Insulin Kupuma Kwaumunthu

Zamkati

• Musanagwiritse ntchito inhalation inhalation,
• Mankhwalawa amatha kusintha shuga m'magazi anu. Muyenera kudziwa zizindikiro za shuga wotsika kwambiri komanso zomwe muyenera kuchita ngati muli ndi izi.
• Kupuma kwa insulini kumatha kuyambitsa 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, itanani dokotala wanu mwachangu kapena pitani kuchipatala mwadzidzidzi:
• Kupitirira muyeso kwa insulini kumatha kuchitika ngati mutamwa kwambiri insulin kapena ngati mutenga insulini yokwanira koma mumadya kapena kuchita masewera olimbitsa thupi kuposa masiku onse. Insulini inhalation overdose imatha kuyambitsa hypoglycemia. Ngati muli ndi zizindikiro zilizonse za matenda a hypoglycemia, tsatirani malangizo a dokotala pazomwe muyenera kuchita ngati mukudwala matenda a hypoglycemia. Zizindikiro zina za bongo:

Kupuma kwa insulin kumatha kuchepa kwa mapapo ndipo kumatha kuyambitsa ma bronchospasms (zovuta kupuma). Uzani dokotala wanu ngati mwakhalapo ndi mphumu kapena matenda osokoneza bongo (COPD; gulu la matenda omwe amakhudza m'mapapo ndi mlengalenga). Dokotala wanu angakuuzeni kuti musagwiritse ntchito inhalation inhalation ngati muli ndi mphumu kapena COPD. Dokotala wanu adzayitanitsa mayeso ena kuti aone momwe mapapu anu akugwirira ntchito musanalandire chithandizo, miyezi isanu ndi umodzi mutayamba mankhwala, komanso chaka chilichonse mukamagwiritsa ntchito mankhwala a insulin. Uzani dokotala wanu ngati muli ndi izi: kupumira kapena kupuma movutikira.

Sungani maimidwe onse ndi dokotala wanu ndi labotale.

Dokotala wanu kapena wamankhwala amakupatsirani pepala lazidziwitso za wopanga (Medication Guide) mukayamba kulandira mankhwala ndi kupuma kwa insulin ndipo nthawi iliyonse mukadzaza mankhwala anu. Werengani nkhaniyi mosamala ndikufunsani dokotala kapena wamankhwala ngati muli ndi mafunso. Muthanso kuyendera tsamba laopanga kuti mupeze Chithandizo cha Mankhwala.

Lankhulani ndi dokotala wanu za kuopsa kogwiritsa ntchito insulin inhalation.

Inulin inhalation imagwiritsidwa ntchito limodzi ndi insulini yogwira ntchito kwa nthawi yayitali pochiza matenda amtundu woyamba 1 (momwe thupi silimatulutsa insulin motero silingathe kuwongolera kuchuluka kwa shuga m'magazi). Amagwiritsidwanso ntchito limodzi ndi mankhwala ena ochizira anthu omwe ali ndi matenda amtundu wa 2 (momwe thupi siligwiritse ntchito insulini mwachizolowezi, chifukwa chake, silingathe kuwongolera kuchuluka kwa shuga m'magazi) omwe amafunikira insulini kuti athetse matenda awo ashuga. Kupuma kwa insulini sikugwiritsidwe ntchito pochiza matenda ashuga ketoacidosis (vuto lalikulu lomwe lingachitike ngati mulibe shuga wambiri). Kupuma kwa insulini ndimachitidwe achidule, opangidwa ndi anthu a insulini yamunthu. Kupuma kwa insulini kumagwira ntchito m'malo mwa insulini yomwe nthawi zambiri imapangidwa ndi thupi ndikuthandizira kusunthira shuga m'magazi kulowa 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.

Kupuma kwa insulini kumabwera ngati ufa wopumira pakamwa pogwiritsa ntchito inhaler yapadera. Nthawi zambiri amagwiritsidwa ntchito kumayambiriro kwa chakudya chilichonse. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Gwiritsani ntchito inhalation inhalation ndendende momwe mwalangizira. Osamagwiritsa ntchito zocheperako kapena kuzigwiritsa ntchito pafupipafupi kuposa momwe adanenera dokotala.

Kupuma kwa insulini kumawongolera matenda ashuga, koma samachiritsa. Pitirizani kugwiritsa ntchito insulini inhalation ngakhale mutakhala bwino. Osasiya kugwiritsa ntchito inhalation inhalation osalankhula ndi dokotala. Osasinthana ndi mtundu wina wa insulini osalankhula ndi dokotala.

Musanagwiritse ntchito insulini pakamwa nthawi yoyamba, werengani malangizo omwe amabwera nawo. Yang'anani zithunzizo mosamala ndipo onetsetsani kuti mukuzindikira magawo onse a inhaler. Funsani dokotala wanu kapena wamankhwala kuti akuwonetseni momwe mungagwiritsire ntchito. Yesetsani kugwiritsa ntchito inhaler pomwe iye alipo.

Insulin inhalation powder imabwera ngati cartridge yogwiritsa ntchito kamodzi. Makatiriji ayenera kugwiritsidwa ntchito ndi inhaler yomwe imabwera ndi mankhwala anu. Musayese kutsegula katiriji, kumeza katiriji, kapena kulowetsa zomwe zili mkati popanda inhaler yomwe imabwera ndi mankhwala anu.

Mukayika katiriji mu inhaler, sungani muyeso wa inhaler wokhala ndi cholankhulira choyera pamwamba ndi maziko ofiira pansi. Ngati inhaler ikugwirana mozondoka, kapena ngati cholankhulira chasololedwa, kugwedezeka, kapena kugwetsedwa, ungataye mankhwala. Izi zikachitika, muyenera kusintha katiriji musanagwiritse ntchito inhaler.

Tsatirani malangizo a dokotala wanu za kuchuluka kwa insulini inhalation cartridges omwe muyenera kugwiritsa ntchito tsiku lililonse. Mukayamba kugwiritsa ntchito insulini inhalation, dokotala angafunikire kusintha kuchuluka kwa mankhwala ena ashuga, monga insulin yayitali komanso mankhwala akumwa a shuga. Dokotala wanu angafunikire kusintha mlingo wanu wa insulini inhalation mukamalandira chithandizo. Tsatirani malangizowa mosamala ndikufunsani dokotala ngati muli ndi mafunso. Musasinthe kuchuluka kwa insulin kupuma kapena mankhwala ena aliwonse a shuga musanalankhule ndi dokotala.

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

Musanagwiritse ntchito inhalation inhalation,

• uzani adotolo ndi wazamalonda ngati muli ndi vuto la insulin (Apidra, Humulin, Lantus, Levemir, Novolog, ena), mankhwala ena aliwonse, kapena chilichonse chomwe chingagwiritsidwe ntchito mu kupuma kwa insulin. 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. Onetsetsani kuti mwatchulapo izi: albuterol (Proair HFA, Proventil, Ventolin, ena); ma angiotensin otembenuza enzyme (ACE) zoletsa monga benazepril (Lotensin, ku Lotrel), enalapril (Vasotec, in Vaseretic), fosinopril, lisinopril (Prinivil, Zestril, in Prinzide, in Zestoretic), quinapril (Accupril, ramipril (Altace); Otsutsana ndi angiotensin II (angiotensin receptor blockers; ma ARB) monga azilsartan (Edarbi), candesartan (Atacand, ku Atacand HCT), eprosartan (Teveten, ku Teveten HCT), irbesartan (Avapro, ku Avalide), losartan (Cozaar, ku Hyzaar) , olmesartan (Benicar, ku Azor, ku Benicar HCT, ku Tribenzor), telmisartan (Micardis, ku Micardis HCT, ku Twynsta), ndi valsartan (Diovan, ku Diovan HCT, ku Exforge HCT, ena); zotchinga beta monga atenolol (Tenormin, in Tenoretic), labetalol (Trandate), metoprolol (Lopressor, Toprol XL, ku Dutoprol, ena), nadolol (Corgard, ku Corzide), ndi propranolol (Hemangeol, Inderal, Innopran XL); clonidine (Catapres, Catapres-TTS, Kapvay, ena); clozapine (Clozaril, Fazaclo ODT, Versacloz); danazol; disopyramide (Norpace, Norpace CR); okodzetsa; fenofibrate (Lipofen, TriCor, Triglide); fluoxetine (Prozac, Sarafem, Selfemra, mu Symbyax); gemfibrozil (Lopid); HIV protease inhibitors kuphatikiza atazanavir (Reyataz), indinavir (Crixivan), lopinavir (ku Kaletra), nelfinavir (Viracept), ritonavir (Norvir, ku Kaletra, ku Viekira Pak), ndi saquinavir (Invirase); mankhwala othandizira mahomoni; isoniazid (Laniazid, ku Rifamate, ku Rifater); lifiyamu (Lithobid); mankhwala a mphumu, chimfine, matenda amisala, ndi nseru; monoamine oxidase (MAO) inhibitors, kuphatikiza isocarboxazid (Marplan), phenelzine (Nardil), tranylcypromine (Parnate), ndi selegiline (Eldepryl, Emsam, Zelapar); kachilombo; njira zakulera zam'kamwa (mapiritsi olera); mankhwala akumwa ashuga monga pioglitazone (Actos, ku Actoplus Met, ku Duetact, ku Oseni) kapena rosiglitazone (Avandia, ku Avandamet, ku Avandaryl); oral steroids monga dexamethasone, methylprednisolone (Medrol), ndi prednisone (Rayos); octreotide (Sandostatin); olanzapine (Zyprexa, Zydis, mu Symbyax); mankhwala ena opumira; pentamidine (NebuPent, Pentam); pentoxifylline (Pentoxil); pramlintide (Symlin); mankhwala; kuperekanso; kupweteka kwa salicylate kumachepetsa monga aspirin; somatropin (Genotropin, Humatrope, Nutropin, ena); mankhwala a sulfa; terbutaline; ndi mankhwala a chithokomiro. Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
• Uzani dokotala wanu ngati muli ndi matenda a hypoglycemia (shuga wotsika magazi). Dokotala wanu angakuuzeni kuti musatenge mpweya wa insulini ngati muli ndi vutoli.
• uzani dokotala wanu ngati muli ndi kachilombo kapena mumasuta kapena ngati mwasiya kusuta m'miyezi isanu ndi umodzi yapitayo. Komanso, uzani dokotala wanu ngati mwakhalapo ndi khansa ya m'mapapo, kuwonongeka kwa mitsempha yoyambitsidwa ndi matenda anu ashuga, mtima kulephera, kapena matenda a impso kapena chiwindi.
• Uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa. Mukakhala ndi pakati mukamagwiritsa ntchito insulin kupumira, itanani dokotala wanu.
• ngati mukuchitidwa opaleshoni, kuphatikizapo opaleshoni ya mano, uzani dokotala kapena dokotala kuti mukugwiritsa ntchito inhalation inhalation.
• funsani dokotala wanu kuti muwone kangati magazi anu shuga. Dziwani kuti shuga wotsika m'magazi ingakhudze kuthekera kwanu kuchita zinthu monga kuyendetsa galimoto ndikufunsani dokotala ngati mukufuna kuyang'ana shuga wamagazi musanayendetse kapena kugwiritsa ntchito makina.
• mowa ungayambitse kusintha kwa magazi. Funsani dokotala wanu za zakumwa zoledzeretsa pamene mukugwiritsa ntchito insulin kupuma.
• funsani dokotala wanu choti muchite mukadwala, kunenepa, kapena kuchepa thupi, kukhala ndi nkhawa zachilendo, kukonzekera kuyenda maulendo azigawo, kapena kusintha zochita zanu zolimbitsa thupi. Kusintha kumeneku kungakhudze kuchuluka kwa insulini komanso kuchuluka kwa insulini yomwe mungafune.

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.

Mukangoyamba kugwiritsa ntchito inhalation ya insulin, funsani dokotala zomwe muyenera kuchita mukaiwala kupumira mlingo panthawi yoyenera. Lembani malangizowa kuti muthe kuwafotokozera pambuyo pake.

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

Kupuma kwa insulini kumatha kuyambitsa zovuta. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• chifuwa
• zilonda zapakhosi kapena kupsa mtima
• kutopa
• kutsegula m'mimba
• nseru
• mutu
• kupweteka, kutentha
• kunenepa

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi izi kapena izi zomwe zalembedwa M'CHENJEZO CHOFUNIKA, itanani dokotala wanu mwachangu kapena pitani kuchipatala mwadzidzidzi:

• zidzolo kapena kuyabwa
• ming'oma
• kugunda kwamtima mwachangu
• thukuta
• zovuta kumeza
• kupuma movutikira
• kutupa kwa mikono, manja, mapazi, akakolo, kapena miyendo yakumunsi
• kunenepa mwadzidzidzi
• Kusinza kwambiri
• chisokonezo
• chizungulire

Kupuma kwa insulini kumatha kuonjezera chiopsezo kuti mungakhale ndi khansa yamapapo. Lankhulani ndi dokotala wanu za kuopsa kogwiritsa ntchito insulin inhalation.

Kutsegula kwa insulin kumatha 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 mankhwalawa m'firiji, mumtsukomo munabwera mutatsekedwa mwamphamvu, ndipo ana sangathe kuwapeza. Musanagwiritse ntchito, chotsani makatiriji mufiriji ndikusungira kutentha kwa mphindi 10. Mankhwala osatsegulidwa amatha kusungidwa kutentha mpaka masiku 10. Mukatsegula, gwiritsani ntchito matumba a cartridge mkati mwa masiku atatu mukasunga kutentha. Gwiritsani ntchito inhaler mpaka masiku 15 kuyambira tsiku loyamba logwiritsa ntchito, kenako nkutaya ndikuisintha ndi inhaler yatsopano. Osasamba konse inhaler; sungani chouma.

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.

Kupitirira muyeso kwa insulini kumatha kuchitika ngati mutamwa kwambiri insulin kapena ngati mutenga insulini yokwanira koma mumadya kapena kuchita masewera olimbitsa thupi kuposa masiku onse. Insulini inhalation overdose imatha kuyambitsa hypoglycemia. Ngati muli ndi zizindikiro zilizonse za matenda a hypoglycemia, tsatirani malangizo a dokotala pazomwe muyenera kuchita ngati mukudwala matenda a hypoglycemia. Zizindikiro zina za bongo:

• kutaya chidziwitso
• kugwidwa

Magazi anu a shuga ndi hemoglobin (HbA1c) a glycosylated amayenera kufufuzidwa pafupipafupi kuti mudziwe momwe mungayankhire kupuma kwa insulin. Dokotala wanu adzakuwuzani momwe mungayang'anire kuyankha kwanu ku insulini 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.

• Afrezza^®