Octreotide (whakawhānuitanga werohanga, huarahi o roto i te uaua, huarahi o raro i te kiri)
Ngā waitohu e wātea ana
Peni Bynfezia, SandoSTATIN, Te Whare Pūtea SandoSTATIN LAR
Mō tēnei rongoā
Ko te werohinga o te octreotide e whakamahia ana hei whakaora i te ruaki nui me etahi atu tohu e puta mai ana me etahi mate pukupuku o te kopu (hei tauira, nga mate pukupuku o te waipiro-waipiro ranei nga VIPomas) te mate pukupuku carcinoid metastatic ranei (nga mate pukupuku kua horapa ki te tinana). E kore e rongoa te mate pukupuku, engari e awhina ana i te manawanui kia pai ake te ahua. Ka whakamahia ano te werohinga o te octreotide hei whakaora i tetahi ahuatanga e kiia nei ko te acromegaly, he mea hanga na te nui o te homoni tipu i roto i te tinana. Ko te nui o te homoni tipu i whakaputaina e nga pakeke ka nui, ka matotoru, ka nui nga ringa, nga waewae, me etahi wahi o te mata. Ka taea hoki te whanake i etahi atu raruraru, penei i te mate rewharewha. Ka mahi te Octreotide ma te whakaiti i te nui o te homoni tipu e whakaputaina ana e te tinana. Ko tenei rongoa ka watea anake me te whakahau a to taakuta. Ko tenei hua kei te watea i roto i enei momo horoinga rongoa e whai ake nei:
I mua i te whakamahi i tēnei rongoā
I roto i te whakatau ki te whakamahi i te rongoā, me whakarite te kino o te tango i te rongoā ki te pai ka mahia. Koinei te whakatau ka mahia e koe me tō tākuta. Mō tēnei rongoā, me whakaarohia enei mea e whai ake nei: Korero atu ki tō tākuta mēnā kua pāngia koe e tetahi āhuatanga rerekē, ā, te mate pāwera rānei ki tēnei rongoā, ki ētahi atu rongoā rānei. Korero atu hoki ki tō kaimahi hauora mēnā kei a koe ētahi atu momo mate pāwera, pēnei i ngā kai, ngā tae, ngā whakaora, ngā kararehe rānei. Mō ngā hua kore-whakahaunga, panuihia te tohu, te whakauru rānei o te kete. Kāo te mahi i ngā rangahau tika mō te hononga o te tau ki ngā pānga o te ahua poto-wā o te werohanga octreotide, te ahua roa-wā rānei o te werohanga octreotide i roto i te taupori tamariki. Kāo te whakaatu i te ora me te whai hua. Ahakoa kāo te mahi i ngā rangahau tika mō te hononga o te tau ki ngā pānga o te werohanga octreotide i roto i te taupori kaumātua, kāo te tumanako kia ārai ngā raruraru motuhake ki ngā kaumātua i te whakamahi i te werohanga octreotide ki ngā kaumātua. Heoi, he nui ake te tūponotanga o ngā tūāhine kaumātua ki te whai i ngā raruraru whatukuhu, ate, ngā ngakau rānei e pā ana ki te pakeke, ā, ka hiahiatia pea te tupato me te whakarereke i te rongoā mō ngā tūāhine e whiwhi ana i te werohanga octreotide. Kāo he rangahau tika i ngā wāhine mō te whakatau i te tūponotanga o te pēpi ina whakamahi i tēnei rongoā i te wā e whāngai u. Whakaritea ngā painga pea ki ngā tūponotanga pea i mua i te tango i tēnei rongoā i te wā e whāngai u ana. Ahakoa kāo te whakamahi tahi i ētahi rongoā, i ētahi atu take, ka taea te whakamahi tahi i ngā rongoā rerekē e rua ahakoa ka puta pea te pānga. I enei take, ka hiahia pea tō tākuta ki te whakarereke i te rongoā, ki ētahi atu tupato rānei. I te wā e tango ana koe i tēnei rongoā, he mea nui rawa atu kia mōhio tō kaimahi hauora mēnā kei te tango koe i tetahi o ngā rongoā e whakarārangihia ana i raro nei. Kua tohua ngā pānga e whai ake nei i runga i te nui o te tūponotanga, ā, kāo pea te katoa. Kāo te tūtohutia te whakamahi i tēnei rongoā me tetahi o ngā rongoā e whai ake nei. Ka whakatau pea tō tākuta ki te kore e whakaora koe ki tēnei rongoā, ki te whakarereke rānei i ētahi o ngā rongoā e tangohia ana e koe. Kāo te tūtohutia te whakamahi i tēnei rongoā me tetahi o ngā rongoā e whai ake nei, engari ka hiahiatia pea i ētahi wā. Mēnā kua tohua ngā rongoā e rua tahi, ka whakarereke pea tō tākuta i te rongoā, te auau rānei e whakamahi ana koe i tetahi, i ngā rongoā rānei e rua. Ka pāngia pea te whakamahi i tēnei rongoā me tetahi o ngā rongoā e whai ake nei ki te nui haere o ētahi pānga, engari ko te whakamahi i ngā rongoā e rua pea te rongoā pai mōu. Mēnā kua tohua ngā rongoā e rua tahi, ka whakarereke pea tō tākuta i te rongoā, te auau rānei e whakamahi ana koe i tetahi, i ngā rongoā rānei e rua. Kāo te whakamahi i ētahi rongoā i te wā e kai ana, i te taha rānei o te kai, i te kai i ētahi momo kai rānei, nā te mea ka puta pea ngā pānga. Ka pāngia pea te whakamahi i te waipiro, i te tapeka rānei me ētahi rongoā ki te puta mai o ngā pānga. Kōrero atu ki tō kaimahi hauora te whakamahi i tō rongoā me te kai, te waipiro, te tapeka rānei. Ka pāngia pea te whakamahi i tēnei rongoā e te noho o ētahi atu raruraru hauora. Kia tino kī atu koe ki tō tākuta mēnā kei a koe ētahi atu raruraru hauora, ina koa:
Me pēhea te whakamahi i tēnei rongoā
He taakuta rongoa, rānei ētahi atu kaimahi hauora whakangungu, ka hoatu pea tēnei rongoā ki a koe. Ka hoatu hei pūwhatu ki raro i tō kiri, ki raro rānei i ou uaua, kāore rānei hei ngira e whakauruhia ana ki tētahi o ō uaua. Ka taea hoki te hoatu tēnei rongoā ki te kāinga ki ngā tūmanako kāore e hiahia ana kia noho ki tētahi whare hauora. Ki te whakamahi koe i tēnei rongoā ki te kāinga, ka whakaako tō taakuta, rānei tō nēhi ki a koe me pēhea te whakarite me te whakangau i te rongoā. Kia mōhio koe ki te whakamahi i te rongoā. Ki te whakamahi koe i tēnei rongoā ki te kāinga, ka whakaaturia ki a koe ngā wāhi o te tinana e taea ai te hoatu tēnei pūwhatu. Whakamahia tētahi wāhi o te tinana i ia wā e hoatu ana e koe ki a koe tētahi pūwhatu. Kia mau ki te wāhi e hoatu ana e koe ia pūwhatu kia mau ai te hurihuri i ngā wāhi o te tinana. Ka āwhina tēnei ki te aukati i ngā raruraru kiri mai i ngā whakangau. Ko te tikanga ka tae mai tēnei rongoā me ngā korero mō te manawanui, kāore rānei ngā aratohu. Pānuihia aua mea me te tino mōhio ki a rātou i mua i te whakamahi i tēnei rongoā. Ki te whai koe i ētahi pātai, ui atu ki tō taakuta. Kāore pea koe e whakamahi i te katoa o te rongoā i roto i ia ampul, i ia ipu karaihe rānei, i ia pene kua whakakiia rānei. Kaua e tiaki i te ampul, i te ipu karaihe rānei, i te pene kua whakakiia kua tuwhera. Ki te huri te tae o te rongoā i roto i te ampul, i te ipu karaihe rānei, i te pene kua whakakiia, kāore rānei ki te kite koe i ngā pūhui i roto i a ia, kaua e whakamahi. Ka rongo pea etahi manawanui i te mamae, te ngau, te wiri, te tahuna rānei i te wāhi e whakangau ana i te rongoā. Ko te whakangau i te rongoā i muri i te whakamahana ki te pāmahana o te ruma, kāore i te makariri mai i te pouaka whakamātao, ka taea te whakaiti i te kore ngāwari. Heoi, kaua e whakamahi i te wera hei whakamahana tere ake, no te mea ka taea e te wera te whakangaro i te rongoā. Whakatūwherahia ngā ngira me ngā pūha i roto i tētahi ipu whakaheke taonga kaore e taea te wero, kāore rānei te tuku atu i a rātou e ai ki ngā tohutohu a tō taakuta. Kaua e whakamahi hou i ngā ngira me ngā pūha. Ka rerekē te rongoā o tēnei rongoā mō ngā manawanui rerekē. Whai i ngā whakahau a tō taakuta, kāore rānei i ngā aratohu kei runga i te tohu. Ko ngā korero e whai ake nei kei roto noa i ngā rongoā toharite o tēnei rongoā. Ki te rerekē tō rongoā, kaua e whakarerekē, ki te kore tō taakuta e kī atu ki a koe kia mahi pera. Ko te nui o te rongoā e tangohia ana e koe e whakawhirinaki ana ki te kaha o te rongoā. I tua atu, ko te maha o ngā rongoā e tangohia ana e koe i ia rā, ko te wā e tukuna ana i waenga i ngā rongoā, me te roa o te wā e tangohia ana e koe te rongoā e whakawhirinaki ana ki te raruraru hauora e whakamahi ana koe i te rongoā. Ki te ngaro koe i tetahi rongoā o tēnei rongoā, tangohia tonu. Heoi, ki te tata ki te wā mō tō rongoā e whai ake nei, tukua te rongoā kua ngaro, ka hoki ki tō kaupapa rongoā noa. Kaua e rua ngā rongoā. Ki te ngaro koe i tetahi rongoā o te ahua roa o tēnei rongoā, whakapiri atu ki tō taakuta. Kia mamao atu i ngā tamariki. Kaua e pupuri i te rongoā kua pahure rānei te rongoā kāore e hiahiatia. Pātai atu ki tō kaimahi hauora me pēhea te tuku i tetahi rongoā kāore koe e whakamahi. Whakanoho ki te pouaka whakamātao. Kaua e whakakī. Ka taea hoki e koe te pupuri i ngā ipu karaihe i te pāmahana o te ruma, mamao atu i te wera me te mārama tika, tae atu ki te 14 rā. Tīpakohia tetahi rongoā kāore i whakamahia i muri i te 14 rā. I muri i te whakamahinga tuatahi o te pene kua whakakiia, ka taea e koe te pupuri i te pāmahana o te ruma, mamao atu i te wera me te mārama tika, tae atu ki te 28 rā. Tīpakohia tetahi rongoā kāore i whakamahia i muri i te 28 rā. Tīpakohia ngā ngira kua whakamahia ki roto i tētahi ipu pakeke, kua kati, kāore e taea e ngā ngira te wero. Pupuritia tēnei ipu mamao atu i ngā tamariki me ngā kararehe.