Mea Kākau: Gregory Harris
Lā O Ka Hana: 10 Apelila 2021
HōʻAno Hou I Ka Lā: 18 Nowemapa 2024
Anonim
ʻO Insulin Glargine (kumu rDNA) ka pahu kui - Kino PaʻA
ʻO Insulin Glargine (kumu rDNA) ka pahu kui - Kino PaʻA

Anter

Hoʻohana ʻia ka glulinine insulina e mālama i ka ʻano diabetes 1 (ʻano ʻaʻohe e hana ke kino i ka insulin a no laila ʻaʻole hiki ke kaohi i ka nui o ke kō i ke koko). Hoʻohana ʻia ia e mālama i ka poʻe me ka maʻi diabetes type 2 (kahi e hoʻohana ʻole ai ke kino i ka insulin maʻamau a, no laila, ʻaʻole hiki ke kaohi i ka nui o ke kō i ke koko) e pono ai ka insulin e kāohi i kā lākou maʻi kō. I ka poʻe me ka maʻi diabetes 1, pono e hoʻohana ʻia ka glargine insulin me kekahi ʻano ʻano insulin (kahi insulin hana pōkole). I ka poʻe me ka maʻi diabetes type 2, hoʻohana pū ʻia ka insulin glargine me kekahi ʻano insulin a i ʻole me nā lāʻau oral (s) no ka maʻi kō. ʻO ka Insulin glargine kahi hana lōʻihi, hana lima ʻia o ka insulin kanaka. Hana ka insulin glargine ma ka hoʻololi ʻana i ka insulin i hana maʻamau ʻia e ke kino a me ke kōkua ʻana e neʻe i ke kō mai ke koko i nā kino o ke kino kahi e hoʻohana ʻia ai ka ikehu. Hoʻopau hoʻi ia i ke akepaʻa mai ka hoʻohua ʻana i ke kō.

I ka hala ʻana o ka manawa, hiki i ka poʻe i loaʻa i ka maʻi diabetes a me ke kō kō ke kiʻekiʻe ke hoʻomohala i nā pilikia koʻikoʻi a i ʻole hoʻoweliweli i ke ola, e like me ka maʻi puʻuwai, ka hahau, nā pilikia o ka puʻupaʻa, nā ʻeha o ke aʻa, a me nā pilikia o ka maka. Ke hoʻohana nei i nā lāʻau (s), ka hoʻololi ʻana i ke ʻano o ka nohona (e laʻa me ka ʻai, ka hoʻoikaika kino, ka haʻalele ʻana i ka puhipaka), a me ka nānā pinepine ʻana i kāu kō kō e kōkua paha i ka mālama ʻana i kāu maʻi kō. Hoʻoemi paha kēia hoʻomaʻamaʻa i kou manawa e loaʻa ai ka puʻuwai puʻuwai, hahau ʻana, a i ʻole nā ​​pilikia e pili ana i ka maʻi diabetes e like me ka hōʻino ʻana o ka puʻuwai, nā ʻāʻī nerve (numb, nā wāwae anu a i ʻole nā ​​wāwae; hoʻemi i ka hiki i ka wahine i nā kāne a me nā wahine), nā pilikia o ka maka, me nā loli. a i ʻole ka nalo ʻana o ka ʻike, a i ʻole ka maʻi gum. E kamaʻilio pū kāu kauka a me nā mea lawelawe ʻē aʻe iā ʻoe e pili ana i ke ala maikaʻi loa e mālama ai i kāu maʻi diabetes.


Hele mai ka insulin glargine ma ke ʻano he hopena (wai) e hoʻomoʻi subcutaneously (ma lalo o ka ʻili). Hoʻokomo ʻia ia i hoʻokahi manawa i ka lā. Pono ʻoe e hoʻohana i ka glargine insulin i ka manawa like i kēlā me kēia lā. E hāhai pono i nā ʻōkuhi i kāu lepili kuhikuhi, a nīnau i kāu kauka a kauka paha e wehewehe i kahi ʻāpana āu i maopopo ʻole ai. E hoʻohana pono i ka insulin glargine e like me ke kuhikuhi. Mai hoʻohana i ka ʻoi aku a i ʻole ka liʻiliʻi o ia mea a hoʻohana pinepine paha iā ia ma mua o ka mea i kauoha ʻia e kāu kauka.

Mai hoʻohana i ka glargine insulin ke loaʻa iā ʻoe nā hōʻailona o ka hypoglycemia (ke kō kō liʻiliʻi) a i ʻole inā ua nānā ʻoe i kāu kō kō a ʻike he haʻahaʻa.

Mālama ka insulin glargine i ka maʻi diabetes akā ʻaʻole ia e hoʻōla iā ia. E hoʻomau i ka hoʻohana ʻana i ka glargine insulin ʻoiai ʻoe e manaʻo maikaʻi. Mai hoʻōki i ka hoʻohana ʻana i ka glargine insulin me ke kamaʻilio ʻole ʻana me kāu kauka. Mai hoʻololi i kahi inoa ʻē aʻe a i ʻole ʻano inulina a hoʻololi paha i ka lāʻau o kēlā me kēia ʻano insulin āu e hoʻohana nei me ke kamaʻilio ʻole ʻana me kāu kauka. E hōʻoia mau i ka lepili insulin e ʻike pono ua loaʻa iā ʻoe ke ʻano pono o ka insulin mai ka lāʻau kūʻai.


Hele mai ka insulin glargine i loko o nā hue a me nā peni dosing i loko o nā cartridges o ka lāʻau. E ʻike pono i ke ʻano o ka ipu i komo mai ai kāu glargine insulina a he aha nā lako ʻē aʻe, e like me nā nila, nā ʻenoke, a i ʻole nā ​​peni, pono ʻoe e hoʻopili i kāu lāʻau.

Inā hele mai kāu glargine insulin i loko o nā hue, pono ʻoe e hoʻohana i nā ʻekekekeke e hoʻokomo i kāu lāʻau. E noi i kāu kauka a kauka paha e hōʻike iā ʻoe pehea e hoʻopili ai i ka insulin glargine me ka hoʻohana ʻana i ka syringe. E noi i kāu kauka a kauka paha inā he mau nīnau kāu e pili ana i ke ʻano o ke ʻākiʻokeʻo āu e hoʻohana ai.

Inā hele mai kāu glargine insulin i loko o nā peni, e heluhelu pono a hoʻomaopopo i nā ʻōlelo a ka mea hana. E noi i kāu kauka a kauka paha e hōʻike iā ʻoe pehea e hoʻohana ai i ka peni. E hāhai pono i nā ʻōkuhi, a hana mau i ka hoʻāʻo palekana ma mua o ka hoʻohana.

Mai hoʻohana hou i nā nila a i ʻole nā ​​nīele a mai hoʻokaʻawale hou aku i nā nila, nā ʻeneka, a i ʻole nā ​​peni. Inā ʻoe e hoʻohana nei i kahi peni insulin, e wehe mau i ka nila ma hope pono o kou hoʻokomo ʻana i kāu lāʻau. E kiola i nā nila a me nā ʻaila i loko o kahi pahu kūpaʻa kū ʻole. E noi i kāu kauka a kauka paha pehea e hoʻolei ai i ka pahu kūpaʻa kūpaʻa.


Mai hoʻowahāwahā i ka glargine insulina a mai hui pū i ka glargine insulin me kekahi ʻano ʻano insulin.

Hiki iā ʻoe ke hoʻopili i kāu glargine insulin i kou lima luna, ka ʻūhā, a me kou ʻōpū. Mai hoʻokomo i ka glargine insulin i loko o ke aa a i ʻole nā ​​mākala. Hoʻololi (hoʻohuli) i ka pūnaewele hoʻokomo i loko o ka wahi i wae ʻia me kēlā me kēia mahele lāʻau; e hoʻāʻo e hōʻole i ka hoʻopili ʻana i ka pūnaewele like ma mua o hoʻokahi manawa i kēlā me kēia 1 a 2 mau pule.

E nānā mau i kāu glargine insulin ma mua o kou hoʻokomo ʻana iā ia. E akāka a kala ʻole hoʻi. Mai hoʻohana i kāu glargine insulin inā he kala ia, ʻohu, a i ʻole loaʻa nā ʻāpana paʻa, a i ʻole ua hala ka lā palena o ka ʻōmole.

Mai hoʻohana i ka glargine insulin i loko o kahi pump insulin waho.

E noi i kāu kauka lāʻau a kauka paha no kahi kope o ka ʻike a ka mea hana no ka mea maʻi.

Kau ʻia kēia lāʻau no nā hoʻohana ʻē aʻe; e noi i kāu kauka a kauka paha no ka ʻike hou aku.

Ma mua o ka hoʻohana ʻana i ka glargine insulin,

  • e haʻi i kāu kauka a me ka kauka inā he maʻi ʻoe i ka insulin (Humulin, Novolin, a me nā mea ʻē aʻe), i kekahi o nā mea hana o ka insulin glargine, a i ʻole nā ​​lāʻau ʻē aʻe. E noi i kāu kauka lāʻau a nānā paha i ka ʻike hoʻomanawanui o ka mea hana no kahi papa inoa o nā mea hoʻohui.
  • e haʻi i kāu kauka a me ka mea kauka lāʻau he aha nā lāʻau lapaʻau a me nā lāʻau ʻole i kuhikuhi ʻia, nā wikamina, nā mea hoʻowaiwai a me nā huahana lāʻau āu e lawe nei. E ʻike pono i kekahi o kēia mau mea: albuterol (Accuneb, Proair, Proventil, a me nā mea ʻē aʻe); nā lāʻau i kuhikuhi ʻia a me nā lāʻau ʻole i hōʻike ʻole ʻia i loaʻa ka ʻalekohola; Angiotensin-hoʻololi i nā enzyme inhibitors (ACE inhibitors) e like me benazepril (Lotensin, ma Lotrel), captopril, enalapril (Epaned, Vasotec, i Vaseretic), fosinopril, lisinopril (i Prinzide, i Zestoretic), moexipril, perindopril (i Prestalia) quinapril (Accupril, ma Accuretic, ma Quinaretic), ramipril (Altace), a me trandolapril (Mavik, ma Tarka); angiotensin receptor blockers (ARBs) e like me azilsartan (Edarbi, ma Edarbyclor), candesartan (Atacand, ma Atacand HCT), eprosartan (Teveten), irbesartan (Avapro, ma Avalide), losartan (Cozaar, ma Hyzaar), telmisartan (Micard ma Micardis HCT, ma Twynsta), valsartan (Diovan, ma Diovan HCT, i Exforge); antypsychotics atypical e like me clozapine (Clozaril, Fazaclo, Versacloz) a me olanzapine (Zyprexa, ma Symbyax); beta-blockers e like me atenolol (Tenormin, ma Tenoretic), labetalol (Trandate), metoprolol (Lopressor, Toprol XL, ma Dutoprol), nadolol (Corgard, ma Corzide), a me propranolol (Hemangeol, Inderal LA, Innopran XL); kekahi mau lāʻau hoʻohaʻahaʻa kolesterol e like me fenofibrate (Antara, Lipofen, Triglide), gemfibrozil (Lopid), a me niacin (Niacor, Niaspan); clonidine (Catapres, Catapres-TTS, Kapvay, ma Clorpres, kekahi); danazol; disopyramide (Norpace); diuretics ('pills wai'); estrogens; fluoxetine (Prozac, Sarafem, Selfemra, ma Symbyax); glucagon; guanethidine (ʻaʻole loaʻa ma ka U.S.); Nā mea hoʻopalekana protease HIV me atazanavir (Reyataz), indinavir (Crixivan), lopinavir (i Kaletra), nelfinavir (Viracept), ritonavir (Norvir, ma Kaletra, ma Viekira Pak), a me saquinavir (Invirase); ka hoʻowalewale hōmona (ka lāʻau hoʻomalu hānau, nā pāhoʻi, nā apo, nā ʻoki a i ʻole nā ​​implants); isoniazid (Laniazid, ma Rifamate, ma Rifater); lithium (Lithobid); nā lāʻau no ka hānō a me nā anu; nā lāʻau no ka maʻi noʻonoʻo a me ka nausea; monoamine oxidase (MAO) mea kāohi me isocarboxazid (Marplan), linezolid (Zyvox), phenelzine (Nardil), selegiline (Eldepryl, Emsam, Zelapar), a me tranylcypromine (Parnate); octreotide (Sandostatin); nā pale pale waha (nā pā kaohi hānau); nā lāʻau lapaʻau waha no ka maʻi diabetes e like me pioglitazone (Actos, ma Actoplus Met, ma Oseni, a me nā mea ʻē aʻe) a me rosiglitazone (Avandia); nā steroid ʻo waha e like me dexamethasone, methylprednisolone (Medrol), a me prednisone (Rayos); pentamidine (NebuPent, Pentam); pentoxifylline (Pentoxil); pramlintide (Symlin); propoxyphene (ʻaʻole loaʻa ma ka U.S.); reserpine; nā mea ʻeha salicylate e like me aspirin, choline magnesium trisalicylate, choline salicylate, diflunisal, magnesium salicylate (Doan's, kekahi poʻe ʻē aʻe), a me salsalate; somatropin (Genotropin, Humatrope, Nutropin, Serostim, nā mea ʻē aʻe); nā lāʻauʻaeʻa sulfa; terbutaline; a me nā lāʻau thyroid. Pono paha kāu kauka e hoʻololi i nā kaha o kāu mau lāʻau a nānā pono iā ʻoe no nā hopena ʻaoʻao.
  • e haʻi i kāu kauka inā loaʻa a loaʻa paha iā ʻoe kahi hōʻino nerve i hoʻokumu ʻia e kāu maʻi diabetes, maikaʻi ʻole o ka puʻuwai, nā pae koko haʻahaʻa o ka potassium; a i ʻole nā ​​ʻano olakino ʻē aʻe, e like me ka maʻi puʻuwai, ka ate a me nā puʻupaʻa.
  • E haʻi i kāu kauka inā hāpai ʻoe, e hoʻolālā e hāpai, a i ʻole e hānai umauma ana. Inā hāpai ʻoe i ka hoʻohana ʻana i ka glargine insulin, e kāhea i kāu kauka.
  • inā ke ʻoki nei ʻoe, e like me ke ʻoki niho, e haʻi i ke kauka a i ʻole kauka niho paha e hoʻohana nei ʻoe i ka glargine insulin
  • hiki i ka wai ʻona ke hoʻololi i ke kō kō. E noi i kāu kauka e pili ana i ka hoʻohana palekana o nā inu waiʻona ʻoiai ʻoe e hoʻohana nei i ka glargine insulin.
  • e nīnau i kāu kauka i ka mea e hana ai inā loaʻa ʻoe i ka maʻi, ʻike i ke koʻikoʻi koʻikoʻi, a i ʻole hoʻololi i kāu papaʻai, hoʻoikaika kino, a i ʻole ka papa hana. Hiki i kēia mau hoʻololi ke hoʻololi i kāu kō kō a me ka nui o ka insulin āu e pono ai.
  • e nīnau i kāu kauka i ka manawa pinepine e nānā ai i kāu kō kō. E makaʻala hiki i ka hypoglycemia ke hoʻopili i kou hiki ke hana i nā hana e like me ka hoʻokele a nīnau i kāu kauka inā pono ʻoe e nānā i kāu kō kō i mua o ka hoʻokele a hana ʻana paha i nā mīkini.

E mālama pono i nā hana hoʻoikaika kino a me nā papa kuhikuhi papaʻai i hana ʻia e kāu kauka a i ʻole dietitian. He mea nui ka ʻai ʻana i kahi papaʻai olakino a e ʻai e pili ana i nā nui like o nā ʻano meaʻai like ma nā manawa like i kēlā me kēia lā. ʻO ka haʻalele ʻana a hoʻolohi ʻana paha i nā pāʻina a hoʻololi paha i ka nui a ʻano ʻano meaʻai āu e ʻai ai hiki ke hoʻopilikia i kāu kaohi kō kō.

Ma mua o kou hoʻomaka ʻana e hoʻohana i ka glargine insulina, e nīnau i kāu kauka i ka mea e hana ai inā poina iā ʻoe ke hoʻohana i kahi lāʻau a i ʻole hoʻohana hewa paha ʻoe i kahi lāʻau keu. E kākau i kēia mau ʻōkuhi i lalo i hiki iā ʻoe ke nānā iā lākou ma hope.

Hiki i kēia lāʻau ke hoʻololi i kāu kō kō. Pono ʻoe e ʻike i nā ʻōuli o ke kō a me ke kō i kō a me nā mea e hana inā loaʻa kēia mau hōʻailona iā ʻoe.

Hoʻokumu ka insulin glargine i nā hopena ʻaoʻao. E haʻi i kāu kauka inā koʻikoʻi kekahi o kēia mau ʻōuli a mai hele aku paha:

  • ʻulaʻula, pehu, ʻeha, a aniani paha ma ka pūnaewele injection
  • nā loli i ka manaʻo o kou ʻili, ka mānoanoa o ka ʻili (hoʻuluʻu momona), a i ʻole ke kaumaha iki i ka ʻili (breakdown momona)
  • fiva, uha, ʻeha puʻu, a i ʻole nā ​​hōʻailona ʻē aʻe o ka maʻi

Hiki i kekahi o nā hopena ʻaoʻao ke koʻikoʻi. Inā ʻoe e ʻike i kēia mau ʻōuli, e kāhea koke i kāu kauka a i ʻole e kiʻi i ka lāʻau pōpilikia.

  • ʻehu, hives, a i ʻole ka ʻū kau a puni ke kino
  • ʻūhā
  • pilikia i ka hanu ʻana a i ʻole ke ale ʻana
  • pulse wikiwiki
  • ka houʻu ʻana
  • pehu o nā maka, maka, lehelehe, alelo, a puʻu paha
  • hulahula
  • nāwaliwali
  • ʻūpē mākala
  • puʻuwai puʻuwai
  • loaʻa kaumaha kaumaha
  • pehu o nā kuʻekuʻe wāwae a i ʻole nā ​​wāwae
  • pokole o ka hanu
  • loli ka hihiʻo

Hoʻokumu paha ka insulin glargine i nā hopena ʻē aʻe. Kāhea i kāu kauka inā loaʻa iā ʻoe kekahi pilikia maʻamau i ka hoʻohana ʻana i kēia lāʻau.

E mālama i kēia lāʻau i loko o ka pahu i lawe ʻia mai a hiki ʻole i nā keiki. E mālama i nā ʻōmole glargine insulin i wehe ʻole ʻia a me nā peni i loko o ka pahu hau. Mai ʻae i ka paʻakai o ka insulin glargine; mai hoʻohana i ka insulin glargine i paʻa i ka hau a hoʻohehee ʻia. Hiki ke mālama ʻia ʻo glargine insulin hau ʻole i wehe ʻole ʻia a hiki i ka lā i hōʻike ʻia ma ka lepili o ka ʻoihana.

Inā loaʻa ʻole ka pahu hau (e laʻa me ka wā hoʻomaha) e mālama i nā hue a i nā peni paha i ka mahana wela a mamao aku mai ka lā pololei a me ka wela nui. Hiki ke hoʻohana ʻia nā hue a i ʻole nā ​​peni i loko o 28 mau lā; ma hope o kēlā manawa pono lākou e hoʻolei ʻia. Hiki ke mālama ʻia nā ipu hāmama no 28 mau lā i ka mahana wela o ka lumi a i ʻole i ka pahu hau. Pono e mālama ʻia nā peni i wehe ʻia i ka mahana o ka lumi a hiki ke hoʻohana ʻia a hiki i nā lā he 28 ma hope o ka hoʻohana mua ʻana. E hoʻolei i kekahi inikine i hōʻike ʻia i ka wela a i ʻole ke anuanu.

He mea nui e mālama i nā lāʻau āpau mai ka maka a hiki i nā keiki e like me nā ipu (e like me nā minder pill i kēlā me kēia pule a me nā mea no nā kulu maka, nā kalima, nā pākuʻi, a me nā inhalers) ʻaʻole pale keiki a hiki i nā keiki ʻōpio ke wehe maʻalahi iā lākou. No ka pale ʻana i nā keiki ʻōpio mai ka lāʻau make, laka mau i nā pāpale palekana a kau koke i ka lāʻau i kahi palekana - kahi i luna a mamao a mai ko lākou alo a hiki. http://www.upandaway.org

Pono e hoʻolei ʻia nā lāʻau i koi ʻole ʻia i nā ala kūikawā e hōʻoia i ka hiki ʻole i nā holoholona, ​​nā keiki, a me nā poʻe ʻē aʻe ke hoʻopau iā lākou. Eia nō naʻe, ʻaʻole pono ʻoe e kaomi i kēia lāʻau i ka lua. Akā, ʻo ke ala ʻoi loa e hoʻolilo i kāu lāʻau i loko o kahi papahana hoʻihoʻi lāʻau. E kamaʻilio me kāu kauka lāʻau a kāhea paha i kāu ʻōpala a me nā hana hoʻopōʻaiapuni kūloko e aʻo e pili ana i nā papahana hoʻihoʻi i kou kaiāulu. E ʻike i ka pūnaewele palekana o kā FDA's Disposal of Medicines (http://goo.gl/c4Rm4p) no ka ʻike hou aku inā ʻaʻohe ou komo i kahi papahana hoʻihoʻi.

I ke kumu o ka overdose, e kāhea i ka helpline kaohi lāʻau make ma 1-800-222-1222. Loaʻa ka ʻike ma ka pūnaewele ma https://www.poisonhelp.org/help. Inā ua hina ka mea i hoʻomāinoino ʻia, loaʻa ka hopu ʻana, pilikia i ka hanu ʻana, a i ʻole hiki ʻole ke ala aʻe, e kāhea koke i nā lawelawe kūikawā ma 911.

Hiki i ka insulin glargine overdose ke hana inā hoʻohana nui ʻoe i ka glargine insulin a i ʻole inā ʻoe e hoʻohana i ka nui kūpono o ka insulin glargine akā ʻai liʻiliʻi ma mua o ka maʻamau a hoʻoikaika i ʻoi aku ma mua o ka maʻamau. Hiki i ka insulin glargine overdose ke hana i hypoglycemia. Inā loaʻa iā ʻoe nā hōʻailona o ka hypoglycemia, e hāhai i nā ʻōlelo aʻoaʻo a kāu kauka no ka mea āu e hana ai inā e ulu ʻoe i ka hypoglycemia. Nā ʻōuli ʻē aʻe o ka overdose:

  • nalowale o ka ʻike
  • ka hopu ʻana

E mālama i nā manawa a pau me kāu kauka a me ka hale hana. ʻO kāu kō kō a me ka hemoglobin glycosylated (HbA1c) e nānā mau ʻia e hoʻoholo i kāu pane i ka glargine insulin. E haʻi aku kāu kauka iā ʻoe pehea e nānā ai i kāu pane i kēia lāʻau ma ke ana ʻana i kou kiʻekiʻe o ke kō i ka home. E hāhai pono i kēia mau ʻōkuhi.

Pono ʻoe e ʻaʻa mau i ke kūpeʻe kuhi diabetic e ʻike pono i ka loaʻa ʻana o kahi lāʻau kūpono i kahi ulia pōpilikia.

Mai ʻae i kekahi e hoʻohana i kāu lāʻau. E nīnau i kāu kauka lāʻau i nā nīnau āu e pili ana i ka hoʻopiha hou ʻana i kāu kuhikuhi.

He mea nui iā ʻoe e mālama i kahi papa inoa i kākau ʻia a me nā lāʻau lapaʻau ʻole (over-the-counter) lāʻau āu e lawe nei, a me nā huahana e like me nā huaora, nā minelala, a i ʻole nā ​​mea hoʻopiliʻai aʻe. Pono ʻoe e lawe i kēia papa inoa me ʻoe i kēlā me kēia manawa ke kipa ʻoe i ke kauka a i ʻole inā ʻae ʻia ʻoe i kahi haukapila. He ʻike nui nō hoʻi ia e lawe pū me ʻoe inā pilikia ʻo ka pilikia.

  • Basaglar®
  • ʻO Lantus®
  • ʻO Toujeo®
  • ʻO Soliqua® (ma ke ʻano he huahana hoʻohui ʻia me Insulin Glargine a me Lixisenatide),
Nānā Hou - 10/15/2017

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