Kuwedzera jekiseni

Zvemukati

• Usati washandisa jekiseni rekuwedzera,
• Mushonga uyu unogona kukonzera shanduko muropa rako shuga. Iwe unofanirwa kuziva zviratidzo zveshuga yakadzika uye yakakwira yeropa uye zvekuita kana iwe uine izvi zviratidzo.
• Kuwedzera jekiseni kunogona kukonzera mhedzisiro. Udza chiremba wako kana chimwe chezviratidzo izvi chakanyanya kana kuti chisingaendi:
• Mimwe mhedzisiro inogona kuve yakakomba. Kana iwe ukasangana nechimwe chezviratidzo zvinotevera kana izvo zvakanyorwa muchikamu CHINOKOSHA CHENYENZO, rega kushandisa exenatide uye fonera chiremba wako nekukurumidza kana kuwana kurapwa kwekukurumidzira:
• Zviratidzo zvekuwedzeredza zvinogona kusanganisira zvinotevera:

Kuwedzeredza jekiseni kunogona kuwedzera njodzi yekuti iwe uchava nemamota eiyo yegland gland, kusanganisira medullary thyroid carcinoma (MTC; rudzi rwecancer cancer). Mhuka dzerabhoritari dzakapihwa mamota akawedzera, asi hazvizivikanwe kana mushonga uyu unowedzera njodzi yemamota muvanhu. Udza chiremba wako kana iwe kana chero mumwe munhu mumhuri yako ane kana akambove neMTC kana Multiple Endocrine Neoplasia syndrome mhando 2 (MEN 2; mamiriro anokonzera mapundu mune inopfuura rimwe gland mumuviri). Kana zvirizvo, chiremba wako anogona kukuudza iwe kuti usashandise exenatide jekiseni. Kana iwe ukasangana nechimwe chezviratidzo zvinotevera, danaidza chiremba wako nekukurumidza: bundu kana kuzvimba mumutsipa; hoarseness; kunetsa kumedza; kana kufema kwekufema.

Chengetedza zvese zvakagadzwa nachiremba wako uye murabhoritari. Chiremba wako anogona kuraira mimwe bvunzo kuti utarise mhinduro yemuviri wako kuti iwedzere.

Chiremba wako kana wemishonga anokupa iro gadziriro yeruzivo yemurwere (Mishonga Inotungamira) paunotanga kurapwa neakawedzeredzwa jekiseni rekuburitsa uye nguva dzese paunozadza tsamba yako. Verenga iwo ruzivo nokungwarira uye bvunza chiremba wako kana wemishonga kana iwe uine chero mibvunzo. Iwe unogona zvakare kushanyira Chikafu neDrug Administration (FDA) webhusaiti (http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm) kana webhusaiti yemugadziri kuti utore Gwaro reMishonga.

Taura nachiremba wako nezve njodzi dzekushandisa exenatide jekiseni.

Exenatide inoshandiswa pamwe nekudya uye kurovedza muviri kurapa mhando 2 chirwere cheshuga (mamiriro umo muviri usingashandise insulin zvakajairika uye nekudaro haugone kudzora huwandu hweshuga muropa). Exenatide iri mukirasi yemishonga inonzi incretin mimetics. Inoshanda nekumisikidza rwatata kunotora insulini kana shuga dzeropa dzakakwira. Insulin inobatsira kufambisa shuga kubva muropa ichienda mune dzimwe nyama dzemuviri kwazvinoshandiswa kusimba. Kuwedzera kunononoka zvakare kupera kwemudumbu uye kunokonzera kuderera kwekuda kudya. Exenatide haishandiswe kurapa rudzi rwekutanga chirwere cheshuga (mamiriro umo muviri usingaburitse insulin uye nekudaro haugone kudzora huwandu hweshuga muropa). Exenatide haina kushandiswa panzvimbo pe insulin yekurapa vanhu vane chirwere cheshuga vanoda insulin.

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.

Chiremba wako kana wemishonga anokupa iro gadziriro yeruzivo yemurwere (Mishonga Inotungamira) paunotanga kurapwa ne exenatide uye pese paunozadza mushonga wako. Verenga iwo ruzivo nokungwarira uye bvunza chiremba wako kana wemishonga kana iwe uine chero mibvunzo. Iwe unogona zvakare kushanyira Chikafu neDrug Administration (FDA) webhusaiti (http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm) kuti utore Gwaro reMishonga.

Exenatide nekukurumidza-kuburitswa (Byetta^®) inouya semhinduro (mvura) mune yakatemwa dosing peni kujekesa subcutaneously (pasi peganda). Exenatide yakawedzerwa-kuburitswa (yakareba-inoshanda) (Bydureon^®) inouya sehupfu kuti isanganiswe nemvura muvhisi kana chinyoreso chinyoreso chejojo ​​kujekesa subcutaneously. Exenatide yekukurumidza-kuburitsa mhinduro inowanzojowa kaviri pazuva mukati memaminitsi makumi matanhatu pamberi pekudya kwemangwanani uye kwemanheru; usazvibaya jekiseni kana wapedza kudya. Chiremba wako angangotanga iwe pane yakaderera dosi ye exenatide yekukurumidza-kuburitsa jekiseni uye anogona kukuchinjira iwe kune peni ine yakakwira dosi yemushonga kana yako yeropa shuga kudzora isina kuvandudzwa mushure mekunge iwe washandisa exenatide kwemwedzi mumwe. Exenatide yakawedzerwa-kuburitsa mhinduro inoiswa jekiseni kamwe chete pasvondo chero nguva yezuva pasina chekudya. Shandisa exenatide yakawedzerwa-kuburitswa pazuva rimwe chete vhiki imwe neimwe chero nguva yezuva. Iwe unogona kushandura zuva revhiki raunoshandisa exenatide yakawedzerwa-kuburitswa kana anga ari 3 kana anopfuura mazuva kubva pawakashandisa dosi rako rekupedzisira. Tevedza zvinongedzo pane yako tsamba yekunyora zvakanyatsonaka, uye bvunza chiremba wako kana wemishonga kuti atsanangure chero chikamu chausinganzwisise. Shandisa exenatide jekiseni chaizvo sekurairwa. Usashandise zvishoma kana zvishoma kana kuishandisa kakawanda kupfuura zvakatemwa nachiremba wako.

Kana iwe uchichinja kubva exenatide nekukurumidza-kuburitswa kuti uwedzere kuwedzera-kuburitswa, yako glucose (shuga) mazinga anogona kuwedzera kwechinguva kwemavhiki maviri kusvika mana mushure mekuchinja uku.

Exenatide inodzora chirwere cheshuga asi hairape. Ramba uchishandisa exenatide kunyangwe iwe uchinzwa zvakanaka. Usarega kushandisa exenatide usina kutaura nachiremba wako.

Kana iwe uri kushandisa exenatide nekukurumidza-kuburitswa (Byetta^®) yakatemerwa dosing peni, iwe uchafanirwa kutenga tsono zvakasiyana. Kumbira chiremba wako kana wemishonga kuti ndedzipi mhando dzetsono dzauchazoda kubaya mushonga wako. Ive neshuwa yekuverenga uye unzwisise rairo yemugadziri yekubaya jekiseni exenatide 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. Usambofa wabvisa iyo cartridge kubva mupeni kana kuyedza kuwedzera chero imwe mhando yemishonga kune iyo cartridge.

Gara uchitarisa yako exenatide mhinduro usati waijowa. Inofanira kunge yakajeka, isina ruvara, uye inoyerera semvura. Usashandise exenatide kana iine ruvara, makore, kukobvu, kana iine solid particles, kana kana nguva yekupera pabhodhoro yapfuura. Usasanganise exenatide ne insulin mujekiseni rimwe chete.

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.

Exenatide inogona kupihwa muhudyu (kumusoro gumbo), dumbu (mudumbu), kana kumusoro ruoko. Shandisa imwe saiti jekiseni rega rega, anenge 1 inch (2.5 masentimita) kure neiyo jekiseni rapfuura asi munzvimbo imwecheteyo (semuenzaniso, chidya). Shandisa nzvimbo dzese dzinowanikwa munzvimbo imwechete usati washandira kune imwe nzvimbo (semuenzaniso, ruoko rwekumusoro). Usashandise yakafanana jekiseni saiti kazhinji kanopfuura kamwe chete pamwedzi.

Unogona kubaya yakawedzera kusunungurwa exentadine uye insulin munzvimbo imwechete yemuviri, asi majekiseni haafanire kupihwa padhuze nepadhuze.

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

Usati washandisa jekiseni rekuwedzera,

• udza chiremba wako uye wemishonga kana iwe uri weergoria kune exenatide, chero mimwe mishonga, kana chero chinhu chinosanganiswa mu exenatide jekiseni. Kumbira wemishonga wako kana tarisa Gwaro Rekurapa kuti uwane runyorwa rwezvigadzirwa.
• udza chiremba wako uye wemishonga kuti ndeipi mishonga yekunyorera uye isina kunyoreswa, mavitamini, zvekuwedzera pane zvekudya, uye mishonga yemakwenzi yauri kutora kana kuronga kutora. Zvinonyanya kukosha kuudza chiremba wako nezve yese mishonga yaunotora nemuromo nekuti exenatide inogona kuchinja nzira iyo muviri wako unotora iyi mishonga. Ive neshuwa yekutaura chero eanotevera: angiotensin-inoshandura enzyme (ACE) inhibitors senge benazepril (Lotensin), captopril (Capoten), enalapril (Vasotec), fosinopril (Monopril), lisinopril (Prinivil, Zestril), moexipcil ( , perindopril, (Aceon), quinapril (Accupril), ramipril (Altace), uye trandolapril (Mavika); diuretics ('mapiritsi emvura'); asipurini uye mamwe asiri -steroidal anti-anogumbura zvinodhaka (NSAIDs) senge ibuprofen (Advil, Motrin) uye naproxen (Aleve, Naprosyn); lovastatin (Altoprev, muna Advicor); mishonga yehigh blood pressure; insulin kana imwe mishonga yekurapa chirwere cheshuga senge sulfonylureas senge chlorpropamide (Diabinese), glimepiride (Amaryl, muAvandaryl, muDuetact), glipizide (Glucotrol), glyburide (DiaBeta, muGlucovance), tolazamide, uye tolbutamide, uye warfarin (Coumadin , Jantoven). Chiremba wako angangoda kushandura madosi emishonga yako kana kukutarisisa nokungwarira mhedzisiro.
• kana iwe uri kutora zvekudzivirira pamuromo (mapiritsi ekudzivirira kuberekwa) kana maantibayoti, tora iwo angangoita 1 awa usati washandisa jekiseni rekuwedzera. Kana iwe wakanzi utore mishonga iyi nechikafu, utore pamwe nekudya kana tudyo panguva yausingashandise exenatide.
• udza chiremba wako kana iwe uchinwa kana wakambonwa doro rakawanda, uye kana uchirwadziwa, kurutsa, uye kuita manyoka kana kufunga kuti unogona kupera simba, kana kana iwe ukava nezviratidzo izvi chero nguva panguva yekurapwa kwako. Uyezve udza chiremba wako kana wakamboiswa itsvo kana iwe kana wakambove nematambudziko akakomba emudumbu, kusanganisira gastroparesis (kunonoka kufamba kwechikafu kubva mudumbu kuenda mudumbu diki) kana zvimwe zvinetso kugaya chikafu; pancreatitis (kuzvimba kwepancreas), nduru (yakasimba inosunga iyo inogadzira nduru), kana mwero wepamusoro we triglycerides (mafuta) muropa, kana rwatata, chiropa, kana chirwere cheitsvo.
• udza chiremba wako kana iwe uri nepamuviri, ronga kuve nepamuviri, kana uri kuyamwisa. Kana iwe ukava nepamuviri iwe uchishandisa exenatide, dana chiremba wako.
• bvunza chiremba wako nezve kushandiswa kwakachengeteka kwezvinwiwa zvinodhaka paunenge uchinyanyisa.
• bvunza chiremba wako zvekuita kana iwe ukarwara, ukava nehutachiona kana fivha, ukawana kushushikana kusingawanzo, kana kukuvara. Aya mamiriro anogona kukanganisa shuga yako yeropa uye huwandu hwehuwandu hwaungade.

Ive neshuwa yekutevera zvese zvekurovedza muviri uye zvekudya zvinokurudzirwa zvakaitwa nachiremba wako kana wezvekudya. Zvakakosha kudya kudya kunovaka muviri.

Kana iwe ukarasikirwa nedosi yekuwedzeredza nekukurumidza-kuburitsa jekiseni (Byetta^®), svetuka iro rakarasika dosi uye enderera yako yenguva dzose dosing purogiramu Usapinda jekiseni repaviri kuti uwane iyo yakarasika.

Kana iwe ukarasikirwa nedosi ye exenatide yakawedzerwa-kuburitsa jekiseni (Bydureon^®). Nekudaro, kana paine asingasviki mazuva matatu (maawa makumi manomwe nemaviri) kusvikira yako inotevera yakarongwa dhizaini, ruka iro rakarasika dosi uye ramba uchiita yako yenguva dzose dosing purogiramu. Usashandise dhivhosi mbiri kugadzira iyo yakarasika imwe.

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

Kuwedzera jekiseni kunogona kukonzera mhedzisiro. Udza chiremba wako kana chimwe chezviratidzo izvi chakanyanya kana kuti chisingaendi:

• kusvotwa
• kurutsa
• manyoka
• kuvimbiswa
• jittery kunzwa
• dzungu
• chirungurira
• musoro
• kushaya simba
• vangadikitira

Mimwe mhedzisiro inogona kuve yakakomba. Kana iwe ukasangana nechimwe chezviratidzo zvinotevera kana izvo zvakanyorwa muchikamu CHINOKOSHA CHENYENZO, rega kushandisa exenatide uye fonera chiremba wako nekukurumidza kana kuwana kurapwa kwekukurumidzira:

• kurwadziwa kunoenderera kunotanga kumusoro kumusoro kuruboshwe kana pakati peguvhu asi kunogona kupararira kumusana pamwe kana pasina kurutsa
• mikoko
• mapundu
• kuvava
• kunetseka kufema kana kumedza
• jekiseni-saiti kurwadziwa, kuzvimba, mablister, kuruma, kana maqhuqhu
• kuzvimba kwechiso, huro, rurimi, miromo, maziso, maoko, tsoka, makumbo, kana makumbo ezasi
• kurwadziwa munzvimbo yekurudyi kana yepamusoro yepakati dumbu, kusvotwa, kurutsa, kupisa muviri, kana kuita yero kweganda kana maziso
• shanduko muvara kana huwandu hweti
• kuita weti kakawanda kana kushoma pane zvakajairwa
• kuzvimba kwemaoko, maoko, tsoka, makumbo, kana makumbo ezasi
• kuderera kwechido

Kuwedzera kunogona kukonzera mimwe 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 zvisina kushandiswa mapeni ekunze mumakatoni avo ekutanga mufiriji yakachengetedzwa kubva pachiedza. Paunenge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchishandiswa, zvitoro zvekunze zvinotonhorera kutembiricha yemukati (inosvika 77 ° F [25 ° C]) yakachengetedzwa kubva pachiedza. Usagwamba. Usashandise exenatide kana yave yakaoma nechando. Usachengetedze zvinyoreso zvine tsono. Chengetedza zvinyoreso zvakanyanya kunze kwekusvika kwevana.

Paunenge uchifamba, ita shuwa yekuchengetedza akawandisa matanga akaoma. Peni dzisina kushandiswa dzinofanirwa kuiswa mufiriji kana kuchengetwa panotonhora pakati pe36 ° F kusvika 46 ° F (2 ° C kusvika 8 ° C). Peni dziri kushandiswa dzinogona kuchengetwa mukamuri tembiricha inosvika 77 ° F (25 ° C) (kwete mune yemotokari girovhosi kana imwe nzvimbo inopisa).

Nyora pasi zuva rawakatanga kushandisa chinyoreso, uye bvisa chinyoreso mushure memazuva makumi matatu, kunyangwe paine mhinduro yasara mupeni.

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.

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

Kana zvikaitika zvekudarika, fonera iyo chepfu yekudzora rubatsiro pa1-800-222-1222. Ruzivo runowanikwawo pamhepo 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 zvinotevera:

• kushungurudzika zvakanyanya mudumbu
• kusvotwa
• kurutsa kwakanyanya
• dzungu
• zviratidzo zve hypoglycemia

Ropa rako shuga uye glycosylated hemoglobin (HbA1c) inofanira kuongororwa nguva nenguva kuti uone mhinduro yako kune exenatide. Chiremba wako anokuudzawo maitiro ekutarisa mhinduro yako kumushonga uyu nekuyera ropa rako kana weti shuga pamusha. Tevedza rairo idzi zvakanyatsonaka.

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.

• Bydureon^®
• Byetta^®