Jekeseni wa Dulaglutide
Zamkati
- Musanagwiritse ntchito dulaglutide,
- Mankhwalawa amatha kusintha shuga m'magazi anu. Muyenera kudziwa zizindikiro za shuga wotsika kwambiri komanso zomwe muyenera kuchita ngati muli ndi izi.
- Dulaglutide imatha kuyambitsa zovuta zina. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
- Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi izi kapena izi zomwe zalembedwa MUCHENJEZO CHENJEZO, siyani kugwiritsa ntchito dulaglutide ndikuyimbira dokotala nthawi yomweyo kapena kupeza chithandizo chamankhwala mwadzidzidzi:
- Zizindikiro za bongo zingaphatikizepo izi:
Jakisoni wa Dulaglutide akhoza kuonjezera chiopsezo kuti mudzayamba zotupa za chithokomiro, kuphatikizapo medullary thyroid carcinoma (MTC; mtundu wa khansa ya chithokomiro). Zinyama zanthabwala zomwe zidapatsidwa dulaglutide zidakhala ndi zotupa, 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 2 (MEN 2; zomwe zimayambitsa zotupa m'matenda opitilira amodzi mthupi). Ngati ndi choncho, dokotala wanu angakuuzeni kuti musagwiritse ntchito jekeseni wa dulaglutide. 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 amatha kuyitanitsa mayeso ena kuti aone momwe thupi lanu lingayankhire jekeseni wa dulaglutide.
Dokotala wanu kapena wamankhwala adzakupatsani pepala lazidziwitso za wopanga (Medication Guide) mukayamba kulandira mankhwala ndi jekeseni wa dulaglutide 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 jekeseni wa dulaglutide.
Jekeseni wa Dulaglutide imagwiritsidwa ntchito pulogalamu yazakudya ndi masewera olimbitsa thupi kuti muchepetse kuchuluka kwa shuga m'magazi mwa achikulire omwe ali ndi matenda a shuga a mtundu wa 2 (momwe thupi siligwiritsa ntchito insulini mwachizolowezi motero silingathe kuwongolera kuchuluka kwa shuga m'magazi). Jakisoni wa Dulaglutide amagwiritsidwanso ntchito pochepetsa chiopsezo cha matenda amtima, kupwetekedwa mtima, kapena kufa kwa akulu omwe ali ndi matenda a shuga a mtundu wachiwiri omwe alinso ndi matenda amtima kapena omwe ali pachiwopsezo chodwala matenda amtima. Jekeseni wa Dulaglutide sagwiritsidwa ntchito pochiza matenda ashuga amtundu wa 1 (momwe thupi silitulutsire insulini motero silingathe kuwongolera kuchuluka kwa shuga m'magazi) kapena matenda ashuga ketoacidosis (vuto lalikulu lomwe lingachitike ngati mulibe shuga wambiri) . Jekeseni wa Dulaglutide uli mgulu la mankhwala otchedwa incretin mimetics. Zimagwira ntchito pothandizira kuti zikondamoyo zizitha kutulutsa insulini yoyenera kuchuluka kwake mukamakhala shuga wambiri m'magazi. Insulini imathandizira kusuntha shuga kuchokera m'magazi kupita kuzinthu zina zathupi momwe amagwiritsidwira ntchito ngati mphamvu. Jekeseni wa Dulaglutide imagwiranso ntchito pochepetsa kuyenda kwa chakudya m'mimba.
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.
Jakisoni wa Dulaglutide amabwera ngati yankho (madzi) mu cholembera chodzikongoletsera kuti mubayire subcutaneously (pansi pa khungu) m'mimba mwanu, ntchafu, kapena mkono wakumtunda. Nthawi zambiri amabayidwa kamodzi pamlungu osasamala chakudya. Gwiritsani ntchito jakisoni wa dulaglutide tsiku lomwelo sabata iliyonse nthawi iliyonse. Mutha kusintha tsiku la sabata lomwe mumagwiritsa ntchito dulaglutide bola ngati lakhala 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 wa dulaglutide monga momwe mwalangizira. Osamagwiritsa ntchito zocheperako kapena kuzigwiritsa ntchito pafupipafupi kuposa momwe adanenera dokotala.
Jekeseni wa Dulaglutide amawongolera matenda ashuga koma samachiritsa. Pitirizani kugwiritsa ntchito jekeseni wa dulaglutide ngakhale mukumva bwino. Osasiya kugwiritsa ntchito jekeseni wa dulaglutide osalankhula ndi dokotala.
Dulaglutide amabwera m'makola olembera omwe ali ndi mankhwala okwanira pamlingo umodzi. Nthawi zonse jambulani dulaglutide mu cholembera chake; osazisakaniza ndi mankhwala ena aliwonse.
Werengani mosamala malangizo a wopanga kuti agwiritse ntchito omwe amabwera ndi mankhwala. Malangizowa amafotokoza momwe mungakonzekerere ndikujambulitsa jakisoni wa dulaglutide. Onetsetsani kuti mufunse wamankhwala kapena dokotala ngati muli ndi mafunso aliwonse amomwe mungapangire mankhwalawa.
Nthawi zonse yang'anani yankho la dulaglutide musanaibayize. Iyenera kukhala yowoneka bwino, yopanda utoto, komanso yopanda tinthu tolimba.
Mutha kubaya dulaglutide m'manja mwanu, ntchafu, kapena m'mimba. Osabaya dulaglutide mumtsempha kapena minofu. Sinthani (sinthasintha) tsamba la jakisoni mdera lomwe mwasankha ndi mulingo uliwonse. Mutha kubaya dulaglutide ndi insulini m'dera lomwelo, koma simuyenera kupereka jakisoni moyandikana.
Musagwiritsenso ntchito kapena kugawana zolembera. Kutaya zolembera m'mbale zosagwira. Funsani dokotala wanu kapena wamankhwala momwe angatayire chidebe chosagwira.
Mankhwalawa amatha kupatsidwa ntchito zina; funsani dokotala wanu kapena wamankhwala kuti mudziwe zambiri.
Musanagwiritse ntchito dulaglutide,
- uzani dokotala wanu komanso wamankhwala ngati muli ndi vuto la dulaglutide, mankhwala ena aliwonse, kapena zosakaniza zilizonse za jekeseni wa dulaglutide. Funsani wamankhwala wanu kapena onani Chithandizo cha Mankhwala kuti mupeze mndandanda wazosakaniza.
- auzeni adotolo komanso asayansi yanu mankhwala ena omwe mungalandire kapena omwe simukulembera, mavitamini, zowonjezera zakudya, komanso mankhwala azitsamba omwe mukumwa kapena omwe mukufuna kumwa. Ndikofunikira kwambiri kuuza dokotala wanu za mankhwala onse omwe mumamwa pakamwa chifukwa dulaglutide amatha kusintha momwe thupi lanu limamwere mankhwalawa. Komanso onetsetsani kuti mwatchula za insulin kapena mankhwala akumwa a shuga makamaka sulfonylureas, kuphatikiza chlorpropamide (Diabinese), glimepiride (Amaryl, ku Avandaryl, ku Duetact), glipizide (Glucotrol), glyburide (DiaBeta, ku Glucovance), tolazamide, ndi tolbutamide. Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
- Uzani dokotala wanu ngati mwakhalapo ndi kapamba (kutupa kwa kapamba); matenda a shuga (kuwonongeka kwa maso chifukwa cha matenda ashuga); mavuto akulu am'mimba, kuphatikiza gastroparesis (kuchepa kwa chakudya kuchokera m'mimba kupita m'matumbo ang'ono) kapena mavuto ena akudya chakudya; kapena matenda a impso kapena chiwindi.
- Uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa. Mukakhala ndi pakati mukamagwiritsa ntchito jekeseni wa dulaglutide, itanani dokotala wanu.
- funsani dokotala wanu choti muchite mukadwala, mutenga matenda kapena malungo, mukumva kupsinjika kwachilendo, kapena mukavulala. Izi zimatha kukhudza shuga wamagazi komanso kuchuluka kwa dulaglutide komwe mungafune.
Onetsetsani kuti mukutsatira zolimbitsa thupi komanso malingaliro azakudya zomwe adokotala anu kapena odyetsa.
Gwiritsani ntchito mlingo womwe mwaphonya mukangokumbukira ndikupitiliza dongosolo lanu lama sabata. Komabe, ngati pali masiku ochepera atatu mpaka tsiku lanu lotsatira, 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.
Dulaglutide imatha kuyambitsa zovuta zina. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
- kutsegula m'mimba
- nseru
- kutentha pa chifuwa
- kuchepa kudya
- kumva kutopa
Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi izi kapena izi zomwe zalembedwa MUCHENJEZO CHENJEZO, siyani kugwiritsa ntchito dulaglutide ndikuyimbira dokotala nthawi yomweyo kapena kupeza chithandizo chamankhwala mwadzidzidzi:
- kupweteka kosalekeza komwe kumayambira kumtunda kumanzere kapena pakati pamimba koma kumafalikira kumbuyo
- kusanza
- ming'oma
- zidzolo
- kuyabwa
- kuvuta kupuma kapena kumeza
- kutupa kwa milomo, lilime, nkhope, kapena pakhosi
- masomphenya amasintha
- kugunda kwamtima mwachangu
Dulaglutide 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 katoni yoyambirira mufiriji, otetezedwa ku kuwala. Osazizira. Ngati ndi kotheka, cholembera chilichonse chokhazikika chitha kusungidwa kutentha mpaka masiku 14. Sungani dulaglutide patali ndi ana.
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.
Zizindikiro za bongo zingaphatikizepo izi:
- nseru
- kusanza
- zizindikiro za hypoglycemia
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.
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