Octreotide
Qanacsan
- Kahor qaadashada octreotide,
- Octreotide waxay sababi kartaa waxyeelo. U sheeg dhakhtarkaaga haddii mid ka mid ah astaamahani ay daran yihiin ama aanad tagin:
- Dhibaatooyinka qaarkood waxay noqon karaan kuwo halis ah. Haddii aad isku aragto mid ka mid ah astaamahan, wac takhtarkaaga isla markiiba ama u hesho daaweyn caafimaad oo deg-deg ah:
- Calaamadaha xad dhaafka ah waxaa ka mid noqon kara:
Octreotide waxaa loo isticmaalaa in lagu daaweeyo acromegaly (xaalad jidhku soo saaro hormoon korriin aad u tiro badan, taasoo keenta ballaadhinta gacmaha, cagaha, iyo astaamaha wajiga; kalagoysyada xanuunka; iyo calaamadaha kale) ee dadka si guul leh loogu daweeyey cirbadeynta octreotide (Sandostatin) ama cirbadeynta lanreotide (Somatuline). Octreotide waxay ku jirtaa nooc dawooyin ah oo loo yaqaan octapeptides. Waxay ku shaqeysaa hoos u dhigida xaddiga maaddooyinka dabiiciga ah qaarkood ee jirku soo saaro.
Octreotide waxay u timaadaa sidii kaabsol uu afka ku qaato. Badanaa waxaa la qaataa laba jeer maalintii calool madhan, ugu yaraan 1 saac ka hor ama 2 saacadood cuntada ka dib, galaas biyo ah. Qaado octreotide qiyaastii isla waqtiyada maalin kasta. Si taxaddar leh u raac tilmaamaha ku qoran calaamadaha laguu qoray, oo weydii takhtarkaaga ama farmashiistaha inuu kuu sharxo qayb kasta oo aadan fahmin. Qaado octreotide sida saxda ah ee lagu faray. Ha ka qaadin wax ka yar ama ka yar ama u qaado si ka badan inta dhakhtarku kuu qoray.
Kaabsoosha wada liq; ha kala qaybin, calalin, ama burburin.
Si tartiib ah uga soo riix kaabsallada baakadaha si aad uga saarto. Ha u isticmaalin laba suul inaad ku riixdo kaabsal ama ku riix dhexda kaabsalka baakada maadaama ay dhaawaceyso kaabsoolka. Haddii kaabsoosha ay dillaacdo ama jabto, iska tuur.
Octreotide ayaa laga yaabaa inay xakameyso astaamahaaga, laakiin ma daaweyn doonto xaaladdaada. Ha u joojin qaadashada octreotide adigoon la hadlin dhakhtarkaaga. Haddii aad joojiso qaadashada octreotide, calaamadahaagu way soo noqon karaan.
Weydii farmashiistahaaga ama dhakhtarkaaga nuqul ka mid ah macluumaadka soo saaraha ee bukaanka.
Daawadan waxaa loo qori karaa adeegsiyo kale; Weydii dhakhtarkaaga ama farmashiistaha wixii macluumaad dheeraad ah.
Kahor qaadashada octreotide,
- u sheeg dhakhtarkaaga iyo farmashiistahaaga haddii aad xasaasiyad ku leedahay octreotide, dawooyin kale, ama wax kasta oo ku jira kaabsoolka dib-u-sii-daynta octreotide. Weydii farmashiistahaaga liiska waxyaabaha ay ka kooban yihiin.
- u sheeg dhakhtarkaaga iyo farmashiistaha waxa kale ee dhakhtar qoro iyo kuwa aan dhakhtar qorin, fiitamiinnada, nafaqada nafaqada, iyo alaabta dhirta ah ee aad qaadanayso ama aad qorsheyneyso inaad qaadato. Hubso inaad sheegto mid ka mid ah kuwan soo socda: antacids sida aluminium hydroxide / magnesium hydroxide (Maalox), calcium carbonate (Tums) ama calcium carbonate iyo magnesium (Rolaids); beta beta blockers sida atenolol (Tenormin), labetalol (Normodyne), metoprolol (Lopressor, Toprol XL), nadolol (Corgard), iyo propranolol (Inderal); bromocriptine (Cycloset, Parlodel); kaalsiyamka xanibaada sida amlodipine (Norvasc), diltiazem (Cardizem, Dilacor, Tiazac, kuwa kale), felodipine (Plendil), nifedipine (Adalat, Procardia), nisoldipine (Sular), iyo verapamil (Calan, Isoptin, Verelan); cyclosporine (Gengraf, Neoral, Sandimmune); digoxin (Lanoxin), H2 blockers sida cimetidine (Tagamet), famotidine (Pepcid), nizatidine (Axid), iyo ranitidine (Zantac); insulin iyo dawooyinka afka laga qaato ee sonkorowga; levonorgestrel (Mirena, Skyla); lisinopril (Qbrelis, Zestril); kahortagayaasha proton-pump sida lansoprazole (Prevacid), omeprazole (Prilosec), iyo pantoprazole (Protonix); iyo quinidine (Nuedexta). Dhakhtarkaaga ayaa laga yaabaa inuu u baahdo inuu beddelo qiyaasta daawooyinkaaga ama uu si taxaddar leh kuugu ilaaliyo dhibaatooyinka soo raaca.
- u sheeg dhakhtarkaaga haddii aad leedahay ama aad waligaa ku jirtay heerar hoose oo fiitamiin B-12 ah, sonkor dhiig oo sare ama hooseeya, sonkorow, ama tayroodh, wadne, kelyo, ama cudur beerka ah.
- u sheeg dhakhtarkaaga haddii aad uur leedahay, qorsheyso inaad uur yeelato, ama aad naas nuujiso. Waxaad awood u yeelan kartaa inaad uur yeelatid inta lagu guda jiro daaweynta octreotide xitaa haddii aadan awoodin inaad uur yeelato ka hor daaweyntaada maxaa yeelay waxaad leedahay acromegaly. Kala hadal dhakhtarkaaga hababka xakameynta dhalmada ee adiga kuu shaqeyn doona. Haddii aad uur yeelato intaad qaadanaysid octreotide, wac dhakhtarkaaga.
Ilaa dhakhtarkaagu kuu sheego mooyee, sii wad cuntadaada caadiga ah.
Qaado qiyaasta la seegay isla marka aad xasuusatoba. Si kastaba ha noqotee, haddii ay ku dhowdahay waqtiga qiyaasta xigta, ka bood qiyaasta la seegay oo sii wad jadwalka daawadaada caadiga ah. Ha qaadan laba-qaadasho si aad uhesho mid kaa dhaafay.
Dawadani waxay sababi kartaa isbeddel ku dhaca sonkorta dhiiggaaga. Waa inaad ogaataa astaamaha sonkorta dhiigga sare iyo hoose iyo waxa la sameeyo haddii aad leedahay astaamahan.
Octreotide waxay sababi kartaa waxyeelo. U sheeg dhakhtarkaaga haddii mid ka mid ah astaamahani ay daran yihiin ama aanad tagin:
- shuban
- lallabbo
- matagid
- calool xanuun, xanuun, ama barar
- laabjeex
- gaaska
- kala-goysyada ama dhabarka
- dhidid
- barar gacmaha, cagaha, anqawyada, ama lugaha hoose
- daallan
- dawakhaad
Dhibaatooyinka qaarkood waxay noqon karaan kuwo halis ah. Haddii aad isku aragto mid ka mid ah astaamahan, wac takhtarkaaga isla markiiba ama u hesho daaweyn caafimaad oo deg-deg ah:
- xanuun qeybta kore ee midig ee caloosha, bartamaha caloosha, dhabarka, ama garabka; hurdi maqaarka ama indhaha cad; qandho leh dhaxan; ama lallabbo
- qandho, qufac, sanka oo xirma ama duuf, hindhiso, xanuun inta lagu jiro kaadida, ama astaamaha cudurka intiisa kale
- caajisnimo, u nuglaansho cirro qabow, maqaar qallalan, iyo ciddiyo jilicsan oo jilicsan iyo timo
- bararka carrabkaaga, cunaha, dibnaha, indhaha ama wajiga
- dhib liqidda ama neefsashada
- finan
- cuncun
- dareemid miyir beelid
- xabad xanuun
- wadna garaac
Octreotide waxay sababi kartaa waxyeelo kale. Wac dhakhtarkaaga haddii aad qabtid dhibaatooyin aan caadi ahayn intaad qaadanaysid dawadan.
Haddii aad isku aragto waxyeellooyin daran, adiga ama dhakhtarkaaga ayaa warbixin u diri kara Barnaamijka Ka Warbixinta Dhacdooyinka Xun ee Maamulka Cuntada iyo Dawooyinka (FDA) (http://www.fda.gov/Safety/MedWatch) ama taleefan ( 1-800-332-1088).
Daawadan ku hay weelka ay soo gashay, si adag u xir, iyo meel aysan carruurtu gaarin. Ku keydi baakadaha aan furin qaboojiyaha; ha barafoobin. Furitaankii ugu horreeyay kadib, kaabsullada ku keydsan weelka waxaay kuleylkeedu ahaa heerkulka qolka illaa 1 bilood.
Waa muhiim inaad ka ilaaliso dhammaan daawooyinka meel aan la arkeynin oo aysan gaari karin carruurta maaddaama weelal badan (sida kuwa toddobaadlaha kiniiniga ka fiirsada iyo kuwa loogu talagalay dhibcaha isha, kareemada, dhejiyeyaasha, iyo kuwa neefta ku siiya) uma adkeysana carruurta, carruurta yaryarna si fudud ayey ku furi karaan. Si aad uga ilaaliso carruurta yaryar sunta, marwalba xiro daboolka badbaadada isla markaana isla markiiba dhig dawada meel aamin ah - mid kor iyo fog kana fog aragooda oo gaadha. http://www.upandaway.org
Daawooyinka aan loo baahnayn waa in lagu tuuraa siyaabo gaar ah si loo hubiyo in xayawaanka, carruurta, iyo dadka kaleba aysan cuni karin. Si kastaba ha noqotee, waa inaadan ku daadinin daawadan musqusha hoosteeda. Taabadalkeed, sida ugufiican ee dawada looga takhalusi karaa waa iyada oo loo maro barnaamijka dib u celinta daawada. La hadal farmashiistahaaga ama la xiriir waaxda qashinka / dib u warshadaynta si aad wax uga ogaato barnaamijyada dib-u-celinta ee bulshadaada. Ka eeg bogga internetka ee 'FDA ee Amni-Qaadashada Daawooyinka (http://goo.gl/c4Rm4p) si aad u hesho macluumaad dheeraad ah haddii aadan marin u helin barnaamijka dib-u-celinta.
Xaalada xad dhaafka ah, wac khadka caawinta ka hortagga sunta 1-800-222-1222. Macluumaadka sidoo kale waxaa laga heli karaa internetka https://www.poisonhelp.org/help. Haddii dhibbanuhu burburay, suuxdin qabtay, neefsashadu dhib ku tahay, ama aan la kici karin, isla markiiba wac adeegyada gurmadka ee 911.
Calaamadaha xad dhaafka ah waxaa ka mid noqon kara:
- garaaca wadnaha oo gaabis ah ama aan caadi ahayn
- dawakhaad
- miyir beelid
- dhaqid
- shuban
- daciifnimo
- miisaanka oo yaraada
Dhammaan ballamaha la dhig dhakhtarkaaga iyo shaybaarka. Dhakhtarkaagu wuxuu amri doonaa tijaabooyinka shaybaarka qaarkood kahor iyo inta daaweyntaadu socoto si loo hubiyo jawaabta jirkaaga ee octreotide.
Ha u ogolaan qof kale inuu qaato daawadaada. Weydii farmashiistahaaga wixii su'aalo ah ee aad ka qabto dib u soo celinta daawada laguu qoray.
Waxaa muhiim kuu ah inaad haysato liis qoran oo ku saabsan dhammaan daawooyinka laguu qoro iyo kuwa aan dhakhtar qorin (warqad dhakhtar la aan ah) ee aad qaadanaysid, iyo sidoo kale wax soo saar kasta sida fiitamiinnada, macdanta, ama nafaqooyinka kale ee nafaqada leh. Waa inaad soo qaadataa liiskan markasta oo aad booqato dhakhtar ama haddii isbitaal la dhigo. Sidoo kale waa macluumaad muhiim ah inaad lasocoto haddii ay jiraan xaalado deg deg ah.
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