Nyob rau hauv kev mob caj dab thiab mob ntxaws ntxaws ntawm daim ntawv uas muaj mob ntev, kev kho mob hauv tsev yog nqa tawm, uas nyob rau hauv cov xwm txheej tshwj xeeb xav tau kev phais mob. Tab sis feem ntau, kom txo tau qhov kev siv ntawm pancreatic o, kev siv cov neeg muaj peev xwm txhawm rau ua kev tiv thaiv yog qhov txaus.
Yog li, txhawm rau txhawm rau tiv thaiv kev txhim kho ntawm cov kev mob tshwm sim, cov neeg mob pancreatitis feem ntau tau kho Sandostatin. Raws li cov tshuaj pharmacological, cov tshuaj no yog nyob ze rau lub ntuj tsim, vim tias nws suppresses zais cia ua haujlwm ntawm lub qog.
Cov tshuaj muaj qhov cuam tshuam ncaj qha rau cov nqaij mos endocrine, tshem tawm ntau cov tsos mob mob. Kev siv ntawm Sandostatin tshem tawm qhov xav tau rau lwm tus neeg sawv cev ua haujlwm analgesic. Txhua yam no ua rau nws yog ib feem tseem ceeb ntawm kev kho mob ntawm txiav kab mob.
Cov yam ntxwv ntawm cov tshuaj thiab nws cov nyhuv
Sandostatin yog ib qho khoom sib txuas ntawm cov tshuaj hormones somatostatin. Cov tshuaj muaj cov nyhuv tib yam li ib yam khoom uas tau tsim, tab sis nws cov nyhuv ntev dua.
Cov tshuaj yog muaj raws li kev txhaj tshuaj. Qhov hno tshuaj yog 50, 100 thiab 500 mcg.
Cov nquag ua haujlwm ntawm Sandostatin yog octreotide. Raws li cov tshuaj ntxiv hauv kev daws muaj cov pa roj carbon dioxide, sodium bicarbonate, dej rau txhaj, aldit, lactic acid.
Sandostatin rau mob pancreatitis muaj ntau yam teebmeem kev kho mob. Yog li, cov tshuaj muaj cov nyhuv antithyroid, txo qis ntau lawm ntawm cov tshuaj hormones STG thiab TSH, uas tshem tawm cov tsos mob ua mob ntawm pancreatic o.
Tsis tas li, cov tshuaj txo cov motility thiab ua kua plab zom zom. Nyob rau hauv kev cuam tshuam ntawm octreotide, qhov kev zais ntawm serototin, peptides thiab kev loj hlob hormone yog inhibited.
Nrog rau kev o ntawm cov txiav, tus neeg mob feem ntau txom nyem los ntawm txoj hnyuv chim thiab daim tawv nqaij. Kev siv ntawm Sandostatin tso cai rau koj ib txwm ua rau quav thiab qhov hnyav. Kev kho nrog cov tshuaj pab tshem tawm cov rog tsis tu ncua, feem ntau cuam tshuam nrog kev mob puas hlwb.
Txij li thaum cov tshuaj txo cov secretory kev ua si ntawm lub txiav, feem ntau nws kho rau cov neeg mob uas tau txais kev kho mob phais. Qhov no tso cai rau koj kom txo qis mob thiab nres kev rhuav tshem ntawm lub qog.
Sandostatin feem ntau sau tseg rau cov neeg mob uas muaj mob pancreatitis. Tab sis qee qhov xwm txheej, nws tau sau tseg rau kev ua mob ntev nrog cov mob hnyav txhawm rau tshem tawm cov tsos mob mob. Txawm li cas los xij, kev tshuaj xyuas ntawm cov kws kho mob thiab cov neeg mob nyob rau hauv cov ntaub ntawv no yog qhov tsis zoo, vim tias cov tshuaj muaj ntau tus lej thiab cov kev mob tshwm sim.
Nws yog ib qho tseem ceeb uas ntxiv rau kev mob hnyav rau mob pancreatitis, Sandostatin yog tus sau ua lwm yam:
- txoj hlab ntaws ntshav;
- acromegaly;
- kev tiv thaiv ntawm cov teeb meem tom qab ua haujlwm ntawm lub plab parenchymal;
- cov qog ntawm lub txiav thiab hnyuv plab hnyuv.
Cov lus qhia rau kev siv tshuaj
Ua ntej thiab tom qab kev kho mob, nws raug nquahu kom kuaj xyuas cov ntshav thiab ua ib qho ultrasound ntawm tus txiav thiab lub plab hauv plab. Qhov no yuav ntsuas qhov tshwm sim ntawm cov peptide dawb ntawm lub cev.
Ua ntej siv, Sandostatin yog diluted nrog saline lossis dej rau kev txhaj tshuaj. Cov tshuaj no tau muab tshuaj nyob rau hauv daim tawv nqaij ua kom nqaij zoo nkauj los yog intramuscularly peb zaug ib hnub. Tab sis ib txwm, ntau npaum tau xaiv ib tus zuj zus, raws tus yam ntxwv ntawm tus neeg mob lub cev thiab siv ntawm cov kabmob.
Cov lus qhia txog kev siv tshuaj Sandostatin rau mob pancreatitis hais tias kev daws yuav tsum tau siv nyob rau hauv kev noj mov. Nws yog ib qho tseem ceeb tias kev txhaj tshuaj zaum kawg yog coj ua ntej yuav mus pw, uas yuav txo qhov feem ntau ntawm qhov tshwm sim tsis zoo. Txoj kev kho mob tuaj yeem ntev kawg li ntawm ib lub lim tiam txog 2-3 hlis.
Rau cov neeg mob phais mob pancreatic, Sandostatin siv sijhawm li 60 feeb ua ntej kev phais mob. Tom qab ntawd cov tshuaj kho mob txuas ntxiv rau lub lim tiam tom ntej thiab tus neeg mob tau siv tshuaj 0.1 mg ntawm txoj kev daws peb zaug ib hnub hauv qab daim tawv.
Tom qab siv cov tshuaj, phiv tshuaj tuaj yeem tshwm sim, tab sis feem ntau lawv ploj 15 feeb tom qab txhaj tshuaj.
Tsis tas li, cov lus qhia rau cov tshuaj hais tias ua ntej siv nws, ampoule yuav tsum tau ua kom sov rau chav sov, uas yuav zam kom tsis txhob mob thaum tswj hwm.
Qhov tshwm sim, contraindications thiab cov lus qhia tshwj xeeb
Txawm hais tias muaj kev kho mob siab ntawm Sandostatin thaum nws siv, ntau cov kev mob tshwm sim tuaj yeem tshwm sim. Yog li, los ntawm cov hnyuv plab, tsam plab, mob plab, ntuav, raws plab, quav quav quav, xeev siab thiab dispersion qee zaum kuj tshwm sim.
Cov tshuaj muaj peev xwm muaj kev cuam tshuam zoo ntawm lub plawv kev mob plawv, uas yog ua kom pom los ntawm arrhythmia, bradycardia thiab tachycardia. Tsis tas li, cov tshuaj cuam tshuam tsis zoo rau cov txheej txheem metabolic, ua rau lub cev qhuav dej, tsis nco qab thiab ua haujlwm hauv cov ntshav qab zib.
Hais txog qhov endocrine system, octreotide tuaj yeem ua rau lub qog ua rau lub cev thiab hypothyroidism. Cov teeb meem tshwm sim feem ntau suav nrog kev mob siab thaum tswj hwm kev siv tshuaj thiab tsis xis nyob hauv thaj chaw txhaj tshuaj.
Lwm qhov kev phiv tshuaj uas tshwm sim tom qab siv Sandostatin:
- Mob siab - muaj kev nce ntxiv hauv cov concentration ntawm bilirubin hauv cov ntshav, cholecystitis, mob gallstone.
- Dermatological ntshawv siab - khaus, ua xua tshwm sim, ua pob.
- Tej leeg hauv nruab nrog cev - mob tob hau, kiv taub hau, tsaus muag.
Muaj ib tug xov tooj ntawm contraindications txwv tsis pub siv ntawm hluavtaws qauv ntawm somatostatin. Categorically, cov tshuaj tsis tuaj yeem siv nrog lub siab rhiab rau nws cov khoom siv.
Cov tshuaj tiv thaiv sib kis yog cov ntshav qab zib, cholelithiasis, cev xeeb tub thiab lactation. Puas yog nws ua tau los tswj hwm Sandostatin rau menyuam yaus? Cov kev paub ntawm kev kho tus menyuam nrog tshuaj muaj tsawg, yog li kev txiav txim siab ntawm kev tsim nyog ntawm kev siv nws yuav tsum ua los ntawm tus kws kho mob uas koom nrog.
Hais txog kev xeeb tub thiab lactation, Sandostatin siv rau thaum muaj xwm txheej ceev. Tom qab tag nrho, kev tshawb fawb qhia pom ntau npaum li cas yog tau nqus rau hauv cov mis thiab qhov tsis qhia tus poj niam.
Lwm cov yam ntxwv ntawm cov tshuaj:
- Hauv kev kho cov neeg mob laus, tsis tas yuav txo qhov tsuas tshuaj.
- Txij li thaum kiv taub hau feem ntau tshwm sim tom qab kev tswj hwm cov tshuaj thaum kho, yuav tsum ceev faj thaum tsav tsheb thiab ua haujlwm uas yuav tsum muaj kev tawm tsam sai.
- Octreotide nres qhov nqus ntawm cimetidine thiab cyclosporin.
- Txhawm rau kom txo qis qhov ntxim nyiam ntawm kev txhim kho qhov tsis zoo ntawm lub plab zom mov, nws yog qhov zoo dua los tswj cov tshuaj ua ntej mus pw lossis nruab nrab ntawm cov zaub mov noj.
- Nrog cov tshuaj insulin-mob ntshav qab zib mellitus thaum kho nrog Sandostatin, qhov xav tau rau insulin tsawg dua.
Nrog rau kev siv tsis raws cai ntawm cov tshuaj, ib qho kev siv ntau tshaj yuav tshwm sim.
Qhov xwm txheej no yog tus cwj pwm mob raws plab, cuam tshuam ntau zaus ntawm kev ua tsis ncaj ncees ntawm lub siab, lub plab tsis xis nyob, ntsej muag ntsej muag, xeev siab, thiab tso quav.
Nqi, khoom noj khoom haus, tshuaj xyuas
Cov tshuaj muaj peev xwm yuav tau tom tsev muag tshuaj tsuas yog tias muaj ntawv sau ntawv yuav tshuaj los ntawm kws kho mob. Nws tus nqi nyob ntawm 1800 txog 3000 rubles.
Feem ntau cov qauv ntawm Sandostatin yog Octreotide, Okeron, Genfastat, Octra, Octrade, Octretex, Ukreotide, Seraxtal, Okreastatin thiab lwm tus. Tsis muaj qhov tseeb analogues ntawm cov tshuaj hauv cov ntsiav tshuaj.
Kev tshuaj xyuas ntawm cov neeg mob uas raug mob pancreatitis txog Sandostatin yog qhov zoo. Cov tshuaj sai sai txo qhov mob nrog o ntawm cov txiav. Txawm li cas los xij, nws muaj lub zog tsis zoo rau daim siab, thiab nws tus nqi yog siab heev. Yog li, cov tshuaj yog kws kho tsuas yog tshwj xeeb.
Hais txog yeeb tshuaj Sandostatin tau piav qhia hauv cov yeeb yaj kiab hauv tsab xov xwm no.
