I ka hana ʻana i ka maʻi pancreatitis a me ka hoʻopā o ka ʻano o ke ʻano o ka maʻi, ke mālama ʻia nei ka maʻi inpatient, ʻo ia nā mea kūikawā e pono ai ka hui ʻana. Akā, ʻo ka manawa pinepine, e hōʻemi i ka nui o ka mumū pancreatic, ua lawa ka hoʻohana ʻana o ka ʻoihana hoʻokūkū hoʻokūkū.
No laila, i mea e pale ai i ka hoʻomohala ʻana o nā hoʻopiʻi, nā maʻi me ka pancreatitis e kuhikuhi pinepine ʻia iā Sandostatin. Wahi a nā huahana pharmacological, kokoke kēia lāʻau lapaʻau me ka hormone kūlohelohe, ma muli o ia e kaohi aku i nā hana i ka mea huna i nā kinipona.
He hopena kūʻokoʻa ka lāʻau i ka kiko o endocrine, e hoʻopau ana i kahi nui o nā hōʻailona hōʻeha. Hoʻohana ka hoʻohanaʻana o Sandostatin i ka pono no nā mea hou aʻe analgesic. Ke hana nei kēia mea i ka mea hoʻohui i ka mālama ʻana o ka pancreatitis.
Ke ʻano o ka lāʻau a me kona hopena
ʻO Sandostatin he mea hoʻohālikelike o ka syntact o ka hormone somatostatin. ʻO ka lāʻau i ka hopena like me ka mea maoli, akā ʻoi aku ka lōʻihi.
Loaʻa ka lāʻau lapaʻau mai kahi inikela. ʻO ka maʻa he 50, 100 a me 500 mcg.
ʻO ka hana ikaika a Sandostatin he octreotide. E like me nā mea hou aku i ka hoʻonā ʻana i ke kalapona, ʻo ka sodium bicarbonate, wai no ka hoʻonāukiuki, aldit, ka lactic acid.
ʻO Sandostatin no ka pancreatitis he nui o nā hopena therapeutic. No laila, ʻo ka lāʻau lapaʻau he hopena antithyroid, e hōʻemi i ka hana o nā hormone STG a me TSH, e kāpae i nā hōʻailona hōʻeha o ka maʻi pancreatic.
Eia kekahi, hōʻemi ka lāʻau lapaʻau i ka motility a me ka hana o ka wai momona. Ma lalo o ka mana o octreotide, hoʻokaʻawale ka ʻekekema o ka serototin, nā peptides a me nā hormone ulu.
Me ka mumū o nā pancreas, e hōʻeha pinepine nā mea maʻi i ka ʻeha a me ka ʻilihune. ʻO ka hoʻohana ʻana o Sandostatin hiki iā ʻoe ke hana maʻamau i ka ʻaʻa a me ke kaumaha. Kōkua me ka lāʻau lapaʻau e kōkua i ke hoʻopau ʻana i ka momona mau, e pili pinepine ana i ka maʻi pancreatitis.
ʻO ka hōʻemi ʻana i ka lāʻau lapaʻau ka hana pilikino o ka pancreas, hōʻike pinepine ʻia i nā mea maʻi i loaʻa i ka lāʻau lapaʻau. ʻAe kēia iā ʻoe e hōʻemi i ka ʻeha a ho'ōki i ka luku ʻana i nā aila.
Hoʻomaʻamaʻa pinepine ʻia ʻo Sandostatin no nā maʻi i loaʻa ka pancreatitisʻeha. Akā i kekahi mau hihia, ua kuhikuhi ʻia no ke ʻano maʻi o ka maʻi me ka exacerbations koʻikoʻi e hoʻopau i nā hōʻeha eha. Eia naʻe, maikaʻi ʻole nā loiloi o nā kauka a me nā mea maʻi ma kēia hihia, no ka mea he nui nā contraindications a me nā hopena ʻaoʻao.
ʻAʻole pono ia he mea iʻoi aku ka maʻi pancreatitis aeto, ua kuhikuhi ʻia ʻo Sandostatin i nā wahi ʻē aʻe.
- huhū esophageal;
- acromegaly;
- ka pale ʻana o nā hoʻopiʻi ma hope o ka hana ma ka kelepa parenchymal;
- ʻōpū o ke pancreas a me ka gastrointestinal tract.
Nā ʻōkuhi no ka hoʻohana ʻana i ka lāʻau lapaʻau
Ma mua a ma hope o ka mālama ʻana, hoʻolako ʻia e nānā i ke koko a hana i kahi ultrasound o ka pancreas a me ka ʻōpū o ka ʻōpū. ʻO kēia ka loiloi i ka hopena o ka peptide manuahi i ke kino.
Ma mua o ka hoʻohana ʻana, e hoʻoheheʻe ʻia ʻo Sandostatin me ka paʻakai a i ʻole ka wai no ka paʻi ʻana. Hoʻohana ʻia ka lāʻau ma lalo o ka ʻili intravenously a i ʻole intramuscularly ʻekolu mau manawa i ka lā. Akā ka mea maʻamau, ke koho hoʻokahi ʻia ka dosage, pili i nā hiʻohiʻona o ke kino o ka mea maʻi a me ka ulu o ka maʻi.
ʻO nā ʻōlelo no ka hoʻohana ʻana iā Sandostatin no ka pancreatitis e ʻōlelo nei e pono ke hoʻohana pono i ka hopena ma waena o ka ʻaina. He mea nui ia e lawe ʻia ka maʻi hou ma mua o ka hiamoe, e hōʻemi i ka hopena o ka hopena maikaʻi. Hiki ke mālama ʻia ka mālama ʻana mai hoʻokahi pule mai 2-3 mau mahina.
No ka poʻe maʻi e hana ana i ka maʻi pancreatic, mālama ʻia ʻo Sandostatin i 60 mau minuke ma mua o ka hoʻomaʻamaʻa ʻana. A laila hoʻomau ka lāʻau lapaʻau no ka hebedoma aʻe a mālama ʻia ka mea maʻi 0.1 mg o ka hoʻonā i ʻekolu mau manawa i ka lā ma lalo o ka ʻili.
Ma hope o ka hoʻohana ʻana i ka lāʻau lapaʻau, hiki mai paha nā lono keu, akā ma ka hapanui o ka nalo 15 mau minuke ma hope o ka loaʻa ʻana.
Eia kekahi, ʻōlelo ka ʻōlelo no ka lāʻau lapaʻau ma mua o ka hoʻohana ʻana, pono ke hoʻomehana ʻia ka ampou i loko o ke keʻena, e pale aku i ka ʻeha i ka wā o ka hoʻokele ʻana.
Nā hopena hopena, contraindications a me nā ʻōlelo kūikawā
ʻOiai ka hopena o ka therapeutic kiʻekiʻe o Sandostatin i ka wā e hoʻohana ai, hiki paha i nā ʻano ʻaoʻao ke ʻano. No laila, mai ka hana o ka digestive tract, bloating, ʻeha ka ʻōpū, ka luaʻi ʻana, ke nānā ʻana, ka feces discoloration, nausea a hoʻopuehu ʻia i kekahi manawa.
Hiki i ka lāʻau lapaʻau ke loaʻa kahi hopena maikaʻiʻole i ka ʻōnaehana cardiovascular, i hōʻike ʻia e ka arrhythmia, bradycardia a me tachycardia. Eia kekahi, ʻo ka lāʻau lapaʻau e hoʻopilikia i nā kaʻina loina metabola, ka hopena o ka dehydration, anorexia a me ka fluctuations i ke kō koko.
E pili ana i ka ʻōnaehana endocrine, hiki i ka octreotide ke alakaʻi i ka maʻi thyroid a me ka hypothyroidism. ʻO nā maʻi maʻamau ke komo i ka ʻeha i ka wā o ka hoʻokele ʻana o ka lāʻau lapaʻau a me ka hōʻeha ʻole i ka wahi maʻi.
ʻO nā hopena ʻokoʻa ʻē aʻe e pili ana ma hope o ka hoʻohana ʻana iā Sandostatin:
- Hālau - ke hoʻonui nei i ka ʻike o ka bilirubin i loko o ke koko, cholecystitis, maʻi maʻi gallstone.
- Nā maʻi dermatological - kaʻeha, nā mea hoʻonani, nā rashes.
- Pūnaʻi keiki - migraines, dizziness, nawaliwali.
Aia kekahi helu o nā contraindications e pāpā aku i ka hoʻohana ʻana o kahi prototype synthetic o somatostatin. ʻO keʻano, ʻaʻole hiki ke hoʻohana i ka lāʻau lapaʻau me ka manaʻo kiʻekiʻe i kāna mau ʻāpana.
ʻO nā contraindications e pili ana i ka maʻi maʻi, cholelithiasis, hapai a me ka lactation. Hiki paha ke lawelawe i Sandostatin i nā keiki? Nui ka ʻike no ke mālama ʻana i kahi keiki me ka lāʻau lapaʻau, no laila ʻo ka hoʻoholo no ke kūpono o kāna hoʻohana ʻana e pono e hana e ke kauka hele mai.
E pili ana i ka hāpai ʻana a me ka lactation, hoʻohana ʻia ʻo Sandostatin ma kahi pilikia o ka ulia. Ma hope o nā mea a pau, hōʻike ʻia nā haʻawina e ʻike ana i ka nui o ke komo ʻana i ka waiū a ʻaʻole i lawe ʻia ka placenta.
ʻO nā hiʻohiʻona nui o ka lāʻau lapaʻau:
- Ke mālama nei i nā mea maʻi maʻi, ʻaʻohe mea e hoʻemi i ka dute.
- ʻOiai hele mai ka huki ʻana ma hope o ka hoʻokele ʻana o ka lāʻau lapaʻau i ka wā o ka hoʻōla, pono e hoʻomaʻamaʻa i ka wā o ke kaʻa ʻana i ke kaʻa a hana i ka hana e koi ana i kahi wikiwiki wikiwiki.
- Ua kāpae ʻo Octreotide i ka hoʻopili ʻana o ka cimetidine a me nā cyclosporin.
- No ka hoʻēmiʻana i ka hopena o ka hoʻomohala ʻana i nā hopena ʻino mai ka ʻaoʻao o ka kūnaʻi ʻana, ʻoi aku ka maikaʻi o ka lawelawe ʻana i ka lāʻau ma mua o ka hiamoe a i ʻole ma waena o ka pāʻina.
- Me nā mellitus e pili ana i ka insulin i ka wā e mālama ai me Sandostatin, ua hoʻemi ka nui o ka insulin.
Me ka hoʻohana ʻole ʻana i ka lāʻau, hiki i kahi overdose ke ʻano.
Hōʻike kēia ʻano i ka maʻi pehu, nā hana hōʻeha i ka nī pinepine o nā mea i hoʻohālikelike i ka naʻau, ʻōpū o ka ʻōpū, ka puʻu ʻula, ʻuhua, a me ka huhū.
ʻO ke kumukūʻai, nā mea hoʻohui, nā loiloi
Hiki ke kūʻai ʻia ka lāʻau lapaʻau ma ka lāʻau kūʻai inā hiki ke kauoha ʻia e ke kauka. ʻO kona kumukūʻai mai ke 1800 a 3000 rubles.
ʻO nā mea maʻamau maʻamau o Sandostatin ʻo Octreotide, Okeron, Genfastat, Octra, Octride, Octretex, Ukreotide, Seraxtal, Okreastatin a me nā mea'ē aʻe. ʻAʻohe kumu kikoʻī pololei o ka lāʻau i nā papa.
Loaʻa nā loiloi o nā mea maʻi e maʻi pancreatitis e pili ana iā Sandostatin. Hoʻonui koke ka lāʻau i ka maʻi me ka hoʻonāukiuki o ka pancreas. Eia naʻe, he hopena koʻikoʻi ka hopena o ka palani, a ua kiʻekiʻe kāna kumukūʻai. No laila, ʻae ʻia ka lāʻau lapaʻau i nā hihia kūʻokoʻa wale nō.
E pili ana i ka lāʻau lapaʻau Sandostatin i wehewehe ʻia i ke wikiō ma kēia ʻatikala.
