Jekiseni revanhu Insulin

Zvemukati

• Usati washandisa insulin,
• Uyu mushonga unokonzera shanduko muropa rako shuga. Iwe unofanirwa kuziva zviratidzo zveshuga yakadzika uye yakakwira yeropa uye zvekuita kana iwe uine izvi zviratidzo.
• Insulini yemunhu inogona kukonzera mhedzisiro. Udza chiremba wako kana chimwe chezviratidzo izvi chakanyanya kana kuti chisingaendi:
• Mimwe mhedzisiro inogona kuve yakakomba. Kana iwe ukasangana nechimwe cheanotevera zviratidzo, dana chiremba wako nekukurumidza:
• Insulini yekudarika kwevanhu inogona kuitika kana iwe ukashandisa yakawandisa insulin yevanhu kana ukashandisa huwandu hwakakodzera hwe insulin yemunhu asi uchidya zvishoma pane zvakajairwa kana kurovedza muviri kupfuura zvakajairwa Vanhu insulin overdose inogona kukonzera hypoglycemia. Kana iwe uine chero zviratidzo zve hypoglycemia, tevedzera zvawakaudzwa nachiremba nezve izvo zvaunofanirwa kuita kana iwe uchikura hypoglycemia. Zvimwe zviratidzo zvekuwedzeredza:

Insulini yemunhu inoshandiswa kudzora shuga yeropa muvanhu vane chirwere cheshuga cheshuga (mamiriro umo muviri usingaite insulin uye nekudaro haugone kudzora huwandu hweshuga muropa) kana kune vanhu vane rudzi rwechipiri chirwere cheshuga (mamiriro ayo shuga yeropa yakanyanya kukwirira nekuti muviri haugadzi kana kushandisa insulin zvakajairika) isingakwanise kudzorwa nemishonga yemuromo chete. Insulini yemunhu iri mukirasi yemishonga inonzi mahormone. Insulini yemunhu inoshandiswa kutora nzvimbo ye insulin inowanzo gadzirwa nemuviri. Inoshanda nekubatsira kufambisa shuga kubva muropa kuenda kune mamwe matumbu emuviri uko kunoshandiswa kwesimba. Inomisawo chiropa kubva pakuburitsa imwe shuga. Ese marudzi e insulin anowanikwa anoshanda nenzira iyi. Mhando dze insulin dzakasiyana chete mukukurumidza kwavanotanga kushanda uye kuti vanoramba vachidzora shuga yeropa kwenguva yakareba sei.

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.

Insulini yemunhu inouya semhinduro (mvura) uye kumiswa (mvura ine zvidimbu zvinozomira pakamira). kuiswa jekiseni pasi peganda (pasi peganda). Insulini yemunhu inowanzo jekisirwa pasi pechikamu kazhinji pazuva, uye inopfuura imwechete rudzi rwe insulin inogona kudikanwa. Chiremba wako anokuudza kuti ndeipi mhando (s) yeinsulini yekushandisa, insulini yakawanda yekushandisa, uye kangani jekiseni insulin. Tevera mazano aya zvakanyatsonaka. Usashandise yakawanda kana shoma insulin kana kuishandisa kakawanda kupfuura zvakatemwa nachiremba wako.

Insulini yemunhu (Myxredlin, Humulin R U-100, Novolin R) mhinduro inogona zvakare kuiswa jekiseni mukati (mutsinga) nachiremba kana mukoti munzvimbo yehutano. Chiremba kana mukoti anonyatso kukutarisa pamhedzisiro.

Insulini yemunhu inodzora shuga yakakwira muropa asi hairape chirwere cheshuga. Ramba uchishandisa insulin yemunhu kunyangwe uchinzwa zvakanaka. Usarega kushandisa insulin usina kutaura nachiremba wako. Usachinjira kune imwe mhando kana mhando yeinsulini kana shandura muyero wechero rudzi rwe insulin yaunoshandisa usingataure nachiremba wako.

Insulini yemunhu inouya mumabhodhoro, zvigadzirwa zvekuisa dosing, uye makadhibhokisi. Iwo ma cartridges akagadzirirwa kuiswa mune dosing peni. Ive neshuwa kuti unoziva mhando yemudziyo wako insulini inouya uye nezvimwe zvinounzwa, senge tsono, majekiseni, kana mapeni, iwe uchafanirwa kubaya mushonga wako. Ita shuwa kuti zita uye tsamba pane yako insulin ndizvo chaizvo zvakarairwa nachiremba wako.

Kana insulin yako yemunhu ikauya muhombodo, iwe uchafanirwa kushandisa majekiseni kujekesa yako dosi. Ive neshuwa kuti iwe unoziva kana yako insulin yemunhu iri U-100 kana U-500 uye gara uchishandisa sirinji yakaratidzirwa kune iyo mhando ye insulin. Nguva dzose shandisa iyo imwechete mhando uye modhi yesero uye sirinji. Kumbira chiremba wako kana wemishonga kana iwe uine mibvunzo nezverudzi rwejekiseni raunofanira kushandisa. Nekuchenjera verenga rairo yemugadziri kuti udzidze kudhirowa insulini musirinji uye jekiseni dhizaini yako. Kumbira chiremba wako kana wemishonga kana iwe uine mibvunzo nezve maitiro jekiseni rako dosi.

Kana insulin yako yemunhu ikauya mumakaturi, iwe ungangoda kutenga peni yeinsulini zvakasiyana. Taura nachiremba wako kana wemishonga nezve mhando yepeni yaunofanira kushandisa. Nyatsoverenga rairo dzinouya nepeni yako, uye bvunza chiremba wako kana wemishonga kuti akuratidze mashandisiro aungaita.

Kana yako insulin yemunhu ikauya mune yekurasa dosing mudziyo, verenga iwo mirairo inouya neichi mudziyo zvakanyatsonaka. Kumbira chiremba wako kana wemishonga kuti akuratidze mashandisiro ekushandisa chishandiso.

Usambofa wakashandisazve tsono kana majekiseni uye usambogovana tsono, majekiseni, makoridho, 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 mhando mbiri dzeinsulini musirinji imwe chete. Chiremba wako anokuudza chaizvo maitiro ekudhirowa ese marudzi einsulini musirinji. Tevera mazano aya zvakanyatsonaka. Nguva dzose tora iyo imwecheteyo insulini musirinji kutanga, uye gara uchishandisa yakafanana mhando yetsono. Usambofa wakasanganisa inopfuura imwe mhando ye insulin musipiringi kunze kwekunge waudzwa kudaro nachiremba wako.

Nguva dzose tarisa kune yako insulin yemunhu usati wabaya jekiseni. Kana iwe uri kushandisa yakajairwa munhu insulin (Humulin R, Novolin R), iyo insulin inofanira kunge yakajeka, isina ruvara, uye inoyerera semvura. Usashandise iyi mhando yeinsulini kana ichitaridzika kunge ine makore, yakakora, kana kuti ine ruvara, kana kana iine zvidimbu zvakaomarara. Kana iwe uri kushandisa NPH yemunhu insulin (Humulin N, Novolin N) kana premixed insulin ine NPH (Humulin 70/30, Novolin 70/30), iyo insulin inofanirwa kuoneka ine makore kana mukaka mushure mekusanganisa. Usashandise idzi mhando dzeinsulini kana paine macumpump mumvura kana kana paine machena machena machena anonamira pasi kana madziro ebhodhoro. Usashandise chero rudzi rwe insulin mushure mekupera kwezuva rakadhindwa pabhodhoro rapfuura.

Dzimwe mhando dze insulin yemunhu dzinofanirwa kuzunzwa kana kutenderedzwa kusanganisa usati washandisa. Kumbira chiremba wako kana wemishonga kana mhando ye insulin yauri kushandisa inofanira kunge yakasanganiswa uye kuti unofanirwa kuisanganisa sei kana zvichidikanwa.

Taura nachiremba wako kana wemishonga nezve kuti uri kupi pamuviri wako waunofanira kupinza insulin yemunhu. Unogona kubaya insulin yemunhu mudumbu, ruoko rwekumusoro, gumbo repamusoro, kana magaro. Usabaya insulin yemunhu mumhasuru, mavanga, kana makonye Shandisa imwe saiti jekiseni rega rega, inokwana 1/2 inch (1.25 masentimita) kure neyakapfuura jekiseni saiti asi munzvimbo imwecheteyo (semuenzaniso, chidya). Shandisa nzvimbo dzese dzinowanikwa munzvimbo imwechete usati washandira kune imwe nzvimbo (semuenzaniso, ruoko rwekumusoro).

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

Usati washandisa insulin,

• udza chiremba wako uye wemishonga kana iwe uri weergoria kune chero rudzi rwe insulin kana chero mimwe mishonga.
• 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: albuterol (Proair, Proventil, Ventolin, vamwe); alpha blockers senge doxazosin (Cardura), prazosin (Minipress), terazosin (Hytrin), tamsulosin (Flomax), uye alfuzosin (Uroxatral); angiotensin-inoshandura enzyme (ACE) inhibitors senge benazepril (Lotensin), captopril (Capoten), enalapril (Vasotec), fosinopril (Monopril), lisinopril (Zestril), moexipril (Univasc), perindopril, (Aceon) , ramipril (Altace), uye trandolapril (Mavik); angiotensin receptor blockers (ARB) senge candesartan (Atacand), irbesartan (Avapro), losartan (Cozaar, muHyzaar), valsartan (Diovan), vamwe; mishonga inodzvinyirira; asparaginase (Elspar); antypical antipsychotic senge aripiprazole (Abilify), clozapine (Clozaril, Fazaclo, Versacloz), olanzapine (Zyprexa, muSymbyax), risperidone (Risperdal), vamwe; beta blockers senge atenolol (Tenormin), carvedilol (Coreg), labetalol (Normodyne), metoprolol (Lopressor, Toprol XL), nadolol (Corgard), pindolol, propranolol (Inderal), sotalol (Betapace, Sorine), uye timolol (Blocadren ); clonidine (Catapres, Kapvay); danazol; diazoxide (Proglycem); disopyramide (Norpace); diuretics ('mapiritsi emvura'); fibrate senge fenofibrate (Fenoglide, Tricor, Trilipix), fenofibric acid (Fibricor), gemfibrozil (Lopid); isoniazid (muRifater, Rifamate); lithium; mishonga yeasthma uye dzihwa; mishonga yekurwara kwepfungwa kana kuda kurutsa; monoamine oxidase (MAO) inhibitors senge isocarboxazid (Marplan), phenelzine (Nardil), rasagiline (Azilect), selegiline (Eldepryl, Emsam, Zelapar), uye tranylcypromine (Parnate); mishonga yekudzivirira mhuri (mapiritsi ekudzivirira kubereka, zvigamba, mhete, majekiseni, kana mapiritsi); niacin (Niacor, Niaspan, Slo-Niacin); octreotide (Sandostatin); 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); pentoxifylline (Pentoxil); pramlintide (Symlin); HIV protease inhibitors (PI) senge atazanavir (Reyataz, muEvotaz), darunavir (Prezista), indinavir (Crixivan), nelfinavir (Viracept), ritonavir (Norvir; muKaletra, Viekira Pak, vamwe); quinine; quinidine; marwadzo e salicylate anodzora senge aspirin; somatropin (Genotropin, Humatrope, Zomacton, vamwe); sulfa mishonga inorwisa mabhakitiriya; terbutaline (Brethine); 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; kutadza kwemoyo; kana moyo, adrenal (gland diki padyo neitsvo), pituitary (gland diki muuropi), thyroid, chiropa, kana chirwere cheitsvo.
• udza chiremba wako kana iwe uri nepamuviri, ronga kuve nepamuviri, kana uri kuyamwisa. Kana iwe ukava nepamuviri iwe uchishandisa munhu insulin, daidza chiremba wako.
• kana uri kuvhiyiwa, kusanganisira kuvhiya mazino, udza chiremba kana chiremba wemazino kuti urikushandisa insulin yemunhu.
• Doro rinogona kukonzera kuderera kweshuga yeropa. Kumbira chiremba wako nezve kushandiswa kwakachengeteka kwezvinwiwa zvinodhaka paunenge uchishandisa insulin yemunhu.
• bvunza chiremba wako zvaunofanira kuita kana iwe ukarwara, ukawana kushushikana kusingawanzo, kuronga kufamba munzvimbo dzenguva, kana kushandura kurovedza muviri uye nhanho yechiitiko. Shanduko idzi dzinogona kukanganisa shuga yako yeropa uye huwandu hwe insulin yemunhu 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 mazuva ese. Kusvetuka kana kunonoka kudya kana kushandura huwandu kana mhando yechikafu chaunodya kunogona kukonzera matambudziko nekutonga kweshuga muropa.

Paunotanga kushandisa insulin yemunhu, bvunza chiremba wako zvekuita kana ukakanganwa kubaya jekisi panguva yakakodzera. Nyora pasi aya madhairekitori kuti iwe ugokwanisa kuzoaona gare gare.

Uyu mushonga unokonzera shanduko muropa rako shuga. Iwe unofanirwa kuziva zviratidzo zveshuga yakadzika uye yakakwira yeropa uye zvekuita kana iwe uine izvi zviratidzo.

Insulini yemunhu inogona kukonzera mhedzisiro. Udza chiremba wako kana chimwe chezviratidzo izvi chakanyanya kana kuti chisingaendi:

• kutsvuka, kuzvimba, uye kuvaviwa panzvimbo yejekiseni
• shanduko mukunzwa kweganda rako, ganda kuunyana (mafuta kuvaka-kumusoro), kana kushushikana kudiki paganda (kuparara kwemafuta)
• kurema kuwedzera
• kuvimbiswa

Mimwe mhedzisiro inogona kuve yakakomba. Kana iwe ukasangana nechimwe cheanotevera zviratidzo, dana chiremba wako nekukurumidza:

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

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).

Chengeta zvisina kuvhurika hombodo dzeinsulini yemunhu, zvishandiso zvisina kuvhurwa zvinoraswa uye zvisina kuvhurwa insulin mapeni mufiriji. Usaomesere insulin yemunhu uye usashandise insulin yemunhu yakaomeswa nechando. Akavhurwa magaba ein insulin yevanhu anofanirwa kuchengetwa mufiriji asi anogona zvakare kuchengetwa patembiricha yemukati, munzvimbo inotonhorera iri kure nekupisa uye nezuva rakananga. Chitoro chakavhura mapepa evhu insulini uye akavhura madhivhosi padhivha tembiricha. Tarisa ruzivo rwemugadziri kuti uone kuti ungachengeta peni yako kana dosing mudziyo kwenguva yakareba sei mushure mekushandisa kwekutanga.

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.

Insulini yekudarika kwevanhu inogona kuitika kana iwe ukashandisa yakawandisa insulin yevanhu kana ukashandisa huwandu hwakakodzera hwe insulin yemunhu asi uchidya zvishoma pane zvakajairwa kana kurovedza muviri kupfuura zvakajairwa Vanhu insulin overdose inogona kukonzera hypoglycemia. Kana iwe uine chero zviratidzo zve hypoglycemia, tevedzera 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 mhinduro yako kune insulin yemunhu. Chiremba wako anokuudzawo maitiro ekutarisa mhinduro yako kune insulin yemunhu nekuyera ropa rako kana weti shuga pamusha. Tevera mazano aya 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.

• Humulin R^®
• Humulin N^®
• Humulin 70/30^®
• Humulin 50/50^®¶
• Humulin R U-500^®
• Myxredlin^®
• Novolin R^®
• Novolin N^®
• Novolin 70/30^®

^¶ Ichi chigadzirwa chakapiswa hachisisiri pamusika. Dzimwe nzira dzinogona kuwanikwa.