Jekeseni wa Pramlintide

Zamkati

• Kuopsa kwa hypoglycemia kumatha kukhala kwakukulu nthawi zina. Itanani dokotala wanu ngati mukufuna kukhala wokangalika kuposa masiku onse. Ngati muli ndi izi zotsatirazi simuyenera kugwiritsa ntchito pramlintide ndipo muyenera kuyimbira dokotala kuti adziwe choti muchite:
• Musanagwiritse ntchito jakisoni wa pramlintide,
• Pramlintide ingayambitse mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zizindikiro za bongo zingaphatikizepo:

Mudzagwiritsa ntchito pramlintide ndi nthawi ya chakudya insulini kuti muchepetse kuchuluka kwa shuga wamagazi. Mukamagwiritsa ntchito insulini, pamakhala mwayi woti mukhale ndi hypoglycemia (shuga wotsika magazi). Izi zitha kukhala zazikulu m'maola atatu oyamba mutabaya pramlintide, makamaka ngati muli ndi matenda ashuga amtundu woyamba (momwe thupi silitulutsire insulini motero silingathe kuwongolera shuga m'magazi). Mutha kudzipweteketsa kapena kuvulaza ena ngati shuga m'magazi anu amagwa mukamachita nawo zinthu zomwe zimafuna kuti mukhale tcheru kapena kuganiza mozama. Osayendetsa galimoto kapena kugwiritsa ntchito makina olemera mpaka mutadziwa momwe pramlintide imakhudzira shuga wanu wamagazi. Lankhulani ndi dokotala wanu pazinthu zina zomwe muyenera kupewa mukamagwiritsa ntchito pramlintide.

Uzani adotolo ngati mwadwala matenda ashuga kwanthawi yayitali, ngati muli ndi matenda ashuga, ngati simungathe kudziwa kuti shuga wamagazi anu ndi ochepa, ngati mungafune chithandizo chamankhwala a hypoglycemia kangapo m'miyezi 6 yapitayi ,, kapena ngati khalani ndi gastroparesis (kuchepa kwa chakudya kuchokera m'mimba kupita m'matumbo ang'onoang'ono. Dokotala wanu angakuwuzeni kuti musagwiritse ntchito pramlintide. Komanso muuzeni dokotala ngati mukumwa mankhwala aliwonse otsatirawa: kuthamanga kwa magazi, matenda amtima, kapena matenda a impso ashuga; beta blockers monga atenolol (mu Tenoretic), labetalol (Trandate), metoprolol (Lopressor, Toprol XL, ku Dutoprol, ku Lopressor HCT), nadolol (Corgard, ku Corzide), ndi propranolol (Hemangeol, Inderal, Innopran, ku Inderide); clonidine (Catapres, Duraclon, Kapvay, ku Clorpres); disopyramide (Norpace); fenofibrate (Antara, Lipofen, Tricor, ena); fluoxetine (Prozac, Sarafem, Selfemra, ku Chizindikiro); gemfibrozil (L opid); guanethidine (Ismelin; sichikupezeka ku US); mankhwala ena a shuga; lanreotide (Somatuline Depot); monoamine oxidase (MAO) inhibitors monga isocarboxazid (Marplan), phenelzine (Nardil), selegiline (Eldepryl, Emsam, Zelapar), ndi tranylcypromine (Parnate); pentoxifylline (Pentoxil); propoxyphene (Darvon; sichikupezeka ku U.S.); kuperekanso; kupweteka kwa salicylate kumachepetsa monga aspirin; ndi mankhwala a sulfonamide monga trimethoprim / sulfamethoxazole (Bactrim, Septra).

Mukamagwiritsa ntchito pramlintide, muyenera kuyeza shuga wanu wamagazi musanadye komanso mukatha kudya komanso nthawi yogona. Muyeneranso kuwona kapena kulankhula ndi dokotala wanu pafupipafupi, komanso kusintha pafupipafupi mlingo wa pramlintide ndi insulin malinga ndi malangizo a dokotala wanu. Uzani dokotala wanu ngati mukuganiza kuti zidzakuvutani kuchita izi, ngati mwakhala mukukumana ndi vuto loyang'ana shuga kapena kugwiritsa ntchito insulini molondola m'mbuyomu, kapena ngati zikukuvutani kusamalira chithandizo chanu mutayamba kugwiritsa ntchito pramlintide.

Dokotala wanu amachepetsa kuchuluka kwa insulin mukayamba kugwiritsa ntchito pramlintide. Dokotala wanu akuyambitsani pamlingo wochepa wa pramlintide ndipo pang'onopang'ono azikulitsa mlingo wanu. Itanani dokotala wanu nthawi yomweyo ngati mukuchita nseru panthawiyi; mlingo wanu ungafunike kusinthidwa kapena mungafunike kusiya kugwiritsa ntchito pramlintide. Dokotala wanu amasintha mulingo wa insulin mukangogwiritsa ntchito pramlintide yomwe ili yoyenera kwa inu. Tsatirani malangizo onsewa mosamala ndikufunsani dokotala kapena wamankhwala nthawi yomweyo ngati simukudziwa kuchuluka kwa insulini kapena pramlintide yomwe muyenera kugwiritsa ntchito.

Kuopsa kwa hypoglycemia kumatha kukhala kwakukulu nthawi zina. Itanani dokotala wanu ngati mukufuna kukhala wokangalika kuposa masiku onse. Ngati muli ndi izi zotsatirazi simuyenera kugwiritsa ntchito pramlintide ndipo muyenera kuyimbira dokotala kuti adziwe choti muchite:

• mulinganiza kuti musadye chakudya.
• mukukonzekera kudya chakudya chochepa kuposa ma calories 250 kapena magalamu 30 a chakudya.
• sungadye chifukwa ukudwala.
• Simungadye chifukwa mwakonzekera opaleshoni kapena kukayezetsa kuchipatala.
• shuga wanu wamagazi amakhala wotsika kwambiri musanadye.

Mowa ungayambitse shuga m'magazi. Funsani dokotala wanu za zakumwa zoledzeretsa pamene mukugwiritsa ntchito pramlintide.

Itanani dokotala wanu nthawi yomweyo ngati shuga lanu la magazi ndi lochepa kapena labwinobwino kapena ngati muli ndi zizindikiro zotsatirazi za shuga wotsika magazi: njala, kupweteka mutu, kutuluka thukuta, kugwedezeka kwa gawo lina la thupi lanu lomwe simungathe kulilamulira, kukwiya, kuvuta kulingalira, kutaya chidziwitso, kukomoka, kapena kugwidwa. Onetsetsani kuti nthawi zonse mumakhala ndi shuga wambiri monga maswiti olimba, madzi, mapiritsi a shuga, kapena glucagon yomwe imapezeka kuti muthane ndi hypoglycemia.

Dokotala wanu kapena wamankhwala adzakupatsani pepala lazidziwitso za wopanga (Medication Guide) mukayamba kulandira mankhwala ndi pramlintide ndipo nthawi iliyonse mukadzaza mankhwala anu. Werengani nkhaniyi mosamala ndikufunsani dokotala kapena wamankhwala ngati muli ndi mafunso. Muthanso kupeza Buku la Mankhwala kuchokera patsamba la FDA: http://www.fda.gov.

Pramlintide imagwiritsidwa ntchito ndi nthawi ya chakudya insulin kuti muchepetse kuchuluka kwa shuga m'magazi mwa anthu omwe ali ndi matenda ashuga. Pramlintide imagwiritsidwa ntchito pochiza odwala omwe shuga wamagazi samatha kulamulidwa ndi insulin kapena insulin komanso mankhwala akumwa ashuga. Pramlintide ali mgulu la mankhwala otchedwa antihyperglycemics. Zimagwira pochepetsa kuyenda kwa chakudya m'mimba. Izi zimalepheretsa shuga kuti azikwera kwambiri mukatha kudya, ndipo amachepetsa njala ndikupangitsa kuti muchepetse thupi.

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.

Pramlintide imabwera ngati yankho (madzi) mu cholembera chodziwika bwino kuti abayire subcutaneously (pansi pa khungu). Nthawi zambiri amabayidwa kangapo patsiku, asanadye chakudya chomwe chimakhala ndi zopatsa mphamvu 250 kapena magalamu 30 a zimam'patsa mphamvu. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Gwiritsani ntchito pramlintide ndendende momwe mwalangizira. Osamagwiritsa ntchito zocheperako kapena kuzigwiritsa ntchito pafupipafupi kuposa momwe adanenera dokotala.

Pramlintide amawongolera matenda ashuga koma samachiritsa. Pitirizani kugwiritsa ntchito pramlintide ngakhale mukumva bwino. Osasiya kugwiritsa ntchito pramlintide osalankhula ndi dokotala. Mukasiya kugwiritsa ntchito pramlintide pazifukwa zilizonse, musayambirenso kuigwiritsa ntchito osalankhula ndi dokotala.

Onetsetsani kuti mukudziwa zinthu zina, monga singano, muyenera kubaya mankhwala anu. Funsani dokotala wanu kapena wamankhwala mtundu wanji wa singano zomwe mungafunikire kubaya mankhwala anu. Werengani mosamala ndikumvetsetsa malangizo a wopanga jekeseni wa pramlintide pogwiritsa ntchito cholembera. Onetsetsani kuti mukudziwa momwe mungakhalire cholembera chatsopano komanso liti. Funsani dokotala wanu kapena wamankhwala kuti akuwonetseni momwe mungagwiritsire ntchito cholembera. Tsatirani malangizowo mosamala. Osasakaniza pramlintide ndi insulin.

Nthawi zonse yang'anani yankho lanu la pramlintide cholembera musanaibayize. Iyenera kukhala yomveka komanso yopanda utoto. Musagwiritse ntchito pramlintide ngati ili yofiira, mitambo, yokhuthala, imakhala ndi tinthu tolimba, kapena ngati tsiku lomaliza lolemba paphukusi lapita.

Musagwiritsenso ntchito singano ndipo musayanjanepo singano kapena zolembera. Nthawi zonse chotsani singano mutangobaya jekeseni wanu. Tayani masingano mu chidebe chosagwira. Funsani dokotala wanu kapena wamankhwala momwe angatayire chidebe chosagwira.

Mutha kubaya pramlintide kulikonse pamimba kapena ntchafu yanu. Osabaya pramlintide m'manja mwanu. Sankhani malo osiyana kuti mulowetse pramlintide tsiku lililonse. Onetsetsani kuti malo omwe musankhe ndi opitilira mainchesi awiri kuchokera pomwe mudzalowemo insulin.

Muyenera kubaya pramlintide pansi pa khungu chimodzimodzi momwe mumayambira insulini. Lolani cholembera cha pramlintide kutentha mpaka kutentha musanabayire mankhwala. Ngati muli ndi mafunso okhudza jakisoni wa pramlintide, funsani dokotala kapena wamankhwala.

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

Musanagwiritse ntchito jakisoni wa pramlintide,

• uzani dokotala wanu komanso wamankhwala ngati muli ndi vuto la pramlintide, mankhwala ena aliwonse, metacresol, kapena zinthu zina zilizonse mu cholembera cha pramlintide. Funsani wamankhwala wanu kapena onani Chithandizo cha Mankhwala kuti mupeze mndandanda wazosakaniza.
• auzeni dokotala ndi wazamankhwala mankhwala omwe akupatsani, osavomerezeka, mavitamini, zowonjezera zakudya, ndi mankhwala azitsamba omwe mukumwa. Onetsetsani kuti mwatchula mankhwala omwe adatchulidwa mu gawo LOFUNIKITSA CHENJEZO ndi zina mwa izi: acarbose (Precose); mankhwala; atropine (Atropen, ku Lomotil, ena); ma antidepressants ('mood elevator') otchedwa tricyclic antidepressants; mankhwala ena ochizira mphumu, kutsekula m'mimba, matenda am'mapapo, matenda amisala, mayendedwe oyenda, chikhodzodzo chambiri, kupweteka, matenda a Parkinson, m'mimba kapena m'mimba, zilonda zam'mimba, ndi m'mimba; mankhwala ofewetsa tuvi tolimba; miglitol (Glyset); ndi zofewetsa pansi. Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
• ngati mukumwa mapiritsi am'kamwa (mapiritsi oletsa kubereka), mankhwala opweteka, kapena maantibayotiki, amwe osachepera ola limodzi musanathe kapena maola awiri mutagwiritsa ntchito pramlintide.
• uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa. Mukakhala ndi pakati mukamagwiritsa ntchito pramlintide, itanani dokotala wanu.
• ngati mukuchitidwa opaleshoni, kuphatikizapo opaleshoni ya mano, uzani dokotala kapena dokotala kuti mukugwiritsa ntchito pramlintide.

Dokotala wanu, wopatsa thanzi, kapena wophunzitsa za matenda a shuga adzakuthandizani kuti mupange dongosolo lakudya lomwe lingakuthandizeni. Tsatirani dongosolo la chakudya mosamala.

Pitani muyezo womwe mwasowa ndikugwiritsa ntchito pramlintide wanu wamankhwala musanadye chakudya chambiri chachikulu. Musagwiritse ntchito mlingo wawiri kuti mupange omwe mwaphonya.

Pramlintide ingayambitse mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• kufiira, kutupa, kuphwanya, kapena kuyabwa pamalo opangira pramlintide
• kusowa chilakolako
• kupweteka m'mimba
• kutopa kwambiri
• chizungulire
• chifuwa
• chikhure
• kupweteka pamodzi

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi zina mwazizindikiro zomwe zatchulidwa mgulu la Chenjezo LOFUNIKA, itanani dokotala wanu mwachangu.

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

Mukakumana ndi zovuta zina, inu kapena adokotala mutha kutumiza lipoti ku pulogalamu ya Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting pa intaneti (http://www.fda.gov/Safety/MedWatch) kapena pafoni ( 1-800-332-1088).

Sungani mankhwala awa mu chidebe chomwe chidabwera, chatsekedwa mwamphamvu, komanso chosafikira ana. Sungani zolembera zosatsegulidwa za pramlintide mufiriji ndikuteteza ku kuwala; osazizira zolembera. Chotsani zolembera zilizonse zomwe zimakhala zozizira kapena zotenthedwa. Mutha kusunga zolembera zotseguka mufiriji kapena kutentha, koma muyenera kuzigwiritsa ntchito pasanathe masiku 30. Chotsani zolembera zilizonse zotsegulira pakadutsa masiku 30.

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.

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

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.

Zizindikiro za bongo zingaphatikizepo:

• kukhumudwa m'mimba
• kusanza
• kutsegula m'mimba
• chizungulire
• kuchapa

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.

• Cholembera cha Symlin^®