Peni Bynfezia, SandoSTATIN, SandoSTATIN LAR Depot
Hoʻohana ʻia ka inikini ʻo Octreotide e mālama i ka maʻi ʻōpū nui a me nā hōʻailona ʻē aʻe e hele mai me kekahi mau ʻaʻai ʻōpū (e laʻa, nā ʻaʻai peptide vasoactive intestinal a i ʻole VIPomas) a i ʻole nā ʻaʻai carcinoid metastatic (nā ʻaʻai i pālahalaha aku i ke kino). ʻAʻole ia e ho'ōla i ka ʻaʻai akā kōkua ia i ka mea maʻi e ʻoluʻolu hou aku. Hoʻohana ʻia hoʻi ka inikini ʻo Octreotide e mālama i kahi kūlana i kapa ʻia ʻo acromegaly, kahi i hana ʻia e ka nui o ka hormone ulu i ke kino. ʻO ka nui o ka hormone ulu i hana ʻia i nā mākua e hana i nā lima, nā wāwae, a me nā ʻāpana o ka maka e lilo i nui, mānoanoa, a momona. Hiki ke ulu mai nā pilikia ʻē aʻe, e like me ka maʻi ʻāʻī. Hana ʻo Octreotide ma ka ho'ēmi ʻana i ka nui o ka hormone ulu i hana ʻia e ke kino. Loaʻa wale kēia lāʻau lapaʻau me ka palapala kauoha a kāu kauka. Loaʻa kēia huahana ma nā ʻano dosage e like me kēia:
I ka hoʻoholo ʻana e hoʻohana i kahi lāʻau lapaʻau, pono e kaulike i nā pilikia o ka lawe ʻana i ka lāʻau lapaʻau me ka pono e hana ai. He hoʻoholo kēia āu a me kāu kauka e hana ai. No kēia lāʻau lapaʻau, pono e noʻonoʻo i nā mea aʻe: E haʻi aku i kāu kauka inā ua loaʻa iā ʻoe kekahi hopena maʻamau ʻole a i ʻole nā hopena ʻē aʻe i kēia lāʻau lapaʻau a i ʻole nā lāʻau lapaʻau ʻē aʻe. E haʻi aku pū i kāu limahana mālama ola inā loaʻa iā ʻoe nā ʻano ʻē aʻe o nā maʻi ʻiliʻili, e like me nā meaʻai, nā kala, nā mea mālama, a i ʻole nā holoholona. No nā huahana kūʻai ʻole ʻia, e heluhelu pono i ka lepili a i ʻole nā mea hoʻohui pūʻolo. ʻAʻohe mau haʻawina kūpono i hana ʻia ma ka pilina o ka makahiki i nā hopena o ke ʻano pōkole o ka inikini octreotide a i ʻole ke ʻano lōʻihi o ka inikini octreotide i ka heluna keiki. ʻAʻole i hōʻike ʻia ka palekana a me ka pono. ʻOiai ʻaʻohe mau haʻawina kūpono i hana ʻia ma ka pilina o ka makahiki i nā hopena o ka inikini octreotide i ka heluna geriatric, ʻaʻole i manaʻo ʻia nā pilikia geriatric-kūikawā e kaupalena i ka pono o ka inikini octreotide i nā ʻelemakule. Eia naʻe, ʻoi aku ka nui o nā poʻe ʻelemakule i loaʻa nā pilikia o ka puʻupaʻa, ate, a i ʻole naʻau pili i ka makahiki, kahi e pono ai ke akahele a me ka hoʻoponopono ʻana i ka nui no nā mea maʻi e loaʻa ana i ka inikini octreotide. ʻAʻohe mau haʻawina lawa i nā wāhine no ka hoʻoholo ʻana i ka pilikia o ka pēpē i ka wā e hoʻohana ana i kēia lāʻau lapaʻau i ka wā hānai. E kaulike i nā pono hiki ke loaʻa me nā pilikia hiki ke loaʻa ma mua o ka lawe ʻana i kēia lāʻau lapaʻau i ka wā hānai. ʻOiai ʻaʻole pono e hoʻohana pū ʻia kekahi mau lāʻau lapaʻau, i nā hihia ʻē aʻe, hiki ke hoʻohana pū ʻia ʻelua mau lāʻau lapaʻau ʻokoʻa ʻoiai inā hiki ke loaʻa kahi pilina. I kēia mau hihia, makemake paha kāu kauka e hoʻololi i ka nui, a i ʻole nā palekana ʻē aʻe paha e pono ai. I ka wā e lawe ana ʻoe i kēia lāʻau lapaʻau, he mea nui loa ia i kāu limahana mālama ola e ʻike inā ke lawe nei ʻoe i kekahi o nā lāʻau lapaʻau i helu ʻia ma lalo nei. Ua koho ʻia nā pilina aʻe ma muli o ko lākou koʻikoʻi hiki ke loaʻa a ʻaʻole pono nā mea āpau. ʻAʻole ʻōlelo ʻia ka hoʻohana ʻana i kēia lāʻau lapaʻau me kekahi o nā lāʻau lapaʻau aʻe. Hiki i kāu kauka ke hoʻoholo ʻaʻole e mālama iā ʻoe me kēia lāʻau lapaʻau a hoʻololi paha i kekahi o nā lāʻau lapaʻau ʻē aʻe āu e lawe nei. ʻAʻole ʻōlelo ʻia ka hoʻohana ʻana i kēia lāʻau lapaʻau me kekahi o nā lāʻau lapaʻau aʻe, akā hiki ke koi ʻia i kekahi mau hihia. Inā kuhikuhi ʻia ʻelua mau lāʻau lapaʻau pū, hiki i kāu kauka ke hoʻololi i ka nui a i ʻole ka pinepine o kāu hoʻohana ʻana i hoʻokahi a i ʻole ʻelua mau lāʻau lapaʻau. Hiki i ka hoʻohana ʻana i kēia lāʻau lapaʻau me kekahi o nā lāʻau lapaʻau aʻe ke hoʻonui i ka pilikia o kekahi mau hopena ʻaoʻao, akā ʻo ka hoʻohana ʻana i nā lāʻau lapaʻau ʻelua paha ka mālama maikaʻi loa no ʻoe. Inā kuhikuhi ʻia ʻelua mau lāʻau lapaʻau pū, hiki i kāu kauka ke hoʻololi i ka nui a i ʻole ka pinepine o kāu hoʻohana ʻana i hoʻokahi a i ʻole ʻelua mau lāʻau lapaʻau. ʻAʻole pono e hoʻohana ʻia kekahi mau lāʻau lapaʻau i ka wā a i ʻole kokoke i ka wā e ʻai ai i ka meaʻai a i ʻole ka ʻai ʻana i kekahi mau ʻano meaʻai ʻoiai hiki ke loaʻa nā pilina. Hiki i ka hoʻohana ʻana i ka waiʻona a i ʻole ka paka me kekahi mau lāʻau lapaʻau ke hoʻokumu pū i nā pilina. E kūkākūkā me kāu limahana mālama ola i ka hoʻohana ʻana i kāu lāʻau lapaʻau me ka meaʻai, ka waiʻona, a i ʻole ka paka. Hiki i ka loaʻa ʻana o nā pilikia olakino ʻē aʻe ke hoʻopilikia i ka hoʻohana ʻana i kēia lāʻau lapaʻau. E hōʻoia e haʻi aku i kāu kauka inā loaʻa iā ʻoe nā pilikia olakino ʻē aʻe, ʻoiai:
Hiki i kahi nānaihe a i ʻole kekahi limahana ola kino i aʻo ʻia ke hāʻawi iā ʻoe i kēia lāʻau. Hāʻawi ʻia ia ma ke ʻano he pana ma lalo o kou ʻili a i ʻole nā ʻiʻo, a i ʻole ma ke ʻano he nila i hoʻokomo ʻia i loko o kekahi o kou mau veins. Hiki nō hoʻi ke hāʻawi ʻia kēia lāʻau ma ka home i nā mea maʻi ʻaʻole pono e noho i loko o kahi hale mālama ola. Inā hoʻohana ʻoe i kēia lāʻau ma ka home, e aʻo aku kāu kauka a i ʻole nānaihe iā ʻoe pehea e hoʻomākaukau ai a me ka hoʻopili ʻana i ka lāʻau. E hōʻoia ʻoe e maopopo iā ʻoe pehea e hoʻohana ai i ka lāʻau. Inā hoʻohana ʻoe i kēia lāʻau ma ka home, e hōʻike ʻia nā wahi o ke kino kahi e hiki ai ke hāʻawi ʻia kēia pana. E hoʻohana i kahi wahi kino ʻokoʻa i kēlā me kēia manawa āu e hāʻawi ai iā ʻoe iho i ka pana. E mālama i kahi āu e hāʻawi ai i kēlā me kēia pana e hōʻoia e hoʻololi ʻoe i nā wahi o ke kino. E kōkua kēia e pale aku i nā pilikia ʻili mai nā inikini. ʻO ka maʻamau, hele mai kēia lāʻau me ka ʻike a i ʻole nā kuhikuhi no nā mea maʻi. E heluhelu pono iā lākou a e hōʻoia ʻoe e maopopo iā lākou ma mua o ka hoʻohana ʻana i kēia lāʻau. Inā he nīnau kāu, e nīnau i kāu kauka. ʻAʻole paha ʻoe e hoʻohana i nā lāʻau āpau i loko o kēlā me kēia ampul a i ʻole vial (pāʻoihana aniani) a i ʻole peni i hoʻopiha mua ʻia. Mai mālama i kahi ampul a vial a i ʻole peni i hoʻopiha mua ʻia i wehe ʻia. Inā ua loli ke kala o ka lāʻau i loko o ka ampul a i ʻole vial a i ʻole peni i hoʻopiha mua ʻia, a i ʻole inā ʻike ʻoe i nā ʻāpana i loko, mai hoʻohana. Hiki i kekahi mau mea maʻi ke manaʻo i ka ʻeha, ka ʻā, ka tingling, a i ʻole nā manaʻo kuni ma kahi āu e hoʻopili ai i ka lāʻau. ʻO ka hoʻopili ʻana i ka lāʻau ma hope o ka hoʻomehana ʻia ʻana i ka mahana o ka lumi ma mua o ke anuanu mai ka pahu hau e hiki ke hoʻemi i ka ʻoluʻolu ʻole. Eia naʻe, mai hoʻohana i ka wela e hoʻomehana wikiwiki ai no ka mea hiki i ka wela ke luku i ka lāʻau. E kau i nā nila a me nā syringes i hoʻohana ʻia i loko o kahi pahu hoʻolei hiki ʻole ke hoʻopili ʻia a i ʻole e hoʻolei iā lākou e like me ke kuhikuhi a kāu kauka. Mai hoʻohana hou i nā nila a me nā syringes. E ʻokoʻa ka nui o kēia lāʻau no nā mea maʻi like ʻole. E hahai i nā kauoha a kāu kauka a i ʻole nā kuhikuhi ma ka lepili. ʻO ka ʻike ma lalo nei e komo wale i nā nui awelika o kēia lāʻau. Inā ʻokoʻa kāu nui, mai hoʻololi inā ʻaʻole kāu kauka i haʻi aku iā ʻoe e hana pēlā. ʻO ka nui o ka lāʻau āu e lawe ai e hilinaʻi ana i ka ikaika o ka lāʻau. Eia kekahi, ʻo ka nui o nā nui āu e lawe ai i kēlā me kēia lā, ka manawa i ʻae ʻia ma waena o nā nui, a me ka lōʻihi o ka manawa āu e lawe ai i ka lāʻau e hilinaʻi ana i ka pilikia olakino āu e hoʻohana ai i ka lāʻau. Inā poina ʻoe i kahi nui o kēia lāʻau, e lawe koke iā ia. Eia naʻe, inā kokoke i ka manawa no kāu nui aʻe, e haʻalele i ka nui i poina a hoʻi i kāu papa hana hoʻohana maʻamau. Mai pālua i nā nui. Inā poina ʻoe i kahi nui o ke ʻano lōʻihi o kēia lāʻau, e kelepona i kāu kauka. E mālama i kahi mamao aku o nā keiki. Mai mālama i ka lāʻau i hala ka lā a i ʻole ka lāʻau ʻaʻole pono hou. E nīnau i kāu limahana mālama ola pehea ʻoe e hoʻolei ai i kekahi lāʻau āu ʻaʻole e hoʻohana. E mālama i loko o ka pahu hau. Mai hoʻoilo. Hiki iā ʻoe ke mālama i nā vials ma ka mahana o ka lumi, mamao aku mai ka wela a me ka mālamalama pololei, no 14 mau lā. E hoʻolei i kekahi lāʻau i hoʻohana ʻole ʻia ma hope o 14 mau lā. Ma hope o ka hoʻohana mua ʻana i ka peni i hoʻopiha mua ʻia, hiki iā ʻoe ke mālama iā ia ma ka mahana o ka lumi, mamao aku mai ka wela a me ka mālamalama pololei, no 28 mau lā. E hoʻolei i kekahi lāʻau i hoʻohana ʻole ʻia ma hope o 28 mau lā. E hoʻolei i nā nila i hoʻohana ʻia i loko o kahi pahu paʻa, pani ʻia e hiki ʻole i nā nila ke houluulu. E mālama i kēia pahu mamao aku o nā keiki a me nā holoholona.
Hōʻole: He kahua ʻike olakino ʻo ʻAukake a ʻaʻole hōʻike kāna mau pane i ka ʻōlelo aʻoaʻo lapaʻau. E kūkākūkā mau me kahi ʻoihana lapaʻau laikini kokoke iā ʻoe ma mua o ka hana ʻana i nā hoʻololi.
Hana ʻia i India, no ka honua