Pramlintide Jekiseni
Zvemukati
- Ngozi ye hypoglycemia inogona kuve yakakura mune mamwe mamiriro. Dana chiremba wako kana iwe uronga kuve unoshanda zvakanyanya kupfuura zvakajairwa. Kana iwe uine chero eanotevera mamiriro iwe haufanire kushandisa pramlintide uye unofanirwa kufonera chiremba wako kuti uone zvekuita:
- Usati washandisa pramlintide jekiseni,
- Pramlintide inogona kukonzera mhedzisiro. Udza chiremba wako kana chimwe chezviratidzo izvi chakanyanya kana kuti chisingaendi:
- Zviratidzo zvekuwedzeredza zvinogona kusanganisira:
Iwe unoshandisa pramlintide nenguva yekudya insulin kudzora ako mashuga eropa. Paunoshandisa insulin, pane mukana wekuti iwe uwane hypoglycemia (yakaderera ropa shuga). Iyi njodzi inogona kukura mukati memaawa matatu ekutanga mushure mekunge wabaya pramlintide, kunyanya kana uine rudzi rwekutanga chirwere cheshuga (mamiriro umo muviri usinga gadzire insulin uye nekudaro haugone kudzora huwandu hweshuga muropa). Unogona kuzvikuvadza kana kukuvadza vamwe kana shuga yako yeropa ichidonha iwe uchiita chiitiko chinoda kuti iwe uve wakangwarira kana kufunga zvakajeka. Usatyaire mota kana kushandisa chinorema michina kusvikira iwe waziva kuti pramlintide inokanganisa sei ropa rako shuga. Taura nachiremba wako nezvezvipi zvimwe zviitiko zvaunofanira kudzivirira paunenge uchishandisa pramlintide.
Udza chiremba wako kana wanga uine chirwere cheshuga kwenguva yakareba, kana uine chirwere cheshuga cheshuga, kana iwe usingakwanise kuziva kana shuga yako yeropa yakaderera, kana iwe uchida kurapwa kweiyo hypoglycemia kanoverengeka mukati memwedzi mitanhatu yapfuura ,, kana kana iwe une gastroparesis (kunonoka kufamba kwechikafu kubva mudumbu kuenda mudumbu ura. Chiremba wako angangokuudza kuti usashandise pramlintide. Uyezve udza chiremba wako kana uri kutora chero ipi yeinotevera mishonga: kuwedzera kweropa, chirwere chemwoyo, kana chirwere cheshuga cheshuga; beta blockers senge atenolol (muTenoretic), labetalol (Trandate), metoprolol (Lopressor, Toprol XL, muDutoprol, muLopressor HCT), nadolol (Corgard, muCorzide), uye propranolol (Hemangeol, Inderal, Innopran, muInderide); clonidine (Catapres, Duraclon, Kapvay, muClorpres); disopyramide (Norpace); fenofibrate (Antara, Lipofen, Tricor, vamwe); fluoxetine (Prozac, Sarafem, Selfemra, in Symbyax); gemfibrozil (L opid); guanethidine (Ismelin; haichawanikwi muU.S.); mimwe mishonga yechirwere cheshuga; lanreotide (Somatuline Depot); monoamine oxidase (MAO) inhibitors senge isocarboxazid (Marplan), phenelzine (Nardil), selegiline (Eldepryl, Emsam, Zelapar), uye tranylcypromine (Parnate); pentoxifylline (Pentoxil); propoxyphene (Darvon; haichawanikwi muU.S.); reserpine; marwadzo e salicylate anodzora senge aspirin; uye sulfonamide maantibiotiki senge trimethoprim / sulfamethoxazole (Bactrim, Septra).
Paunenge uchishandisa pramlintide, iwe unofanirwa kuyera shuga yako yeropa usati uye mushure mekudya kwese uye panguva yekurara. Iwe zvakare unozoda kuona kana kutaura nachiremba wako kazhinji, uye kazhinji shandura dosi yako yepramlintide uye insulin zvinoenderana nemazita echiremba wako. Udza chiremba wako kana iwe uchifunga kuti zvichakuomera kuti uite zvinhu izvi, kana iwe uchinetseka kutarisa shuga yako yeropa kana kushandisa insulin yako nenzira kwayo munguva yakapfuura, kana kana iwe uchiona zvichinetsa kubata kurapwa kwako kana watanga kushandisa pramlintide.
Chiremba wako achaderedza yako dose ye insulin paunotanga kushandisa pramlintide. Chiremba wako anokutanga iwe pane yakaderera dosi yepramlintide uye zvishoma nezvishoma inowedzera yako dose. Fonera chiremba wako ipapo ipapo kana iwe uine svoto panguva ino; dose yako ingangoda kuchinjwa kana iwe ungatofanira kumira kushandisa pramlintide. Chiremba wako angangodaro achinja dhizaini yako insulin kana iwe uchinge uchinge uchinge uchishandisa iyo pramlintide iyo yakakunakira iwe. Tevedza ese aya mafambiro zvakanyatsonaka uye bvunza chiremba wako kana wemishonga ipapo ipapo kana usina chokwadi kuti insulini kana pramlintide yakawanda sei yaunofanira kushandisa.
Ngozi ye hypoglycemia inogona kuve yakakura mune mamwe mamiriro. Dana chiremba wako kana iwe uronga kuve unoshanda zvakanyanya kupfuura zvakajairwa. Kana iwe uine chero eanotevera mamiriro iwe haufanire kushandisa pramlintide uye unofanirwa kufonera chiremba wako kuti uone zvekuita:
- unoronga kusadya.
- unoronga kudya chikafu chine isingasviki 250 macalorie kana 30 gramu yemakabhohaidhiretsi.
- haugone kudya nekuti unorwara.
- haugone kudya nekuti wakarongerwa kuvhiyiwa kana bvunzo yezvechiremba
- shuga yako yeropa yakadzika kwazvo usati wadya.
Doro rinogona kukonzera kuderera kweshuga yeropa. Kumbira chiremba wako nezve kushandiswa kwakachengeteka kwezvinwiwa zvinodhaka paunenge uchishandisa pramlintide.
Fonera chiremba wako ipapo ipapo kana shuga yako yeropa yakaderera pane zvakajairwa kana kana iwe uine chero anotevera zviratidzo zveshuga yeropa yakaderera: nzara, kutemwa nemusoro, kudikitira, kuzunza kwechimwe chikamu chemuviri wako chausingakwanise kudzora, kusagadzikana, kunetseka kuisa pfungwa, kurasikirwa kwekuziva, koma, kana kubatwa. Ive neshuwa kuti iwe unogara uine yekutsanya inoshanda sosi yeshuga senge yakaoma zviwitsi, muto, glucose mapiritsi, kana glucagon inowanikwa kurapa hypoglycemia.
Chiremba wako kana wemishonga anokupa iro gadziriro yeruzivo yemurwere (reMedicine Gwara) paunotanga kurapwa nepramlintide uye pese paunozadza mushonga wako. Verenga iwo ruzivo nokungwarira uye bvunza chiremba wako kana wemishonga kana iwe uine chero mibvunzo. Iwe unogona zvakare kuwana iyo Medication Gwaro kubva kune iyo FDA webhusaiti: http://www.fda.gov.
Pramlintide inoshandiswa nenguva yekudya insulin kudzora huwandu hweshuga yeropa mune vanhu vane chirwere cheshuga. Pramlintide inoshandiswa chete kurapa varwere vane shuga yeropa yaisagona kudzorwa ne insulin kana insulin uye nemuromo mushonga wechirwere cheshuga. Pramlintide iri mukirasi yemishonga inonzi antihyperglycemics. Inoshanda nekudzora kufamba kwechikafu kuburikidza nemudumbu. Izvi zvinodzivirira shuga yeropa kubva mukukwira zvakanyanya mushure mekudya, uye inogona kudzikisira chishuwo uye kukonzeresa kuonda.
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.
Pramlintide inouya semhinduro (mvura) mune yakatemwa dosing peni yekujova subcutaneously (pasi peganda chete). Inowanzojowa kakati wandei pazuva, pamberi pekudya kumwe kunosanganisira anosvika mazana maviri emakoriori kana makumi matatu magiramu ehydrohydrate Tevedza zvinongedzo pane yako tsamba yekunyora zvakanyatsonaka, uye bvunza chiremba wako kana wemishonga kuti atsanangure chero chikamu chausinganzwisise. Shandisa pramlintide chaizvo sezvakarairwa. Usashandise zvishoma kana zvishoma kana kuishandisa kakawanda kupfuura zvakatemwa nachiremba wako.
Pramlintide inodzora chirwere cheshuga asi hairape. Ramba uchishandisa pramlintide kunyangwe iwe uchinzwa zvakanaka. Usarega kushandisa pramlintide usina kutaura nachiremba wako. Kana iwe ukarega kushandisa pramlintide chero chikonzero, usatange kuishandisa zvakare pasina kutaura nachiremba wako.
Ive neshuwa iwe unoziva izvo zvimwe zvinopihwa, senge tsono, iwe uchafanirwa kubaya mushonga wako. Kumbira chiremba wako kana wemishonga kuti ndedzipi mhando dzetsono dzauchazoda kubaya mushonga wako. Ngwarira kuverenga uye unzwisise mirairo yemugadziri yekubaya pramlintide uchishandisa peni. Uyezve ita shuwa kuti iwe unoziva sei uye riini kugadzira ipeni nyowani. Kumbira chiremba wako kana wemishonga kuti akuratidze mashandisiro aungaita chinyoreso. Tevera mazano zvakanyatsonaka. Usasanganise pramlintide ne insulin.
Nguva dzose tarisa yako pramlintide peni mhinduro usati waijowa. Inofanira kunge yakajeka uye isina ruvara. Usashandise pramlintide kana iine ruvara, makore, kukobvu, iine yakasimba zvikamu, kana kana zuva rekupera pane iro pasuru chitupa rapfuura.
Usambofa wakashandisazve tsono uye usambogovana tsono kana peni. Nguva dzose bvisa tsono uchangobaya jekiseni rako. Rasa tsono mumudziyo unodzivira. Kumbira chiremba wako kana wemishonga kuti ungarasa sei mudziyo usingadzivirirwe.
Unogona kubaya pramlintide chero padumbu kana pahudyu. Usabaya pramlintide muruoko rwako. Sarudza imwe nzvimbo yekubairira pramlintide mazuva ese. Ive neshuwa kuti iyo nzvimbo yaunosarudza inodarika anopfuura 2 inches kubva panzvimbo iyo yauchabaya insulin.
Iwe unofanirwa kubaya pramlintide pasi peganda nenzira imwechete yaunobaya insulin. Rega iyo pramlintide peni ichidziya kune tembiricha yemukati usati waisa mushonga. Kana iwe uine mibvunzo nezve jekiseni pramlintide, bvunza chiremba wako kana wemishonga.
Mushonga uyu unogona kupihwa zvimwe zvinoshandiswa; bvunza chiremba wako kana wemishonga kuti uwane rumwe ruzivo.
Usati washandisa pramlintide jekiseni,
- udza chiremba wako uye wemishonga kana iwe uri weergoria kune pramlintide, chero mimwe mishonga, metacresol, kana chero zvimwe zvinongedzo mu pramlintide peni. Kumbira wemishonga wako kana tarisa Gwaro Rekurapa 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 mishonga yakanyorwa mune CHINOKOSHA CHENYENZO chikamu uye chero cheanotevera: acarbose (Precose); antihistamines; atropine (Atropen, muLomotil, vamwe); mamwe antidepressants ('mood elevators') anonzi tricyclic antidepressants; mimwe mishonga yekurapa asima, manyoka, chirwere chemapapu, chirwere chepfungwa, kufamba kwekufamba, dundira rakawandisa, kurwadziwa, chirwere cheParkinson, mudumbu kana mudumbu, maronda, uye kushungurudzika mudumbu; laxatives; miglitol (Glyset); uye zvinyoro nyoro. Chiremba wako angangoda kushandura madosi emishonga yako kana kukutarisisa nokungwarira mhedzisiro.
- kana iwe uri kutora zvekudzivirira pamuromo (mapiritsi ekudzivirira kubereka), mishonga yekurwadziwa, kana maantibhakitiriya, tora iwo angangoita 1 awa pamberi kana maawa maviri mushure mekushandisa pramlintide.
- udza chiremba wako kana iwe uri nepamuviri, ronga kuve nepamuviri, kana uri kuyamwisa. Kana iwe ukava nepamuviri iwe uchishandisa pramlintide, fonera chiremba wako.
- kana uri kuvhiyiwa, kusanganisira kuvhiya mazino, udza chiremba kana chiremba wemazino kuti urikushandisa pramlintide.
Chiremba wako, dietitian, kana chirwere cheshuga mudzidzisi achakubatsira iwe kugadzira chirongwa chekudya chinokushandira iwe. Tevera chirongwa chekudya zvakanyatsonaka.
Darika iro rakarasika dhizaini uye shandisa yako yakajairwa dhizaini yepramlintide pamberi pekudya kwako kukuru kunotevera. Usashandise dhivhosi mbiri kugadzira iyo yakarasika imwe.
Pramlintide inogona kukonzera mhedzisiro. Udza chiremba wako kana chimwe chezviratidzo izvi chakanyanya kana kuti chisingaendi:
- kutsvuka, kuzvimba, kupwanya, kana kuchenesa pane pramlintide jekiseni saiti
- kurasikirwa nenzara
- kurwadziwa nemudumbu
- kuneta zvakanyanya
- dzungu
- kukosora
- huro inorwadza
- kurwadza kwemajoini
Mimwe mhedzisiro inogona kuve yakakomba. Kana iwe ukasangana nechimwe chezviratidzo zvakanyorwa mune CHINOKOSHA CHENYENZO chikamu, dana chiremba wako nekukurumidza.
Pramlintide inogona kukonzera mamwe mhedzisiro. Fonera chiremba wako kana uine chero matambudziko asina kujairika uchishandisa mushonga uyu.
Kana iwe ukawana chakakomba mhedzisiro, iwe kana chiremba wako ungatumira chirevo kuchirongwa cheKudya neDrug Administration's (FDA) MedWatch Yakashata Chiitiko Chirongwa online (http://www.fda.gov/Safety/MedWatch) kana nefoni ( 1-800-332-1088).
Chengetedza iyi mishonga mumudziyo iyo yakauya mukati, yakasungwa yakavharwa, uye isingasvike kune vana. Chengetedza zvisina kuvharwa pramlintide peni mufiriji uye chengetedza kubva pachiedza; usaisa chando matanga. Bvisa chero mapepa aive akaomeswa kana kuratidzwa kupisa. Unogona kuchengeta yakavhurika pramlintide peni mufiriji kana tembiricha yemukati, asi iwe unofanirwa kuishandisa mukati memazuva makumi matatu. Rasa chero akavhurika pramlintide peni mushure memazuva makumi matatu.
Mishonga isingadiwe inofanirwa kuraswa nenzira dzakakosha kuona kuti zvipfuyo, vana, nevamwe vanhu havagone kuzvidya. Nekudaro, iwe haufanire kuburitsa uyu mushonga pasi pechimbuzi. Panzvimbo iyoyo, nzira yakanakisa yekurasa mishonga yako ndeyekurapa-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.
Izvo zvakakosha kuti chengetedza mishonga yese isingaonekwe uye kusvika 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 wakavharira makapu ekuchengetedza uye nekukurumidza isa mishonga munzvimbo yakachengeteka - imwe iri kumusoro uye kure uye kubva kwavari uye kusvika. http://www.upandaway.org
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.
Zviratidzo zvekuwedzeredza zvinogona kusanganisira:
- kugumbuka mudumbu
- kurutsa
- manyoka
- dzungu
- kufashaira
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.
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