Insulin Degludec (rDNA Origin) jekeseni

Zamkati

• Musanagwiritse ntchito insulin degludec,
• Mankhwalawa amatha kusintha shuga m'magazi anu. Muyenera kudziwa zizindikiro za shuga wotsika kwambiri komanso zomwe muyenera kuchita ngati muli ndi izi. Insulin degludec imatha kuyambitsa mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi izi, pitani kuchipatala nthawi yomweyo kapena pitani kuchipatala:
• Insulini ya digludec overdose imatha kuchitika ngati mumagwiritsa ntchito insulini yochuluka kwambiri kapena ngati mumagwiritsa ntchito insulini digludec, koma idyani zochepa kuposa nthawi zonse kapena muzichita masewera olimbitsa thupi kuposa nthawi zonse. Insulin overdose 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:

Insulin degludec imagwiritsidwa ntchito pochiza matenda amtundu woyamba 1 (momwe thupi silimatulutsira 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 degludec iyenera kugwiritsidwa ntchito ndi mtundu wina wa insulin (insulin yochita kanthawi kochepa). Odwala omwe ali ndi matenda ashuga amtundu wa 2, insulin degludec itha kugwiritsidwa ntchito ndi mtundu wina wa insulin kapena mankhwala am'kamwa a matenda ashuga. Insulin degludec ndichinthu chachitetezo chamunthu chachitali, chopangidwa ndi anthu. Insulin degludec imagwira ntchito m'malo mwa insulini yomwe nthawi zambiri imapangidwa ndi thupi ndikuthandizira kusuntha shuga m'magazi kupita m'matumba ena amthupi 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.

Insulin degludec imabwera ngati yankho (madzi) yopangira subcutaneous (pansi pa khungu). Amabayidwa kamodzi patsiku. Muyenera kugwiritsa ntchito insulin degludec nthawi yomweyo. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Gwiritsani ntchito insulin degludec ndendende monga mwalamulo. Osamagwiritsa ntchito zocheperako kapena kuzigwiritsa ntchito pafupipafupi kuposa momwe adanenera dokotala.

Insulin degludec imayang'anira matenda ashuga, koma samachiritsa. Pitirizani kugwiritsa ntchito insulin degludec ngakhale mukumva bwino. Osasiya kugwiritsa ntchito insulin degludec 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.

Insulin degludec imabwera m'makola oyambira. Onetsetsani kuti mukudziwa mtundu wa chidebe chomwe insulini yanu imabweramo komanso zinthu zina, monga singano, muyenera kubaya mankhwala anu. 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 zolembera. Osasamutsa mankhwalawo ku syringe. Mukamagwiritsa ntchito cholembera cha insulini, nthawi zonse chotsani singano mutangobaya jekeseni wanu. Ponyani masingano ndi ma syringe mumtsuko wosagundika. Funsani dokotala wanu kapena wamankhwala momwe mungatherere chidebe chosagwira mankhwala.

Osachepetsa insulin degludec ndipo musasakanize insulin degludec ndi mtundu wina uliwonse wa insulini.

Mutha kubaya jakisoni wa insulin m'manja mwanu, ntchafu, kapena m'mimba. Osabaya jekeseni wa insulin m'mitsempha 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 muziyang'ana inshuwaransi yanu isanakwane. Iyenera kukhala yomveka komanso yopanda utoto. Musagwiritse ntchito insulini digludec yanu ngati ili ndi utoto, mitambo, kapena ili ndi tinthu tolimba, kapena ngati tsiku lomaliza la botolo lidutsa.

Musagwiritse ntchito insulin degludec mu pampu yakunja ya insulini.

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

Musanagwiritse ntchito insulin degludec,

• uzani dokotala wanu komanso wamankhwala kuti ngati muli ndi vuto la insulin (Humulin, Novolin, ena), chilichonse chomwe chimaphatikizidwa ndi insulin degludec, kapena mankhwala 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: albuterol (Accuneb, Proair, Proventil, ena); ma angiotensin otembenuza ma enzyme inhibitors (ACE inhibitors) monga benazepril (Lotensin, ku Lotrel), captopril, enalapril (Vasotec, mu Vaseretic), fosinopril, lisinopril (ku Prinzide, ku Zestoretic), moexipril (Univasc, Inopas, inop Aceon, ku Prestalia), quinapril (Accupril, mu Accuretic, mu Quinaretic), ramipril (Altace), ndi trandolapril (Mavik, ku Tarka); angiotensin receptor blockers (ARBs) monga azilsartan (Edarbi, ku Edarbyclor), candesartan (Atacand, ku Atacand HCT), eprosartan (Teveten), irbesartan (Avapro, ku Avalide), losartan (Cozaar, ku Hyzaar), telmisartan Micard ku Micardis HCT, ku Twynsta), valsartan (Diovan, ku Diovan HCT, ku Exforge); antipsychotics monga clozapine (Clozaril, Fazaclo, Versacloz) ndi olanzapine (Zyprexa, mu Symbyax); beta-blockers monga atenolol (Tenormin, in Tenoretic), labetalol (Trandate), metoprolol (Lopressor, Toprol XL, ku Dutoprol, ku Lopressor HCT), nadolol (Corgard, ku Corzide), ndi propranolol (Hemangeol, Inderal LA, Innopran XL); mankhwala ochepetsa mafuta m'thupi monga fenofibrate (Antara, Lipofen, TriCor, Triglide), gemfibrozil (Lopid), ndi niacin (Niacor, Niaspan, ku Advicor, ku Simcor); clonidine (Catapres, Catapres-TTS, Kapvay, ku Clorpres, ena); danazol; disopyramide (Norpace); okodzetsa ('mapiritsi amadzi'); fluoxetine (Prozac, Sarafem, Selfemra, mu Symbyax); glucagon; guanethidine; HIV protease inhibitors kuphatikiza atazanavir (Reyataz, ku Evotaz), indinavir (Crixivan), lopinavir (ku Kaletra), nelfinavir (Viracept), ritonavir (Norvir, ku Kaletra, ku Viekira Pak), ndi saquinavir (Invirase); isoniazid (Laniazid, ku Rifamate, ku Rifater); lifiyamu (Lithobid); mankhwala a mphumu ndi chimfine; mankhwala a shuga; mankhwala a mahomoni otha msinkhu a menopausal ndi njira zolerera za mahomoni (mapiritsi oletsa kubala, zigamba, mphete, jakisoni, kapena ma implants); mankhwala a matenda amisala ndi nseru; monoamine oxidase (MAO) inhibitors kuphatikiza isocarboxazid (Marplan), phenelzine (Nardil), selegiline (Eldepryl, Emsam, Zelapar) ndi tranylcypromine (Parnate); octreotide (Sandostatin); pioglitazone (Actos, mu Actoplus Met, ku Duetact, ena); pentamidine (NebuPent, Pentam); pentoxifylline (Pentoxil); pramlintide (Symlin); propoxyphene (sikupezeka ku U.S.); kuperekanso; rosiglitazone (Avandia, ku Avandamet, ku Avandaryl); kupweteka kwa salicylate kumachepetsa monga aspirin, choline magnesium trisalicylate, choline salicylate, diflunisal, magnesium salicylate (Doan's, ena), ndi salsalate; somatropin (Genotropin, Humatrope, Nutropin, Serostim, ena); steroids monga dexamethasone, methylprednisolone (Medrol), ndi prednisone (Rayos); 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 mwakhalapo kapena kuwonongeka kwamitsempha chifukwa cha matenda anu ashuga, kapena matenda ena aliwonse, kuphatikiza mtima, chiwindi kapena matenda a impso.
• Uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa. Mukakhala ndi pakati mukamagwiritsa ntchito insulin degludec, itanani dokotala wanu.
• ngati mukuchitidwa opaleshoni, kuphatikizapo opaleshoni ya mano, uzani dokotala kapena dokotala kuti mukugwiritsa ntchito insulin degludec.
• mowa ungayambitse kusintha kwa magazi. Funsani dokotala wanu za zakumwa zoledzeretsa pamene mukugwiritsa ntchito insulin degludec.
• funsani dokotala wanu zoyenera kuchita ngati mukudwala, mukumva kupsinjika kwachilendo, kapena kusintha zakudya, masewera olimbitsa thupi, kapena ndandanda yazogwirira ntchito. 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.

Jekeseni mlingo womwe mwaphonya mukangokumbukira. Komabe, ngati pasanathe maola 8 isanakwane mlingo wotsatira, dumpha mlingo womwe umasowa ndikupitiliza dongosolo lanu lokhazikika. Musatenge 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. Insulin degludec imatha kuyambitsa mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• kufiira, kutupa, kupweteka, kapena kuyabwa pamalo obayira
• kukulitsa khungu (kumangirira mafuta) kapena kukhumudwa pang'ono pakhungu (kuwonongeka kwamafuta)
• kunenepa

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

• zidzolo, ming'oma, kapena kuyabwa thupi lonse
• kupuma
• kuvuta kupuma kapena kumeza
• kupuma movutikira
• thukuta
• kutupa kwa maso, nkhope, milomo, lilime, mmero, manja, kapena mapazi
• kufooka kwa minofu

Insulin degludec 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 chidebe chomwe chimabwera ndikufikira ana. Sungani zolembera zosatsegulidwa za insulin degludec mufiriji. Musalole konse insulin degludec kuzizira; osagwiritsa ntchito insulini degludec yomwe yazizira komanso kusungunuka. Insulini yotsegulidwa ya insulin degludec imatha kusungidwa mpaka tsiku lowonetsedwa pakampani.

Ngati firiji simukupezeka (mwachitsanzo, mukakhala kutchuthi), sungani zolembera kutentha, osakhala ndi dzuwa komanso kutentha kwambiri kwa masiku 56. Zolembera zotseguka ziyenera kusungidwa kutentha ndikuzigwiritsa ntchito mpaka masiku 56 mutagwiritsa ntchito koyamba. Kutaya insulin iliyonse yomwe yatenthedwa kwambiri 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.

Insulini ya digludec overdose imatha kuchitika ngati mumagwiritsa ntchito insulini yochuluka kwambiri kapena ngati mumagwiritsa ntchito insulini digludec, koma idyani zochepa kuposa nthawi zonse kapena muzichita masewera olimbitsa thupi kuposa nthawi zonse. Insulin overdose 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:

• kutaya chidziwitso
• kugwidwa

Sungani maimidwe onse ndi dokotala wanu ndi labotale. Shuga wamagazi ndi glycosylated hemoglobin (HbA1c) amayenera kufufuzidwa pafupipafupi kuti mudziwe momwe mungayankhire insulin degludec. Dokotala wanu adzakuwuzani momwe mungayang'anire kuyankha kwanu kwa mankhwalawa 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.

• Tresiba^®
• Zowonjezera^® (monga chinthu chophatikiza chophatikiza Insulin Degludec ndi Insulin Aspart)
• Kulimbana^® (monga chinthu chophatikizira chomwe chili ndi Insulin Degludec ndi Liraglutide)