I-insulin Detemir (rDNA Origin) Injection

-Delile

• Ngaphambi kokusebenzisa i-insulin detemir,
• Lo muthi ungadala ushintsho kushukela wakho wegazi. Kufanele wazi izimpawu zikashukela wegazi ophansi futhi ophakeme nokuthi yini okufanele uyenze uma unalezi zimpawu.
• Umjovo we-insulin detemir ungadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:
• Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nenye yalezi zimpawu, shayela udokotela wakho ngokushesha noma uthole ukwelashwa okuphuthumayo:
• I-insulin detemir overdose ingenzeka uma usebenzisa kakhulu i-insulin detemir noma uma usebenzisa inani elifanele le-insulin detemir kepha udle okuncane kunokujwayelekile noma uzivocavoca ngaphezu kokujwayelekile. I-insulin detemir overdose ingadala i-hypoglycemia. Uma unezimpawu ze-hypoglycemia, landela imiyalo kadokotela wakho yokuthi yini okufanele uyenze uma uba ne-hypoglycemia. Ezinye izimpawu zokudlula ngokweqile:

I-insulin detemir isetshenziselwa ukwelapha isifo sikashukela sohlobo 1 (isimo lapho umzimba ungakhiqizi i-insulin ngakho-ke awukwazi ukulawula inani likashukela egazini). Ibuye isetshenziselwe ukwelapha abantu abanesifo sikashukela sohlobo lwe-2 (isimo lapho umzimba ungasebenzisi i-insulin ngokwejwayelekile futhi, ngakho-ke, awukwazi ukulawula inani likashukela egazini) abadinga i-insulin ukulawula isifo sikashukela. Ezigulini ezinesifo sikashukela sohlobo 1, i-insulin detemir ingasetshenziswa nolunye uhlobo lwe-insulin (i-insulin esebenza okwesikhashana). Ezigulini ezinesifo sikashukela sohlobo 2, i-insulin detemir nayo ingasetshenziswa nolunye uhlobo lwe-insulin noma ngemithi yomlomo yesifo sikashukela. I-insulin detemir yinguqulo esebenza isikhathi eside, eyenziwe ngumuntu ye-insulin yomuntu. I-insulin detemir isebenza ngokufaka i-insulin evamise ukukhiqizwa ngumzimba nokusiza ukuhambisa ushukela egazini uye kwezinye izicubu zomzimba lapho isetshenziselwa khona amandla. Iphinde ime isibindi ekukhiqizeni ushukela owengeziwe.

Ngokuhamba kwesikhathi, abantu abanesifo sikashukela kanye noshukela ophakeme wegazi bangakhula babe nezinkinga ezinkulu noma ezisongela impilo, kufaka phakathi isifo senhliziyo, isifo sohlangothi, izinkinga zezinso, ukulimala kwemizwa nezinkinga zamehlo. Ukusebenzisa imithi, ukwenza izinguquko endleleni ophila ngayo (isb., Ukudla, ukuzivocavoca, ukuyeka ukubhema), nokuhlola njalo ushukela wegazi lakho kungasiza ukuphatha isifo sikashukela futhi kuthuthukise impilo yakho. Lokhu kwelashwa kunganciphisa namathuba akho okuhlaselwa yisifo senhliziyo, isifo sohlangothi, noma ezinye izinkinga ezihlobene nesifo sikashukela njengokuhluleka kwezinso, ukulimala kwemizwa (okundikindiki, imilenze ebandayo noma izinyawo; ukwehla kwekhono lezocansi kwabesilisa nabesifazane), izinkinga zamehlo, kufaka phakathi izinguquko noma ukulahleka kombono, noma isifo sezinsini. Udokotela wakho nabanye abahlinzeki bezokunakekelwa kwezempilo bazokhuluma nawe ngendlela engcono yokuphatha isifo sikashukela.

I-insulin detemir iza njengesisombululo (uketshezi) ukujova ngomgogodla (ngaphansi kwesikhumba). Imvamisa ijovwa kanye ngosuku, ngesidlo sakusihlwa noma ngesikhathi sokulala. Kwesinye isikhathi i-insulin detemir ingajovwa kabili ngosuku, ekuseni ngaphambi kokudla kwasekuseni nakusihlwa ngesidlo sakusihlwa noma ngesikhathi sokulala cishe emahoreni ayi-12 kamuva. Jova i-insulin detemir cishe ngesikhathi esifanayo (ama) nsuku zonke. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Sebenzisa i-insulin detemir njengoba nje kuqondisiwe. Ungayisebenzisi ngaphezulu noma ngaphansi kwayo noma uyisebenzise kaningi kunokuyalelwa ngudokotela wakho.

Ungalokothi usebenzise i-insulin detemir lapho unezimpawu ze-hypoglycemia (ushukela ophansi wegazi) noma uma uhlolisise ushukela wegazi lakho wakuthola kuphansi. Ungafaki i-insulin endaweni yesikhumba ebomvu, evuvukile, enukayo noma ejiyile.

I-insulin detemir akufanele isetshenziswe kwiphampu yangaphandle ye-insulin.

I-insulin detemir akufanele ihlanjululwe noma ixutshwe neminye imikhiqizo ye-insulin.

I-insulin detemir ilawula isifo sikashukela kepha ayiselaphi. Qhubeka nokusebenzisa i-insulin detemir noma ngabe uzizwa uphilile. Ungayeki ukusebenzisa i-insulin detemir ngaphandle kokukhuluma nodokotela wakho. Ungashintsheli kolunye uhlobo noma uhlobo lwe-insulin noma ushintshe umthamo wanoma yiluphi uhlobo lwe-insulin oyisebenzisayo ngaphandle kokukhuluma nodokotela wakho.

I-insulin detemir iza ngezimbiza kanye nasezibayeni zokufaka okuqukethe ama-cartridges emithi. Qiniseka ukuthi uyazi ukuthi uluhlobo luni lwesitsha i-insulin detemir yakho efikayo nokuthi iziphi ezinye izinto, njengezinaliti, imijovo, noma izibaya, ozodinga ukujova umuthi wakho.

Uma i-insulin detemir yakho ifika ezimbizeni, kuzodingeka usebenzise imijovo ukujova umthamo wakho. Cela udokotela wakho noma usokhemisi ukuthi akubonise ukuthi ungayijova kanjani i-insulin detemir usebenzisa isipontsho. Buza udokotela noma usokhemisi wakho uma unemibuzo ngohlobo lomjovo okufanele uwusebenzise.

Uma i-insulin detemir yakho iza ezibayeni, qiniseka ukuthi ufunda futhi uqonde iziyalezo zomkhiqizi. Cela udokotela wakho noma usokhemisi ukuthi akubonise ukuthi uyisebenzisa kanjani ipeni. Landela izinkomba ngokucophelela, futhi uhlale ubhala ipeni ngaphambi kokusetshenziswa.

Ungalokothi usebenzise izinaliti noma imijovo futhi ungalokothi wabelane ngezinaliti, imijovo noma izibaya. Uma usebenzisa ipeni le-insulin, hlala njalo ngenaliti ngemuva nje kokujova umthamo wakho. Lahla izinaliti nemijovo esitsheni esingamelana nokubhoboza. Buza udokotela wakho noma usokhemisi ukuthi ungasilahla kanjani isitsha esingamelana nokubhoboza.

Hlala ubheka i-insulin detemir yakho ngaphambi kokuyifaka. Kufanele icace futhi ingenambala. Ungayisebenzisi i-insulin detemir yakho uma inemibala, inamafu, ijiyile, noma iqukethe izinhlayiya eziqinile, noma uma usuku lokuphelelwa yisikhathi ebhodleleni seludlulile.

Ungafaka i-insulin detemir yakho engalweni yakho ephezulu, ethangeni, noma esiswini. Ungalokothi ufake i-insulin detemir emthanjeni noma emisipheni. Shintsha (jikelezisa) indawo yokujova ngaphakathi kwendawo ekhethiwe ngomthamo ngamunye; zama ukugwema ukujova isiza esifanayo kaningi ngaphezu kwesisodwa njalo emavikini ayi-1-2.

Buza usokhemisi noma udokotela wakho ikhophi lemininingwane yomkhiqizi yesiguli.

Lo muthi ungabekelwa okunye ukusetshenziswa; buza udokotela wakho noma usokhemisi ukuthola eminye imininingwane.

Ngaphambi kokusebenzisa i-insulin detemir,

• Tshela udokotela wakho kanye nosokhemisi uma unegciwane ku-insulin (Humulin, Novolin, abanye), noma iziphi izithako ze-insulin detemir, noma omunye umuthi. Buza usokhemisi wakho noma hlola imininingwane yesiguli somkhiqizi ukuthola uhlu lwezithako.
• Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi imishanguzo kadokotela nemishanguzo ongayinikiwe, amavithamini, izithasiselo zokudla okunempilo, nemikhiqizo yamakhambi oyiphuzayo. Qiniseka ukuthi usho noma yikuphi okulandelayo: i-angiotensin-converting enzyme (ACE) inhibitors efana ne-benazepril (Lotensin), i-captopril (Capoten), i-enalapril (i-Vasotec), i-fosinopril (i-Monopril), i-lisinopril (i-Prinivil, i-Zestril), i-moexipcil ( , i-perindopril (i-Aceon), i-quinapril (i-Accupril), i-ramipril (i-Altace), ne-trandolapril (i-Mavik); ama-beta blockers anjenge-atenolol (Tenormin), labetalol (Normodyne), metoprolol (Lopressor, Toprol XL), nadolol (Corgard), nepropranolol (Inderal); imishanguzo ethile yokwehlisa i-cholesterol efana ne-fenofibrate (i-Antara, i-Lofibra, i-TriCor, i-Triglide) ne-gemfibrozil (i-Lopid); i-clonidine (Catapres, Catapres-TTS, eClorpres); i-danazol; i-disopyramide (iNorpace, iNorpace CR); isisu (‘amaphilisi amanzi’); i-fluoxetine (i-Prozac, i-Sarafem, ku-Symbyax); ukwelashwa kwe-hormone esikhundleni; i-isoniazid (INH, Nydrazid); lithium (Eskalith, Lithobid); imithi yesifuba somoya nemikhuhlane; imithi yokugula ngengqondo kanye nesicanucanu; i-monoamine oxidase (MAO) inhibitors, kufaka phakathi i-isocarboxazid (Marplan), phenelzine (Nardil), selegiline (Eldepryl), ne-tranylcypromine (i-Parnate); i-octreotide (iSandostatin); izinto zokuvimbela inzalo ngomlomo (amaphilisi okuvimbela inzalo); imithi yomlomo yesifo sikashukela efana ne-pioglitazone (i-Actos, e-Actoplus Met nabanye) ne-rosiglitazone (i-Avandia, e-Avandamet nabanye); i-steroids yomlomo efana ne-dexamethasone (i-Decadron, i-Dexone), i-methylprednisolone (i-Medrol), ne-prednisone (i-Deltasone); ipentamidine (NebuPent, Pentam); qamba kabusha; ubuhlungu be-salicylate buqeda njenge-aspirin, i-choline magnesium trisalicylate (iTricosal, i-Trilisate), i-choline salicylate (i-Arthropan), i-diflunisal (i-Dolobid), i-magnesium salicylate (i-Doan's, abanye), ne-salsalate (i-Argesic, i-Disalcid, i-Salgesic); somatropin (Nutropin, Serostim, abanye); i-sulfa antibiotic; nemithi yegilo. Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi.
• utshele udokotela wakho uma uke waba nomonakalo wezinzwa obangelwa yisifo sikashukela sakho; ukwehluleka kwenhliziyo; noma yiziphi ezinye izimo zezokwelapha, kufaka phakathi isifo senhliziyo, sezinso noma sesibindi.
• tshela udokotela wakho uma ukhulelwe, hlela ukukhulelwa, noma uncelisa. Uma ukhulelwa ngenkathi usebenzisa i-insulin detemir, shayela udokotela wakho.
• uma uhlinzwa, kufaka phakathi ukuhlinzwa kwamazinyo, tshela udokotela noma udokotela wamazinyo ukuthi usebenzisa i-insulin detemir.
• utshwala bungadala ushintsho kushukela wegazi. Buza udokotela wakho mayelana nokusetshenziswa okuphephile kweziphuzo ezidakayo ngenkathi usebenzisa i-insulin detemir.
• buza udokotela wakho ukuthi wenzeni uma ugula, uba nengcindezi engajwayelekile, noma ushintsha indlela odla ngayo, ukuzivocavoca umzimba noma uhlelo lomsebenzi. Lezi zinguquko zingathinta uhlelo lwakho lokulinganisa kanye nenani le-insulin oyodinga.
• buza udokotela wakho ukuthi kufanele uhlole kaningi kangakanani ushukela wegazi lakho. Yazi ukuthi i-hypoglycemia ingathinta ikhono lakho lokwenza imisebenzi efana nokushayela bese ubuza udokotela wakho ukuthi udinga ukuhlola ushukela wegazi ngaphambi kokushayela noma ukusebenzisa imishini.

Qiniseka ukuthi ulandela zonke izincomo zokuzivocavoca nezokudla ezenziwa ngudokotela wakho noma udokotela odlayo. Kubalulekile ukudla ukudla okunempilo nokudla cishe inani elifanayo lokudla cishe ngezikhathi ezifanayo usuku ngalunye. Ukweqa noma ukubambezela ukudla noma ukushintsha inani noma uhlobo lokudla okudlayo kungadala izinkinga ngokulawulwa kukashukela egazini lakho.

Uma ukhumbula umthamo wakho ngemuva nje kwesikhathi obekufanele uwusebenzise ngaso, jovula umthamo ongabanjwanga ngokushesha nje lapho usukhumbula. Uma isikhathi esithile sidlulile kusukela ngesikhathi sakho sokulinganisa esivamile, landela izinkomba ezinikezwe udokotela wakho noma shayela udokotela wakho ukuthola ukuthi kufanele yini ujove umthamo ongabanjwanga. Musa ukujova umthamo ophindwe kabili ukwenzela okulahlekile.

Lo muthi ungadala ushintsho kushukela wakho wegazi. Kufanele wazi izimpawu zikashukela wegazi ophansi futhi ophakeme nokuthi yini okufanele uyenze uma unalezi zimpawu.

Umjovo we-insulin detemir ungadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:

• ububomvu, ukuvuvukala, noma ukulunywa esizeni somjovo
• izinguquko ekuzizweleni kwesikhumba sakho, ukuqina kwesikhumba (ukwakha amafutha), noma ukucindezeleka okuncane esikhunjeni (ukonakala kwamafutha)
• umbono uyashintsha
• ukuzuza kwesisindo
• ukuqunjelwa

Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nenye yalezi zimpawu, shayela udokotela wakho ngokushesha noma uthole ukwelashwa okuphuthumayo:

• ukuqubuka kanye / noma ukulunywa emzimbeni wonke
• ukuphelelwa umoya
• isifuba
• isiyezi
• umfutho wegazi ophansi
• ukungaboni kahle
• ukushaya kwenhliziyo okusheshayo
• ukujuluka
• ubuthakathaka
• amajaqamba
• ukushaya kwenhliziyo okungavamile
• ukuzuza okukhulu kwesisindo esikhathini esifushane
• ukuvuvukala kwezandla, izinyawo, amaqakala, noma imilenze engezansi

I-insulin detemir ingadala eminye imiphumela emibi. Shayela udokotela wakho uma unezinkinga ezingavamile ngenkathi usebenzisa lo muthi.

Gcina izitsha ze-insulin ezingavulwanga nezibaya kwikhathoni yoqobo esiqandisini. Ungafrizi. Ungayisebenzisi i-insulin detemir uma iqandisiwe. Idemir ye-insulin engafakwanga efrijini ingagcinwa kuze kube usuku oluboniswa kwilebula lenkampani.

Uma singenaso isiqandisi (ngokwesibonelo, uma useholidini), gcina izitsha, noma izibaya ekamelweni lokushisa kude nokushisa okuqondile nokukhanya. Izitsha nezibaya ezingafriziwe kungasetshenziswa zingakapheli izinsuku ezingama-42 noma ngemuva kwalesi sikhathi kufanele zilahlwe. Izimbiza ezivuliwe zingagcinwa izinsuku ezingama-42 ekamelweni lokushisa noma esiqandisini. Izibaya ezivuliwe zingagcinwa ekamelweni lokushisa kuze kube yizinsuku ezingama-42; ungaziqandisi. Lahla noma iyiphi i-insulin detemir evezwe ukushisa okukhulu noma amakhaza.

Imithi engadingeki kufanele ilahlwe ngezindlela ezikhethekile zokuqinisekisa ukuthi izilwane ezifuywayo, izingane nabanye abantu abakwazi ukuzidla. Kodwa-ke, akufanele ukhiphe le mithi ethoyilethi. Esikhundleni salokho, indlela engcono kakhulu yokulahla imithi yakho ngohlelo lokubuyisa umuthi. Khuluma nosokhemisi wakho noma uthinte umnyango wangakini wokulahla udoti / wokusebenzisa kabusha ukuze ufunde ngezinhlelo zokubuyisa emphakathini wakho. Bheka iwebhusayithi yakwa-FDA's Safe Disposal of Medicines (http://goo.gl/c4Rm4p) ukuthola eminye imininingwane uma ungakwazi ukufinyelela kuhlelo lokubuyisa.

Kubalulekile ukugcina yonke imishanguzo ingabonakali futhi ifinyeleleke ezinganeni njengoba iziqukathi eziningi (njengezingqondo zamaphilisi zamasonto onke kanye nalawo amaconsi wamehlo, okhilimu, amabala, kanye nama-inhalers) azimeleki ezinganeni futhi izingane ezincane zingazivula kalula. Ukuvikela izingane ezisencane ekufakeni ubuthi, hlala uvala amakepisi okuphepha bese ubeka umuthi endaweni ephephile - eyodwa ephezulu futhi engekho futhi engabonakali kubo futhi efinyelela kuyo. http://www.upandaway.org

Uma kwenzeka ukweqisa ngokweqile, shayela ucingo losizo lokulawula ubuthi ku-1-800-222-1222. Imininingwane iyatholakala online ku-https: //www.poisonhelp.org/help. Uma isisulu siwile, saba nokuquleka, sinenkinga yokuphefumula, noma singakwazi ukuvuswa, shayela ngokushesha abezimo eziphuthumayo ku-911.

I-insulin detemir overdose ingenzeka uma usebenzisa kakhulu i-insulin detemir noma uma usebenzisa inani elifanele le-insulin detemir kepha udle okuncane kunokujwayelekile noma uzivocavoca ngaphezu kokujwayelekile. I-insulin detemir overdose ingadala i-hypoglycemia. Uma unezimpawu ze-hypoglycemia, landela imiyalo kadokotela wakho yokuthi yini okufanele uyenze uma uba ne-hypoglycemia. Ezinye izimpawu zokudlula ngokweqile:

• ukudlikiza
• ukulahlekelwa ukwazi

Gcina wonke ama-aphoyintimenti nodokotela wakho kanye nelabhorethri. Ushukela wakho wegazi kanye ne-hemoglobin eglycosylated (HbA1c) kufanele ihlolwe njalo ukuthola impendulo yakho kwi-insulin detemir. Udokotela wakho uzokutshela nokuthi ungayihlola kanjani impendulo yakho ku-insulin ngokulinganisa amazinga kashukela egazini lakho ekhaya. Landela le miyalo ngokucophelela.

Kufanele njalo ufake isongo lokuhlonza isifo sikashukela ukuze uqiniseke ukuthi uthola ukwelashwa okufanele esimeni esiphuthumayo.

Ungavumeli omunye umuntu asebenzise imithi yakho. Buza usokhemisi wakho noma imiphi imibuzo onayo mayelana nokugcwalisa umuthi wakho.

Kubalulekile ukuthi ugcine uhlu olubhaliwe lwayo yonke imishanguzo oyisebenzisayo kadokotela kanye nokungabhaliswanga (ngaphezulu kokuthenga), kanye nanoma yimiphi imikhiqizo efana namavithamini, amaminerali, noma ezinye izithako zokudla. Kufanele uze nalolu hlu njalo uma uvakashela udokotela noma uma ungeniswa esibhedlela. Kubaluleke kakhulu futhi nemininingwane ebalulekile ukuthi uphathe uma kwenzeka kunezimo eziphuthumayo.

• Levemir^®