Ngamanye amaxesha, utshintsho kumanqanaba eehomoni emzimbeni wethu lunokubangela iingxaki ezahlukeneyo zempilo. Umzekelo, imeko ebizwa ngokuba yi-'Acromegaly', eyenzeka xa ihomoni yokukhula komzimba (iHormone yokukhula) inyuka kakhulu, okanye kuyimfuneko ukulawula iimpawu ezifana norhudo olunzima olubangelwa ziintlobo ezithile zomhlaza. Ngoko ke, inaliti ekhethekileyo nebaluleke kakhulu esetyenziswa ngoogqirha kwiimeko ezinjalo ibizwa ngokuba yi-Octreotide. Mhlawumbi nawe unikwe eli yeza. Ngoko ke, namhlanje siza kuthetha ngokweenkcukacha ngeli yeza, into eliyenzayo, kunye nento ekufuneka uyilumkele xa ulisebenzisa.
Ngamafutshane, yintoni i-Octreotide?
I-Octreotide liyeza elenziweyo elisebenza ngendlela efanayo nehomoni ebizwa ngokuba yi-somatostatin, ekhoyo ngokwemvelo emizimbeni yethu. Umsebenzi wayo ophambili kukulawula ukuveliswa kweehomoni ezithile emzimbeni, ingakumbi ihomoni yokukhula.
Kukho iindlela ezimbini eziphambili zokusebenzisa oku:
1. Lawula i-acromegaly: Le yimeko apho i-pituitary gland ebuchotsheni ikhupha i-growth hormone eninzi kakhulu. Emva koko, xa umntu ekhulile, izinto ezifana nezandla, iinyawo, kunye namathambo obuso ziqala ukukhula ngendlela engaqhelekanga. Ngoko ke, i-octreotide isebenza ngokunciphisa ukukhutshwa kwale hormone igqithisileyo kunye nokulawula iimpawu.
2. Lawula iimpawu ezibangelwa zezinye iintlobo zomhlaza: Olu gonyo lunceda kakhulu ekulawuleni ukurhawuzelelwa ngamanzi kunye norhudo olumanzi olubangelwa zizifo zomhlaza ezifana neethumba ze-carcinoid.
Izinto ekufuneka uzixelele ugqirha wakho ngaphambi kokuba usebenzise eli yeza
Ngaphambi kokuba ugqirha wakho akunike eli yeza, kuya kufuneka abe nomfanekiso opheleleyo wempilo yakho. Eli yeza lisenokudibana neemeko ezithile zempilo. Ke ngoko, ukuba unenye yezi meko zilandelayo, qiniseka ukuba uxelela ugqirha wakho ngazo.
| Imeko yakho yempilo | Yintoni omawuyixelele ugqirha |
|---|---|
| Isifo seswekile | Xelela ugqirha wakho ukuba unesifo seswekile kunye namayeza owasebenzisayo. Eli yeza linokuchaphazela amanqanaba eswekile egazini lakho. |
| Isifo senyongo | Sixelele ukuba ukhe wanayo okanye wakha waba namatye enyongo okanye ezinye izifo. |
| Isifo sezintso | Nceda usazise ukuba uneengxaki zokusebenza kwezintso zakho. |
| Isifo sesibindi | Kubalulekile ukukhankanya naziphi na iingxaki zokusebenza kwesibindi. |
| Isifo se-thyroid | Ukuba kukho naluphi na utshintsho kwiihomoni zakho ze-thyroid okanye ezinye iingxaki, nceda usazise. |
| Ii-aleji | Qiniseka ukuba ukhankanya naziphi na izinto ezibangela ukuba umntu angabi namdla kwi-octreotide okanye nakweyiphi na enye imithi, ukutya, okanye idayi. |
| Ukukhulelwa okanye ukuncancisa | Ukuba ukhulelwe, uzama ukukhulelwa, okanye uncancisa, xelela ugqirha wakho ngaphambi kokuba usebenzise eli yeza. |
Ifanele isetyenziswe njani le gonyo?
Eli yeza linikwa njengenaliti. Lifakwa phantsi kolusu (ngaphantsi kwesikhumba) okanye, xa kukho imeko engxamisekileyo, emthanjeni. Ngokwesiqhelo uya kuyifumana le ngcali yezempilo esibhedlele okanye eklinikhi.
Nangona kunjalo, ngamanye amaxesha, unokucelwa ukuba uzinike olu gonyo ekhaya. Ukuba oko kuyenzeka, uya kufundiswa ngokucacileyo indlela yokululungiselela kunye nendlela yokulufaka. Sebenzisa idosi echanekileyo, ngexesha elifanelekileyo, njengoko ugqirha wakho ekuxelela.
Kubalulekile: Emva kokukhupha isitofu efrijini, masifike kubushushu begumbi ngaphambi kokuba usifake. Ungaze usifudumeze ngokwenziwa (umz., kwi-microwave).
Wenza ntoni ngeenaliti ezisetyenzisiweyo?
Oku kubaluleke kakhulu. Ungaze ulahle iinaliti neesirinji ezisetyenzisiweyo enkunkuma. Ukwenza njalo kunokuba yingozi kwabanye. Kukho isitya esikhethekileyo see-sharp. Ukuba awunaso, buza ugqirha wakho malunga nendlela yokusifumana.
Kuthekani ukuba ndithatha amayeza amaninzi kakhulu?
Ukuba ngequbuliso ucinga ukuba usele kakhulu eli yeza, ungalibazisi. Tsalela umnxeba iZiko loLwazi lweeTyhefu zeSizwe kwiSibhedlele sikaZwelonke saseColombo ngoko nangoko, okanye uye kwiSebe leNgxamiseko (ETU) lesibhedlele esikufutshane.
Yintoni endifanele ndiyilumkele ngakumbi xa ndithatha iyeza?
Kubalulekile ukunikela ingqalelo engakumbi emzimbeni wakho ngelixa usebenzisa eli yeza.
- Ukuhlolwa rhoqo kwezonyango: Qiniseka ukuba uya kugqirha wakho kwaye ujonge imeko yakho.
- Jikelezisa indawo ofakelwe kuyo inaliti: Ukuba ufaka inaliti kwindawo enye ngalo lonke ixesha, indawo leyo inokuba buhlungu, ibe bomvu, kwaye idumbe. Ukuze uphephe oku, jikela indawo ofakelwe kuyo inaliti ngalo lonke ixesha.
- Amanqanaba eswekile egazini: Le yeyona nto iphambili ekufuneka uyilumkele. I-Octreotide inokubangela amanqanaba eswekile egazini aphantsi okanye aphezulu. Ngoko ke ziqaphele ezi mpawu.
| Utshintsho kwinqanaba leswekile egazini | Iimpawu ekufuneka uzijonge |
|---|---|
| Iswekile Ephantsi Egazini | Ukuva ubanda, ukubila okubandayo, ukozela, indlala egqithisileyo, ukubetha kwentliziyo ngokukhawuleza, intloko ebuhlungu, isicaphucaphu, ukushukuma, ukungcangcazela, kunye nobuthathaka. |
| Iswekile Ephezulu Egazini | Ukuziva unxaniwe okanye ulambile ngaphezu kwesiqhelo, ufuna ukuchama rhoqo, ukudinwa kakhulu, ukubona izinto ezingaqhelekanga. |
| Ukuba ufumana naziphi na kwezi mpawu, yazisa ugqirha wakho ngoko nangoko. | |
- IVithamini B12: Ukusetyenziswa kwesi sithako ixesha elide kunokubangela ukwehla kwamanqanaba eVithamini B12 emzimbeni. Ngoko ke, thetha nogqirha wakho malunga nokutya kwakho kunye neentlobo zeeVithamini ozithathayo ukuqinisekisa ukuba ufumana izondlo ezifunekayo.
Zeziphi iziphumo ebezingalindelekanga endinokuzifumana?
Njengalo naliphi na iyeza, eli linokuba nemiphumo emibi. Eminye iyingozi, eminye ixhaphakile.
| Iziphumo ebezingalindelekanga ezinokubakho zokusebenzisa i-octreotide | |
|---|---|
| Iziphumo ebezingalindelekanga ezinzulu ezifuna unyango olukhawulezileyo | |
| |
| Iziphumo ebezingalindelekanga eziqhelekileyo ekufuneka zixelwe kugqirha ukuba ziyaqhubeka okanye ziyakhathaza | |
|
Ungayigcina njani iyeza?
Ukuze kugcinwe umgangatho weyeza, kubaluleke kakhulu ukuligcina ngokufanelekileyo.
- Gcina efrijini: Eli yeza kufuneka ligcinwe efrijini kubushushu obuphakathi kwe-2 kunye ne-8 degrees Celsius.
- Zikhusele ekukhanyeni: Kuphephe ukubeka iyeza ekukhanyeni.
- Ukugcina kubushushu begumbi:Ukuba kuyimfuneko, ingagcinwa kubushushu begumbi (phakathi kwama-20 nama-30 degrees Celsius), ikhuselwe ekukhanyeni, ukuya kuthi ga kwiintsuku ezili-14. Nangona kunjalo, musa ukuyigcina ngaphezulu kweentsuku ezili-14.
- Ukulahlwa: Ukuba usebenzisa ibhotile yedosi ezininzi, yilahle emva kweentsuku ezili-14 emva kokusetyenziswa kokuqala. Lahla nayiphi na into eseleyo kwii-ampoules ezisetyenziswa kanye emva kokusetyenziswa.
- Gcina kude nabantwana: Oku kubaluleke kakhulu. Musa ukushiya amayeza apho abantwana banokuwafumana khona.
Khumbula, eli nqaku lenzelwe ulwazi ngokubanzi kuphela. Nakweyiphi na imibuzo onokuba nayo malunga nemeko yakho yempilo okanye amayeza, kungcono kwaye kukhuselekile ukuthetha nogqirha wakho.
Umyalezo Wokuya Ekhaya
- I-Octreotide liyeza elikhethekileyo elinikwa njengenaliti yokulawula amanqanaba athile eehomoni emzimbeni.
- Ngaphambi kokuba usebenzise eli yeza, qiniseka ukuba uxelela ugqirha wakho ngesifo sakho seswekile, isibindi, izintso, izifo zenyongo, kunye nazo zonke izinto ezibangela ukuba umntu angakwazi ukuzinyamezela.
- Hlala uqaphela iimpawu zezinga leswekile egazini eliphantsi okanye eliphezulu. Ukuba ubona naluphi na utshintsho, yazisa ugqirha wakho ngoko nangoko.
- Ungaze ulahle iinaliti neesirinji ezisetyenzisiweyo kwinkunkuma eqhelekileyo. Zilahle ngokukhuselekileyo kwisitya esikhethekileyo.
- Funa uncedo lwezonyango ngokukhawuleza ukuba ufumana iimpawu ezinzulu zokunganyamezelani komzimba, utshintsho kwisantya sentliziyo, okanye iintlungu zesisu eziqatha.
- Ukuba unenkxalabo malunga nale mithi, ungaze ungathandabuzi ukuyixoxa nogqirha wakho.
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