Insulin Glargine (rDNA mavambo) Jekiseni

Zvemukati

• Usati washandisa insulin glargine,
• Mushonga uyu unogona kukonzera shanduko muropa rako shuga. Iwe unofanirwa kuziva zviratidzo zveshuga yakadzika uye yakakwira yeropa uye zvekuita kana iwe uine izvi zviratidzo.
• Insulin glargine inogona kukonzera mhedzisiro. Udza chiremba wako kana chimwe chezviratidzo izvi chakanyanya kana kuti chisingaendi:
• Mimwe mhedzisiro inogona kuve yakakomba. Kana iwe ukawana izvi zviratidzo, danaidza chiremba wako nekukurumidza kana kuwana kurapwa kwekukurumidzira:
• Insulin glargine ovhadhozi inogona kuitika kana ukashandisa yakawandisa insulin glargine kana ukashandisa huwandu hwakafanira hweiyo insulin glargine asi uchidya zvishoma pane zvakajairwa kana kurovedza muviri kupfuura zvakajairwa. Insulin glargine overdose inogona kukonzera hypoglycemia. Kana iwe uine zviratidzo zve hypoglycemia, tevera zvawakaudzwa nachiremba nezve izvo zvaunofanirwa kuita kana iwe uchikura hypoglycemia. Zvimwe zviratidzo zvekuwedzeredza:

Insulin glargine inoshandiswa kurapa chirwere cheshuga cheshuga (mamiriro umo muviri usingaburitse insulin uye nekudaro haugone kudzora huwandu hweshuga muropa). Inoshandiswawo kurapa vanhu vane chirwere cheshuga cheshuga (mamiriro umo muviri usingashandise insulin zvakajairika uye, nekudaro, haugone kudzora huwandu hweshuga muropa) vanoda insulin kudzora chirwere chavo cheshuga. Mune vanhu vane chirwere cheshuga cheshuga, insulin glargine inofanira kushandiswa nerumwe rudzi rwe insulin (inopfupika-inoshanda insulin). Muvanhu vane rudzi rwechipiri chirwere cheshuga, insulin glargine zvakare inogona kushandiswa nerumwe rudzi rwe insulin kana nemuromo mishonga (s) yeshuga. Insulin glargine ndeyekureba-kuita, manmade vhezheni yevanhu insulin. Insulin glargine inoshanda nekutsiva iyo insulini inowanzo gadzirwa nemuviri uye nekubatsira kufambisa shuga kubva muropa kuenda mune dzimwe nyama dzemuviri kwazvinoshandiswa kusimba. Inomisawo chiropa kubva pakuburitsa imwe shuga.

Nekufamba kwenguva, vanhu vane chirwere cheshuga uye shuga yakakwira muropa vanogona kukura zvakakomba kana kutyisidzira hupenyu, kusanganisira chirwere chemwoyo, sitiroko, matambudziko eitsvo, kukuvara kwemitsipa uye matambudziko eziso. Kushandisa mishonga (s), kugadzirisa mararamiro (semuenzaniso, kudya, kurovedza muviri, kurega kusvuta), uye kugara uchiongorora shuga yako yeropa kunogona kubatsira kubata chirwere cheshuga nekuvandudza hutano hwako. Iyi kurapa inogona zvakare kudzikisira mikana yako yekuve nekurwadziwa kwemoyo, sitiroko, kana zvimwe zvinetso zvine chekuita neshuga senge itsvo kutadza, kukuvara kwemitsipa (chiveve, kutonhora makumbo kana tsoka; kudzikira kugona bonde kune varume nevakadzi), matambudziko eziso, kusanganisira shanduko. kana kurasikirwa kwemaonero, kana chingamu chirwere. Chiremba wako nevamwe vanopa hutano vachataura newe nezvenzira yakanakisa yekurapa chirwere cheshuga.

Insulin glargine inouya semhinduro (mvura) kupinza subcutaneously (pasi peganda). Inobaya jekiseni kamwe pazuva. Iwe unofanirwa kushandisa insulin glargine panguva imwechete mazuva ese. Tevedza zvinongedzo pane yako tsamba yekunyora zvakanyatsonaka, uye bvunza chiremba wako kana wemishonga kuti atsanangure chero chikamu chausinganzwisise. Shandisa insulin glargine chaizvo sezvakarairwa. Usashandise zvishoma kana zvishoma kana kuishandisa kakawanda kupfuura zvakatemwa nachiremba wako.

Usambofa wakashandisa insulin glargine kana iwe uine zviratidzo zve hypoglycemia (yakaderera ropa shuga) kana kana watarisa shuga rako reropa ukariwana rakaderera.

Insulin glargine inodzora chirwere cheshuga asi haichirape. Ramba uchishandisa insulin glargine kunyangwe uchinzwa zvakanaka. Usarega kushandisa insulin glargine usina kutaura nachiremba wako. Usachinjira kune imwe mhando kana mhando yeinsulini kana shandura muyero wechero rudzi rwe insulin yauri kushandisa usingataure nachiremba wako. Nguva dzose tarisa iyo insulin chitaridzi kuti uve nechokwadi chekuti wagamuchira iyo chaiyo mhando insulini kubva kufesi.

Insulin glargine inouya mumabhodhoro uye mumapeni ekuisa dhata ayo ane macartridge emishonga. Ive neshuwa kuti unoziva mhando yemudziyo wako insulin glargine inouya uye nezvimwe zvinounzwa, senge tsono, majekiseni, kana mapeni, iwe uchafanirwa kubaya mushonga wako.

Kana yako insulin glargine ikauya mumidziyo, iwe unozofanirwa kushandisa majekiseni kujekesa yako dose. Kumbira chiremba wako kana wemishonga kuti akuratidze nzira yekujova insulin glargine uchishandisa sirinji. Kumbira chiremba wako kana wemishonga kana iwe uine mibvunzo nezverudzi rwejekiseni raunofanira kushandisa.

Kana yako insulin glargine ikauya mumatanga, ita shuwa kuti uverenge uye unzwisise mirairo yemugadziri. Kumbira chiremba wako kana wemishonga kuti akuratidze mashandisiro aungaita chinyoreso. Tevedza madhairekisheni zvakaringana, uye gara uchiita bvunzo yekuchengetedza usati washandisa.

Usambofa wakashandisazve tsono kana majekiseni uye usambogovana tsono, majekiseni, kana mapeni. Kana iwe uri kushandisa iyo insulin peni, gara wabvisa iyo tsono uchangobaya jekiseni rako. Rasa tsono uye majekiseni mumudziyo unodzivirira. Kumbira chiremba wako kana wemishonga kuti ungarasa sei mudziyo usingadzivirirwe.

Usasanganisa insulin glargine uye usasanganise insulin glargine nechero imwe insulin.

Iwe unogona jekiseni yako insulin glargine mune yako yepamusoro ruoko, chidya, kana mudumbu. Usambofa wakajowa insulin glargine mutsinga kana mhasuru. Chinja (tenderera) jekiseni saiti mukati meiyo nzvimbo yakasarudzwa nedosi yega yega; edza kudzivirira jekiseni saiti imwechete kazhinji kanopfuura kamwe chete kwe1 kusvika kumavhiki maviri.

Gara uchitarisa kune yako insulin glargine usati waijowa. Inofanira kunge yakajeka uye isina ruvara. Usashandise yako insulin glargine kana iine ruvara, makore, kana iine solid particles, kana kana zuva rekupera pane bhodhoro rapfuura.

Usashandise insulin glargine mune yekunze insulin pombi.

Kumbira wemishonga wako kana chiremba kopi yemashoko emugadziri wemurwere.

Mushonga uyu unogona kupihwa zvimwe zvinoshandiswa; bvunza chiremba wako kana wemishonga kuti uwane rumwe ruzivo.

Usati washandisa insulin glargine,

• udza chiremba wako uye wemishonga kana uri weergoria kune insulini (Humulin, Novolin, vamwe), chero chipi zvacho chemisanganiswa ye insulin glargine, kana chero mumwe mushonga. Kumbira mushonga wako wemishonga kana kutarisa ruzivo rwemurwere wemugadziri kuti uwane runyorwa rwezvigadzirwa.
• udza chiremba wako uye wemishonga kuti ndeipi mishonga yekunyorera uye isina kunyoreswa, mavitamini, zvinowedzera zvinovaka muviri, uye mishonga yemakwenzi yauri kutora. Ive neshuwa yekutaura chero eanotevera: albuterol (Accuneb, Proair, Proventil, vamwe); mushonga uye zvisina kunyorwa mishonga ine doro; angiotensin-inoshandura enzyme inhibitors (ACE inhibitors) senge benazepril (Lotensin, muLotrel), captopril, enalapril (Epaned, Vasotec, muVaseretic), fosinopril, lisinopril (muPrinzide, muZestoretic), moexipril, perindopalia quinapril (Accupril, in Accuretic, in Quinaretic), ramipril (Altace), uye trandolapril (Mavik, muTarka); angiotensin receptor blockers (ARBs) senge azilsartan (Edarbi, muEdbybyclor), makenduru (Atacand, muAtacand HCT), eprosartan (Teveten), irbesartan (Avapro, muAvalide), losartan (Cozaar, muHyzaar), telmisartan Micard kuMicardis HCT, muTwynsta), valsartan (Diovan, muDiovan HCT, muEexforge); antypical antipsychotic senge clozapine (Clozaril, Fazaclo, Versacloz) uye olanzapine (Zyprexa, muSymbyax); beta-blockers senge atenolol (Tenormin, muTenoretic), labetalol (Trandate), metoprolol (Lopressor, Toprol XL, muDutoprol), nadolol (Corgard, muCorzide), uye propranolol (Hemangeol, Inderal LA, Innopran XL); imwe cholesterol-inoderedza mishonga yakadai se fenofibrate (Antara, Lipofen, Triglide), gemfibrozil (Lopid), uye niacin (Niacor, Niaspan); clonidine (Catapres, Catapres-TTS, Kapvay, muClorpres, vamwe); danazol; disopyramide (Norpace); diuretics ('mapiritsi emvura'); estrogens; fluoxetine (Prozac, Sarafem, Selfemra, muSymbyax); glucagon; guanethidine (haisipo muU.S.); HIV protease inhibitors inosanganisira atazanavir (Reyataz), indinavir (Crixivan), lopinavir (muKaletra), nelfinavir (Viracept), ritonavir (Norvir, muKaletra, muViekira Pak), uye saquinavir (Invirase); hormone replacement therapy (mapiritsi ekudzivirira kubereka, zvigamba, mhete, majekiseni kana majekiseni); isoniazid (Laniazid, muRifamate, muRifater); lithium (Lithobid); mishonga yeasthma uye dzihwa; mishonga yekurwara kwepfungwa uye kuda kurutsa; monoamine oxidase (MAO) inhibitors inosanganisira isocarboxazid (Marplan), linezolid (Zyvox), phenelzine (Nardil), selegiline (Eldepryl, Emsam, Zelapar), uye tranylcypromine (Parnate); octreotide (Sandostatin); mishonga yekudzivirira pamuromo (mapiritsi ekudzivirira kubereka); mishonga yemuromo yechirwere cheshuga senge pioglitazone (Actos, muActoplus Met, muOseni, vamwe) uye rosiglitazone (Avandia); muromo steroid senge dexamethasone, methylprednisolone (Medrol), uye prednisone (Rayos); pentamidine (NebuPent, Pentam); pentoxifylline (Pentoxil); pramlintide (Symlin); propoxyphene (haisipo muU.S.); reserpine; marwadzo e salicylate anodzora senge aspirin, choline magnesium trisalicylate, choline salicylate, diflunisal, magnesium salicylate (Doan's, vamwe), uye salsalate; somatropin (Genotropin, Humatrope, Nutropin, Serostim, vamwe); sulfa mishonga inorwisa mabhakitiriya; terbutaline; uye mishonga yetachiona. Chiremba wako angangoda kushandura madosi emishonga yako kana kukutarisisa nokungwarira mhedzisiro.
• udza chiremba wako kana iwe kana wakambove nekukuvara kwetsinga kunokonzerwa nechirwere cheshuga, kutadza kwemoyo, mashoma eropa potasium; kana chero imwe mamiriro ekurapa, anosanganisira moyo, chiropa kana hosha yeitsvo.
• udza chiremba wako kana iwe uri nepamuviri, ronga kuve nepamuviri, kana uri kuyamwisa. Kana iwe ukava nepamuviri iwe uchishandisa insulin glargine, fonera chiremba wako.
• kana uri kuvhiyiwa, kusanganisira kuvhiya mazino, udza chiremba kana chiremba wemazino kuti urikushandisa insulin glargine.
• doro rinogona kukonzera shanduko muropa shuga. Kumbira chiremba wako nezve kushandiswa kwakachengeteka kwezvinwiwa zvinodhaka paunenge uchishandisa insulin glargine.
• bvunza chiremba wako zvaunofanira kuita kana iwe ukarwara, ukawana kunetseka kusingawanzoitika, kana kushandura chikafu chako, kurovedza muviri, kana chirongwa chebasa. Shanduko idzi dzinogona kukanganisa shuga yako yeropa uye huwandu hweinsulini yauchazoda.
• bvunza chiremba wako kuti kangani kaunofanirwa kutarisa shuga yako yeropa. Ziva kuti hypoglycemia inogona kukanganisa kugona kwako kuita mabasa akadai sekutyaira uye bvunza chiremba wako kana uchida kutarisa shuga yako yeropa usati watyaira kana kushandisa michina.

Ive neshuwa yekutevera zvese zvekurovedza muviri uye zvekudya zvinokurudzirwa zvakaitwa nachiremba wako kana wezvekudya. Zvakakosha kudya kudya kunovaka muviri uye kudya zvakaenzana zvemhando dzakafanana dzechikafu panguva dzakaenzana zuva rega rega. Kusvetuka kana kunonoka kudya kana kushandura huwandu kana mhando yechikafu chaunodya kunogona kukonzera matambudziko nekutonga kweshuga muropa.

Usati watanga kushandisa insulin glargine, bvunza chiremba wako zvaunofanira kuita kana ukakanganwa kushandisa dose kana kana ukangoerekana washandisa imwe dosi. Nyora aya madhairekitori pasi kuti iwe ugone kutarisa kwavari gare gare.

Mushonga uyu unogona kukonzera shanduko muropa rako shuga. Iwe unofanirwa kuziva zviratidzo zveshuga yakadzika uye yakakwira yeropa uye zvekuita kana iwe uine izvi zviratidzo.

Insulin glargine inogona kukonzera mhedzisiro. Udza chiremba wako kana chimwe chezviratidzo izvi chakanyanya kana kuti chisingaendi:

• kutsvuka, kuzvimba, kurwadziwa, kana kuchenesa panzvimbo yejojo
• shanduko mukunzwa kweganda rako, ganda kuunyana (mafuta kuvaka-kumusoro), kana kushushikana kudiki paganda (kuparara kwemafuta)
• fivha, kukosora, kurwadziwa pahuro, kana zvimwe zviratidzo zvehutachiona

Mimwe mhedzisiro inogona kuve yakakomba. Kana iwe ukawana izvi zviratidzo, danaidza chiremba wako nekukurumidza kana kuwana kurapwa kwekukurumidzira:

• mapundu, mikoko, kana kuchenesa muviri wese
• kurira
• kunetseka kufema kana kumedza
• kutsanya kupomba
• vangadikitira
• kuzvimba kwemaziso, kumeso, miromo, rurimi kana huro
• hoarseness
• kushaya simba
• tsandanyama
• kurova kwemoyo zvisina kujairika
• kamwe kamwe kuwedzera uremu
• kuzvimba kwemakumbo kana tsoka
• mweya wekufema
• maonero anochinja

Insulin glargine inogona kukonzera mamwe mhedzisiro. Fonera chiremba wako kana uine chero matambudziko asina kujairika uchishandisa mushonga uyu.

Chengetedza mushonga uyu mumudziyo waiuya mukati uye kunze kwekusvika kwevana. Chengeta isina kuvhurika insulin glargine magaba uye zvinyoreso mufiriji. Usambofa wakabvumira insulin glargine kuti ishande; usashandise insulin glargine yakave chando uye nyungudika. Isina kuvhurwa mufiriji insulin glargine inogona kuchengetwa kusvika musi unoratidzwa pakambani yekambani.

Kana firiji isingawanikwe (semuenzaniso, kana uri pazororo), chengetedza magaba kana zvinyoreso kutembiricha yemukati uye kure nezuva uye kupisa kwakanyanya. Zvisina kufrijiwa ndiro kana zvinyoreso zvinogona kushandiswa mukati memazuva makumi maviri nemasere; mushure menguva iyoyo vanofanirwa kuraswa. Akavhura ndiro dzinogona kuchengetwa kwemazuva makumi maviri nemasere pakushambidzika kwemukati kana mufiriji. Zvinyoreso zvakavhurwa zvinofanirwa kuchengetwa patembiricha yemukati uye zvinogona kushandiswa kusvika mazuva makumi maviri nemasere mushure mekutanga kushandiswa. Rasa chero insulini yakambosangana nekupisa kwakanyanya kana kutonhora.

Izvo zvakakosha kuti chengetedza mishonga yese isingaonekwe nekusvikwa kwevana semidziyo yakawanda (senge vhiki nevhiki mapiritsi epfungwa uye ayo emadonhwe eziso, makirimu, zvigamba, uye inhalers) hazvirambe vana uye vana vadiki vanogona kuvhura zviri nyore. Kuchengetedza vana vadiki kubva kune chepfu, gara wakakiya makofia ekuchengetedza uye nekukurumidza isa mishonga munzvimbo yakachengeteka - imwe iri kumusoro uye kure uye isingaonekwe nevanosvika. http://www.upandaway.org

Mishonga isingadiwe inofanirwa kuraswa nenzira dzakakosha kuona kuti zvipfuyo, vana, nevamwe vanhu havagone kuzvidya. Nekudaro, iwe haufanire kuburitsa uyu mushonga pasi pechimbuzi. Pane kudaro, nzira yakanakisa yekurasa yako mishonga ndeye kuburikidza neyekurapa-kudzosa chirongwa. Taura nachiremba wako kana kuti taura nedhipatimendi rako remarara / rekudzokorora kuti udzidze nezve zvirongwa zvekudzosa munharaunda yako. Ona iyo FDA's Safe Disposal yeMedicine webhusaiti (http://goo.gl/c4Rm4p) kuti uwane rumwe ruzivo kana iwe usina mukana wekutora-kudzoka chirongwa.

Kana zvikaitika zvekudarika, fonera iyo chepfu yekudzora rubatsiro pa1-800-222-1222. Ruzivo rwunowanikwawo online pa https://www.poisonhelp.org/help. Kana munhu akabatwa akadonha, akabatwa nepfari, achinetseka kufema, kana kutadza kumutswa, pakarepo danaidza mabasa ekukurumidzira pa911.

Insulin glargine ovhadhozi inogona kuitika kana ukashandisa yakawandisa insulin glargine kana ukashandisa huwandu hwakafanira hweiyo insulin glargine asi uchidya zvishoma pane zvakajairwa kana kurovedza muviri kupfuura zvakajairwa. Insulin glargine overdose inogona kukonzera hypoglycemia. Kana iwe uine zviratidzo zve hypoglycemia, tevera zvawakaudzwa nachiremba nezve izvo zvaunofanirwa kuita kana iwe uchikura hypoglycemia. Zvimwe zviratidzo zvekuwedzeredza:

• kurasikirwa kwekuziva
• pfari

Chengetedza zvese zvakagadzwa nachiremba wako uye murabhoritari. Ropa rako shuga uye glycosylated hemoglobin (HbA1c) inofanira kuongororwa nguva nenguva kuti uone kupindura kwako kune insulin glargine. Chiremba wako anokuudzawo maitiro ekutarisa mhinduro yako kumushonga uyu nekuyera huwandu hweshuga yeropa kumba. Tevedza rairo idzi zvakanyatsonaka.

Iwe unofanirwa kugara uchipfeka cheshuga chitupa chiziviso kuti uve nechokwadi chekuti unowana kurapwa kwakakodzera mune emergency.

Usarega mumwe munhu achishandisa mushonga wako. Kumbira wemishonga wako chero mibvunzo yauinayo nezvekuzadza tsamba yako.

Izvo zvakakosha kuti iwe uchengete yakanyorwa rondedzero yeese emushonga uye asiri ekunyora (pamusoro-e-pikisheni) mishonga yauri kutora, pamwe nezvimwe zvigadzirwa zvakaita sevhitamini, zvicherwa, kana zvimwe zvekuwedzera zvekudya. Iwe unofanirwa kuuya nerondedzero iyi iwe nguva imwe neimwe paunoshanyira chiremba kana kana iwe uchigamuchirwa kuchipatara. Izvo zvakare zvakakosha ruzivo kutakura newe kana zvikaitika zvechimbi-chimbi.

• Basaglar^®
• Lantus^®
• Toujeo^®
• Soliqua^® (semubatanidzwa chigadzirwa chine Insulin Glargine uye Lixisenatide),