Insulin Detemir (rDNA Chibviro) Jekiseni

Zvemukati

• Usati washandisa insulin detemir,
• 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 detemir jekiseni inogona kukonzeresa mhedzisiro. Udza chiremba wako kana chimwe chezviratidzo izvi chakanyanya kana kuti chisingaendi:
• Mimwe mhedzisiro inogona kuve yakakomba. Kana iwe ukasangana nechimwe cheizvi zviratidzo, danaidza chiremba wako nekukurumidza kana kuwana kurapwa kwekukurumidzira:
• Insulin detemir overdose inogona kuitika kana iwe ukashandisa yakawandisa insulin detemir kana iwe ukashandisa chiyero chakaringana che insulini detemir asi uchidya zvishoma pane zvakajairwa kana kurovedza muviri kupfuura zvakajairwa. Insulin detemir 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 detemir inoshandiswa kurapa chirwere cheshuga cheshuga (mamiriro umo muviri usingaburitse insulini 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 varwere vane rudzi rwekutanga chirwere cheshuga, insulin detemir inogona kushandiswa nerumwe rudzi rwe insulin (pfupi-inoshanda insulin) Mune varwere vane rudzi rwechipiri chirwere cheshuga, insulin detemir zvakare inogona kushandiswa nerumwe rudzi rwe insulin kana nemuromo mishonga (s) yeshuga Insulin detemir inguva yakareba-inoshanda, yakagadzirwa nevanhu ye insulin yemunhu. Insulini detemir inoshanda nekutsiva iyo insulin inowanzo gadzirwa nemuviri uye nekubatsira kufambisa shuga kubva muropa kuenda kune mamwe matumbu emuviri kwainoshandiswa simba. 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 detemir inouya semhinduro (mvura) kupinza subcutaneously (pasi peganda). Iyo inowanzo jekiwa kamwe pazuva, pamwe nekudya kwemanheru kana panguva yekurara Dzimwe nguva insulin detemir inogona kuiswa jekiseni kaviri pazuva, mangwanani kusati kwadyiwa uye manheru nemanheru kudya kana panguva yekurara anenge maawa gumi nemaviri gare gare. Jekiseni insulin detemir panguva dzakatenderedza nguva imwechete mazuva ese. Tevedza zvinongedzo pane yako tsamba yekunyora zvakanyatsonaka, uye bvunza chiremba wako kana wemishonga kuti atsanangure chero chikamu chausinganzwisise. Shandisa insulin detemir chaizvo sezvakarairwa. Usashandise zvishoma kana zvishoma kana kuishandisa kakawanda kupfuura zvakatemwa nachiremba wako.

Usambofa wakashandisa insulin detemir kana iwe uine zviratidzo zve hypoglycemia (yakaderera ropa shuga) kana kana watarisa shuga rako reropa ukariwana rakaderera. Usapinda jekiseni insulin munzvimbo yeganda yakatsvuka, kuzvimba, kuvaviwa, kana kukobvu.

Insulin detemir haifanire kushandiswa mune yekunze insulin pombi.

Insulin detemir haifanire kusanganiswa kana kusanganiswa nezvimwe zvigadzirwa zve insulin.

Insulin detemir inodzora chirwere cheshuga asi haichirape. Ramba uchishandisa insulin detemir kunyangwe uchinzwa zvakanaka. Usarega kushandisa insulin detemir usingataure nachiremba wako. Usachinjira kune imwe mhando kana mhando yeinsulini kana shandura muyero wechero rudzi rwe insulin yauri kushandisa usingataure nachiremba wako.

Insulin detemir inouya mumabhodhoro uye mumapeni emadhivha ane macartridge emishonga. Ive neshuwa kuti unoziva mhando yemudziyo wako insulini detemir inopinda uye ndezvipi zvimwe zvinopihwa, senge tsono, majekiseni, kana mapeni, iwe uchafanirwa kubaya mushonga wako.

Kana yako insulin detemir ikauya mumidziyo, iwe uchafanirwa kushandisa majekiseni kuti ujekese yako dosi. Kumbira chiremba wako kana wemishonga kuti akuratidze nzira yekubaya nayo insulin detemir uchishandisa sirinji. Kumbira chiremba wako kana wemishonga kana iwe uine mibvunzo nezverudzi rwejekiseni raunofanira kushandisa.

Kana yako insulin detemir ikauya mumatanga, ita shuwa kuti uverenge uye unzwisise mirairo yemugadziri. Kumbira chiremba wako kana wemishonga kuti akuratidze mashandisiro aungaita chinyoreso. Tevedza madhairekisheni zvakanyatsonaka, uye gara uchitungamira pen 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. Rasai tsono uye majekiseni mumudziyo unodzivira. Kumbira chiremba wako kana wemishonga kuti ungarasa sei mudziyo usingadzivirirwe.

Nguva dzose tarisa insulin yako detemir usati waijowa. Inofanira kunge yakajeka uye isina ruvara. Usashandise yako insulin detemir kana iine ruvara, makore, kukobvu, kana iine yakasimba zvikamu, kana kana zuva rekupera pane bhodhoro rapfuura.

Iwe unogona jekiseni yako insulin detemir mune yako yepamusoro ruoko, chidya, kana mudumbu. Usambofa wakajova insulin detemir mutsinga kana mhasuru. Chinja (tenderera) jekiseni saiti mukati meiyo nzvimbo yakasarudzwa nedosi yega yega; edza kudzivirira jekiseni imwechete saiti kakawanda kupfuura kamwe chete pavhiki 1-2.

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 detemir,

• udza chiremba wako uye wemishonga kana uri weergoria kune insulini (Humulin, Novolin, vamwe), chero chipi zvacho chemidziyo ye insulin detemir, kana chero mimwe mishonga. 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: 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 (Mavik); beta blockers senge atenolol (Tenormin), labetalol (Normodyne), metoprolol (Lopressor, Toprol XL), nadolol (Corgard), uye propranolol (Inderal); imwe cholesterol-inoderedza mishonga yakadai se fenofibrate (Antara, Lofibra, TriCor, Triglide) uye gemfibrozil (Lopid); clonidine (Catapres, Catapres-TTS, muClorpres); danazol; disopyramide (Norpace, Norpace CR); diuretics ('mapiritsi emvura'); fluoxetine (Prozac, Sarafem, muSymbyax); hormone replacement therapy; isoniazid (INH, Nydrazid); lithiamu (Eskalith, Lithobid); mishonga yeasthma uye dzihwa; mishonga yekurwara kwepfungwa uye kuda kurutsa; monoamine oxidase (MAO) inhibitors, inosanganisira isocarboxazid (Marplan), phenelzine (Nardil), selegiline (Eldepryl), uye tranylcypromine (Parnate); octreotide (Sandostatin); mishonga yekudzivirira pamuromo (mapiritsi ekudzivirira kubereka); mishonga yemuromo yechirwere cheshuga senge pioglitazone (Actos, muActoplus Met nevamwe) uye rosiglitazone (Avandia, muAvandamet nevamwe); muromo steroid senge dexamethasone (Decadron, Dexone), methylprednisolone (Medrol), uye prednisone (Deltasone); pentamidine (NebuPent, Pentam); reserpine; marwadzo e-salicylate anodzora senge aspirin, choline magnesium trisalicylate (Tricosal, Trilisate), choline salicylate (Arthropan), diflunisal (Dolobid), magnesium salicylate (Doan's, vamwe), uye salsalate (Argesic, Disalcid, Salgesic); somatropin (Nutropin, Serostim, vamwe); sulfa mishonga inorwisa mabhakitiriya; 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 chako; kutadza kwemoyo; kana chero imwe mamiriro ehutano, anosanganisira chirwere chemoyo, cheitsvo kana chechiropa.
• udza chiremba wako kana iwe uri nepamuviri, ronga kuve nepamuviri, kana uri kuyamwisa. Kana iwe ukava nepamuviri iwe uchishandisa insulin detemir, fonera chiremba wako.
• kana uri kuvhiyiwa, kusanganisira kuvhiya mazino, udza chiremba kana chiremba wemazino kuti urikushandisa insulin detemir.
• doro rinogona kukonzera shanduko muropa shuga. Kumbira chiremba wako nezve kushandiswa kwakachengeteka kwezvinwiwa zvinodhaka paunenge uchishandisa insulin detemir.
• bvunza chiremba wako zvaunofanira kuita kana iwe ukarwara, ukawana kunetseka kusingawanzoitika, kana kushandura chikafu chako, kurovedza muviri, kana chirongwa chebasa. Iko shanduko dzinogona kukanganisa yako dosing purogiramu uye huwandu hweiyo insulin 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.

Kana iwe uchirangarira yako dosi nguva pfupi yapfuura nguva yawaifanirwa kuishandisa, jekesa iyo yakarasika dhizai nekukurumidza kana iwe uchinge uchirangarira izvo. Kana imwe nguva yapfuura kubva pawakajairwa nguva yekuteedzera, tevera iwo marongero akapihwa nachiremba wako kana kufonera chiremba wako kuti uone kana uchifanira kubaya jisiti yakarasika. Usapinda jekiseni repaviri kuti uwane iyo yakarasika.

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 detemir jekiseni inogona kukonzeresa mhedzisiro. Udza chiremba wako kana chimwe chezviratidzo izvi chakanyanya kana kuti chisingaendi:

• kutsvuka, kuzvimba, kana kuchenesa panzvimbo yejojo
• shanduko mukunzwa kweganda rako, ganda kuunyana (mafuta kuvaka-kumusoro), kana kushushikana kudiki paganda (kuparara kwemafuta)
• maonero anochinja
• kurema kuwedzera
• kuvimbiswa

Mimwe mhedzisiro inogona kuve yakakomba. Kana iwe ukasangana nechimwe cheizvi zviratidzo, danaidza chiremba wako nekukurumidza kana kuwana kurapwa kwekukurumidzira:

• mapundu uye / kana kuchenesa pamusoro pemuviri wese
• mweya wekufema
• kurira
• dzungu
• yakaderera BP
• kusaona zvakanaka
• kukurumidza kurova kwemoyo
• vangadikitira
• kushaya simba
• tsandanyama
• kurova kwemoyo zvisina kujairika
• yakakura kurema kuwana munguva pfupi yenguva
• kuzvimba kwemaoko, tsoka, makumbo, kana makumbo ezasi

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

Chengetedza isina kuvhurika insulin detemir magaba uye mapeni mukatoni yepakutanga mufiriji. Usagwamba. Usashandise insulin detemir kana yave yakaoma nechando. Isina kuvhurwa mufiriji insulin detemir inogona kuchengetwa kusvika musi unoratidzwa pakambani yekambani.

Kana pasina firiji inowanikwa (semuenzaniso, kana uri pazororo), chengetedza magaba, kana zvinyoreso kutembiricha yemukati uye kure nekupisa chaiko nechiedza. Mabhokisi asina kucheneswa uye zvinyoreso zvinogona kushandiswa mukati memazuva makumi mana nemaviri kana mushure menguva iyoyo zvinofanirwa kuraswa. Akavhura magaba anogona kuchengetwa kwemazuva makumi mana netembiricha yemukati kana mufiriji. Peni dzakavhurwa dzinogona kuchengetwa mutembiricha yekamuri kusvika mazuva makumi mana nemaviri; usazviisa mufiriji. Rasa chero insulini detemir yakafumurwa kupisa kwakanyanya kana kutonhora.

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 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 detemir overdose inogona kuitika kana iwe ukashandisa yakawandisa insulin detemir kana iwe ukashandisa chiyero chakaringana che insulini detemir asi uchidya zvishoma pane zvakajairwa kana kurovedza muviri kupfuura zvakajairwa. Insulin detemir overdose inogona kukonzera hypoglycemia. Kana iwe uine zviratidzo zve hypoglycemia, tevera zvawakaudzwa nachiremba nezve izvo zvaunofanirwa kuita kana iwe uchikura hypoglycemia. Zvimwe zviratidzo zvekuwedzeredza:

• pfari
• kurasikirwa kwekuziva

Chengetedza zvese zvakagadzwa nachiremba wako uye murabhoritari. Ropa rako shuga uye glycosylated hemoglobin (HbA1c) inofanira kuongororwa nguva nenguva kuti uone mhinduro yako kune insulin detemir. Chiremba wako anokuudzawo maitiro ekutarisa mhinduro yako kune insulini 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.

• Levemir^®