ʻO ka hoʻoiho Octreotide

Anter

• Ma mua o ka hoʻohana ʻana i ka injection octreotide,
• Hiki i nā kuikahi Octreotide ke kumu i nā hopena ʻaoʻao. E haʻi i kāu kauka inā koʻikoʻi kekahi o kēia mau ʻōuli a mai hele aku paha:
• Hiki i kekahi o nā hopena ʻaoʻao ke koʻikoʻi. Inā ʻoe e ʻike i kekahi o kēia mau ʻōuli, e kāhea koke i kāu kauka:
• Pākuʻi ʻia paha nā ʻōuli o ka overdose:

Hoʻohana ʻia ʻo ka hoʻouka hoʻokuʻu ʻo Octreotide e hoʻoliʻiliʻi i ka nui o ka hormone ulu (kahi waiwai kūlohelohe) i hana ʻia e ka poʻe me ka acromegaly (ke ʻano e hoʻopuka ai ke kino i ka nui o ka hormone ulu, e hoʻonui ana i nā lima, nā wāwae, a me nā helehelena o ka helehelena. ; a me nā ʻōuli ʻē aʻe) ʻaʻole hiki ke mālama ʻia me ke ʻoki, radiation, a i ʻole kekahi lāʻau.Hoʻohana ʻia ʻo ka hoʻouka hoʻokuʻu Octreotide no ka kaohi ʻana i ka maʻi diarrhea a me ke kahe ʻana i hoʻokumu ʻia e nā tumo carcinoid (nā tumors e ulu lohi ana e hoʻokuʻu i nā mea kūlohelohe e hiki ai ke hana i nā ʻōuli) a me ka vasoactive ʻōpū peptide e hūnā ana i nā adenomas (VIP-omas; nā tumors e hana i ka pancreas a hoʻokuʻu. nā mea kūlohelohe i hiki ke kumu i nā ʻōuli. Hoʻohana ʻia ka hana ʻoniʻoni ʻo Octreotide e kāohi ai i ka hōʻomeamea, nā tumo carcinoid, a me nā VIP-omas i ka poʻe i mālama maikaʻi ʻia me ka injection octreotide akā makemake lākou e loaʻa nā injection i ka manawa pinepine. ʻO ka injection Octreotide i loko o ka papa o nā lāʻau i kapa ʻia ʻo octapeptides. Hana ia ma ka hoʻemi ʻana i nā nui o kekahi mau mea maoli i hana ʻia e ke kino.

Hele mai ʻo Octreotide ma ke ʻano he hoʻokuʻu koke (wai) no ka pahu ʻana e ʻīkī ʻia subcutaneʻu (ma lalo o ka ʻili) a i ʻole intravenous (i loko o kahi aa) hele mai ʻo Octreotide ma ke ʻano he hana lōʻihi e hoʻokomo ʻia i loko o nā mākala o ka puʻupuʻu e ke kauka. a kahu wahine paha. Hoʻokomo pinepine ʻia ʻo ka hoʻouka hoʻokuʻu ʻo Octreotide i 2 a 4 mau manawa i ka lā. Hoʻokomo pinepine ʻia ʻo Octreotide i kahi hana lōʻihi i kēlā me kēia 4 pule. Inject octreotide hoʻopuka koke ʻana i ka pahu kui ma nā manawa like i kēlā me kēia lā. E hāhai pono i nā ʻōkuhi i kāu lepili kuhikuhi, a nīnau i kāu kauka a kauka paha e wehewehe i kahi ʻāpana āu i maopopo ʻole ai. E hoʻokomo pono i ka injection octreotide e like me ke kuhikuhi. Mai hoʻokomo i ka mea ʻoi aku a liʻiliʻi paha o ia mea a ʻaʻole hoʻi e pahu pinepine iā ia ma mua o ka mea i kauoha ʻia e kāu kauka.

Inā ʻaʻole ʻoe e mālama ʻia me ka hoʻopili ʻana o ka octreotide, e hoʻomaka ʻoe i kāu lāʻau me ka hoʻokuʻu koke ʻana iā octreotide. E mālama ʻia ʻoe me ke kuikui hoʻokuʻu koke no 2 mau pule, a hoʻonui pinepine paha kāu kauka i kāu lāʻau i kēlā manawa. Inā holo ka lāʻau iā ʻoe a ʻaʻole ia e hopena i nā hopena ʻino, hiki i kāu kauka ke hāʻawi iā ʻoe i ka hana lōʻihi ma hope o 2 mau pule. I mea e kaohi ai i kāu kūlana, pono ʻoe e hoʻomau i ka loaʻa koke ʻana o ka ʻoki hoʻokuʻu no 2 mau pule a ʻoi paha ka lōʻihi ma hope o ka loaʻa ʻana o kāu kaukana mua o ka hana lōʻihi lōʻihi. Hiki i kāu kauka ke hoʻonui a hōʻemi paha i kāu lāʻau o ka hana lōʻihi 2 a i ʻole 3 mau mahina ma hope o kou loaʻa mua ʻana.

Inā mālama ʻia ʻoe no kahi tumo carcinoid a i ʻole VIP-oma, ʻike paha ʻoe i ka hōʻeha ʻana o kāu mau ʻōuli mai kēlā me kēia manawa i kāu wā e lapaʻau ai. Inā kū kēia, hiki i kāu kauka ke haʻi iā ʻoe e hoʻohana i ka hoʻopiʻi koke-hoʻokuʻu no kekahi mau lā a hiki i ka kaohi ʻia ʻana o kāu mau hōʻailona.

Inā loaʻa iā ʻoe ka acromegaly a ua mālama ʻia me ka radiation radiation, e ʻōlelo paha kāu kauka iā ʻoe ʻaʻole e hoʻohana i ka injection octreotide hoʻokuʻu koke no 4 mau pule i kēlā me kēia makahiki a i ʻole ʻaʻole e loaʻa i ka inikopike hana lōʻihi octreotide no 8 mau pule i kēlā me kēia makahiki. E ʻae kēia i kāu kauka e ʻike pehea ka hopena o ka radiation radiation i kou ʻano a hoʻoholo inā e mālama ʻia ʻoe me ka octreotide.

ʻO ka hoʻouka hoʻokuʻu koke ʻia ʻo Octreotide i loko o nā hue, nā ampule, a me nā peni waiho lāʻau i loko o nā cartridges o ka lāʻau. E ʻike pono i ke ʻano o ka ipu i komo mai ai kāu octreotide a he aha nā lako ʻē aʻe, e like me nā nila, nā ʻenoke, a i ʻole nā ​​peni, pono ʻoe e hoʻopili i kāu lāʻau.

Inā ʻoe e hoʻohana nei i ka hoʻopuka hoʻokuʻu koke ʻana mai kahi kīʻaha, ampule a i ʻole peni peni, hiki paha iā ʻoe ke hoʻopili i ka lāʻau iā ʻoe iho ma ka home a i ʻole he hoaaloha a ʻohana paha e hana i nā injection. E noi i kāu kauka e hōʻike iā ʻoe a i ʻole i ke kanaka e hana ana i nā injection inā pehea e hoʻopili ai i ka lāʻau. E kamaʻilio pū me kāu kauka e pili ana i kahi o kou kino e pīpī ai ʻoe i ka lāʻau a pehea ʻoe e kaʻapuni ai i nā kiko o ka injection inā ʻaʻole ʻoe e hoʻokomo pinepine i ka wahi like. Ma mua o kou hoʻopili ʻana i kāu lāʻau, e nānā mau i ka wai. a mai hoʻohana ia inā ʻōpua a i ʻole nā ​​ʻāpana. E hōʻoia ʻaʻole i hala ka lā palena, ʻo ka hopena no ka hoʻopili ʻana i loko o ka wai ka pololei o ka wai, a ua akāka a kala ʻole ka wai. Mai hoʻohana i ka hue, ampule, a i ʻole ka peni peni inā pau ka lā, inā ʻaʻohe i loko o ia ka nui kūpono o ka wai, a inā ua ʻohu a kala paha ka wai.

E heluhelu pono i nā ʻōlelo a ka mea hana no ka hoʻohana e hiki mai me ka lāʻau. Hōʻike kēia mau ʻōkuhi pehea e hoʻopili ai i kahi mahele o ka inikopa octreotide. E nīnau pono i kāu kauka lāʻau a i ʻole kauka inā he nīnau kāu e pili ana i ka hoʻopili ʻana i kēia lāʻau.

E hoʻolei i nā peni hana, nā hue, nā ampule, a i ʻole nā ​​ʻūhehe i hoʻohana ʻia i loko o ka ipu kūpaʻa. E kamaʻilio me kāu kauka a kauka paha e pili ana i ka hoʻolei ʻana i ka ipu kūpaʻa.

Hiki ke kaomi iā Octreotide i kāu mau hōʻailona, ​​akā ʻaʻole ia e hoʻōla i kou ʻano. E hoʻomau i ka hoʻohana ʻana i ka pahu kui octreotide ʻoiai inā maikaʻi ʻoe. Mai hoʻōki i ka hoʻohana ʻana i ka injection octreotide me ke kamaʻilio ʻole ʻana me kāu kauka. Inā kū ʻoe i ka hoʻohana ʻana i ka injection octreotide, hoʻi paha kāu mau ʻōuli.

E noi i kāu kauka lāʻau a kauka paha no kahi kope o ka ʻike a ka mea hana no ka mea maʻi.

Kau ʻia kēia lāʻau no nā hoʻohana ʻē aʻe; e noi i kāu kauka a kauka paha no ka ʻike hou aku.

Ma mua o ka hoʻohana ʻana i ka injection octreotide,

• e haʻi i kāu kauka a me kāu kauka lāʻau inā he maʻi ʻoe i ka hoʻopili ʻana o ka octototide, nā lāʻau ʻē aʻe, a i ʻole kekahi o nā mea hana i ka inikua octreotide. E noi i kāu kauka lāʻau no kahi papa inoa o nā mea hoʻohui. Inā ʻoe e hoʻohana ana i ka injection lōʻihi, e haʻi pū aku i kāu kauka inā maʻi ʻoe i ka hopena.
• e haʻi i kāu kauka a me ka mea kauka lāʻau he aha nā lāʻau lapaʻau a me nā lāʻau ʻole i kuhikuhi ʻia, nā wikamina, nā mea hoʻopihaʻai, a me nā huahana lāʻau āu e lawe nei a hoʻolālā paha e lawe E kuhikuhi pono i kekahi o kēia mau mea: beta blockers e like me atenolol (Tenormin), labetalol (Normodyne), metoprolol (Lopressor, Toprol XL), nadolol (Corgard), a me propranolol (Inderal); bromocriptine (Cycloset, Parlodel); nā poloka kalipuna e like me amlodipine (Norvasc), diltiazem (Cardizem, Dilacor, Tiazac, a me nā mea ʻē aʻe), felodipine (Plendil), nifedipine (Adalat, Procardia), nisoldipine (Sular), a me verapamil (Calan, Isoptin, Verelan); cyclosporine (Gengraf, Neoral, Sandimmune); ka insulin a me nā lāʻau lapaʻau waha no ka maʻi kō; quinidine; a me terfenadine (Seldane) (ʻaʻole loaʻa ma ka U.S.). Pono paha kāu kauka e hoʻololi i nā kaha o kāu mau lāʻau a nānā pono iā ʻoe no nā hopena ʻaoʻao.
• e haʻi i kāu kauka inā e hānai ʻia ʻoe e ka nui o nā meaʻai o nā mākua (TPN; hānai ʻana me ka hāʻawi ʻana i kahi wai i loaʻa pono nā meaʻai i loko o kahi aa) a inā loaʻa a loaʻa paha iā ʻoe ka maʻi diabetes a me ka puʻuwai, ka ate, a me nā maʻi puʻupaʻa.
• e haʻi i kāu kauka inā hāpai ʻoe, hoʻolālā e hāpai, a i ʻole e hānai umauma ana. Hiki paha iā ʻoe ke hāpai i ka wā o kāu mālama ʻana me ka octreotide ʻoiai inā ʻaʻole hiki iā ʻoe ke hāpai i mua o kou hoʻomaʻamaʻa ʻana no ka mea loaʻa iā ʻoe ka acromegaly. E kamaʻilio me kāu kauka e pili ana i nā ʻano hana o ka kaohi hānau e holo pono nāu. Inā hāpai ʻoe i ka loaʻa ʻana o ka injection octreotide, kāhea i kāu kauka.

Inā ʻaʻole haʻi kāu kauka iā ʻoe, e hoʻomau i kāu papaʻai maʻamau.

Inā hoʻopoina ʻoe e hoʻopili i kahi lāʻau o ka hoʻopiʻi hoʻokuʻu koke, e hoʻopili i ka lāʻau i hala ke hoʻomanaʻo ʻoe iā ia. Eia nō naʻe, inā kokoke i ka manawa no kāu kaukona aʻe, e lele i ka lāʻau i hala a hoʻomau i kāu papa hana maʻamau. Mai hoʻokomo i kahi lāʻau pālua e pani no kahi mea i hala.

Inā haʻalele ʻoe i kahi manawa e loaʻa ai kahi lāʻau o ka hana lōʻihi lōʻihi, e kāhea i kāu kauka e hoʻoponopono hou i ka manawa i hoʻopaʻa ʻia.

Hiki i kēia lāʻau ke hoʻololi i kāu kō kō. Pono ʻoe e ʻike i nā ʻōuli o ke kō a kiʻekiʻe a me ke kō o ke kō a he aha kāu e hana ai inā loaʻa kēia mau ʻōuli iā ʻoe.

Hiki i nā kuikahi Octreotide ke kumu i nā hopena ʻaoʻao. E haʻi i kāu kauka inā koʻikoʻi kekahi o kēia mau ʻōuli a mai hele aku paha:

• pāhoehoe
• kōpaʻa
• noho humuhumu, nui a ʻaʻala
• manaʻo mau i ka pono e hakahaka i ka ʻōpū
• ʻenekini
• ʻeha ka ʻōpū
• nausea
• puʻuwai puʻuwai
• ʻeha poʻo
• ʻūpā
• luhi
• kua, ʻami, a ʻeha pū paha
• ihu ihu
• poho lauoho
• ʻeha ma kahi i ʻāpono ʻia ka lāʻau
• loli ka hihiʻo

Hiki i kekahi o nā hopena ʻaoʻao ke koʻikoʻi. Inā ʻoe e ʻike i kekahi o kēia mau ʻōuli, e kāhea koke i kāu kauka:

• ʻeha ma ka ʻaoʻao ʻākau o luna o ka ʻōpū, waena o ka ʻōpū, kua, a poʻohiwi paha
• melemele o ka ʻili a me nā maka
• lohi a kuʻi ʻole paha ka puʻuwai puʻuwai
• lohi
• ʻike i ke anuanu
• ʻulaʻula, ʻili mae
• nā manamana lima wīwī a me ka lauoho
• helehelena puffy
• leo uō
• kaumaha
• wā kaumaha loa
• pehu ma ke kumu o ka ʻāʻī
• paʻa i ka ʻāʻī
• pilikia i ka hanu ʻana a me ka ale ʻana
• hūwī
• ʻūlili

Hiki i nā kuina ʻo Octreotide ke kumu i nā hopena ʻē aʻe. Kāhea i kāu kauka inā loaʻa iā ʻoe kekahi pilikia maʻamau i ka loaʻa ʻana o kēia lāʻau.

Inā ʻoe e ʻike i kahi hopena koʻikoʻi, e hoʻouna ʻoe a i ʻole kāu kauka i kahi hōʻike i ka papahana hōʻike ʻino a MedWatch Adverse Event Food (FDA) ma ka pūnaewele (http://www.fda.gov/Safety/MedWatch) a i ʻole kelepona. 1-800-332-1088).

Inā ʻoe e mālama nei i ka hana hana lōʻihi i loko o kou home a hiki i ka manawa e ʻimi ʻia ai e kāu kauka a kahu hānai paha, pono ʻoe e mālama ia i loko o ka pahu pahu mua i loko o ka pahu hau a pale iā ia mai ka mālamalama. Inā ʻoe e mālama ana i ka hopena hoʻokuʻu koke no ka hoʻopili ʻana i nā ampule, nā hue, a i ʻole nā ​​peni dosing, pono ʻoe e mālama iā ia i ka pahu pahu mua i loko o ka pahu hau e pale iā ia mai ka mālamalama; mai paʻa hau. Hiki iā ʻoe ke mālama i nā kīʻaha maha-mahele lāʻau hoʻōla koke ma hope o ka hoʻohana mua ʻana i ka mahana o ka lumi a 14 mau lā. Hiki iā ʻoe ke mālama i ka peni dose hoʻokuʻu koke i ka mahana o ka lumi ma hope o ka hoʻohana mua ʻana a hiki i nā lā he 28 me ka pāpale peni i nā manawa āpau. Hiki iā ʻoe ke mālama i ka hoʻokuʻu koke ʻana i nā pahu wai hoʻokahi a me nā ampule ma ka mahana o ka lumi a 14 mau lā, akā e hoʻolei i kekahi o nā hopena i hoʻohana ʻole ʻia i nā ampule mahele lāʻau a i ʻole ipu ma hope o ka hoʻohana.

He mea nui e mālama i nā lāʻau āpau mai ka maka a hiki i nā keiki e like me nā ipu (e like me nā minder pill i kēlā me kēia pule a me nā mea no nā kulu maka, nā kalima, nā pākuʻi, a me nā inhalers) ʻaʻole pale keiki a hiki i nā keiki ʻōpio ke wehe maʻalahi iā lākou. No ka pale ʻana i nā keiki ʻōpio mai ka lāʻau make, laka mau i nā pāpale palekana a kau koke i ka lāʻau i kahi palekana - kahi i luna a mamao a mai ko lākou alo a hiki. http://www.upandaway.org

Pono e hoʻolei ʻia nā lāʻau i koi ʻole ʻia i nā ala kūikawā e hōʻoia i ka hiki ʻole i nā holoholona, ​​nā keiki, a me nā poʻe ʻē aʻe ke hoʻopau iā lākou. Eia nō naʻe, ʻaʻole pono ʻoe e kaomi i kēia lāʻau i ka lua. Akā, ʻo ke ala ʻoi loa e hoʻolilo i kāu lāʻau i loko o kahi papahana hoʻihoʻi lāʻau. E kamaʻilio me kāu kauka lāʻau a kāhea paha i kāu ʻōpala a me nā hana hoʻopōʻaiapuni kūloko e aʻo e pili ana i nā papahana hoʻihoʻi i kou kaiāulu. E ʻike i ka pūnaewele palekana o kā FDA's Disposal of Medicines (http://goo.gl/c4Rm4p) no ka ʻike hou aku inā ʻaʻohe ou komo i kahi papahana hoʻihoʻi.

I ke kumu o ka overdose, e kāhea i ka helpline kaohi lāʻau make ma 1-800-222-1222. Loaʻa ka ʻike ma ka pūnaewele ma https://www.poisonhelp.org/help. Inā ua hina ka mea i hoʻomāinoino ʻia, loaʻa ka hopu ʻana, pilikia i ka hanu ʻana, a i ʻole hiki ʻole ke ala aʻe, e kāhea koke i nā lawelawe kūikawā ma 911.

Pākuʻi ʻia paha nā ʻōuli o ka overdose:

• lohi a kuʻi ʻole paha ka puʻuwai puʻuwai
• ʻūpā
• maule ana
• ʻōhinu
• pāhoehoe
• nāwaliwali
• Kaumaha emi

E mālama i nā manawa a pau me kāu kauka a me ka hale hana. E kauoha kāu kauka i kekahi mau hoʻokolohua lab a ma mua a i kāu wā e mālama ai e nānā i ka pane o kou kino i ka inikua octreotide.

Mai ʻae i kekahi e hoʻohana i kāu lāʻau. E nīnau i kāu kauka lāʻau i nā nīnau āu e pili ana i ka hoʻopiha hou ʻana i kāu kuhikuhi.

He mea nui iā ʻoe e mālama i kahi papa inoa i kākau ʻia a me nā lāʻau lapaʻau ʻole (over-the-counter) lāʻau āu e lawe nei, a me nā huahana e like me nā huaora, nā minelala, a i ʻole nā ​​mea hoʻopiliʻai aʻe. Pono ʻoe e lawe i kēia papa inoa me ʻoe i kēlā me kēia manawa ke kipa ʻoe i ke kauka a i ʻole inā ʻae ʻia ʻoe i kahi haukapila. He ʻike nui nō hoʻi ia e lawe pū me ʻoe inā pilikia ʻo ka pilikia.

• ʻO Byfezia^®
• Sandostatin^®
• Sandostatin^® LAR Depot