Insulin Degludec (rDNA Chibviro) Jekiseni

Zvemukati

• Usati washandisa insulin degludec,
• 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 degludec 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 degludec ovhadhozi inogona kuitika kana iwe ukashandisa yakawandisa insulin degludec kana kana iwe ukashandisa yakaenzana huwandu hweiyo insulin degludec, asi idya zvishoma pane zvakajairwa kana kurovedza muviri kupfuura zvakajairwa. Insulin degludec ovhadhozi inogona kukonzera hypoglycemia. Kana iwe uine zviratidzo zve hypoglycemia, tevera zvawakaudzwa nachiremba nezve izvo zvaunofanirwa kuita kana iwe uchikura hypoglycemia. Zvimwe zviratidzo zvekuwedzeredza:

Insulin degludec 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 degludec inofanira kushandiswa nerumwe rudzi rwe insulin (pfupi-inoshanda insulin). Mune varwere vane rudzi rwechipiri chirwere cheshuga, insulin degludec inogona kushandiswa nerumwe rudzi rwe insulin kana nemuromo mishonga (s) yeshuga. Insulin degludec ndeyekureba-kuita, yakagadzirwa nevanhu ye insulin yemunhu. Insulin degludec inoshanda nekutsiva iyo insulini inowanzo gadzirwa nemuviri uye nekubatsira kufambisa shuga kubva muropa kuenda mune mamwe matumbu emuviri uko kunoshandiswa kwesimba. 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 degludec inouya semhinduro (mvura) kupinza subcutaneously (pasi peganda). Inobaya jekiseni kamwe pazuva. Iwe unofanirwa kushandisa insulin degludec panguva imwechete mazuva ese. Tevedza zvinongedzo pane yako tsamba yekunyora zvakanyatsonaka, uye bvunza chiremba wako kana wemishonga kuti atsanangure chero chikamu chausinganzwisise. Shandisa insulin degludec chaizvo sekurairwa. Usashandise zvishoma kana zvishoma kana kuishandisa kakawanda kupfuura zvakatemwa nachiremba wako.

Insulin degludec inodzora chirwere cheshuga, asi haichirape. Ramba uchishandisa insulin degludec kunyangwe uchinzwa zvakanaka. Usarega kushandisa insulin degludec 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 degludec inouya mune yakasarudzika dosing peni. Ive neshuwa kuti unoziva kuti ndeupi mudziyo wemudziyo wako insulini degludec unouya uye nezvimwe zvinounzwa, senge tsono, iwe uchafanirwa kubaya mushonga wako. Ive neshuwa yekuverenga 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 zvinyoreso. Usachinjisa mishonga musirinji. Paunenge uchishandisa peni ye insulin, gara uchibvisa tsono uchangobaya jekiseni rako. Kanda tsono nesirinji mumudziyo unodzivira. Kumbira chiremba wako kana wemishonga kuti ungarasa sei mudziyo usingadzivirirwe.

Usasanganisa insulin degludec uye usasanganise insulin degludec nechero imwe insulin.

Unogona kubaya jekiseni rako re insulini muruoko rwako rwepamusoro, chidya, kana dumbu nzvimbo. Usambofa wakajova insulin degludec 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 kune yako insulin degludec usati waijowa. Inofanira kunge yakajeka uye isina ruvara. Usashandise yako insulin degludec kana iine ruvara, makore, kana iine solid particles, kana kana nguva yekupera pabhodhoro yapfuura.

Usashandise insulin degludec mune yekunze insulin pombi.

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

Usati washandisa insulin degludec,

• udza chiremba wako uye wemishonga kana uri weergoria kune insulini (Humulin, Novolin, vamwe), chero chipi chezvinhu zvinosanganiswa mu insulin degludec, 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); angiotensin inoshandura enzyme inhibitors (ACE inhibitors) senge benazepril (Lotensin, muLotrel), captopril, enalapril (Vasotec, muVaseretic), fosinopril, lisinopril (muPrinzide, muZestoretic), moexipril (Univasc, Unopas, Aceon, muPrestalia), quinapril (Accupril, muAccuretic, muQuinaretic), 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, muLopressor HCT), nadolol (Corgard, muCorzide), uye propranolol (Hemangeol, Inderal LA, Innopran XL); cholesterol-kudzikisa mishonga yakadai se fenofibrate (Antara, Lipofen, TriCor, Triglide), gemfibrozil (Lopid), uye niacin (Niacor, Niaspan, muAdvicor, muSimcor); clonidine (Catapres, Catapres-TTS, Kapvay, muClorpres, vamwe); danazol; disopyramide (Norpace); diuretics ('mapiritsi emvura'); fluoxetine (Prozac, Sarafem, Selfemra, muSymbyax); glucagon; guanethidine; HIV protease inhibitors inosanganisira atazanavir (Reyataz, muEvotaz), indinavir (Crixivan), lopinavir (muKaletra), nelfinavir (Viracept), ritonavir (Norvir, muKaletra, muViekira Pak), uye saquinavir (Invirase); isoniazid (Laniazid, muRifamate, muRifater); lithium (Lithobid); mishonga yeasthma uye dzihwa; mishonga yechirwere cheshuga; menopausal hormone Therapy uye mahormone ekudzivirira kubata pamuviri (mapiritsi ekudzivirira kubereka, zvigamba, mhete, majekiseni kana majekiseni); mishonga yekurwara kwepfungwa uye kuda kurutsa; monoamine oxidase (MAO) inhibitors inosanganisira isocarboxazid (Marplan), phenelzine (Nardil), selegiline (Eldepryl, Emsam, Zelapar) uye tranylcypromine (Parnate); octreotide (Sandostatin); pioglitazone (Actos, muActoplus Met, muDuetact, vamwe); pentamidine (NebuPent, Pentam); pentoxifylline (Pentoxil); pramlintide (Symlin); propoxyphene (haisipo muU.S.); reserpine; rosiglitazone (Avandia, muAvandamet, muAvandaryl); 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); steroids senge dexamethasone, methylprednisolone (Medrol), uye prednisone (Rayos); 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, kana chero humwe hutano, kusanganisira 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 degludec, fonera chiremba wako.
• kana uri kuvhiyiwa, kusanganisira kuvhiya mazino, udza chiremba kana chiremba wemazino kuti urikushandisa insulin degludec.
• doro rinogona kukonzera shanduko muropa shuga. Kumbira chiremba wako nezve kushandiswa kwakachengeteka kwezvinwiwa zvinodhaka paunenge uchishandisa insulin degludec.
• 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.

Baya josi rakarasika nekukurumidza kana uchinge warangarira. Nekudaro, kana iri isingasviki maawa masere pamberi peiyo inotevera dhivha, ruka iro rakarasika dosi uye enderera yako yenguva dzose dosing purogiramu. Usatore dosi yakapetwa kaviri kuti uwane imwe 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 degludec inogona kukonzera mhedzisiro. Udza chiremba wako kana chimwe chezviratidzo izvi chakanyanya kana kuti chisingaendi:

• kutsvuka, kuzvimba, kurwadziwa, kana kuchenesa panzvimbo yejojo
• ganda rinowedzera (mafuta anovaka-kumusoro) kana kushushikana kudiki paganda (kuparara kwemafuta)
• kurema kuwedzera

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
• mweya wekufema
• vangadikitira
• kuzvimba kwemaziso, kumeso, miromo, rurimi, huro, maoko, kana tsoka
• kushaya simba kwemhasuru

Insulin degludec 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 mushonga uyu mumudziyo waiuya mukati uye kunze kwekusvika kwevana. Chengeta isina kuvhurika insulin degludec peni mufiriji. Usambofa wakabvumira insulin degludec kuoma; usashandise insulin degludec iyo yakaomeswa nechando uye kunyungudika. Isina kuvhurwa mufiriji insulin degludec inogona kuchengetwa kusvika musi unoratidzwa pakambani yekambani.

Kana firiji isingawanikwe (semuenzaniso, kana uri pazororo), chengetedza zvinyoreso patembiricha yemukati, kure nezuva uye kupisa kwakanyanya kwemazuva makumi mashanu nematanhatu. Zvinyoreso zvakavhurwa zvinofanirwa kuchengetwa patembiricha yemukati uye zvinogona kushandiswa kusvika mazuva makumi mashanu nemashanu mushure mekutanga kushandiswa. Rasa chero insulini yakambosangana nekupisa 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 degludec ovhadhozi inogona kuitika kana iwe ukashandisa yakawandisa insulin degludec kana kana iwe ukashandisa yakaenzana huwandu hweiyo insulin degludec, asi idya zvishoma pane zvakajairwa kana kurovedza muviri kupfuura zvakajairwa. Insulin degludec ovhadhozi 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 degludec. 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.

• Tresiba^®
• Ryzodeg^® (semubatanidzwa chigadzirwa chine Insulin Degludec uye Insulin Aspart)
• Xultophy^® (semubatanidzwa chigadzirwa chine Insulin Degludec uye Liraglutide)