Insulin Degludec (rDNA Kinohi) Ka pahu kui

Anter

• Ma mua o ka hoʻohana ʻana o ka insulin degludec,
• 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. Hiki i ka insul degludec ke hana i nā hopena ʻaoʻao. E haʻi i kāu kauka inā koʻikoʻi kekahi o kēia mau ʻōuli a mai hele aku paha:
• 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.
• Hiki i ka insulin degludec overdose ke hana inā ʻoe e hoʻohana i ka nui nui o ka insulin degludec a i ʻole inā ʻoe e hoʻohana i ka nui kūpono o ka insulin degludec, akā ʻai liʻiliʻi ma mua o ka maʻamau a hoʻoikaika i ka ʻoi aku ma mua o ka maʻamau. Hiki i ka insulin degludec overdose ke kumu i ka 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:

Hoʻohana ʻia ʻo Insulin degludec e mālama i ka maʻi diabetes 1 (kahi e hana ʻole ai 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 nā mea maʻi me ka maʻi diabetes 1, pono e hoʻohana ʻia ka insulin degludec me kekahi ʻano insulin (kahi insulin hana pōkole). I nā mea maʻi me ka maʻi diabetes ʻelua, hiki ke hoʻohana ʻia ka degludec insulina me kahi ʻano insulin ʻē aʻe a i ʻole me nā lāʻau oral (s) no ka maʻi kō. ʻO ka Insulin degludec kahi hana lōʻihi a ke kanaka i hana ai no ka insulin kanaka. Hana ka insulin degludec ma o ke kūapo 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 ʻo Insulin degludec 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 insulin degludec 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 degludec 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.

Mālama ka insulin degludec i ka maʻi diabetes, akā ʻaʻole ia e hoʻōla iā ia. E hoʻomau i ka hoʻohana ʻana i ka insulin degludec ʻoiai ʻoe e manaʻo maikaʻi. Mai hoʻōki i ka hoʻohana ʻana i ka insulin degludec 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 ʻo Insulul degludec i nā peni dosing prefilled. E ʻike pono i ke ʻano o ka ipu i komo mai ai kāu degludec insulina a he aha nā lako ʻē aʻe, e like me nā nila, pono ʻoe e hoʻokomo i kāu lāʻau. 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 ​​peni. Mai hoʻololi i ka lāʻau i kahi syringe. Ke hoʻohana nei ʻoe i kahi peni insulina, e wehe mau i ka nila ma hope pono o kou hoʻokomo ʻana i kāu lāʻau. 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 degludec insulina a mai kāwili i ka insulin degludec me kekahi ʻano ʻē aʻe o ka insulin.

Hiki iā ʻoe ke kīkī i kāu insulin degludec i kou lima kiʻekiʻe, ka ʻūhā, a i ʻole ka ʻōpū. Mai hoʻokomo i ka insulin degludec i kahi 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 insulin degludec ma mua o kou hoʻopili ʻana iā ia. E akāka a kala ʻole hoʻi. Mai hoʻohana i kāu insulin degludec inā kala ia, ʻōpua, a i ʻole loaʻa nā ʻāpana paʻa, a i ʻole inā ua hala ka lā pau o ka ʻōmole.

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

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 o ka insulin degludec,

• e haʻi i kāu kauka a me ka kauka inā he maʻi ʻoe i ka insulin (Humulin, Novolin, a me nā mea ʻē aʻe), kekahi o nā mea hana i ka insulin degludec, 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); Angiotensin-hoʻololi i nā enzyme inhibitors (ACE inhibitors) e like me benazepril (Lotensin, ma Lotrel), captopril, enalapril (Vasotec, ma Vaseretic), fosinopril, lisinopril (i Prinzide, i Zestoretic), moexipril (Univasc, i Uniretic), perindopril Aceon, ma 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, ma Lopressor HCT), nadolol (Corgard, ma Corzide), a me propranolol (Hemangeol, Inderal LA, Innopran XL); nā lāʻau hoʻohaʻahaʻa kolesterol e like me fenofibrate (Antara, Lipofen, TriCor, Triglide), gemfibrozil (Lopid), a me niacin (Niacor, Niaspan, ma Advicor, ma Simcor); clonidine (Catapres, Catapres-TTS, Kapvay, ma Clorpres, kekahi); danazol; disopyramide (Norpace); diuretics ('pills wai'); fluoxetine (Prozac, Sarafem, Selfemra, ma Symbyax); glucagon; guanethidine; Nā mea hoʻopalekana protease HIV me atazanavir (Reyataz, ma Evotaz), indinavir (Crixivan), lopinavir (ma Kaletra), nelfinavir (Viracept), ritonavir (Norvir, ma Kaletra, ma Viekira Pak), a me saquinavir (Invirase); isoniazid (Laniazid, ma Rifamate, ma Rifater); lithium (Lithobid); nā lāʻau no ka hānō a me nā anu; nā lāʻau no ka maʻi kō; menopausal hormone therapy and hormonal contraceptives (pills kaohi hānau, pākuʻi, mau apo, ʻoki a i ʻole nā ​​implants); nā lāʻau no ka maʻi noʻonoʻo a me ka nausea; monoamine oxidase (MAO) mea kāohi me isocarboxazid (Marplan), phenelzine (Nardil), selegiline (Eldepryl, Emsam, Zelapar) a me tranylcypromine (Parnate); octreotide (Sandostatin); pioglitazone (Actos, ma Actoplus Met, ma Duetact, nā mea ʻē aʻe); pentamidine (NebuPent, Pentam); pentoxifylline (Pentoxil); pramlintide (Symlin); propoxyphene (ʻaʻole loaʻa ma ka U.S.); reserpine; rosiglitazone (Avandia, ma Avandamet, ma Avandaryl); 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 steroid e like me dexamethasone, methylprednisolone (Medrol), a me prednisone (Rayos); 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 iā ʻoe a i ʻole loaʻa paha iā ʻoe kahi hōʻino nerve i hoʻokumu ʻia e kāu maʻi diabetes, a i ʻole nā ​​ʻano olakino ʻē aʻe, e like me ka puʻuwai, ka ate a me nā maʻi 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 insulin degludec, e kāhea i kāu kauka.
• inā ke ʻoki ʻia ʻoe, e like me ke kaha ʻana o ka niho, e haʻi i ke kauka a i ʻole kauka niho paha e hoʻohana nei ʻoe i ka degludec insulin.
• hiki i ka wai ʻona ke hoʻololi i ke kō kō. E nīnau i kāu kauka e pili ana i ka hoʻohana palekana o nā inu waiʻona ʻoiai ʻoe e hoʻohana nei i ka insulin degludec.
• 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.

E hoʻopili i ka lāʻau i hala i kou wā e hoʻomanaʻo ai. Eia nō naʻe, inā he emi ia ma mua o 8 mau hola ma mua o ka mahele hope aʻe, e lele i ka lāʻau i hala a hoʻomau i kāu papa hana maʻamau. Mai lawe i kahi lāʻau pālua e pani no kahi mea i hala.

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. Hiki i ka insul degludec ke hana 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
• mānoanoa o ka ʻili (hoʻomāhuahua ka momona) a i ʻole kaumaha iki i ka ʻili (breakdown momona)
• loaʻa kaupaona

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
• pokole o ka hanu
• ka houʻu ʻana
• pehu o nā maka, maka, lehelehe, alelo, ʻāʻī, lima, a me nā wāwae
• nāwaliwali o nā mākala

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

Inā ʻoe e ʻike i kahi hopena koʻikoʻi, e hoʻouna ʻoe a i ʻole kāu kauka i kahi hōʻike i ka papahana hōʻike ʻino a MedWatch Adverse Event Food (FDA) ma ka pūnaewele (http://www.fda.gov/Safety/MedWatch) a i ʻole kelepona. 1-800-332-1088).

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

Inā loaʻa ʻole kahi pahu hau (e laʻa me, i ka wā hoʻomaha), e mālama i nā peni i ka mahana wela o ka lumi, mai ka lā kūpono a me ka wela nui a hiki i nā lā 56. Pono e mālama ʻia nā peni i wehe ʻia i ka mahana o ka lumi a hiki ke hoʻohana ʻia a hiki i ka 56 mau lā ma hope o ka hoʻohana mua. E hoʻolei i kekahi inikine i hōʻike ʻia i ka wela a i ʻole ke anuanu.

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.

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

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 degludec overdose ke hana inā ʻoe e hoʻohana i ka nui nui o ka insulin degludec a i ʻole inā ʻoe e hoʻohana i ka nui kūpono o ka insulin degludec, akā ʻai liʻiliʻi ma mua o ka maʻamau a hoʻoikaika i ka ʻoi aku ma mua o ka maʻamau. Hiki i ka insulin degludec overdose ke kumu i ka 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 pono e nānā mau ʻia e hoʻoholo ai i kāu pane i ka degludec 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.

• Tresiba^®
• ʻO Ryzodeg^® (ma ke ʻano he huahana i hui pū ʻia me Insulin Degludec a me Insulin Aspart)
• Xultophy^® (ma ke ʻano he huahana i hui pū ʻia me Insulin Degludec a me Liraglutide)