Jekeseni wa Ketorolac

Zamkati

• Musanagwiritse ntchito jakisoni wa ketorolac,
• Jekeseni wa ketorolac ungayambitse mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi izi kapena izi zomwe zalembedwa MUCHENJEZO CHACHENSE, lekani kugwiritsa ntchito jakisoni wa ketorolac ndipo itanani dokotala nthawi yomweyo:
• Zizindikiro za bongo zingaphatikizepo izi:

Jekeseni wa Ketorolac imagwiritsidwa ntchito kupumula kwakanthawi kwakanthawi kochepa kwambiri mwa anthu omwe ali ndi zaka zosachepera 17. Jekeseni wa ketorolac sayenera kugwiritsidwa ntchito kwa masiku opitilira 5, kupweteka pang'ono, kapena kupweteka kwa zinthu zosakhalitsa. Mukalandira ketorolac yanu yoyamba ndi intravenous (mu mtsempha) kapena jakisoni (mu mnofu) muchipatala kapena kuofesi ya zamankhwala. Pambuyo pake, dokotala wanu angasankhe kupitiliza chithandizo chanu ndi ketorolac ya m'kamwa. Muyenera kusiya kumwa ketorolac ndi kugwiritsa ntchito jekeseni wa ketorolac tsiku lachisanu mutalandira mulingo wanu woyamba wa jakisoni wa ketorolac. Lankhulani ndi dokotala ngati mukumva kuwawa pambuyo pa masiku 5 kapena ngati kupweteka kwanu sikukuyang'aniridwa ndi mankhwalawa. Ketorolac imatha kubweretsa zovuta zoyipa.

Anthu omwe amachiritsidwa ndi mankhwala osagwiritsidwa ntchito poletsa kutupa (NSAIDs) (kupatula aspirin) monga ketorolac atha kukhala pachiwopsezo chachikulu chodwala matenda a mtima kapena sitiroko kuposa anthu omwe sachiritsidwa ndi mankhwalawa. Izi zitha kuchitika mosazindikira ndipo zitha kuyambitsa imfa. Izi zitha kukhala zazikulu kwa anthu omwe amathandizidwa ndi NSAID kwa nthawi yayitali. Uzani dokotala wanu ngati inu kapena wina aliyense m'banja mwanu adadwalapo kapena adadwalapo mtima, matenda amtima, kapena stroke kapena 'ministroke;' ndipo ngati mwakhala mukudwala kapena kuthamanga kwa magazi. Pezani chithandizo chadzidzidzi nthawi yomweyo ngati mungakhale ndi izi: kupweteka pachifuwa, kupuma movutikira, kufooka gawo limodzi kapena mbali ina ya thupi, kapena kusalankhula bwino.

Kulandila jakisoni wa ketorolac kumawonjezera chiopsezo choti mudzakhala ndi magazi owopsa kapena osalamulirika. Uzani dokotala wanu ngati mwakhalapo ndi vuto lakukha magazi kapena kutseka. Dokotala wanu sangakupatseni jakisoni wa ketorolac.

Ngati mukuchitidwa opaleshoni, kuphatikizapo opaleshoni ya mano, uzani dokotala kapena dokotala kuti mukugwiritsa ntchito jakisoni wa ketorolac. Ngati mukukhala ndi mtsempha wamagazi wodutsa (CABG; mtundu wa opareshoni yamtima), simuyenera kugwiritsa ntchito jakisoni wa ketorolac nthawi isanakwane kapena pambuyo pake.

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, ndi okalamba, ali ndi thanzi labwino, amasuta ndudu, kapena amamwa mowa akamagwiritsa ntchito jakisoni wa ketorolac. Uzani dokotala ngati mutamwa mankhwala aliwonse awa: anticoagulants ('magazi opopera magazi') monga warfarin (Coumadin, Jantoven); aspirin; kapena steroids pakamwa monga dexamethasone (Decadron, Dexpak), methylprednisolone (Medrol), ndi prednisone (Deltasone). Musatenge aspirin kapena ma NSAID ena monga ibuprofen (Advil, Motrin) ndi naproxen (Aleve, Naprosyn) mukamagwiritsa ntchito ketorolac. Komanso muuzeni dokotala ngati mwakhalapo ndi zilonda, mabowo, kapena kutuluka magazi m'mimba kapena m'matumbo, kapena matenda omwe amayambitsa kutupa kwamatumbo monga matenda a Crohn (matenda omwe thupi limagunda gawo lam'mimba. , kuyambitsa kupweteka, kutsegula m'mimba, kuchepa thupi, ndi malungo) kapena ulcerative colitis (vuto lomwe limayambitsa kutupa ndi zilonda mkatikati mwa matumbo [matumbo akulu] ndi thumbo). Ngati mukukumana ndi izi, siyani kugwiritsa ntchito jakisoni wa ketorolac ndipo itanani dokotala wanu: kupweteka m'mimba, kutentha pa chifuwa, kusanza komwe kuli magazi kapena kumawoneka ngati malo a khofi, magazi mu chopondapo, kapena mipando yakuda ndi yodikira.

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 oteteza angiotensin (ACE) monga benazepril (Lotensin), captopril (Capoten) , enalapril (Vasotec), fosinopril, lisinopril (Prinivil, Zestril), moexipril (Univasc), perindopril (Aceon), quinapril (Accupril), ramipril (Altace), ndi trandolapril (Mavik); kapena okodzetsa ('mapiritsi amadzi'). Ngati mukumane ndi izi, siyani kugwiritsa ntchito jakisoni wa ketorolac ndikuyimbira dokotala: kulemera kosadziwika; kutupa kwa manja, mikono, mapazi, akakolo, kapena miyendo yakumunsi; chisokonezo; kapena kugwidwa.

Anthu ena amakumana ndi zovuta za jakisoni wa ketorolac. 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 zina zilizonse zopangira jakisoni wa ketorolac. Muuzeni dokotala wanu ngati mwakhalapo ndi mphumu, makamaka ngati mwakhala mukuthinitsa kapena kutuluka mphuno kapena ma nasal polyps (kutupa kwa m'mphuno). Ngati mukumane ndi izi, siyani kugwiritsa ntchito jakisoni wa ketorolac ndipo itanani dokotala nthawi yomweyo: malungo; khungu losalala kapena lotupa; ming'oma; kuyabwa; kutupa kwa maso, nkhope, mmero, lilime, milomo; kuvuta kupuma kapena kumeza; kapena hoarseness.

Simuyenera kulandira jakisoni wa ketorolac mukamabereka kapena mukamabereka.

Osamayamwitsa mukamagwiritsa ntchito jakisoni wa ketorolac.

Uzani dokotala wanu ngati muli ndi zaka 65 kapena kupitirira apo kapena ngati mukulemera ochepera 110 lb (50 kg). Dokotala wanu ayenera kukupatsani mankhwala ochepa. Ngati ndinu wachikulire, muyenera kudziwa kuti jakisoni wa ketorolac siotetezeka ngati mankhwala ena omwe angagwiritsidwe ntchito kuthana ndi vuto lanu. Dokotala wanu angasankhe kupereka mankhwala ena omwe ndi abwino kugwiritsa ntchito okalamba.

Sungani maimidwe onse ndi dokotala wanu ndi labotale. Dokotala wanu amayang'anira matenda anu mosamala ndipo mwina adzaitanitsa mayeso ena kuti muwone momwe thupi lanu limayankhira jekeseni wa ketorolac.

Dokotala wanu kapena wamankhwala amakupatsirani pepala lazidziwitso zaopanga (Medication Guide) nthawi iliyonse yomwe mulandila jakisoni wa 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/DrugSafety/ucm085729.htm) kuti mupeze Chithandizo cha Mankhwala.

Ketorolac imagwiritsidwa ntchito kuti muchepetse ululu waukulu mwa akulu, nthawi zambiri pambuyo pa opaleshoni. Ketorolac ali mgulu la mankhwala otchedwa NSAIDs. Zimagwira ntchito poletsa thupi kupanga chinthu chomwe chimayambitsa kupweteka, kutentha thupi, komanso kutupa.

Jekeseni wa ketorolac imabwera ngati yankho (madzi) jekeseni wa mnofu (mu mnofu) kapena kudzera m'mitsempha (mumtsempha). Nthawi zambiri amaperekedwa maola 6 aliwonse panthawi yake kapena ngati pakufunika zowawa ndi othandizira azaumoyo kuchipatala kapena ofesi yazachipatala.

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

Musanagwiritse ntchito jakisoni wa ketorolac,

• uzani dokotala wanu ngati mukumwa probenecid (Probalan) kapena pentoxifylline (Pentoxil, Trental). Dokotala wanu angakuuzeni kuti musagwiritse ntchito jakisoni wa ketorolac 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); Angiotensin II olimbana nawo monga azilsartan (Edarbi), candesartan (Atacand), eprosartan (Teveten), irbesartan (Avapro, ku Avalide), losartan (Cozaar, ku Hyzaar), olmesartan (Benicar, ku Azor), telmisartan (Micardis) kapena valsartan (Diovan, ku Exforge); lifiyamu (Lithobid); mankhwala ogwidwa monga carbamazepine (Equetro, Tegretol) kapena phenytoin (Dilantin); methotrexate (Otrexup, Rheumatrex, Trexall); zotsegula minofu; serotonin reuptake inhibitors (SSRIs) monga citalopram (Celexa), duloxetine (Cymbalta), escitalopram (Lexapro), fluoxetine (Prozac, Sarafem, mu Symbyax, ena), fluvoxamine (Luvox), paroxetine (Paxil, Pexetoval), (Zoloft); kapena thiothixene (Navane). Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
• uzani dokotala wanu ngati mwakhalapo kapena munakhalapo ndi matenda aliwonse, makamaka zomwe zatchulidwa mgawo LENJEZO LOFUNIKA.
• Uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati; kapena akuyamwitsa. Jekeseni wa ketorolac itha kuvulaza mwana wosabadwayo ndipo imatha kubweretsa mavuto pakubereka ngati itatengedwa pafupifupi masabata 20 kapena pambuyo pake panthawi yapakati. Musamwe jakisoni wa ketorolac mozungulira kapena mutakhala ndi pakati pamasabata 20, pokhapokha mutakuwuzani kuti mutero. Mukakhala ndi pakati mukamamwa jakisoni wa ketorolac, itanani dokotala wanu.
• muyenera kudziwa kuti kuthamanga kwa magazi kwanu kumatha kuchulukanso mukamalandira jakisoni wa ketorolac. Dokotala wanu angayang'anire kuthamanga kwa magazi anu mukamalandira chithandizo.

Pokhapokha dokotala atakuwuzani zina, pitirizani kudya zomwe mumadya.

Jekeseni wa ketorolac ungayambitse mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• mutu
• chizungulire
• Kusinza
• kutsegula m'mimba
• kudzimbidwa
• mpweya
• zilonda mkamwa
• thukuta
• kulira m'makutu
• ululu pamalo obayira jekeseni
• madontho ang'ono ofiira kapena ofiirira pakhungu

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi izi kapena izi zomwe zalembedwa MUCHENJEZO CHACHENSE, lekani kugwiritsa ntchito jakisoni wa ketorolac ndipo itanani dokotala nthawi yomweyo:

• chikasu cha khungu kapena maso
• kutopa kwambiri
• kutuluka mwachilendo kapena kuphwanya
• kusowa mphamvu
• nseru
• kusowa chilakolako
• kupweteka kumtunda chakumanja kwam'mimba
• zizindikiro ngati chimfine
• khungu lotumbululuka
• kugunda kwamtima mwachangu

Jekeseni wa ketorolac ungayambitse zovuta zina. 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).

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:

• nseru
• kusanza
• kupweteka m'mimba
• chimbudzi chamagazi, chakuda, kapena chochedwa
• masanzi omwe ali magazi kapena amaoneka ngati malo a khofi
• Kusinza
• ming'oma
• zidzolo
• kuyabwa
• zovuta kumeza
• kuvuta kupuma, kupuma pang'ono kapena kupuma mwachangu, kupuma pang'ono
• chikomokere (kutaya chidziwitso kwakanthawi)

Funsani wamankhwala wanu mafunso aliwonse omwe muli nawo okhudza jekeseni wa ketorolac.

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.

• Zamgululi^®¶

^¶ Chogulitsa ichi sichikupezeka pamsika. Njira zina zitha kupezeka.