Mlembi: Joan Hall
Tsiku La Chilengedwe: 4 Febuluwale 2021
Sinthani Tsiku: 21 Novembala 2024
Anonim
Utsi wa Ketorolac Nasal - Mankhwala
Utsi wa Ketorolac Nasal - Mankhwala

Zamkati

Ketorolac imagwiritsidwa ntchito kupumula kwakanthawi kwakumva kupweteka pang'ono ndipo sikuyenera kugwiritsidwa ntchito kwa masiku opitilira 5 motsatizana, kupweteka pang'ono, kapena kupweteka kwa zinthu zosakhalitsa. Mutha kupatsidwa ketorolac kuti mutenge pakamwa kapena ngati jekeseni musanayambe kugwiritsa ntchito kutsitsi la ketorolac nasal. Muyenera kusiya kugwiritsa ntchito mphuno ketorolac patsiku lachisanu mutalandira mankhwala anu oyamba a ketorolac mwanjira iliyonse. Lankhulani ndi dokotala wanu ngati mukumva kupweteka pakatha masiku asanu akuchiritsidwa ndi ketorolac.

Mphuno ya Ketorolac sayenera kugwiritsidwa ntchito kuthetsa ululu wa ana azaka 17 kapena kucheperapo.

Anthu omwe amagwiritsa ntchito mankhwala osokoneza bongo (NSAIDs) (kupatula aspirin) monga ketorolac atha kukhala ndi chiopsezo chachikulu chodwala matenda a mtima kapena sitiroko kuposa anthu omwe sagwiritsa ntchito mankhwalawa. Izi zitha kuchitika mosazindikira ndipo zitha kuyambitsa imfa. Izi zitha kukhala zazikulu kwa anthu omwe amagwiritsa ntchito ma NSAID kwa nthawi yayitali. Uzani dokotala wanu ngati inu kapena aliyense m'banja mwanu adakhalapo kapena adakhalapo ndi matenda amtima, matenda amtima, kapena stroke kapena 'ministroke'; ngati mumasuta; ndipo ngati mwakhalapo ndi cholesterol, kuthamanga kwa magazi, kutaya magazi kapena kutseka magazi, kapena matenda ashuga. Pezani chithandizo chadzidzidzi nthawi yomweyo ngati mungakhale ndi izi: kupweteka pachifuwa, kupuma movutikira, kufooka kapena kufooka gawo limodzi kapena mbali ina ya thupi, kuvutikira kuwona m'maso amodzi kapena m'maso onse awiri, kuyenda movutikira kapena kutayika bwino kapena kulumikizana , kupweteka mutu kwambiri popanda chifukwa chodziwika, kapena mawu osalankhula.


Ngati mukukhala ndi mtsempha wamagazi wodutsa (CABG; mtundu wa opareshoni yamtima), simuyenera kugwiritsa ntchito ketorolac nthawi isanakwane kapena pambuyo poti achite opaleshoni.

Ma NSAID monga ketorolac amatha kuyambitsa zilonda zam'mimba, magazi, kapena mabowo m'mimba kapena m'matumbo. Mavutowa amatha nthawi iliyonse akamalandira chithandizo, atha kuchitika popanda zidziwitso, ndipo atha kupha. Chiwopsezo chikhoza kukhala chachikulu kwa anthu omwe amatenga ma NSAID kwa nthawi yayitali, ali ndi zaka zopitilira 65, amadwala, amamwa mowa, kapena amasuta fodya pogwiritsa ntchito ketorolac. Uzani dokotala ngati mutamwa mankhwala aliwonse awa: anticoagulants ('magazi opopera magazi') monga warfarin (Coumadin); aspirin; kapena steroids pakamwa monga dexamethasone (Decadron, Dexone), methylprednisolone (Medrol), ndi prednisone (Deltasone); kapena serotonin reuptake inhibitors (SSRIs) monga citalopram (Celexa), duloxetine (Cymbalta), escitalopram (Lexapro), fluoxetine (Prozac, Sarafem), fluvoxamine (Luvox), paroxetine (Paxil), ndi sertraline (Zoloft). Musatenge aspirin kapena ma NSAID ena monga ibuprofen (Advil, Motrin) ndi naproxen (Aleve, Naprosyn) kapena mitundu ina ya ketorolac mukamagwiritsa ntchito utsi wa ketorolac nasal spray. Komanso uzani dokotala ngati mwakhalapo ndi zilonda kapena magazi m'mimba kapena m'mimba. Ngati mukukumana ndi izi, siyani kugwiritsa ntchito ketorolac ndipo itanani dokotala wanu: kupweteka m'mimba, kutentha pa chifuwa, kusanza komwe kuli magazi kapena kumawoneka ngati malo a khofi, magazi mu mpando, kapena mipando yakuda ndi yodikira.


Ketorolac imatha kubweretsa chiopsezo chowonjezeka chakutuluka magazi. Zitha kutenga nthawi yayitali kuposa masiku onse kuti musiye magazi mukadulidwa kapena kuvulala. Uzani dokotala wanu ngati mwakhalapo ndi vuto lakukha magazi, kapena kutuluka magazi muubongo wanu. Dokotala wanu mwina angakuuzeni kuti musagwiritse ntchito kutsitsi la ketorolac nasal. Itanani dokotala wanu ngati muli ndi magazi omwe si achilendo kapena ngati mudzagwa ndikupweteka, makamaka ngati mwamenya mutu.

Ketorolac imatha kuyambitsa impso. Uzani dokotala wanu ngati muli ndi matenda a impso kapena chiwindi, ngati mwasanza kwambiri kapena mutsekula m'mimba kapena mukuganiza kuti mutha kuchepa madzi m'thupi, komanso ngati mukumwa mankhwala opatsirana a enzyme (ACE) monga benazepril (Lotensin), captopril (Capoten) , enalapril (Vasotec), fosinopril (Monopril), lisinopril (Prinivil, Zestril), moexipril (Univasc), perindopril (Aceon), quinapril (Accupril), ramipril (Altace), ndi trandolapril (Mavik); angiotensin II receptor blockers monga azilsartan (Edarbi), candesartan (Atacand), eprosartan (Teveten), irbesartan (Avapro, ku Avalide), losartan (Cozaar, ku Hyzaar), olmesartan (Benicar, ku Azor), telmisartan (Micardis) ndi valsartan (Diovan, ku Exforge); kapena okodzetsa ('mapiritsi amadzi'). Ngati mukukumana ndi zizindikiro izi, siyani kugwiritsa ntchito ketorolac ndikuyimbira dokotala: kutupa kwa manja, mikono, mapazi, akakolo, kapena miyendo yakumunsi; kunenepa kosadziwika; kuchepa pokodza, chisokonezo; kapena kugwidwa.


Sungani maimidwe onse ndi dokotala wanu. Onetsetsani kuti muuze dokotala momwe mukumvera kotero kuti dokotala wanu angakupatseni mankhwala oyenera kuti athetse vuto lanu omwe ali pachiwopsezo chachikulu cha zotsatirapo zoyipa.

Dokotala wanu kapena wamankhwala adzakupatsani pepala lazidziwitso za wopanga (Medication Guide) mukayamba mankhwala ndi ketorolac. Werengani nkhaniyi mosamala ndikufunsani dokotala kapena wamankhwala ngati muli ndi mafunso. Muthanso kuyendera tsamba la Food and Drug Administration (FDA) (http://www.fda.gov/Drugs) kuti mupeze Chithandizo cha Mankhwala.

Lankhulani ndi dokotala wanu za kuopsa kogwiritsa ntchito kutsitsi la ketorolac nasal.

Mafuta a Ketorolac nasal amagwiritsidwa ntchito kupumula kwakanthawi kwakumva kupweteka pang'ono kapena pang'ono. Ketorolac ali mgulu la mankhwala otchedwa NSAIDs. Zimagwira ntchito poletsa thupi kupanga chinthu chomwe chimayambitsa kupweteka, kutentha thupi, komanso kutupa.

Nasal ketorolac imabwera ngati madzi opopera m'mphuno. Nthawi zambiri amagwiritsidwa ntchito kamodzi pa maola 6 kapena 8 pakufunika kuti muchepetse ululu mpaka masiku asanu. Gwiritsani ntchito utsi wapamphuno wa ketorolac ndendende monga mwalamulira. Osamagwiritsa ntchito zocheperako kapena kuzigwiritsa ntchito pafupipafupi kuposa momwe adanenera dokotala.

Mpweya wa Ketorolac umabwera m'mabotolo omwe ali ndi mankhwala a tsiku limodzi. Musagwiritse ntchito botolo limodzi la ketorolac nasal spray kwa masiku opitilira tsiku limodzi. Chotsani botolo mkati mwa maola 24 mutagwiritsa ntchito mlingo woyamba, ngakhale botolo likadali ndi mankhwala. Mukalandira mankhwala mabotolo okwanira kuti mukhale ndi botolo latsopano logwiritsa ntchito tsiku lililonse la chithandizo.

Musanagwiritse ntchito utsi wa ketorolac mphuno kwa nthawi yoyamba, werengani malangizo olembedwa omwe amabwera ndi mankhwalawa. Onetsetsani kuti mukumvetsetsa momwe mungapangire botolo musanagwiritse ntchito koyamba komanso momwe mungagwiritsire ntchito utsi. Funsani dokotala wanu kapena wamankhwala ngati muli ndi mafunso okhudza momwe mungagwiritsire ntchito mankhwalawa.

Ketorolac nasal spray amangogwiritsa ntchito mphuno. Samalani kuti musamamwe mankhwala m'maso mwanu. Ngati mungapeze mankhwala otsekemera a ketorolac m'diso lanu, tsukani diso lanu ndi madzi kapena mankhwala osakaniza amchere ndikuyimbira dokotala ngati kukwiya kumatenga nthawi yopitilira ola limodzi.

Mutha kukhala ndi vuto pakhosi panu mutagwiritsa ntchito kutsitsi la ketorolac nasal. Izi zikachitika, imwani madzi pang'ono.

Mankhwalawa amatha kupatsidwa ntchito zina; funsani dokotala wanu kapena wamankhwala kuti mudziwe zambiri.

Musanagwiritse ntchito utsi wa ketorolac nasal,

  • Uzani dokotala wanu ngati muli ndi vuto la ketorolac, aspirin kapena ma NSAID ena monga ibuprofen (Advil, Motrin) kapena naproxen (Aleve, Naprosyn), mankhwala ena aliwonse, kapena ethylendiamine tetraacetic acid (EDTA; chophatikiza chomwe chimapezeka mu zakudya ndi mankhwala ena) , kapena china chilichonse chopangira utsi wa ketorolac nasal. Funsani wamankhwala wanu kuti awonetse mndandanda wazosakaniza.
  • Uzani dokotala ngati mukumwa pentoxifylline (Pentoxil, Trental) kapena probenecid. Dokotala wanu angakuuzeni kuti musagwiritse ntchito utsi wa ketorolac nasal ngati mukumwa mankhwalawa.
  • auzeni adotolo komanso asayansi yanu mankhwala ena omwe mungalandire kapena omwe simukulembera, mavitamini, zowonjezera zakudya, komanso mankhwala azitsamba omwe mukumwa kapena omwe mukufuna kumwa. Onetsetsani kuti mwatchula mankhwala omwe adatchulidwa mu gawo LOFUNIKITSA CHENJEZO ndi zina mwa izi: alprazolam (Niravam, Xanax); carbamazepine (Epitol, Tegretol); lifiyamu (Eskalith, Lithobid); methotrexate (Rheumatrex, Trexall); phenytoin (Dilantin, Phenytek); kapena thiothixene (Navane). Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
  • uzani adotolo ngati mwakhala mukukhalapo ndi zomwe zalembedwa m'gawo LOFUNA CHENJEZO kapena mphumu, makamaka ngati mumakhala ndi mphuno kapena zotumphukira pafupipafupi (kutupa kwa mphuno), matenda opweteka am'mimba monga a Crohn's matenda (matenda omwe thupi limagwiritsa ntchito gawo la m'mimba, kupweteka, kutsegula m'mimba, kuchepa thupi, ndi malungo) kapena ulcerative colitis (vuto lomwe limayambitsa kutupa ndi zilonda mkatikati mwa m'matumbo ndi m'matumbo) ).
  • Uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati; kapena akuyamwitsa. Mphuno ya ketorolac imatha kuvulaza mwana wosabadwayo ndipo imatha kubweretsa mavuto pakubereka ngati idzagwiritsidwe ntchito pafupifupi masabata 20 kapena pambuyo pake panthawi yapakati. Musagwiritse ntchito utsi wa ketorolac wapakamwa mozungulira kapena pakatha milungu makumi awiri muli ndi pakati, pokhapokha mutakuwuzani kuti muchite izi ndi dokotala wanu. Mukakhala ndi pakati mukamagwiritsa ntchito utsi wa ketorolac, itanani dokotala wanu.
  • Ngati mukuchitidwa opaleshoni, kuphatikizapo opaleshoni ya mano, uzani dokotala kapena dokotala kuti mukugwiritsa ntchito mankhwala a ketorolac nasal spray.

Onetsetsani kuti mumamwa madzi ambiri mukamagwiritsa ntchito utsi wa ketorolac nasal.

Pokhapokha dokotala atakuwuzani zina, pitirizani kudya zomwe mumadya.

Mankhwalawa amagwiritsidwa ntchito ngati pakufunika kutero. Ngati dokotala wakuwuzani kuti mugwiritse ntchito utsi wa ketorolac nasal pafupipafupi, gwiritsani ntchito mlingo womwe mwaphonya mukangokumbukira. Komabe, ngati ili pafupi nthawi ya mlingo wotsatira, dumpha mlingo womwe umasowa ndikupitiliza dongosolo lanu lokhazikika. Musagwiritse ntchito mlingo wawiri kuti mupange omwe mwaphonya.

Mpweya wa Ketorolac ungayambitse mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

  • kupweteka, kusapeza bwino, kapena kukwiya m'mphuno mwako
  • misozi yowonjezera
  • kuyabwa pakhosi panu

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi kapena izi zomwe zalembedwa MUCHENJEZO CHENJEZO, itanani dokotala wanu mwachangu:

  • zidzolo
  • ming'oma
  • kuyabwa
  • kuvuta kupuma kapena kumeza
  • ukali
  • kutopa kwambiri
  • kusowa mphamvu
  • kusowa chilakolako
  • kupweteka kumtunda chakumanja kwam'mimba
  • chikasu cha maso kapena khungu
  • zizindikiro ngati chimfine
  • malungo
  • khungu kapena khungu
  • kugunda kochedwa mtima

Utsi wa mphuno wa Ketorolac ungayambitse mavuto ena. Itanani dokotala wanu ngati muli ndi zovuta zina mukamagwiritsa ntchito mankhwalawa.

Mukakumana ndi zovuta zina, inu kapena adokotala mutha kutumiza lipoti ku pulogalamu ya Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting pa intaneti (http://www.fda.gov/Safety/MedWatch) kapena pafoni ( 1-800-332-1088).

Sungani mankhwala awa mu chidebe chomwe chidabwera, chatsekedwa mwamphamvu, komanso chosafikira ana. Zisunge kutentha komanso kutali ndi dzuwa, kutentha kwambiri ndi chinyezi (osati kubafa).

Ndikofunika kuti mankhwala onse asamawonekere komanso kuti ana asamafikire ngati muli zidebe zambiri (monga mapiritsi a mlungu ndi mlungu ndi omwe amatsikira m'maso, mafuta, zigamba, ndi opumira) sizolimbana ndi ana ndipo ana aang'ono amatha kuzitsegula mosavuta. Pofuna kuteteza ana ang'ono kuti asatenge poyizoni, nthawi zonse tsekani zipewa zachitetezo ndikuyika mankhwalawo pamalo otetezeka - omwe ali pamwamba ndi kutali komanso osawonekera ndi kufikira. http://www.upandaway.org

Mankhwala osafunikira ayenera kutayidwa munjira zapadera zowonetsetsa kuti ziweto, ana, ndi anthu ena sangamwe. Komabe, simuyenera kuthira mankhwalawa mchimbudzi. M'malo mwake, njira yabwino yoperekera mankhwala anu ndikadongosolo lobwezera mankhwala. Lankhulani ndi wamankhwala wanu kapena lemberani dipatimenti yakunyumba / yobwezeretsanso kwanuko kuti muphunzire zamapulogalamu obwezeretsanso mdera lanu. Onani tsamba la FDA's Disposal of Medicines webusayiti (http://goo.gl/c4Rm4p) kuti mumve zambiri ngati mulibe pulogalamu yobwezera.

Mukadwala mopitirira muyeso, itanani foni yothandizira poyizoni pa 1-800-222-1222. Zambiri zimapezekanso pa intaneti pa https://www.poisonhelp.org/help. Ngati wozunzidwayo wagwa, watenga khunyu, akuvutika kupuma, kapena sangathe kudzutsidwa, nthawi yomweyo itanani anthu azadzidzidzi ku 911.

Zizindikiro za bongo zingaphatikizepo izi:

  • kupweteka m'mimba
  • nseru
  • kusanza
  • kuchepa pokodza
  • chimbudzi chamagazi, chakuda, kapena chochedwa
  • masanzi omwe ali magazi kapena amaoneka ngati malo a khofi
  • Kusinza
  • kupuma pang'ono
  • chikomokere (kutaya chidziwitso kwakanthawi)

Sungani maimidwe onse ndi dokotala wanu.

Musalole kuti wina aliyense agwiritse ntchito mankhwala anu. Mankhwalawa sangabwerenso. Mukapitiliza kumva zowawa mukamaliza kugwiritsa ntchito utsi wa ketorolac nasal, itanani dokotala wanu.

Ndikofunika kuti musunge mndandanda wamankhwala onse omwe mumalandira komanso osalembetsa (owerengera) omwe mukumwa, komanso zinthu zilizonse monga mavitamini, michere, kapena zakudya zina. Muyenera kubwera nawo pamndandandawu nthawi iliyonse mukapita kukaonana ndi dokotala kapena ngati mwalandiridwa kuchipatala. Ndikofunikanso kuthana nanu pakagwa mwadzidzidzi.

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