Insulin Degludec (rDNA Keeb Kwm) Txhaj Tshuaj

Zoo Siab

• Ua ntej yuav siv cov tshuaj insulin degludec,
• Cov tshuaj no tuaj yeem hloov pauv hauv koj cov piam thaj hauv ntshav. Koj yuav tsum paub cov tsos mob uas muaj ntshav qab zib thiab ntshav qab zib thiab yuav ua li cas yog tias koj muaj cov tsos mob no. Insulin degludec tuaj yeem ua rau phiv. Qhia rau koj tus kws kho mob yog tias ib qho ntawm cov tsos mob no hnyav lossis tsis ploj mus:
• Qee qhov kev mob tshwm sim tuaj yeem loj heev. Yog tias koj muaj cov tsos mob no, hu rau koj tus kws kho mob tam sim ntawd lossis tau txais kev kho mob kub ceev:
• Insulin degludec kev noj tshuaj ntau dhau yuav tshwm sim yog tias koj siv ntau cov insulin degludec lossis yog tias koj siv cov tshuaj insulin degludec ntau dhau, tab sis noj tsawg dua li ib txwm lossis qoj ib ce ntau dua li ib txwm. Kev siv tshuaj insulin degludec ntau dhau lawm tuaj yeem ua rau ntshav qab zib ntshav qab zib. Yog tias koj muaj cov tsos mob hypoglycemia, ua raws li koj tus kws kho mob cov lus qhia rau koj tias koj yuav tsum ua li cas yog tias koj muaj tus mob ntshav qab zib tsawg. Lwm cov tsos mob ntawm overdose:

Insulin degludec yog siv los kho hom ntshav qab zib hom 1 (mob uas lub cev tsis tsim cov tshuaj insulin thiab yog li tswj tsis tau cov piam thaj hauv ntshav). Nws kuj tseem siv los kho cov neeg mob ntshav qab zib hom 2 (mob uas lub cev tsis siv cov tshuaj insulin ib txwm thiab, yog li ntawd, tsis tuaj yeem tswj cov piam thaj hauv ntshav) uas xav tau cov insulin los tswj lawv cov ntshav qab zib. Hauv cov neeg mob uas muaj ntshav qab zib hom 1, insulin degludec yuav tsum tau siv nrog lwm hom insulin (luv luv ua yeeb yam insulin). Hauv cov neeg mob uas muaj ntshav qab zib hom 2, insulin degludec yuav siv nrog lwm hom insulin lossis nrog tshuaj noj rau qhov mob ntshav qab zib. Cov tshuaj insulin degludec yog ib qho ua haujlwm ntev ntev uas yog neeg tsim los ntawm tib neeg cov kua dej. Insulin degludec ua haujlwm los ntawm kev hloov pauv cov insulin uas ib txwm tsim los ntawm lub cev thiab los ntawm kev pab txav cov suab thaj hauv cov ntshav mus rau lwm lub cev nqaij uas nws siv rau lub zog. Nws kuj tseem ua kom lub siab tsis txhob ua cov piam thaj ntau.

Sij hawm dhau mus, cov neeg muaj ntshav qab zib thiab ntshav qab zib yuav tsim teeb meem loj lossis txaus ntshai rau lub neej, nrog rau kev mob plawv, mob hlab ntsha tawg, raum teeb meem, puas hlab ntshav, thiab teeb meem qhov muag. Siv tshuaj noj, hloov pauv txoj kev ua neej (xws li kev noj haus, kev tawm dag zog, txiav kev haus luam yeeb), thiab kev tshuaj xyuas koj cov piam thaj hauv ntshav tas li yuav pab tswj koj cov ntshav qab zib thiab txhim kho koj kev noj qab haus huv. Qhov kev kho no tseem yuav ua rau koj muaj feem yuav muaj mob plawv, mob stroke, lossis lwm yam mob ntsig txog ntshav qab zib xws li lub raum tsis ua hauj lwm, mob hlab hlwb (loog, ceg txias lossis txhais taw; txo qis kev sib deev hauv txiv neej thiab poj niam), teeb meem qhov muag, suav nrog kev hloov pauv los sis tsis pom kev, lossis pos hniav mob. Koj tus kws kho mob thiab lwm tus kws saib xyuas kev noj qab haus huv yuav tham nrog koj txog txoj kev zoo tshaj plaws los tswj koj cov ntshav qab zib.

Cov tshuaj insulin degludec los ua kua (kua) los txhaj tshuaj subcutaneously (hauv qab daim tawv). Nws txhaj ib hnub ib zaug. Koj yuav tsum siv cov tshuaj insulin degludec tib lub sijhawm txhua txhua hnub. Ua raws li cov lus qhia ntawm koj daim ntawv sau tshuaj noj kom zoo, thiab nug koj tus kws kho mob lossis kws muag tshuaj kom piav qhia ib feem uas koj tsis nkag siab. Siv cov tshuaj insulin degludec raws nraim li qhia. Tsis txhob siv ntau dua los yog tsawg dua ntawm nws lossis siv ntau dua li uas koj tus kws kho mob pom zoo.

Insulin degludec tswj ntshav qab zib, tab sis nws tsis kho nws. Txuas ntxiv siv cov tshuaj insulin degludec txawm tias koj xis nyob. Tsis txhob tsum tsis txhob siv tshuaj insulin degludec tsis tas tham nrog koj tus kws kho mob. Tsis txhob hloov mus rau lwm hom npe lossis hom tshuaj insulin lossis hloov koob tshuaj ntawm txhua hom insulin uas koj siv yam tsis tau tham nrog koj tus kws kho mob. Nco ntsoov kuaj cov tshuaj insulin kom paub tseeb tias koj tau txais hom insulin los ntawm lub tsev muag tshuaj.

Cov tshuaj insulin degludec los hauv cov npiv tshuaj noj muaj peev xwm. Nco ntsoov tias koj paub tias hom twg ntim koj cov tshuaj insulin degludec los hauv thiab lwm yam khoom siv, xws li koob, koj yuav tsum tau txhaj tshuaj. Nco ntsoov nyeem thiab nkag siab lub khw tsim cov lus qhia. Nug koj tus kws kho mob lossis kws muag tshuaj los qhia koj yuav siv tus cwj mem. Ua raws cov lus qhia kom zoo, thiab ib txwm ntsuas qhov kev nyab xeeb ua ntej siv.

Tsis txhob rov siv rab koob lossis cwj mem. Tsis txhob xa cov tshuaj rau hauv lub tsev hauv plab. Thaum koj siv tus cwj mem insulin, nco ntsoov tshem tawm rab koob tom qab koj txhaj tshuaj. Muab cov koob txhaj tshuaj thiab cov koob txhaj tshuaj pov tseg rau hauv lub thawv muaj tshuaj tiv thaiv. Nug koj tus kws kho mob lossis kws muag tshuaj seb yuav ua li cas pov tseg cov thawv ntim tshuaj tiv thaiv.

Tsis txhob tso cov tshuaj insulin degludec thiab tsis txhob xyaw cov tshuaj insulin degludec nrog rau lwm hom insulin.

Koj tuaj yeem hno koj cov tshuaj insulin degludec hauv koj sab caj npab, ncej puab, lossis hauv plab. Tsis txhob txhaj tshuaj insulin degludec rau hauv txoj hlab ntshav lossis leeg. Hloov (tig) qhov chaw txhaj tshuaj hauv thaj chaw xaiv nrog txhua koob; sim ua kom tsis txhob txhaj cov chaw qub ntau dua ib zaug txhua 1 txog 2 asthiv.

Txhua zaus saib koj cov tshuaj insulin degludec ua ntej koj txhaj tshuaj. Nws yuav tsum meej thiab tsis muaj xim. Tsis txhob siv koj cov tshuaj insulin degludec yog tias nws muaj xim, muaj huab, lossis muaj cov khoom tawg, lossis yog hnub tas sij hawm ntawm lub raj mis tau dhau los.

Tsis txhob siv cov tshuaj insulin degludec hauv lub twj tso kua mis sab nraud.

Cov tshuaj no tuaj yeem tsim tawm rau lwm txoj kev siv; nug koj tus kws kho mob lossis kws muag tshuaj kom paub ntaub ntawv ntau ntxiv.

Ua ntej yuav siv cov tshuaj insulin degludec,

• qhia rau koj tus kws kho mob thiab tus kws muag tshuaj yog tias koj muaj kev fab tshuaj rau cov tshuaj insulin (Humulin, Novolin, lwm tus), ib qho ntawm cov khoom xyaw hauv insulin degludec, lossis lwm yam tshuaj noj. Nug koj tus kws muag tshuaj lossis tshawb xyuas cov ntaub ntawv ntawm tus neeg mob rau cov npe ntawm cov khoom sib xyaw.
• qhia rau koj tus kws kho mob thiab kws muag tshuaj uas siv tshuaj thiab cov tshuaj uas tsis yog kws kho mob, cov vitamins, khoom noj khoom haus zoo, thiab tshuaj ntsuab koj noj Nco ntsoov hais txog ib qho ntawm cov hauv qab no: albuterol (Accuneb, Proair, Proventil, lwm tus); angiotensin-converting enzyme inhibitors (ACE inhibitors) xws li benazepril (Lotensin, hauv Lotrel), captopril, enalapril (Vasotec, hauv Vaseretic), fosinopril, lisinopril (hauv Prinzide, hauv Zestoretic), moexipril (Univasc, hauv Uniretic) Aceon, hauv Prestalia), quinapril (Accupril, hauv Accuretic, hauv Quinaretic), ramipril (Altace), thiab trandolapril (Mavik, hauv Tarka); angiotensin receptor blockers (ARBs) xws li azilsartan (Edarbi, hauv Edarbyclor), candesartan (Atacand, hauv Atacand HCT), eprosartan (Teveten), irbesartan (Avapro, hauv Avalide), losartan (Cozaar, hauv Hyzaar), telmisartan ( hauv Micardis HCT, hauv Twynsta), valsartan (Diovan, hauv Diovan HCT, hauv Exforge); atypical antipsychotics xws li clozapine (Clozaril, Fazaclo, Versacloz) thiab olanzapine (Zyprexa, hauv Symbyax); beta-blockers xws li atenolol (Tenormin, hauv Tenoretic), labetalol (Trandate), metoprolol (Lopressor, Toprol XL, hauv Dutoprol, hauv Lopressor HCT), nadolol (Corgard, hauv Corzide), thiab propranolol (Hemangeol, Inderal LA, Innopran) XL); cov roj uas txhaws cov tshuaj xws li fenofibrate (Antara, Lipofen, TriCor, Triglide), gemfibrozil (Lopid), thiab niacin (Niacor, Niaspan, hauv Advicor, hauv Simcor); clonidine (Catapres, Catapres-TTS, Kapvay, hauv Clorpres, lwm tus); danazol; disopyramide (Norpace); diuretics ('dej tshuaj'); fluoxetine (Prozac, Sarafem, Selfemra, hauv Symbyax); glucagon; guanethidine; HIV protease inhibitors suav nrog atazanavir (Reyataz, hauv Evotaz), indinavir (Crixivan), lopinavir (hauv Kaletra), nelfinavir (Viracept), ritonavir (Norvir, hauv Kaletra, hauv Viekira Pak), thiab saquinavir (Invirase); isoniazid (Laniazid, hauv Rifamate, hauv Rifater); lithium (Lithobid); tshuaj rau mob hawb pob thiab mob khaub thuas; tshuaj noj ntshav qab zib; menopausal lawm tshuaj kho thiab tshuaj tiv thaiv hormonal (tshuaj txwv, thaj ua rau thaj, ib ncig, txhaj tshuaj, lossis ntxiv rau kem); tshuaj rau kev mob hlwb thiab xeev siab; monoamine oxidase (MAO) inhibitors suav nrog isocarboxazid (Marplan), phenelzine (Nardil), selegiline (Eldepryl, Emsam, Zelapar) thiab tranylcypromine (Parnate); octreotide (Sandostatin); pioglitazone (Actos, hauv Actoplus Met, hauv Duetact, lwm tus); pentamidine (NebuPent, Pentam); pentoxifylline (Pentoxil); pramlintide (Symlin); propoxyphene (tsis muaj nyob hauv Asmeskas); reserpine; rosiglitazone (Avandia, hauv Avandamet, hauv Avandaryl); salicylate mob mob xws li cov tshuaj aspirin, choline magnesium trisalicylate, choline salicylate, diflunisal, magnesium salicylate (Doan's, lwm tus), thiab salsalate; somatropin (Genotropin, Humatrope, Nutropin, Serostim, lwm tus); cov tshuaj steroids xws li dexamethasone, methylprednisolone (Medrol), thiab prednisone (Rayos); cov tshuaj tua kab sulfa; terbutaline; thiab cov tshuaj kho cov thyroid. Koj tus kws kho mob tej zaum yuav tau hloov qhov tshuaj ntawm koj cov tshuaj lossis saib xyuas koj kom zoo rau kev phiv.
• qhia rau koj tus kws kho mob yog tias koj tau lossis puas tau mob puas ntsoog los ntawm koj cov ntshav qab zib, lossis lwm yam mob, suav nrog mob plawv, mob siab lossis mob raum.
• qhia koj tus kws kho mob yog tias koj cev xeeb tub, npaj yuav cev xeeb tub, lossis pub mis niam. Yog tias koj cev xeeb tub thaum siv tshuaj insulin degludec, hu rau koj tus kws kho mob.
• yog tias koj muaj kev phais, suav nrog kev phais hniav, qhia tus kws kho mob lossis kws kho hniav uas koj siv insulin degludec.
• cawv yuav ua rau muaj kev hloov pauv hauv cov ntshav qab zib. Nug koj tus kws kho mob txog kev haus dej haus cawv zoo thaum koj siv tshuaj insulin degludec.
• nug koj tus kws kho mob yuav ua li cas yog tias koj muaj mob, ntsib kev ntxhov siab txawv, lossis hloov koj cov khoom noj, qoj ib ce, lossis lub sijhawm ua si. Cov kev pauv no yuav cuam tshuam koj cov ntshav qab zib thiab cov tshuaj insulin koj yuav xav tau.
• nug koj tus kws kho mob tuab npaum cas koj yuav tsum xyuas koj cov piam thaj hauv ntshav. Nco ntsoov tias lub ntsej muag ntshav qab zib yuav cuam tshuam koj lub peev xwm los ua cov haujlwm xws li tsav tsheb thiab nug koj tus kws kho mob yog tias koj yuav tsum kuaj xyuas koj cov ntshav qab zib ua ntej tsav lossis kev siv tshuab.

Nco ntsoov ua raws li tag nrho cov kev tawm dag zog thiab kev noj haus pom zoo ua los ntawm koj tus kws kho mob lossis tus kws qhia noj zaub mov. Nws yog ib qho tseem ceeb uas yuav tsum noj zaub mov kom zoo rau lub cev thiab kom noj zaub mov ntau yam sib npaug ntawm tib yam zaub mov ntawm tib lub sij hawm txhua hnub. Noj zaub mov los yog ncua zaub mov lossis hloov qhov khoom noj los yog hom zaub mov tuaj yeem tsim teeb meem rau kev tswj koj cov ntshav qab zib.

Txhaj koob tshuaj uas ploj lawm sai li sai tau thaum koj nco qab nws. Txawm li cas los xij, yog tias nws tsawg dua 8 teev ua ntej koob tshuaj ntxiv, hla mus rau lub koob tshuaj ploj thiab txuas ntxiv koj cov sijhawm noj tshuaj kom tsis tu ncua. Tsis txhob noj tshuaj rau ob zaug kom ua rau qhov ploj lawm ib zaug.

Cov tshuaj no tuaj yeem hloov pauv hauv koj cov piam thaj hauv ntshav. Koj yuav tsum paub cov tsos mob uas muaj ntshav qab zib thiab ntshav qab zib thiab yuav ua li cas yog tias koj muaj cov tsos mob no. Insulin degludec tuaj yeem ua rau phiv. Qhia rau koj tus kws kho mob yog tias ib qho ntawm cov tsos mob no hnyav lossis tsis ploj mus:

• liab, o, mob, lossis khaus ntawm qhov chaw txhaj tshuaj
• ua kom tawv nqaij tawv (ua rau rog tuaj) lossis ua rau tawv nqaij me ntsis (ua kom tawv nqaij rog)
• hnyav

Qee qhov kev mob tshwm sim tuaj yeem loj heev. Yog tias koj muaj cov tsos mob no, hu rau koj tus kws kho mob tam sim ntawd lossis tau txais kev kho mob kub ceev:

• xoo pob, khaus, lossis khaus thoob plaws lub cev
• hawb pob
• ua pa nyuaj lossis nqos
• txog siav
• hws
• o ntawm lub qhov muag, ntsej muag, daim di ncauj, nplaig, caj pas, tes, lossis taw
• leeg tsis muaj zog

Insulin degludec tuaj yeem ua rau lwm cov kev mob tshwm sim. Hu rau koj tus kws kho mob yog tias koj muaj teeb meem txawv txawv thaum siv cov tshuaj no.

Yog tias koj muaj kev mob tshwm sim loj, koj lossis koj tus kws kho mob tuaj yeem xa ntawv ceeb toom rau Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting program online (http://www.fda.gov/Safety/MedWatch) lossis hauv xov tooj ( 1-800-332-1088).

Khaws cov tshuaj no rau hauv lub thauv nws tuaj rau hauv thiab qhov chaw ncav cuag ntawm cov menyuam yaus. Khaws cov kua txiv insulin degludec cwjmem hauv lub tub yees. Tsis txhob tso cov tshuaj insulin degludec kom khov; tsis txhob siv cov tshuaj insulin degludec uas tau khov thiab yaj. Kev tsis siv roj txias cov roj ntsha insulin degludec tuaj yeem khaws cia kom txog thaum hnub tim uas pom ntawm lub tuam txhab daim ntawv lo.

Yog tias cov tub yees tsis siv (piv txwv li, thaum so haujlwm), khaws cov npiv rau ntawm chav sov, kom deb ntawm tshav ntuj ncaj qha thiab kub heev txog li 56 hnub. Qhib cov npiv yuav tsum muab cia rau ntawm chav sov thiab yuav siv tau ntev txog 56 hnub tom qab siv thawj zaug. Muab cov tshuaj insulin uas tau chwv tshav kub lossis txias txias.

Cov tshuaj tsis siv tshuaj yuav tsum tau muab pov tseg hauv txoj kev tshwj xeeb kom ntseeg tau tias cov tsiaj, menyuam yaus, thiab lwm tus neeg tsis tuaj yeem haus lawv. Txawm li cas los xij, koj yuav tsum tsis txhob yaug cov tshuaj no hauv lub qhov viv. Hloov chaw, txoj hauv kev zoo tshaj plaws hauv kev muab koj cov tshuaj tshem tawm yog los ntawm kev siv tshuaj rov qab. Tham nrog koj tus kws muag tshuaj lossis tiv tauj koj lub chaw khaws khib nyiab / chaw khaws khoom ubno hauv ib cheeb tsam kom paub txog cov haujlwm thim rov qab hauv koj lub zej zog. Saib ntawm FDA's Kev Nyab Xeeb Kev Nyab Xeeb Kev Siv Tshuaj lub vev xaib (http://goo.gl/c4Rm4p) kom paub cov ntaub ntawv ntau ntxiv yog tias koj tsis muaj kev nkag mus saib rov qab.

Nws yog ib qho tseem ceeb kom tsis txhob muaj txhua yam tshuaj rau qhov tsis pom thiab ncav cuag ntawm cov menyuam yaus ntau li ntau ntim (xws li tshuaj ntsiav tshuaj txhua lub limtiam thiab cov tshuaj rau qhov muag, tshuaj pleev, pleev xim, thiab nqus tshuaj) tsis tiv thaiv menyuam yaus thiab cov menyuam yaus tuaj yeem qhib lawv tau yooj yim. Txhawm rau tiv thaiv cov menyuam yaus me los ntawm kev lom, ib txwm kaw lub kaus mom kev nyab xeeb thiab muab cov tshuaj tso rau qhov chaw nyab xeeb - ib qho chaw nyob thiab deb thiab tawm ntawm lawv pom thiab ncav cuag. http://www.upandaway.org

Yog hais tias noj ntau dhau, hu rau kem tus xov tooj kev pab tswj kev lom ntawm 1-800-222-1222. Cov ntaub ntawv tseem muaj nyob online ntawm https://www.poisonhelp.org/help. Yog tus neeg raug tsim txom, tsaus muag, ua tsis taus pa, lossis sawv tsis taus, hu rau 911 tus neeg pab thaum muaj xwm ceev.

Insulin degludec kev noj tshuaj ntau dhau yuav tshwm sim yog tias koj siv ntau cov insulin degludec lossis yog tias koj siv cov tshuaj insulin degludec ntau dhau, tab sis noj tsawg dua li ib txwm lossis qoj ib ce ntau dua li ib txwm. Kev siv tshuaj insulin degludec ntau dhau lawm tuaj yeem ua rau ntshav qab zib ntshav qab zib. Yog tias koj muaj cov tsos mob hypoglycemia, ua raws li koj tus kws kho mob cov lus qhia rau koj tias koj yuav tsum ua li cas yog tias koj muaj tus mob ntshav qab zib tsawg. Lwm cov tsos mob ntawm overdose:

• tsis nco qab
• qaug dab peg

Khaws tag nrho cov kev teem caij mus ntsib koj tus kws kho mob thiab chav kuaj mob. Koj cov piam thaj hauv ntshav thiab glycosylated hemoglobin (HbA1c) yuav tsum kuaj xyuas tsis tu ncua los txiav txim koj cov lus teb rau insulin degludec. Koj tus kws kho mob tseem yuav qhia koj txog kev kuaj xyuas koj cov lus teb rau cov tshuaj no li cas los ntawm kev ntsuas koj cov piam thaj hauv ntshav hauv tsev. Ua raws li cov lus qhia no kom zoo.

Koj yuav tsum hnav txoj hlua tes uas muaj ntshav qab zib kom paub tseeb tias koj tau txais kev kho mob tau zoo thaum muaj xwm txheej ceev. Tsis txhob cia lwm tus siv koj cov tshuaj. Nug koj tus kws muag tshuaj cov lus nug uas koj muaj txog kev rov ntxiv tshuaj rau koj.

Nws yog ib qho tseem ceeb rau koj kom koj muaj ib daim ntawv sau tag nrho cov tshuaj noj thiab cov tshuaj uas tsis yog kws kho mob sau ntawv (tsis yuav khoom) uas koj tab tom noj, nrog rau txhua yam khoom xws li cov vitamins, minerals, lossis lwm yam tshuaj noj rau lub cev. Koj yuav tsum nqa cov ntawv no nrog koj txhua zaus koj mus ntsib kws kho mob lossis yog tias koj tuaj nyob hauv tsev kho mob. Nws tseem yog cov ntaub ntawv tseem ceeb los nqa nrog koj thaum muaj xwm txheej ceev.

• Tresiba^®
• Ryzodeg^® (raws li cov khoom sib txuam ua ke nrog Insulin Degludec thiab Insulin Aspart)
• Xultophy^® (raws li cov khoom sib txuam ua ke nrog Insulin Degludec thiab Liraglutide)