Qoraa: Janice Evans
Taariikhda Abuurista: 25 Julay 2021
Taariikhda Cusboonaysiinta: 23 Juun 2024
Anonim
Insulin Glulisine (asalka rDNA) Cirbad - Daawo
Insulin Glulisine (asalka rDNA) Cirbad - Daawo

Qanacsan

Insulin glulisine waxaa loo isticmaalaa in lagu daaweeyo nooca 1aad ee sonkorowga (xaalad jirku uusan sameynin insulin oo uusan xakameyn karin qadarka sonkorta dhiiga ku jirta). Waxaa sidoo kale loo isticmaalaa in lagu daaweeyo dadka qaba nooca 2aad ee sonkorowga (xaalad uu sonkorta dhiigu aad u sareyso maxaa yeelay jirku ma soo saaro ama uma isticmaalo insulin si caadi ah) kuwaas oo u baahan insulin si loo xakameeyo kaadi macaankooda. Bukaannada qaba nooca 1aad ee sonkorowga, insulin glulisine waxaa badanaa loo isticmaalaa nooc kale oo insulin ah, haddii aan loogu isticmaalin bamka insulinta dibadda. Bukaannada qaba sonkorowga nooca 2aad, insulin glulisine sidoo kale waxaa loo isticmaali karaa nooc kale oo insulin ah ama daawooyinka afka laga qaato ee sonkorowga. Insulin glulisine waa qaab hawleed gaaban, oo ah bini-aadam sameeyay oo insulin-ta aadanaha ah. Insulin glulisine waxay ku shaqeysaa iyadoo la badalayo insulin-ta caadiga ah ee jirku soo saaro waxayna caawineysaa in sokorta dhiiga laga wareejiyo unugyada kale ee jirka halkaas oo 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.


Insulin glulisine waxay u timaadaa xalka (dareeraha) in si subag ah loogu mudo (maqaarka hoostiisa). Waxaa badanaa lagu duraa illaa 15 daqiiqo cuntada ka hor ama 20 daqiiqo gudahood ka dib marka la bilaabo cuntada. 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 insulin glulisine sida saxda ee lagu faray. Ha u isticmaalin wax ka yar ama ka yar ama u isticmaal si ka badan inta dhakhtarku kuu qoray.

Waligaa ha isticmaalin insulin glulisine markaad leedahay calaamadaha hypoglycemia (sonkorta dhiiga oo hooseysa) ama haddii aad hubisay sonkorta dhiiggaaga oo aad ogaatay inay hooseyso. Ha ku durin insulin meel maqaarka ka mid ah oo guduudan, bararsan, cuncun leh, ama dhumuc leh.

Insulin glulisine ayaa maamusha sonkorowga laakiin ma daaweyso. Sii wad inaad isticmaasho insulin glulisine xitaa haddii aad caafimaad qabtid. Ha u joojin isticmaalka insulin glulisine adigoon la hadlin dhakhtarkaaga. 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 glulisine waxay ku timaaddaa fijaannada iyo qaadashada qalimaanta ay ku jiraan kaydadka dawooyinka. Hubso inaad ogtahay nooca weelka ay insulin glulisine-ku soo gasho iyo waxayaabaha kale ee ay ka midka yihiin irbadaha, cirbadaha, ama qalimaanta, waxaad u baahan doontaa inaad isku durto dawadaada.

Haddii insulinta glulisine ay ku timaaddo weello, waxaad u baahan doontaa inaad isticmaasho siriinjyo si aad isugu durto qiyaastaada. Weydiiso dhakhtarkaaga ama farmashiistaha inuu ku tuso sida aad isugu durto insulin glulisine adoo isticmaalaya siliinge. Weydii dhakhtarkaaga ama farmashiistaha haddii aad qabtid su'aalo ku saabsan nooca saliingaha ay tahay inaad isticmaasho.

Haddii glargine-kaaga insulin uu ku yimaado qalimaan, hubi inaad aqriso oo aad fahanto tilmaamaha soo saaraha. Weydiiso dhakhtarkaaga ama farmashiistaha inuu ku tuso sida loo isticmaalo qalinka. Raac tilmaamaha si taxaddar leh, mar walbana samee tijaabada amniga kahor isticmaalka.

Marna dib ha u isticmaalin irbado ama sirinjeeryo weligaa ha la wadaagin irbadaha, irbadaha, 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 glulisine-kaaga nooc kale oo insulin ah (NPH insulin [Novolin N, Humulin N]) isla siliingaha. Ha ku qasin ama ha ku badhxin insulin glulisine nooc kale oo insulin ah. Haddii aad ku qasto insulin glulisine insulin-ta NPH, marka hore ku soo qaad insulin glulisine-ka saliingaha, ka dibna ku dheji insulin-ka NPH saliingaha oo ku dur duriyaha isla marka aad isku qasto ka dib.

Waad ku duri kartaa insulin glulisine bowdyahaaga, caloosha, ama gacmaha kore. Marna ha isku durin insulin glulisine xididka ama muruqa. Ku beddel (wareeji) barta la isku duro ee aagga la doortay qiyaas kasta; iskuday inaad ka fogaato isku duritaanka isla goobta marar badan hal mar 1 ilaa 2 asbuuc kasta.

Had iyo jeer fiiri insulintaada glulisine kahor intaadan isku durin. Waa inuu noqdaa mid cad oo aan midab lahayn. Ha u isticmaalin insulin-ta glulisine haddii ay midab leedahay, daruur leedahay, ama ay ku jiraan waxyaabo adag, ama haddii taariikhda dhicitaanka dhalada ay dhaaftay.

Insulin glulisine sidoo kale waxaa loo isticmaali karaa bamka insulinta dibada. Kahor intaadan u isticmaalin insulin glulisine nidaamka bamgareynta, aqri 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 milmin insulin glulisine ama ha ku dhex darin nooc kale oo insulin ah markaad u isticmaalayso bamka insulin-ta bannaanka. Insulin glulisine loo isticmaalo bamka insulin-ta bannaanka waa in lagu shubaa aagga calooshaada. Markaad ku isticmaaleyso insulin glulisine bamka insulin-ta bannaanka, ku beddel insulin-ta kaydka oo beddel tubbada, irbadda, iyo goobta soo-gelinta (barta ay mashiinku kaga dhegsan yahay jirka) ugu yaraan 48 saacadood kasta. Haddii goobta soo-gelintu ay tahay casaan, cuncun, ama ay sii adkaatay, u sheeg dhakhtarkaaga oo isticmaal goob kale oo faleebo ah.

Markaad ku isticmaaleyso insulinta glulisine bamka insulin-ta banaanka, sonkorta dhiiga ee sareeysa ayaa dhaqso u dhici karta hadii mashiinka si sax ah u shaqeeyo ama hadii insulin-ta keydka kujirta ay la kulanto iftiinka qoraxda tooska ah ama heerkulka ka sareeya 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. Waxaa laga yaabaa inaad u baahato inaad bedesho setinka faleebada iyo insulin-ta ku jirta bamka ama goobta soo-gelinta haddii aad leedahay sonkor dhiig oo sarreeya, qaylo-dhaamiyaha bamka ayaa dhawaaqaya, ama socodka insulinta ayaa xiran. 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 glulisine,

  • u sheeg dhakhtarkaaga iyo farmasiilahaaga haddii aad xasaasiyad ku leedahay insulin (Humulin, Novolin, kuwa kale), wax kasta oo ka kooban insulin glulisine, 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 ah ee aad qaadanayso ama aad qorsheyneyso inaad qaadato. Hubso inaad sheegto mid ka mid ah kuwan soo socda: daawadayaasha loo yaqaan 'angiotensin-converting enzyme (ACE) inhibitors sida benazepril (Lotensin), captopril (Capoten), enalapril (Vasotec), fosinopril (Monopril), lisinopril (Prinivil, Zestril), moexipril (Univasc) , perindopril (Aceon), quinapril (Accupril), ramipril (Altace), iyo trandolapril (Mavik); beta beta blockers sida atenolol (Tenormin), labetalol (Normodyne), metoprolol (Lopressor, Toprol XL), nadolol (Corgard), iyo propranolol (Inderal); dawooyinka qaarkood ee yareeya kolestaroolka sida fenofibrate (Antara, Lofibra, TriCor, Triglide), gemfibrozil (Lopid), iyo niacin (Niacor, Niaspan, Advicor); clonidine (Catapres, Catapres-TTS, oo ku taal Clorpres); danazol; sibibramramide (Norpace); durayaasha ('kaniiniyada biyaha'); fluoxetine (Prozac, Sarafem, oo ku taal Symbyax); glucagon (Glucagen); daaweynta beddelka hoormoonka; isoniazid (INH, Nydrazid); lithium (Eskalith, Lithobid); daawooyinka neefta iyo hargabka; dawooyinka qaarkood ee fayraska difaaca jirka (HIV) oo ay kujiraan amprenavir (Agenerase), atazanavir (Reyataz), fosamprenavir (Lexiva), indinavir (Crixivan), lopinavir (Kaletra), nelfinavir (Viracept), ritonavir (Kaletra, Norvir) (Invirase), iyo tipranavir (Aptivus); daawooyinka cudurada maskaxda iyo lallabbada; monoamine oxidase (MAO) inhibitors sida isocarboxazid (Marplan), phenelzine (Nardil), selegiline (Eldepryl, Emsam, Zelapar), iyo tranylcypromine (Parnate); ka hortagga uurka ee hormoonka (kaniiniyada ka hortagga uurka, balastarro, faraantiyo, irbado, ama galmo); octreotide (Sandostatin); daawooyinka afka laga qaato ee sonkorowga; dawooyinka afka laga qaato sida dexamethasone (Decadron, Dexone), methylprednisolone (Medrol), iyo prednisone (Deltasone); pentamidine (NebuPent, Pentam); pentoxifylline (Pentoxil, Trental); pramlintide (Symlin); keydka; salicylate xanuun joojiyeyaasha sida aspirin, choline magnesium trisalicylate (Tricosal, Trilisate), choline salicylate (Arthropan), diflunisal (Dolobid), magnesium salicylate (Doan’s, kuwa kale), iyo salsalate (Argesic, Disalcid, Salgesic); somatropin (Nutropin, Serostem, kuwa kale); antibiyootikada sulfa; 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 dareentay waxyeelo dareemayaal ah oo ay keeneen sonkorowgaaga ama xaalado kale oo caafimaad, oo ay ku jiraan kelyaha ama cudur beerka.
  • u sheeg dhakhtarkaaga haddii aad uur leedahay, qorsheyso inaad uur yeelato, ama aad naas nuujiso. Haddii aad uur yeelato intaad isticmaaleysid insulin glulisine, wac dhakhtarkaaga.
  • haddii aad qalliin sameyneyso, oo ay ku jiraan qalliinka ilkaha, u sheeg dhakhtarka ama dhakhtarka ilkaha inaad isticmaaleyso insulin glulisine.
  • khamrigu wuxuu sababi karaa isbadal ku dhaca sonkorta dhiiga. Weydii dhakhtarkaaga wax ku saabsan isticmaalka aaminka ah ee cabbitaanka khamriga ah inta aad isticmaaleysid insulin glulisine.
  • Weydii dhakhtarkaaga waxa la sameeyo haddii aad xanuunsato, aad dareento walaac aan caadi ahayn, ama aad beddesho jimicsigaaga iyo heerkaaga dhaqdhaqaaqa. Isbeddeladani waxay saameyn ku yeelan karaan sonkorta dhiiggaaga iyo xaddiga insulin-ta aad u baahan karto.
  • 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.

Insulin glulisine waa in la isku duro ilaa 15 daqiiqo kahor ama 20 daqiiqo gudahood kadib marka cuntada la bilaabo. 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.

Insulin glulisine waxay sababi kartaa isbadal ku dhaca sonkorta dhiigaaga. Waa inaad ogaataa astaamaha sonkorta dhiiga oo hooseysa iyo kuwa sare iyo waxa la sameeyo haddii aad leedahay astaamahan.

Insulin glulisine 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 waxoogaa yeelitaan maqaarka ah (dufanka oo burbura)
  • bararka gacmaha iyo cagaha
  • 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
  • madax wareer / suuxid
  • neefsashada ama wax liqidda oo ku adkaata
  • daciifnimo
  • murqo xanuun
  • garaaca wadnaha oo aan caadi ahayn

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

Ku kaydi dhalada finiinka insulinta glulisine iyo qalimaanta qaboojiyaha meel ka fog iftiinka. Marna ha u oggolaan in insulin glulisine barafowdo; Ha u isticmaalin insulin glulisine qabow iyo dhalaalid. Weelasha insulin glulisine ee la furay waa la qaboojin karaa ama waxaa lagu keydin karaa heerkulka qolka, kana fog qoraxda tooska ah iyo kuleylka, illaa 28 maalmood. Qalimaanta la sii diyaariyay ee aan la isticmaalin waxaa laga yaabaa in la qaboojiyo ama waxaa lagu keydin karaa heerkulka qolka, ka fog kuleylka tooska ah iyo qorraxda, illaa 28 maalmood. Qalimaanta la diyaariyay ee la isticmaalay waa in aan la qaboojin; waa in lagu kaydiyaa heerkulka qolka ilaa 28 maalmood ka dib isticmaalka koowaad. Ku tuur weelka insulinta glulisine iyo qalimaan 28 maalmood kadib. Tuur insulin glulisine aan furin, qaboojiye taariikhda dhicitaanka ee ku daabacan calaamada ayaa dhaaftay. Tuur wax kasta oo insulin glulisine ah oo barafoobay ama u kuleyl daran.

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.

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

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.

Qiyaasta xad-dhaafka ah ee 'insulin glulisine' ayaa dhici karta haddii aad isticmaasho insulin glulisine aad u badan ama haddii aad isticmaasho qaddarka saxda ah ee insulin glulisine laakiin aad wax ka yar sidii caadiga ahayd ama aad jimicsi u sameyso sidii caadiga ahayd. Xaddiga xad-dhaafka ah ee insulin glulisine wuxuu sababi karaa 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 waxaa ka mid noqon kara:

  • miyir beelid
  • qalal

Dhammaan ballamaha la dhig dhakhtarkaaga iyo shaybaarka. Sonkorta dhiigaaga iyo glycosylated hemoglobin (HbA1c) waa in si joogto ah loo hubiyaa si loo ogaado jawaabtaada insulin glulisine. Dhakhtarkaaga ayaa sidoo kale kuu sheegi doona sida loo hubiyo jawaabtaada insulin adiga oo gurigaaga ku cabbiraya heerarka sonkorta dhiiggaaga. 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.

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