Ketorolac

Zamkati

• Musanamwe ketorolac,
• Ketorolac ikhoza kuyambitsa mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi, kapena zomwe zatchulidwa mgulu la CHENJEZO LOFUNIKA, itanani dokotala wanu mwachangu. Musathenso kumwa ketorolac mpaka mutalankhula ndi dokotala.
• Zizindikiro za bongo zingaphatikizepo izi:

Ketorolac imagwiritsidwa ntchito kupumula kwakanthawi kwakumva kuwawa pang'ono ndipo sikuyenera 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 pakamwa pa tsiku lachisanu mutalandira jakisoni wanu woyamba 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, makamaka zikagwiritsidwa ntchito molakwika.Tengani ketorolac ndendende monga mwalamulo. Musamamwe zochuluka kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.

Anthu omwe amamwa mankhwala osagwiritsa ntchito steroidal anti-inflammatory (NSAIDs) (kupatula aspirin) monga ketorolac atha kukhala pachiwopsezo chachikulu chodwala matenda a mtima kapena sitiroko kuposa anthu omwe samamwa mankhwalawa. Izi zitha kuchitika mosazindikira ndipo zitha kuyambitsa imfa. Izi zitha kukhala zazikulu kwa anthu omwe amatenga ma NSAID kwa nthawi yayitali. Musatenge NSAID monga ketorolac ngati mwangodwala kumene mtima, pokhapokha mutalangizidwa ndi dokotala wanu. Uzani dokotala wanu ngati inu kapena aliyense m'banja mwanu adadwalapo kapena adakhalapo ndi matenda amtima, matenda a mtima, 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 gawo limodzi kapena mbali ina ya thupi, kapena kusalankhula bwino.

Ngati mukuchitidwa opaleshoni, kuphatikizapo opaleshoni ya mano, uzani dokotala kapena dokotala kuti mukumwa ketorolac. Ngati mukukhala ndi mtsempha wamagazi wodutsa (CABG; mtundu wa opareshoni yamtima), simuyenera kumwa ketorolac musanachitike kapena mutangochita 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, ndi okalamba, ali ndi thanzi labwino, kapena amamwa mowa wambiri akamamwa ketorolac. Uzani dokotala ngati mutamwa mankhwala aliwonse awa: anticoagulants ('magazi opopera magazi') monga warfarin (Coumadin, Jantoven); aspirin; oral steroids monga dexamethasone, methylprednisolone (Medrol), ndi prednisone (Rayos); serotonin reuptake inhibitors (SSRIs) monga citalopram (Celexa), fluoxetine (Prozac, Sarafem, Selfemra, mu Symbyax), fluvoxamine (Luvox), paroxetine (Brisdelle, Paxil, Pexeva), ndi sertraline (Zoloft); kapena serotonin norepinephrine reuptake inhibitors (SNRIs) monga desvenlafaxine (Khedezla, Pristiq), duloxetine (Cymbalta), ndi venlafaxine (Effexor XR). Musatenge ma aspirin kapena ma NSAID ena monga ibuprofen (Advil, Motrin) ndi naproxen (Aleve, Naprosyn) mukamamwa ketorolac. Komanso uzani dokotala ngati mwakhalapo ndi zilonda kapena magazi m'mimba kapena m'mimba. Ngati mukukumana ndi izi, siyani kumwa 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 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, ku Lotrel), , enalapril (Vasotec, mu Vaseretic), fosinopril, lisinopril (mu Zestoretic), moexipril (Univasc), perindopril (Aceon, ku Prestalia), quinapril (Accupril, mu Quinaretic), ramipril (Altaceil, ndi trandolap) ); kapena okodzetsa ('mapiritsi amadzi'). Ngati mukukumana ndi zizindikiro izi, siyani kumwa ketorolac ndikuyimbira dokotala: kutupa kwa manja, mikono, mapazi, akakolo, kapena miyendo yakumunsi; kunenepa kosadziwika; chisokonezo; kapena kugwidwa.

Anthu ena amakumana ndi zovuta za ketorolac. Uzani dokotala wanu ngati muli ndi vuto la ketorolac, aspirin kapena ma NSAID ena monga ibuprofen (Advil, Motrin) kapena naproxen (Aleve, Naprosyn), kapena mankhwala ena aliwonse. Muuzeni dokotala wanu ngati mwakhalapo ndi mphumu, makamaka ngati mwakhala mukuthinitsa kapena kutuluka mphuno kapena ma nasal polyps (kutupa kwa m'mphuno). Ngati mukukumana ndi zizindikiro izi, siyani kumwa ketorolac ndipo itanani dokotala nthawi yomweyo: ming'oma; kuyabwa; kutupa kwa maso, nkhope, mmero, lilime, mikono, manja, akakolo, kapena miyendo yakumunsi; kuvuta kupuma kapena kumeza; kapena hoarseness.

Osamayamwa mukamwa ketorolac.

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 ku ketorolac. 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 ndipo nthawi iliyonse mukamadzaza mankhwala anu. 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 kupweteka kwakanthawi pang'ono, 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.

Ketorolac imabwera ngati piritsi kuti itenge pakamwa. Nthawi zambiri amatengedwa maola 4 kapena 6 iliyonse ndandanda kapena pakufunika zowawa. Ngati mukumwa ketorolac panthawi yake, imwani nthawi yofananira tsiku lililonse. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa.

Mankhwalawa nthawi zina amapatsidwa ntchito zina; funsani dokotala wanu kapena wamankhwala kuti mudziwe zambiri.

Musanamwe ketorolac,

• uzani dokotala wanu ngati mukumwa pentoxifylline (Pentoxil) kapena probenecid (Probalan, mu Col-Probenecid). Dokotala wanu angakuuzeni kuti musamwe ketorolac ngati mukumwa mankhwala amodzi kapena angapo.
• Uzani dokotala wanu komanso wamankhwala mankhwala ndi mankhwala osapatsirana, mavitamini, zowonjezera zakudya, ndi mankhwala azitsamba omwe mukumwa kapena omwe mukufuna kumwa. Onetsetsani kuti mwatchula mankhwala omwe adatchulidwa mu gawo la CHENJEZO CHENJEZO ndi zina mwa izi: ma angiotensin otembenuza enzyme (ACE) zoletsa monga benazepril (Lotensin, ku Lotrel), captopril, enalapril (Vasotec, mu Vaseretic), fosinopril, lisinopril (mu Zestoretic), moexipril (Univasc), perindoprilst Aceon, (Accupril, mu Quinaretic), ramipril (Altace), ndi trandolapril (Mavik, ku Tarka); angiotensin receptor blockers monga candesartan (Atacand, ku Atacand HCT), eprosartan (Teveten), irbesartan (Avapro, ku Avalide), losartan (Cozaar, ku Hyzaar), olmesartan (Benicar, ku Azor, ku Benicar HCT, ku Tribenzor), telmisartan (Micardis, ku Micardis HCT, ku Twynsta), ndi valsartan (mu Exforge HCT); zotchinga beta monga atenolol (Tenormin, mu Tenoretic), labetalol (Trandate), metoprolol (Lopressor, Toprol XL, ku Dutoprol), nadolol (Corgard, ku Corzide), ndi propranolol (Hemangeol, Inderal, InnoPran); mankhwala a nkhawa kapena matenda amisala; mankhwala ogwidwa monga carbamazepine (Epitol, Tegretol, Teril, ena) kapena phenytoin (Dilantin, Phenytek); methotrexate (Otrexup, Rasuvo, Trexall); mankhwala ogonetsa; mapiritsi ogona; ndi zotontholetsa. Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala pazotsatira.
• auzeni adotolo ngati mwakhala mukukhalapo ndi zomwe zatchulidwa mgawo la CHENJEZO CHENJEZO kapena mtima kulephera kapena kutupa kwa manja, mapazi, akakolo, kapena miyendo yakumunsi.
• Uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati; kapena akuyamwitsa. Ketorolac itha kuvulaza mwana wosabadwayo ndipo imatha kubweretsa mavuto pakubereka ikamamwa pafupifupi masabata 20 kapena kupitilira pomwe ali ndi pakati. Musamamwe ketorolac mozungulira kapena mutakhala ndi pakati pamasabata 20, pokhapokha mukauzidwa ndi dokotala wanu. Mukakhala ndi pakati mukatenga ketorolac, itanani dokotala wanu.
• lankhulani ndi dokotala wanu za kuopsa ndi phindu lakumwa ketorolac ngati muli ndi zaka 65 kapena kupitilira apo. Okalamba sayenera kumwa ketorolac chifukwa siotetezeka ngati mankhwala ena omwe angagwiritsidwe ntchito kuthana ndi vuto lomwelo.
• Muyenera kudziwa kuti mankhwalawa atha kukupangitsani kugona kapena kuzunguzika. Osayendetsa galimoto kapena kugwiritsa ntchito makina mpaka mutadziwa momwe mankhwalawa amakukhudzirani.
• lankhulani ndi dokotala wanu zakumwa koyenera kwa mowa mukamamwa mankhwalawa. Mowa umatha kukulitsa mavuto obwera chifukwa cha ketorolac.

Pokhapokha dokotala atakuwuzani zina, pitirizani kudya zomwe mumadya.

Ngati dokotala wakuwuzani kuti muzimwa ketorolac pafupipafupi, tengani mlingo womwe mwaphonya mukangokumbukira. Komabe, ngati ili pafupi nthawi ya mlingo wotsatira, dumpha mlingo womwe umasowa ndikupitiliza dongosolo lanu lokhazikika. Musatenge mlingo wawiri kuti mupange omwe mwaphonya.

Ketorolac ikhoza kuyambitsa mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• mutu
• chizungulire
• Kusinza
• kutsegula m'mimba
• kudzimbidwa
• mpweya
• zilonda mkamwa
• thukuta

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi, kapena zomwe zatchulidwa mgulu la CHENJEZO LOFUNIKA, itanani dokotala wanu mwachangu. Musathenso kumwa ketorolac mpaka mutalankhula ndi dokotala.

• malungo
• matuza
• kunenepa kopanda tanthauzo
• kupuma movutikira kapena kupuma movutikira
• kutupa pamimba, akakolo, mapazi, kapena miyendo
• 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
• mitambo, yotulutsa mtundu, kapena mkodzo wamagazi
• kupweteka kwa msana
• pokodza kovuta kapena kowawa

Ketorolac imatha kubweretsa zovuta zina. Itanani dokotala wanu ngati muli ndi zovuta zina mukamamwa 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. Zisungeni kutentha ndi kutali ndi 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:

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

Musalole kuti aliyense azimwa mankhwala anu. Funsani wamankhwala wanu mafunso aliwonse omwe muli nawo okhudzana ndi kudzaza mankhwala anu.

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.