Kunemithi ekhethekile elapha izimo ezibangelwa izinguquko ezithile ohlelweni lwe-hormone lomzimba wakho. Mhlawumbe udokotela wakho ukunike omunye wale mithi wena noma othile omaziyo. I-Pasireotide ingenye yemithi ekhethekile. Namuhla, sizoxoxa ngalo muthi, ukuthi wenzani, nokuthi yini okudingeka uyiqaphele, ngendlela elula kakhulu nenobungane.
Kalula nje, iyini iPasireotide?
I-Pasireotide umuthi osetshenziswa ukulawula amazinga ama-hormone athile akhiqizwa emizimbeni yethu. Ngokuvamile unikezwa njengomjovo. Lo muthi usetshenziswa kakhulu ezimweni ezimbili.
1. I-Acromegaly: Lesi yisimo esibangelwa ukuthi umzimba ukhiqiza i-hormone yokukhula eningi kakhulu. Lokhu kungabangela ukuthi amathambo ezandleni, ezinyaweni nasebusweni akhule. I-Pasireotide isebenza ngokulawula leli zinga le-hormone yokukhula ngokweqile.
2. Isifo sikaCushing: Lesi yisimo lapho umzimba ukhiqiza khona i-hormone ethi `cortisol` eningi kakhulu. Lokhu kungaholela ezinkingeni eziningi njengokukhuluphala ngokweqile, umfutho wegazi ophakeme, nesifo sikashukela. I-Pasireotide isiza ukulawula lesi sifo ngokunciphisa leli zinga le-`cortisol`.
Okubaluleke kakhulu, lo muthi uvame ukusetshenziswa kuphela ezimweni lapho ukuhlinzwa kungenzeki khona, noma uma isifo singalawulwa ngokugcwele ngemva kokuhlinzwa. Igama lomkhiqizo lalokhu lingaba yi-`(Signifor LAR)`.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuqala imithi
Lokhu kubaluleke kakhulu. Udokotela wakho uzofuna ukwazi umlando wakho wezempilo ophelele ngaphambi kokuqala lokhu kwelashwa, njengoba ezinye izimo zezokwelapha zidinga ukunakekelwa okukhethekile lapho usebenzisa lo muthi.
| Isimo sakho | Kungani isaziso sibalulekile? |
|---|---|
| Isifo sikashukela noma amazinga aphezulu kashukela egazini | I-Pasireotide ingabangela amazinga kashukela egazini ukuba akhuphuke kakhulu, ngakho-ke kungadingeka izinguquko ekulawulweni kwesifo sikashukela. |
| Umlando wesifo senhliziyo noma ukushaya kwenhliziyo okungajwayelekile | Lo muthi ungathinta isigqi sokushaya kwenhliziyo, ikakhulukazi ukushaya kwenhliziyo kungase kuhambe kancane . |
| Isifo senyongo | Lo muthi ungandisa ingozi yokuba namatshe enyongo. |
| Isifo sesibindi | Uma ukusebenza kwesibindi kuphazamiseka, umthamo kungadingeka ulungiswe njengoba umuthi ungase ukhishwe emzimbeni kancane. |
| Amazinga aphansi e-magnesium noma i-potassium egazini | Amazinga aphansi ala maminerali athinta izinga lokushaya kwenhliziyo, futhi iPasireotide ingenza isimo sibe sibi kakhulu. |
| Ukukhulelwa, ukuzama ukukhulelwa, noma ukuncelisa | Akukho datha ephelele ngemiphumela yalo muthi ngesikhathi sokukhulelwa kanye nonina oncelisayo. Ngakho-ke, kubalulekile ukukhuluma nodokotela wakho ngalokhu. |
| Ukungezwani neminye imithi, ukudla noma izinto ezithile | Uma unesifo sokungezwani komzimba, kubalulekile ukuhlola ukuthi singabangelwa yini yiPasireotide. |
Lo muthi wokugoma unikezwa futhi usetshenziswa kanjani?
Lona akuwona umuthi ongawuthatha ekhaya. I-Pasireotide iwumjovo ongaphansi kwesikhumba . Ngokuvamile unikezwa uchwepheshe wezokwelapha oqeqeshiwe (udokotela noma umhlengikazi) esibhedlela noma emtholampilo.
Ngaphambi kokuqala ukwelashwa, uzonikezwa incwajana ekhethekile ebizwa ngokuthi ``MedGuide'' equkethe ulwazi ngalo muthi. Kubaluleke kakhulu ukufunda nokuqonda lokhu ngokucophelela ngaphambi kokwelashwa ngakunye.
Yini okufanele uyenze uma uphuza ngokweqile?
Lokhu kunikezwa esibhedlela, ngakho-ke amathuba okuba lokho kwenzeke mancane. Kodwa uma ngandlela thile uzizwa sengathi uphuze ngokweqile,Shayela ngokushesha i-National Poison Information Centre e-Colombo National Hospital, noma uye e- Emergency Treatment Unit (ETU) eseduze.
Kuthiwani uma uphuthelwa usuku okufanele ugonywe ngalo?
Kubaluleke kakhulu ukuthola umuthi wokugoma ngesikhathi ukuze uthole lokhu kwelashwa. Uma ungakwazi ukufika ngosuku oluhleliwe, qiniseka ukuthi ushayela udokotela wakho noma ikliniki ubazise.
Yimiphi eminye imithi engasebenzisana nePasireotide?
Eminye imithi oyithathayo ingase ixhumane nePasireotide futhi ibangele izinkinga. Ngakho-ke, kufanele utshele udokotela wakho ngayo yonke imithi oyithathayo (kufaka phakathi amavithamini, amakhambi, kanye nezithasiselo) .
| Ungayithathi iPasireotide kanye nalomuthi! | |
|---|---|
| I-Cisapride | I-Dronedarone |
| I-Pimozide | I-Thioridazine |
| Izinkinga zingavela nangalo muthi (kuphela ngeseluleko sikadokotela) | |
| Ama-Beta-blockers (isib. i-metoprolol, i-propranolol) | Ama-calcium channel blockers (isib. i-diltiazem, i-verapamil) |
| I-Bromocriptine | I-Cyclosporine |
| I-Digoxin | Eminye imithi ethinta isigqi senhliziyo (elula isikhathi se-QT) |
Lolu hlu aluphelele, ngakho-ke kubaluleke kakhulu ukutshela udokotela wakho ngayo yonke imithi oyithathayo, nokuthi uyabhema noma uyaphuza utshwala.
Imiphumela emibi okufanele uyiqaphele lapho uthatha imithi
Njenganoma yimuphi umuthi, i-Pasireotide ingabangela imiphumela emibi. Eminye ayibi kakhulu, kodwa eminye idinga ukunakekelwa okusheshayo.
| Umphumela ongemuhle | Incazelo nokuthi yini okufanele uyenze |
|---|---|
| Imiphumela emibi kakhulu okufanele ibikwe kudokotela ngokushesha | |
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe noma ulimi. |
| Izinkinga zesilinganiso senhliziyo | Ukushaya kwenhliziyo okusheshayo noma okungajwayelekile, ukushaya kwenhliziyo okusheshayo, noma ukushaya kwenhliziyo okuhamba kancane kunokuvamile. |
| Ukuquleka / Ukuquleka | Ukuzizwa unesizungu, uzizwa sengathi amehlo akho aphenduka aluhlaza okwesibhakabhaka, futhi uyaquleka. |
| Izimpawu zamazinga aphezulu kashukela egazini | Ukuzizwa womile kakhulu kunokujwayelekile, indlala eyanda, ukuchama njalo, ukukhathala okukhulu, ukubona okufiphele. |
| Izinkinga zesibindi noma zenyongo | Ukuphuzi kwamehlo noma isikhumba (i-jaundice), ubuhlungu ohlangothini oluphezulu kwesokudla lwesisu, ukulahlekelwa yisifiso sokudla. |
| Izinto ezingavamile ukuba zimbi kakhulu, kodwa okufanele zibikwe kudokotela uma ziqhubeka | |
| Ubuhlungu besisu/uhudo | Ukuqunjelwa noma ukungakhululeki esiswini. |
| Ikhanda elibuhlungu | Ikhanda elibuhlungu elivamile. |
| Ukulahlekelwa izinwele | Ukulahlekelwa izinwele |
| Ubuhlungu endaweni yokujova | Ukubomvu, ukulunywa, noma ubuhlungu endaweni yokujova. |
Udokotela wakho uzokuqapha phakathi nalokhu kwelashwa. Kubalulekile ukuhlolwa kwegazi njalo . Futhi, uma izimpawu zakho zingathuthuki noma zibonakala ziba zimbi kakhulu, ungalibali ukutshela udokotela wakho.
Umlayezo Wokuya Nawe Ekhaya
- I-Pasireotide iwumuthi wokugomela onikezwa esibhedlela ukwelapha izimo ezithile zamahomoni, njenge-acromegaly nesifo sikaCushing.
- Ngaphambi kokuqala ukwelashwa, qiniseka ukuthi utshela udokotela wakho ngazo zonke izimo zezokwelapha onazo kanye nayo yonke imithi oyiphuzayo.
- Ngesikhathi uthatha lo muthi, qaphela izinto ezifana namazinga aphezulu kashukela egazini, izinguquko ekushayeni kwenhliziyo, kanye nezinkinga zesibindi.
- Uma uhlangabezana nemiphumela emibi kakhulu (isib. isiyezi esinzima, ubuhlungu besifuba, ukuphuzi kwesikhumba), funa iseluleko sikadokotela ngokushesha.
- Ukuya emitholampilo ngezinsuku ezihleliwe kanye nokuhlolwa kwegazi kubalulekile ukuze ukwelashwa kuphumelele.
- Uma unemibuzo, ukwesaba, noma ukungabaza ngalo muthi, ungesabi ukukhuluma ngokukhululekile nodokotela wakho ngawo.











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