Jekeseni wa Octreotide
Zamkati
- Musanagwiritse ntchito jekeseni wa octreotide,
- Jekeseni wa Octreotide ingayambitse mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
- Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi, itanani dokotala nthawi yomweyo:
- Zizindikiro za bongo zingaphatikizepo:
Jekeseni womasula wa Octreotide amagwiritsidwa ntchito pochepetsa kuchuluka kwa mahomoni okula (chinthu chachilengedwe) chopangidwa ndi anthu omwe ali ndi acromegaly (momwe thupi limatulutsa mahomoni ochulukirapo, ndikupangitsa kukulitsa kwa manja, mapazi, ndi nkhope; ; ndi zizindikiro zina) omwe sangachiritsidwe ndi opaleshoni, radiation, kapena mankhwala ena.Jekeseni wotulutsa pompopompo wa Octreotide umagwiritsidwanso ntchito kuthana ndi kutsegula m'mimba ndi kutsekula chifukwa cha zotupa za khansa (zotupa zomwe zikuchedwa kutulutsa zomwe zimatulutsa zinthu zachilengedwe zomwe zingayambitse zisonyezo) zinthu zachilengedwe zomwe zingayambitse matenda). Jekeseni wa Octreotide wautali imagwiritsidwa ntchito kuwongolera acromegaly, zotupa za carcinoid, ndi ma VIP-omas mwa anthu omwe amathandizidwa bwino ndi jakisoni wa octreotide koma amakonda kulandira jakisoni mobwerezabwereza. Jakisoni wa Octreotide ali mgulu la mankhwala otchedwa octapeptides. Zimagwira ntchito pochepetsa kuchuluka kwa zinthu zina zachilengedwe zomwe zimapangidwa ndi thupi.
Octreotide imabwera ngati yankho lomwe limatulutsidwa mwachangu (madzi) a jakisoni kuti alandire jakisoni (pansi pa khungu) kapena kudzera m'mitsempha (mumtsempha) Octreotide imabweranso ngati jakisoni wa nthawi yayitali woti alowe mu minofu ya matako ndi dokotala kapena namwino. Jekeseni womasula wa Octreotide nthawi zambiri amabayidwa 2 kapena 4 patsiku. Jekeseni wautali wa Octreotide amabayidwa kamodzi pamasabata 4 aliwonse. Jekeseni jekeseni wotulutsa octreotide nthawi yomweyo tsiku lililonse. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Jekeseni jekeseni wa octreotide ndendende momwe mwalangizira. Osabaya jakisoni wochulukirapo kapena kumubaya nthawi zambiri kuposa momwe adanenera.
Ngati simukuchiritsidwa kale ndi jakisoni wa octreotide, mudzayamba chithandizo chanu ndikutulutsa kwa octreotide nthawi yomweyo. Mudzalandira chithandizo ndi jekeseni wotulutsidwa mwachangu kwamasabata awiri, ndipo dokotala atha kukulitsa mlingo wanu panthawiyo. Ngati mankhwalawa amakugwirirani ntchito ndipo sayambitsa zovuta zina, adokotala angakupatseni jakisoni wotalika pambuyo pa masabata awiri. Kuti muthane ndi vuto lanu, mungafunikire kupitiliza kulandira jakisoni wotulutsidwa mwachangu kwamasabata awiri kapena kupitilira apo mukalandira gawo lanu loyamba la jakisoni wa nthawi yayitali. Dokotala wanu akhoza kukulitsa kapena kuchepa mlingo wanu wa jakisoni wokhalitsa kwa miyezi iwiri kapena itatu mutangolandira kumene.
Ngati mukuchiritsidwa ndi chotupa cha khansa kapena VIP-oma, mutha kukhala kuti mukukumana ndi zovuta nthawi ndi nthawi mukamalandira chithandizo. Izi zikachitika, dokotala wanu angakuuzeni kuti mugwiritse ntchito jakisoni womasula kwa masiku angapo mpaka matenda anu atawongoleredwa.
Ngati muli ndi acromegaly ndipo mwathandizidwa ndi radiation radiation, dokotala wanu angakuuzeni kuti musagwiritse ntchito octreotide jekeseni womasulidwa mwachangu masabata a 4 chaka chilichonse kapena kuti musalandire octreotide jakisoni wautali kwa milungu 8 chaka chilichonse. Izi zidzalola dokotala wanu kuwona momwe mankhwalawa amathandizira paumoyo wanu ndikusankha ngati mungayenererebe kulandira octreotide.
Jekeseni womasula wa Octreotide umabwera m'mitsuko, ma ampulele, ndi zolembera zomwe zimakhala ndi makatiriji azamankhwala. Onetsetsani kuti mukudziwa mtundu wa chidebe chomwe octreotide yanu imabweramo komanso zinthu zina, monga singano, majekeseni, kapena zolembera, muyenera kubaya mankhwala anu.
Ngati mukugwiritsa ntchito jakisoni wotulutsira msanga kuchokera pachibaya, ampule kapena cholembera, mutha kudzipiritsa nokha mankhwala kunyumba kapena kukhala ndi mnzanu kapena wachibale wojambulitsa. Funsani dokotala wanu kuti akuwonetseni kapena munthu amene akukhala jakisoni momwe angabayire mankhwalawo. Komanso lankhulani ndi dokotala wanu za komwe muyenera kubaya mankhwala m'thupi lanu komanso momwe mungasinthire malo opangira jekeseni kuti musabayire pamalo omwewo pafupipafupi. Musanalembe mankhwala anu, nthawi zonse muziyang'ana madziwo. ndipo musagwiritse ntchito ngati kuli mitambo kapena kuli tinthu tating'onoting'ono. Onetsetsani kuti tsiku lotha ntchito silinadutse, kuti yankho la jakisoni lili ndi madzi okwanira, ndikuti madziwo ndiwowonekera bwino komanso opanda mtundu. Musagwiritse ntchito cholembera, ampule, kapena dosing cholembera ngati chatha, ngati chilibe madzi okwanira, kapena ngati madziwo ali mitambo kapena akuda.
Werengani mosamala malangizo a wopanga kuti agwiritse ntchito omwe amabwera ndi mankhwala. Malangizowa amafotokoza momwe mungabayire jakisoni wa octreotide. Onetsetsani kuti mufunse wamankhwala kapena dokotala ngati muli ndi mafunso aliwonse amomwe mungapangire mankhwalawa.
Chotsani zolembera zolembera, mabotolo, ampule, kapena majekeseni mumtsuko wosagundika. Lankhulani ndi dokotala wanu kapena wamankhwala za momwe mungatayire chidebe chosagwira mankhwala.
Jekeseni wa Octreotide imatha kuwongolera zizindikilo zanu, koma sizingathetse vuto lanu. Pitirizani kugwiritsa ntchito jakisoni wa octreotide ngakhale mukumva bwino. Osasiya kugwiritsa ntchito jakisoni wa octreotide osalankhula ndi dokotala. Mukasiya kugwiritsa ntchito jakisoni wa octreotide, zizindikilo zanu zimatha kubwerera.
Funsani wamankhwala kapena dokotala wanu kuti mumupatseko zidziwitso za wopanga kwa wodwalayo.
Mankhwalawa amatha kupatsidwa ntchito zina; funsani dokotala wanu kapena wamankhwala kuti mudziwe zambiri.
Musanagwiritse ntchito jekeseni wa octreotide,
- Uzani dokotala wanu komanso wamankhwala ngati muli ndi vuto la jakisoni wa octreotide, mankhwala ena aliwonse, kapena zosakaniza zilizonse za jekeseni wa octreotide. Funsani wamankhwala wanu kuti awonetse mndandanda wazosakaniza. Ngati mukugwiritsa ntchito jakisoni wa nthawi yayitali, uzani dokotala wanu ngati muli ndi vuto la latex.
- Uzani dokotala wanu komanso wamankhwala mankhwala ndi mankhwala osapatsirana, mavitamini, zowonjezera zakudya, ndi mankhwala azitsamba omwe mukumwa kapena omwe mukufuna kumwa. Onetsetsani kuti mwatchulapo izi: beta blockers monga atenolol (Tenormin), labetalol (Normodyne), metoprolol (Lopressor, Toprol XL), nadolol (Corgard), ndi propranolol (Inderal); bromocriptine (Cycloset, Parlodel); calcium blockers monga amlodipine (Norvasc), diltiazem (Cardizem, Dilacor, Tiazac, ena), felodipine (Plendil), nifedipine (Adalat, Procardia), nisoldipine (Sular), ndi verapamil (Calan, Isoptin, Verelan); cyclosporine (Gengraf, Neoral, Sandimmune); insulin ndi mankhwala akumwa ashuga; quinidine; ndi terfenadine (Seldane) (sikupezeka ku U.S.). Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
- uzani dokotala wanu ngati mukudyetsedwa ndi chakudya chokwanira cha makolo (TPN; kudyetsa mwa kupereka madzi okhala ndi michere mwachindunji mumtsempha) ndipo ngati mwakhalapo ndi matenda ashuga kapena mtima, chiwindi, kapena matenda a impso.
- uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa. Mutha kukhala ndi pakati mukamalandira octreotide ngakhale simunakhale ndi pakati musanalandire chithandizo chifukwa muli ndi acromegaly. Lankhulani ndi dokotala wanu za njira zolerera zomwe zingakuthandizeni. Mukakhala ndi pakati mukalandira jakisoni wa octreotide, itanani dokotala wanu.
Pokhapokha dokotala atakuwuzani zina, pitirizani kudya zomwe mumadya.
Mukaiwala kubaya jekeseni wa jekeseni womwe ungatuluke pomwepo, jekesani mlingo womwe mwaphonya mukangokumbukira. Komabe, ngati ili pafupi nthawi ya mlingo wanu wotsatira, dumpha mlingo womwe umasowa ndikupitiliza dongosolo lanu lokhazikika. Osabaya jakisoni kawiri kuti mupange yomwe mwaphonya.
Mukaphonya nthawi yoti mulandire jakisoni woyenera kugwira ntchito, itanani dokotala wanu kuti akonzenso nthawiyo.
Mankhwalawa amatha kusintha shuga m'magazi anu. Muyenera kudziwa zizindikiro za shuga wotsika kwambiri komanso zomwe muyenera kuchita ngati muli ndi izi.
Jekeseni wa Octreotide ingayambitse mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
- kutsegula m'mimba
- kudzimbidwa
- zotuwa, zotupa, zonunkhira
- kumangokhalira kumva kufunika koti atulutse matumbo
- mpweya
- kupweteka m'mimba
- nseru
- kutentha pa chifuwa
- mutu
- chizungulire
- kutopa
- msana, minofu, kapena kulumikizana
- m'mphuno
- kutayika tsitsi
- kupweteka m'deralo komwe mankhwala adayikidwa
- masomphenya amasintha
Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi, itanani dokotala nthawi yomweyo:
- kupweteka kumtunda chakumanja kwa m'mimba, pakati pamimba, kumbuyo, kapena paphewa
- chikasu cha khungu kapena maso
- kugunda kwapang'onopang'ono kapena kosasintha
- ulesi
- kutengeka ndi kuzizira
- wotumbululuka, khungu louma
- zikhadabo zopepuka ndi tsitsi
- nkhope yodzikuza
- mawu okweza
- kukhumudwa
- msambo waukulu
- kutupa m'munsi mwa khosi
- zolimba pakhosi
- kuvuta kupuma ndi kumeza
- zidzolo
- kuyabwa
Jakisoni wa Octreotide angayambitse zovuta zina. Itanani dokotala wanu ngati muli ndi zovuta zina mukalandira 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).
Ngati mukusunga jakisoni wotalika mnyumba mwanu kufikira nthawi yoti ayambe kubayidwa ndi adokotala kapena namwino, muyenera kuisunga mu katoni yoyambirira mufiriji ndikuyiteteza ku kuwala. Ngati mukusunga njira yotulutsira jekeseni mu ampulets, mabotolo, kapena zolembera, muyenera kuisunga mu katoni yoyambirira mufiriji kuti muteteze ku kuwala; osazizira. Mutha kusunga jekeseni wamiyendo yambiri mukangogwiritsa ntchito kutentha kwa masiku 14. Mutha kusunga cholembera chotsegulira nthawi yomweyo kutentha kwa firiji mutagwiritsa ntchito koyamba kwa masiku 28 ndi cholembera. Mutha kusunga jekeseni wamankhwala omwe mumatulutsa jekeseni wamtundu umodzi wamankhwala opitilira muyeso kwa masiku 14, koma siyani yankho lililonse lomwe simunagwiritse ntchito mu milingo imodzi kapena mabotolo mutatha kugwiritsa ntchito.
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.
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.
Zizindikiro za bongo zingaphatikizepo:
- kugunda kwapang'onopang'ono kapena kosasintha
- chizungulire
- kukomoka
- kuchapa
- kutsegula m'mimba
- kufooka
- kuonda
Sungani maimidwe onse ndi dokotala wanu ndi labotale. Dokotala wanu amalamula mayeso ena a labu musanachitike komanso mukamalandira chithandizo kuti muwone momwe thupi lanu likuyankhira jakisoni wa octreotide.
Musalole kuti wina aliyense agwiritse ntchito mankhwala anu. Funsani wamankhwala wanu mafunso aliwonse omwe muli nawo okhudzana ndi kudzaza mankhwala anu.
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.
- Bynfezia®
- Sandostatin®
- Sandostatin® LAR Depot