Insulini Detemir (rDNA Origin) jekeseni

Zamkati

• Musanagwiritse ntchito insulini,
• Mankhwalawa amatha kusintha shuga m'magazi anu. Muyenera kudziwa zizindikiro za shuga wotsika kwambiri komanso zomwe muyenera kuchita ngati muli ndi izi.
• Jekeseni yoteteza insulini imatha kuyambitsa mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi zina mwazizindikirozi, pitani kuchipatala nthawi yomweyo kapena pitani kuchipatala:
• Kutsekemera kwa insulini kumatha kuchitika ngati mumagwiritsa ntchito kwambiri insulin kapena ngati mumagwiritsa ntchito insulini yokwanira koma mumadya pang'ono kuposa masiku onse kapena mumachita masewera olimbitsa thupi kuposa masiku onse. Insulin detemir bongo ikhoza kuyambitsa hypoglycemia. Ngati muli ndi zizindikiro za hypoglycemia, tsatirani malangizo a dokotala pazomwe muyenera kuchita ngati mukudwala matenda a hypoglycemia. Zizindikiro zina za bongo:

Chizindikiro cha insulini chimagwiritsidwa ntchito pochiza 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. Odwala omwe ali ndi matenda a shuga amtundu wa 1, insulin detemir itha kugwiritsidwa ntchito ndi mtundu wina wa insulin (insulin yochita kanthawi kochepa). Odwala omwe ali ndi matenda a shuga amtundu wa 2, insulin detemir itha kugwiritsidwanso ntchito ndi mtundu wina wa insulini kapena mankhwala am'kamwa a matenda ashuga. Chizindikiro cha insulini ndichotengera cha munthu chomwe chimagwira ntchito kwa nthawi yayitali. Insulitem detemir 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.

Insulitem detemir imabwera ngati yankho (madzi) jakisoni subcutaneously (pansi pa khungu). Nthawi zambiri amabayidwa kamodzi patsiku, ndi chakudya chamadzulo kapena nthawi yogona.Nthawi zina insulin detemir imatha kubayidwa kawiri patsiku, m'mawa asanadye chakudya chamadzulo komanso madzulo ndi chakudya chamadzulo kapena nthawi yogona pafupifupi maola 12 pambuyo pake. Jekeseni jekeseni wa insulini nthawi yofananira tsiku lililonse. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Gwiritsani ntchito insulin monga momwe mwalamulira. Osamagwiritsa ntchito zocheperako kapena kuzigwiritsa ntchito pafupipafupi kuposa momwe adanenera dokotala.

Musagwiritse ntchito insulini mukakhala ndi zizindikiro za hypoglycemia (shuga wotsika magazi) kapena ngati mwafufuza shuga wamagazi ndikuwona kuti ndi otsika. Osabaya insulini pamalo ofiira, otupa, oyabwa, kapena okhathamira.

Chidziwitso cha insulini sichiyenera kugwiritsidwa ntchito pampu yakunja ya insulini.

Kutulutsa kwa insulini sikuyenera kuchepetsedwa kapena kusakanikirana ndi mankhwala ena a insulin.

Chidziwitso cha insulini chimayang'anira matenda ashuga koma sichichiza. Pitirizani kugwiritsa ntchito insulini ngakhale mutakhala bwino. Osasiya kugwiritsa ntchito mankhwala osokoneza bongo a insulin osalankhula ndi dokotala. Osasinthira mtundu wina kapena mtundu wa insulini kapena kusintha mlingo wa mtundu uliwonse wa insulin womwe mukugwiritsa ntchito osalankhula ndi adotolo.

Chizindikiro cha insulini chimabwera m'mitsuko ndi m'makola osanjikiza omwe amakhala ndi mankhwala ozungulira. Onetsetsani kuti mukudziwa mtundu wa chidebe chomwe insulini yanu imabweramo komanso zinthu zina, monga singano, majekeseni, kapena zolembera, muyenera kubaya mankhwala anu.

Ngati insulini yanu imabwera m'mitsuko, muyenera kugwiritsa ntchito majekeseni kuti mulowetse mlingo wanu. Funsani dokotala wanu kapena wamankhwala kuti akuwonetseni momwe mungayikirire jekeseni wa insulini pogwiritsa ntchito sirinji. Funsani dokotala wanu kapena wamankhwala ngati muli ndi mafunso okhudza mtundu wa sirinji yomwe muyenera kugwiritsa ntchito.

Ngati vuto lanu la insulini likubwera 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 muziyang'ana cholembera 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. Kutaya singano ndi majakisoni mumtsuko wosagundika. Funsani dokotala wanu kapena wamankhwala momwe mungatherere chidebe chosagwira mankhwala.

Nthawi zonse muziyang'ana vuto lanu la insulini musanalibayire. Iyenera kukhala yomveka komanso yopanda utoto. Musagwiritse ntchito insulir yanu ngati ili ndi utoto, mitambo, yokhuthala, kapena ili ndi tinthu tolimba, kapena ngati tsiku lomaliza la botolo lidutsa.

Mutha kubaya jekeseni wa insulin m'manja mwanu, ntchafu, kapena m'mimba. Osamabaya insulini m'mitsempha kapena muminyewa. Sinthani (sinthasintha) malo obayira m'dera losankhidwa ndi mulingo uliwonse; yesetsani kupewa kubayira malo omwewo kangapo kamodzi pamasabata 1-2.

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 insulini,

• uzani dokotala wanu komanso wamankhwala kuti ngati muli ndi vuto la insulini (Humulin, Novolin, ena), chilichonse chopangira insulini, 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: zoletsa ma angiotensin (ACE) zoletsa monga benazepril (Lotensin), captopril (Capoten), enalapril (Vasotec), fosinopril (Monopril), lisinopril (Prinivil, Zestril), moexipril ( , perindopril (Aceon), quinapril (Accupril), ramipril (Altace), ndi trandolapril (Mavik); zotchinga beta monga atenolol (Tenormin), labetalol (Normodyne), metoprolol (Lopressor, Toprol XL), nadolol (Corgard), ndi propranolol (Inderal); mankhwala ena ochepetsa mafuta m'thupi monga fenofibrate (Antara, Lofibra, TriCor, Triglide) ndi gemfibrozil (Lopid); clonidine (Catapres, Catapres-TTS, ku Clorpres); danazol; disopyramide (Norpace, Norpace CR); okodzetsa ('mapiritsi amadzi'); fluoxetine (Prozac, Sarafem, mu Symbyax); mankhwala othandizira mahomoni; isoniazid (INH, Nydrazid); lifiyamu (Eskalith, Lithobid); mankhwala a mphumu ndi chimfine; mankhwala a matenda amisala ndi nseru; monoamine oxidase (MAO) inhibitors, kuphatikiza isocarboxazid (Marplan), phenelzine (Nardil), selegiline (Eldepryl), ndi tranylcypromine (Parnate); octreotide (Sandostatin); njira zakulera zam'kamwa (mapiritsi olera); mankhwala akumwa ashuga monga pioglitazone (Actos, mu Actoplus Met ndi ena) ndi rosiglitazone (Avandia, ku Avandamet ndi ena); mankhwala amlomo monga dexamethasone (Decadron, Dexone), methylprednisolone (Medrol), ndi prednisone (Deltasone); pentamidine (NebuPent, Pentam); kuperekanso; kupweteka kwa salicylate kumachepetsa monga aspirin, choline magnesium trisalicylate (Tricosal, Trilisate), choline salicylate (Arthropan), diflunisal (Dolobid), magnesium salicylate (Doan's, ena), ndi salsalate (Argesic, Disalcid, Salgesic); somatropin (Nutropin, Serostim, ena); mankhwala a sulfa; 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; kapena matenda ena aliwonse, kuphatikiza matenda amtima, impso kapena chiwindi.
• uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa. Mukakhala ndi pakati mukamagwiritsa ntchito mankhwala a insulin, itanani dokotala wanu.
• ngati mukuchitidwa opaleshoni, kuphatikizapo opaleshoni ya mano, uzani dokotala kapena dokotala kuti mukugwiritsa ntchito insulin.
• mowa ungayambitse kusintha kwa magazi. Funsani dokotala wanu za zakumwa zoledzeretsa pamene mukugwiritsa ntchito insulin.
• funsani dokotala wanu zoyenera kuchita ngati mukudwala, mukumva kupsinjika kwachilendo, kapena kusintha zakudya, masewera olimbitsa thupi, kapena ndandanda yazogwirira ntchito. Kusintha kumeneku kungakhudze kuchuluka kwa insulini 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.

Ngati mukukumbukira mlingo wanu posachedwa nthawi yomwe mumayenera kuigwiritsa ntchito, jekeseni mlingo womwe mwaphonya mukangokumbukira. Ngati papita nthawi kuchokera nthawi yomwe mumamwa mankhwalawa, tsatirani malangizo omwe dokotala wanu wapereka kapena pitani kuchipatala kuti mudziwe ngati muyenera kubaya jakisoni. Osabaya jakisoni kawiri kuti mupange yomwe mwaphonya.

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

Jekeseni yoteteza insulini imatha kuyambitsa mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• kufiira, kutupa, kapena kuyabwa pamalo obayira
• kusintha pakumverera kwa khungu lanu, kukulitsa kwa khungu (kumanga mafuta), kapena kukhumudwa pang'ono pakhungu (kuwonongeka kwamafuta)
• masomphenya amasintha
• kunenepa
• kudzimbidwa

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

• zotupa ndi / kapena kuyabwa thupi lonse
• kupuma movutikira
• kupuma
• chizungulire
• kuthamanga kwa magazi
• kusawona bwino
• kugunda kwamtima mwachangu
• thukuta
• kufooka
• kukokana kwa minofu
• kugunda kwamtima kosazolowereka
• kunenepa kwakukulu munthawi yochepa
• kutupa kwa manja, mapazi, akakolo, kapena miyendo yakumunsi

Kutulutsa kwa insulini kumatha kuyambitsa zovuta zina. Itanani dokotala wanu ngati muli ndi zovuta zina mukamagwiritsa ntchito mankhwalawa.

Sungani zotsekemera zotsekemera za insulini ndi zolembera mu katoni yoyambirira mufiriji. Osazizira. Musagwiritse ntchito insulin ngati idawuma. Chidziwitso cha insulin chosatsegulidwa chomwe chimatsegulidwa chimatha kusungidwa mpaka tsiku lowonetsedwa pakampani.

Ngati mulibe firiji (mwachitsanzo, mukakhala kutchuthi), sungani mabotolo, kapena zolembera firiji komanso kutali ndi kutentha ndi kuwala. Mbale ndi zolembera zopanda firiji zitha kugwiritsidwa ntchito pasanathe masiku 42 kapena pambuyo pake ziyenera kutayidwa. Anatsegula Mbale akhoza kusungidwa kwa masiku 42 firiji kapena mufiriji. Zolembera zotseguka zitha kusungidwa kutentha mpaka masiku 42; musawafewetse. Chotsani chilichonse chomwe chimapezeka ndi kutentha kapena kuzizira.

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.

Kutsekemera kwa insulini kumatha kuchitika ngati mumagwiritsa ntchito kwambiri insulin kapena ngati mumagwiritsa ntchito insulini yokwanira koma mumadya pang'ono kuposa masiku onse kapena mumachita masewera olimbitsa thupi kuposa masiku onse. Insulin detemir bongo ikhoza kuyambitsa hypoglycemia. Ngati muli ndi zizindikiro za hypoglycemia, tsatirani malangizo a dokotala pazomwe muyenera kuchita ngati mukudwala matenda a hypoglycemia. Zizindikiro zina za bongo:

• kulanda
• kutaya chidziwitso

Sungani maimidwe onse ndi dokotala wanu ndi labotale. Magazi anu a shuga ndi hemoglobin (HbA1c) a glycosylated ayenera kuyang'aniridwa pafupipafupi kuti mudziwe momwe mungayankhire insulin. Dokotala wanu adzakuwuzani momwe mungayang'anire kuyankha kwanu ku insulini 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.

• Levemir^®