Jekeseni Yakunja

Zamkati

• Musanagwiritse ntchito jekeseni wowonjezera,
• Mankhwalawa amatha kusintha shuga m'magazi anu. Muyenera kudziwa zizindikiro za shuga wotsika kwambiri komanso zomwe muyenera kuchita ngati muli ndi izi.
• Jekeseni wowonjezera ungayambitse zovuta. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi izi kapena izi zomwe zalembedwa M'CHENJEZO CHOFUNIKA, siyani kugwiritsa ntchito nthawi yayitali ndikuimbira foni nthawi yomweyo kapena kupeza chithandizo chamankhwala mwadzidzidzi:
• Zizindikiro za bongo zingaphatikizepo izi:

Jekeseni wakunja ukhoza kuonjezera chiopsezo kuti mudzayamba zotupa za chithokomiro, kuphatikizapo medullary thyroid carcinoma (MTC; mtundu wa khansa ya chithokomiro). Zinyama zanthabwala zomwe zidapatsidwa zotupa zazikulu, koma sizikudziwika ngati mankhwalawa amachulukitsa chiwopsezo cha zotupa mwa anthu. Uzani dokotala wanu ngati inu kapena wina aliyense m'banja mwanu adakhalapo kapena adakhalapo ndi MTC kapena Multiple Endocrine Neoplasia syndrome mtundu wachiwiri (MEN 2; zomwe zimayambitsa zotupa m'matenda opitilira umodzi mthupi). Ngati ndi choncho, dokotala wanu angakuuzeni kuti musagwiritse ntchito jakisoni wowonjezera. Ngati mukumane ndi izi, uzani dokotala nthawi yomweyo: chotupa kapena kutupa pakhosi; ukali; zovuta kumeza; kapena kupuma movutikira.

Sungani maimidwe onse ndi dokotala wanu ndi labotale. Dokotala wanu akhoza kuyitanitsa mayeso ena kuti aone momwe thupi lanu likuyankhira.

Dokotala wanu kapena wamankhwala adzakupatsani pepala lazidziwitso za wopanga (Medication Guide) mukayamba chithandizo ndi jekeseni wokulitsa wotulutsa nthawi yayitali ndipo nthawi iliyonse mukadzaza mankhwala anu. Werengani nkhaniyi mosamala ndikufunsani dokotala kapena wamankhwala ngati muli ndi mafunso. Muthanso kuyendera tsamba la Food and Drug Administration (FDA) (http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm) kapena tsamba laopanga kuti mupeze Medication Guide.

Lankhulani ndi dokotala wanu za kuopsa kogwiritsa ntchito jakisoni wowonjezera.

Exenatide imagwiritsidwa ntchito limodzi ndi zakudya komanso masewera olimbitsa thupi pochiza matenda ashuga amtundu wa 2 (momwe thupi siligwiritsa ntchito insulini mwachizolowezi motero silingathe kuwongolera kuchuluka kwa shuga wamagazi). Exenatide ali mgulu la mankhwala otchedwa incretin mimetics. Zimagwira ntchito polimbikitsa kapamba kuti atulutse insulini milingo ya shuga ikakhala yayikulu. Insulini imathandizira kusuntha shuga kuchokera m'magazi kupita kuzinthu zina zathupi momwe amagwiritsidwira ntchito ngati mphamvu. Exenatide imachedwetsanso kutaya kwa m'mimba ndikupangitsa kuchepa kwa njala. Exenatide sichigwiritsidwa ntchito pochiza matenda amtundu woyamba 1 (momwe thupi silimatulutsire insulin motero silingathe kuwongolera kuchuluka kwa shuga m'magazi). Exenatide sagwiritsidwa ntchito m'malo mwa insulini kuchitira anthu odwala matenda ashuga omwe amafunikira insulin.

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.

Dokotala wanu kapena wamankhwala adzakupatsani pepala lazidziwitso za wopanga (Medication Guide) mukayamba kulandira chithandizo ndi exenatide ndipo nthawi iliyonse mukadzaza mankhwala anu. Werengani nkhaniyi mosamala ndikufunsani dokotala kapena wamankhwala ngati muli ndi mafunso. Muthanso kuyendera tsamba la Food and Drug Administration (FDA) (http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm) kuti mupeze Chithandizo cha Mankhwala.

Kutulutsidwa msanga (Byetta^®) amabwera ngati yankho (madzi) mu cholembera chofikira kale kuti abayire subcutaneously (pansi pa khungu). Kutulutsidwa kwakanthawi kotalikirapo (kuchitapo kanthu kwanthawi yayitali) (Bydureon^®) amabwera ngati ufa wosakanikirana ndi madzi mumtsuko kapena cholembera chodzikongoletsera kuti mubayire subcutaneously. Njira yotulutsira pomwepo imabayidwa kawiri patsiku mkati mwa mphindi 60 chakudya cham'mawa ndi chamadzulo; osabaya jekeseni mukatha kudya. Dokotala wanu mwina angakuyambitseni pa jakisoni wochepa kwambiri wa jekeseni womasulira mwachangu ndipo atha kukusinthani kuti mulembe cholembera chokhala ndi mankhwala okwanira ngati kuwongolera kwanu magazi sikukuyenda bwino mutagwiritsa ntchito mwezi umodzi. Njira yotulutsira kunja imabayidwa kamodzi sabata iliyonse nthawi iliyonse popanda kudya. Gwiritsani ntchito kutulutsidwa kwina tsiku lomwelo sabata iliyonse nthawi iliyonse. Mutha kusintha tsiku la sabata lomwe mumagwiritsa ntchito kutulutsidwa kwina ngati kwakhala masiku 3 kapena kupitilira pomwe mudagwiritsa ntchito muyeso wanu womaliza. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Gwiritsani ntchito jekeseni wowonjezera ndendende monga mwalamulo. Osamagwiritsa ntchito zocheperako kapena kuzigwiritsa ntchito pafupipafupi kuposa momwe adanenera dokotala.

Ngati mukusintha kuchokera kutulutsidwa kwakanthawi kochepa kuti muwonjeze kutulutsa kwina, magawo anu ashuga (shuga) atha kukulirakirani kwakanthawi kwa masabata 2 mpaka 4 chitasintha.

Kunja kumawongolera matenda ashuga koma sikuchiritsa. Pitirizani kugwiritsa ntchito zowonjezera ngakhale mutakhala bwino. Osasiya kugwiritsa ntchito nthawi yayitali osalankhula ndi dokotala.

Ngati mukugwiritsa ntchito exenatide kumasulidwa mwachangu (Byetta^®) zolembera zopangira mankhwala, muyenera kugula singano padera. Funsani dokotala wanu kapena wamankhwala mtundu wanji wa singano zomwe mungafunikire kubaya mankhwala anu. Onetsetsani kuti mukuwerenga ndikumvetsetsa malangizo a wopanga pobayira kunja kwa cholembera. Onetsetsani kuti mukudziwa momwe mungakhalire cholembera chatsopano komanso liti. Funsani dokotala wanu kapena wamankhwala kuti akuwonetseni momwe mungagwiritsire ntchito cholembera. Tsatirani malangizowo mosamala. Osachotsa katiriji m'khola kapena kuyesa kuwonjezera mtundu wina uliwonse wa mankhwala ku katiriji.

Nthawi zonse yang'anani yankho lanu lamankhwala musanalibaye. Iyenera kukhala yowoneka bwino, yopanda utoto, komanso yamadzi ngati madzi. Musagwiritse ntchito exenatide ngati ili yofiira, mitambo, yokhuthala, kapena ili ndi tinthu tolimba, kapena ngati tsiku lomaliza la botolo lidutsa. Osasakaniza exenatide ndi insulin mu jakisoni umodzi.

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.

Exenatide itha kuperekedwa ntchafu (mwendo wapamwamba), pamimba (m'mimba), kapena kumtunda. Gwiritsani ntchito tsamba lina la jakisoni iliyonse, pafupifupi mainchesi 1 (2.5 masentimita) kutali ndi jakisoni wakale koma m'dera lomwelo (mwachitsanzo, ntchafu). Gwiritsani ntchito masamba onse omwe alipo mdera lonse musanasinthe kupita kumalo ena (mwachitsanzo, mkono wapamwamba). Osagwiritsa ntchito malo omwewo a jakisoni kangapo kamodzi pamwezi.

Mutha kubaya jekeseni wa exentadine ndi insulini nthawi yayitali mthupi, koma jakisoniyo sayenera kuperekedwa moyandikana.

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

Musanagwiritse ntchito jekeseni wowonjezera,

• uzani dokotala wanu komanso wamankhwala ngati simukugwirizana ndi kuchuluka kwa mankhwala, mankhwala ena aliwonse, kapena zosakaniza zilizonse za jakisoni wowonjezera. Funsani wamankhwala wanu kapena onani Chithandizo cha Mankhwala kuti mupeze mndandanda wazosakaniza.
• Uzani dokotala wanu komanso wamankhwala mankhwala ndi mankhwala osapatsirana, mavitamini, zowonjezera zakudya, ndi mankhwala azitsamba omwe mukumwa kapena omwe mukufuna kumwa. Ndikofunikira kwambiri kuuza dokotala wanu za mankhwala onse omwe mumamwa chifukwa mkamwa mutha kusintha momwe thupi lanu limamwe mankhwalawa. Onetsetsani kuti mwatchulapo izi: zoletsa ma angiotensin zotembenuza enzyme (ACE) monga benazepril (Lotensin), captopril (Capoten), enalapril (Vasotec), fosinopril (Monopril), lisinopril (Prinivil, Zestril), moexipril Un ( , perindopril, (Aceon), quinapril (Accupril), ramipril (Altace), ndi trandolapril (Mavika); okodzetsa ('mapiritsi amadzi'); aspirin ndi mankhwala ena osagwiritsa ntchito kutupa (NSAIDs) monga ibuprofen (Advil, Motrin) ndi naproxen (Aleve, Naprosyn); lovastatin (Altoprev, mwa Advicor); mankhwala othamanga magazi; insulin kapena mankhwala ena ochiza matenda ashuga monga sulfonylureas monga chlorpropamide (Diabinese), glimepiride (Amaryl, ku Avandaryl, ku Duetact), glipizide (Glucotrol), glyburide (DiaBeta, ku Glucovance), tolazamide, ndi tolbutamide, ndi warfarin (Coumadin , Jantoven). Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
• ngati mukumwa mapiritsi akumwa (mapiritsi oletsa kubereka) kapena maantibayotiki, amwe osachepera ola limodzi musanagwiritse ntchito jakisoni wowonjezera. Ngati mwauzidwa kumwa mankhwalawa ndi chakudya, amwe nawo chakudya kapena chotupitsa panthawi yomwe simugwiritsa ntchito nthawi yayitali.
• auzeni adotolo ngati mumamwa kapena mumamwa mowa wambiri, komanso ngati mukusowa chimbudzi, kusanza, ndi kutsekula m'mimba kapena mukuganiza kuti mutha kuchepa madzi m'thupi, kapena ngati mukukhala ndi zizindikiritso izi nthawi iliyonse mukamamwa mankhwala. Komanso uzani dokotala ngati mudalandirapo impso kapena ngati mwakhalapo ndi vuto lalikulu m'mimba, kuphatikiza gastroparesis (kuchepa kwa chakudya kuchokera m'mimba kupita m'matumbo ang'ono) kapena mavuto ena akudya chakudya; kapamba (kutupa kwa kapamba), ndulu (zolimba zomwe zimapanga ndulu), kapena milingo yayikulu yama triglycerides (mafuta) m'magazi, kapamba, chiwindi, kapena matenda a impso.
• Uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa. Mukakhala ndi pakati mukakhala kunja, itanani dokotala wanu.
• Funsani dokotala wanu za zakumwa zoledzeretsa moyenera mukamamwa mopitirira muyeso.
• funsani dokotala wanu choti muchite mukadwala, mutenga matenda kapena malungo, mukumva kupsinjika kwachilendo, kapena mukavulala. Izi zimatha kukhudza shuga wamagazi komanso kuchuluka kwa kuchuluka komwe mungafune.

Onetsetsani kuti mukutsatira zolimbitsa thupi komanso malingaliro azakudya zomwe adokotala anu kapena odyetsa. Ndikofunika kudya chakudya chopatsa thanzi.

Mukaphonya mulingo wa jekeseni womasulira mwachangu (Byetta^®), tulukani mlingo womwe mwasowa ndikupitiliza dongosolo lanu lokhazikika. Osabaya jakisoni kawiri kuti mupange yomwe mwaphonya.

Mukaphonya mlingo wa jekeseni womasulira wochulukirapo (Bydureon^®), gwiritsani ntchito mlingo womwe mwaphonya mukangokumbukira ndikupitiliza dongosolo lanu la sabata. Komabe, ngati pali masiku ochepera atatu (maola 72) mpaka muyeso wanu wotsatira, tulukani mlingo womwe mwaphonya ndikupitiliza dongosolo lanu lokhazikika. Musagwiritse ntchito mlingo wawiri kuti mupange omwe mwaphonya.

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

Jekeseni wowonjezera ungayambitse zovuta. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• nseru
• kusanza
• kutsegula m'mimba
• kudzimbidwa
• Kumva jittery
• chizungulire
• kutentha pa chifuwa
• mutu
• kufooka
• thukuta

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi izi kapena izi zomwe zalembedwa M'CHENJEZO CHOFUNIKA, siyani kugwiritsa ntchito nthawi yayitali ndikuimbira foni nthawi yomweyo kapena kupeza chithandizo chamankhwala mwadzidzidzi:

• kupweteka kosalekeza komwe kumayambira kumtunda kumanzere kapena pakati pamimba koma kumafalikira kumbuyo ndi kapena osanza
• ming'oma
• zidzolo
• kuyabwa
• kuvuta kupuma kapena kumeza
• kupweteka kwa malo obayira jekeseni, kutupa, matuza, kuyabwa, kapena mitsempha
• kutupa kwa nkhope, mmero, lilime, milomo, maso, manja, mapazi, akakolo, kapena miyendo yakumunsi
• kupweteka kumanja chapakati kapena chapakatikati chapakati, nseru, kusanza, malungo, kapena chikaso cha khungu kapena maso
• kusintha kwa mtundu kapena kuchuluka kwa mkodzo
• kukodza pafupipafupi pafupipafupi kuposa masiku onse
• kutupa kwa mikono, manja, mapazi, akakolo, kapena miyendo yakumunsi
• kuchepa kudya

Zowonjezera zimatha kuyambitsa 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 zolembera zosagwiritsidwa ntchito m'matoni awo oyambirira mufiriji yotetezedwa ku kuwala. Mukazigwiritsa ntchito, zolembera zakunja kwa firiji (mpaka 26 ° F [25 ° C]) zotetezedwa ku kuwala. Osazizira. Musagwiritse ntchito exenatide ngati kwakhala kuzizira. Osasunga zolembera zakunja ndi singano. Sungani zolembera zakunja komwe ana sangathe.

Mukamayenda, onetsetsani kuti zolembera zakunja sizikhala zowuma. Zolembera zomwe sizinagwiritsidwe ntchito ziyenera kukhala mufiriji kapena kusungidwa kutentha kuzizira pakati pa 36 ° F mpaka 46 ° F (2 ° C mpaka 8 ° C). Zolembera zomwe zikugwiritsidwa ntchito zimatha kusungidwa kutentha mpaka 77 ° F (25 ° C) (osati m'chipinda chamagalimoto kapena malo ena otentha).

Lembani tsiku lomwe mudagwiritsa ntchito cholembera chakunja, ndikuchotsa cholembacho patadutsa masiku 30, ngakhale pangakhale yankho lomwe latsala mu khola.

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 izi:

• kukhumudwa kwambiri m'mimba
• nseru
• kusanza kwambiri
• chizungulire
• zizindikiro za hypoglycemia

Magazi anu a shuga ndi hemoglobin (HbA1c) a glycosylated amayenera kufufuzidwa pafupipafupi kuti mudziwe momwe mungayankhire. Dokotala wanu adzakuwuzani momwe mungayang'anire kuyankha kwanu ndi mankhwalawa poyeza magazi kapena mkodzo wanu shuga kunyumba. Tsatirani malangizowa mosamala.

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.

• Bydureon^®
• Byetta^®