I-insulin Detemir (Imvelaphi ye-rDNA) Inaliti

Umxholo

• Ngaphambi kokusebenzisa i-insulin detemir,
• Eli yeza linokubangela utshintsho kwiswekile yegazi lakho. Kuya kufuneka uyazi iimpawu zeswekile esezantsi kunye ephezulu yegazi kwaye wenzeni ukuba unayo le miqondiso.
• Inaliti yokufumana i-insulin inokubangela iziphumo ebezingalindelekanga. Tshela ugqirha wakho ukuba ngaba ezinye zeempawu zinzima okanye azihambi:
• Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. Ukuba ufumana enye yezi mpawu, biza ugqirha wakho ngokukhawuleza okanye ufumane unyango olungxamisekileyo:
• I-insulin detemir overdose inokwenzeka ukuba usebenzisa i-insulin kakhulu okanye ukuba usebenzisa isixa esifanelekileyo se-insulin kodwa utye kancinci kunesiqhelo okanye wenze umthambo ngaphezu kwesiqhelo. I-insulin detemir overdose inokubangela i-hypoglycemia. Ukuba unempawu zehypoglycemia, landela imiyalelo kagqirha wakho malunga nento ekufuneka uyenzile ukuba ukhulisa i-hypoglycemia. Ezinye iimpawu libanda:

I-insulin detemir isetyenziselwa ukunyanga i-1 yeswekile (imeko apho umzimba ungayivelisi i-insulin kwaye ngenxa yoko awunakho ukulawula ubungakanani beswekile egazini). Isetyenziselwa ukunyanga abantu abanesifo seswekile sesi-2 (imeko apho umzimba ungasebenzisi i-insulin ngesiqhelo kwaye, ngenxa yoko, awunakho ukulawula isixa seswekile esegazini) abafuna i-insulin ukulawula isifo seswekile. Kwizigulana ezine-1 yeswekile, i-insulin detemir inokusetyenziswa nolunye uhlobo lwe-insulin (i-insulin emfutshane). Kwizigulana ezinesifo seswekile sesi-2, i-insulin detemir nayo inokusetyenziswa nolunye uhlobo lwe-insulin okanye amayeza omlomo eswekile. I-insulin detemir yinto esebenza ixesha elide, eyenziwe ngumntu ye-insulin yomntu. I-insulin detemir isebenza ngokutshintsha i-insulin edla ngokuveliswa ngumzimba nangokunceda ukuhambisa iswekile egazini iye kwezinye izicwili zomzimba apho isetyenziselwa khona amandla. Ikwanqanda isibindi ekuveliseni iswekile engaphezulu.

Ixesha elingaphezulu, abantu abanesifo seswekile kunye neswekile ephezulu yegazi banokuba neengxaki ezinzulu okanye ezisongela ubomi, kubandakanya isifo sentliziyo, ukubetha, iingxaki zezintso, ukonakala kwemithambo-luvo kunye neengxaki zamehlo. Sebenzisa amayeza, ukwenza utshintsho kwindlela yokuphila (umzekelo, ukutya, ukwenza umthambo, ukuyeka ukutshaya), kunye nokujonga iswekile yegazi rhoqo kunokunceda ukulawula isifo seswekile kunye nokuphucula impilo yakho. Olu nyango lunokunciphisa amathuba akho okuhlaselwa sisifo sentliziyo, ukubetha, okanye ezinye iingxaki ezinxulumene nesifo seswekile ezinje ngokusilela kwezintso, ukulimala kwentliziyo (ukubindeka, imilenze ebandayo okanye iinyawo; ukunciphisa amandla ezesondo kumadoda nabasetyhini), iingxaki zamehlo, kubandakanya notshintsho okanye ukulahleka kombono, okanye isifo seentsini. Ugqirha wakho kunye nabanye ababoneleli ngempilo bayakuthetha nawe ngeyona ndlela yokulawula isifo sakho seswekile.

I-insulin detemir iza njengesisombululo (ulwelo) ukujova ngendlela engaphantsi (phantsi kolusu). Ihlala itofwe kanye ngemini, kunye nesidlo sangokuhlwa okanye ngexesha lokulala. Faka inaliti kwi-insulin ngexesha elifanayo (okanye) yonke imihla. Landela izikhokelo kwileyibhile yakho yonyango ngononophelo, kwaye ubuze ugqirha wakho okanye usokhemesti ukuba achaze nayiphi na indawo ongayiqondiyo. Sebenzisa i-insulin detemir ngokuchanekileyo njengoko kuyalelwe. Sukuyisebenzisa ngaphezulu okanye ngaphantsi okanye uyisebenzise rhoqo kunokuyalelwa ngugqirha.

Ungaze usebenzise i-insulin detemir xa uneempawu zehypoglycemia (iswekile esezantsi yegazi) okanye ukuba ujongile iswekile yegazi lakho wayifumana iphantsi. Sukujova i-insulin kwindawo yolusu ebomvu, idumbileyo, irhawuzele, okanye iqine.

I-insulin detemir akufuneki isetyenziswe kwimpompo yangaphandle ye-insulin.

I-insulin detemir akufuneki ixutywe okanye ixutywe nezinye iimveliso ze-insulin.

I-insulin detemir ilawula isifo seswekile kodwa ayisinyangi. Qhubeka nokusebenzisa i-insulin detemir nokuba uziva uphilile. Ungayeki ukusebenzisa i-insulin detemir ngaphandle kokuthetha nogqirha wakho. Musa ukutshintshela kolunye uphawu okanye uhlobo lwe-insulin okanye utshintshe idosi yalo naluphi na uhlobo lwe-insulin oyisebenzisayo ngaphandle kokuthetha nogqirha wakho.

I-insulin detemir iza ngeebhotile kunye nakwiipeni zokulinganisa eziqulethe iikhatriji zamayeza. Qiniseka ukuba uyazi ukuba loluphi uhlobo lwesikhongozeli esivela kwi-insulin yakho engenayo kwaye zeziphi ezinye izinto ezinje ngeenaliti, iisirinji, okanye iipeni, kuya kufuneka ujonge iyeza lakho.

Ukuba i-insulin detemir yakho iza ngeebhotile, kuya kufuneka usebenzise iisirinji ukutofa idosi yakho. Buza ugqirha wakho okanye usokhemesti akubonise indlela yokujova i-insulin detemir usebenzisa isirinji. Buza ugqirha wakho okanye usokhemesti ukuba unemibuzo malunga nohlobo lwesirinji ekufuneka uyisebenzisile.

Ukuba i-insulin detemir yakho iza kwiipeni, qiniseka ukuba uyayiqonda kwaye uyayiqonda imiyalelo yomenzi. Buza ugqirha wakho okanye usokhemisti akubonise indlela yokusebenzisa usiba. Landela umkhombandlela ngononophelo, kwaye usoloko uhamba phambili usiba ngaphambi kokusetyenziswa.

Ungaze uphinde usebenzise iinaliti okanye iisirinji kwaye ungaze wabelane ngeenaliti, iisirinji okanye iipeni. Ukuba usebenzisa ipeni ye-insulin, soloko ususa inaliti emva nje kokuba utofile idosi yakho. Lahla iinaliti kunye neesirinji kwisikhongozeli esinganyangekiyo. Buza ugqirha wakho okanye usokhemesti ngendlela yokusilahla isikhongozeli esinganyangekiyo.

Ngalo lonke ixesha jonga kwi-insulin yakho ngaphambi kokuba uyijoje. Kufuneka icace kwaye ingenambala. Sukuyisebenzisa i-insulin yakho yokubonakalisa ukuba inemibala, inamafu, iyajiya, okanye iqulethe amasuntswana aqinileyo, okanye ukuba umhla wokuphelelwa kwebhotile udlulile.

Unokujova i-insulin yakho engalweni yakho ephezulu, ethangeni, okanye esiswini. Ungaze ufake i-insulin detemir emthanjeni okanye kwimisipha. Guqula (jikelezisa) indawo yenaliti kwindawo ekhethiweyo kunye nedosi nganye; zama ukunqanda ukujova indawo enye rhoqo kunakuqala kwiiveki ezi-1-2.

Buza usokhemesti okanye ugqirha wakho ngekopi yolwazi lomenzi wesigulana.

Eli yeza linokumiselwa ezinye izinto; buza ugqirha wakho okanye usokhemesti ngolwazi oluthe kratya.

Ngaphambi kokusebenzisa i-insulin detemir,

• xelela ugqirha wakho kunye nosokhemesti ukuba ngaba uxabana ne-insulin (Humulin, Novolin, abanye), naziphi na izithako ze-insulin detemir, okanye amanye amayeza. Buza usokhemesti wakho okanye ujonge ulwazi lomenzi wesigulana uluhlu lwezithako.
• xelela ugqirha wakho kunye nosokhemesti ukuba yeyiphi na amayeza kagqirha kunye nalawo angabhalwanga, iivithamini, izongezo zesondlo, kunye neemveliso zamayeza owathathayo. Qiniseka ukuba ukhankanya nayiphi na kwezi zinto zilandelayo: i-angiotensin-converting enzyme (ACE) inhibitors enjenge benazepril (Lotensin), captopril (Capoten), enalapril (Vasotec), fosinopril (Monopril), lisinopril (Prinivil, Zestril), moexipcil ( , perindopril (Aceon), quinapril (Accupril), ramipril (Altace), kunye netrandolapril (Mavik); ii-beta blockers ezinje nge-atenolol (Tenormin), labetalol (Normodyne), metoprolol (Lopressor, Toprol XL), nadolol (Corgard), kunye nepropranolol (Inderal); amayeza athile anciphisa i-cholesterol njenge-fenofibrate (Antara, Lofibra, TriCor, Triglide) kunye ne-gemfibrozil (Lopid); clonidine (Catapres, Catapres-TTS, eClorpres); idanazol; iDisopyramide (iNorpace, iNorpace CR); umchamo ('iipilisi zamanzi'); i-fluoxetine (Prozac, Sarafem, kwi-Symbyax); Unyango lwehormone; isoniazid (INH, Nydrazid); lithium (Eskalith, Lithobid); amayeza umbefu kunye nemikhuhlane; amayeza okugula ngengqondo kunye nesicaphucaphu; i-monoamine oxidase (MAO) inhibitors, kubandakanya isocarboxazid (Marplan), phenelzine (Nardil), selegiline (Eldepryl), kunye ne-tranylcypromine (iParnate); i-octreotide (iSandostatin); izinto zokucwangcisa ngomlomo (iipilisi zolawulo lokuzalwa); amayeza omlomo weswekile afana ne-pioglitazone (i-Actos, kwi-Actoplus Met kunye nezinye) kunye ne-rosiglitazone (Avandia, e-Avandamet nabanye); i-steroids yomlomo efana ne-dexamethasone (i-Decadron, i-Dexone), i-methylprednisolone (Medrol), kunye ne-prednisone (Deltasone); ipentamidine (NebuPent, Pentam); gqithisela; Iintlungu ze-salicylate zinciphisa i-aspirin, i-choline magnesium trisalicylate (Tricosal, Trilisate), choline salicylate (Arthropan), diflunisal (Dolobid), magnesium salicylate (Doan's, others), kunye ne-salsalate (Argesic, Disalcid, Salgesic); somatropin (Nutropin, Serostim, abanye); isulfa antibiotics; kunye namayeza e-thyroid. Ugqirha wakho unokufuna ukutshintsha amayeza akho okanye akubeke esweni ngononophelo kwiziphumo ebezingalindelekanga.
• xelela ugqirha wakho ukuba ukhe wanomonakalo wemithambo-luvo obangelwe sisifo seswekile; ukumelwa yintliziyo; okanye naziphi na ezinye iimeko zonyango, kubandakanya intliziyo, izintso okanye isifo sesibindi.
• xelela ugqirha wakho ukuba ukhulelwe, cwangcisa ukukhulelwa, okanye uncancisa. Ukuba ukhulelwa ngelixa usebenzisa i-insulin detemir, biza ugqirha wakho.
• ukuba wenza utyando, kubandakanya utyando lwamazinyo, xelela ugqirha okanye ugqirha wamazinyo ukuba usebenzisa i-insulin detemir.
• utywala kunokubangela utshintsho iswekile yegazi. Buza ugqirha wakho malunga nokusetyenziswa okukhuselekileyo kotywala ngelixa usebenzisa i-insulin.
• Buza ugqirha wakho ukuba wenzeni ukuba uyagula, unengxaki yoxinzelelo engaqhelekanga, okanye utshintshe indlela otya ngayo, umthambo, okanye inkqubo yokwenza umsebenzi. Olu tshintsho lunokuchaphazela ishedyuli yakho yedosi kunye nenani le-insulin oya kuyidinga.
• buza ugqirha wakho ukuba kufuneka ujonge kangaphi iswekile yegazi lakho. Yazi ukuba i-hypoglycemia inokuchaphazela amandla akho okwenza imisebenzi enjengokuqhuba kwaye ubuze ugqirha wakho ukuba ufuna ukujonga iswekile yegazi ngaphambi kokuqhuba okanye ukusebenzisa oomatshini.

Qiniseka ukuba ulandela yonke imithambo kunye nezincomo zokutya ezenziwe ngugqirha wakho okanye ugqirha otya ukutya. Kubalulekile ukutya ukutya okusempilweni kunye nokutya malunga nokulingana kweentlobo ezifanayo zokutya malunga namaxesha afanayo suku ngalunye. Ukutsiba okanye ukulibazisa ukutya okanye ukutshintsha inani okanye uhlobo lokutya okutyayo kunokubangela iingxaki kulawulo lweswekile yegazi.

Ukuba uyayikhumbula idosi yakho kungekudala emva kwexesha obekufanele ukuba uyisebenzise, ​​ngenisa idosi ephosiweyo kwakamsinya nje ukuba uyikhumbule. Ukuba ixesha elithile lidlulile ukusukela kwixesha lakho lokulinganisa rhoqo, landela umkhombandlela obonelelwe ngugqirha wakho okanye ubize ugqirha wakho ukufumanisa ukuba ngaba ungalifaka idosi ephosiweyo na. Sukujoba idosi ephindwe kabini ukulungiselela eyilahlekileyo.

Eli yeza linokubangela utshintsho kwiswekile yegazi lakho. Kuya kufuneka uyazi iimpawu zeswekile esezantsi kunye ephezulu yegazi kwaye wenzeni ukuba unayo le miqondiso.

Inaliti yokufumana i-insulin inokubangela iziphumo ebezingalindelekanga. Tshela ugqirha wakho ukuba ngaba ezinye zeempawu zinzima okanye azihambi:

• ubomvu, ukudumba, okanye ukurhawuzelela kwindawo yenaliti
• Utshintsho kwindlela oziva ngayo ulusu lwakho, ukuqina kolusu (ukwakha amanqatha), okanye ukudakumba okuncinci kulusu (ukonakala kwamafutha)
• utshintsho lombono
• ukutyeba kwakho
• ukuqhina

Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. Ukuba ufumana enye yezi mpawu, biza ugqirha wakho ngokukhawuleza okanye ufumane unyango olungxamisekileyo:

• irhashalala kunye / okanye ukurhawuzelela umzimba wonke
• ukuqhawukelwa ngumphefumlo
• ukuvutha
• isiyezi
• uxinzelelo lwegazi oluphantsi
• ukungaboni kakuhle
• ukubetha kwentliziyo ngokukhawuleza
• ukubila
• ubuthathaka
• izihlunu zemithambo
• ukubetha kwentliziyo okungaqhelekanga
• ukuzuza ubunzima obukhulu ngexesha elifutshane
• ukudumba kwezandla, iinyawo, amaqatha okanye imilenze esezantsi

Idemir ye-insulin inokubangela ezinye iziphumo ebezingalindelekanga. Biza ugqirha wakho ukuba unayo nayiphi na ingxaki engaqhelekanga ngelixa usebenzisa eli yeza.

Gcina iibhola kunye neepeni kwi-carton yoqobo kwifriji. Musa ukubanda. Sukuyisebenzisa i-insulin detemir ukuba iqabile. Idemir ye-insulin engafakwanga efrijini inokugcinwa kude kube ngumhla oboniswe kwileyibhile yenkampani.

Ukuba akukho friji ifumanekayo (umzekelo, xa useholideyini), gcina iibhotile, okanye iipeni kubushushu begumbi kwaye kude nobushushu ngqo kunye nokukhanya. Iibhotile kunye neepeni ezingafakwanga kwisikhenkcezisi zingasetyenziswa kwisithuba seentsuku ezingama-42 okanye emva kwelo xesha kufuneka zilahlwe. Iibhotile ezivuliweyo zingagcinwa kangangeentsuku ezingama-42 kubushushu begumbi okanye kwifriji. Iipeni ezivuliweyo zinokugcinwa kubushushu begumbi ukuya kwiintsuku ezingama-42; sukuzifaka efrijini. Lahla nayiphi na i-insulin ebonakaliswe kukushisa okukhulu okanye kubanda.

Amayeza angafunekiyo kufuneka achithwe ngeendlela ezizodwa zokuqinisekisa ukuba izilwanyana zasekhaya, abantwana kunye nabanye abantu abanakuzisebenzisa. Nangona kunjalo, akufuneki uligungxule eli yeza kwindlu yangasese. Endaweni yoko, eyona ndlela yokulahla amayeza akho yinkqubo yokubuyisa amayeza. Thetha kumayeza wakho okanye unxibelelane nesebe lakho lenkunkuma / lokurisayikilisha ukuze ufunde malunga neenkqubo zokubuyisa kwindawo ohlala kuyo. Jonga i-FDA's Safe Disposal of Medicines website (http://goo.gl/c4Rm4p) ngolwazi oluthe kratya ukuba awunakho ukufikelela kwinkqubo yokubuyisa.

Kubalulekile ukugcina onke amayeza ngaphandle kwamehlo kunye nokufikelela kwabantwana njengezikhongozeli ezininzi (ezinje ngeeveki zeepilisi zeveki kunye nezo zamehlo, iikhrim, iipatches, kunye ne-inhalers) azinyangeki kwaye abantwana abancinci banokuzivula ngokulula. Ukukhusela abantwana abancinci kwiityhefu, soloko ukhiya iminqwazi yokhuseleko kwaye ubeke amayeza kwindawo ekhuselekileyo-leyo iphakame kwaye iphakame kwaye ingabonakali kubo kwaye ifikelele kuyo. http://www.upandaway.org

Kwimeko yokugqithisa, fowunela umnxeba wolawulo lwetyhefu kwi-1-800-222-1222. Ulwazi lukwafumaneka kwi-Intanethi kwi-https: //www.poisonhelp.org/help. Ukuba ixhoba liye lawa, laxhuzula, linengxaki yokuphefumla, okanye alikwazi ukuvuswa, ngoko nangoko lifowunele iinkonzo zongxamiseko ngo-911.

I-insulin detemir overdose inokwenzeka ukuba usebenzisa i-insulin kakhulu okanye ukuba usebenzisa isixa esifanelekileyo se-insulin kodwa utye kancinci kunesiqhelo okanye wenze umthambo ngaphezu kwesiqhelo. I-insulin detemir overdose inokubangela i-hypoglycemia. Ukuba unempawu zehypoglycemia, landela imiyalelo kagqirha wakho malunga nento ekufuneka uyenzile ukuba ukhulisa i-hypoglycemia. Ezinye iimpawu libanda:

• ukuxhuzula
• ukulahleka kwengqondo

Gcina lonke ixesha lokudibana nogqirha wakho kunye nelabhoratri. Iswekile yegazi lakho kunye ne-hemoglobin yeglycosylated (HbA1c) kufuneka ihlolwe rhoqo ukumisela impendulo yakho kwi-insulin detemir. Ugqirha wakho uya kukuxelela nendlela yokujonga impendulo yakho kwi-insulin ngokulinganisa amanqanaba eswekile yegazi ekhaya. Landela le miyalelo ngononophelo.

Kufuneka usoloko unxibe isacholo esichaza isifo seswekile ukuze uqiniseke ukuba ufumana unyango olufanelekileyo ngexesha likaxakeka.

Musa ukuvumela omnye umntu asebenzise amayeza akho. Buza usokhemesti wakho nayiphi na imibuzo onayo malunga nokuzalisa amayeza akho.

Kubalulekile ukuba ugcine uluhlu olubhaliweyo lwawo onke amayeza owasebenzisayo amayeza owasebenzisayo, kunye nezinye iimveliso ezinjengeevithamini, iiminerali, okanye ezinye izongezo zokutya. Kuya kufuneka uze nolu luhlu qho xa undwendwela ugqirha okanye ungeniswe esibhedlele. Kukwabalulekile ulwazi ukuba uphathe nawe xa kukho imeko kaxakeka.

• Levemir^®