Icyo Octreotide ari cyo: Ibyo ikoreshwa, urugero rwo gufata, ingaruka ziterwa n'ibindi

Octreotide ni umuti wa hormone ukorwa mu buryo bwa gihanga wigana hormone isanzwe yitwa somatostatin mu mubiri wawe. Bitekereze nk'intumwa yihariye ifasha kugenzura irekurwa rya hormone zimwe na zimwe n'ibintu bishobora gutera ibimenyetso bitari byiza. Uyu muti ufasha cyane abantu bahanganye n'indwara zifitanye isano na hormone cyangwa ubwoko runaka bwa kanseri itanga hormone nyinshi.

Icyo Octreotide ari cyo?

Octreotide ni verisiyo yakozwe n'abantu ya somatostatin, hormone umubiri wawe usanzwe ukora kugira ngo ugenzure izindi hormone. Pancreasi yawe n'amara asanzwe akora somatostatin kugira ngo akomeze imikorere itandukanye y'umubiri mu buryo bwiza. Iyo ufata octreotide, yinjira kugira ngo ikore akazi neza kurusha uko umubiri wawe ushobora kubikora wenyine.

Uyu muti ubarirwa mu cyiciro cy'imiti yitwa somatostatin analogs. Ijambo

Mu bintu bike bibaho, abaganga rimwe na rimwe bakoresha octreotide ku bindi bibazo nk'ubwoko bumwe bwa hypoglycemia cyangwa gufasha kugenzura ibimenyetso biturutse ku duheri twa pancreatic. Umuganga wawe azagena niba uyu muti ukwiriye kubera uko urwaye.

Octreotide ikora ite?

Octreotide ikora muguhuza n'utunyangingo twihariye mumubiri wawe, nk'uko urufunguzo rujyana mu gikingi. Iyo ihujwe n'utwo tunyangingo, yohereza ibimenyetso bigabanya umuvuduko wo kurekura imisemburo itandukanye n'ibintu bitandukanye. Ibi ni ngombwa cyane iyo ibibyimba bikora ibintu byinshi cyane.

Uyu muti ufashwe nk'ukomeye kandi ugamije cyane mu bikorwa byawo. Ntabwo bigira ingaruka ku buryo bwose bw'imisemburo yawe ariko bigamije inzira zihariye ziteza ibibazo. Ubu buryo bugamije bufasha kugabanya ibimenyetso bitifuzwa mugihe bigabanya ingaruka ku zindi mirimo y'umubiri.

Abantu benshi batangira kumva ko bahumurizwa mumasaha make cyangwa iminsi nyuma yo gutangira kuvurwa. Inyungu zose akenshi zigaragara muminsi mike igihe umubiri wawe wimenyereza umuti n'imisemburo igahagarara.

Nkwiriye gufata Octreotide nte?

Octreotide iza muburyo butandukanye, kandi muganga wawe azahitamo uburyo bwiza kuri wewe. Uburyo bwo kurekura ako kanya akenshi butangwa nk'urushinge munsi y'uruhu inshuro ebyiri kugeza enye kumunsi. Hariho kandi uburyo bukora igihe kirekire buterwa mumitsi rimwe mumwaka.

Kubijyanye n'inkingo, birashoboka ko wiga kuzitera wenyine murugo. Itsinda ryawe ryo kwita ku buzima rizakwigisha uburyo bukwiye n'uburyo bwo guhinduranya ahaterwa inkingo. Ahantu hasanzwe haterwa inkingo harimo itako ryawe, ukuboko kwo hejuru, cyangwa inda. Ni ngombwa guhinduranya aho utera inkingo kugirango wirinde kurakara kw'uruhu.

Urashobora gufata octreotide hamwe cyangwa utaranye n'ibiryo, nubwo kubifata kumwanya umwe buri munsi bifasha kugumana urwego rwo hejuru mumubiri wawe. Niba urimo guhabwa urushinge rwa buri kwezi, uzakenera gusura ibiro bya muganga wawe cyangwa ivuriro kugirango ukore iki gikorwa.

Ndebera Octreotide Mugihe Kingana Giki?

Ubugufi bwo kuvurwa na octreotide biterwa rwose n'uburwayi bwawe bwihariye n'uburyo wemera imiti. Abantu bamwe bayikeneye mu mezi make gusa, mu gihe abandi bashobora kuyifata imyaka cyangwa ndetse iteka.

Niba ufite carcinoid syndrome cyangwa izindi kanseri zikora imisemburo, ushobora gukenera kuvurwa igihe kirekire kugira ngo ibimenyetso bigumane mu bugenzuzi. Muganga wawe azagenzura buri gihe uburyo umuti ukora neza niba urimo guhura n'ingaruka zose ziteye impungenge.

Mu bihe by'ubutabazi nk'amaraso ava mu mitsi, octreotide ikoreshwa mu minsi mike gusa. Ntukigere uhagarika gufata octreotide ako kanya utabanje kuvugana na muganga wawe, kuko ibi bishobora gutuma ibimenyetso byawe bisubira vuba.

Ni Iyihe Ngaruka Ziterwa na Octreotide?

Kimwe n'imiti myinshi, octreotide irashobora gutera ingaruka, nubwo atari buri wese uzihura nazo. Inkuru nziza ni uko ingaruka nyinshi zishobora kugenzurwa kandi akenshi zikagenda neza uko umubiri wawe umenyera umuti.

Dore ingaruka zisanzwe ushobora guhura nazo:

• Urugimbu n'inda itagenda neza
• Impiswi cyangwa imyanda yoroshye
• Urubavu rw'inda cyangwa kuribwa
• Ibyavuye mu gace batera inshinge nk'umutuku cyangwa kubyimba
• Umutwe
• Urugero
• Kunanirwa

Izi ngaruka zisanzwe akenshi zigenda neza mu byumweru bike uko umubiri wawe wimenyereza umuti. Ariko, ugomba kuvugana na muganga wawe niba zikomeye cyangwa ntizigende neza uko igihe kigenda.

Abantu bamwe bashobora guhura n'ingaruka zikomeye ariko zitabaho kenshi zisaba ubufasha bwa muganga:

• Ibibazo bya gallbladder cyangwa amabuye ya gallbladder
• Impinduka mu rugero rw'isukari mu maraso
• Impinduka z'imikorere ya thyroid
• Umutima utagenda neza
• Urubavu rukomeye rw'inda
• Umuhondo w'uruhu cyangwa amaso

Mu buryo butajya buvugwa, abantu bamwe bashobora kugira ikibazo cya vitamin B12 iyo bamaze kuyikoresha igihe kirekire, cyangwa bagahura n'uburwayi bukomeye bwo kwivumbura ku bintu. Muganga wawe azajya akugenzura buri gihe kugira ngo amenye ibibazo byose bishobora kuvuka hakiri kare.

Ninde utagomba gufata Octreotide?

Octreotide ntibereye buri wese, kandi muganga wawe azabanza yitonze amateka yawe y'ubuzima mbere yo kukwandikira umuti. Ntugomba gufata octreotide niba urwaye allergie yayo cyangwa ibiyigize byose.

Muganga wawe azitonda cyane mu kukwandikira octreotide niba ufite ibibazo bimwe na bimwe:

• Uburwayi bwa diyabete cyangwa ibibazo by'isukari mu maraso
• Uburwayi bw'umwijima cyangwa amateka y'amabuye yo mu mwijima
• Uburwayi bwo mu ngingo zikora imisemburo ya thyroïde
• Ibibazo by'umutima
• Uburwayi bw'impyiko cyangwa umwijima
• Ikibazo cya vitamin B12

Niba utwite cyangwa wonsha, muganga wawe azagereranya neza inyungu n'ibibazo. Nubwo octreotide itazwiho gutera ubumuga ku bana bavuka, ntisanzwe itangwa mu gihe cyo gutwita keretse bibaye ngombwa.

Amazina y'ubwoko bwa Octreotide

Octreotide iboneka mu mazina menshi y'ubwoko, aho Sandostatin ariyo izwi cyane. Uburyo bukoreshwa ako kanya bwitwa Sandostatin, naho urushinge rukoreshwa mu gihe kirekire buri kwezi rwitwa Sandostatin LAR.

Andi mazina y'ubwoko arimo Mycapssa, ikoreshwa mu buryo bwo kunywa, n'uburyo butandukanye bwa generic. Farumasi yawe ishobora kugira ubwoko butandukanye, ariko byose birimo ikintu kimwe gikora kandi bikora mu buryo bumwe.

Uburyo bwo gusimbuza Octreotide

Niba octreotide itagukwiriye cyangwa idakora neza bihagije, muganga wawe afite izindi nzira zo gutekereza. Lanreotide ni undi somatostatin analog ikora kimwe na octreotide kandi ishobora kuba igisubizo cyiza.

Ku bibazo byihariye, izindi nshuti zirimo:

• Pasireotide ku gihaha cy’impyisi zimwe na zimwe
• Telotristat ku mpiswi ziterwa na syndrome ya carcinoid
• Diazoxide ku bwoko bumwe na bumwe bwa hypoglycemia
• Ubuvuzi butandukanye bw’indwara ya kanseri bugamije ahantu runaka bitewe n’ubwoko bwa kanseri ufite

Muganga wawe azatekereza ku buzima bwawe bwihariye, uburyo wabyitwayemo neza ku bundi buvuzi, n’ubuzima bwawe muri rusange mugihe ashaka izindi nzira.

Ese Octreotide iruta Lanreotide?

Zose uko ari ebyiri, octreotide na lanreotide ni imiti myiza ikora mu buryo bumwe. Nta na rimwe riruta irindi - guhitamo akenshi biterwa n’ibintu byihariye nk’uburyo wabyitwayemo neza, ingaruka zikubaho, n’ibitekerezo bifatika.

Abantu bamwe basanga umuti umwe woroshye kuruta undi. Urugero, lanreotide ishobora gutangwa kenshi, mugihe octreotide itanga uburyo bwo gupima bwinshi. Muganga wawe azagufasha kumenya uburyo bujyanye n’imibereho yawe n’ibyo ukeneye mu buvuzi.

Ikintu cy’ingenzi ni ukubona umuti uguha uburyo bwiza bwo kugenzura ibimenyetso hamwe n’ingaruka nke. Ibi rimwe na rimwe bisaba kugerageza uburyo butandukanye kugirango urebe icyo gikora neza ku mubiri wawe.

Ibibazo Bikunze Kubazwa Kuri Octreotide

Q1. Ese Octreotide irakwiriye abantu barwaye diyabete?

Octreotide irashobora gukoreshwa ku bantu barwaye diyabete, ariko bisaba gukurikiranwa neza. Uyu muti ushobora kugira ingaruka ku rugero rw’isukari mu maraso, rimwe na rimwe bituma ruzamuka cyane cyangwa rukagabanuka cyane. Muganga wawe ashobora gushaka gupima isukari mu maraso yawe kenshi mugihe utangiye gufata octreotide.

Niba urwaye diyabete, ntugire impungenge - abantu benshi barwaye diyabete bafata octreotide mu buryo bwizewe. Itsinda ryawe ry’ubuvuzi rizakorana nawe kugirango uhindure imiti yawe ya diyabete niba bikenewe kandi rikuzanishe ibimenyetso byo kwitondera.

Q2. Nkwiriye gukora iki niba nifashishije octreotide nyinshi ku buryo butunguranye?

Niba wanyoye octreotide nyinshi mu buryo butunganye, vugana na muganga wawe cyangwa ikigo gishinzwe ubumara ako kanya. Kunywa doze nyinshi bishobora gutera isesemi ikabije, kuruka, impiswi, isereri, cyangwa impinduka mu rugero rw'isukari mu maraso.

Ntugerageze "gukemura" ikibazo ukoresheje kwirengagiza doze yawe ikurikira. Ahubwo, shakisha inama z'ubuvuzi ako kanya. Muganga wawe ashobora kwifuza kugukurikiranira hafi cyangwa gutanga imiti yihariye kugira ngo ifashe gucunga ibimenyetso byose.

Q3. Nkwiriye gukora iki niba nirengagije doze ya Octreotide?

Niba wirengagije doze y'ubwoko bwo gusohoka ako kanya, yifate ako kanya wibuka, keretse igihe kigeze cyo gufata doze yawe ikurikira. Muri icyo gihe, irengagize doze yirengagijwe ukomeze gahunda yawe isanzwe. Ntukigere ufata doze ebyiri icyarimwe kugira ngo usimbure doze yirengagijwe.

Ku bijyanye n'urukingo rwa buri kwezi rukora igihe kirekire, vugana n'ibiro bya muganga wawe vuba bishoboka kugira ngo utegure bundi bushya. Bazagufasha kumenya igihe cyiza cyo guterwa urukingo rwawe rukurikira kugira ngo urinde urugero rw'imiti ruhagije.

Q4. Nshobora guhagarika gufata Octreotide ryari?

Ntuzigere uhagarika gufata octreotide ako kanya utabanje kuvugana na muganga wawe. Ibimenyetso byawe bishobora kugaruka vuba kandi bishobora no kuba bibi kurusha mbere yo gutangira kuvurwa. Muganga wawe azashaka kugabanya buhoro buhoro doze yawe cyangwa agufashe kwimukira ku bundi buvuzi niba bikwiye.

Umwanzuro wo guhagarika octreotide biterwa n'uburwayi bwawe bw'ibanze, uko witwara neza ku buvuzi, niba uburwayi bwawe bwarateye imbere cyangwa bukavurwa. Itsinda ryawe ry'ubuzima rizaguyaguza muri ubu buryo mu buryo butekanye.

Q5. Nshobora kugenda nifashisha Octreotide?

Yego, urashobora kugenda ukoresha octreotide, ariko bisaba gutegura. Niba wifata inshinge wenyine, uzakenera kuzana imiti ihagije yo gukoresha mu rugendo rwawe rwose hamwe n'iminsi mike y'inyongera. Bika imiti yawe mu gikapu cyawe cyo mu ntoki kandi uzane ibaruwa ivuye kwa muganga wawe isobanura impamvu ukenera inshinge.

Ku bijyanye n'urukingo rwo mu kwezi, gerageza gutegura urugendo rwawe hakurikijwe amatariki yo guterwa urukingo, cyangwa utegure guterwa urukingo mu kigo cy'ubuvuzi aho ujya. Muganga wawe ashobora kugufasha gutegura mbere kugira ngo wirinde gucikanwa n'urukingo rwo mu gihe uri mu rugendo.