Insulini Glargine, Njira Yothetsera Jekeseni

Zamkati

• Kodi insulin glargine ndi chiyani?
• Chifukwa chimagwiritsidwa ntchito
• Momwe imagwirira ntchito
• Zotsatira zoyipa za insulin glargine
• Zotsatira zofala kwambiri
• Zotsatira zoyipa
• Insulini glargine imatha kulumikizana ndi mankhwala ena
• Mankhwala omwe amachulukitsa chiopsezo cha hypoglycemia
• Mankhwala apakamwa a matenda ashuga
• Mankhwala ojambulidwa a shuga
• Kuthamanga kwa magazi ndi mankhwala amtima
• Mankhwala osagwira mtima
• Mankhwala omwe amachepetsa cholesterol yanu
• Mankhwala osokoneza bongo
• Mankhwala opweteka
• Mankhwala a Sulfonamide
• Mankhwala ochepetsa magazi
• Mankhwala omwe amagwiritsidwa ntchito pochizira kutupa
• Mankhwala a mphumu
• Mankhwala omwe amachiza matenda
• Mahomoni a chithokomiro
• Mahomoni achikazi
• Mankhwala ochizira HIV
• Mankhwala osokoneza bongo
• Momwe mungagwiritsire ntchito insulin glargine
• Mlingo mitundu ndi mphamvu
• Mlingo wothandizira kuwongolera shuga mwa anthu omwe ali ndi matenda ashuga amtundu woyamba
• Mlingo wothandizira kuwongolera shuga mwa anthu omwe ali ndi matenda amtundu wa 2
• Maganizo apadera
• Machenjezo a insulin
• Chenjezo la shuga wotsika magazi
• Thiazolidinediones chenjezo
• Chenjezo la matenda
• Kuchepetsa potaziyamu kuchenjeza
• Chenjezo la ziwengo
• Chenjezo lothandizira chakudya
• Chenjezo logwirizana ndi zakumwa zoledzeretsa
• Chenjezo logwiritsa ntchito
• Machenjezo kwa anthu omwe ali ndi matenda ena
• Machenjezo kwa magulu ena
• Gwiritsani ntchito monga mwauzidwa
• Zofunikira pakugwiritsa ntchito insulin glargine
• Zonse
• Yosungirako
• Kuyenda
• Kudziyang'anira pawokha
• Kuwunika kuchipatala
• Zakudya zanu
• Ndalama zobisika
• Kodi pali njira zina?

Mfundo zazikulu za insulin glargine

1. Insulini glargine yothetsera vuto limapezeka ngati mankhwala osokoneza bongo. Sipezeka ngati mankhwala achibadwa. Mayina a mayina: Lantus, Basaglar, Toujeo.
2. Insulini glargine imangobwera ngati yankho la jakisoni.
3. Njira yothetsera jekeseni wa insulin glargine imagwiritsidwa ntchito kuwongolera shuga wambiri wamagazi (hyperglycemia) mwa anthu omwe ali ndi matenda a shuga a mtundu woyamba komanso wachiwiri.

Kodi insulin glargine ndi chiyani?

Insulin glargine ndi mankhwala omwe mumalandira. Imabwera ngati yankho lokha lokha lokha.

Insulini glargine imapezeka ngati mankhwala osokoneza bongo Lantus, Basaglar, ndi Toujeo. Sichipezeka mumtundu wa generic.

Insulini glargine ndi insulini yayitali. Ngati muli ndi matenda a shuga a mtundu woyamba, ayenera kugwiritsidwa ntchito limodzi ndi insulin yaifupi kapena yofulumira. Ngati muli ndi matenda a shuga amtundu wa 2, mankhwalawa amatha kugwiritsidwa ntchito paokha kapena ndi mankhwala ena.

Chifukwa chimagwiritsidwa ntchito

Insulini glargine imagwiritsidwa ntchito kuchepetsa kuchuluka kwa shuga m'magazi mwa akulu ndi ana omwe ali ndi matenda a shuga amtundu woyamba. Amagwiritsidwanso ntchito kuchepetsa kuchuluka kwa shuga m'magazi mwa akulu omwe ali ndi matenda a shuga amtundu wa 2.

Momwe imagwirira ntchito

Insulini glargine ndi ya gulu la mankhwala lotchedwa insulins yotenga nthawi yayitali. Gulu la mankhwala ndi gulu la mankhwala omwe amagwiranso ntchito chimodzimodzi. Mankhwalawa amagwiritsidwa ntchito pochiza zofananira.

Insulini glargine imagwira ntchito kuwongolera momwe shuga imagwiritsidwira ntchito ndikusungidwa mthupi lanu. Imawonjezera kuchuluka kwa shuga komwe minofu yanu imagwiritsa ntchito, imathandizira kusunga shuga m'mafuta, komanso kuyimitsa chiwindi chanu kuti chisapange shuga. Imaletsanso mafuta ndi mapuloteni kuti asasweke, komanso zimathandiza thupi lanu kupanga mapuloteni.

Ngati muli ndi matenda a shuga a mtundu woyamba, kapamba wanu sangathe kupanga insulini. Ngati muli ndi matenda a shuga amtundu wa 2, kapamba wanu sangapange insulin wokwanira, kapena thupi lanu silingagwiritse ntchito insulin yomwe thupi lanu limapanga. Insulini glargine imalowa m'malo mwa insulin yomwe thupi lanu limafunikira.

Zotsatira zoyipa za insulin glargine

Njira yothetsera jekeseni wa insulin glargine itha kuyambitsa tulo. Zitha kupanganso zovuta zina.

Zotsatira zofala kwambiri

Zotsatira zoyipa zomwe zimatha kuchitika ndi insulin glargine ndi monga:

• Shuga wamagazi ochepa. Zizindikiro zimaphatikizapo:
  • njala
  • manjenje
  • kugwedezeka
  • thukuta
  • kuzizira
  • clammness
  • chizungulire
  • kuthamanga kwa mtima
  • mutu wopepuka
  • kugona
  • chisokonezo
  • kusawona bwino
  • mutu
  • Kumva kusokonezeka kapena kusadzikonda wekha, ndi kukwiya
• Kulemera kosadziwika
• Kutupa m'manja, miyendo, mapazi, kapena akakolo (edema)
• Zomwe zimachitika patsamba la jakisoni. Zizindikiro zimaphatikizapo:
  • khungu kakang'ono pakhungu lanu (lipoatrophy)
  • onjezani kapena muchepetse minofu yamafuta pansi pa khungu chifukwa chogwiritsa ntchito jakisoni kwambiri
  • khungu lofiira, lotupa, loyaka, kapena loyabwa

Zotsatirazi zimatha masiku angapo kapena milungu ingapo. Ngati ali ovuta kwambiri kapena osapita, lankhulani ndi dokotala kapena wamankhwala.

Zotsatira zoyipa

Itanani dokotala wanu nthawi yomweyo ngati muli ndi zovuta zina. Itanani 911 ngati zizindikiro zanu zikuwopseza moyo kapena ngati mukuganiza kuti mukukumana ndi vuto lachipatala. Zotsatira zoyipa komanso zizindikilo zake zimatha kukhala izi:

• Mavuto opumira
• Thupi lawo siligwirizana. Zizindikiro zimatha kuphatikiza:
  • zotupa pakhungu
  • kuyabwa kapena ming'oma
  • kutupa kwa nkhope, milomo, kapena lilime
• Shuga wamagazi wotsika kwambiri (hypoglycemia). Zizindikiro zimatha kuphatikiza:
  • nkhawa
  • chisokonezo
  • chizungulire
  • njala yowonjezera
  • kufooka kapena kutopa kwachilendo
  • thukuta
  • kugwedezeka
  • kutentha thupi
  • kupsa mtima
  • mutu
  • kusawona bwino
  • kuthamanga kwa mtima
  • kutaya chidziwitso

Chodzikanira: Cholinga chathu ndikukupatsani chidziwitso chofunikira kwambiri komanso chaposachedwa. Komabe, chifukwa mankhwala amakhudza munthu aliyense mosiyanasiyana, sitingatsimikizire kuti izi zimaphatikizaponso zovuta zonse zomwe zingachitike. Izi sizilowa m'malo mwa upangiri wa zamankhwala. Nthawi zonse muzikambirana mavuto omwe angakhalepo ndi othandizira azaumoyo omwe amadziwa mbiri yanu yazachipatala.

Insulini glargine imatha kulumikizana ndi mankhwala ena

Njira yothetsera jekeseni wa insulini glargine imatha kulumikizana ndi mankhwala, mavitamini, kapena zitsamba zomwe mwina mukumwa. Kulumikizana ndi pamene chinthu chimasintha momwe mankhwala amagwirira ntchito. Izi zitha kukhala zowononga kapena kuletsa mankhwalawa kuti asagwire ntchito bwino.

Pofuna kupewa kuyanjana, dokotala ayenera kuyang'anira mankhwala anu onse mosamala. Onetsetsani kuuza dokotala wanu za mankhwala onse, mavitamini, kapena zitsamba zomwe mukumwa. Kuti mudziwe momwe mankhwalawa angagwirizane ndi china chake chomwe mumatenga, lankhulani ndi dokotala kapena wamankhwala.

Zitsanzo za mankhwala omwe angayambitse kuyanjana ndi insulin glargine alembedwa pansipa.

Mankhwala omwe amachulukitsa chiopsezo cha hypoglycemia

Mankhwalawa ayenera kugwiritsidwa ntchito mosamala ndi insulin glargine. Kuzigwiritsa ntchito palimodzi kungapangitse kuti mukhale ndi shuga wotsika kwambiri. Zitsanzo za mankhwalawa ndi monga:

• mankhwala ena a shuga
• pentamidine
• pramlintide
• kufanana kwa somatostatin

Mankhwala apakamwa a matenda ashuga

Mankhwalawa ayenera kugwiritsidwa ntchito mosamala ndi insulin glargine. Kuwagwiritsa ntchito limodzi kungapangitse kuti mukhale osungira madzi komanso mavuto amtima, monga mtima wosalimba. Zitsanzo za mankhwalawa ndi monga:

• magwire
• rosiglitazone

Mankhwala ojambulidwa a shuga

Kutenga kuwonjezera ndi insulin glargine imatha kukulitsa chiopsezo chotsika shuga m'magazi. Ngati mukufuna kumwa mankhwalawa palimodzi, dokotala wanu akhoza kuchepetsa kuchuluka kwanu kwa insulin glargine.

Kuthamanga kwa magazi ndi mankhwala amtima

Mitundu yosiyanasiyana yamankhwala othamanga magazi imatha kukukhudzani mosiyanasiyana mukamagwiritsa ntchito insulin glargine.

Oletsa Beta

Mankhwalawa amasintha momwe thupi lanu limayang'anira shuga wamagazi. Kuwatenga ndi insulin glargine kumatha kuyambitsa shuga wambiri kapena wotsika magazi. Atha kubisa matenda anu otsika shuga. Dokotala wanu amakuyang'anirani kwambiri mukamagwiritsa ntchito mankhwalawa ndi insulin glargine. Zitsanzo za mankhwalawa ndi monga:

• acebutolol
• atenolol
• kutsogolera
• esmolol
• metoprolol
• alireza
• nebivolol
• mankhwala

Angiotensin otembenuza ma enzyme inhibitors ndi angiotensin II olandila olimbana nawo

Mankhwalawa amatha kukupangitsani kukhala osamala kwambiri ndi insulin glargine. Izi zitha kukulitsa chiopsezo chotsika shuga m'magazi. Ngati mukumwa mankhwalawa ndi insulin glargine, muyenera kuyang'aniridwa mosamala kuti muchepetse shuga. Zitsanzo za mankhwalawa ndi monga:

• alireza
• kapita
• chikodil
• zochita
• kutchilimy
• quinapril
• chithu
• kondwani
• eprosartan
• alirezatalischi
• alireza
• alireza
• alirezatalischi

Mitundu ina ya mankhwala osokoneza bongo

Mankhwalawa amatha kubisa zizindikilo za shuga wotsika magazi. Ngati mukumwa mankhwalawa ndi insulin glargine, dokotala wanu ayenera kukuyang'anirani mosamala.

• clonidine
• guanethidine
• kupatsanso

Mankhwala osagwira mtima

Kutenga kutchfuneral ndi insulini glargine imatha kukulitsa kuchepa kwa shuga m'magazi a insulin glargine. Izi zitha kukulitsa chiopsezo chotsika shuga m'magazi. Ngati mukufuna kugwiritsa ntchito mankhwalawa palimodzi, dokotala wanu amachepetsa kuchuluka kwa insulin glargine.

Mankhwala omwe amachepetsa cholesterol yanu

Kutenga amafinya ndi insulini glargine imatha kukulitsa kuchepa kwa shuga m'magazi a insulin glargine. Izi zitha kukulitsa chiopsezo chotsika shuga m'magazi. Ngati mukufuna kumwa mankhwalawa ndi insulin glargine, dokotala wanu amachepetsa kuchuluka kwanu kwa insulin glargine.

Kutenga ndiine ndi insulini glargine imachepetsa kutsika kwa shuga m'magazi a insulin glargine. Izi zitha kukulitsa chiopsezo cha shuga wambiri wamagazi. Ngati mukufuna kumwa mankhwalawa ndi insulin glargine, dokotala wanu akhoza kukulitsa mulingo wa insulin glargine.

Mankhwala osokoneza bongo

Kutenga mankhwalawa ndi insulin glargine kumatha kukulitsa kuchepa kwa shuga m'magazi a insulin glargine. Izi zitha kukulitsa chiopsezo chotsika shuga m'magazi. Ngati mukufuna kumwa mankhwalawa ndi insulin glargine, dokotala wanu akhoza kuchepetsa kuchuluka kwanu kwa insulin glargine. Zitsanzo za mankhwalawa ndi monga:

• fluoxetine
• monoamine oxidase inhibitors (MAOIs)

Mankhwala opweteka

Kutenga mankhwala osokoneza bongo otchedwa salicylates ndi insulini glargine imatha kukulitsa kuchepa kwa shuga m'magazi a insulin glargine. Izi zitha kukulitsa chiopsezo chotsika shuga m'magazi. Ngati mukufuna kumwa mankhwalawa ndi insulin glargine, dokotala wanu akhoza kuchepetsa kuchuluka kwanu kwa insulin glargine. Zitsanzo za mankhwalawa ndi monga:

• aspirin
• bismuth subsalicylate

Mankhwala a Sulfonamide

Kutenga mankhwalawa ndi insulin glargine kumatha kukulitsa kuchepa kwa shuga m'magazi a insulin glargine. Izi zitha kukulitsa chiopsezo chotsika shuga m'magazi. Ngati mukufuna kumwa mankhwalawa ndi insulin glargine, dokotala wanu amachepetsa kuchuluka kwanu kwa insulin glargine. Zitsanzo za mankhwalawa ndi monga:

• sulfamethoxazole

Mankhwala ochepetsa magazi

Kutenga magwire ndi insulini glargine imatha kukulitsa kuchepa kwa shuga m'magazi a insulin glargine. Izi zitha kukulitsa chiopsezo chotsika shuga m'magazi. Ngati mukufuna kumwa mankhwalawa ndi insulin glargine, dokotala wanu amachepetsa kuchuluka kwanu kwa insulin glargine.

Mankhwala omwe amagwiritsidwa ntchito pochizira kutupa

Kutenga corticosteroids ndi insulini glargine imachepetsa kutsika kwa shuga m'magazi a insulin glargine. Izi zitha kukulitsa chiopsezo cha shuga wambiri wamagazi. Ngati mukufuna kumwa mankhwalawa ndi insulin glargine, dokotala wanu akhoza kukulitsa mulingo wa insulin glargine.

Mankhwala a mphumu

Kumwa mankhwalawa ndi insulin glargine kumachepetsa kutsika kwa shuga m'magazi a insulin glargine. Izi zitha kukulitsa chiopsezo cha shuga wambiri wamagazi. Ngati mukufuna kumwa mankhwalawa ndi insulin glargine, dokotala wanu akhoza kukulitsa mulingo wa insulin glargine. Zitsanzo za mankhwalawa ndi monga:

• epinephrine
• albuterol
• alireza

Mankhwala omwe amachiza matenda

Kutenga mankhwalawa ndi insulin glargine kumatha kuchepetsa kuchepa kwa shuga m'magazi a insulin glargine. Izi zitha kukulitsa chiopsezo cha shuga wambiri wamagazi. Ngati mukufuna kumwa mankhwalawa ndi insulin glargine, dokotala wanu akhoza kukulitsa mulingo wa insulin glargine. Zitsanzo za mankhwalawa ndi monga:

• isoniazid
• pentamidine

Mahomoni a chithokomiro

Kutenga mankhwalawa ndi insulin glargine kumatha kuchepetsa kuchepa kwa shuga m'magazi a insulin glargine. Izi zitha kukulitsa chiopsezo cha shuga wambiri wamagazi. Ngati mukufuna kumwa mankhwalawa ndi insulin glargine, dokotala wanu akhoza kukulitsa mulingo wa insulin glargine.

Mahomoni achikazi

Kutenga insulin glargine ndi mahomoni omwe amagwiritsidwa ntchito kwambiri poletsa kubereka kumachepetsa kutsika kwa shuga m'magazi a insulin glargine. Izi zitha kukulitsa chiopsezo cha shuga wambiri wamagazi. Ngati mukufuna kumwa mankhwalawa ndi insulin glargine, dokotala wanu akhoza kukulitsa mulingo wa insulin glargine. Zitsanzo za mankhwalawa ndi monga:

• estrogen
• chomera

Mankhwala ochizira HIV

Kutenga protease inhibitors ndi insulini glargine imachepetsa kutsika kwa shuga m'magazi a insulin glargine. Izi zitha kukulitsa chiopsezo cha shuga wambiri wamagazi. Ngati mukufuna kumwa mankhwalawa ndi insulin glargine, dokotala wanu akhoza kukulitsa mlingo wa insulin glargine. Zitsanzo za mankhwalawa ndi monga:

• atazanavir
• alireza
• alireza
• kutchfuneralhome
• lopinavir / ritonavir
• alireza
• mwambo

Mankhwala osokoneza bongo

Kutenga mankhwalawa ndi insulin glargine kumatha kuchepetsa kuchepa kwa shuga m'magazi a insulin glargine. Izi zitha kukulitsa chiopsezo cha shuga wambiri wamagazi. Ngati mukufuna kumwa mankhwalawa ndi insulin glargine, dokotala wanu akhoza kukulitsa mlingo wa insulin glargine. Zitsanzo za mankhwalawa ndi monga:

• olanzapine
• clozapine
• lifiyamu
• phenothiazines

Chodzikanira: Cholinga chathu ndikukupatsani chidziwitso chofunikira kwambiri komanso chaposachedwa. Komabe, chifukwa mankhwala amagwirira ntchito mosiyanasiyana mwa munthu aliyense, sitingatsimikizire kuti izi zikuphatikizira kulumikizana kulikonse kotheka. Izi sizilowa m'malo mwa upangiri wa zamankhwala. Nthawi zonse lankhulani ndi omwe amakuthandizani pa zaumoyo momwe mungachitire ndi mankhwala, mavitamini, zitsamba ndi zowonjezera, komanso mankhwala omwe mumamwa.

Momwe mungagwiritsire ntchito insulin glargine

Mlingo ndi mafomu onse omwe sangakhale nawo sangaphatikizidwe pano. Mlingo wanu, mawonekedwe, komanso momwe mumagwiritsira ntchito zimadalira:

• zaka zanu
• matenda omwe akuchiritsidwa
• momwe matenda anu alili
• Matenda ena omwe muli nawo
• momwe mumachitira ndi mankhwala oyamba

Mlingo mitundu ndi mphamvu

Mtundu: Basaglar

• Mawonekedwe: jakisoni yankho
• Mphamvu: Ma 100 mayunitsi pa ml, mu cholembera cha 3-mL

Mtundu: Lantus

• Mawonekedwe: jakisoni yankho
• Mphamvu:
  • Magawo 100 pa mL mu vial 10-mL
  • Ma 100 mayunitsi pa mL mu cholembera cha 3-mL

Mtundu: Toujeo

• Mawonekedwe: jakisoni yankho
• Mphamvu:
  • 300 mayunitsi pa ml ml mu cholembera cha 1.5-mL (450 mayunitsi / 1.5 mL)
  • Ma 300 mayunitsi pa ml m 3-mL cholembera (900 mayunitsi / 3 mL)

Mlingo wothandizira kuwongolera shuga mwa anthu omwe ali ndi matenda ashuga amtundu woyamba

Malangizo a Lantus ndi Basaglar

Mlingo wa akulu (zaka 16-64 zaka)

• Jekeseni insulin glargine kamodzi patsiku, nthawi yomweyo tsiku lililonse.
• Dokotala wanu adzawerengera muyeso wanu woyambira ndi kusintha kulikonse kwamiyeso kutengera zosowa zanu, kuwunika kwa magazi m'magazi, ndi zolinga zamankhwala.
• Ngati muli ndi matenda a shuga amtundu woyamba, mlingo woyambirira ndi gawo limodzi mwa magawo atatu a insulin yomwe mumafunikira tsiku lililonse. Kuchita mwachidule kapena mwachangu, insulini musanadye iyenera kugwiritsidwa ntchito kuti mukwaniritse zosowa zanu za insulin tsiku lililonse.
• Ngati mukusintha kuchokera ku insulin yapakatikati kapena yayitali kukhala insulin glargine, kuchuluka ndi nthawi yomwe mumamwa mankhwala a insulin ndi mankhwala ochepetsa matenda ashuga angafunikire kusintha ndi dokotala wanu.

Mlingo wa ana (zaka 6-15 zaka)

• Mwana wanu ayenera kubaya insulin glargine kamodzi patsiku, nthawi yomweyo tsiku lililonse.
• Dokotala wanu adzawerengera muyeso woyambira wa mwana wanu kutengera zosowa za mwana wanu, zotsatira zowunika magazi m'magazi, komanso zolinga zamankhwala.
• Ngati mwana wanu ali ndi matenda a shuga a mtundu woyamba, mlingo woyambirira woyenera ndi pafupifupi gawo limodzi mwa magawo atatu a zofunika za insulin tsiku lililonse. Kusakhalitsa kudya, insulini musanadye iyenera kugwiritsidwa ntchito kuti mukwaniritse zosowa za insulini za mwana wanu tsiku ndi tsiku.
• Ngati mwana wanu akusintha kuchoka ku insulin yapakatikati kapena yayitali kukhala insulin glargine, dokotala angafunikire kusintha kuchuluka kwa nthawi ndi kuchuluka kwa mankhwala a insulini ndi mankhwala ochepetsa matenda ashuga.

Mlingo wa ana (zaka 0-5 zaka)

Mankhwalawa sanakhazikitsidwe ngati otetezeka komanso othandiza kuti azigwiritsidwa ntchito kwa ana ochepera zaka 6 pochiza matenda amtundu wa 1.

Mlingo waukulu (wazaka 65 kapena kupitirira)

• Muyenera kugwiritsa ntchito insulini glargine mosamala ngati muli ndi zaka zopitilira 65, chifukwa zimatha kukhala zovuta kuwona zizindikilo za shuga wotsika magazi. Muthanso kukhala ndi chidwi ndi zotsatira za insulin.
• Dokotala wanu akhoza kukuyambitsani ndi muyeso wotsika woyamba ndikuwonjezera mlingo wanu pang'onopang'ono.

Malangizo a Toujeo

Mlingo wa akulu (zaka 18-64 zaka)

• Jekeseni insulin glargine kamodzi patsiku, nthawi yomweyo tsiku lililonse.
• Dokotala wanu adzawerengera muyeso wanu woyambira ndi kusintha kulikonse kwamiyeso kutengera zosowa zanu, kuwunika kwa magazi m'magazi, ndi zolinga zamankhwala.
• Ngati muli ndi matenda a shuga amtundu woyamba, mlingo woyambirira ndi pafupifupi gawo limodzi mwa magawo atatu mwa theka la zosowa zanu zonse za insulini tsiku lililonse. Muyenera kugwiritsa ntchito insulini yochepa kuti mukwaniritse zosowa zanu za insulin tsiku ndi tsiku.
• Ngati simunalandire insulini m'mbuyomu, dokotala wanu amatha kugwiritsa ntchito mulingo wa 0.2 mpaka 0.4 mayunitsi a insulin / kg kuti muwerenge kuchuluka kwa insulin tsiku lililonse.
• Ngati mukusintha kuchokera ku insulin yapakatikati kapena yayitali kukhala insulin glargine, dokotala angafunikire kusintha kuchuluka kwa nthawi ndi kuchuluka kwa mankhwala anu a insulin ndi mankhwala ochepetsa matenda ashuga.

Mlingo wa ana (zaka 0-17 zaka)

Mankhwalawa sanakhazikitsidwe ngati otetezeka komanso ogwira ntchito kwa ana ochepera zaka 18.

Mlingo waukulu (wazaka 65 kapena kupitirira)

• Muyenera kugwiritsa ntchito insulini glargine mosamala ngati muli ndi zaka zoposa 65, chifukwa zingakhale zovuta kuwona zizindikiro za shuga wotsika magazi. Muthanso kukhala ndi chidwi ndi zotsatira za insulin.
• Dokotala wanu akhoza kukuyambitsani ndi muyeso wotsika woyamba ndikuwonjezera mlingo wanu pang'onopang'ono.

Mlingo wothandizira kuwongolera shuga mwa anthu omwe ali ndi matenda amtundu wa 2

Malangizo a Lantus ndi Basaglar

Mlingo wa akulu (zaka 18-64 zaka)

• Jekeseni insulin glargine kamodzi patsiku, nthawi yomweyo tsiku lililonse.
• Dokotala wanu adzawerengera muyeso wanu woyambira ndi kusintha kulikonse kwamiyeso kutengera zosowa zanu, kuwunika kwa magazi m'magazi, ndi zolinga zamankhwala.
• Ngati muli ndi matenda a shuga amtundu wachiwiri, mlingo woyambirira ndi 0,2 / kg kapena mpaka 10 mayunitsi kamodzi patsiku. Dokotala wanu angafunikire kusintha kuchuluka kwa nthawi ndi nthawi yayitali yamisala yanu yamankhwala ochepetsa kapena othamanga a mankhwala aliwonse am'thupi omwe mumamwa.
• Ngati mukusintha kuchokera ku insulin yapakatikati kapena yayitali kukhala insulin glargine, dokotala angafunikire kusintha kuchuluka kwa nthawi ndi kuchuluka kwa mankhwala anu a insulin ndi mankhwala ochepetsa matenda ashuga.

Mlingo wa ana (zaka 0-17 zaka)

Mankhwalawa sanakhazikitsidwe ngati otetezeka komanso othandiza kuti azigwiritsidwa ntchito kwa ana ochepera zaka 18 omwe ali ndi matenda a shuga amtundu wa 2.

Mlingo waukulu (wazaka 65 kapena kupitirira)

• Muyenera kugwiritsa ntchito insulini glargine mosamala ngati muli ndi zaka zoposa 65, chifukwa zingakhale zovuta kuwona zizindikiro za shuga wotsika magazi. Muthanso kukhala ndi chidwi ndi zotsatira za insulin.
• Dokotala wanu akhoza kukuyambitsani ndi muyeso wotsika woyamba ndikuwonjezera mlingo wanu pang'onopang'ono.

Malangizo a Toujeo

Mlingo wa akulu (zaka 18-64 zaka)

• Jekeseni insulin glargine kamodzi patsiku, nthawi yomweyo tsiku lililonse.
• Dokotala wanu adzawerengera muyeso wanu woyambira ndi kusintha kulikonse kwamiyeso kutengera zosowa zanu, kuwunika kwa magazi m'magazi, ndi zolinga zamankhwala.
• Ngati muli ndi matenda a shuga a mtundu wachiwiri, mlingo woyambirira ndi 0,2 mayunitsi / kg kamodzi patsiku.
• Ngati mukusintha kuchokera ku insulin yapakatikati kapena yayitali kukhala insulin glargine, dokotala angafunikire kusintha kuchuluka kwa nthawi ndi kuchuluka kwa mankhwala anu a insulin ndi mankhwala ochepetsa matenda ashuga.

Mlingo wa ana (zaka 0-17 zaka)

Mankhwalawa sanakhazikitsidwe ngati otetezeka komanso ogwira ntchito kwa anthu ochepera zaka 18 omwe ali ndi matenda a shuga amtundu wa 2.

Mlingo waukulu (wazaka 65 kapena kupitirira)

• Muyenera kugwiritsa ntchito insulini glargine mosamala ngati muli ndi zaka zoposa 65, chifukwa zingakhale zovuta kuwona zizindikiro za shuga wotsika magazi. Muthanso kukhala ndi chidwi ndi zotsatira za insulin.
• Dokotala wanu akhoza kukuyambitsani ndi muyeso wotsika woyamba ndikuwonjezera mlingo wanu pang'onopang'ono.

Maganizo apadera

Kwa anthu omwe ali ndi matenda a chiwindi: Chiwindi chanu sichingathe kupanga shuga ndikuwononga insulini glargine momwe iyenera kukhalira. Dokotala wanu angakupatseni mlingo wochepa wa mankhwalawa.

Kwa anthu omwe ali ndi matenda a impso: Impso zanu sizingathe kuphwanya insulin glargine momwe ziyenera kukhalira. Dokotala wanu angakupatseni mlingo wochepa wa mankhwalawa.

Chodzikanira: Cholinga chathu ndikukupatsani chidziwitso chofunikira kwambiri komanso chaposachedwa. Komabe, chifukwa mankhwala osokoneza bongo amakhudza munthu aliyense mosiyanasiyana, sitingatsimikizire kuti mndandandawu umaphatikizira miyezo yonse yotheka. Izi sizilowa m'malo mwa upangiri wa zamankhwala. Nthawi zonse lankhulani ndi dokotala kapena wamankhwala za mlingo woyenera kwa inu.

Uzani dokotala wanu ngati mukudwala, mukukuta, kapena mwasintha momwe mumadyera kapena kuchita masewera olimbitsa thupi. Dokotala wanu amatha kusintha kuchuluka kwa insulin glargine kapena kukufufuzirani zovuta za matenda ashuga.

Uzani dokotala musanayambe mankhwala atsopano kapena mankhwala owonjezera, mankhwala azitsamba, kapena zowonjezera.

Machenjezo a insulin

Mankhwalawa amabwera ndi machenjezo angapo.

Chenjezo la shuga wotsika magazi

Mutha kukhala ndi shuga wotsika pang'ono kapena wowopsa wamagazi (hypoglycemia) mukamamwa insulin glargine. Kuchuluka kwa shuga m'magazi kungakhale koopsa. Ikhoza kuvulaza mtima wanu kapena ubongo, ndikupangitsani kukomoka, kukomoka, kapena kupha kumene.

Shuga wamagazi wotsika amatha kuchitika mwachangu kwambiri osadzawoneka. Ndikofunika kuti muyang'ane shuga wanu wamagazi pafupipafupi momwe dokotala amanenera. Zizindikiro zimatha kuphatikiza:

• nkhawa, kukwiya, kusakhazikika, zovuta kulingalira, kusokonezeka kapena osadzikonda
• kumva kulasalasa m'manja, mapazi, milomo, kapena lilime
• chizungulire, kuonda, kapena kugona
• maloto olota kapena kugona tulo
• mutu
• kusawona bwino
• mawu osalankhula
• kuthamanga kwa mtima
• thukuta
• kugwedezeka
• kuyenda wosakhazikika

Thiazolidinediones chenjezo

Kutenga mapiritsi a shuga otchedwa thiazolidinediones (TZDs) okhala ndi insulin glargine kumatha kuyambitsa mtima kulephera.

Uzani dokotala wanu ngati muli ndi zizindikilo zatsopano kapena zoyipa zakulephera kwa mtima, kuphatikiza kupuma pang'ono, kutupa kwa akakolo kapena mapazi anu, komanso kunenepa mwadzidzidzi. Dokotala wanu akhoza kusintha mlingo wanu wa TZD ngati muli ndi zizindikirozi.

Chenjezo la matenda

Musagawane mbale za insulin, ma syringe, kapena zolembera zoyambilira ndi anthu ena. Kugawana kapena kugwiritsanso ntchito singano kapena masingano ndi munthu wina kumayika inu ndi ena pachiwopsezo cha matenda osiyanasiyana.

Kuchepetsa potaziyamu kuchenjeza

Zogulitsa zonse za insulin zimatha kuchepetsa potaziyamu m'magazi. Magazi a potaziyamu ochepa amachulukitsa chiopsezo chanu chogunda pamtima mukamamwa mankhwalawa. Pofuna kupewa izi, dokotala wanu amayang'ana magazi anu a potaziyamu musanayambe kumwa mankhwalawa.

Chenjezo la ziwengo

Nthawi zina zovuta, zomwe zimawopseza moyo zimatha kuchitika ndi insulin glargine. Zizindikiro zakusavomerezeka kwa insulin glargine zitha kuphatikizira:

• zotupa thupi lanu lonse
• kupuma movutikira
• kuvuta kupuma
• kuthamanga kwambiri
• thukuta
• kuthamanga kwa magazi

Mukakhala ndi zizindikilozi, itanani 911 kapena pitani kuchipinda chadzidzidzi chapafupi.

Musagwiritsenso ntchito mankhwalawa ngati mwakhalapo ndi vuto linalake. Kutenganso kumatha kukhala koopsa (kuyambitsa imfa).

Chenjezo lothandizira chakudya

Mtundu ndi kuchuluka kwa chakudya chomwe mumadya kumatha kukhudza kuchuluka kwa insulin glargine yomwe mukufuna. Uzani dokotala ngati musintha zomwe mumadya. Angafunike kusintha mlingo wanu wa insulin glargine.

Chenjezo logwirizana ndi zakumwa zoledzeretsa

Mowa ungapangitse kuti zikhale zovuta kwambiri kuti muchepetse shuga wamagazi anu mukamamwa mankhwala a insulin glargine. Chepetsani mowa mukamamwa mankhwalawa.

Chenjezo logwiritsa ntchito

Osagawana insulin glargine ndi ena ngakhale ali ndi matenda omwewo. Zitha kuwapweteka.

Machenjezo kwa anthu omwe ali ndi matenda ena

Kwa anthu omwe ali ndi matenda a chiwindi: Chiwindi chanu sichingathe kupanga shuga ndikuwononga insulin glargine momwe iyenera kukhalira. Dokotala wanu angakupatseni mlingo wochepa wa mankhwalawa.

Kwa anthu omwe ali ndi matenda a impso: Impso zanu sizingathe kuphwanya insulin glargine momwe ziyenera kukhalira. Dokotala wanu angakupatseni mlingo wochepa wa mankhwalawa.

Kwa anthu omwe ali ndi shuga wotsika magazi (hypoglycemia): Muyenera kugwiritsa ntchito insulini glargine mosamala mukakhala ndi shuga wotsika magazi nthawi zambiri. Amakhala mthupi lanu kwa nthawi yayitali ndipo zimatha kutenga nthawi kuti muchepetse shuga wotsika magazi. Chiwopsezo chanu chitha kukhala chachikulu ngati muli ndi zaka 65 kapena kupitirirapo kapena ngati simudya pa nthawi yake.

Kwa anthu omwe ali ndi edema: Insulini glargine imatha kukulitsa edema yanu. Mankhwalawa amatha kupangitsa kuti thupi lanu lisunge sodium. Izi zimatha kutsekemera madzimadzi mthupi lanu, zomwe zimayambitsa kutupa (edema) kwa manja, mapazi, mikono, ndi miyendo yanu.

Kwa anthu omwe ali ndi vuto la mtima: Kumwa mapiritsi a shuga otchedwa thiazolidinediones (TZDs) okhala ndi insulin glargine kumatha kutchera madzimadzi m'matupi a thupi lanu ndikupangitsa kapena kukulitsa vuto la mtima.

Machenjezo kwa magulu ena

Kwa amayi apakati: Sizikudziwika ngati insulin glargine ndiyabwino kugwiritsa ntchito amayi apakati.

Uzani dokotala wanu ngati muli ndi pakati kapena mukufuna kutenga pakati. Muyenera kugwiritsa ntchito insulini glargine panthawi yapakati ngati phindu lomwe lingakhalepo likuthandizira chiopsezo chomwe chingakhalepo.

Kwa amayi omwe akuyamwitsa: Sidziwika ngati insulin glargine imadutsa mkaka wa m'mawere. Inu ndi dokotala mungafunike kusankha ngati mungagwiritse ntchito insulin glargine kapena kuyamwitsa. Ngati mutachita zonsezi, mulingo wa insulin glargine angafunike kusintha, ndipo kuchuluka kwa shuga m'magazi kungayang'anitsidwe bwino.

Kwa okalamba: Anthu azaka 65 kapena kupitilira pano amatha kukhala ndi vuto la insulin glargine. Izi zitha kukulitsa chiopsezo chokhala ndi shuga wotsika magazi. Inu adokotala angakuyambitseni pamlingo wotsika, ndikuwonjezerani mlingo wanu pang'onopang'ono.

Kwa ana: Lankhulani ndi dokotala wa mwana wanu za kugwiritsa ntchito insulin glargine mwa ana. Chisamaliro chapadera chitha kufunikira.

Gwiritsani ntchito monga mwauzidwa

Insulini glargine yothetsera vuto imagwiritsidwa ntchito pochiza matendawa kwa nthawi yayitali. Zimabwera ndi zoopsa zazikulu ngati simugwiritsa ntchito monga mwalamulidwa.

Ngati simugwiritsa ntchito konse kapena kudumpha kapena kuphonya Mlingo: Mutha kukhala ndi shuga wambiri m'magazi, zomwe zingayambitse mavuto azaumoyo.

Ngati mumagwiritsa ntchito kwambiri: Ngati mumagwiritsa ntchito insulin glargine wochulukirapo, mutha kukhala ndi shuga wotsika pang'ono kapena wowopsa paziwopsezo cha magazi (hypoglycemia). Tengani kasupe wachangu msanga mukakhala ndi zizindikilo za shuga wotsika pang'ono wamagazi. Tsatirani dongosolo lanu lakuchiza shuga m'magazi monga adalangizidwa ndi dokotala. Zizindikiro za shuga wotsika kwambiri wamagazi zimatha kuphatikiza:

• kufa
• kugwidwa
• mavuto amitsempha

Ngati mukuganiza kuti mwamwa kwambiri mankhwalawa, itanani dokotala wanu kapena funsani malangizo kuchokera ku American Association of Poison Control Center ku 1-800-222-1222 kapena kudzera pa chida chawo pa intaneti. Koma ngati matenda anu akukulira, itanani 911 kapena pitani kuchipatala chapafupi pomwepo.

Zomwe muyenera kuchita mukaphonya mlingo: Ndikofunika kuti musaphonye mlingo. Dokotala wanu ayenera kukambirana nanu za kusowa kwa Mlingo. Ngati mwaphonya mlingo, tsatirani ndondomekoyi.

Momwe mungadziwire ngati mankhwalawa akugwira ntchito: Mlingo wa shuga m'magazi anu uyenera kutsika.

Zofunikira pakugwiritsa ntchito insulin glargine

Kumbukirani izi ngati dokotala akukulemberani mankhwala a insulin glargine.

Zonse

• Insulini glargine itha kugwiritsidwa ntchito kapena wopanda chakudya.
• Insulini glargine itha kugwiritsidwa ntchito nthawi iliyonse masana, koma iyenera kugwiritsidwa ntchito nthawi yomweyo.

Yosungirako

Ndikofunika kusunga insulini glargine moyenera kuti igwire bwino ntchito.

Mbale yosatsegulidwa:

• Sungani mbale zatsopano (zosatsegulidwa) za insulin glargine mu firiji pazotentha pakati pa 36 ° F mpaka 46 ° F (2 ° C ndi 8 ° C).
• Mankhwalawa akhoza kusungidwa m'firiji mpaka tsiku lomalizira pa bokosi kapena botolo.
• Osazizira mankhwalawa.
• Sungani insulini glargine kunja kwa kutentha ndi kuwala.
• Ngati botolo lasungunuka, lasiyidwa kunja kutentha kwambiri, kapena latha ntchito, litayireni ngakhale mutatsala ndi insulini.

Botolo lotseguka (lomwe likugwiritsidwa ntchito):

• Mbale itatsegulidwa, mutha kuyisunga mufiriji kapena kutentha kwapansi pansi pa 86 ° F (30 ° C).
• Sungani mankhwalawa kutali ndi kutentha ndi kuwala.
• Mbale yotsegulidwa iyenera kutayidwa patatha masiku 28 mutagwiritsa ntchito koyamba ngakhale itatsala ndi insulin.

Kuyenda

Mukamayenda ndi mankhwala anu:

• Nthawi zonse muzinyamula mankhwala anu. Mukamauluka, musayikenso m'thumba lofufuzidwa. Sungani m'thumba lanu.
• Osadandaula za makina a X-ray pabwalo la ndege. Sangathe kuvulaza mankhwala anu.
• Mungafunike kuwonetsa ogwira ntchito ku eyapoti chizindikiro cha mankhwala anu. Nthawi zonse muzinyamula chidebe choyambirira cholembedwa ndi mankhwala.
• Mbale yosatsegulidwa ya mankhwalawa iyenera kukhala mufiriji. Gwiritsani ntchito thumba lotsekedwa ndi phukusi lozizira kuti muzitha kutentha mukamayenda. Mbale zotsegulidwa zimatha kukhala mufiriji kapena kusungidwa kutentha kutentha pansi pa 86 ° F (30 ° C). Komabe, onetsetsani kuti mukuwateteza kutali ndi kutentha ndi kuwala. Tsatirani malangizo osungira omwe atchulidwa pamankhwalawa.
• Musayike mankhwalawa m'galimoto yamagolovu amgalimoto yanu kapena siyani m'galimoto. Onetsetsani kuti musachite izi nyengo ikatentha kapena kuzizira kwambiri.
• Singano ndi ma syringe amafunika kugwiritsidwa ntchito kugwiritsa ntchito mankhwalawa. Fufuzani malamulo apadera okhudza kuyenda ndi mankhwala osokoneza bongo, masingano, ndi masingano.

Kudziyang'anira pawokha

Dokotala wanu, wamankhwala, namwino, kapena wophunzitsa za matenda a shuga akuwonetsani momwe mungachitire izi:

• chotsani insulini pachitsuko
• pezani singano
• perekani jakisoni wanu wa insulin glargine
• sinthani mlingo wanu pazochita ndi matenda
• fufuzani shuga wanu wamagazi
• malo ndikuchiza matenda otsika komanso otsika magazi

Kuphatikiza pa insulin glargine, muyenera:

• singano
• majekeseni
• chidebe chotetezera singano
• malaya amowa
• Lancets kuti mutenge chala chanu kuti muyese shuga wanu wamagazi
• mizere yoyesera shuga
• kuwunika magazi magazi

Kutenga mankhwala anu:

• Jekeseni insulin glargine nthawi yomweyo.
• Gwiritsani ntchito ndendende momwe adanenera dokotala.
• Osazisakaniza mu syringe yomweyo ndi ma insulini ena musanabayidwe.
• Nthawi zonse yang'anani mawonekedwe a insulin glargine musanagwiritse ntchito. Iyenera kukhala yoyera komanso yopanda utoto ngati madzi. Musagwiritse ntchito ngati kuli mitambo, yokhuthala, yakuda, kapena ili ndi tinthu tating'ono.
• Musagwiritsenso ntchito kapena kugawana masingano kapena majakisoni ogwiritsira ntchito mankhwalawa. Kuchita izi kungafalitse matenda.

Kutaya singano zakale:

• Osataya singano zaumwini m'matumba kapena zitini zobwezeretsanso, ndipo musaziponye mchimbudzi.
• Funsani wamankhwala anu kuti akhale ndi chidebe chotetezeka choti muthe kugwiritsa ntchito singano ndi majakisoni ogwiritsidwa ntchito.
• Anthu amdera lanu atha kukhala ndi pulogalamu yotaya singano ndi jakisoni wogwiritsidwa ntchito kale.
• Mukataya chidebecho mu zinyalala, chitani chizindikiro kuti "musachotseretu."

Kuwunika kuchipatala

Dokotala wanu amatha kuyesa magazi asanakwane komanso akamamwa mankhwala a insulin glargine kuti awonetsetse kuti akadali otetezeka kuti mugwiritse ntchito. Mayesowa atha kuphatikiza:

• shuga m'magazi
• magulu a hemoglobin (A1C) a glycosylated. Kuyesaku kumayeza kuchuluka kwa shuga m'magazi m'miyezi iwiri kapena iwiri yapitayi.
• kuyesa kwa chiwindi
• kuyesa kwa impso
• misinkhu potaziyamu magazi

Dokotala wanu amathanso kuyesa zina kuti aone ngati ali ndi matenda ashuga:

• kuyezetsa maso
• kuyesa kwa phazi
• kuyezetsa mano
• kuyesa kuwonongeka kwa mitsempha
• kuyesa magazi pama cholesterol
• macheke kuthamanga kwa magazi ndi kugunda kwa mtima

Dokotala wanu angafunike kusintha mlingo wa insulin glargine potengera izi:

• shuga m'magazi
• ntchito ya impso
• chiwindi chimagwira
• mankhwala ena omwe mukumwa
• zizolowezi zanu zolimbitsa thupi
• zizolowezi zanu pakudya

Zakudya zanu

Mukamalandira mankhwala a insulin glargine:

• Osadumpha chakudya.
• Funsani dokotala ngati mukuyenera kupewa kumwa mowa.
• Samalani ndi chifuwa cha over-the-counter (OTC) ndi mankhwala ozizira. Zinthu zambiri za OTC zimakhala ndi shuga kapena mowa zomwe zingakhudze shuga wamagazi anu.

Ndalama zobisika

Kuphatikiza pa mankhwalawa, muyenera kugula:

• singano
• majekeseni
• chidebe chotetezera singano
• malaya amowa
• Lancets kuti mutenge chala chanu kuti muyese shuga wanu wamagazi
• mizere yoyesera shuga
• kuwunika magazi magazi

Kodi pali njira zina?

Palinso mankhwala ena omwe amapezeka kuti athetse vuto lanu. Ena akhoza kukuyenererani kuposa ena. Lankhulani ndi dokotala wanu za mankhwala ena omwe angakuthandizeni.

Chodzikanira: Healthaline yayesetsa kwambiri kuti zidziwitso zonse zikhale zolondola, zokwanira, komanso zaposachedwa. Komabe, nkhaniyi sikuyenera kugwiritsidwa ntchito m'malo mwa chidziwitso ndi ukadaulo wa akatswiri pazachipatala. Muyenera kufunsa adotolo kapena akatswiri azaumoyo musanamwe mankhwala aliwonse. Zambiri zamankhwala zomwe zili pano zitha kusintha ndipo sizingapangidwe kuti zigwiritse ntchito, mayendedwe, zodzitetezera, machenjezo, kulumikizana ndi mankhwala, kusokonezeka, kapena zovuta zina. Kusapezeka kwa machenjezo kapena zidziwitso za mankhwala omwe apatsidwa sikuwonetsa kuti kuphatikiza mankhwala kapena mankhwalawa ndiwotetezeka, ogwira ntchito, komanso oyenera kwa odwala onse kapena ntchito zina zilizonse.