Insulin Glargine, Injekisheni Solution

Zvemukati

• Chii chinonzi insulin glargine?
• Nei zvichishandiswa
• Inoshanda sei
• Insulin glargine mhedzisiro
• Zvimwe zvakajairika mhedzisiro
• Yakakomba mhedzisiro
• Insulin glargine inogona kusangana nemimwe mishonga
• Zvinodhaka zvinowedzera njodzi ye hypoglycemia
• Oral mishonga yechirwere cheshuga
• Jekiseni mishonga yechirwere cheshuga
• Ropa kumanikidza uye moyo zvinodhaka
• Irregular moyo rate rate mishonga
• Mishonga inoderedza cholesterol yako
• Mishonga yekurapa kushushikana
• Mishonga yemarwadzo
• Sulfonamide mishonga inorwisa mabhakitiriya
• Ropa rakatetepa mishonga
• Mishonga inoshandiswa kurapa kuzvimba
• Asima mishonga
• Mishonga inoshandiswa kurapa hutachiona
• Utachiona mahormone
• Mahormone echikadzi
• Mishonga yekurapa HIV
• Zvinodhaka kurapa kusagadzikana kwepfungwa
• Mashandisiro ekushandisa insulin glargine
• Dosage mafomu uye simba
• Dosage yekuvandudza glucose kudzora mune vanhu vane Type 1 chirwere cheshuga
• Dosage yekuvandudza glucose kudzora muvanhu vane mhando 2 chirwere cheshuga
• Yakakosha dhizaini kufunga
• Insulin glargine yambiro
• Yambiro shoma yeshuga yeropa
• Thiazolidinediones yambiro
• Yambiro yekutapukirwa
• Low potasiamu mazinga yambiro
• Allergy yambiro
• Kudya kwekudyidzana yambiro
• Doro rekudyidzana kuyambira
• Yambiro yekushandisa
• Yambiro kune vanhu vane mamwe mamiriro ehutano
• Yambiro kune mamwe mapoka
• Shandisa sezvakarairwa
• Zvakakosha kufunga nezvekushandisa insulin glargine
• General
• Kuchengetedza
• Kufamba
• Kuzvibata-manejimendi
• Kuchengetedzwa kwekliniki
• Kudya kwako
• Mari dzakavanzika
• Pane here dzimwe nzira?

Pfungwa dze insulin glargine

1. Insulin glargine injekisheni mhinduro inowanikwa sezita-zita zvinodhaka. Haisi kuwanikwa seyakajairika mushonga. Mazita ezita: Lantus, Basaglar, Toujeo.
2. Insulin glargine inouya chete senge jekiseni mhinduro.
3. Insulin glargine injekisheni mhinduro inoshandiswa kudzora yakakwira ropa shuga (hyperglycemia) mune vanhu vane mhando 1 uye mhando 2 chirwere cheshuga.

Chii chinonzi insulin glargine?

Insulin glargine imishonga inonyorwa. Inouya semhinduro yekuzvibaya-yega.

Insulin glargine inowanikwa sezita rezita zvinodhaka Lantus, Basaglar, uye Toujeo. Izvo hazviwanikwe mune generic vhezheni.

Insulin glargine ndeye insulin-yakareba inoshanda insulin. Kana iwe uine rudzi rwekutanga cheshuga, inofanira kushandiswa pamwe chete neiyo pfupi- kana inokurumidza-inoshanda insulin. Kana uine rudzi rwechipiri chirwere cheshuga, ichi chinodhaka chinogona kushandiswa choga kana nemimwe mishonga.

Nei zvichishandiswa

Insulin glargine inoshandiswa kudzikisa mashuga eropa muvakuru uye vana vane chirwere cheshuga. Inoshandiswa zvakare kudzikisa huwandu hweshuga yeropa muvakuru vane chirwere cheshuga cheshuga.

Inoshanda sei

Insulin glargine ndeyekirasi yezvinodhaka inonzi yakareba-inoshanda insulins. Kirasi yemishonga iboka remishonga inoshanda nenzira yakafanana. Iyi mishonga inowanzo shandiswa kurapa mamiriro akafanana.

Insulin glargine inoshanda nekudzora mashandisiro eshuga uye kuchengetwa mumuviri wako. Inowedzera huwandu hweshuga hunoshandiswa nemhasuru yako, inobatsira kuchengeta shuga mumafuta, uye inomisa chiropa chako kubva mukugadzira shuga. Inomisawo mafuta nemapuroteni kubva mukutyorwa, uye zvinobatsira muviri wako kugadzira mapuroteni.

Kana iwe uine rudzi rwekutanga cheshuga, pancreas yako haigone kugadzira insulin. Kana uine rudzi rwechipiri chirwere cheshuga, chirwatata chako chingasaita insulini yakakwana, kana muviri wako haugone kushandisa iyo insulin inogadzirwa nemuviri wako. Insulin glargine inotsiva chikamu che insulini inoda muviri wako.

Insulin glargine mhedzisiro

Insulin glargine injectable solution inogona kukotsira. Inogona zvakare kukonzera mimwe mhedzisiro.

Zvimwe zvakajairika mhedzisiro

Iyo yakajairika mhedzisiro mhedzisiro iyo inogona kuitika ne insulin glargine inosanganisira:

• Shuga shoma yeropa. Zviratidzo zvinogona kusanganisira:
  • nzara
  • huta
  • kuzununguka
  • vangadikitira
  • chills
  • clammness
  • dzungu
  • kukurumidza kurova kwemoyo
  • musoro wakareruka
  • hope
  • kuvhiringidzika
  • kusaona zvakanaka
  • musoro
  • kunzwa kunetseka kana kusada senge iwe, uye kusagadzikana
• Kusanzwisisika kurema kuwedzera
• Kuzvimba mumaoko ako, makumbo, tsoka, kana makumbo (edema)
• Reaction panzvimbo yejekiseni. Zviratidzo zvinogona kusanganisira:
  • indent diki paganda rako (lipoatrophy)
  • wedzera kana kudzikira mumafuta enyama pasi peganda kubva pakushandisa jekiseni saiti zvakanyanya
  • tsvuku, kuzvimba, kutsva, kana kuchenesa ganda

Iyi mhedzisiro inogona kuenda mukati memazuva mashoma kana mashoma mavhiki. Kana vakanyanya kuomarara kana vasingaendi, taura nachiremba wako kana wemishonga.

Yakakomba mhedzisiro

Fonera chiremba wako ipapo kana uine zvakakomba mhedzisiro. Fonera 911 kana zviratidzo zvako zvichinzwa kutyisidzira hupenyu kana kana iwe uchifunga kuti une chirwere chekukurumidzira. Yakanyanya mhedzisiro mhedzisiro uye zviratidzo zvavo zvinogona kusanganisira zvinotevera:

• Matambudziko ekufema
• Allergic maitiro. Zviratidzo zvinogona kusanganisira:
  • kuputika kweganda
  • kuvaviwa kana mikoko
  • kuzvimba kwechiso chako, miromo, kana rurimi
• Yakanyanya yakadzika shuga yeropa (hypoglycemia). Zviratidzo zvinogona kusanganisira:
  • kushushikana
  • kuvhiringidzika
  • dzungu
  • kuwedzera nzara
  • kushaya simba kwakasiyana kana kuneta
  • vangadikitira
  • kuzununguka
  • tembiricha yemuviri yakaderera
  • kugumbuka
  • musoro
  • kusaona zvakanaka
  • kukurumidza kurova kwemoyo
  • kurasikirwa kwekuziva

Disiki: Chinangwa chedu ndechekukupa iwe neruzivo rwakanyanya uye rwazvino ruzivo. Nekudaro, nekuti zvinodhaka zvinokanganisa munhu wega wega, hatigone kuvimbisa kuti ruzivo urwu runosanganisira mhedzisiro inogona kuitika. Ruzivo urwu harusi rwekutsiva yezano rekurapa. Gara uchikurukura zvinogona kuitika mhedzisiro nemubatsiri wehutano anoziva nhoroondo yako yekurapa.

Insulin glargine inogona kusangana nemimwe mishonga

Insulin glargine injectable solution inogona kusangana nemimwe mishonga, mavitamini, kana mishonga iwe yaunogona kutora. Kubatana ndiko kana chinhu chinoshandura mashandiro anoita mushonga. Izvi zvinogona kukuvadza kana kudzivirira mushonga kuti usashande zvakanaka.

Kuti ubatsire kudzivirira kusangana, chiremba wako anofanira kubata ese ako mishonga nemazvo. Ive neshuwa yekuudza chiremba wako nezvese mishonga, mavitamini, kana mahebhu iwe auri kutora. Kuti uone kuti uyu mushonga ungabatana sei nechimwe chinhu chauri kutora, taura nachiremba wako kana wemishonga.

Mienzaniso yemishonga inogona kukonzera kudyidzana ne insulin glargine yakanyorwa pazasi.

Zvinodhaka zvinowedzera njodzi ye hypoglycemia

Iyi mishonga inofanirwa kushandiswa nekuchenjerera ne insulin glargine. Kuvashandisa pamwe chete kunogona kuwedzera njodzi yako yeshuga yakanyanya muropa. Mienzaniso yemishonga iyi inosanganisira:

• mimwe mishonga yechirwere cheshuga
• pentamidine
• pramlintide
• somatostatin zvakafanana

Oral mishonga yechirwere cheshuga

Iyi mishonga inofanirwa kushandiswa nekuchenjerera ne insulin glargine. Kuvashandisa pamwe chete kunogona kuwedzera njodzi yako yekuchengetedza mvura uye matambudziko emoyo, sekushaya moyo. Mienzaniso yemishonga iyi inosanganisira:

• pioglitazone
• rosiglitazone

Jekiseni mishonga yechirwere cheshuga

Kutora exenatide ne insulin glargine inogona kuwedzera njodzi yako yeshuga yeropa shoma. Kana iwe uchida kutora mishonga iyi pamwechete, chiremba wako anogona kudzora muyero wako we insulin glargine.

Ropa kumanikidza uye moyo zvinodhaka

Mhando dzakasiyana dzekumanikidza kweropa zvinodhaka zvinogona kukukanganisa zvakasiyana paunenge uchishandisa insulin glargine.

Beta anovharira

Iyi mishonga inoshandura mashandisiro anoita muviri wako shuga yeropa. Kuvatora ne insulin glargine kunogona kukonzera shuga yakakwira kana yakadzika muropa. Ivo vanogona zvakare kuvhara zviratidzo zvako zveshuga muropa. Chiremba wako anokucherechedza zvakanyanya kana iwe ukashandisa izvi zvinodhaka ne insulin glargine. Mienzaniso yemishonga iyi inosanganisira:

• acebutolol
• atenolol
• bisoprolol
• esmolol
• metoprolol
• nadolol
• nebivolol
• propranolol

Angiotensin-inoshandura enzyme inhibitors uye angiotensin II vanogamuchira vanopokana

Iyi mishonga inogona kukuita kuti uwedzere kunetseka kune insulin glargine. Izvi zvinogona kukwidziridza njodzi yako yeshuga yakaderera muropa. Kana iwe uri kutora iyi mishonga ine insulin glargine, iwe unofanirwa kutariswa zvakanyanya padanho reropa rekudzora shuga. Mienzaniso yemishonga iyi inosanganisira:

• zvidei
• captopril
• enalapril
• fosinopril
• lisinopril
• quinapril
• ramipril
• candesartan
• eprosartan
• irbesartan
• losartan
• raidzone
• varsartan

Dzimwe mhando dzeropa BP zvinodhaka

Iyi mishonga inogona kuvhara zviratidzo nezviratidzo zveshuga yeropa shoma. Kana iwe uri kutora iyi mishonga ne insulin glargine, chiremba wako anofanirwa kukutarisisa zvakanyanya.

• clonidine
• guanethidine
• reserpine

Irregular moyo rate rate mishonga

Kutora disopyramide ne insulin glargine inogona kuwedzera shuga-inoderera mhedzisiro ye insulin glargine. Izvi zvinogona kukwidziridza njodzi yako yeshuga yakaderera muropa. Kana iwe uchida kushandisa iyi mishonga pamwe chete, chiremba wako anogona kudzora muyero wako we insulin glargine.

Mishonga inoderedza cholesterol yako

Kutora fibrates ne insulin glargine inogona kuwedzera shuga-inoderera mhedzisiro ye insulin glargine. Izvi zvinogona kukwidziridza njodzi yako yeshuga yakaderera muropa. Kana iwe uchida kutora iyi mishonga ne insulin glargine, chiremba wako anogona kudzora muyero wako we insulin glargine.

Kutora niacin ne insulin glargine inogona kudzora shuga-yekudzikisa mhedzisiro ye insulin glargine. Izvi zvinogona kukwidziridza njodzi yako yeshuga yakakwira muropa. Kana iwe uchida kutora ichi chinwiwa ne insulin glargine, chiremba wako anogona kuwedzera yako insulin glargine dosage.

Mishonga yekurapa kushushikana

Kutora madhiragi aya uine insulin glargine kunogona kuwedzera shuga-yekudzikisa mhedzisiro ye insulin glargine. Izvi zvinogona kukwidziridza njodzi yako yeshuga yakaderera muropa. Kana iwe uchida kutora iyi mishonga ne insulin glargine, chiremba wako anogona kudzora muyero wako we insulin glargine. Mienzaniso yemishonga iyi inosanganisira:

• fluoxetine
• monoamine oxidase inhibitors (MAOIs)

Mishonga yemarwadzo

Kutora mishonga inorwadza inonzi salicylates ne insulin glargine inogona kuwedzera shuga-inoderera mhedzisiro ye insulin glargine. Izvi zvinogona kukwidziridza njodzi yako yeshuga yakaderera muropa. Kana iwe uchida kutora iyi mishonga ne insulin glargine, chiremba wako anogona kudzora muyero wako we insulin glargine. Mienzaniso yemishonga iyi inosanganisira:

• asipurini
• bismuth subsalicylate

Sulfonamide mishonga inorwisa mabhakitiriya

Kutora madhiragi aya uine insulin glargine kunogona kuwedzera shuga-yeropa kudzikisa mhedzisiro ye insulin glargine. Izvi zvinogona kukwidziridza njodzi yako yeshuga yakaderera muropa. Kana iwe uchida kutora iyi mishonga ne insulin glargine, chiremba wako anogona kudzora muyero wako we insulin glargine. Mienzaniso yemishonga iyi inosanganisira:

• sulfamethoxazole

Ropa rakatetepa mishonga

Kutora pentoxifylline ne insulin glargine inogona kuwedzera shuga-inoderera mhedzisiro ye insulin glargine. Izvi zvinogona kukwidziridza njodzi yako yeshuga yakaderera muropa. Kana iwe uchida kutora ichi chinwiwa ne insulin glargine, chiremba wako anogona kudzora muyero wako we insulin glargine.

Mishonga inoshandiswa kurapa kuzvimba

Kutora corticosteroids ne insulin glargine inogona kudzora shuga-yekudzikisa mhedzisiro ye insulin glargine. Izvi zvinogona kukwidziridza njodzi yako yeshuga yakakwira muropa. Kana iwe uchida kutora ichi chinwiwa ne insulin glargine, chiremba wako anogona kuwedzera yako insulin glargine dosage.

Asima mishonga

Kutora madhiragi aya uine insulin glargine kunogona kudzikira shuga-yeropa kudzikisa mhedzisiro ye insulin glargine. Izvi zvinogona kukwidziridza njodzi yako yeshuga yakakwira muropa. Kana iwe uchida kutora iyi mishonga ne insulin glargine, chiremba wako anogona kuwedzera yako insulin glargine dosage. Mienzaniso yemishonga iyi inosanganisira:

• epinephrine
• albuterol
• terbutaline

Mishonga inoshandiswa kurapa hutachiona

Kutora madhiragi aya uine insulin glargine kunogona kudzikira shuga-yeropa kudzikisa mhedzisiro ye insulin glargine. Izvi zvinogona kukwidziridza njodzi yako yeshuga yakakwira muropa. Kana iwe uchida kutora iyi mishonga ne insulin glargine, chiremba wako anogona kuwedzera yako insulin glargine dosage. Mienzaniso yemishonga iyi inosanganisira:

• isoniazid
• pentamidine

Utachiona mahormone

Kutora madhiragi aya uine insulin glargine kunogona kudzikira shuga-yeropa kudzikisa mhedzisiro ye insulin glargine. Izvi zvinogona kukwidziridza njodzi yako yeshuga yakakwira muropa. Kana iwe uchida kutora iyi mishonga ne insulin glargine, chiremba wako anogona kuwedzera yako insulin glargine dosage.

Mahormone echikadzi

Kutora insulin glargine nemahormone anowanzo shandiswa mukudzivirira kuberekwa kunogona kudzikira shuga-yeropa kudzikisa mhedzisiro ye insulin glargine. Izvi zvinogona kukwidziridza njodzi yako yeshuga yakakwira muropa. Kana iwe uchida kutora iyi mishonga ne insulin glargine, chiremba wako anogona kuwedzera yako insulin glargine dosage. Mienzaniso yemishonga iyi inosanganisira:

• estrogen
• progestogens

Mishonga yekurapa HIV

Kutora protease inhibitors ne insulin glargine inogona kudzora shuga-yekudzikisa mhedzisiro ye insulin glargine. Izvi zvinogona kukwidziridza njodzi yako yeshuga yakakwira muropa. Kana iwe uchida kutora iyi mishonga ne insulin glargine, chiremba wako anogona kuwedzera muyero wako we insulin glargine. Mienzaniso yemishonga iyi inosanganisira:

• atazanavir
• darunavir
• fosamprenavir
• indinavir
• lopinavir / ritonavir
• nelfinavir
• ritonavir

Zvinodhaka kurapa kusagadzikana kwepfungwa

Kutora madhiragi aya uine insulin glargine kunogona kudzikira shuga-yeropa kudzikisa mhedzisiro ye insulin glargine. Izvi zvinogona kukwidza njodzi yako yeshuga yakakwira muropa. Kana iwe uchida kutora iyi mishonga ne insulin glargine, chiremba wako anogona kuwedzera muyero wako we insulin glargine. Mienzaniso yemishonga iyi inosanganisira:

• olanzapine
• clozapine
• lithium
• phenothiazines

Disiki: Chinangwa chedu ndechekukupa iwe neruzivo rwakanyanya uye rwazvino ruzivo. Nekudaro, nekuti zvinodhaka zvinopindirana zvakasiyana mumunhu mumwe nemumwe, hatigone kuvimbisa kuti ruzivo urwu runosanganisira kusangana kwese kunogona kuitika. Ruzivo urwu harusi rwekutsiva yezano rekurapa. Gara uchitaura nemupi wako wezvehutano nezve kusangana pamwe nemishonga yekunyorera, mavitamini, mahebhu uye zvinowedzerwa, uye pamusoro-pe-iyo zvinodhaka zvinodhaka zvauri kutora.

Mashandisiro ekushandisa insulin glargine

Ese anokwanisa madosi uye mafomu anogona kunge asiri kuisirwa pano. Yako dosi, fomu, uye kuti unoishandisa kangani zvinoenderana ne:

• zera rako
• mamiriro ari kurapwa
• mamiriro ako akakomba sei
• zvimwe zvehutano zvaunazvo
• maitiro aunoita nedosi yekutanga

Dosage mafomu uye simba

Brand: Basaglar

• Fomu: jekiseni mhinduro
• Simba: Zvikamu zana paML, mune 3-mL peni yakafetwa

Brand: Lantus

• Fomu: jekiseni mhinduro
• Simba:
  • Zvikamu zana paML mune 10-mL vial
  • Zvikamu zana paML mune 3-mL yakatemerwa peni

Brand: Toujeo

• Fomu: jekiseni mhinduro
• Simba:
  • Makuniti mazana matatu paML mune 1.5-mL yakatemerwa peni (450 mayuniti / 1.5 mL)
  • Makuniti mazana matatu paML mune 3-mL yakatemerwa peni (900 zvikamu / 3 mL)

Dosage yekuvandudza glucose kudzora mune vanhu vane Type 1 chirwere cheshuga

Lantus neBasaglar dosi kurudziro

Muyero wevakuru (makore 16-64 makore)

• Jekiseni insulin glargine kamwe pazuva, panguva imwechete mazuva ese.
• Chiremba wako achaverenga yako yekutanga dosi uye chero dosi shanduko zvinoenderana nezvako zvaunoda, yeropa glucose kuongorora mhedzisiro, uye kurapwa zvinangwa.
• Kana iwe uine rudzi rwekutanga chirwere cheshuga, iyo yekutanga inokurudzirwa dhizaini ingangoita chetatu cheyako yakazara yezuva nezuva insulin inoda. Pfupi- kana nekukurumidza-kuita, pre-yekudya insulin inofanirwa kushandiswa kugutsa zvasara zveinoda insulin zuva nezuva.
• Kana iwe uchichinja kubva kune wepakati- kana wakareba-unoshanda insulin kuenda kune insulin glargine, iyo huwandu uye nguva yemiyero yako ye insulin uye antidiabetic zvinodhaka zvingangoda kugadziriswa nachiremba wako.

Chiyero chemwana (makore matanhatu kusvika kumakore gumi nemashanu)

• Mwana wako anofanirwa kujekesa insulin glargine kamwe pazuva, panguva imwechete mazuva ese.
• Chiremba wako anoverenga dosi yekutanga yemwana wako zvinoenderana nezvinodiwa nemwana wako, mibairo yeropa rekuongorora shuga, uye zvinangwa zvekurapa.
• Kana mwana wako aine chirwere cheshuga cherudzi rwekutanga, iyo yekutanga dhosi inokurudzirwa ingangoita chetatu cheinodiwa zuva nezuva yemwana wako insulini. Kupfupisa-kuita, pre-kudya insulin inofanirwa kushandiswa kugutsa zvakasara zvemwana wako zvezuva nezuva insulin zvinodiwa.
• Kana mwana wako achichinja kubva kune yepakati- kana yakareba-inoshanda insulin kuenda kune insulin glargine, chiremba wako angangoda kugadzirisa huwandu uye nguva yemiyero yavo ye insulin uye antidiabetic zvinodhaka.

Chiyero chemwana (makore 0-5 makore)

Mushonga uyu hauna kusimbiswa sewakachengeteka uye unoshanda kuti ushandiswe muvana vadiki pane makore matanhatu ekurapwa kworudzi rwe1 chirwere cheshuga.

Dhivhosi yepamusoro (makore makumi matanhatu nemashanu zvichikwira)

• Iwe unofanirwa kushandisa insulin glargine nekuchenjerera kana iwe uine makore anopfuura makumi matanhatu nemashanu ekuberekwa, nekuti zvinogona kuita kuti zvinyanye kuoma kuona zviratidzo zveshuga muropa. Iwe unogona zvakare kuva nehanya zvakanyanya kune iyo migumisiro ye insulin.
• Chiremba wako anogona kutanga iwe neyepasi yekutanga dosi uye wedzera yako dosi zvishoma nezvishoma.

Toujeo chipimo chemazano

Muyero wevakuru (makore 18-64 makore)

• Jekiseni insulin glargine kamwe pazuva, panguva imwechete mazuva ese.
• Chiremba wako achaverenga yako yekutanga dosi uye chero dosi shanduko zvinoenderana nezvako zvaunoda, yeropa glucose kuongorora mhedzisiro, uye kurapwa zvinangwa.
• Kana iwe uine rudzi rwekutanga chirwere cheshuga, iyo yekutanga inokurudzirwa dhizaini ingangoita chetatu kusvika hafu yehafu yako yezuva nezuva insulin inoda. Iwe unofanirwa kushandisa pfupi-inoshanda insulin kuti ugutse zvakasara zvako zvezuva nezuva insulin zvinoda.
• Kana usati wambowana insulini kare, kazhinji, chiremba wako anogona kushandisa muyero we0,2 kusvika 0,4 mauniti e insulin / kg kuti uverenge yako yekutanga ezuva nezuva insulin insulin.
• Kana iwe uchichinja kubva wepakati- kana wakareba-unoshanda insulin kuenda kune insulin glargine, chiremba wako angangoda kugadzirisa huwandu uye nguva yemiyero yako ye insulin uye antidiabetic zvinodhaka.

Chiyero chemwana (mazera 0-17 makore)

Mushonga uyu hauna kusimbiswa sewakachengeteka uye unoshanda kuti ushandiswe muvana vadiki pane makore gumi nemasere.

Dhivhosi yepamusoro (makore makumi matanhatu nemashanu zvichikwira)

• Iwe unofanirwa kushandisa insulin glargine nekuchenjerera kana iwe uri pamusoro pemakore makumi matanhatu nemashanu ekuberekwa, nekuti zvingave zvakaoma kuona zviratidzo zveshuga muropa. Iwe unogona zvakare kuva nehanya zvakanyanya kune iyo migumisiro ye insulin.
• Chiremba wako anogona kutanga iwe neyepasi yekutanga dosi uye wedzera yako dosi zvishoma nezvishoma.

Dosage yekuvandudza glucose kudzora muvanhu vane mhando 2 chirwere cheshuga

Lantus neBasaglar dosi kurudziro

Muyero wevakuru (makore 18-64 makore)

• Jekiseni insulin glargine kamwe pazuva, panguva imwechete mazuva ese.
• Chiremba wako achaverenga yako yekutanga dosi uye chero dosi shanduko zvinoenderana nezvako zvaunoda, yeropa glucose kuongorora mhedzisiro, uye kurapwa zvinangwa.
• Kana iwe uine rudzi rwechipiri chirwere cheshuga, iyo yekutanga inokurudzirwa mwero ndeye 0.2 mayuniti / kg kana kusvika gumi mayunitsi kamwe pazuva. Chiremba wako angangoda kugadzirisa huwandu uye nguva yako pfupi- kana nekukurumidza-kuita insulins uye madhiri ezve chero emuromo antidiabetic zvinodhaka zvauri kutora.
• Kana iwe uchichinja kubva wepakati- kana wakareba-unoshanda insulin kuenda kune insulin glargine, chiremba wako angangoda kugadzirisa huwandu uye nguva yemiyero yako ye insulin uye antidiabetic zvinodhaka.

Chiyero chemwana (mazera 0-17 makore)

Mushonga uyu hauna kusimbiswa sewakachengeteka uye unoshanda kuti ushandiswe muvana vadiki vane makore gumi nemasere vane chirwere cheshuga chechipiri.

Dhivhosi yepamusoro (makore makumi matanhatu nemashanu zvichikwira)

• Iwe unofanirwa kushandisa insulin glargine nekuchenjerera kana iwe uri pamusoro pemakore makumi matanhatu nemashanu ekuberekwa, nekuti zvingave zvakaoma kuona zviratidzo zveshuga muropa. Iwe unogona zvakare kuva nehanya zvakanyanya kune iyo migumisiro ye insulin.
• Chiremba wako anogona kutanga iwe neyepasi yekutanga dosi uye wedzera yako dosi zvishoma nezvishoma.

Toujeo dosing kurudziro

Muyero wevakuru (makore 18-64 makore)

• Jekiseni insulin glargine kamwe pazuva, panguva imwechete mazuva ese.
• Chiremba wako achaverenga yako yekutanga dosi uye chero dosi shanduko zvinoenderana nezvako zvaunoda, yeropa glucose kuongorora mhedzisiro, uye kurapwa zvinangwa.
• Kana iwe uine rudzi rwechipiri chirwere cheshuga, iyo yekutanga inokurudzirwa dhayeti ndeye 0.2 mauniti / kg kamwe pazuva.
• Kana iwe uchichinja kubva wepakati- kana wakareba-unoshanda insulin kuenda kune insulin glargine, chiremba wako angangoda kugadzirisa huwandu uye nguva yemiyero yako ye insulin uye antidiabetic zvinodhaka.

Chiyero chemwana (mazera 0-17 makore)

Mushonga uyu hauna kusimbiswa sewakachengeteka uye unoshanda muvanhu vari pasi pemakore gumi nemasere vane chirwere cheshuga chechipiri.

Dhivhosi yepamusoro (makore makumi matanhatu nemashanu zvichikwira)

• Iwe unofanirwa kushandisa insulin glargine nekuchenjerera kana iwe uri pamusoro pemakore makumi matanhatu nemashanu ekuberekwa, nekuti zvingave zvakaoma kuona zviratidzo zveshuga muropa. Iwe unogona zvakare kuva nehanya zvakanyanya kune iyo migumisiro ye insulin.
• Chiremba wako anogona kutanga iwe neyepasi yekutanga dosi uye wedzera yako dosi zvishoma nezvishoma.

Yakakosha dhizaini kufunga

Kune vanhu vane chirwere chechiropa: Chiropa chako chinogona kusakwanisa kugadzira glucose uye kupaza insulin glargine pamwe nechainofanira. Chiremba wako anogona kukuraira chipimo chepasi chemushonga uyu.

Kune vanhu vane chirwere cheitsvo: Itsvo dzako dzinogona kunge dzisingakwanise kupaza insulin glargine sezvavanofanira kuita. Chiremba wako anogona kukuraira chipimo chepasi chemushonga uyu.

Disiki: Chinangwa chedu ndechekukupa iwe neruzivo rwakanyanya uye rwazvino ruzivo. Nekudaro, nekuti zvinodhaka zvinokanganisa munhu wega wega, hatigone kuvimbisa kuti urwu runyorwa runosanganisira madosi anowanikwa. Ruzivo urwu harusi rwekutsiva yezano rekurapa. Gara uchitaura nachiremba wako kana wemishonga nezve madheji akakukodzera.

Udza chiremba wako kana iwe uchirwara, uchirutsa, kana kuti wachinja kudya kwako kana maitiro ekurovedza muviri. Chiremba wako anogona kugadzirisa yako insulin glargine muyero kana kukutarisa iwe kune zvinetso zvechirwere cheshuga.

Udza chiremba wako usati watanga chero nyowani nyowani mishonga kana pamusoro-e-iyo-mishonga, zvigadzirwa zvemakwenzi, kana zvinowedzera.

Insulin glargine yambiro

Mushonga uyu unouya neyambiro zhinji.

Yambiro shoma yeshuga yeropa

Iwe unogona kunge uine hunyoro kana hwakasimba hwakaderera shuga yeropa (hypoglycemia) apo iwe uri kutora insulin glargine. Shuga yakadzika yeropa inogona kuva nenjodzi. Inogona kukuvadza moyo wako kana huropi, uye kukonzera kusagadzikana, kubatwa, kana kutofa.

Shuga yeropa yakadzika inogona kuitika nekukurumidza uye inouya isina zviratidzo. Zvakakosha kutarisa shuga yako yeropa kakawanda sekutaura kwachiremba wako. Zviratidzo zvinogona kusanganisira:

• kushushikana, kutsamwa, kusagadzikana, kunetseka kuisa pfungwa, kunzwa kunetseka kana kusazvida iwe pachako
• kurira mumaoko ako, tsoka, miromo, kana rurimi
• dzungu, musoro wakareruka, kana kukotsira
• hope dzinotyisa kana kunetseka kurara
• musoro
• kusaona zvakanaka
• kutaura kwakashata
• kukurumidza kurova kwemoyo
• vangadikitira
• kuzunza
• kufamba usina kutsiga

Thiazolidinediones yambiro

Kutora mapiritsi eshuga anonzi thiazolidinediones (TZDs) ane insulin glargine kunogona kukonzera kukundikana kwemoyo.

Udza chiremba wako kana iwe uine chero nyowani kana kuwedzera zviratidzo zvekutadza kwemoyo, kusanganisira kupfupika kwekufema, kuzvimba kwemakumbo ako kana tsoka, uye nekukasira kuwedzera uremu. Chiremba wako anogona kugadzirisa yako TZD dosage kana iwe uine izvi zviratidzo.

Yambiro yekutapukirwa

Iwe haufanire kugoverana insulin ndiro, majekiseni, kana mapeni akaisirwa nevamwe vanhu. Kugovera kana kushandisa zvakare tsono kana majekiseni nemumwe munhu kunoisa iwe nevamwe panjodzi yezvirwere zvakasiyana.

Low potasiamu mazinga yambiro

Zvese insulin zvigadzirwa zvinogona kudzora huwandu hwe potassium muropa. Yakaderera potasiamu ropa mazinga anogona kuwedzera njodzi yako yekusarongeka kwemwoyo paunenge uchitora mushonga uyu. Kuti udzivise izvi, chiremba wako anozotarisa yako potassium eropa usati watanga kutora ichi chinwiwa.

Allergy yambiro

Dzimwe nguva zvakakomba, kutyisidzira hupenyu allergic reaction zvinogona kuitika ne insulin glargine. Zviratidzo zveanokanganisa maitiro kune insulin glargine inogona kusanganisira:

• mapundu muviri wako wose
• mweya wekufema
• kunetseka kufema
• kutsanya kupomba
• vangadikitira
• yakaderera BP

Kana iwe ukaita izvi zviratidzo, fonera 911 kana kuenda kune yepedyo emergency kamuri.

Usashandise ichi chinwiwa zvakare kana iwe wakambove neyakagomara kuita kwazviri. Kuitora zvakare kunogona kuuraya (kukonzera rufu).

Kudya kwekudyidzana yambiro

Mhando uye huwandu hwechikafu chaunodya chinogona kukanganisa kuti insulini yakawanda sei yaunoda. Udza chiremba wako kana ukachinja chikafu chako. Ivo vangangoda kugadzirisa yako muyero we insulin glargine.

Doro rekudyidzana kuyambira

Doro rinogona kuita kuti zvinyanye kuoma kudzora shuga rako reropa paunenge uchitora insulin glargine. Deredza doro paunenge uchitora mushonga uyu.

Yambiro yekushandisa

Usagovana insulin glargine nevamwe kunyangwe vaine hutano hwakafanana. Zvinogona kuvakuvadza.

Yambiro kune vanhu vane mamwe mamiriro ehutano

Kune vanhu vane chirwere chechiropa: Chiropa chako chinogona kusakwanisa kugadzira glucose uye kupaza insulin glargine pamwe nechainofanira. Chiremba wako anogona kukupa yakaderera dosi yemushonga uyu.

Kune vanhu vane chirwere cheitsvo: Itsvo dzako dzinogona kunge dzisingakwanise kupaza insulin glargine sezvavanofanira kuita. Chiremba wako anogona kukupa yakaderera dosi yemushonga uyu.

Kune vanhu vane yakaderera ropa shuga (hypoglycemia): Iwe unofanirwa kushandisa insulin glargine nekuchenjerera kana iwe ukawana yakaderera ropa shuga kazhinji. Inogara mumuviri wako kwenguva yakareba uye zvinogona kutora nguva yakareba kurapa shuga yakaderera muropa. Ngozi yako inogona kuve yakakwira kana iwe uine makore makumi matanhatu nemashanu kana kupfuura kana ukasadya panguva yakatarwa.

Kune vanhu vane edema: Insulin glargine inogona kuita kuti edema yako iwedzere. Mushonga uyu unogona kukonzera kuti muviri wako uchengete sodium. Izvi zvinogona kuteedzera fluid mumuviri wako tishu, izvo zvinokonzeresa kuzvimba (edema) kwemaoko ako, tsoka, maoko, uye makumbo.

Kune vanhu vane moyo kutadza: Kutora mapiritsi echirwere cheshuga anonzi thiazolidinediones (TZDs) ane insulin glargine inogona kuteedzera mvura mumatumbu emuviri wako uye kukonzera kana kukuvadza kutadza kwemoyo.

Yambiro kune mamwe mapoka

Kune vakadzi vane pamuviri: Hazvizivikanwe kana insulin glargine yakachengeteka kushandisa mumadzimai ane nhumbu.

Udza chiremba wako kana iwe uine pamuviri kana kuronga kuva nepamuviri. Iwe unofanirwa kushandisa chete insulin glargine panguva yekuzvitakura kana mukana wekubatsira uchiruramisa njodzi inogona kuitika.

Kune vakadzi vari kuyamwa: Hazvizivikanwe kana insulin glargine ichipinda mumukaka wemuzamu. Iwe nachiremba wako mungangoda kusarudza kana muchizoshandisa insulin glargine kana kuyamwisa. Kana iwe ukaita zvese zviri zviviri, yako insulin glargine muyero ungangoda kuchinjiswa, uye huwandu hweshuga yako yeropa hunogona kuongororwa zvakanyanya.

Kune vakuru: Vanhu vane makore makumi matanhatu nemashanu zvichikwira vanogona kunge vachinyanya kukoshesa insulin glargine. Izvi zvinogona kukwidziridza njodzi yako yeshuga yakadzika yeropa. Iwe chiremba anogona kutanga iwe pane yakaderera dosi, uye wedzera yako dosi zvishoma nezvishoma.

Zvevana: Taura nachiremba wemwana wako nezvekushandiswa kwe insulin glargine muvana. Kunyatsotarisirwa kunogona kudiwa.

Shandisa sezvakarairwa

Insulin glargine injectable solution inoshandiswa pakurapa kwenguva refu. Iyo inouya nenjodzi dzakakomba kana usingaishandise sekurairwa.

Kana iwe usingashandise zvachose kana kusvetuka kana kupotsa madosi: Iwe unogona kunge uine shuga yakakwira muropa, izvo zvinogona kutungamira kune zvakakomba hutano mhedzisiro

Kana iwe ukashandisa zvakawandisa: Kana iwe ukashandisa yakawandisa insulin glargine, unogona kunge uine hunyoro kana hupenyu hunotyisidzira yakaderera ropa shuga (hypoglycemia). Takura sosi inokurumidza yeshuga newe kana iwe uine zviratidzo zveshuga yakaderera muropa. Tevedza yako yakaderera shuga yekurapa chirongwa sekurairwa nachiremba wako. Zviratidzo zveshuga yakanyanya yakadzika yeropa inogona kusanganisira:

• kupera
• pfari
• matambudziko etsinga

Kana iwe uchifunga kuti watora zvakawandisa zvemushonga uyu, fonera chiremba wako kana kutsvaga nhungamiro kubva kuAmerican Association of Poison Control Centers pa1-800-222-1222 kana kuburikidza nechishandiso chavo chepamhepo. Asi kana zviratidzo zvako zvakakomba, fonera 911 kana kuenda kukamuri yepedyo yevanokurumidza ipapo.

Chii chaunofanira kuita kana ukarasikirwa nedosi: Izvo zvakakosha kuti usarasikirwe nedosi. Chiremba wako anofanirwa kukurukura chirongwa cheakarasikirwa nemadhiza newe. Kana iwe ukarasikirwa neiyo dose, tevera iro zano.

Maitiro ekuudza kana mushonga uri kushanda: Ropa rako rehuga reropa rinofanira kunge rakaderera.

Zvakakosha kufunga nezvekushandisa insulin glargine

Chengetedza izvi kufunga mupfungwa kana chiremba wako akaraira insulin glargine kwauri.

General

• Insulin glargine inogona kushandiswa kana kana pasina chikafu.
• Insulin glargine inogona kushandiswa chero nguva mukati mezuva, asi inofanira kushandiswa panguva imwechete mazuva ese.

Kuchengetedza

Izvo zvakakosha kuti uchengetedze insulin glargine nenzira kwayo kuti ishande sezvainofanira.

Yakavhurwa vial:

• Chengetedza zvitsva (zvisina kuvhurwa) insulin glargine vials mufiriji pane tembiricha iri pakati pe36 ° F uye 46 ° F (2 ° C uye 8 ° C).
• Mushonga uyu unogona kuchengetwa mufiriji kudzamara nguva yekupera kwebhokisi kana vial.
• Usaisa chando mushonga uyu.
• Chengeta insulin glargine kunze kwekupisa chaiko uye nechiedza.
• Kana gaba rave rakagwamba nechando, rakasiiwa kunze patembiricha yakakwira, kana rapera, kurasa kure kunyangwe paine insulini yakasara mariri.

Vhura (iri kushandiswa) vial:

• Kana kamwe gaba rikavhurwa, unogona kurichengeta mufiriji kana tembiricha yemukati pazasi pe 86 ° F (30 ° C).
• Chengetedza ichi chinodhaka kure nekunanga kupisa uye mwenje.
• Gaba rakavhurwa rinofanira kukandwa kure mushure memazuva makumi maviri nemasere mushure mekushandisa kwekutanga kunyangwe ichine insulin yakasara mairi.

Kufamba

Paunenge uchifamba nemushonga wako:

• Nguva dzose takura mishonga yako newe. Paunenge uchibhururuka, usamboisa mubhegi rakaongororwa. Zvichengete muhomwe yako yekutakura.
• Usatombo kunetseka nezve airport X-ray michina. Havagone kukuvadza mushonga wako.
• Ungangoda kuratidza vashandi vepanhandare yendege chitambi chemishonga yako. Nguva dzose takura mudziyo wepakutanga-wakanyorwa nemudziyo.
• Mabhokisi asina kuvhurwa emushonga uyu anoda kuiswa mufiriji. Shandisa bhegi rakaputirwa nekapu inotonhora kuchengetedza tembiricha kana uchifamba. Midziyo yakavhurwa inogona kuiswa mufiriji kana kuchengetwa patembiricha yepasi pazasi pe86 ° F (30 ° C). Nekudaro, ive shuwa yekuvachengeta ivo kubva pakananga kupisa uye mwenje. Tevedza rairo yekuchengetedza inotaurwa pamushonga.
• Usaise mushonga uyu mugirovhosi remota yako kana kuusiya mumota. Ive neshuwa yekurega kuita izvi kana mamiriro ekunze ari kupisa kana kutonhora zvakanyanya.
• Tsono uye majekiseni zvinoda kushandiswa kushandisa mushonga uyu. Tarisa uone yakasarudzika mitemo nezvekufamba nemishonga, tsono, uye majekiseni.

Kuzvibata-manejimendi

Chiremba wako, wemishonga, mukoti, kana mudzidzisi weshuga achakuratidza maitiro a:

• bvisa insulin kubva mundiro
• batanidza tsono
• ipa yako insulin glargine jekiseni
• chinja chipimo chemushonga wezviitiko uye kurwara
• tarisa shuga yako yeropa
• gwapa uye kurapa zviratidzo zveshuga yakadzika uye yakakwira muropa

Pamusoro pe insulin glargine, iwe uchazoda:

• tsono
• jekiseni
• mudziyo wakachengeteka wekurasa tsono
• doro swabs
• lancets kubaya chigunwe chako kuyedza shuga rako reropa
• shuga zveropa bvunzo
• kuongorora kweropa glucose

Kutora mishonga yako:

• Jekiseni insulin glargine panguva imwe chete zuva rega rega.
• Iishandise chaizvo sekurairwa nachiremba wako.
• Usambozvisanganisa musirinji imwe chete nemamwe mainsulins usati wabaya jekiseni.
• Nguva dzose tarisa kutaridzika kwe insulin glargine usati waishandisa. Inofanira kunge yakajeka uye isina ruvara semvura. Usashandise kana iine makore, yakakora, yakatsvuka, kana iine mairi mukati.
• Usashandisazve kana kugovana tsono kana majekiseni anoshandiswa kubaya uyu mushonga. Kuita izvi kunogona kuparadzira zvirwere.

Kurasa tsono dzakashandiswa:

• Usarase tsono dzoga dzoga mumarara kana marara ekudzokorora, uye usambozvikanda muchimbuzi.
• Kumbira wemishonga wako mudziyo wakachengeteka wekurasa tsono dzakashandiswa uye majekiseni.
• Nharaunda yako inogona kunge iine chirongwa chekurasa tsono dzakashandiswa uye majekiseni.
• Kana ukarasa mudziyo mumarara, chitumidze zita rekuti "usadzokororezve."

Kuchengetedzwa kwekliniki

Chiremba wako anogona kuita kuongororwa kweropa usati uye panguva yekurapwa ne insulin glargine kuti uve nechokwadi chekuti ichiri yakachengeteka kuti iwe ushandise. Iyi bvunzo inogona kusanganisira:

• shuga dzeropa
• glycosylated hemoglobin (A1C) mazinga. Bvunzo dzinoyera kudzora kweshuga muropa mumwedzi yekupedzisira ye3-3.
• chiropa chinoshanda bvunzo
• itsvo basa bvunzo
• potassium eropa mazinga

Chiremba wako anogona zvakare kuita mimwe bvunzo kuti aone matambudziko eshuga:

• kuongorora maziso
• tsoka bvunzo
• bvunzo dzemazino
• bvunzo dzekukuvara kwetsinga
• kuongorora ropa kweropa cholesterol
• cheki cheBP uye kurova kwemoyo

Chiremba wako angangoda kugadzirisa yako muyero we insulin glargine zvichibva pane zvinotevera:

• shuga dzeropa
• itsvo inoshanda
• chiropa chinoshanda
• mimwe mishonga yauri kutora
• maitiro ako ekurovedza muviri
• tsika dzako dzekudya

Kudya kwako

Panguva yekurapwa ne insulin glargine:

• Usasvetuke kudya.
• Kumbira chiremba wako kana iwe uchifanira kudzivirira doro.
• Ngwarira ne over-the-counter (OTC) chikosoro nemishonga inotonhora. Zvigadzirwa zvakawanda zveOTC zvine shuga kana doro zvinogona kukanganisa shuga yako yeropa.

Mari dzakavanzika

Pamusoro pemushonga, iwe unofanirwa kutenga:

• tsono
• jekiseni
• mudziyo wakachengeteka wekurasa tsono
• doro swabs
• lancets kubaya chigunwe chako kuyedza shuga rako reropa
• shuga zveropa bvunzo
• kuongorora kweropa glucose

Pane here dzimwe nzira?

Kune mimwe mishonga inowanikwa yekurapa mamiriro ako. Zvimwe zvinogona kunge zvakakukodzera iwe kupfuura vamwe. Taura nachiremba wako nezve dzimwe sarudzo dzemushonga dzinogona kukushandira.

Disiki: Healthline yaedza nepese painogona kuti ive nechokwadi chekuti ruzivo rwese rwuri rwechokwadi, rwakazara, uye rwechizvino-zvino. Nekudaro, chinyorwa ichi hachifanirwe kushandiswa sekutsiva ruzivo uye hunyanzvi hweane rezinesi rezvehutano. Iwe unofanirwa kugara uchibvunza chiremba wako kana imwe nyanzvi yehutano usati watora chero mushonga. Ruzivo rwezvinodhaka ruri pano runogona kuchinja uye haruna kuitirwa kufukidza ese mashandisirwo, madhairekitori, chenjedzo, kunyeverwa, kudyidzana kwezvinodhaka, allergic reaction, kana mhedzisiro. Kushaikwa kweyambiro kana rumwe ruzivo rwemushonga wakapihwa hakuratidze kuti mushonga kana musanganiswa wezvinodhaka wakachengeteka, unoshanda, kana wakakodzera kuvarwere vese kana kushandiswa kwese chaiko.