Cirbadda Insulin (Asalka rDNA)

Qanacsan

• Kahor intaadan isticmaalin insulin aspart,
• Dawadani waxay sababi kartaa isbeddel ku dhaca sonkorta dhiiggaaga. Waa inaad ogaataa astaamaha sonkorta dhiiga oo hooseysa iyo kuwa sare iyo waxa la sameeyo haddii aad leedahay astaamahan.
• Aspart aspart waxay sababi kartaa waxyeelo. U sheeg dhakhtarkaaga haddii mid ka mid ah astaamahani ay daran yihiin ama aanad tagin:
• Dhibaatooyinka qaarkood waxay noqon karaan kuwo halis ah. Haddii aad isku aragto mid ka mid ah astaamahan, wac takhtarkaaga isla markiiba ama u hel daaweyn degdeg ah:
• Xaddiga xad-dhaafka ah ee 'Insulin aspart' ayaa dhici kara haddii aad isticmaasho dheecaano badan oo insulin ah ama haddii aad isticmaasho xaddiga saxda ah ee 'aspart aspart' laakiin aad cuntid in ka yar sidii caadiga ahayd ama aad jimicsi ka samaysato sidii caadiga ahayd. Qiyaasta xad-dhaafka ah ee 'Insulin aspart' waxay sababi kartaa hypoglycemia. Haddii aad leedahay astaamaha hypoglycemia, raac tilmaamaha dhakhtarkaaga ee wixii aad sameyn lahayd haddii aad ku dhacdo hypoglycemia. Calaamadaha kale ee xad dhaafka ah:

Insulin aspart waxaa loo isticmaalaa in lagu daaweeyo sonkorowga nooca 1aad (waa xaalad uusan jirku soo saarin insulin sidaa darteed ma xakamayn karo qadarka sonkorta dhiiga ku jirta) ee dadka waaweyn iyo carruurta. Waxaa sidoo kale loo isticmaalaa in lagu daaweeyo dadka qaba nooca 2aad ee sonkorowga (xaalad jirku uusan u isticmaalin insulin si caadi ah sidaas darteedna uusan xakamayn karin qadarka sonkorta dhiiga ku jirta) ee u baahan insulin si loo xakameeyo macaankooda.Bukaannada qaba sonkorowga nooca 1aad, insulin aspart waxaa badanaa loo isticmaalaa nooc kale oo insulin ah, haddii aan loo isticmaalin bamka insulinta dibadda. Bukaannada qaba sonkorowga nooca 2aad, insulin aspart sidoo kale waxaa loo isticmaali karaa nooc kale oo insulin ah ama daawooyinka afka laga qaato ee sonkorowga. Asbiriinka 'insulin aspart' waa wax-qabad gaaban, oo ah nooca dadka lagu sameeyo ee insulin-ta aadanaha. Insulin aspart wuxuu ku shaqeeyaa isagoo badalaya insulin-ta caadiga ah ee jirku soo saaro isla markaana ka caawiya ka wareejinta sonkorta dhiiga unugyada kale ee jirka halkaasoo loogu isticmaalo tamar. Waxay kaloo joojisaa beerka inuu soo saaro sonkor badan.

Waqti ka dib, dadka qaba sonkorowga iyo sonkorta dhiigga oo sareeya waxay la kulmi karaan dhibaatooyin halis ah ama naf-gooya, oo ay ku jiraan cudurrada wadnaha, istaroogga, dhibaatooyinka kelyaha, dhaawaca dareemaha, iyo dhibaatooyinka indhaha. Isticmaalka daawooyinka (yada), sameynta isbeddelada hab-nololeedka (tusaale, cuntada, jimicsiga, joojinta sigaar cabbista), iyo in si joogto ah loo hubiyo sonkorta dhiiggaaga ayaa gacan ka geysan karta maareynta sonkorowgaaga iyo hagaajinta caafimaadkaaga. Daaweyntani waxay sidoo kale yareyn kartaa fursadahaaga wadno qabad, istaroog, ama dhibaatooyin kale oo la xiriira sonkorowga sida kalyo-baxa, dhaawaca dareemaha (kabuubyo, lugaha qabow ama cagaha; hoos u dhaca awoodda galmada ee ragga iyo dumarka), dhibaatooyinka indhaha, oo ay ku jiraan isbeddelada ama aragga oo kaa luma, ama cirrid xannuun ah. Dhakhtarkaaga iyo bixiyeyaasha kale ee daryeelka caafimaad ayaa kaala hadli doona sida ugu wanaagsan ee loo maareeyo sonkorowgaaga.

Aspulinka insulin wuxuu u yimaadaa xal (dareere; Fiasp, NovoLog) iyo ganaax (dareere leh jajabyo ku istaagi doona istaaga; NovoLog Mix 70/30) si qalliin loogu mudo (maqaarka hoostiisa). Xalka insulin aspart (NovoLog) badiyaa waxaa lagu duraa 5-10 daqiiqo kahor cunida cuntada. Haddii aad u isticmaaleyso joojinta insulin aspart (NovoLog Mix 70/30) si aad u daweyso nooca 1aad ee sonkorowga, badanaa waxaa lagu duraa 15 daqiiqo gudahood cuntada ka hor. Haddii aad u isticmaalayso joojinta 'insulin aspart' inaad ku daaweyso nooca sonkorowga 2, waxaa badanaa lagu duraa 15 daqiiqo gudahood cuntada ka hor ama ka dib. Xalka insulin aspart (Fiasp) waxaa badanaa lagu duraa bilowga cuntada ama 20 daqiiqo gudahood kadib marka la bilaabo cuntada. Dhakhtarkaaga ayaa kuu sheegi doona inta jeer ee aad ku duri karto insulin-ta maalin kasta. Si taxaddar leh u raac tilmaamaha ku qoran calaamadaha laguu qoray, oo weydii takhtarkaaga ama farmashiistaha inuu kuu sharxo qayb kasta oo aadan fahmin. U isticmaal aspart aspart sida saxda ah ee lagu faray. Ha u isticmaalin wax ka yar ama ka yar ama u isticmaal si ka badan inta dhakhtarku kuu qoray.

Xalka insulin aspart (Fiasp, NovoLog) ayaa sidoo kale lagu shubi karaa xididka (xididka) dhakhtarka ama kalkaalisada goobta daryeelka caafimaadka. Dhaqtar ama kalkaaliye caafimaad ayaa si taxaddar leh kaagala socon doona dhibaatooyinka soo raaca.

Waligaa ha isticmaalin insulin aspart markaad leedahay calaamadaha hypoglycemia (sonkorta dhiiga oo hooseysa) ama haddii aad hubisay sonkorta dhiiggaaga oo aad aragtay inay hooseyso.

Insulin aspart waxay xakameysaa sonkorowga laakiin ma daaweyso. Sii wad inaad isticmaasho asbiriin insulin xitaa haddii aad caafimaad qabtid. Ha u joojin isticmaalka asbiriin asbiriin adigoon dhaqtarkaaga la hadlin. Ha u beddelin nooc kale ama nooc insulin ah ama ha u beddelin qiyaasta nooc kasta oo ah insulin aad isticmaaleyso adigoon dhaqtarkaaga la hadlin. Had iyo jeer hubi calaamadda insulin si aad u hubiso inaad ka heshay nooca saxda ah ee insulin farmasiga.

Insulin aspart wuxuu ku yimaadaa fijaanno, kartoonno ay ku jiraan daawooyin waana in la galiyaa qalinka daawada, iyo qiyaasta daawooyinka ay ku jiraan xabbadaha daawada. Hubso inaad ogtahay nooca weelka insulin-taada ay soo gasho iyo waxayaabaha kale ee ay ka midka yihiin irbadaha, siriinjyada, ama qalimaanta, waxaad u baahan doontaa inaad isku durto daawadaada.

Haddii asalkaaga insulin uu ku yimaado weel, waxaad u baahan doontaa inaad isticmaasho siriinjyo si aad ugu durto qiyaastaada. Weydiiso dhakhtarkaaga ama farmashiistaha inuu ku tuso sida aad isugu durto asbiriin asbiriin adigoo isticmaalaya siriinji. Weydii dhakhtarkaaga ama farmashiistaha haddii aad qabtid su'aalo ku saabsan nooca saliingaha ay tahay inaad isticmaasho.

Haddii asalkaaga insulin uu ku yimaado kaydadka, waxaad u baahan doontaa inaad qalin insulin si gooni ah u iibsato. Hubi macluumaadka soo-saaraha bukaanka si aad u aragto nooca qalinku ku habboon yahay cabbirka kartoonka aad isticmaaleyso. Si taxaddar leh u akhri tilmaamaha la socda qalinkaaga, oo weydii takhtarkaaga ama farmashiistaha inuu ku tuso sida loo isticmaalo. Weydii dhakhtarkaaga ama farmashiistaha haddii aad qabtid su'aalo ku saabsan nooca qalinka ay tahay inaad isticmaasho.

Haddii asalkaaga insulin uu ku yimaado qalimaan, hubi inaad aqriso oo aad fahanto tilmaamaha soo saaraha. Haddii aad indhoole tahay ama aad aragga liidato, ha u isticmaalin qalinkan caawimaad la’aan. Weydiiso dhakhtarkaaga ama farmashiistaha inuu ku tuso sida loo isticmaalo qalinka. Si taxaddar leh u raac tilmaamaha, oo marwalba qalinka qalin ka mari intaadan isticmaalin.

Marna dib ha u isticmaalin irbadaha ama sirinjeeriyada waligana ha la wadaagin irbadaha, irbadaha, kaydadka, ama qalimaanta. Haddii aad isticmaaleyso qalin insulin, marwalba cirbadda ka qaad isla marka aad durto qiyaastaada. Ku tuur cirbadaha iyo cirbadaha weel u adkaysata daloolka. Weydii dhakhtarkaaga ama farmashiistaha sida loo tuuro weelka daloolka u adkaysta.

Dhakhtarkaagu wuxuu kuu sheegi karaa inaad ku qasto insulin-ta asalka nooc kale oo ah insulin (NPH insulin) isla siliingaha. Dhakhtarkaaga ayaa kuu sheegi doona sida saxda ah ee tan loo sameeyo. Had iyo jeer ku soo jiid asbiriinka asbiriinka markiisa hore, marwalba isticmaal isla sumadaha saliingaha, markastana ku dur insulinta isla marka aad isku qasto ka dib. Xalka insulin-ta 'insulin aspart' waa inaan lagu qasin u diyaargarowga insulin ee aan ahayn insulin-ta NPH. Cayrinta insulin-ta insulin waa inaan lagu qasin wax kale oo diyaarinta insulin ah.

Dhakhtarkaaga ayaa laga yaabaa inuu kuu sheego inaad milo dheecaanka insulin-ta ka hor cirbadeynta si aad ugu oggolaato cabirka qiyaastaada. Dhakhtarkaaga ayaa kuu sheegi doona sida saxda ah ee tan loo sameeyo.

Waad isku duri kartaa insulin-taada bowdyahaaga, caloosha, gacmaha kore, ama badhida. Marna ha isku dusin asbiriin xidid xidid ama muruq. Ku beddel (wareeji) barta la isku duro ee aagga la doortay qiyaas kasta; iskuday inaad ka fogaato isku duritaanka isla goobta in ka badan hal jeer 1-2 toddobaad kasta. Ha ku durin meesha maqaarku qaro weyn yahay, oo kuuskuus yahay, jilicsan yahay, nabar ku yaal, xoqan, adag, ama meelaha maqaarku leeyahay nabarro ama maqaarku waxyeello gaadhay.

Had iyo jeer fiiri insulin-taada asaasiga ah ka hor intaadan isku durin. Haddii aad isticmaaleyso xalka asbiriinta, insuliintu waa inay noqotaa mid cad oo aan midab lahayn. Ha u isticmaalin nooca 'insulin aspart' haddii uu midab leeyahay, daruur yahay, qaro weyn yahay, ama ay ku jiraan waxyaabo adag. Haddii aad isticmaaleyso joojinta insulin-ta insulin, insulintu waa inay umuuqataa daruuro ama caano kadib markaad qasto. Ha isticmaalin insulin-ta noocan oo kale ah haddii ay kuuskuus ku jiraan dareeraha ama haddii ay jiraan qaybo cad oo adag oo ku dheggan salka ama darbiyada dhalada. Ha isticmaalin nooc kasta oo insulin ah ka dib marka ay dhaafto taariikhda dhicitaanka ee lagu daabacay dhalada.

Ka joojinta insulin-ta 'insulin' waa in si tartiib ah loogu rogaa gacmahaaga inta u dhexeysa si loo qaso ka hor isticmaalka. Ha ruxin hakinta insulin-ta. Weydii dhakhtarkaaga ama farmashiistaha haddii nooca insulin-ta aad isticmaaleyso ay tahay in la isku daro iyo sida aad isugu qasmi lahayd haddii loo baahdo.

Xalka insulin-ta insulin sidoo kale waxaa loo isticmaali karaa bamka insulin-ta banaanka. Kahor intaadan u isticmaalin asbiriin insulin nidaamka bamgareynta, akhri calaamadda bamka si aad u hubiso in bamka loo isticmaali karo gaarsiinta joogtada ah ee insulin-ta degdegga ah. Akhriso buug-gacmeedka bamgareynta ee lagu talinayo kaydinta iyo xirmooyinka tubbada, weydiina dhakhtarkaaga ama farmashiistaha inuu ku tuso sida loo isticmaalo bamka insulin-ta. Ha ku khafiifin asbiriin insulin ama ha ku dhex darin nooc kale oo insulin ah markaad u isticmaalayso bamka insulin-ta bannaanka. Markaad u isticmaaleyso asbiriin bamka insulin-ta bannaanka, ku beddel insulin-ta kaydka ugu yaraan 6dii maalmoodba mar, oo beddel setinka faleebada iyo goobta gelinta faleebada ugu yaraan 3dii maalmoodba mar. Haddii goobta soo-gelintu ay tahay casaan, cuncun, ama ay sii adkaatay, u sheeg dhakhtarkaaga oo isticmaal goob kale oo faleebo ah.

Markaad isticmaaleyso xalka insulin-ta kala-baxa bamka insulin-ta banaanka, sonkorta dhiigga ee sare ayaa dhaqso u dhici karta haddii bamka uu si sax ah u shaqeeyo ama haddii insulin-ta ku jirta keydka mashiinka ay la kulanto iftiinka qorraxda ee tooska ah ama heerkul ka sarreeya 98.6 ° F (37 ° C). Sonkorta dhiigga ee sarreysa ayaa sidoo kale dhici karta haddii tuubbada ay daadato ama xirmo, kala go'do, ama ilkaha. Haddii dhibaatada si dhakhso leh looma helin oo la saxo, isla markiiba wac dhakhtarkaaga. Waxaa laga yaabaa inaad u baahato inaad si ku-meelgaar ah ugu isticmaasho insulin cirbadeynta subagga hoosteeda (adoo isticmaalaya siriinjooyin ama qalin insulin). Hubso inaad haysatid insulin-soo-celin iyo wixii agab ah ee lagama maarmaanka u ah gacanta, oo weydii dhakhtarkaaga ama farmashiistaha inuu ku tuso sida loo isticmaalo.

Weydii farmashiistahaaga ama dhakhtarkaaga nuqul ka mid ah macluumaadka soo saaraha ee bukaanka.

Daawadan waxaa loo qori karaa adeegsiyo kale; Weydii dhakhtarkaaga ama farmashiistaha wixii macluumaad dheeraad ah.

Kahor intaadan isticmaalin insulin aspart,

• u sheeg dhakhtarkaaga iyo farmasiilahaaga haddii aad xasaasiyad ku leedahay insulin (Humulin, Novolin, kuwa kale), wax kasta oo ka kooban insulin aspart, ama daawooyin kale. Weydii farmashiistahaaga ama ka hubi macluumaadka bukaanka soo saaraha liiska waxyaabaha ay ka kooban yihiin.
• u sheeg dhakhtarkaaga iyo farmashiistaha dawooyinka dhakhtarku qoro iyo kuwa aan dhakhtar qorin, fiitamiinnada, nafaqada nafaqada, iyo alaabta dhirta aad qaadanayso. Hubso inaad sheegto mid ka mid ah kuwan soo socda: albuterol (Accuneb, Proair, Proventil, kuwa kale); angiotensin-converting enzyme (ACE) inhibitors sida benazepril (Lotensin, in Lotrel), captopril, enalapril (Epaned, Vasotec), fosinopril, lisinopril (Prinivil, Qbrelis, Zestril), moexipril, perindopril, quinapril (Accupril) ), iyo trandolapril (Mavik); angiotensin receptor blockers (ARBs) sida azilsartan (Edarbi, in Edarbyclor), candesartan (Atacand, in Atacand HCT), eprosartan (Teveten), losartan (Cozaar, in Hyzaar), iyo valsartan (Diovan, in Diovan HCT, in Exforge, kuwa kale); daawooyinka dhimirka aan caadiga ahayn sida clozapine (Clozaril, Fazaclo, Versacloz) iyo olanzapine (Zyprexa); beta blockers sida atenolol (Tenormin), labetalol (Trandate), metoprolol (Lopressor, Toprol XL, kuwa kale), nadolol (Corgard), iyo propranolol (Inderal); dawooyinka qaarkood ee yareeya kolestaroolka sida fenofibrate (TriCor, Triglide), gemfibrozil (Lopid), iyo niacin (Niaspan); clonidine (Catapres, Catapres-TTS, oo ku taal Clorpres); danazol; digoxin (Lanoxin); sibibramramide (Norpace, Norpace CR); durayaasha ('kaniiniyada biyaha'); fluoxetine (Prozac, Sarafem, oo ku taal Symbyax); glucagon; guanethidine (oo aan laga heli karin Mareykanka); Ka hortagayaasha HIV protease oo ay ka mid yihiin atazanavir (Reyataz, in Evotaz), indinavir (Crixivan), lopinavir (Kaletra), nelfinavir (Viracept), ritonavir (Norvir, Kaletra), iyo saquinavir (Invirase); daaweynta beddelka hoormoonka; isoniazid (Laniazid); lithium (Lithobid); daawooyinka neefta iyo hargabka; daawooyinka cudurada maskaxda iyo lallabbada; monoamine oxidase (MAO) inhibitors ay ka mid yihiin isocarboxazid (Marplan), phenelzine (Nardil), selegiline (Eldepryl) iyo tranylcypromine (Parnate); octreotide (Sandostatin); p-pillerka (kaniiniyada xakameynta dhalmada); dawooyinka afka laga qaato ee sonkorowga sida pioglitazone (Actos, in Actoplus Met, iyo kuwa kale) iyo rosiglitazone (Avandia); steroids-ka afka laga qaato sida dexamethasone, methylprednisolone (Medrol), iyo prednisone (Rayos); pentamidine (NebuPent, Pentam); pramlintide (Symlin); keydka; salicylate xanuun joojiyeyaasha sida aspirin, choline magnesium trisalicylate, choline salicylate, diflunisal, magnesium salicylate (Doan’s, kuwa kale), iyo salsalate (Argesic, Disalcid, Salgesic); somatropin (Genotropin, Nutropin, Cerastium, kuwa kale); antibiyootikada sulfa; terbutaline; iyo dawooyinka tayroodhka. Dhakhtarkaaga ayaa laga yaabaa inuu u baahdo inuu beddelo qiyaasta daawooyinkaaga ama uu si taxaddar leh kuugu ilaaliyo dhibaatooyinka soo raaca.
• u sheeg dhakhtarkaaga haddii aad leedahay ama aad waligaa waxyeello neerfaha ah oo uu sababo kaadi macaanku; wadnaha oo istaaga; ama haddii aad qabtid xaalado caafimaad oo kale, oo ay ku jiraan wadnaha, kalyaha, ama cudur beerka ah.
• u sheeg dhakhtarkaaga haddii aad uur leedahay, qorsheyso inaad uur yeelato, ama aad naas nuujiso. Haddii aad uur yeelato intaad isticmaaleysid asbiriin insulin, wac dhakhtarkaaga.
• haddii aad qalliin ku jirto, oo ay ku jiraan qalliinka ilkaha, u sheeg dhakhtarka ama dhakhtarka ilkaha inaad isticmaasho insulin aspart.
• khamrigu wuxuu sababi karaa isbadal ku dhaca sonkorta dhiiga. Weydii dhakhtarkaaga wax ku saabsan isticmaalka aaminka ah ee cabbitaannada aalkolada ah inta aad isticmaaleyso aspart aspart.
• Weydii dhakhtarkaaga waxa la sameeyo haddii aad xanuunsato, ama aad dareento walwal aan caadi ahayn, ama aad beddesho cuntadaada, jimicsigaaga, ama jadwalkaaga waxqabad. Isbeddeladani waxay saameyn ku yeelan karaan jadwalkaaga qaadashada iyo xaddiga insulin-ta aad u baahan doonto.
• Weydii dhakhtarkaaga inta jeer ee ay tahay inaad iska hubiso sonkorta dhiiggaaga. Ogsoonow in hypoglycemia ay saameyn ku yeelan karto awoodaada inaad qabato howlo sida wadista oo weydii dhakhtarkaaga haddii aad u baahan tahay inaad hubiso sonkorta dhiiggaaga ka hor intaadan wadin ama aadan mishiinka wadin.

Hubso inaad raacdo dhammaan jimicsiga iyo talooyinka cuntada ee dhakhtarkaagu ama nafaqeeyahaagu kuu qoro. Waa muhiim in la cuno cunto caafimaad leh, iyo in la cuno qiyaas isku mid ah oo noocyo cunto ah isku mid ah maalin kasta. Ka-boodidda ama dib-u-dhigista cuntada ama beddelidda qadarka ama nooca cuntada aad cunayso waxay dhibaato ku keeni kartaa xakamaynta sonkorta dhiiggaaga.

Asbiriinka 'insulin' waa in lagu duraa waxyar ka hor ama ka dib cuntada. Haddii aad xasuusato qiyaastaada ka hor ama waxyar ka dib cuntadaada, isla markiiba isku dur qiyaasta la seegay. Haddii waqti ka soo wareegtay ilaa cuntadaada, raac tilmaamaha uu ku siiyay dhakhtarkaaga ama wac dhakhtarkaaga si aad u ogaato haddii aad ku dureyso qiyaasta la seegay. Ha isku durin laba-qaadasho si aad uhesho mid kaa dhaafay.

Dawadani waxay sababi kartaa isbeddel ku dhaca sonkorta dhiiggaaga. Waa inaad ogaataa astaamaha sonkorta dhiiga oo hooseysa iyo kuwa sare iyo waxa la sameeyo haddii aad leedahay astaamahan.

Aspart aspart waxay sababi kartaa waxyeelo. U sheeg dhakhtarkaaga haddii mid ka mid ah astaamahani ay daran yihiin ama aanad tagin:

• guduudasho, barar, ama cuncun meeshii laga muday
• isbeddellada dareenka maqaarkaaga, maqaarka oo sii adkaada (dufanka oo kordha), ama niyad jab yar oo maqaarka ah (dufanka oo burbura)
• miisaanka oo kordha
• calool istaag

Dhibaatooyinka qaarkood waxay noqon karaan kuwo halis ah. Haddii aad isku aragto mid ka mid ah astaamahan, wac takhtarkaaga isla markiiba ama u hel daaweyn degdeg ah:

• finan ama / cun cun jidhka oo dhan
• neefta oo ku qabata
• taahid
• dawakhaad
• aragga oo xumaada
• garaaca wadnaha
• dhidid
• daciifnimo
• murqo xanuun
• garaaca wadnaha oo aan caadi ahayn
• miisaanka oo kordha muddo gaaban gudaheed
• bararka gacmaha, gacmaha, cagaha, anqawyada, ama lugaha hoose

Aspart aspart waxay sababi kartaa waxyeelo kale. Wac dhakhtarkaaga haddii aad qabtid dhibaatooyin aan caadi ahayn intaad isticmaaleyso daawadan.

Haddii aad isku aragto waxyeellooyin daran, adiga ama dhakhtarkaaga ayaa warbixin u diri kara Barnaamijka Ka Warbixinta Dhacdooyinka Xun ee Maamulka Cuntada iyo Dawooyinka (FDA) (http://www.fda.gov/Safety/MedWatch) ama taleefan ( 1-800-332-1088).

Daawadan ku hay weelka ay ka soo gashay iyo meelaha ay carruurtu gaarto. Ku keydi qaboojiyaha aspart-ka aan la furin, kartoonnada, iyo qalimaanta qaboojiyaha, laakiin ha barafaynin. Aspart insulin qaboojiye ah oo aan la furin ayaa lagu keydin karaa ilaa taariikhda ka muuqata calaamadda shirkadda. Haddii qaboojiye aan la heli karin (tusaale ahaan, marka uu fasax yahay), ku kaydi fijaannada aan la furin, kaydadka, ama qalimaanta heerkulka qolka oo ka fog qorraxda tooska ah iyo kuleylka daran. Weelasha aan la firin qaboojiyaha, kartoonada, iyo qalimaanta xalinta insulin (Fiasp, NovoLog) waxaa lagu isticmaali karaa 28 maalmood gudahood, laakiin waqtigaas kadib waa in la tuuraa. Fiilooyinka aan la firin qaboojiyaha ee ka joojinta insulin (NovoLog 70/30) waxaa lagu isticmaali karaa 28 maalmood gudahood oo aan la qaboojin, qalimaan aan la furin ayaa lagu isticmaali karaa 14 maalmood gudahood; waqtigaas kadib waa in la tuuraa.

Weelasha la furay ee insulin aspart xal (Fiasp, Novolog) ayaa lagu keydin karaa 28 maalmood heerkulka qolka ama qaboojiyaha. Haddii dhakhtarkaagu kuu sheego inaad milo dheecaankaaga insulin (Novolog), weelka daawada la qasi jiray ayaa lagu keydin karaa ilaa 28 maalmood qaboojiyaha ama heerkulka qolka. Xalka gulufyada iyo qalimaanta furitaanka insulin-ta insulin (Novolog) ayaa laga yaabaa in lagu keydiyo heerkulka qolka ilaa 28 maalmood; ha qaboojinin. Qalimaan la furay oo ka kooban NovoLog Mix 70/30 ayaa lagu kaydin karaa heerkulka qolka illaa 14 maalmood; ha qaboojinin. Qalimmada furfuraha ee loo yaqaan 'insulin aspart solution' (Fiasp) ayaa lagu keydin karaa heerkulka qolka ama qaboojiyaha ilaa 28 maalmood. Iska tuur badeecada asaasiga ah ee insulin-ta ee u kuleylka daran ama qabowga.

Waa muhiim inaad ka ilaaliso dhammaan daawooyinka meel aan la arkeynin oo aysan gaari karin carruurta maaddaama weelal badan (sida kuwa toddobaadlaha kiniiniga ka fiirsada iyo kuwa loogu talagalay dhibcaha isha, kareemada, dhejiyeyaasha, iyo kuwa neefta ku siiya) uma adkeysana carruurta, carruurta yaryarna si fudud ayey ku furi karaan. Si aad uga ilaaliso carruurta yaryar sunta, marwalba xiro daboolka badbaadada isla markaana isla markiiba dhig dawada meel aamin ah - mid kor iyo fog kana fog aragooda oo gaadha. http://www.upandaway.org

Daawooyinka aan loo baahnayn waa in lagu tuuraa siyaabo gaar ah si loo hubiyo in xayawaanka, carruurta, iyo dadka kaleba aysan cuni karin. Si kastaba ha noqotee, waa inaadan ku daadinin daawadan musqusha hoosteeda. Taabadalkeed, sida ugufiican ee dawada looga takhalusi karaa waa iyada oo loo maro barnaamijka dib u celinta daawada. La hadal farmashiistahaaga ama la xiriir waaxda qashinka / dib u warshadaynta si aad wax uga ogaato barnaamijyada dib-u-celinta ee bulshadaada. Ka eeg bogga internetka ee 'FDA ee Amni-Qaadashada Daawooyinka (http://goo.gl/c4Rm4p) si aad u hesho macluumaad dheeraad ah haddii aadan marin u helin barnaamijka dib-u-celinta.

Xaalada xad dhaafka ah, wac khadka caawinta ka hortagga sunta 1-800-222-1222. Macluumaadka sidoo kale waxaa laga heli karaa internetka https://www.poisonhelp.org/help. Haddii dhibbanuhu burburay, suuxdin qabtay, neefsashadu dhib ku tahay, ama aan la kici karin, isla markiiba wac adeegyada gurmadka ee 911.

Xaddiga xad-dhaafka ah ee 'Insulin aspart' ayaa dhici kara haddii aad isticmaasho dheecaano badan oo insulin ah ama haddii aad isticmaasho xaddiga saxda ah ee 'aspart aspart' laakiin aad cuntid in ka yar sidii caadiga ahayd ama aad jimicsi ka samaysato sidii caadiga ahayd. Qiyaasta xad-dhaafka ah ee 'Insulin aspart' waxay sababi kartaa hypoglycemia. Haddii aad leedahay astaamaha hypoglycemia, raac tilmaamaha dhakhtarkaaga ee wixii aad sameyn lahayd haddii aad ku dhacdo hypoglycemia. Calaamadaha kale ee xad dhaafka ah:

• miyir beelid
• qalal

Dhammaan ballamaha la dhig dhakhtarkaaga iyo shaybaarka. Sonkorta dhiiggaaga iyo glycosylated hemoglobin (HbA1c) waa in si joogto ah loo hubiyaa si loo ogaado jawaabtaada insulin aspart. Dhakhtarkaaga ayaa sidoo kale kuu sheegi doona sida loo hubiyo jawaabtaada daawadan adoo ku cabbiraya heerarka sonkorta dhiiggaaga guriga. Si taxaddar leh u raac tilmaamahaas.

Waa inaad marwalba xidhataa jijin aqoonsiga kaadi macaanka si loo hubiyo inaad hesho daaweyn sax ah markay tahay xaalad degdeg ah.

Ha u ogolaan qof kale inuu isticmaalo daawadaada. Weydii farmashiistahaaga wixii su'aalo ah ee aad ka qabto dib u soo celinta daawada laguu qoray.

Waxaa muhiim kuu ah inaad haysato liis qoran oo ku saabsan dhammaan daawooyinka laguu qoro iyo kuwa aan dhakhtar qorin (warqad dhakhtar la aan ah) ee aad qaadanaysid, iyo sidoo kale wax soo saar kasta sida fiitamiinnada, macdanta, ama nafaqooyinka kale ee nafaqada leh. Waa inaad soo qaadataa liiskan markasta oo aad booqato dhakhtar ama haddii isbitaal la dhigo. Sidoo kale waa macluumaad muhiim ah inaad lasocoto haddii ay jiraan xaalado deg deg ah.

• Fiasp^®
• NovoLog^®
• NovoLog^® Isku qas 70/30