Cirbadda Insulin Lispro

Qanacsan

• Kahor intaadan isticmaalin sheyga cirbadeynta insuliinta,
• 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.
• Waxyaalaha la isku duro ee insulin lispro waxay sababi kartaa waxyeelo. U sheeg dhakhtarkaaga haddii calaamadaha soo socdaa ay daran yihiin ama aanad tegi doonin:
• Dhibaatooyinka qaarkood waxay noqon karaan kuwo halis ah. Calaamadaha soo socdaa waa kuwo aan caadi ahayn, laakiin haddii aad isku aragto midkood, isla markiiba wac dhakhtarkaaga:
• Qiyaasta xad-dhaafka ah ee 'insulin lispro' ayaa dhici karta haddii aad isticmaasho waxyaabo badan oo insulin lispro ah ama haddii aad isticmaasho qaddarka saxda ah ee wax soo saarka insulin lispro laakiin aad cunaysid wax ka yar sidii caadiga ahayd ama aad jimicsi ka samayn jirtay sidii caadiga ahayd. Xaddiga xad-dhaafka ah ee insulin lispro ayaa sababi kara hypoglycemia. Haddii aad leedahay wax calaamado ah hypoglycemia, raac tilmaamaha dhakhtarkaaga ee wixii aad sameyn lahayd haddii aad ku dhacdo hypoglycemia. Calaamadaha kale ee xad dhaafka ah:

Waxyaalaha la isku duro ee insulin lispro ayaa loo isticmaalaa in lagu daaweeyo nooca 1aad ee sonkorowga (xaalad jidhku aanu soo saarin insulin oo markaa aanu xakamayn karin qadarka sonkorta dhiiga ku jirta). Waxyaabaha la isku duro ee insulin lispro ayaa sidoo kale loo isticmaalaa in lagu daaweeyo dadka qaba nooca 2aad ee sonkorowga (xaalad jidhku 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, waxyaabaha la isku duro ee insulin lispro ayaa had iyo jeer loo isticmaalaa nooc kale oo insulin ah, haddii aan loo isticmaalin bamka insulinta dibadda. Bukaannada qaba sonkorowga nooca 2aad, waxyaabaha la isku duro ee insulin lispro ayaa loo isticmaali karaa nooc kale oo insulin ah ama daawooyinka afka loo qaato ee sonkorowga. Wax soo saarka insulin lispro waa nooc hawl-gaaban, oo dad samee ah oo insulin-ta aadanaha ah. Waxyaabaha la isku duro ee insulin lispro waxay ku shaqeysaa iyadoo la badalayo insulin-ta sida caadiga ah jirku soo saaro iyo iyadoo ka caawineysa in sokorta dhiiga laga wareejiyo unugyada kale ee jirka halkaasoo loogu isticmaalo tamar. Waxay sidoo kale joojiyaan 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 yaraada, ama cudurka cirridka: Dhakhtarkaaga iyo bixiyeyaasha kale ee daryeelka caafimaad ayaa kaala hadli doona sida ugu wanaagsan ee loo maareeyo sonkorowgaaga.

Waxyaabaha la isku duro ee insulin lispro waxay u yimaadaan sidii xal (dareere) iyo ganaax (dareere leh walxo ku istaagi doona istaagga) si ay si toosa ugu duraan (maqaarka hoostiisa). Xalka insulin lispro (Admelog, Humalog) waxaa badanaa lagu duraa 15 daqiiqo gudahood cuntada ka hor ama isla marka cuntada la cuno ka dib. Cayrinta insulin lispro (Humalog Mix 75/25 ama Humalog Mix 50/50) waa in lagu duraa 15 daqiiqo kahor cuntada. Xalka insulin lispro-aabc (Lyumjev) waa in la isku duraa bilowga cuntada ama 20 daqiiqo gudahood ka dib markaad bilowdo cunista cuntada Dhakhtarkaaga ayaa kuu sheegi doona inta jeer ee aad ku durayso alaabada insuliinka liispro 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 waxyaabaha la isku duro insulinta lispro sida saxda ee lagu faray. Ha u isticmaalin wax ka yar ama ka yar ama u isticmaal si ka badan inta dhakhtarku kuu qoray.

Waxyaabaha la isku duro ee insulin lispro ayaa sidoo kale lagu shubi karaa xididka (xididka) dhakhtar ama kalkaaliye caafimaad oo jooga goob daryeel caafimaad. Dhaqtar ama kalkaaliye caafimaad ayaa si taxaddar leh kaagala socon doona dhibaatooyinka soo raaca.

Weligaa ha isticmaalin waxyaabaha la isku duro ee insulin lispro marka aad leedahay calaamadaha hypoglycemia (sonkorta dhiiga oo hooseysa) ama haddii aad hubisay sonkorta dhiiggaaga oo aad aragtay inay hooseyso. Ha ku durin insulin meel maqaarka ka mid ah oo guduudan, bararsan, cuncun leh, ama dhumuc leh.

Waxyaalaha la isku duro ee insulin lispro ayaa xakameeya cudurka macaanka laakiin ma daaweyso. Sii wad inaad isticmaasho alaabta lispro insulin xitaa haddii aad caafimaad qabtid. Ha u joojin isticmaalka waxyaabaha la isku duro ee insuliinta 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.

Waxyaabaha la isku duro ee insulin lispro waxay ku yimaadaan weelasha, gulufyada ay ku jiraan daawooyinka waana in la galiyaa qalinka daawada, iyo qiyaasta daawada oo ay ku jiraan xabadaha dawooyinka. Hubso inaad ogtahay nooca weelka insulin-taada lispro ay soo gasho iyo waxayaabaha kale ee ay ka midka yihiin irbadaha, siliingaha, ama qalimaanta aad ugu baahan doonto inaad ku durto daawadaada.

Haddii sheygaaga duro insuliinta lispro uu ku yimaado weello, waxaad u baahan doontaa inaad isticmaasho siriinjyo si aad ugu durto qiyaastaada. Weydiiso dhakhtarkaaga ama farmashiistaha inuu ku tuso sida loo duro irbadda insuliinta lispro iyadoo la isticmaalayo siliinge. Weydii dhakhtarkaaga ama farmashiistaha haddii aad qabtid su'aalo ku saabsan nooca saliingaha ay tahay inaad isticmaasho.

Haddii sheygaaga duro insuliinka lispro uu ku yimaado kaydadka, waxaad u baahan doontaa inaad si gooni ah u iibsato qalin insulin. 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 sheygaaga duro insulin lispro uu ku yimaado qalimaan, hubi inaad aqriso oo aad fahanto tilmaamaha soo saaraha. 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 kudarsato xalka insulinta lispro nooc kale oo insulin ah (NPH insulin) isla siliingaha. Dhakhtarkaaga ayaa kuu sheegi doona sida saxda ah ee tan loo sameeyo. Had iyo jeer u soo qaad insulin lispro irbadda marka hore, markasta isticmaal isla sumadda siliingaha, markastana ku dur insulinta isla marka aad isku qasto ka dib. Waxyaalaha la isku duro ee insulin lispro waa inaan lagu qasin u diyaar garowga insulin marka laga reebo insulin-ta NPH. Cayrinta insulinta lispro waa inaan lagu qasin diyaarinta insulin kale.

Dhakhtarkaaga ayaa laga yaabaa inuu kuu sheego inaad milo badeecada la isku duro ee insulin lispro ka hor cirbadeynta si loo oggolaado cabirka qiyaastaada. Dhakhtarkaaga ayaa kuu sheegi doona sida saxda ah ee tan loo sameeyo.

Waad ku duri kartaa badeecada lagugu duray insulinta bowdyahaaga, caloosha, gacmaha kore, ama badhida. Waqti kasta oo aad isku durto insulin-taada wax soo saarka lispro waa inaad doorataa meel ugu yaraan 1/2 inji (1.25 sentimitir) ka durugsan meeshii aad ku mudday cirbaddaadii u dambeysay.

Had iyo jeer fiiri sheygaaga insulin lispro kahor intaadan durin. Haddii aad isticmaaleyso xalka insulinta lispro, insulintu waa inay noqotaa mid cad oo aan midab lahayn. Ha u isticmaalin noocan insulin lispro badeecada haddii ay midab leedahay, daruur leedahay, ama ay ku jiraan waxyaabo adag. Haddii aad isticmaaleyso ganaax insulinta lispro, insulintu waa inay umuuqataa daruuro ama caano kadib markaad qasto. Ha isticmaalin noocan insulin badeedka haddii ay kuuskuus ku jiraan dareeraha ama haddii ay jiraan cad 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.

Cayrinta insulin lispro waa in si tartiib ah loo gariiriyaa ama loo rogaa gacmahaaga inta u dhexeysa si loo qaso ka hor isticmaalka. 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.

Waxyaabaha insulin-ta lispro ee ku jirta dhalooyinka ama qasnadaha sidoo kale waxaa loo isticmaali karaa bamka insulin-ta banaanka. Kahor intaadan u isticmaalin badeecada lispro insulin-ta nidaamka bamgareynta, aqri sumadda bamka si aad u hubiso in bamka loo isticmaali karo gaarsiinta joogtada ah ee insulin-ta dhaqsaha badan. 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 lispro insulin ama ha ku darin nooc kale oo insulin ah markaad u isticmaalayso bamka insulin-ta dibadda. Markaad u isticmaalayso alaabta lispro insulin-ta bamka insulin-ta bannaanka, ku beddel insulin-ta kaydka ugu yaraan 7-dii maalmoodba mar, oo beddel setinka faleebada iyo goobta galitaanka gelitaanka 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.

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

Kahor intaadan isticmaalin sheyga cirbadeynta insuliinta,

• u sheeg dhakhtarkaaga iyo farmashiistaha haddii aad xasaasiyad ku leedahay insulin (Humulin, Novolin, kuwa kale), insulin lispro, insulin lispro-aabc, wax kasta oo ka mid ah waxyaabaha ka samaysan insulin lispro, 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. U hubso inaad sheegto mid ka mid ah kuwan soo socda: angiotensin converting enzyme (ACE) inhibitors sida benazepril (Lotensin), captopril (Capoten), enalapril (Epaned, Vasotec, Vaseretic), fosinopril, lisinopril (Prinivil, Qbrelis, Zestril, in Zestoretic) ), moexipril, perindopril, (in Prestalia), quinapril (Accupril, in Accuretic, in Quinaretic), ramipril (Altace), iyo trandolapril (in Tarka); xannibaadayaasha 'angiotensin receptor blockers' sida azilsartan (Edarbi, in Edarbyclor), candesartan (Atacand, in Atacand HCT), irbesartan (Avapro, in Avalide), losartan (Cozaar, Hyzaar), olmesartan (Benicar, in Azor, in Benicar HCT, in Tribenzor), telmisartan (Micardis, Micardis HCT, Twynsta), iyo valsartan (Diovan, Diovan HCT, Entresto, Exforge); 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, Lipofen, TriCor, Triglide, kuwa kale), gemfibrozil (Lopid), iyo niacin (Niacor, Niaspan, Advicor); dawooyinka qaarkood ee fayraska difaaca jirka (HIV) oo ay kujiraan atazanavir (Reyataz, in Evotaz), darunavir (Prezista, in Prezcobix, in Symtuza), fosamprenavir (Lexiva), indinavir (Crixivan), lopinavir (Kaletra), nelfinavir (Viracept), (Norvir), saquinavir (Invirase), iyo tipranavir (Aptivus); clonidine (Catapres); clozapine (Clozaril, Versacloz); danazol; digoxin (Digitek, Lanoxin); sibibramramide (Norpace); durayaasha ('kaniiniyada biyaha'); fluoxetine (Prozac, Serafem, oo ku taal Symbyax); daaweynta beddelka hoormoonka; isoniazid (in rifater, rifamate); lithium (Lithobid); daawooyinka neefta iyo hargabka; daawooyinka cudurada maskaxda iyo lallabbada; monoamine oxidase inhibitors ay ka mid yihiin isocarboxazid (Marplan), phenelzine (Nardil), selegiline (Emsam, Zelapar) iyo tranylcypromine (Parnate); octreotide (Sandostatin); olanzapine (Zyprexa, oo ku taal Symbyax); p-pillerka (kaniiniyada xakameynta dhalmada); daawooyinka afka laga qaato ee sonkorowga sida pioglitazone (Actos, in Actoplus Met iyo kuwa kale) iyo rosiglitazone (Avandia); daawooyinka afka laga qaato sida dexamethasone (Decadron, Dexone, Hemady), methylprednisolone (Medrol), iyo prednisone (Rayos); Patiromer (Veltassa); pentamidine (NebuPent, Pentam); pentoxifylline (Pentoxil); pramlintide (Symlin); keydka; salicylate xanuun joojiyeyaasha sida aspirin, choline magnesium trisalicylate (Trisalate), choline salicylate (Arthropan), diflunisal, magnesium salicylate (Doan’s, kuwa kale), iyo salsalate (Argesic, Disalcid, Salgesic); sodium polystyrene sulfonate (Kalexate, Kionex, SPS); somatropin (Nutropin, Serostim, 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 waxyeello neerfaha ah oo uu sababo kaadi macaanku; wadnaha oo istaaga; ama haddii aad qabtid xaalado caafimaad oo kale, oo ay ku jiraan wadnaha, beerka, ama cudurka kelyaha. Sidoo kale u sheeg dhakhtarkaaga haddii aad had iyo jeer leedahay dhacdooyin hypoglycemia ah.
• u sheeg dhakhtarkaaga haddii aad uur leedahay, qorsheyso inaad uur yeelato, ama aad naas nuujiso. Haddii aad uur yeelato inta aad isticmaaleysid alaabada irbadda insuliinta, soo wac dhakhtarkaaga.
• haddii aad qalliin ku jirto, oo ay ku jiraan qalliinka ilkaha, u sheeg dhakhtarka ama dhakhtarka ilkaha inaad isticmaaleyso sheyga irbadda insuliinta lispro.
• Khamrigu wuxuu sababi karaa isbadal ku dhaca sonkorta dhiiga. Weydii dhakhtarkaaga wax ku saabsan isticmaalka aaminka ah ee cabitaannada aalkolada leh iyo rijeetooyinka laguu qoro ama daawooyinka miiska laga soo iibsado ee ay ku jiraan aalkolada inta aad isticmaaleysid wax soo saarka insulin lispro
• 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.
• waa inaad ogaataa marka ugu horeysa ee aad bilaabeysid isticmaalka alaabada irbadda insuliinta lispro ama aad leedahay koror ballaaran oo qiyaasta ah waxaad la kulmi kartaa aragga araga oo xumaada ama dhibaatooyinka kale ee aragtida, ama xannuun, gubasho, daciifnimo ama kabuubyo gacmahaaga, gacmaha, cagaha, ama lugaha. Dhibaatooyinkan soo raaca waa inay baxaan, laakiin u sheeg dhakhtarkaaga haddii dhibaatooyinkaasi sii socdaan.
• 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.
• sonkorta dhiiga ee sare ayaa dhaqso u dhici karta hadii mashiinka insulin-ta ama faleebada la galiyo ay si hagaagsan u shaqeyso ama hadii insulin-ta keydka ku jirta matoorka ay noqoto mid aan shaqeyneyn (hoos u dhaceysa) Dhibaatooyinka waxaa ku jiri kara cilada mashiinka ama dhibaatooyinka tubada sida xannibaada, daadinta, kala-goynta, ama ilkaha. Haddii dhibaatada si dhakhso leh loo helin oo la saxo, wac dhakhtarkaaga. Isticmaalka ku-meelgaarka ah ee insulin-ka ee duritaanka subag hoosaadka (iyadoo la adeegsanayo saliingaha ama qalin insulin) ayaa loo baahan karaa. 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.

Hubso inaad raacdo dhammaan talooyinka nafaqada ee dhakhtarkaagu ama nafaqeeyahaagu kuu soo diro. 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.

Wax soo saarka insulin lispro 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.

Waxyaalaha la isku duro ee insulin lispro waxay sababi kartaa waxyeelo. U sheeg dhakhtarkaaga haddii calaamadaha soo socdaa ay daran yihiin ama aanad tegi doonin:

• guduudasho, barar, ama cuncun meeshii aad ku mudday insulin lispro
• isbeddelada dareenka maqaarkaaga sida maqaarka oo sii adkaada ama xoogaa liqitaan maqaarka ah
• miisaanka oo kordha
• calool istaag

Dhibaatooyinka qaarkood waxay noqon karaan kuwo halis ah. Calaamadaha soo socdaa waa kuwo aan caadi ahayn, laakiin haddii aad isku aragto midkood, isla markiiba wac dhakhtarkaaga:

• cuncun iyo cuncun, neefsashada oo dhib ku ah, finan, xiiq, xiiq garaac wadnaha ah, dhidid, iyo dareemid hurdo, wareer ama jahwareer
• barar wejiga, carrabka, ama cunaha
• daciifnimo, murqo xanuun, garaaca wadnaha oo aan caadi ahayn
• neefta oo ku qabata
• miisaanka oo kordha muddo gaaban gudaheed
• bararka gacmaha, gacmaha, cagaha, anqawyada, ama lugaha hoose

Insulin lispro 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 kaydi fijiyadaha xalka insulinta lispro iyo hakinta qaboojiyaha laakiin ha barafaynin. Waxaad ku keydin kartaa weelka xalka ama ganaaxa aad u isticmaaleyso banaanka qaboojiyaha heerkulka qolka, ka fog kuleylka tooska ah ama iftiinka, illaa 28 maalmood. Haddii dhakhtarkaagu kuu sheego inaad milo xalka waxsoosaarka lispro ee insulin, weel Humalog ah oo la qasi karo ayaa lagu keydin karaa 28 maalmood qaboojiyaha ama 14 maalmood heerkulka qolka, weel Admelog ah oo la qasi karo ayaa lagu keydin karaa 1 maalmood (24 saacadood) qaboojiyaha ama 4 saacadood heerkulka qolka, iyo weel ka kooban Liumjev oo la qasay ayaa lagu keydin karaa 4 maalmood qaboojiyaha ama 12 maalmood heerkulka qolka. Ku keydi badeecada insulin lispro cirbadeynta (xalka ama ganaaxa) qalimaanta iyo kartoonada aan la isticmaalin qaboojiyaha laakiin ha barafeynin. Ku kaydi qalinka wax soo saarka lispro insulin lis iyo kaydadka aad isticmaaleyso banaanka qaboojiyaha heerkulka qolka kana fog kuleylka tooska ah ama iftiinka. Qalimaanta xalka insuliinka lispro ee xalinta iyo kateetarada la isticmaalayo laguna keydinaayo banaanka qaboojiyaha waa in la tuuraa 28 maalmood kadib, iyo qalimaanta ganaaxa duro insulin lispro ee lagu keydiyo banaanka qaboojiyaha waa in la tuuraa 10 maalmood kadib. Xalalka wax soo saarka insulin lispro ee loo isticmaalo bamka insulin-ta bannaanka waa in la tuuraa haddii ay ku dhacdo heerkul ka sarreeya 98.6 ° F. Heerkulka insuliintu wuu ka sarrayn karaa heerkulka hawada ee ka baxsan haddii guryaha bamka, daboolka, tubbada, ama kiiska isboortiga ay u soo baxaan iftiinka qoraxda ama kuleylka tooska ah.

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.

Qiyaasta xad-dhaafka ah ee 'insulin lispro' ayaa dhici karta haddii aad isticmaasho waxyaabo badan oo insulin lispro ah ama haddii aad isticmaasho qaddarka saxda ah ee wax soo saarka insulin lispro laakiin aad cunaysid wax ka yar sidii caadiga ahayd ama aad jimicsi ka samayn jirtay sidii caadiga ahayd. Xaddiga xad-dhaafka ah ee insulin lispro ayaa sababi kara hypoglycemia. Haddii aad leedahay wax calaamado ah 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. Dhakhtarkaagu wuxuu amri doonaa tijaabooyinka shaybaarka qaarkood si loo hubiyo jawaabta jirkaaga ee waxyaabaha la isku duro ee insulin lispro. Dhakhtarkaaga ayaa sidoo kale kuu sheegi doona sida loo hubiyo jawaabtaada ee wax soo saarka insulin lispro adoo cabiraya heerarka sonkorta dhiigaaga 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.

• Admelog^®
• Humalog^®
• Humalog^® Isku qas 50/50
• Humalog^® Isku qas 75/25
• Lyumjev^®(insulin lispro-aabc)