Shakar Mutum na Insulin
Wadatacce
- Kafin amfani da inhalation na insulin,
- Wannan magani na iya haifar da canje-canje a cikin jinin ku. Ya kamata ku san alamomin cutar sikari da ƙananan jini da abin da za ku yi idan kuna da waɗannan alamun.
- Inhalation na insulin na iya haifar da illa. Faɗa wa likitanka idan ɗayan waɗannan alamun sun yi tsanani ko kuma ba su tafi:
- Wasu sakamako masu illa na iya zama mai tsanani. Idan kun sami ɗayan waɗannan alamun alamun ko waɗanda aka lissafa a cikin SAHUNAN GARGADI NA GASKIYA, kira likitan ku nan da nan ko ku sami likita na gaggawa:
- Yawan zukar insulin na iya faruwa idan kun sha injin da yawa ko kuma idan kun sha adadin da ya dace na shakar insulin amma ku ci ko motsa jiki ƙasa da yadda aka saba. Yawan shakar insulin na iya haifar da hypoglycemia. Idan kana da wasu alamun cutar hypoglycemia, bi umarnin likitanka game da abin da ya kamata ka yi idan ka kamu da hypoglycemia. Sauran bayyanar cututtuka na yawan abin sama:
Inhalation na insulin na iya rage aikin huhu kuma zai iya haifar da majina (wahalar numfashi). Faɗa wa likitanka idan kana da ko kuma ka taɓa kamuwa da asma ko cututtukan huhu na huhu (COPD, ƙungiyar cututtukan da ke shafar huhu da hanyoyin iska). Likitanku zai gaya muku kada kuyi amfani da inhalation na insulin idan kuna da asma ko COPD. Likitanku zai ba da umarnin wasu gwaje-gwaje don bincika yadda huhunku ke aiki kafin far, watanni 6 bayan fara far, da kuma kowace shekara yayin amfani da insulin inhalation. Faɗa wa likitanka idan kana da ɗayan waɗannan alamun alamun: shaƙuwa ko wahalar numfashi.
Kiyaye duk alƙawarin tare da likitanku da dakin gwaje-gwaje.
Likitan ku ko likitan magunguna zai ba ku takaddun bayanan mai haƙuri (Jagoran Magunguna) lokacin da kuka fara magani tare da shaƙar insulin kuma duk lokacin da kuka cika takardar sayan magani. Karanta bayanan a hankali kuma ka tambayi likitanka ko likitan magunguna idan kana da wasu tambayoyi. Hakanan zaka iya ziyarci gidan yanar gizon masana'anta don samun Jagoran Magunguna.
Yi magana da likitanka game da haɗarin amfani da inhalation na insulin.
Ana amfani da inhalation na insulin a hade tare da insulin mai daukar dogon lokaci don magance ciwon suga irin na 1 (yanayin da jiki baya samar da insulin don haka ba zai iya sarrafa yawan sukari a cikin jini ba). Hakanan ana amfani dashi tare da wasu magunguna don magance mutanen da ke da ciwon sukari na 2 (yanayin da jiki baya amfani da insulin a kullun kuma, sabili da haka, ba zai iya sarrafa yawan sukari a cikin jini ba) waɗanda suke buƙatar insulin don sarrafa ciwon sukarin su. Ba a amfani da inhalation na insulin don maganin ketoacidosis na ciwon sukari (mummunan yanayin da zai iya tasowa idan ba a kula da hawan jini sosai ba). Inhalation na insulin aiki ne na ɗan gajeren lokaci, haɓakar insulin da mutum ke yi. Inhalation na insulin yana aiki ne ta hanyar maye gurbin insulin wanda jiki yake samarwa da kuma taimakawa wurin motsa sukari daga jini zuwa sauran kayan jikinshi inda ake amfani dashi don kuzari. Yana kuma dakatar da hanta daga samar da karin sukari.
Bayan lokaci, mutanen da ke da ciwon sukari da hawan jini za su iya haifar da matsaloli masu haɗari ko na barazanar rai, da suka haɗa da cututtukan zuciya, bugun jini, matsalolin koda, lalacewar jijiya, da matsalolin ido. Yin amfani da magunguna (s), yin canjin rayuwa (misali, cin abinci, motsa jiki, daina shan sigari), da kuma duba yawan suga a cikin jini na iya taimaka wajan kula da ciwon suga da inganta lafiyar ku. Wannan farfadowa na iya rage damar samun ciwon zuciya, bugun jini, ko wasu matsaloli masu nasaba da ciwon sukari kamar gazawar koda, lalacewar jijiya (jijiyoyi, ƙafafun sanyi ko ƙafafu; raguwar ƙarfin jima'i ga maza da mata), matsalolin ido, gami da canje-canje ko rashin gani, ko cututtukan danko. Likitanku da sauran masu ba da kiwon lafiya za su yi magana da ku game da hanya mafi kyau don kula da ciwon sukarin ku.
Shakar insulin tazo kamar foda don shaƙar baki ta amfani da inhala ta musamman. Yawanci ana amfani dashi a farkon kowane cin abinci. Bi umarnin kan lakabin takardar sayan ku a hankali, kuma ku tambayi likitan ku ko likitan magunguna su bayyana duk wani ɓangaren da ba ku fahimta ba. Yi amfani da inhalin insulin daidai yadda aka umurta. Kada kayi amfani da ƙari ko ƙasa da shi ko amfani dashi sau da yawa fiye da yadda likitanka ya tsara.
Shakar insulin tana sarrafa ciwon suga, amma ba ya warkar da ita. Ci gaba da amfani da inhalin insulin koda kuwa kun ji daɗi. Kada ka daina amfani da inhalin insulin ba tare da yin magana da likitanka ba. Kar a canza zuwa wani nau'in insulin ba tare da yin magana da likitanka ba.
Kafin kayi amfani da inhaler dinka na insulin a karon farko, karanta rubutattun umarnin da yazo dasu. Dubi zane-zane a hankali kuma tabbatar cewa kun gane dukkan ɓangarorin inhaler. Tambayi likitan ku ko likitan magunguna ya nuna muku yadda ake amfani da shi. Yi aikin amfani da inhaler yayin kasancewa a gabanta.
Fitar inhalin insulin tazo a matsayin kwandon amfani guda daya. Ya kamata a yi amfani da harsashi kawai tare da inhaler wanda ya zo tare da takardar sayan magani. Kada kayi ƙoƙarin buɗe kwandon, haɗiye harsashin, ko shaƙar abin da ke ciki ba tare da inhaler ɗin da ya zo tare da takardar sayan magani ba.
Bayan ka saka harsashi a cikin inhaler, kiyaye matakin inhaler da farin bakin bakinsa a sama da kuma ruwan kasa mai tushe a kasa. Idan an riƙe inha ta juye, ko kuma idan an nuna murfin bakin a ƙasa, girgiza, ko a sauke, ƙila a rasa magani. Idan wannan ya faru, kuna buƙatar maye gurbin kwalin da sabon harsashi kafin amfani da inhaler.
Bi umarnin likitanku game da yawan kwandunan inhalation na insulin da ya kamata ku yi amfani da shi kowace rana. Lokacin da kuka fara amfani da inhalation na insulin, likitanku na iya buƙatar daidaita ƙididdigar sauran magungunan ku na ciwon sukari, kamar su insulin na dogon lokaci da magungunan baka don ciwon sukari. Hakanan likitan ku na iya buƙatar daidaita yanayin shaƙar insulin yayin maganin ku. Bi waɗannan kwatance a hankali kuma ku tambayi likitanku idan kuna da wasu tambayoyi. Kada ku canza yawan inhalation na insulin ko wani magani don ciwon suga ba tare da yin magana da likitanku ba.
Wannan magani za a iya wajabta shi don sauran amfani; nemi likita ko likitan magunguna don ƙarin bayani.
Kafin amfani da inhalation na insulin,
- gaya wa likitan ka da likitan ka idan kana rashin lafiyan insulin (Apidra, Humulin, Lantus, Levemir, Novolog, wasu), duk wasu magunguna, ko kuma wani sinadarin da baya aiki a cikin shakar insulin. Tambayi likitan ku ko bincika Littafin Magunguna don jerin abubuwan haɗin.
- gaya wa likitanka da likitan kantin ku irin magunguna da magunguna marasa magani, bitamin, kayan abinci mai gina jiki, da kayan ganyen da kuke sha ko shirin sha. Tabbatar da ambaci ɗayan masu zuwa: albuterol (Proair HFA, Proventil, Ventolin, wasu); angiotensin-converting enzyme (ACE) masu hanawa kamar benazepril (Lotensin, a Lotrel), enalapril (Vasotec, a Vaseretic), fosinopril, lisinopril (Prinivil, Zestril, a Prinzide, a Zestoretic), quinapril (Accupril, da Quinaretic) ramipril (Altace); angiotensin II antagonists (angiotensin receptor blockers; ARBs) kamar azilsartan (Edarbi), candesartan (Atacand, a Atacand HCT), eprosartan (Teveten, a Teveten HCT), irbesartan (Avapro, a Avalide), losartan (Cozaar, a Hyzaar) , olmesartan (Benicar, a Azor, a Benicar HCT, a Tribenzor), telmisartan (Micardis, a Micardis HCT, a Twynsta), da valsartan (Diovan, a Diovan HCT, a Exforge HCT, wasu); masu hana beta kamar atenolol (Tenormin, a cikin Tenoretic), labetalol (Trandate), metoprolol (Lopressor, Toprol XL, a Dutoprol, wasu), nadolol (Corgard, a Corzide), da propranolol (Hemangeol, Inderal, Innopran XL); clonidine (Catapres, Catapres-TTS, Kapvay, wasu); clozapine (Clozaril, Fazaclo ODT, Versacloz); danazol; pyarfafawa (Norpace, Norpace CR); diuretics; fenofibrate (Lipofen, TriCor, Triglide); fluoxetine (Prozac, Sarafem, Selfemra, a cikin Symbyax); gemfibrozil (Lopid); Masu hana yaduwar kwayar cutar HIV ciki har da atazanavir (Reyataz), indinavir (Crixivan), lopinavir (a Kaletra), nelfinavir (Viracept), ritonavir (Norvir, a Kaletra, a Viekira Pak), da saquinavir (Invirase); maganin maye gurbin hormone; isoniazid (Laniazid, a cikin Rifamate, a cikin Rifater); lithium (Lithobid); magunguna don asma, mura, cutar tabin hankali, da tashin zuciya; monoamine oxidase (MAO) masu hanawa, ciki har da isocarboxazid (Marplan), phenelzine (Nardil), tranylcypromine (Parnate), da selegiline (Eldepryl, Emsam, Zelapar); niacin; magungunan hana daukar ciki (kwayoyin hana haihuwa); magungunan baka don ciwon suga kamar su pioglitazone (Actos, a cikin Actoplus Met, a Duetact, a Oseni) ko rosiglitazone (Avandia, a Avandamet, a Avandaryl); maganin baki kamar dexamethasone, methylprednisolone (Medrol), da prednisone (Rayos); octreotide (Sandostatin); olanzapine (Zyprexa, Zydis, a cikin Symbyax); sauran magungunan shaka; pentamidine (NebuPent, Pentam); pentoxifylline (Pentoxil); pramlintide (Symlin); propoxyphene; wurin ajiye ruwa; masu saurin ciwo mai zafi kamar asfirin; somatropin (Genotropin, Humatrope, Nutropin, wasu); maganin sulfa na sulfa; cin abinci; da magungunan thyroid. Likitanku na iya buƙatar canza ƙwayoyin magungunanku ko saka idanu a hankali don abubuwan illa.
- gaya wa likitanka idan kana da alamun hypoglycemia (low blood sugar). Kila likitanku zai gaya muku kar ku sha inhalin insulin idan kuna da wannan yanayin.
- gaya wa likitanka idan kana da cuta ko idan ka sha taba ko kuma ka daina shan taba a cikin watanni 6 da suka gabata. Har ila yau, gaya wa likitanka idan kana da ko ka taɓa samun ciwon huhu na huhu, lalacewar jijiya sakamakon ciwon sukari, rashin ƙarfin zuciya, ko koda ko cutar hanta.
- gaya wa likitanka idan kana da juna biyu, ka shirya yin ciki, ko kuma kana shayarwa. Idan kun yi ciki yayin amfani da inhalation na insulin, kira likitan ku.
- idan kuna yin tiyata, gami da tiyatar hakori, gaya wa likita ko likitan hakori cewa kuna amfani da inhalation na insulin.
- Tambayi likitanku sau nawa ya kamata ku duba yawan jinin ku. Yi la'akari da cewa ƙarancin sukari na jini na iya shafar ikon ku na yin ayyuka kamar tuki kuma ku tambayi likitan ku idan kuna buƙatar bincika sukarin jinin ku kafin tuki ko aiki da injina.
- barasa na iya haifar da canji a cikin sikari na jini. Tambayi likitanku game da amintaccen amfani da abubuwan shan giya yayin da kuke amfani da inhalation na insulin.
- Tambayi likitanku abin da za ku yi idan kun kamu da rashin lafiya, kuɓuɓi ko rashin nauyi, fuskantar damuwa mai ban mamaki, shirya tafiya cikin sassan lokaci, ko canza motsa jikinku ko jadawalin ayyukanku. Wadannan canje-canjen na iya shafar jadawalin jadawalin ku da adadin insulin da kuke bukata.
Tabbatar da bin duk motsa jiki da shawarwarin abincin da likitanku ko likitan abincinku yayi.Yana da mahimmanci a ci lafiyayyen abinci kuma a ci kusan nau'ikan abinci iri ɗaya a kusan lokuta iri ɗaya kowace rana. Tsallakewa ko jinkirta abinci ko sauya adadin ko irin abincin da za ku ci na iya haifar da matsala game da sarrafa suga na jininka.
Lokacin da kuka fara amfani da inhalation na insulin, ku tambayi likitanku abin da za ku yi idan kun manta da shaƙar allura a daidai lokacin. Rubuta waɗannan kwatancen don zaku iya komawa zuwa gare su daga baya.
Wannan magani na iya haifar da canje-canje a cikin jinin ku. Ya kamata ku san alamomin cutar sikari da ƙananan jini da abin da za ku yi idan kuna da waɗannan alamun.
Inhalation na insulin na iya haifar da illa. Faɗa wa likitanka idan ɗayan waɗannan alamun sun yi tsanani ko kuma ba su tafi:
- tari
- ciwon makogoro ko hangula
- gajiya
- gudawa
- tashin zuciya
- ciwon kai
- zafi, urination mai zafi
- riba mai nauyi
Wasu sakamako masu illa na iya zama mai tsanani. Idan kun sami ɗayan waɗannan alamun alamun ko waɗanda aka lissafa a cikin SAHUNAN GARGADI NA GASKIYA, kira likitan ku nan da nan ko ku sami likita na gaggawa:
- kurji ko itching
- amya
- bugun zuciya mai sauri
- zufa
- wahalar haɗiye
- karancin numfashi
- kumburi na hannaye, hannaye, ƙafa, idon kafa, ko ƙananan ƙafafu
- riba mai nauyi kwatsam
- matsanancin bacci
- rikicewa
- jiri
Inhalation na insulin na iya ƙara haɗarin cewa za ku ci gaba da cutar kansa ta huhu. Yi magana da likitanka game da haɗarin amfani da inhalation na insulin.
Inhalation na insulin na iya haifar da wasu sakamako masu illa. Kira likitan ku idan kuna da wasu matsaloli na ban mamaki yayin amfani da wannan magani.
Idan kun fuskanci mummunan sakamako, ku ko likitanku na iya aika rahoto ga shirin Abinci da Magunguna na Hukumar Kula da Abinci da Magunguna (FDA) na kan layi (http://www.fda.gov/Safety/MedWatch) ko ta waya ( 1-800-332-1088).
Ajiye wannan magani a cikin firiji, a cikin akwatin da ya shigo, a rufe sosai, kuma daga inda yara zasu isa. Kafin amfani, cire harsashi daga firiji ka adana a zafin jiki na tsawon minti 10. Ana iya adana magungunan da ba a buɗe ba a zazzabin ɗaki har zuwa kwanaki 10. Da zarar an buɗe, yi amfani da kwandon maɓallin harsashi a cikin kwanaki 3 lokacin da aka adana shi a zafin ɗakin. Yi amfani da inhaler har zuwa kwanaki 15 daga ranar farko da aka yi amfani da shi, sannan a jefar da maye gurbin da sabon inhaler. Kada a taba shan iska; kiyaye shi bushe.
Ya kamata a zubar da magunguna marasa magani ta hanyoyi na musamman don tabbatar da cewa dabbobin gida, yara, da sauran mutane ba za su iya cinye su ba. Koyaya, yakamata ku zubar da wannan maganin ta bayan gida. Madadin haka, hanya mafi kyau don zubar da maganinku shine ta hanyar shirin dawo da magani. Yi magana da likitan ka ko ka tuntuɓi sashen shara / sake amfani da datti na gida don koyon shirye-shiryen dawo da martabar ku a yankin ku. Dubi gidan yanar gizo na FDA mai lafiya na zubar da Magunguna (http://goo.gl/c4Rm4p) don ƙarin bayani idan ba ku da damar zuwa shirin karɓar kuɗi.
Yana da mahimmanci a kiyaye dukkan magunguna ba tare da gani ba kuma yara su isa kamar yadda kwantena da yawa (kamar masu ba da maganin kwaya na mako-mako da waɗanda suke don maganin ido, creams, faci, da kuma inhalers) ba sa jure yara kuma yara ƙanana na iya buɗe su cikin sauƙi. Don kare ƙananan yara daga guba, koyaushe kulle maɓallan aminci kuma nan da nan sanya magani a cikin amintaccen wuri - wanda ke sama da nesa kuma daga ganinsu kuma ya isa. http://www.upandaway.org
Idan ya wuce gona da iri, kira layin taimakon guba a 1-800-222-1222. Hakanan ana samun bayanai akan layi akan https://www.poisonhelp.org/help. Idan wanda aka azabtar ya faɗi, ya kamu, fama da numfashi, ko ba za a iya farkawa ba, nan da nan kira sabis na gaggawa a 911.
Yawan zukar insulin na iya faruwa idan kun sha injin da yawa ko kuma idan kun sha adadin da ya dace na shakar insulin amma ku ci ko motsa jiki ƙasa da yadda aka saba. Yawan shakar insulin na iya haifar da hypoglycemia. Idan kana da wasu alamun cutar hypoglycemia, bi umarnin likitanka game da abin da ya kamata ka yi idan ka kamu da hypoglycemia. Sauran bayyanar cututtuka na yawan abin sama:
- rasa sani
- kamuwa
Yakamata a binciki sukarin jininka da haemoglobin glycosylated (HbA1c) a kai a kai don sanin amsarka ga shaƙar insulin. Hakanan likitanku zai gaya muku yadda za ku iya duba amsar insulin ta hanyar auna jininku ko yawan sukarinku a gida. Bi waɗannan umarnin a hankali.
Kada ku bari wani yayi amfani da magungunan ku. Tambayi likitan ku duk wata tambaya da kuke da ita game da sake shigar da takardar sayan ku.
Yana da mahimmanci a gare ku da ku kiyaye jerin rubutattun dukkanin rubutattun magunguna da kuma wadanda ba a rubuta su ba (kan-kan-kan-kan) magungunan da kuke sha, har ma da wasu kayayyaki kamar su bitamin, ma'adanai, ko wasu kayan abincin da ake ci. Ya kamata ku kawo wannan jeren tare da ku duk lokacin da kuka ziyarci likita ko kuma idan an shigar da ku a asibiti. Hakanan mahimman bayanai ne don ɗauka tare da yanayin gaggawa.
- Afrezza®