20.王太太的醫師為她開立terazosin,其適應症最可能為何?
(A)攝護腺肥大
(B)心悸
(C)高血壓
(D)頻尿
答案:登入後查看
統計: A(477), B(87), C(4661), D(501), E(0) #1837598
統計: A(477), B(87), C(4661), D(501), E(0) #1837598
詳解 (共 8 筆)
#3101868
alpha 1 blocker:
terazosin、prazosin、doxazosin >> 用在BPH+HTN
tamsulosin、sidosin >> 用在BPH
但是太太不會有BPH ^_^
132
1
#3479841
這題後勁真TMD有夠強......
84
14
#4875391
Hmmmmmm
Tamsulosin為alpha-1 adrenergic blocker,能夠使張力過度的攝護腺鬆弛,使排尿順暢,雖女性無攝護腺,但alpha-1受體也存在於膀胱頸部位,對於子宮脫垂或因手術等原因造成泌尿道症狀失常的女性,亦有減低尿道內部壓力使排尿順暢之作用,且美國婦產科醫師學會(ACOG)、美國泌尿外科學會(AUA)、歐洲泌尿道學會(EAU)等醫學會皆建議使用tamsulosin等藥物可用於女性之下泌尿道症狀。
雖然女性沒有攝護腺,不過alpha blocker也時候考慮用在女性排尿困難的情況
For women with DV (Dysfunctional voiding) who do not have an adequate response to pelvic floor muscle training, we offer a trial of alpha-adrenergic blocker therapy. While small studies and trials have reported improvement in women with DV [96-98], a systematic review of 15 studies reported the treatment benefit was unclear because the studies were limited by small sample size, inconsistent study designs, and short duration of follow-up [99]. However, as DV symptoms can significantly impair quality of life and alpha-adrenergic blocker medications are generally tolerated, we offer this treatment. We use selective alpha-1a blockers, typically 0.4 mg tamsulosin taken orally once daily. Side effects are rare but can include dizziness and rhinitis
uptodate - chronic urinary retention in women
Tamsulosin為alpha-1 adrenergic blocker,能夠使張力過度的攝護腺鬆弛,使排尿順暢,雖女性無攝護腺,但alpha-1受體也存在於膀胱頸部位,對於子宮脫垂或因手術等原因造成泌尿道症狀失常的女性,亦有減低尿道內部壓力使排尿順暢之作用,且美國婦產科醫師學會(ACOG)、美國泌尿外科學會(AUA)、歐洲泌尿道學會(EAU)等醫學會皆建議使用tamsulosin等藥物可用於女性之下泌尿道症狀。
https://www.taiwan-pharma.org.tw/weekly/2075/2075-3-5.htm
33
0
#4167679
In a LGBTQ-friendly society, can we still assume 王太太 is female?
...How dare you assume my gender!
24
8
#4844242
搞不好人家生理性別男心理性別女阿
6
13
#5551042

Ref;北醫共筆
1
0