Insulin Glulisine (rDNA mavambo) Jekiseni

Zvemukati

• Usati washandisa insulin glulisine,
• Insulin glulisine inogona kukonzera shanduko muropa rako shuga. Iwe unofanirwa kuziva zviratidzo zveshuga yakadzika uye yakakwira yeropa uye zvekuita kana iwe uine izvi zviratidzo.
• Insulin glulisine inogona kukonzera 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 glulisine overdose inogona kuitika kana iwe ukashandisa yakawandisa insulin glulisine kana ukashandisa huwandu hwakaringana hweiyo insulin glulisine asi uchidya zvishoma pane zvakajairwa kana kurovedza muviri kupfuura zvakajairwa Insulin glulisine overdose inogona kukonzera hypoglycemia. Kana iwe uine zviratidzo zve hypoglycemia, tevera zvawakaudzwa nachiremba nezve izvo zvaunofanirwa kuita kana iwe uchikura hypoglycemia. Zvimwe zviratidzo zvekuwedzeredza zvinogona kusanganisira:

Insulin glulisine inoshandiswa kurapa chirwere cheshuga cheshuga (mamiriro umo muviri usingaite insulin uye nekudaro haugone kudzora huwandu hweshuga muropa). Inoshandiswawo kurapa vanhu vane chirwere cheshuga cheshuga (mamiriro umo shuga yeropa yakanyanyisa nekuti muviri haugadzi kana kushandisa insulin zvakajairika) vanoda insulin kudzora chirwere chavo cheshuga. Mune varwere vane rudzi rwekutanga chirwere cheshuga, insulin glulisine inowanzo shandiswa nerumwe rudzi rwe insulin, kunze kwekunge ichishandiswa mune yekunze insulin pombi. Mune varwere vane rudzi rwechipiri chirwere cheshuga, insulin glulisine zvakare inogona kushandiswa nerumwe rudzi rwe insulin kana nemuromo mishonga (s) yeshuga. Insulin glulisine ipfupi-inoshanda, inogadzirwa nevanhu ye insulin yemunhu. Insulin glulisine 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 glulisine inouya semhinduro (mvura) kupinza subcutaneously (pasi peganda). Inowanzojowa kusvika pamaminitsi gumi nemashanu usati wadya kana mukati memaminitsi makumi maviri mushure mekutanga kudya. Tevedza zvinongedzo pane yako tsamba yekunyora zvakanyatsonaka, uye bvunza chiremba wako kana wemishonga kuti atsanangure chero chikamu chausinganzwisise. Shandisa insulin glulisine chaizvo sezvakarairwa. Usashandise zvishoma kana zvishoma kana kuishandisa kakawanda kupfuura zvakatemwa nachiremba wako.

Usambofa wakashandisa insulin glulisine kana 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 glulisine inodzora chirwere cheshuga asi haichirape. Ramba uchishandisa insulin glulisine kunyangwe uchinzwa zvakanaka. Usarega kushandisa insulin glulisine 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 glulisine inouya mumabhodhoro uye mumapeni ekuisa dhata ayo ane macartridge emishonga. Ive neshuwa kuti unoziva mhando yemudziyo wako insulin glulisine inouya uye nezvimwe zvinounzwa, senge tsono, majekiseni, kana mapeni, iwe uchafanirwa kubaya mushonga wako.

Kana yako insulin glulisine ikauya mumidziyo, iwe uchafanirwa kushandisa majekiseni kujekesa yako dose. Kumbira chiremba wako kana wemishonga kuti akuratidze nzira yekubaya nayo insulin glulisine 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. Rasai tsono uye majekiseni mumudziyo unodzivira. Kumbira chiremba wako kana wemishonga kuti ungarasa sei mudziyo usingadzivirirwe.

Chiremba wako anogona kukuudza kuti sanganisa yako insulin glulisine nerumwe rudzi rwe insulin (NPH insulin [Novolin N, Humulin N]) musirinji imwe chete. Usasanganise kana kusanganisa insulin glulisine nechero imwe mhando yeinsulini. Kana iwe ukasanganisa insulin glulisine neNPH insulin, tora insulin glulisine mujekiseni kutanga, wobva watora iyo NPH insulin kupinda mujekiseni uye jekiseni mhinduro yacho uchangosangana.

Unogona jekiseni yako insulin glulisine muzvidya zvako, mudumbu, kana kumusoro maoko. Usambofa wakajova insulin glulisine 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.

Nguva dzose tarisa insulin yako glulisine usati waijowa. Inofanira kunge yakajeka uye isina ruvara. Usashandise yako insulin glulisine kana iine ruvara, makore, kana iine solid particles, kana kana nguva yekupera pabhodhoro yapfuura.

Insulin glulisine zvakare inogona kushandiswa neyekunze insulin pombi. Usati washandisa insulin glulisine mu pombi system, verenga iro pombi reti kuti uve nechokwadi chekuti pombi inogona kushandiswa kuenderera mberi kuendesa yeinokurumidza-kuita insulin. Verenga bhuku remapombi renzvimbo inokurudzirwa yedura uye seti yetubhu, uye bvunza chiremba wako kana wemishonga kuti akuratidze mashandisiro eiyo insulin pombi. Usasanganise insulin glulisine kana kuisanganisa nechero imwe mhando yeinsulini kana uchiishandisa mune yekunze insulin pombi. Insulin glulisine inoshandiswa mune yekunze insulin pombi inofanirwa kuiswa mudumbu rako nzvimbo. Paunenge uchishandisa insulin glulisine mune yekunze insulin pombi, chinja insulini iri mudura uye chinja iyo tubing, tsono, uye nzvimbo yekumisira (nzvimbo iyo pombi inosungirirwa nemuviri) kanenge maawa makumi mana nemasere. Kana iyo yekumisikidza saiti yakatsvuka, itchy, kana yakasendekwa, udza chiremba wako uye shandisa imwe yekumisikidza saiti.

Paunenge uchishandisa insulin glulisine mune yekunze insulin pombi, yakakwira ropa shuga inogona kuitika nekukurumidza kana iyo pombi ikamira kushanda nemazvo kana kana iyo insulin iri mupombi yedura iri pachena kune yakananga zuva kana tembiricha yakakura kupfuura 98.6 ° F (37 ° C). Yakakwira shuga yeropa inogona zvakare kuitika kana iyo tubing ichidonha kana ikavharika, isina kubatana, kana kinks. Iwe ungangoda kushandura iyo yekumisikidza seti uye insulin mupombi kana yekumisikidza saiti kana iwe uine yakakwira ropa shuga, iyo pombi alarm inorira, kana iyo insulin kuyerera yakavharwa. Kana dambudziko racho risingakwanise kuwanikwa nekukurumidza uye kugadziriswa, danai chiremba wako ipapo ipapo. Ungangoda kushandisa insulin kwechinguva jekiseni (uchishandisa majekiseni kana peni yeinsulini). Ita shuwa kuti une back-up insulin uye chero zvinhu zvinodiwa paruoko, uye bvunza chiremba wako kana wemishonga kuti akuratidze mashandisiro acho.

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 glulisine,

• udza chiremba wako uye wemishonga kana uri weergoria kune insulini (Humulin, Novolin, vamwe), chero chipi zvacho chemisanganiswa ye insulin glulisine, 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, zvekuwedzera pane zvekudya, uye mishonga yemakwenzi yauri kutora kana kuronga 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), gemfibrozil (Lopid), uye niacin (Niacor, Niaspan, muAdvicor); clonidine (Catapres, Catapres-TTS, muClorpres); danazol; disopyramide (Norpace); diuretics ('mapiritsi emvura'); fluoxetine (Prozac, Sarafem, muSymbyax); glucagon (Glucagen); hormone replacement therapy; isoniazid (INH, Nydrazid); lithiamu (Eskalith, Lithobid); mishonga yeasthma uye dzihwa; mimwe mishonga yehutachiona hwehutachiona hwehutachiona (HIV) inosanganisira amprenavir (Agenerase), atazanavir (Reyataz), fosamprenavir (Lexiva), indinavir (Crixivan), lopinavir (muKaletra), nelfinavir (Viracept), ritonavir (muKaletra, Norvir), saquina (Invirase), uye tipranavir (Aptivus); mishonga yekurwara kwepfungwa uye kuda kurutsa; monoamine oxidase (MAO) inhibitors senge isocarboxazid (Marplan), phenelzine (Nardil), selegiline (Eldepryl, Emsam, Zelapar), uye tranylcypromine (Parnate); mishonga yekudzivirira mhuri (mapiritsi ekudzivirira kubereka, zvigamba, mhete, majekiseni, kana mapiritsi); octreotide (Sandostatin); mishonga yemuromo yechirwere cheshuga; muromo steroid senge dexamethasone (Decadron, Dexone), methylprednisolone (Medrol), uye prednisone (Deltasone); pentamidine (NebuPent, Pentam); pentoxifylline (Pentoxil, Trental); pramlintide (Symlin); 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, Serostem, 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 kana chero humwe hutano, kusanganisira itsvo kana chirwere chechiropa.
• udza chiremba wako kana iwe uri nepamuviri, ronga kuve nepamuviri, kana uri kuyamwisa. Kana iwe ukava nepamuviri iwe uchishandisa insulin glulisine, fonera chiremba wako.
• kana uri kuvhiyiwa, kusanganisira kuvhiya mazino, udza chiremba kana chiremba wemazino kuti urikushandisa insulin glulisine.
• doro rinogona kukonzera shanduko muropa shuga. Kumbira chiremba wako nezve kushandiswa kwakachengeteka kwezvinwiwa zvinodhaka paunenge uchishandisa insulin glulisine.
• bvunza chiremba wako zvaunofanira kuita kana iwe ukarwara, ukawana kushushikana kusingawanzo, kana kushandura kurovedza muviri uye nhanho yechiitiko. Shanduko idzi dzinogona kukanganisa shuga yako yeropa uye huwandu hwe insulin yaungangoda.
• 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.

Insulin glulisine inofanirwa kujowa kusvika pamaminitsi gumi nemashanu pamberi kana mukati memaminitsi makumi maviri mushure mekutanga kudya. Kana imwe nguva yapfuura kubva pakudya kwako, tevedzera rairo yakapihwa nachiremba wako kana kufonera chiremba wako kuti uone kana uchifanira kubaya josi rakarasika. Usapinda jekiseni repaviri kuti uwane iyo yakarasika.

Insulin glulisine inogona kukonzera shanduko muropa rako shuga. Iwe unofanirwa kuziva zviratidzo zveshuga yakadzika uye yakakwira yeropa uye zvekuita kana iwe uine izvi zviratidzo.

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

• kutsvuka, kuzvimba, kana kuchenesa panzvimbo yejojo
• shanduko mukunzwa kweganda rako, ganda rinosimbisa (mafuta kuvaka-kumusoro), kana kumbomira mukati meganda (kuparara kwemafuta)
• kuzvimba kwemaoko nemakumbo
• 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
• kusaona zvakanaka
• kukurumidza kurova kwemoyo
• vangadikitira
• kuchena musoro / kupera simba
• kunetseka kufema kana kumedza
• kushaya simba
• tsandanyama
• kurova kwemoyo zvisina kujairika

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

Chengeta isina kuvhurika insulin glulisine magaba uye zvinyoreso mufiriji kure nechiedza. Usambofa wakabvumira insulin glulisine kuoma; usashandise insulin glulisine iyo yakaomeswa nechando uye kunyungudika. Yakavhurwa insulin glulisine magaba anogona kuiswa mufiriji kana anogona kuchengetwa mukamuri tembiricha, kure nezuva uye kupisa kwemazuva, kusvika mazuva makumi maviri nemasere. Peni dzakazadzwa dzisati dzashandiswa dzinogona kuiswa mufiriji kana kuti dzinogona kuchengetwa mutembiricha yemukati, kure nekupisa chaiko uye nezuva, kwemazuva makumi maviri nemasere. Peni dzakazadzwa dzakashandiswa hadzifanirwe kuiswa firiji; iwo anofanirwa kuchengetwa pane tembiricha yemukati kwemazuva anosvika makumi maviri nemasere mushure mekutanga kushandiswa. Dzinga akavhurika insulin glulisine magaba nematanga mushure memazuva makumi maviri nemasere. Rasa isina kuvhurwa, firiji insulin glulisine mushure mekupera kwezuva rakadhindwa pakanyorwa. Dzinga chero insulin glulisine iyo yakagwamba nechando kana kuratidzwa pakupisa kwakanyanya.

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.

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

• kurasikirwa kwekuziva
• pfari

Chengetedza zvese zvakagadzwa nachiremba wako uye murabhoritari. Ropa rako shuga uye glycosylated hemoglobin (HbA1c) inofanira kuongororwa nguva nenguva kuti uone mhinduro yako kune insulin glulisine. 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.

• Apidra^®