Insulin Glulisine (chiyambi cha rDNA) jekeseni

Zamkati

• Musanagwiritse ntchito insulini glulisine,
• Insulini glulisine imatha kusintha shuga m'magazi anu. Muyenera kudziwa zizindikiro za shuga wotsika kwambiri komanso zomwe muyenera kuchita ngati muli ndi izi.
• Insulin glulisine 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:
• Insulini glulisine overdose imatha kuchitika ngati mumagwiritsa ntchito insulin glulisine kwambiri kapena ngati mumagwiritsa ntchito insulin glulisine koma mumadya zochepa kuposa masiku onse kapena kuchita masewera olimbitsa thupi kuposa masiku onse. Insulini glulisine 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 zingaphatikizepo:

Insulini glulisine imagwiritsidwa ntchito pochiza matenda amtundu woyamba 1 (momwe thupi silimapangira insulini motero silingathe kuwongolera kuchuluka kwa shuga m'magazi). Amagwiritsidwanso ntchito kuchiza anthu omwe ali ndi matenda a shuga amtundu wa 2 (momwe shuga wamagazi amakhala wochuluka kwambiri chifukwa thupi silimatulutsa kapena kugwiritsa ntchito insulini mwachizolowezi) omwe amafunikira insulini kuti athetse matenda awo ashuga. Odwala omwe ali ndi matenda a shuga amtundu wa 1, insulin glulisine nthawi zambiri amagwiritsidwa ntchito ndi mtundu wina wa insulin, pokhapokha akagwiritsa ntchito pampu yakunja ya insulin. Odwala omwe ali ndi matenda a shuga amtundu wa 2, insulin glulisine amathanso kugwiritsidwa ntchito ndi mtundu wina wa insulini kapena mankhwala am'kamwa a matenda ashuga. Insulini glulisine ndichinthu chanthawi yayitali, chopangidwa ndi anthu cha insulini yamunthu. Insulini glulisine imagwira ntchito m'malo mwa insulini yomwe nthawi zambiri imapangidwa ndi thupi ndikuthandizira kusunthira shuga m'magazi kulowa mthupi lina momwe imagwiritsidwira 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.

Insulin glulisine imabwera ngati yankho (madzi) kuti alowetse subcutaneous (pansi pa khungu). Nthawi zambiri amabayidwa mpaka mphindi 15 musanadye kapena mphindi 20 musanayambe kudya. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Gwiritsani ntchito insulini glulisine monga momwe mwalamulira. Osamagwiritsa ntchito zocheperako kapena kuzigwiritsa ntchito pafupipafupi kuposa momwe adanenera dokotala.

Musagwiritse ntchito insulini glulisine 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.

Insulin glulisine imayang'anira matenda ashuga koma samachiritsa. Pitirizani kugwiritsa ntchito insulin glulisine ngakhale mukumva bwino. Osasiya kugwiritsa ntchito insulin glulisine 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 glulisine imabwera m'mitsuko ndi m'makola oikamo mankhwala omwe amakhala ndi mankhwala ozungulira. Onetsetsani kuti mukudziwa mtundu wa chidebe chomwe insulin glulisine imabwera komanso zinthu zina, monga singano, majekeseni, kapena zolembera, muyenera kubaya mankhwala anu.

Ngati insulini yanu ya glulisine ibwera m'mitsuko, muyenera kugwiritsa ntchito majekeseni kuti mulowe muyezo wanu. Funsani dokotala wanu kapena wamankhwala kuti akuwonetseni momwe mungabayire insulin glulisine 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. Kutaya singano ndi majakisoni mumtsuko wosagundika. Funsani dokotala wanu kapena wamankhwala momwe mungatherere chidebe chosagwira mankhwala.

Dokotala wanu angakuuzeni kuti muphatikize insulini glulisine ndi mtundu wina wa insulini (NPH insulin [Novolin N, Humulin N]) mu sirinji yomweyo. Osasakaniza kapena kuchepetsa insulin glulisine ndi mtundu wina uliwonse wa insulini. Mukasakaniza insulini glulisine ndi NPH insulin, jambulani insulin glulisine mu syringe poyamba, kenako jambulani NPH insulin mu syringe ndikujambulitsa yankho mukangosakaniza.

Mutha kubaya insulin glulisine mu ntchafu zanu, m'mimba, kapena kumtunda. Osamabaya insulin glulisine 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 glulisine musanaibayize. Iyenera kukhala yomveka komanso yopanda utoto. Musagwiritse ntchito insulini glulisine ngati ili yofiira, mitambo, kapena imakhala ndi tinthu tolimba, kapena ngati tsiku lomaliza la botolo lidutsa.

Insulin glulisine itha kugwiritsidwanso ntchito ndi mpope wakunja wa insulin. Musanagwiritse ntchito insulini glulisine mu mpope, werengani cholembera kuti muwonetsetse kuti pampu itha kugwiritsidwa ntchito popititsa patsogolo insulin mwachangu. Werengani buku la pampu kuti mupeze malo osungira ndi ma tubing, ndikufunsani dokotala kapena wamankhwala kuti akuwonetseni momwe mungagwiritsire ntchito mpope wa insulini. Osachepetsa insulin glulisine kapena kusakaniza ndi mtundu wina uliwonse wa insulini mukamagwiritsa ntchito mpope wakunja wa insulin. Insulini glulisine yogwiritsidwa ntchito pampu yakunja ya insulini iyenera kulowetsedwa m'mimba mwanu. Mukamagwiritsa ntchito insulini glulisine mu mpope wakunja wa insulini, tengani insulini yosungira ndikusintha malo opangira ma tubing, singano, ndikulowetsedwa (komwe pampu imalumikizidwa ndi thupi) osachepera maola 48 aliwonse. Ngati tsamba lolowetsedwa ndi lofiira, loyabwa, kapena lakuthwa, uzani dokotala wanu ndikugwiritsa ntchito tsamba linalake lolowetsedwa.

Mukamagwiritsa ntchito insulini glulisine mu mpope wakunja wa insulin, shuga wambiri wamagazi amatha kuchitika mwachangu ngati pampu itasiya kugwira ntchito moyenera kapena ngati insulini yomwe ili m'mphepete mwa mpope imawonekera padzuwa kapena kutentha kopitilira 98.6 ° F (37 ° C). Shuga wamagazi amathanso kupezeka ngati ma tubing atuluka kapena atatsekedwa, osadulidwa, kapena makinki. Mungafunike kusintha kulowetsedwa ndi insulin mu pampu kapena malo olowetsedwa ngati muli ndi shuga wambiri wamagazi, ma alarm alamu, kapena kutuluka kwa insulin kutsekedwa. Ngati vutoli silingapezeke mwachangu ndikukonzedwa, itanani dokotala wanu nthawi yomweyo. Mungafunike kugwiritsa ntchito insulini kwakanthawi pobayira jakisoni (pogwiritsa ntchito masingano kapena cholembera cha insulini). Onetsetsani kuti muli ndi insulini yothandizira ndi zofunikira zilizonse, ndipo funsani dokotala kapena wamankhwala kuti akuwonetseni momwe mungagwiritsire ntchito.

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 glulisine,

• uzani adotolo ndi wazamalonda ngati vuto lanu ndi insulini (Humulin, Novolin, ena), chilichonse chopangira insulin glulisine, kapena mankhwala ena aliwonse. Funsani wamankhwala wanu kapena onani zomwe wodwala akupanga kuti muwone mndandanda wazosakaniza.
• Uzani dokotala wanu komanso wamankhwala mankhwala ndi mankhwala osapatsirana, mavitamini, zowonjezera zakudya, ndi mankhwala azitsamba omwe mukumwa kapena omwe mukufuna kumwa. 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), gemfibrozil (Lopid), ndi niacin (Niacor, Niaspan, in Advicor); clonidine (Catapres, Catapres-TTS, ku Clorpres); danazol; disopyramide (Norpace); okodzetsa ('mapiritsi amadzi'); fluoxetine (Prozac, Sarafem, mu Symbyax); glucagon (Glucagen); mankhwala othandizira mahomoni; isoniazid (INH, Nydrazid); lifiyamu (Eskalith, Lithobid); mankhwala a mphumu ndi chimfine; Mankhwala ena a kachirombo ka HIV (HIV) kuphatikiza amprenavir (Agenerase), atazanavir (Reyataz), fosamprenavir (Lexiva), indinavir (Crixivan), lopinavir (ku Kaletra), nelfinavir (Viracept), ritonavir (ku Kaletra, Norvir), saquina (Invirase), ndi tipranavir (Aptivus); mankhwala a matenda amisala ndi nseru; monoamine oxidase (MAO) inhibitors monga isocarboxazid (Marplan), phenelzine (Nardil), selegiline (Eldepryl, Emsam, Zelapar), ndi tranylcypromine (Parnate); njira zolerera za mahomoni (mapiritsi olera, zigamba, mphete, jakisoni, kapena ma implants); octreotide (Sandostatin); mankhwala akumwa ashuga; mankhwala amlomo monga dexamethasone (Decadron, Dexone), methylprednisolone (Medrol), ndi prednisone (Deltasone); pentamidine (NebuPent, Pentam); pentoxifylline (Pentoxil, Trental); pramlintide (Symlin); 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, Serostem, ena); mankhwala a sulfa; ndi mankhwala a chithokomiro. Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
• Uzani dokotala wanu ngati mudakhalapo kapena kuwonongeka kwamitsempha chifukwa cha matenda anu ashuga kapena matenda ena aliwonse, kuphatikiza impso kapena chiwindi.
• uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa. Mukakhala ndi pakati mukamagwiritsa ntchito insulin glulisine, itanani dokotala wanu.
• ngati mukuchitidwa opaleshoni, kuphatikizapo opaleshoni ya mano, uzani dokotala kapena dokotala kuti mukugwiritsa ntchito insulin glulisine.
• mowa ungayambitse kusintha kwa magazi. Funsani dokotala wanu za zakumwa zoledzeretsa pamene mukugwiritsa ntchito insulin glulisine.
• funsani dokotala wanu choti muchite mukadwala, mukumva kupsinjika kwachilendo, kapena musintha zolimbitsa thupi zanu. 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.

Insulini glulisine iyenera kubayidwa mpaka mphindi 15 isanakwane kapena mkati mwa mphindi 20 mutayamba kudya. Ngati papita nthawi yoti mudye chakudya, tsatirani malangizo omwe dokotala wanu wapereka kapena pitani kuchipatala kuti mudziwe ngati muyenera kubaya jakisoni. Osabaya jakisoni kawiri kuti mupange yomwe mwaphonya.

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

Insulin glulisine imatha kuyambitsa mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• kufiira, kutupa, kapena kuyabwa pamalo obayira
• kusintha pakumverera kwa khungu lanu, kukhuthala kwa khungu (kumanga mafuta), kapena kulowa pang'ono pakhungu (kuwonongeka kwamafuta)
• kutupa kwa manja ndi mapazi
• 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
• kusawona bwino
• kugunda kwamtima mwachangu
• thukuta
• kupusa / kukomoka
• kuvuta kupuma kapena kumeza
• kufooka
• kukokana kwa minofu
• kugunda kwamtima kosazolowereka

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

Sungani mbale ndi zolembera za insulin zotseguka mufiriji kutali ndi kuwala. Musalole konse insulin glulisine kuundana; osagwiritsa ntchito insulini glulisine yomwe yazizira komanso kusungunuka. Mitsempha yotsegulidwa ya insulini glulisine itha kukhala mufiriji kapena ikhoza kusungidwa kutentha, kutali ndi dzuwa komanso kutentha, kwa masiku 28. Zolembera zodzaza kale zomwe sizinagwiritsidwe ntchito zitha kukhala m'firiji kapena zitha kusungidwa kutentha, kutali ndi kutentha kwadzuwa ndi dzuwa, kwa masiku 28. Zolembera zodzaza kale zomwe zakhala zikugwiritsidwa ntchito siziyenera kukhala ndi firiji; ayenera kusungidwa kutentha mpaka masiku 28 mutagwiritsa ntchito koyamba. Kutaya zotsekemera zotsekemera za insulin zotsekemera ndi zolembera pambuyo pa masiku 28. Chotsani insulin glulisine yosatsegulidwa, yomwe ili m'firiji tsiku lomaliza litasindikizidwa kale. Chotsani insulin glulisine iliyonse yomwe yakhala yozizira kapena yotenthedwa kwambiri.

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.

Insulini glulisine overdose imatha kuchitika ngati mumagwiritsa ntchito insulin glulisine kwambiri kapena ngati mumagwiritsa ntchito insulin glulisine koma mumadya zochepa kuposa masiku onse kapena kuchita masewera olimbitsa thupi kuposa masiku onse. Insulini glulisine 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 zingaphatikizepo:

• kutaya chidziwitso
• kugwidwa

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 glulisine. 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.

• Apidra^®