Insulini Glargine (chiyambi cha rDNA) jekeseni

Zamkati

• Musanagwiritse ntchito insulin glargine,
• Mankhwalawa amatha kusintha shuga m'magazi anu. Muyenera kudziwa zizindikiro za shuga wotsika kwambiri komanso zomwe muyenera kuchita ngati muli ndi izi.
• Insulini glargine imatha kuyambitsa zovuta. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi izi, pitani kuchipatala nthawi yomweyo kapena pitani kuchipatala:
• Insulini glargine overdose imatha kuchitika ngati mumagwiritsa ntchito insulin glargine kwambiri kapena ngati mumagwiritsa ntchito insulin glargine koma mumadya zochepa kuposa masiku onse kapena mumachita masewera olimbitsa thupi kuposa masiku onse. Insulini glargine bongo imatha kuyambitsa hypoglycemia. Ngati muli ndi zizindikiro za hypoglycemia, tsatirani malangizo a dokotala pazomwe muyenera kuchita ngati mukudwala matenda a hypoglycemia. Zizindikiro zina za bongo:

Insulini glargine imagwiritsidwa ntchito pochizira matenda amtundu woyamba 1 (momwe thupi silimatulutsa insulin motero silingathe kuwongolera kuchuluka kwa shuga m'magazi). Amagwiritsidwanso ntchito pochiza anthu omwe ali ndi matenda a shuga amtundu wa 2 (momwe thupi siligwiritsire ntchito insulini mwachizolowezi, chifukwa chake, silingathe kuwongolera kuchuluka kwa shuga m'magazi) omwe amafunikira insulin kuti athetse matenda awo ashuga. Mwa anthu omwe ali ndi matenda a shuga amtundu woyamba, insulin glargine ayenera kugwiritsidwa ntchito ndi mtundu wina wa insulini (insulin yochita kanthawi kochepa). Kwa anthu omwe ali ndi matenda a shuga amtundu wa 2, insulin glargine itha kugwiritsidwanso ntchito ndi mtundu wina wa insulini kapena mankhwala am'kamwa a matenda ashuga. Insulini glargine ndichinthu chachitetezo chamunthu chomwe chimatenga nthawi yayitali. Insulini glargine imagwira ntchito m'malo mwa insulini yomwe nthawi zambiri imapangidwa ndi thupi ndikuthandizira kusuntha shuga kuchokera m'magazi kupita munjira zina zathupi momwe amagwiritsidwira ntchito ngati mphamvu. Imaletsanso chiwindi kutulutsa shuga wambiri.

Popita nthawi, anthu omwe ali ndi matenda ashuga komanso shuga wambiri m'magazi amatha kukhala ndi mavuto owopsa kapena owopsa, kuphatikizapo matenda amtima, sitiroko, mavuto a impso, kuwonongeka kwa mitsempha, komanso mavuto amaso. Kugwiritsa ntchito mankhwala (mankhwala), kusintha moyo wanu (mwachitsanzo, zakudya, masewera olimbitsa thupi, kusiya kusuta), komanso kuwunika shuga wanu wamagazi pafupipafupi kungakuthandizeni kuthana ndi matenda anu ashuga komanso kukhala ndi thanzi labwino. Mankhwalawa amathanso kuchepetsa mwayi wokhala ndi vuto la mtima, sitiroko, kapena zovuta zina zokhudzana ndi matenda ashuga monga impso kulephera, kuwonongeka kwamitsempha (dzanzi, miyendo yozizira kapena mapazi; kuchepa kwa kugonana kwa amuna ndi akazi), mavuto amaso, kuphatikiza kusintha kutaya masomphenya, kapena matenda a chiseyeye. Dokotala wanu ndi ena othandizira zaumoyo adzakambirana nanu za njira yabwino yothetsera matenda anu ashuga.

Insulini glargine imabwera ngati yankho (madzi) kuti alowetse subcutaneous (pansi pa khungu). Amabayidwa kamodzi patsiku. Muyenera kugwiritsa ntchito insulin glargine nthawi yomweyo tsiku lililonse. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Gwiritsani ntchito insulin glargine ndendende momwe mwalangizira. Osamagwiritsa ntchito zocheperako kapena kuzigwiritsa ntchito pafupipafupi kuposa momwe adanenera dokotala.

Musagwiritse ntchito insulini glargine mukakhala ndi zizindikiro za hypoglycemia (shuga wotsika magazi) kapena ngati mwafufuza shuga wamagazi ndikuwona kuti ndi otsika.

Insulini glargine imayang'anira matenda ashuga koma siyimachiritsa. Pitirizani kugwiritsa ntchito insulin glargine ngakhale mukumva bwino. Osasiya kugwiritsa ntchito insulin glargine osalankhula ndi dokotala. Osasinthira mtundu wina kapena mtundu wa insulini kapena kusintha mlingo wa mtundu uliwonse wa insulin womwe mukugwiritsa ntchito osalankhula ndi adotolo. Nthawi zonse muziyang'ana chizindikiro cha insulini kuti muwonetsetse kuti mwalandira insulini yamtundu woyenera kuchokera ku mankhwala.

Insulini glargine amabwera m'mitsuko ndi m'makola oikamo omwe amakhala ndi mankhwala ozungulira. Onetsetsani kuti mukudziwa mtundu wa chidebe chomwe insulin glargine imabwera komanso zinthu zina, monga singano, majekeseni, kapena zolembera, muyenera kubaya mankhwala anu.

Ngati insulin glargine yanu imabwera m'mbale, muyenera kugwiritsa ntchito majekeseni kuti mulowetse mlingo wanu. Funsani dokotala wanu kapena wamankhwala kuti akuwonetseni momwe mungabayire insulin glargine pogwiritsa ntchito jakisoni. Funsani dokotala wanu kapena wamankhwala ngati muli ndi mafunso okhudza mtundu wa sirinji yomwe muyenera kugwiritsa ntchito.

Ngati insulin glargine yanu ibwera m'makola, onetsetsani kuti mukuwerenga ndikumvetsetsa malangizo a wopanga. Funsani dokotala wanu kapena wamankhwala kuti akuwonetseni momwe mungagwiritsire ntchito cholembera. Tsatirani malangizowo mosamala, ndipo nthawi zonse muziyesa mayeso musanagwiritse ntchito.

Musagwiritsenso ntchito singano kapena ma syringe ndipo musagawanepo singano, ma syringe, kapena zolembera. Ngati mukugwiritsa ntchito cholembera cha insulini, nthawi zonse chotsani singano mutangobaya jekeseni wanu. Taya masingano ndi ma syringe mumtsuko wosagundika. Funsani dokotala wanu kapena wamankhwala momwe mungatherere chidebe chosagwira mankhwala.

Osachepetsa insulin glargine ndipo musasakanize insulin glargine ndi mtundu wina uliwonse wa insulin.

Mutha kubaya insulin glargine m'manja mwanu, ntchafu, kapena m'mimba. Osabaya insulin glargine mumtsempha kapena minofu. Sinthani (sinthasintha) malo obayira m'dera losankhidwa ndi mulingo uliwonse; yesetsani kupewa kubayira tsamba limodzi nthawi zambiri kangapo kamodzi pamasabata awiri kapena awiri.

Nthawi zonse yang'anani insulini glargine musanaibayize. Iyenera kukhala yomveka komanso yopanda utoto. Musagwiritse ntchito insulini glargine yanu ngati ili ndi utoto, mitambo, kapena ili ndi tinthu tolimba, kapena ngati tsiku lomwe botolo lidatha latha.

Musagwiritse ntchito insulini glargine mu pampu yakunja ya insulin.

Funsani wamankhwala kapena dokotala wanu kuti mumupatseko zidziwitso za wopanga kwa wodwalayo.

Mankhwalawa amatha kupatsidwa ntchito zina; funsani dokotala wanu kapena wamankhwala kuti mudziwe zambiri.

Musanagwiritse ntchito insulin glargine,

• uzani adotolo ndi wazamalonda ngati muli ndi vuto la insulin (Humulin, Novolin, ena), chilichonse chopangira insulin glargine, kapena mankhwala ena aliwonse. Funsani wamankhwala wanu kapena onani zomwe wodwala akupanga kuti muwone mndandanda wazosakaniza.
• auzeni dokotala ndi wazamankhwala mankhwala omwe akupatsani, osavomerezeka, mavitamini, zowonjezera zakudya, ndi mankhwala azitsamba omwe mukumwa. Onetsetsani kuti mwatchulapo izi: albuterol (Accuneb, Proair, Proventil, ena); mankhwala ndi mankhwala osalembedwa omwe ali ndi mowa; ma angiotensin otembenuza ma enzyme inhibitors (ACE inhibitors) monga benazepril (Lotensin, ku Lotrel), captopril, enalapril (Epaned, Vasotec, mu Vaseretic), fosinopril, lisinopril (ku Prinzide, mu Zestoretic), moexipril, quinapril (Accupril, in Accuretic, in Quinaretic), ramipril (Altace), ndi trandolapril (Mavik, ku Tarka); angiotensin receptor blockers (ARBs) monga azilsartan (Edarbi, ku Edarbyclor), candesartan (Atacand, ku Atacand HCT), eprosartan (Teveten), irbesartan (Avapro, ku Avalide), losartan (Cozaar, ku Hyzaar), telmisartan Micard ku Micardis HCT, ku Twynsta), valsartan (Diovan, ku Diovan HCT, ku Exforge); antipsychotics monga clozapine (Clozaril, Fazaclo, Versacloz) ndi olanzapine (Zyprexa, mu Symbyax); beta-blockers monga atenolol (Tenormin, mu Tenoretic), labetalol (Trandate), metoprolol (Lopressor, Toprol XL, ku Dutoprol), nadolol (Corgard, ku Corzide), ndi propranolol (Hemangeol, Inderal LA, Innopran XL); mankhwala ena ochepetsa mafuta m'thupi monga fenofibrate (Antara, Lipofen, Triglide), gemfibrozil (Lopid), ndi niacin (Niacor, Niaspan); clonidine (Catapres, Catapres-TTS, Kapvay, ku Clorpres, ena); danazol; disopyramide (Norpace); okodzetsa ('mapiritsi amadzi'); estrogens; fluoxetine (Prozac, Sarafem, Selfemra, mu Symbyax); glucagon; guanethidine (sikupezeka ku U.S.); HIV protease inhibitors kuphatikiza atazanavir (Reyataz), indinavir (Crixivan), lopinavir (ku Kaletra), nelfinavir (Viracept), ritonavir (Norvir, ku Kaletra, ku Viekira Pak), ndi saquinavir (Invirase); mankhwala othandizira mahomoni (mapiritsi oletsa kubala, zigamba, mphete, jakisoni, kapena ma implants); isoniazid (Laniazid, ku Rifamate, ku Rifater); lifiyamu (Lithobid); mankhwala a mphumu ndi chimfine; mankhwala a matenda amisala ndi nseru; monoamine oxidase (MAO) inhibitors kuphatikiza isocarboxazid (Marplan), linezolid (Zyvox), phenelzine (Nardil), selegiline (Eldepryl, Emsam, Zelapar), ndi tranylcypromine (Parnate); octreotide (Sandostatin); njira zakulera zam'kamwa (mapiritsi olera); mankhwala akumwa ashuga monga pioglitazone (Actos, ku Actoplus Met, ku Oseni, ena) ndi rosiglitazone (Avandia); oral steroids monga dexamethasone, methylprednisolone (Medrol), ndi prednisone (Rayos); pentamidine (NebuPent, Pentam); pentoxifylline (Pentoxil); pramlintide (Symlin); propoxyphene (sikupezeka ku U.S.); kuperekanso; kupweteka kwa salicylate kumachepetsa monga aspirin, choline magnesium trisalicylate, choline salicylate, diflunisal, magnesium salicylate (Doan's, ena), ndi salsalate; somatropin (Genotropin, Humatrope, Nutropin, Serostim, ena); mankhwala a sulfa; terbutaline; ndi mankhwala a chithokomiro. Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
• auzeni dokotala ngati mwakhalapo kapena kuwonongeka kwa mitsempha chifukwa cha matenda anu ashuga, mtima kulephera, potaziyamu wochepa; kapena matenda ena aliwonse, kuphatikizapo matenda a mtima, chiwindi kapena impso.
• Uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa. Mukakhala ndi pakati mukamagwiritsa ntchito insulin glargine, itanani dokotala wanu.
• ngati mukuchitidwa opaleshoni, kuphatikizapo opaleshoni ya mano, uzani dokotala kapena dokotala kuti mukugwiritsa ntchito insulin glargine.
• mowa ungayambitse kusintha kwa magazi. Funsani dokotala wanu za zakumwa zoledzeretsa pamene mukugwiritsa ntchito insulin glargine.
• funsani dokotala wanu zoyenera kuchita ngati mukudwala, mukumva kupsinjika kwachilendo, kapena kusintha zakudya, masewera olimbitsa thupi, kapena ndandanda yazogwirira ntchito. Kusintha kumeneku kumakhudza shuga wamagazi komanso kuchuluka kwa insulini yomwe mungafune.
• funsani dokotala wanu kuti muwone kangati magazi anu shuga. Dziwani kuti hypoglycemia ingakhudze kuthekera kwanu pochita zinthu monga kuyendetsa galimoto ndikufunsani dokotala ngati mukufuna kuyang'ana shuga wamagazi musanayendetse kapena kugwiritsa ntchito makina.

Onetsetsani kuti mukutsatira zolimbitsa thupi komanso malingaliro azakudya zomwe adokotala anu kapena odyetsa. Ndikofunika kudya chakudya chopatsa thanzi komanso kudya zakudya zofanana za nthawi yofanana tsiku lililonse. Kudya kapena kuchedwetsa kudya kapena kusintha kuchuluka kapena mtundu wa chakudya chomwe mungadye kungayambitse mavuto pakuwongolera kwanu shuga.

Musanayambe kugwiritsa ntchito insulin glargine, funsani dokotala zomwe muyenera kuchita mukaiwala kugwiritsa ntchito mlingo kapena ngati mwangozi mumagwiritsa ntchito mlingo wowonjezera. Lembani malangizo awa kuti muthe kuwawunikiranso mtsogolo.

Mankhwalawa amatha kusintha shuga m'magazi anu. Muyenera kudziwa zizindikiro za shuga wotsika kwambiri komanso zomwe muyenera kuchita ngati muli ndi izi.

Insulini glargine imatha kuyambitsa zovuta. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• kufiira, kutupa, kupweteka, kapena kuyabwa pamalo obayira
• kusintha pakumverera kwa khungu lanu, kukulitsa kwa khungu (kumanga mafuta), kapena kukhumudwa pang'ono pakhungu (kuwonongeka kwamafuta)
• malungo, chifuwa, zilonda zapakhosi, kapena zizindikiro zina za matenda

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi izi, pitani kuchipatala nthawi yomweyo kapena pitani kuchipatala:

• zidzolo, ming'oma, kapena kuyabwa thupi lonse
• kupuma
• kuvuta kupuma kapena kumeza
• kuthamanga kwambiri
• thukuta
• kutupa kwa maso, nkhope, milomo, lilime, kapena mmero
• ukali
• kufooka
• kukokana kwa minofu
• kugunda kwamtima kosazolowereka
• kunenepa mwadzidzidzi
• kutupa kwa akakolo kapena mapazi
• kupuma movutikira
• masomphenya amasintha

Insulini glargine imatha kubweretsa zovuta zina. Itanani dokotala wanu ngati muli ndi zovuta zina mukamagwiritsa ntchito mankhwalawa.

Sungani mankhwala awa mu chidebe chomwe chimabwera ndikufikira ana. Sungani mbale ndi zolembera za insulin zotseguka mufiriji. Musalole konse insulin glargine kuundana; osagwiritsa ntchito insulini glargine yomwe yazizira komanso kusungunuka. Insulini yotsegulidwa ya insulini glargine imatha kusungidwa mpaka tsiku lowonetsedwa pakampani.

Ngati firiji simukupezeka (mwachitsanzo, mukakhala kutchuthi), sungani mabotolo kapena zolembera firiji komanso kutali ndi dzuwa komanso kutentha kwambiri. Mbale kapena zolembera zopanda firiji zitha kugwiritsidwa ntchito masiku 28; pambuyo pa nthawi imeneyo ayenera kutayidwa. Mbale atatsegulidwa akhoza kusungidwa kwa masiku 28 kutentha kapena firiji. Zolembera zotsegulidwa ziyenera kusungidwa kutentha kwa firiji ndipo zitha kugwiritsidwa ntchito mpaka masiku 28 mutagwiritsa ntchito koyamba. Kutaya insulin iliyonse yomwe yatenthedwa kwambiri kapena kuzizira.

Ndikofunika kuti mankhwala onse asamawonekere komanso kuti ana asamafikire ngati muli zidebe zambiri (monga mapiritsi a mlungu ndi mlungu ndi omwe amatsikira m'maso, mafuta, zigamba, ndi opumira) sizolimbana ndi ana ndipo ana aang'ono amatha kuzitsegula mosavuta. Pofuna kuteteza ana ang'ono kuti asatenge poyizoni, nthawi zonse tsekani zipewa zachitetezo ndikuyika mankhwalawo pamalo otetezeka - omwe ali pamwamba ndi kutali komanso osawonekera ndi kufikira. http://www.upandaway.org

Mankhwala osafunikira ayenera kutayidwa munjira zapadera zowonetsetsa kuti ziweto, ana, ndi anthu ena sangamwe. Komabe, simuyenera kuthira mankhwalawa mchimbudzi. M'malo mwake, njira yabwino yoperekera mankhwala anu ndikadongosolo lobwezera mankhwala. Lankhulani ndi wamankhwala wanu kapena lemberani dipatimenti yakunyumba / yobwezeretsanso kwanuko kuti muphunzire zamapulogalamu obwezeretsanso mdera lanu. Onani tsamba la FDA's Disposal of Medicines webusayiti (http://goo.gl/c4Rm4p) kuti mumve zambiri ngati mulibe pulogalamu yobwezera.

Mukadwala mopitirira muyeso, itanani foni yothandizira poyizoni pa 1-800-222-1222. Zambiri zimapezekanso pa intaneti pa https://www.poisonhelp.org/help. Ngati wozunzidwayo wagwa, watenga khunyu, akuvutika kupuma, kapena sangathe kudzutsidwa, nthawi yomweyo itanani anthu azadzidzidzi ku 911.

Insulini glargine overdose imatha kuchitika ngati mumagwiritsa ntchito insulin glargine kwambiri kapena ngati mumagwiritsa ntchito insulin glargine koma mumadya zochepa kuposa masiku onse kapena mumachita masewera olimbitsa thupi kuposa masiku onse. Insulini glargine bongo imatha kuyambitsa hypoglycemia. Ngati muli ndi zizindikiro za hypoglycemia, tsatirani malangizo a dokotala pazomwe muyenera kuchita ngati mukudwala matenda a hypoglycemia. Zizindikiro zina za bongo:

• kutaya chidziwitso
• kugwidwa

Sungani maimidwe onse ndi dokotala wanu ndi labotale. Magazi anu a shuga ndi hemoglobin (HbA1c) a glycosylated amayenera kufufuzidwa pafupipafupi kuti mudziwe momwe mungayankhire insulin glargine. Dokotala wanu adzakuwuzani momwe mungayang'anire kuyankha kwanu kwa mankhwalawa poyeza kuchuluka kwa shuga wamagazi kunyumba. Tsatirani malangizowa mosamala.

Muyenera kuvala chibangili chizindikiritso cha ashuga kuti mutsimikizire kuti mumalandira chithandizo chadzidzidzi pakagwa mwadzidzidzi.

Musalole kuti wina aliyense agwiritse ntchito mankhwala anu. Funsani wamankhwala wanu mafunso aliwonse omwe muli nawo okhudzana ndi kudzaza mankhwala anu.

Ndikofunika kuti musunge mndandanda wamankhwala onse omwe mumalandira komanso osalembetsa (owerengera) omwe mukumwa, komanso zinthu zilizonse monga mavitamini, michere, kapena zakudya zina. Muyenera kubwera nawo pamndandandawu nthawi iliyonse mukapita kukaonana ndi dokotala kapena ngati mwalandiridwa kuchipatala. Ndikofunikanso kuthana nanu pakagwa mwadzidzidzi.

• Basaglar^®
• Lantus^®
• Toujeo^®
• Soliqua^® (monga chinthu chophatikizira chomwe chili ndi Insulin Glargine ndi Lixisenatide),