maʻi maʻi maʻi.

ʻO nā mea maʻi nāna nā ventricle hema e kāpae ʻia a i ʻole nā ​​mea me ke kaohi o ke kaomi autonomic maikaʻi ʻole e maʻalahi iā Stendra a me nā vasodilator ʻē aʻe.

 

Kūkulu kūkulu lōʻihi

Ua hōʻike kekahi mau mea hoʻohana o PDE5 i kahi kūkulu e ʻoi aku ana ma mua o ʻehā mau hola. Ua hōʻike pū kekahi i nā kūkulu ʻeha e kū ma mua o ʻeono mau hola (priapism). Inā ʻike ʻoe i kekahi o kēia mau kūlana, pono ʻoe e ʻimi i ka lāʻau lapaʻau koʻikoʻi. ʻO kēia no ka mea e hiki ke hōʻino ʻia kāu peni penile inā lohi ʻoe a hiki iā ʻoe ke lilo i kou mana mau.

ʻO nā mea maʻi me nā deformations anatomical penile (ka maʻi o Peyronie, angulation, a angulation) pono e hoʻohana i ka avanafil me ka akahele. Pēlā nō, ʻo kēlā mau mea maʻi me nā kūlana i hiki ke kumu i ka priapism e akahele hoʻi i ka hoʻohana ʻana i ka avanafil.

 

Lilo o ka maka

Inā ʻike ʻoe i ka nalo ʻana o ka hihi i ke kaʻina o ka hoʻohana ʻana iā Stendra a i ʻole nā ​​mea kāohi PDE5 ʻē aʻe, pono ʻoe e hōʻike i kāu kauka i ka hiki wawe e hiki ai iā ʻoe ke loaʻa i ka lāʻau lapaʻau kūpono.

Hiki ke lilo ka hihi i hōʻailona o NAION, kahi ʻano e kū i kekahi poʻe e hoʻohana ana i nā mea kāohi iā PDE5. Mai nā mea he nui loiloi avanafil, e ʻike ʻoe he ʻano pinepine ʻole kēia, akā e hoʻomaopopo ʻoe iā ia.

 

Ka lohe pepeiao

ʻO kēia kahi ʻano maʻamau ʻē aʻe e pili ana i nā mea kāohi iā PDE5. Inā ʻoe e hoʻohana ana i ka avanafil a ʻike ʻoe i ka nalo koke a i ʻole hoʻemi ʻia o ka lohe ʻana, e hoʻomaopopo i kāu kauka i ka wā hiki loa. Hele pū ka nalowale hoʻolohe me ka dizziness a me ka tinnitus, akā ʻaʻole maopopo leʻa ka hopena o kēia mau ʻōuli mai nā mea hoʻopalekana PDE5.

Aia ma luna o nā kauka e hoʻoholo ai i ke kumu maoli o kēia mau ʻōuli, akā inā ʻike ʻoe iā lākou, e kōkua inā kū ʻoe i ka lawe ʻana i ka avanafil a hiki i ka loaʻa ʻana o kahi hōʻailona kūpono mai ke kauka.

 

Nā hopena ʻaoʻao ʻo Avanafil

ʻO Stendra a maluhia, ka lāʻau lapaʻau kūpono he mau hopena wale nō kāna, ʻaʻohe o lākou e laha. ʻO kahi laʻana, headache, ka hopena maʻa mau o Stendra, pili wale i ka ʻelima a 10 mau pākēneka o nā kāne e hoʻohana i ka lāʻau.

ʻO kekahi hopena ʻē aʻe o ka avanafil ka flushing. Mai nā loiloi avanafil, ua ʻike ʻia kēia ʻano ma waena o 3 - 4% o nā mea hoʻohana. ʻO nā poʻo hina a me nā hualoaʻa huina mai ka hopena o avanafil i ke kahe o ke koko a hala mau kēia mau hopena ma hope o kekahi mau hola. ʻO nā hopena ʻē aʻe avanafil e pili ana i ka ihu ihu, nā hōʻailona anuanu (nasopharyngitis), a me ka ʻeha o ke kua. Loaʻa kēia mau hopena ʻaoʻao avanafil i kahi pākēneka liʻiliʻi o nā mea hoʻohana.

 

Ma hea e kūʻai ai iā Avanafil

Makemakeʻoe kūʻai iā avanafil? Inā pēlā, pono ʻoe e koho i kahi mea hoʻolako avanafil hilinaʻi e hiki ke hōʻoia iā ʻoe ʻo ka pauma avanafil āu e kūʻai nei ʻo ke kūlana maikaʻi loa. He mea hoʻolako mākou. Hoʻopuka pololei mākou i kā mākou huahana mai CMOAPI, kahi mea hana avanafil kaulana.

Hana ʻo CMOAPI ʻaʻole wale ʻo avanafil akā ʻo nā lāʻau erectile hana ʻē aʻe. Mai hopohopo e pili ana i ke kumukūʻai avanafil. Makemake mākou e launa pū me ʻoe e hoʻolako iā ʻoe me ka avanafil no nā makahiki he nui. ʻO ia ke kumu o ka uku aloha a kā mākou avanafil.

 

E hoʻomaopopo '

1. "Ua ʻae ʻo FDA iā Stendra no ka hana erectile" (Press release). Ka Hoʻolālā Meaʻai a me nā lāʻau (FDA). ʻApelila 27, 2012.
2. "Spedra (avanafil)". ʻOihana Lapaʻau ʻEulopa. Ua kiʻi ʻia 17 ʻApelila 2014.
3. ʻO US 6797709, Yamada K, Matsuki K, Omori K Kikkawa K, ʻo "nitrogen-arogen-i loaʻa nā 6-membered cyclic compound", i hoʻopuka ʻia ma 11 Kekemapa 2003, i hāʻawi ʻia iā Tanabe Seiyaku Co
4. "Hoʻolaha ʻo VIVUS i ka hui ʻo Avanafil me Menarini". ʻO Vivus Inc. i waihona ʻia mai ke kumu ma 2015-12-08.
5.  "Hoʻolaha aku ʻo VIVUS a me Metuchen Nā lāʻau lapaʻau i ka ʻaelike laikini no nā pono kalepa e STENDRA". Vivus Inc. 3 ʻOkakopa 2016.
6. 2021 ʻO ka nui o nā mana lāʻau hoʻomāhuahua wahine e hoʻonui ai i ka wahine no ka mālama ʻana i nā hana ʻo Erectile (ED).

 

Nā ʻatikala e hele nei