I-insulin Glargine, isisombululo esichaphazelekileyo

Umxholo

• Yintoni i-insulin glargine?
• Kutheni isetyenziswa
• Ingaba isebenza kanjani
• Iziphumo ebezingalindelekanga ze-insulin
• Iziphumo eziqhelekileyo ezichaphazelekayo
• Iziphumo ebezingalindelekanga ezimandundu
• I-insulin glargine inokusebenzisana namanye amayeza
• Iziyobisi ezonyusa umngcipheko we-hypoglycemia
• Amayeza ngomlomo seswekile
• Iyeza lesitofu seswekile
• Uxinzelelo lwegazi kunye neziyobisi zentliziyo
• Amayeza angaqhelekanga emilinganiselo yentliziyo
• Amayeza athoba i-cholesterol yakho
• Iziyobisi ukunyanga uxinzelelo
• Amayeza entlungu
• I-Sulfonamide antibiotics
• Amayeza amancinci egazi
• Iziyobisi ezisetyenziselwa ukunyanga ukudumba
• Iziyobisi zombefu
• Amayeza asetyenziselwa ukunyanga usulelo
• Iihomoni zedlala lengqula
• Amahomoni amabhinqa
• Iziyobisi ukunyanga i-HIV
• Iziyobisi ukunyanga ukuphazamiseka kwengqondo
• Uyisebenzisa njani i-insulin glargine
• Iifom zedosi kunye namandla
• Isisombululo sokuphucula ukulawulwa kwe-glucose kubantu abane-1 yeswekile
• Idosi yokuphucula ulawulo lweglucose kubantu abanesifo seswekile sesi-2
• Ukuqwalaselwa okhethekileyo kwedosi
• Izilumkiso ze-insulin glargine
• Isilumkiso seswekile esezantsi yegazi
• Thiazolidinediones isilumkiso
• Isilumkiso sosulelo
• Amanqanaba asezantsi e-potassium alumkisa
• Isilumkiso somzimba
• Isilumkiso sokudibana kokutya
• Isilumkiso sokunxibelelana notywala
• Isilumkiso sokusetyenziswa
• Izilumkiso zabantu abaneemeko ezithile zempilo
• Izilumkiso kwamanye amaqela
• Sebenzisa njengoko kuyalelwe
• Ukuqwalaselwa okubalulekileyo kokusebenzisa i-insulin glargine
• Ngokubanzi
• Ukugcina
• Ukuhamba
• Ukuzilawula
• Ukubeka iliso kwezonyango
• Ukutya kwakho
• Iindleko ezifihliweyo
• Ngaba zikhona ezinye iindlela?

Amagqabantshintshi e-insulin glargine

1. Isisombululo se-insulin se-glargine sisifumaneka njengeziyobisi. Ayifumaneki njengechiza eliqhelekileyo. Amagama eBrand: Lantus, Basaglar, Toujeo.
2. I-insulin glargine iza kuphela njengesisombululo esitofwayo.
3. Isisombululo se-insulin se-insulin glargine sisetyenziselwa ukulawula iswekile ephezulu yegazi (i-hyperglycemia) kubantu abanohlobo 1 kunye nohlobo lwesibini lweswekile.

Yintoni i-insulin glargine?

I-insulin glargine sisiyobisi esimiselweyo. Iza njengesisombululo esizimeleyo.

I-insulin glargine iyafumaneka njengegama leziyobisi elithi Lantus, iBasaglar, kunye neToujeo. Ayifumaneki kuhlobo oluqhelekileyo.

I-insulin glargine yi-insulin esebenza ixesha elide. Ukuba une-1 yeswekile, kufuneka isetyenziswe ngokudibanisa ne-insulin emfutshane okanye ekhawulezayo. Ukuba unesifo seswekile sesi-2, eli chiza linokusetyenziswa lilodwa okanye ngamanye amayeza.

Kutheni isetyenziswa

I-insulin glargine isetyenziselwa ukunciphisa amanqanaba eswekile yegazi kubantu abadala nakubantwana abanesifo seswekile sokuqala. Isetyenziselwa ukunciphisa amanqanaba eswekile yegazi kubantu abadala abanesifo seswekile sesi-2.

Ingaba isebenza kanjani

I-insulin glargine yeyodidi lweziyobisi ekuthiwa yi-insulins esebenza ixesha elide. Iklasi leziyobisi liqela lamayeza asebenza ngendlela efanayo. La machiza ahlala esetyenziselwa ukunyanga iimeko ezifanayo.

I-insulin glargine isebenza ngokulawula ukuba iswekile isetyenziswa kwaye igcinwe njani emzimbeni wakho. Yonyusa isixa seswekile esetyenziswa yimisipha yakho, inceda ukugcina iswekile kumanqatha, kwaye iyeke isibindi sakho ekwenzeni iswekile. Ikwanqanda amanqatha kunye neprotein ekwaphulweni, kwaye inceda umzimba wakho wenze iproteni.

Ukuba une-1 yeswekile, iipancreas azinako ukwenza i-insulin. Ukuba unesifo seswekile sesi-2, i-pancreas yakho ayinako ukwenza i-insulin eyaneleyo, okanye umzimba wakho awunakho ukusebenzisa i-insulin eyenziwa ngumzimba wakho. I-insulin glargine ithatha indawo ye-insulin emzimbeni wakho.

Iziphumo ebezingalindelekanga ze-insulin

Isisombululo se-insulin se-glargine sinokubangela ukozela. Inokubangela ezinye iziphumo ebezingalindelekanga.

Iziphumo eziqhelekileyo ezichaphazelekayo

Iziphumo eziqhelekileyo ezinokubakho nge-insulin glargine zibandakanya:

• Iswekile esezantsi yegazi. Iimpawu zingabandakanya:
  • indlala
  • uvalo
  • ukungcangcazela
  • ukubila
  • Ukugodola
  • ukubamba
  • isiyezi
  • ukukhawuleza kwentliziyo
  • intloko elula
  • ukozela
  • ukudideka
  • ukungaboni kakuhle
  • intloko ebuhlungu
  • Ukuziva udidekile okanye ungazithandi, kunye nokucaphuka
• Ukufumana ubunzima obungachazwanga
• Ukuvuvukala kwiingalo zakho, imilenze, iinyawo, okanye amaqatha (i-edema)
• Impendulo kwindawo yenaliti. Iimpawu zingabandakanya:
  • indent encinci kulusu lwakho (lipoatrophy)
  • ukonyusa okanye ukwehla kwezicwili ezinamanqatha phantsi kolusu ekusebenziseni indawo yenaliti kakhulu
  • bomvu, ukudumba, ukutshisa, okanye ukurhawuzelela ulusu

Ezi ziphumo zingasuswa kwiintsuku nje ezimbalwa okanye kwiiveki ezimbalwa. Ukuba zinzima kakhulu okanye azihambi, thetha nogqirha wakho okanye usokhemesti.

Iziphumo ebezingalindelekanga ezimandundu

Shayela ugqirha wakho ngokukhawuleza ukuba unemiphumo emibi. Tsalela umnxeba ku-911 ukuba iimpawu zakho ziziva zisongela ubomi okanye ukuba ucinga ukuba unempilo kaxakeka. Iziphumo ebezingalindelekanga ezimandundu kunye neempawu zazo zinokubandakanya oku kulandelayo:

• Iingxaki zokuphefumla
• Ukunyanga komzimba. Iimpawu zingabandakanya:
  • irhashalala
  • ukurhawuzelela okanye urticaria
  • ukudumba kobuso bakho, imilebe, okanye ulwimi
• Iswekile esezantsi yegazi (hypoglycemia). Iimpawu zingabandakanya:
  • ixhala
  • ukudideka
  • isiyezi
  • ukwanda kwendlala
  • ubuthathaka okanye ukudinwa okungaqhelekanga
  • ukubila
  • ukungcangcazela
  • ubushushu bomzimba obuphantsi
  • ukucaphuka
  • intloko ebuhlungu
  • ukungaboni kakuhle
  • ukukhawuleza kwentliziyo
  • ukulahleka kwengqondo

Iphepha elichazayo ukuba awusenanto oyifunayo: Injongo yethu kukukunika olona lwazi lufanelekileyo nolukhoyo ngoku. Nangona kunjalo, ngenxa yokuba iziyobisi zichaphazela umntu ngamnye ngokwahlukileyo, asinakuqinisekisa ukuba olu lwazi lubandakanya zonke iziphumo ebezingalindelekanga ezinokubakho. Olu lwazi aluthathi ndawo yengcebiso yezonyango. Soloko uxoxa ngeziphumo ebezingalindelekanga ezinokwenzeka kunye nomboneleli wezempilo oyaziyo imbali yakho yezonyango.

I-insulin glargine inokusebenzisana namanye amayeza

Isisombululo se-insulin se-insulin glargine sinokusebenzisana namanye amayeza, iivithamini, okanye imifuno onokuthi uyithathe. Unxibelelwano kuxa into isitshintsha indlela esebenza ngayo iyeza. Oku kunokuba yingozi okanye kuthintele ichiza ekusebenzeni kakuhle.

Ukukunceda ukunqanda ukusebenzisana, ugqirha wakho kufuneka alawule onke amayeza ngononophelo. Qiniseka ukuba uxelela ugqirha wakho ngawo onke amayeza, iivithamini, okanye imifuno oyithathayo. Ukufumanisa ukuba eli chiza linokusebenzisana njani nenye into oyithathayo, thetha nogqirha wakho okanye usokhemesti.

Imizekelo yamachiza anokubangela ukuhlangana ne-insulin glargine zidweliswe apha ngezantsi.

Iziyobisi ezonyusa umngcipheko we-hypoglycemia

La mayeza kufuneka asetyenziswe ngononophelo nge-insulin glargine. Ukuzisebenzisa kunye kunokunyusa umngcipheko weswekile esezantsi yegazi. Imizekelo yala machiza ibandakanya:

• amanye amayeza eswekile
• pentamidine
• inyani
• Iimpawu ze-somatostatin

Amayeza ngomlomo seswekile

La mayeza kufuneka asetyenziswe ngononophelo nge-insulin glargine. Ukuzisebenzisa kunye kunokunyusa umngcipheko wokugcinwa kwamanzi kunye neengxaki zentliziyo, ezinje ngokusilela kwentliziyo. Imizekelo yala machiza ibandakanya:

• mzantsiweb
• rosiglitazone

Iyeza lesitofu seswekile

Ukuthatha exenatide nge-insulin glargine inokunyusa umngcipheko weswekile esezantsi yegazi. Ukuba ufuna ukuthatha la machiza kunye, ugqirha wakho unokunciphisa idosi ye-insulin glargine.

Uxinzelelo lwegazi kunye neziyobisi zentliziyo

Iindidi ezahlukeneyo zoxinzelelo lwegazi kunokukuchaphazela ngokwahlukileyo ngelixa usebenzisa i-insulin glargine.

Ibhlokhi yeBeta

La machiza atshintsha indlela umzimba wakho olawula ngayo iswekile yegazi. Ukuwathatha nge-insulin glargine kunokubangela iswekile ephezulu yegazi okanye esezantsi. Banokufihla iimpawu zakho zeswekile esezantsi yegazi. Ugqirha wakho uyakukujonga ngokusondeleyo ukuba usebenzisa la mayeza nge-insulin glargine. Imizekelo yala machiza ibandakanya:

• acebutolol
• atenolol
• ibhisoloprolol
• esmolol
• imoloprolol
• nadolol
• nebivolol
• ipropranolol

I-Angiotensin-eguqula i-enzyme inhibitors kunye ne-angiotensin II receptor antagonists

La machiza anokukwenza ube novakalelo ngakumbi kwi-insulin glargine. Oku kunokuphakamisa umngcipheko weswekile esezantsi yegazi. Ukuba uthatha la machiza nge-insulin glargine, kuya kufuneka ujongwe kufutshane nolawulo lweswekile yegazi. Imizekelo yala machiza ibandakanya:

• mzantsiweb
• captopril
• enaphilili
• fosinopril
• lisinopril
• quinapril
• zitshisa
• ikhandlela
• eprosartan
• zulube
• losartan
• zekisoft
• valsartan

Ezinye iintlobo zamachiza oxinzelelo lwegazi

La machiza anokuzifihla iimpawu kunye neempawu zeswekile esezantsi yegazi. Ukuba uthatha la machiza nge-insulin glargine, ugqirha wakho kufuneka abeke esweni ngokusondeleyo.

• clonidine
• guanethidine
• gcwalisa

Amayeza angaqhelekanga emilinganiselo yentliziyo

Ukuthatha mzwbhabhi nge-insulin glargine inokunyusa iswekile esehla egazini ye-insulin glargine. Oku kunokuphakamisa umngcipheko weswekile esezantsi yegazi. Ukuba ufuna ukusebenzisa la machiza kunye, ugqirha wakho unokunciphisa idosi ye-insulin glargine.

Amayeza athoba i-cholesterol yakho

Ukuthatha iifiber nge-insulin glargine inokunyusa iswekile esehla egazini ye-insulin glargine. Oku kunokuphakamisa umngcipheko weswekile esezantsi yegazi. Ukuba ufuna ukuthatha la machiza nge-insulin glargine, ugqirha wakho unokunciphisa idosi ye-insulin glargine.

Ukuthatha niacin nge-insulin glargine inokunciphisa iswekile esehla egazini ye-insulin glargine. Oku kunokuphakamisa umngcipheko weswekile ephezulu yegazi. Ukuba ufuna ukuthatha eli chiza nge-insulin glargine, ugqirha wakho unokunyusa i-insulin glargine dosage.

Iziyobisi ukunyanga uxinzelelo

Ukuthatha la machiza nge-insulin glargine kunokunyusa iswekile esehla egazini ye-insulin glargine. Oku kunokuphakamisa umngcipheko weswekile esezantsi yegazi. Ukuba ufuna ukuthatha la machiza nge-insulin glargine, ugqirha wakho unokunciphisa idosi ye-insulin glargine. Imizekelo yala machiza ibandakanya:

• fluoxetine
• i-monoamine oxidase inhibitors (MAOIs)

Amayeza entlungu

Ukuthatha iintlungu iziyobisi ezibizwa Iisalicylates nge-insulin glargine inokunyusa iswekile esehla egazini ye-insulin glargine. Oku kunokuphakamisa umngcipheko weswekile esezantsi yegazi. Ukuba ufuna ukuthatha la machiza nge-insulin glargine, ugqirha wakho unokunciphisa idosi ye-insulin glargine. Imizekelo yala machiza ibandakanya:

• Iasprini
• bismuth subsalicylate

I-Sulfonamide antibiotics

Ukuthatha la machiza nge-insulin glargine kunokunyusa iswekile esehla egazini ye-insulin glargine. Oku kunokuphakamisa umngcipheko weswekile esezantsi yegazi. Ukuba ufuna ukuthatha la machiza nge-insulin glargine, ugqirha wakho unokunciphisa idosi ye-insulin glargine. Imizekelo yala machiza ibandakanya:

• isulfamethoxazole

Amayeza amancinci egazi

Ukuthatha pentoxifylline nge-insulin glargine inokunyusa iswekile esehla egazini ye-insulin glargine. Oku kunokuphakamisa umngcipheko weswekile esezantsi yegazi. Ukuba ufuna ukuthatha eli chiza nge-insulin glargine, ugqirha wakho unokunciphisa idosi ye-insulin glargine.

Iziyobisi ezisetyenziselwa ukunyanga ukudumba

Ukuthatha icorticosteroids nge-insulin glargine inokunciphisa iswekile esehla egazini ye-insulin glargine. Oku kunokuphakamisa umngcipheko weswekile ephezulu yegazi. Ukuba ufuna ukuthatha eli chiza nge-insulin glargine, ugqirha wakho unokunyusa i-insulin glargine dosage.

Iziyobisi zombefu

Ukuthatha la machiza nge-insulin glargine kunokunciphisa iswekile yegazi-ukunciphisa isiphumo se-insulin glargine. Oku kunokuphakamisa umngcipheko weswekile ephezulu yegazi. Ukuba ufuna ukuthatha la machiza nge-insulin glargine, ugqirha wakho unokunyusa umthamo wakho we-insulin glargine. Imizekelo yala machiza ibandakanya:

• epinephrin
• albuterol
• terbutaline

Amayeza asetyenziselwa ukunyanga usulelo

Ukuthatha la machiza nge-insulin glargine kunokunciphisa iswekile yegazi-ukunciphisa isiphumo se-insulin glargine. Oku kunokuphakamisa umngcipheko weswekile ephezulu yegazi. Ukuba ufuna ukuthatha la machiza nge-insulin glargine, ugqirha wakho unokunyusa umthamo wakho we-insulin glargine. Imizekelo yala machiza ibandakanya:

• isoniazid
• pentamidine

Iihomoni zedlala lengqula

Ukuthatha la machiza nge-insulin glargine kunokunciphisa iswekile yegazi-ukunciphisa isiphumo se-insulin glargine. Oku kunokuphakamisa umngcipheko weswekile ephezulu yegazi. Ukuba ufuna ukuthatha la machiza nge-insulin glargine, ugqirha wakho unokunyusa umthamo wakho we-insulin glargine.

Amahomoni amabhinqa

Ukuthatha i-insulin glargine kunye neehomoni ezisetyenziswa rhoqo kulawulo lokuzalwa kunokunciphisa iswekile esehla kwiswekile ye-insulin glargine. Oku kunokuphakamisa umngcipheko weswekile ephezulu yegazi. Ukuba ufuna ukuthatha la machiza nge-insulin glargine, ugqirha wakho unokunyusa umthamo wakho we-insulin glargine. Imizekelo yala machiza ibandakanya:

• estrogen
• progestogens

Iziyobisi ukunyanga i-HIV

Ukuthatha Iprotease inhibitors nge-insulin glargine inokunciphisa iswekile esehla egazini ye-insulin glargine. Oku kunokuphakamisa umngcipheko weswekile ephezulu yegazi. Ukuba ufuna ukuthatha la machiza nge-insulin glargine, ugqirha wakho unokunyusa umthamo wakho we-insulin glargine. Imizekelo yala machiza ibandakanya:

• mzing
• darunavir
• fosamprenavir
• eyifuman
• lopinavir / ritonavir
• mzwqdb
• ritonavir

Iziyobisi ukunyanga ukuphazamiseka kwengqondo

Ukuthatha la machiza nge-insulin glargine kunokunciphisa iswekile yegazi-ukunciphisa isiphumo se-insulin glargine. Oku kunokuphakamisa umngcipheko weswekile ephezulu yegazi. Ukuba ufuna ukuthatha la machiza nge-insulin glargine, ugqirha wakho unokunyusa umthamo wakho we-insulin glargine. Imizekelo yala machiza ibandakanya:

• olanzapine
• clozapine
• lithium
• phenothiazines

Iphepha elichazayo ukuba awusenanto oyifunayo: Injongo yethu kukukunika olona lwazi lufanelekileyo nolukhoyo ngoku. Nangona kunjalo, ngenxa yokuba iziyobisi zinxibelelana ngokwahlukileyo kumntu ngamnye, asinakuqinisekisa ukuba olu lwazi lubandakanya lonke unxibelelwano olunokwenzeka. Olu lwazi aluthathi ndawo yengcebiso yezonyango. Soloko uthetha nomboneleli wakho wezempilo malunga nokunxibelelana okunokubakho nawo onke amayeza amiselweyo, iivithamini, amayeza kunye nezongezo, kunye namayeza owathethayo.

Uyisebenzisa njani i-insulin glargine

Zonke iidosi ezikhoyo kunye neefom azinakufakwa apha. Idosi yakho, ifom, kwaye uyisebenzisa kangaphi kuya kuxhomekeka:

• iminyaka yakho
• imeko inyangwa
• imbi kangakanani imeko yakho
• ezinye iimeko zonyango onazo
• usabela njani kwidosi yokuqala

Iifom zedosi kunye namandla

Igama lebrand: I-Basaglar

• Ifom: isisombululo esitofwayo
• Amandla: Iiyunithi ezili-100 nge-mL nganye, ngepeni engange-3-mL

Igama lebrand: ILantus

• Ifom: isisombululo esitofwayo
• Amandla:
  • Iiyunithi ezili-100 nge-mL kwi-10-mL
  • Iiyunithi ezili-100 nge-mL nganye kwi-3-mL ipen

Igama lebrand: Toujeo

• Ifom: isisombululo esitofwayo
• Amandla:
  • Iiyunithi ezingama-300 nge-mL nganye kwi-1.5-mL ipeni egcwalisiweyo (iiyunithi ezingama-450 / 1.5 ml)
  • Iiyunithi ezingama-300 nge-mL nganye ngepeni eyi-3-mL (iiyunithi ezingama-900/3 ml)

Isisombululo sokuphucula ukulawulwa kwe-glucose kubantu abane-1 yeswekile

Iingcebiso zedosi yeLantus kunye neBasaglar

Idosi yabantu abadala (iminyaka eyi-16-64 iminyaka)

• Sebenzisa i-insulin glargine kanye ngemini, kwangaxeshanye yonke imihla.
• Ugqirha wakho uya kubala idosi yakho yokuqala kunye naluphi na utshintsho lwedosi ngokusekwe kwiimfuno zakho, iziphumo zokujonga iswekile yegazi, kunye neenjongo zonyango.
• Ukuba unohlobo lweswekile 1, idosi yokuqala ecetyiswayo imalunga nesinye kwisithathu seemfuno zakho ze-insulin yemihla ngemihla. Ukusebenza ngokukhawuleza okanye okukhawulezayo, ngaphambi kokutya i-insulin kufuneka isetyenziselwe ukwanelisa intsalela yeemfuno zakho zemihla ngemihla ye-insulin.
• Ukuba utshintsha ukusuka kwi-insulin ephakathi okanye ende esebenza kwi-insulin glargine, isixa kunye nexesha leedosi zakho ze-insulin kunye neziyobisi ezichasene neswekile zingadinga ukuhlengahlengiswa ngugqirha wakho.

Umthamo womntwana (iminyaka eyi-6-15 iminyaka)

• Umntwana wakho kufuneka atofe i-insulin glargine kube kanye ngemini, ngaxeshanye yonke imihla.
• Ugqirha wakho uza kubala idosi yomntwana wakho ngokusekwe kwiimfuno zomntwana wakho, iziphumo zokujonga iswekile yegazi, kunye neenjongo zonyango.
• Ukuba umntwana wakho unesifo seswekile sohlobo 1, idosi yokuqala ecetyiswayo imalunga nesinye kwisithathu seemfuno zemihla ngemihla zomntwana wakho we-insulin. Ukwenza okufutshane, i-insulin yangaphambi kokutya kufuneka isetyenziselwe ukwanelisa intsalela yeemfuno zemihla ngemihla zomntwana wakho we-insulin.
• Ukuba umntwana wakho uyatshintsha ukusuka kwi-insulin ephakathi okanye ende esebenza kwi-insulin glargine, ugqirha wakho unokufuna ukulungelelanisa inani kunye nexesha leedosi zabo ze-insulin kunye neziyobisi ezichasene nesifo seswekile.

Idosi yomntwana (iminyaka eyi-0-5 iminyaka)

Eli chiza alifakwanga likhuselekile kwaye lisebenza ukuba lisetyenziswe kubantwana abangaphantsi kweminyaka emi-6 kunyango lohlobo lweswekile 1.

Umthamo omkhulu (iminyaka eyi-65 nangaphezulu)

• Kuya kufuneka usebenzise i-insulin glargine ngononophelo ukuba ungaphezulu kweminyaka eyi-65, kuba inokwenza kube nzima ngakumbi ukubona iimpawu zeswekile esezantsi yegazi. Unokuba nobuthathaka ngakumbi kwimiphumo ye-insulin.
• Ugqirha wakho unokukuqala ngomthamo wokuqala osezantsi kwaye wandise idosi yakho ngokuthe chu.

Iingcebiso zedosi yeToujeo

Idosi yabantu abadala (iminyaka eyi-18-64 iminyaka)

• Faka i-insulin glargine kanye ngemini, ngexesha elifanayo yonke imihla.
• Ugqirha wakho uya kubala idosi yakho yokuqala kunye naluphi na utshintsho lwedosi ngokusekwe kwiimfuno zakho, iziphumo zokujonga iswekile yegazi, kunye neenjongo zonyango.
• Ukuba unohlobo lweswekile 1, idosi yokuqala ecetyiswayo imalunga nesinye kwisithathu ukuya kwisiqingatha semfuno yakho yemihla ngemihla ye-insulin. Kuya kufuneka usebenzise i-insulin emfutshane esebenza ukwanelisa intsalela yeemfuno zakho zemihla ngemihla ye-insulin.
• Ukuba awuzange ufumane i-insulin ngaphambili, ngokubanzi, ugqirha wakho angasebenzisa idosi ye-0.2 ukuya kwiiyunithi eziyi-0.4 ze-insulin / kg ukubala idosi ye-insulin yakho yemihla ngemihla yokuqala.
• Ukuba utshintsha ukusuka kwi-insulin ephakathi okanye ende esebenza kwi-insulin glargine, ugqirha wakho unokufuna ukulungelelanisa inani kunye nexesha leedosi zakho ze-insulin kunye neziyobisi ezichasene nesifo seswekile.

Umthamo womntwana (iminyaka eyi-0-17 iminyaka)

Eli chiza alifakwanga likhuselekile kwaye lisebenza ukuba lisetyenziswe kubantwana abangaphantsi kweminyaka eli-18.

Umthamo omkhulu (iminyaka eyi-65 nangaphezulu)

• Kuya kufuneka usebenzise i-insulin glargine ngononophelo ukuba ungaphezulu kweminyaka eyi-65, kuba kunokuba nzima ngakumbi ukubona iimpawu zeswekile esezantsi yegazi. Unokuba nobuthathaka ngakumbi kwimiphumo ye-insulin.
• Ugqirha wakho unokukuqala ngomthamo wokuqala osezantsi kwaye wandise idosi yakho ngokuthe chu.

Idosi yokuphucula ulawulo lweglucose kubantu abanesifo seswekile sesi-2

Iingcebiso zedosi yeLantus kunye neBasaglar

Idosi yabantu abadala (iminyaka eyi-18-64 iminyaka)

• Faka i-insulin glargine kanye ngemini, ngexesha elifanayo yonke imihla.
• Ugqirha wakho uya kubala idosi yakho yokuqala kunye naluphi na utshintsho lwedosi ngokusekwe kwiimfuno zakho, iziphumo zokujonga iswekile yegazi, kunye neenjongo zonyango.
• Ukuba unesifo seswekile sesi-2, idosi yokuqala ecetyiswayo yeyunithi ye-0.2 / kg okanye ukuya kuthi ga kwiiyunithi ezili-10 kube kanye yonke imihla. Ugqirha wakho kusenokufuneka alungelelanise inani kunye nexesha le-insulins yakho emfutshane okanye ekhawulezileyo kunye needosi zaso nasiphi na isiyobisi somlomo esichasayo.
• Ukuba utshintsha ukusuka kwi-insulin ephakathi okanye ende esebenza kwi-insulin glargine, ugqirha wakho unokufuna ukulungelelanisa inani kunye nexesha leedosi zakho ze-insulin kunye neziyobisi ezichasene nesifo seswekile.

Umthamo womntwana (iminyaka eyi-0-17 iminyaka)

Eli chiza alifakwanga likhuselekile kwaye lisebenza ukuba lisetyenziswe kubantwana abangaphantsi kweminyaka eli-18 abanesifo seswekile sesi-2.

Umthamo omkhulu (iminyaka eyi-65 nangaphezulu)

• Kuya kufuneka usebenzise i-insulin glargine ngononophelo ukuba ungaphezulu kweminyaka eyi-65, kuba kunokuba nzima ngakumbi ukubona iimpawu zeswekile esezantsi yegazi. Unokuba nobuthathaka ngakumbi kwimiphumo ye-insulin.
• Ugqirha wakho unokukuqala ngomthamo wokuqala osezantsi kwaye wandise idosi yakho ngokuthe chu.

Iingcebiso zeToujeo

Idosi yabantu abadala (iminyaka eyi-18-64 iminyaka)

• Faka i-insulin glargine kanye ngemini, ngexesha elifanayo yonke imihla.
• Ugqirha wakho uya kubala idosi yakho yokuqala kunye naluphi na utshintsho lwedosi ngokusekwe kwiimfuno zakho, iziphumo zokujonga iswekile yegazi, kunye neenjongo zonyango.
• Ukuba unesifo seswekile sesi-2, idosi yokuqala ecetyiswayo yeyunithi ye-0.2 / kg kube kanye yonke imihla.
• Ukuba utshintsha ukusuka kwi-insulin ephakathi okanye ende esebenza kwi-insulin glargine, ugqirha wakho unokufuna ukulungelelanisa inani kunye nexesha leedosi zakho ze-insulin kunye neziyobisi ezichasene nesifo seswekile.

Umthamo womntwana (iminyaka eyi-0-17 iminyaka)

Eli chiza alifakwanga likhuselekile kwaye lisebenza kubantu abangaphantsi kweminyaka eli-18 abanesifo seswekile sesi-2.

Umthamo omkhulu (iminyaka eyi-65 nangaphezulu)

• Kuya kufuneka usebenzise i-insulin glargine ngononophelo ukuba ungaphezulu kweminyaka eyi-65, kuba kunokuba nzima ngakumbi ukubona iimpawu zeswekile esezantsi yegazi. Unokuba nobuthathaka ngakumbi kwimiphumo ye-insulin.
• Ugqirha wakho unokukuqala ngomthamo wokuqala osezantsi kwaye wandise idosi yakho ngokuthe chu.

Ukuqwalaselwa okhethekileyo kwedosi

Kubantu abanesifo sesibindi: Isibindi sakho sinokungakwazi ukwenza iswekile kunye nokwaphula i-insulin glargine njengoko kufanelekile. Ugqirha wakho unokukunika idosi engezantsi yeli yeza.

Kubantu abanesifo sezintso: Izintso zakho azinakho ukophula i-insulin glargine njengoko kufanele. Ugqirha wakho unokukunika idosi engezantsi yeli yeza.

Iphepha elichazayo ukuba awusenanto oyifunayo: Injongo yethu kukukunika olona lwazi lufanelekileyo nolukhoyo ngoku. Nangona kunjalo, ngenxa yokuba iziyobisi zichaphazela umntu ngamnye ngokwahlukileyo, asinakuqinisekisa ukuba olu luhlu lubandakanya zonke iidosi ezinokubakho. Olu lwazi aluthathi ndawo yengcebiso yezonyango. Soloko uthetha nogqirha wakho okanye usokhemesti malunga needosi ezikulungeleyo.

Xelela ugqirha wakho ukuba uyagula, uphosa phezulu, okanye utshintshe indlela otya ngayo okanye yokwenza umthambo. Ugqirha wakho unokuhlengahlengisa idosi yakho ye-insulin glargine okanye akuqwalasele ukuba uneengxaki zesifo seswekile.

Tshela ugqirha wakho ngaphambi kokuba uqale naliphi na iyeza elitsha okanye amayeza e-counter-counter, iimveliso zemveliso, okanye izongezo.

Izilumkiso ze-insulin glargine

Eli chiza liza nezilumkiso ezininzi.

Isilumkiso seswekile esezantsi yegazi

Unokuba neswekile esezantsi yegazi ephantsi okanye egazini (hypoglycemia) ngelixa uthatha i-insulin glargine. Iswekile esezantsi yegazi inokuba yingozi. Ingayenzakalisa intliziyo yakho okanye ingqondo, kwaye ibangele ukungabikho zingqondweni, ukuxhuzula, okanye kude kubulale.

Iswekile esezantsi yegazi inokwenzeka ngokukhawuleza kwaye ize ngaphandle kweempawu. Kubalulekile ukujonga iswekile yegazi rhoqo njengoko ugqirha esitsho. Iimpawu zingabandakanya:

• ixhala, ukuba nochuku, ukungazinzi, ingxaki yokugxila, ukuziva udidekile okanye ungazithandi
• ukubetha ezandleni zakho, iinyawo, imilebe, okanye ulwimi
• ukuba nesiyezi, ukuba krwada, okanye ukozela
• amaphupha amabi okanye ingxaki yokulala
• intloko ebuhlungu
• ukungaboni kakuhle
• intetho engacacanga
• ukukhawuleza kwentliziyo
• ukubila
• ndingcangcazela
• ukungazinzi ukuhamba

Thiazolidinediones isilumkiso

Ukuthatha iipilisi zeswekile ezibizwa ngokuba yi-thiazolidinediones (TZDs) nge-insulin glargine kunokubangela ukusilela kwentliziyo.

Tshela ugqirha wakho ukuba unayo nayiphi na impawu ezintsha okanye eziba mandundu zokungaphumeleli kwentliziyo, kubandakanya ukuphefumla okufutshane, ukudumba kwamaqatha okanye iinyawo, kunye nokufumana ubunzima ngesiquphe. Ugqirha wakho unokuhlengahlengisa idosi yakho ye-TZD ukuba unale mpawu.

Isilumkiso sosulelo

Akufanele wabelane ngeebhotile ze-insulin, iisirinji, okanye iipeni ezizalisiweyo kunye nabanye abantu. Ukwabelana okanye ukusebenzisa kwakhona iinaliti okanye iisirinji nomnye umntu kubeka wena nabanye emngciphekweni wosulelo olwahlukeneyo.

Amanqanaba asezantsi e-potassium alumkisa

Zonke iimveliso ze-insulin zinokunciphisa isixa se potassium egazini. Amanqanaba egazi e-potassium asezantsi anokunyusa umngcipheko wokubetha kwentliziyo ngokungaqhelekanga ngelixa uthatha eli chiza. Ukuthintela oku, ugqirha wakho uya kujonga amanqanaba egazi le potassium ngaphambi kokuba uqale ukuthatha eli chiza.

Isilumkiso somzimba

Ngamanye amaxesha, ukusongela ubomi ukusabela komzimba kunokuvela nge-insulin glargine. Iimpawu zokungabikho komzimba kwi-insulin glargine inokubandakanya:

• irhashalala emzimbeni wonke
• ukuqhawukelwa ngumphefumlo
• ingxaki yokuphefumla
• ukubetha ngokukhawuleza
• ukubila
• uxinzelelo lwegazi oluphantsi

Ukuba uvelisa ezi mpawu, tsalela umnxeba ku-911 okanye uye kwigumbi lexakeka elikufutshane.

Musa ukuphinda ulisebenzise eli chiza ukuba ukhe waba neempendulo ezichaseneyo nalo. Ukuyithatha kwakhona kunokuba yingozi (kubangele ukufa).

Isilumkiso sokudibana kokutya

Uhlobo kunye nenani lokutya okutyayo linokuchaphazela ubuninzi be-insulin glargine oyifunayo. Tshela ugqirha wakho ukuba utshintsha indlela otya ngayo. Kusenokufuneka bahlengahlengise idosi yakho ye-insulin glargine.

Isilumkiso sokunxibelelana notywala

Utywala bunokwenza kube nzima ngakumbi ukulawula iswekile esegazini ngelixa uthatha i-insulin glargine. Nciphisa utywala ngelixa uthatha eli chiza.

Isilumkiso sokusetyenziswa

Musa ukwabelana nge-insulin glargine nabanye nokuba bakwimeko efanayo yonyango. Inokubenzakalisa.

Izilumkiso zabantu abaneemeko ezithile zempilo

Kubantu abanesifo sesibindi: Isibindi sakho sinokungakwazi ukwenza iswekile kunye nokwaphula i-insulin glargine njengoko kufanelekile. Ugqirha wakho unokukunika idosi engezantsi yeli yeza.

Kubantu abanesifo sezintso: Izintso zakho azinakho ukophula i-insulin glargine njengoko kufanele. Ugqirha wakho unokukunika idosi engezantsi yeli yeza.

Kubantu abaneswekile esezantsi yegazi (hypoglycemia): Kuya kufuneka usebenzise i-insulin glargine ngononophelo ukuba ufumana iswekile esezantsi yegazi rhoqo. Ihlala emzimbeni wakho ixesha elide kwaye kungathatha ixesha elide ukunyanga iswekile esezantsi yegazi. Umngcipheko wakho unokuphakama ukuba uneminyaka engama-65 okanye ngaphezulu okanye ukuba awutyi kwishedyuli.

Kubantu abane-edema: I-insulin glargine inokuyenza mandundu i-edema yakho. Eli chiza linokubangela ukuba umzimba wakho ugcine isodiyam. Oku kungabamba ulwelo kwizicubu zomzimba wakho, nezithi zibangele ukudumba (i-edema) yezandla zakho, iinyawo, iingalo kunye nemilenze.

Kubantu abanesifo sentliziyo: Ukuthatha iipilisi zomlomo weswekile ezibizwa ngokuba yi-thiazolidinediones (TZDs) nge-insulin glargine kunokubambisa ulwelo kwizicwili zomzimba wakho kwaye kubangele okanye kubangele ukusilela kwentliziyo.

Izilumkiso kwamanye amaqela

Abafazi abakhulelweyo: Ayaziwa ukuba i-insulin glargine ikhuselekile ukuba isetyenziswe kubafazi abakhulelweyo.

Tshela ugqirha wakho ukuba ukhulelwe okanye ucwangcise ukukhulelwa. Kuya kufuneka usebenzise i-insulin glargine kuphela ngexesha lokukhulelwa ukuba isibonelelo esinokubakho siqinisekisa umngcipheko onokubakho.

Kubafazi abancancisayo: Ayaziwa ukuba i-insulin glargine idlula kubisi lwebele. Wena kunye nogqirha wakho unokufuna ukugqiba ukuba uya kusebenzisa i-insulin glargine okanye uncelise. Ukuba wenza zombini, idosi yakho ye-insulin glargine inokufuna ukuba ihlengahlengiswe, kwaye inqanaba leswekile yegazi lakho linokujongwa ngononophelo.

Kubantu abadala: Abantu abaneminyaka engama-65 okanye ngaphezulu banokuba novakalelo ngakumbi kwi-insulin glargine. Oku kunokuphakamisa umngcipheko wokuphendula ngeswekile esezantsi. Ugqirha unokukuqala kwidosi esezantsi, kwaye wandise idosi yakho kancinci.

Kubantwana: Thetha nogqirha womntwana wakho malunga nokusetyenziswa kwe-insulin glargine ebantwaneni. Unonophelo olukhethekileyo lunokufuneka.

Sebenzisa njengoko kuyalelwe

Isisombululo se-insulin se-insulin glargine sisetyenziselwa unyango lwexesha elide. Kuza nomngcipheko omkhulu ukuba awusebenzisi njengoko kumiselwe.

Ukuba awuyisebenzisi kwaphela okanye utsibe okanye uphose idosi: Unokuba neswekile ephezulu yegazi, enokuthi ikhokelele kwimiphumela emibi yezempilo.

Ukuba usebenzisa kakhulu: Ukuba usebenzisa i-insulin glargine kakhulu, unokuba neswekile esezantsi yegazi ephantsi okanye esongela ubomi (i-hypoglycemia). Phatha umthombo okhawulezayo weswekile kunye nawe xa unokuthi ube neempawu zeswekile esezantsi yegazi. Landela isicwangciso sakho sonyango esisezantsi sonyango njengoko kumiselwe ngugqirha. Iimpawu zeswekile esezantsi yegazi inokubandakanya:

• ukudlula
• ukuxhuzula
• iingxaki zemithambo-luvo

Ukuba ucinga ukuba uthathe eli chiza kakhulu, tsalela ugqirha wakho okanye ufune isikhokelo kuMbutho waseMelika wamaZiko oLawulo lweTyhefu ngo-1-800-222-1222 okanye ngesixhobo sazo esikwi-intanethi. Kodwa ukuba iimpawu zakho zinzima, tsalela umnxeba ku-911 okanye uye kwigumbi likaxakeka elikufutshane ngoko nangoko.

Yintoni omele uyenze xa uphosa idosi: Kubalulekile ukuba ungaphoswa yidosi. Ugqirha wakho kufuneka axoxe ngesicwangciso sedosi ephosiweyo kunye nawe. Ukuba uphose idosi, landela eso sicwangciso.

Ungaxela njani ukuba ichiza liyasebenza: Inqanaba leswekile yegazi lakho kufuneka libe sezantsi.

Ukuqwalaselwa okubalulekileyo kokusebenzisa i-insulin glargine

Gcina ezi ngqwalaselo engqondweni ukuba ugqirha wakho ukumisela i-insulin glargine.

Ngokubanzi

• I-insulin glargine inokusetyenziswa kunye okanye ngaphandle kokutya.
• I-insulin glargine inokusetyenziswa nangaliphi na ixesha emini, kodwa kufuneka isetyenziswe ngaxeshanye yonke imihla.

Ukugcina

Kubalulekile ukugcina i-insulin glargine ngokuchanekileyo ukuze isebenze njengoko kufanelekile.

Ibhotile engavulwanga:

• Gcina iibhotile ezintsha ze-insulin (ezingavulwanga) kwifriji kubushushu obuphakathi kwe-36 ° F kunye ne-46 ° F (2 ° C kunye ne-8 ° C).
• Eli chiza linokugcinwa kwifriji kude kube ngumhla wokuphelelwa kwibhokisi okanye igutyana.
• Musa ukuliqandisa eli yeza.
• Gcina i-insulin glargine ngaphandle kobushushu ngqo kunye nokukhanya.
• Ukuba i-vial ibandisiwe, ishiywe ngaphandle kumaqondo obushushu aphezulu, okanye iphelelwe lixesha, yilahle kude nokuba kusekho i-insulin kuyo.

Vula (iyasetyenziswa) ibhotile:

• Nje ukuba kuvulwe ibhotile, ungayigcina kwifriji okanye kwiqondo lobushushu elingaphantsi kwe-86 ° F (30 ° C).
• Gcina eli chiza kude nobushushu ngqo kunye nokukhanya.
• Ibhotile evulekileyo kufuneka ilahlwe kude kwiintsuku ezingama-28 emva kokusetyenziswa kokuqala nokuba ishiye i-insulin kuyo.

Ukuhamba

Xa uhamba namayeza akho:

• Soloko uphatha amayeza akho kunye nawe. Xa ubhabha, ungaze uyibeke kwingxowa ekhangelwe. Yigcine kwibhegi yakho yokuqhubela phambili.
• Musa ukuzikhathaza ngoomatshini beX-ray kwisikhululo seenqwelo-moya. Abakwazi ukulimaza amayeza akho.
• Kusenokufuneka ubonise abasebenzi besikhululo seenqwelomoya ilebhile yekhemesti yakho. Soloko uphatha ikhonteyina eneleta emiselweyo yentsusa.
• Iibhotile ezingavulwanga zeli yeza kufuneka zifrijiwe. Sebenzisa ibhegi ekhuselweyo enepakethe ebandayo ukugcina ubushushu xa uhamba. Iibhotile ezivuliweyo zinokufakwa efrijini okanye zigcinwe kubushushu begumbi elingaphantsi kwe-86 ° F (30 ° C). Nangona kunjalo, qiniseka ukubagcina kude nobushushu ngqo kunye nokukhanya. Landela imiyalelo yokugcina ekhankanywe kumayeza.
• Musa ukubeka eli yeza kwigumbi leglavu lemoto yakho okanye ulishiye emotweni. Qiniseka ukuthintela ukwenza oku xa imozulu ishushu kakhulu okanye ibanda kakhulu.
• Iinaliti kunye neesirinji kufuneka zisetyenziselwe ukusebenzisa eli yeza. Jonga imigaqo ekhethekileyo malunga nokuhamba neziyobisi, iinaliti kunye neesirinji.

Ukuzilawula

Ugqirha wakho, usokhemesti, umongikazi, okanye utitshala weswekile uya kukubonisa ukuba:

• rhoxisa i-insulin kwibhotile
• fakela iinaliti
• nika inaliti yakho ye-insulin glargine
• lungelelanisa idosi yakho kwimisebenzi kunye nokugula
• jonga iswekile yegazi lakho
• indawo kwaye unyange iimpawu zeswekile esezantsi kunye ephezulu yegazi

Ukongeza kwi-insulin glargine, uyakufuna:

• iinaliti
• iisirinji
• isikhongozeli esikhuselekileyo sokulahla inaliti
• utywala
• Iilancets zokuhlaba umunwe wakho ukuvavanya iswekile yegazi lakho
• iziqwenga zovavanyo lweswekile egazini
• ukubeka esweni iglucose

Ukuthatha amayeza akho:

• Sebenzisa i-insulin glargine ngexesha elifanayo yonke imihla.
• Yisebenzise ngokuchanekileyo njengoko kumiselwe ngugqirha wakho.
• Ungaze uyixube kwisirinji efanayo kunye nezinye ii-insulins ngaphambi kwenaliti.
• Ngalo lonke ixesha jonga ukubonakala kwe-insulin glargine ngaphambi kokuyisebenzisa. Kufuneka icace kwaye ingenambala njengamanzi. Ungayisebenzisi ukuba kunamafu, kuxinene, kunemibala, okanye kukho amasuntswana kuwo.
• Sukuphinda usebenzise okanye wabelane ngenaliti okanye iisirinji ezisetyenziselwa ukutofa eliyeza. Ukwenza njalo kunokusasaza izifo.

Ukulahla iinaliti ezisetyenzisiweyo:

• Musa ukulahla iinaliti ezizodwa kwimigqomo yenkunkuma okanye kwimigqomo yokurisayikilisha, kwaye ungaze uyigungxule phantsi kwindlu yangasese.
• Buza usokhemesti wakho ukuba akhuphe isitya esikhuselekileyo sokulahla iinaliti kunye neesirinji.
• Uluntu lwakho lunokuba nenkqubo yokulahla iinaliti kunye neesirinji.
• Ukuba ulahla isikhongozeli enkunkumeni, yibhale ngokuthi “sukuphinda usetyenziswe.”

Ukubeka iliso kwezonyango

Ugqirha wakho angenza uvavanyo lwegazi ngaphambi kwaye ngexesha lonyango nge-insulin glargine ukuqinisekisa ukuba kukhuselekile ukuba uyisebenzise. Olu vavanyo lunokubandakanya:

• amanqanaba eswekile yegazi
• amanqanaba e-hemoglobin (A1C) glycosylated. Olu vavanyo lilinganisela ulawulo lweswekile yegazi kwiinyanga ezi-2 ukuya kwezi-3 ezidlulileyo.
• Uvavanyo lomsebenzi wesibindi
• Uvavanyo lomsebenzi wezintso
• amanqanaba eepotassium

Ugqirha wakho unokwenza olunye uvavanyo ukujonga iingxaki zesifo seswekile:

• ukuvavanywa kwamehlo
• uvavanyo lweenyawo
• uviwo lwamazinyo
• iimvavanyo zomonakalo wemithambo-luvo
• uvavanyo lwegazi kumanqanaba e-cholesterol
• ukukhangela uxinzelelo lwegazi kunye nokubetha kwentliziyo

Ugqirha wakho unokufuna uhlengahlengiso kumthamo we-insulin glargine esekwe koku kulandelayo:

• amanqanaba eswekile yegazi
• umsebenzi wezintso
• ukusebenza kwesibindi
• amanye amayeza owasebenzisayo
• imikhwa yakho yokwenza umthambo
• indlela otya ngayo

Ukutya kwakho

Ngexesha lonyango nge-insulin glargine:

• Musa ukutsiba izidlo.
• Buza ugqirha wakho ukuba kufuneka uphephe utywala.
• Lumka kwi-counter-the-counter (OTC) ukukhwehlela kunye namayeza abandayo. Iimveliso ezininzi ze-OTC zineswekile okanye utywala obunokuchaphazela iswekile yegazi lakho.

Iindleko ezifihliweyo

Ukongeza amayeza, kuya kufuneka uthenge:

• iinaliti
• iisirinji
• isikhongozeli esikhuselekileyo sokulahla inaliti
• utywala
• Iilancets zokuhlaba umunwe wakho ukuvavanya iswekile yegazi lakho
• iziqwenga zovavanyo lweswekile egazini
• ukubeka esweni iglucose

Ngaba zikhona ezinye iindlela?

Kukho ezinye iziyobisi ezikhoyo ukunyanga imeko yakho. Abanye banokukulungela ngcono kunabanye. Thetha nogqirha wakho ngezinye iindlela zamachiza ezinokusebenzela wena.

Iphepha elichazayo ukuba awusenanto oyifunayo: I-Healthline yenze yonke imizamo yokuqinisekisa ukuba lonke ulwazi luchanekile, lubanzi kwaye luhlaziyiwe. Nangona kunjalo, eli nqaku akufuneki lisetyenziswe endaweni yolwazi kunye nobuchule bengcali yezempilo enelayisensi. Kuya kufuneka usoloko uqhagamshelana nogqirha wakho okanye nolunye uqeqesho kwezonyango ngaphambi kokuba uthathe nawaphi na amayeza. Ulwazi lweziyobisi oluqulethwe apha luyakwazi ukutshintsha kwaye alujoliswanga ekusetyenzisweni konke okunokwenzeka, imikhombandlela, izilumkiso, izilumkiso, ukuhlangana kweziyobisi, ukungahambelani komzimba, okanye iziphumo ezibi. Ukungabikho kwezilumkiso okanye olunye ulwazi ngesiyobisi esinikiweyo akubonisi ukuba indibaniselwano yeziyobisi ikhuselekile, iyasebenza, okanye ifanelekile kuzo zonke izigulana okanye konke ukusetyenziswa okuthile.