Video: Vim li cas thiaj siv octreotide hauv GI los ntshav?
2024 Tus sau: Michael Samuels | [email protected]. Kawg hloov kho: 2023-12-16 01:44
Octreotide yog nquag siv nyob rau hauv ED rau cov neeg mob uas muaj keeb kwm ntawm cirrhosis uas muaj qhov nruab nrab lossis hnyav sab saud GI ntshav xav tias yog los ntawm qhov chaw variceal. Octreotide inhibits qhov kev tso tawm ntawm glucagon, uas yog lub vas nthiv splanchnic vasodilator. Lawv pom tsis muaj kev txo qis hauv kev tuag nrog tshuaj octreotide.
Tsis tas li, ua li cas octreotide ua haujlwm hauv GI ntshav?
Muaj pov thawj los txhawb kev siv tshuaj octreotide nyob rau hauv variceal thiab tsis-variceal sab sauv GI ntshav (UAB). Raws li somatostatin analogue, octreotide tshuaj khi nrog endothelial cell somatostatin receptors, ua kom muaj zog, nrawm thiab ntev vaso-constriction [1]. Octreotide inhibits acid thiab pepsin secretion.
Ib tug kuj yuav nug, octreotide ua li cas thiaj li tsis txhob los ntshav variceal? Cov vasoconstrictors somatostatin thiab octreotide yog siv los kho tus mob hnyav los ntshav nyob rau hauv cov neeg mob uas muaj ntshav siab portal ua ntej ua endoscopy. Infusions ntawm infusions octreotide yuav qis portal ntshav siab thiab tuaj yeem tiv thaiv rebleeding thaum tus neeg mob pib mus pw hauv tsev kho mob.
Ua raws li qhov no, vim li cas peb thiaj siv PPI rau GI los ntshav?
PIB txo plab hnyuv acid secretion mus txog 36 teev, 41 yog li txhawb kev kho mob ntawm qhov txhab thiab erosions nrog rau kev ruaj khov thrombi thiab txo tus nqi ntawm GI ntshav hauv cov neeg mob ntawm DAPT.
Vim li cas peb thiaj muab octreotide?
Octreotide yog siv los kho mob raws plab hnyav thiab ua rau lub ntsej muag thiab caj dab liab liab tshwm sim los ntawm qee yam qog (piv txwv li, qog nqaij hlav carcinoid, vasoactive hnyuv peptide qog) uas yog pom feem ntau hauv cov hnyuv thiab txiav txiav.
Pom zoo:
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