Kuongororwa kwekushandisa kwaViagra muchirwere chepabonde / arousal disorder
Kubvira pakapararira vanhu vakawanda munguva yekutanga, hutachiona hwevakadzi hwepabonde (FSD) hwakanga huri dambudziko remoto, nemakambani ezvinodhaka uye vamwe vashandi vezvoutano (funga madzishe eBerman) nekugadzira mari yacho. Zvose izvi vanofarira zvinonzwisisika; nenzira yakadzoka muna 2005, mushamba wezvinhu zveFSD yakafungidzirwa pa $ 1.7 mabhiriyoni.
Kusvika panguva ino, pakange pasina piritsi inogamuchirwa neDDA yekurapa kweFSD.
Asi, tenda ini, kwete FDA kugamuchirwa hakusi kwekushaiwa kwekuedza. Kutanga, Pfizer akaedza kuratidza kuti juggernaut yake drug Viagra inogona kubatsira neFSD. Chechipiri, muna 2004, P & G yakaedza kutengesa FDA pane testosterone patch yayo, Intrinsa. Nguva yacho haigone kuipa. Zvichibva pakusuruvara kweVixx, zvakanyanya kukanganiswa FDA zvakatsanangura zvinetseka pamusoro pekutaura kweIntrinsa nekureva kuchengeteka. Yakachangobva kuitika - uye pasina-iyo - Sprout Pharmaceuticals yakaedza kuwana iyo yeurotransmitter-acting drug, flibanserin, yakagamuchirwa.
Mukuedza kupa kuongororwa kwakakwana kwezvirongwa zvakarongwa zveFSD, ndakafanira kuongororwa matanho matatu anoenderana nechiitiko ichi mumashoko matatu akasiyana. Nyaya ino inotsanangura nezvekushandisa kwaViagra nevakadzi, chikamu chechipiri chinotsanangura testosterone patch, uye chinyorwa chechitatu chinoongorora flibanserin . Nyaya yepamusoro, pasinei neP & G ichiramba miedzo yayo paViagra kune vakadzi muna 2004, uye FDA ichivhara Intrinsa gore iroro, vamwe vanachiremba vachiri kupa Viagra off-label uye testosterone mishonga kuvakadzi vane FSD.
Flibanserin, zvisinei, haafaniri kubvumidzwa.
Zvinonyadzisira Zvakaita Sei?
Viagra inonzi phosphodiesterase type 5 (PDE5) inhibitor.which inosimudzira kugadzirwa kwe guanosine monophosphate. Guanosine monophosphate inodzokorora kusvibisa masero masero uye vasodilates uye inowedzera ropa richiyerera kumakumbo edzimba. Sezvo isu tose tichiziva, mumarume, Viagra's effect is erection.
Zvisinei, PDE5 inoratidzirwawo mumusana unotapira wevakadzi, clitoris, uye rabia inokonzera vaginal engorgement uye clitoris erection. Zvinotendwa kuti kune vakadzi vane chinokonzerwa nehupenyu hweFSD, ropa rinopfuurira kumakumbo edzimba rinopera. Pane imwe nyanzvi yakafanana, kutsvakurudza kunoratidza kuti kune vamwe vakadzi vane atherosclerosis, ropa rinopfuurira kumakumbo edzimba rinopera.
Kufanana nemishonga yose, Viagra ine migumisiro yakaipisisa inosanganisira kuora musoro, kuputika, kushungurudza, kushungurudzwa kunooneka nezvakadaro. Uyezve, vanhu vanotora nitrates mukurapa angina vanofanira kudzivisa Viagra nokuda kwekutya kwe hypotension kana kuti ine ngozi ine ngozi yeropa.
Mukadzikadzi Kusagadzikana Kwepabonde (FSD) Tsanangudzo
Parizvino, chero kushandiswa kwevakadzi kweViagra kunosanganisira vakadzi vane rudzi rwakasiyana rweFSD runodanwa vakadzi vanofarira zvepabonde / arousal disorder . Iri izwi rinoreva zvitsva uye rakatangwa mu DSM-5. Kufarira zvepabonde zvepabonde / arousal disorder kunogona kutsanangurwa seinotevera:
- Kushungurudzika kushayikwa (kana kuderedza zvakanyanya) kufarira zvepabonde nekusimudzirwa kwekunzwa kunobatanidza kurara kwepabonde. pfungwa dzepabonde, kufarira zvepabonde, zvekuita zvekuita, zvekuita zvepabonde nezvakadaro;
- Anogara kwemwedzi mitanhatu kana kupfuura;
- Kwete zviri nani kutsanangurwa nedzimwe zvirwere kana mamiriro;
- Zvose zvinogara nokusingaperi kana zvakagadzirirwa;
- Zvose zvinowanzoitwa kana zvikaitika;
- Panyoro, kuenzanisa kana kuoma zvakasimba.
Sezvimwe pane dzimwe nguva mamiriro ekutsvaga munyaya yekutsvakurudza, kusanzwisisana kwepakutanga mune tsanangudzo yehutano hwepabonde yakaguma mitsva yekutsvakurudza. Kunyanya, zvidzidzo zvepakutanga zvinosanganisira madzimai evanhukadzi zvepabonde zvakaenda nemashoko ekutanga anotsanangura zvinetso zvinopesana nezvinetso nekumutsa uye zvinetso nechido mumapoka maviri akasiyana: chirwere chepabonde chinokonzera zvepabonde uye chishuvo chekuita zvepabonde chishuvo .
Pane imwe nhoroondo yakabatana, mamwe marudzi eFSD anosanganisira chirwere chemaharagasmic, chirwere chinonzi genito-pelvic / chirwere chekupinda, uye zvinodhaka / zvinodhaka zvinokonzerwa nekuita zvepabonde.
(Zviri pachena kuti DSM inoderera.)
Kutsvakurudza paIndaneti muvakadzi
Nyaya yakakosha zvikuru inofanirwa kuti Viagra inogona kubatsira vakadzi vane FSD yakaitwa naDkt. Jennifer Berman, zvepabonde uye ukama hwehukama, uye Dr. Laura Berman, nyanzvi yehutano hwehupombwe uye urologist, pavakanga vachiri kuchikoro. Migumisiro inobva kune zvavakawana inoratidza kuti Viagra inogona kuvandudza basa repabonde kune vakadzi vane matambudziko anomutsa asi kwete vakadzi vane zvido zvekuda. Uyezve, migumisiro yekudzidza iyi yakamanikidzwa nehombeo inobata nzvimbo.
Izvo zvinofanira kuonekwa kuti hanzvadzi dzeBerman dzakanyatsotsvaga vatsoropodzi vavo kusanganisira Dr. Heather Hartley, "vanhu vose" uye wezvemagariro ezvokurapa uye mutungamiri wehutano hwevakadzi avo vakashinga kupokana nemishonga yekuita zvepabonde. Zvinosuruvarisa kuti Hartley akafa ava nemakore makumi matatu nematanhatu (Hartley yaive upenyu hupfupika.)
Muchikamu cha2006 chakanzi "The 'Pinking' yeViagra," Hartley anotsoropodza madzishe eBerman. Anotsoropodza madzimai se "anonyanya kushandisa vhidhiyo kuti vatsigire pabasa ravo pachavo." Hartley inotsoropodzawo maBermans 'anofanirwa kunyanya kurapwa kwemishonga pamusoro perapi. Uyezve, iye akataura kuti hanzvadzi dzeBerman '"vakaramba vachiomerera pakurondedzera Viagra nedzimwe mishonga' dzevarume 'zvepabonde pamusana pezita revakadzi vanofananidza kubuda kubva mune zvesayenzi-tsika uye kugamuchira zvekutengesa Viagra tsika."
Zvinofadza kuti Hartley inopawo mifananidzo yehanzvadzi dzeBerman sevanoshandisa mikana vachibhadhara mitengo yakawanda pamabasa avo ekutengeserana. Hartley inotaura kuti kubudirira kweBermans kunobatanidzwa nehuwandu hwemashoko ehupenyu hunofanirwa kukudziridza "pfungwa yehukama hwepedyo nemaonero avo evanhu, sezvinopupurirwa, somuenzaniso, kuburikidza nehutano pa webhusaiti yavo kune 'mavhidhiyo anobudisa pachena' yevhisi yaJennifer's elearean kuberekwa, kuzere nemashoko ake ezvake zvekudzorera kwake. "
Mumakore achangobva kupfuura, hanzvadzi dzeBerman dzave dzakanakidzwa nehuwandu hwehupfumi hwehupfumi. Pari zvino, Jennifer Berman mumwe weMadhora , uye Laura Berman akasimba naOntrah uye Dr. Oz.
Nechinonyanya kukosha chekudzidza Berman, zvimwe zvidzidzo zvakaratidza kuti Viagra haina kukwana mukurapa kwekumutsa uye nyaya dzinoda. Semuenzaniso, rimwe randomized-control dambudziko rakagadzirwa naBasson nevamwe varo rakaratidza kuti Viagra haina kukonzera kuchinja kukuru mukugadzikana kwepanyama munguva yepabonde mumadzimai maviri epremenopausal uye postmenopausal. Imwe yedzidzo yakaratidza kuti nekuda kwekudzikira kwepasi kweP PDE5 mukati memakina uye clitoris sekuenzaniswa nepenisheni, mhirizhonga yeViagra inowanikwa zvakanyanya muvakadzi.
Kana iwe kana munhu waunoda ane chirwere chepabonde chekuita zvepabonde / arousal disorder sezvinotsanangurwa neDSM-5, unogona kunge uchibvunza kana kutora Viagra. Nekuremekedza izvi, ndinokupa nemhedziso yemutsanangudzo wegore ra2014 naLo Monte nevamwe vashandi kubva mumagazini Drug Design, Development and Therapy :
FSAD [chirwere chepabonde chepabonde / arousal disorder] chirwere chakaoma, uyo ane chikonzero chikuru chakaoma kuongorora. Kutanga kuongorora kwehutano hwepabonde, hwepfungwa, uye hwezvechiremba kunomirire kuti usabvisa zvirwere zvinogona kuitika uye kuziva rudzi rweFSAD. Vatungamiri venyika vanofanira kufambisa nzira yepasi rose kumurwere ane zvinetso zvepabonde, asi isiri-hormonal seP PDE5 inhibitors (eg, sildenafil citrate) [Viagra] inofanira kuchengetwa sechisarudzo chokupedzisira.
Mune mamwe mazwi, iwe unogona kuongorora Viagra semushonga wekupedzisira mushure mekuongorora kwakanyatsorongeka uye kwemhando yehutano hwako hwepabonde / arousal disorder nechiremba wepamusoro [kana kuti nyanzvi].
Sources
Chinyorwa chinonzi "Kuchengetedza uye Kubudirira kweSildenafil Citrate nokuda kweKubata kweMadzimai Anokonzerwa Nepabonde Arousal Disorder: Chidzidzo Chine Chefu-Chirema, Chechigadziriswa Chetsika" JR Berman, LA Berman nevanyori vanyori vakabudiswa mu Journal of Urology muna 2003. Vanowanikwa pa3 / 15/2015.
Chinyorwa chakanzi "Kuvhara Kwechirwere: Mishonga Yezvinodhaka Kuedza Kuumba uye Kuchinja Mishonga Yezvepabonde Kwevakadzi" naHeather Hartley yakabudiswa mune zvepabonde muna 2006. Yakasvika musi we3/15/2015.
Nyaya yakanzi "vakadzi vanotora 'piritsi yebhuruu' (sildenafil citrate): chinhu chikuru chakadai?" rakabudiswa muDrug Design, Development and Therapy muna 2014. Yakapiwa musi wa3/15/2015.