Ingabe udokotela wakho ukunike umjovo obizwa ngokuthi i-Octreotide? Mhlawumbe kungenxa yokuthi unesifo esibizwa ngokuthi i-Acromegaly, noma kungaba ukulawula izimpawu ezifana nesifo sohudo esibangelwa izinhlobo ezithile zomdlavuza. Kungakhathaliseki ukuthi siyini isizathu, kuyinto evamile ukuba nelukuluku kancane, futhi mhlawumbe ngisho nokwesaba kancane, ngomuthi omusha. Ngakho-ke namuhla, ake sixoxe ngakho konke ngalo mjovo we-Octreotide ngendlela elula kakhulu, ngendlela ongayiqonda, njengokungathi ukhuluma nomngane oseduze.
Iyini ngempela le injection ye-Octreotide?
Kalula nje, i-octreotide umuthi wokwenziwa osebenza njengehomoni ebizwa ngokuthi i-somatostatin, ekhona ngokwemvelo emizimbeni yethu. Isetshenziselwa izinjongo ezimbili eziyinhloko.
1. Ukulawula isimo se-Acromegaly: Cabanga nje, imizimba yethu ine-hormone esisiza sikhule sibe bade, ebizwa ngokuthi i-Growth Hormone. Ngokuvamile, lapho sesikhulile, ukukhiqizwa kwale hormone kulawulwa kakhulu. Kodwa kwabanye abantu, le hormone ikhishwa ngokweqile. Bese amathambo ezandla, izinyawo, nobuso aqala ukukhula ngokungadingekile. Leso yisimo esibizwa ngokuthi i-Acromegaly. Lo mjovo we-octreotide ulawula ukukhiqizwa ngokweqile kwe-growth hormone.
2. Ukulawula izimpawu ezibangelwa eminye imidlavuza: Ezinye izinhlobo zomdlavuza (ikakhulukazi i-Neuroendocrine Tumors) zikhipha ama-hormone ahlukahlukene emzimbeni. Lokhu kungabangela izinto ezifana nokusha kanye nohudo olunamandla olunamanzi. Lo muthi wokugomela usiza ukulawula ukukhishwa kwalawo ma-hormone futhi unciphise lezo zimpawu ezicasulayo.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuthatha umuthi
Ngaphambi kokuqala lo muthi, kubaluleke kakhulu ukunikeza udokotela wakho incazelo ephelele yesimo sakho sempilo. Lolu lwazi lubalulekile ukuze unqume ukuthi lo muthi ukufanele yini. Qiniseka ukuthi ukhuluma ngalokhu okulandelayo ikakhulukazi:
- Uma unesifo sikashukela (lokhu kubaluleke kakhulu ngoba lo muthi uthinta amazinga kashukela egazini)
- Uma unesifo senyongo , okusho isimo esifana namatshe enyongo.
- Uma unesifo sezinso noma isifo sesibindi .
- Uma kukhona inkinga ngendlala yegilo (isifo segilo) .
- Uma uke waba nokusabela kokungezwani komzimba kulo muthi we-octreotide, noma kunoma yimuphi omunye umuthi, ukudla, noma idayi.
- Uma ukhulelwe, noma uzama ukukhulelwa.
- Uma ungumama oncelisa ingane yakho.
Kungokuphepha kwakho ukukhuluma nodokotela ngaphandle kokufihla lolu lwazi.
Lo muthi wokugoma usetshenziswa kanjani?
Lokhu akuyona injektha ongayijova ekhaya. Kungumjovo ojova emsipheni , ngokuvamile ezinqeni. Ngakho-ke uhlala ujova ngudokotela noma umhlengikazi oqeqeshiwe esibhedlela noma emtholampilo. Ngokuvamile uthola lo mjovo cishe njalo emavikini amane.
Kuthiwani uma ngiphuthelwa umthamo womuthi wokugoma?
Ukuthola lo muthi wokugomela ngesikhathi kubaluleke kakhulu ukuze ukwelashwa kwakho kuphumelele. Uma ungakwazi ukuthola umuthi wokugomela ngesikhathi, ungesabi bese ushayela udokotela wakho ucingo ngokushesha. Uzokutshela ukuthi wenzeni ngokulandelayo.
Kuthiwani uma ngiphuza umuthi omningi kakhulu?
Lokhu kuyindlela yokwelapha yobungcweti ngakho amathuba okuba lokhu kwenzeke mancane kakhulu. Kodwa-ke, uma ucabanga ukuthi usuthathe lo muthi omningi kakhulu, shayela iNational Poisons Information Centre eColombo National Hospital ngokushesha. Noma uye e-Emergency Treatment Unit (ETU) yesibhedlela esiseduze.
Izinto okufanele uzikhumbule lapho uthatha lo muthi
Udinga ukunaka umzimba wakho kancane ngenkathi uthatha lo muthi.
Qaphela amazinga kashukela egazini lakho.
Lokhu kuyinto ebaluleke kakhulu. I-Octreotide ingabangela ukuthi amazinga kashukela egazini lakho ehle noma akhuphuke.
- Izimpawu zoshukela ophansi egazini: Ukujuluka okubandayo, indlala enkulu, ukushaya kwenhliziyo okusheshayo, isiyezi, ukuqhaqhazela, ukukhathala okukhulu, ukucasuka, ukubona okufiphele. Uma uhlangabezana nanoma yiziphi zalezi zimpawu, yidla okuthile okumnandi (ushukela, i-toffee) ngokushesha bese ushayela udokotela wakho ucingo.
- Izimpawu zoshukela ophezulu egazini: Uma uzizwa womile kaningi, udinga ukuchama kakhulu kunokujwayelekile, uzizwa ulambile kakhulu, noma ungaboni kahle, lokhu kungaba izimpawu zoshukela ophezulu egazini. Tshela udokotela wakho ngalokhu ngokushesha.
Izinga le-Vitamin B12
Kunethuba elincane lokuthi amazinga akho e-vitamin B12 angase ehle uma uqhubeka nokuthatha lo muthi. Ngakho-ke, kuwumqondo omuhle ukukhuluma nodokotela wakho ngokudla kwakho kanye nezinhlobo zamavithamini owathathayo bese uthola iseluleko esidingekayo.
Yimiphi imiphumela emibi engaba khona?
Njenganoma yimuphi umuthi, lo ungabangela imiphumela emibi. Kodwa akuwona wonke umuntu oyitholayo. Ake sibheke ukuthi iyini le miphumela emibi, nokuthi yini okufanele uyenze uma ivela.
| Umphumela ongemuhle | Incazelo nokuthi yini okufanele uyenze |
|---|---|
| Izinto okufanele uzibike ngokushesha kudokotela wakho noma eMnyangweni Wezimo Eziphuthumayo (ETU) | |
| Ukusabela Kokungezwani Nomzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kwezindebe, ulimi noma ubuso, ubunzima bokuphefumula. Lesi yisimo esiphuthumayo. |
| Izinguquko ekushayeni kwenhliziyo | Ukushaya kwenhliziyo okusheshayo, okuhamba kancane, noma okungajwayelekile ngendlela engavamile. |
| Ubuhlungu obukhulu besisu/ubuhlungu besisu esingaphezulu kwesokudla | Lokhu kungaba uphawu lwenkinga yenyongo noma i-pancreas. Bika ngokushesha. |
| Izinguquko ezinkulu emazingeni kashukela egazini | Izimpawu ezibucayi zamazinga aphezulu noma aphansi kashukela egazini (isib., ukulahlekelwa ukwazi) njengoba kuchaziwe ngenhla. |
| Izinto okufanele uzitshele udokotela wakho uma ziqhubeka noma zikhathaza | |
| Uhudo | Ukuqunjelwa. |
| Igesi | Ukugcwalisa isisu. |
| Ikhanda elibuhlungu kanye nesiyezi | Ikhanda elincane noma isiyezi. |
| Ukuhlanza kanye nesicanucanu | Ukungakhululeki esiswini nokuhlanza. |
| Ubuhlungu endaweni yokujova | Ukubomvu, ukulunywa, noma ubuhlungu endaweni yokujova. |
Eminye imithi engase ihlangane nalo muthi
Lokhu kubaluleke kakhulu futhi. Uma uthatha eminye imithi ngenkathi uthatha lo muthi, kungase kube nokuxhumana phakathi kwawo. Ngakho-ke, tshela udokotela wakho ngayo yonke imithi, amavithamini, kanye nemithi yamakhambi oyithathayo ngaphandle kokufihla lutho.
Qiniseka ukuthi uyasazisa, ikakhulukazi uma usebenzisa imithi elandelayo:
- Imithi efana neCisapride, iDronedarone, nePimozide
- Izidakamizwa ezikhipha imisebe njengeLutetium Lu 177 dotatate
- I-Bromocriptine
- Eminye imithi ethathwa isifo senhliziyo noma umfutho wegazi ophakeme
- I-Cyclosporine
- Imithi yesifo sikashukela (kufaka phakathi i-insulin)
- I-Quinidine
Lolu hlu aluphelele, ngakho-ke kungcono ukutshela udokotela wakho ngakho konke okuthathayo.
Umlayezo Wokuya Nawe Ekhaya
- I-Octreotide iwumjovo okhethekile onikezwa ukwelapha izimo zamahomoni njenge-acromegaly nokulawula izimpawu zeminye imidlavuza.
- Kubalulekile ukuthi utshele udokotela wakho ngazo zonke izimo zakho zempilo kanye nayo yonke eminye imithi oyithathayo ngaphambi kokuqala lo muthi.
- Ngesikhathi uthatha umuthi, qaphela kakhulu izimpawu zoshukela ophansi egazini (ukujuluka, ukuthuthumela, indlala enkulu) kanye noshukela ophezulu egazini (ukoma ngokweqile, ukuchama njalo). Uma ubona noma yiziphi izimpawu, yazisa udokotela wakho ngokushesha.
- Ungalokothi uphuthelwe usuku lwakho lokugoma oluhleliwe. Uma ungakwazi ukuya nganoma yisiphi isizathu, yazisa udokotela wakho kusenesikhathi.
- Lona umuthi wokugoma onikezwa uchwepheshe wezokwelapha esibhedlela noma emtholampilo, hhayi umuthi ongasetshenziswa ekhaya.
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