Inaliti ye-Ketorolac

Umxholo

• Ngaphambi kokusebenzisa inaliti ye-ketorolac,
• Inaliti ye-Ketorolac inokubangela iziphumo ebezingalindelekanga. Tshela ugqirha wakho ukuba ngaba ezinye zeempawu zinzima okanye azihambi:
• Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. Ukuba ufumana naziphi na kwezi mpawu okanye ezo zidweliswe kwicandelo LESILUMKISO ESIBALULEKILEYO, yeka ukusebenzisa inaliti ye-ketorolac kwaye ubize ugqirha ngoko nangoko:
• Iimpawu libanda kungaquka oku kulandelayo:

Inaliti ye-Ketorolac isetyenziselwa ukukhululeka kwexesha elifutshane kwintlungu engathethekiyo kubantu abaneminyaka eli-17 ubuncinci. Inaliti ye-Ketorolac akufuneki isetyenziswe ngaphezulu kweentsuku ezi-5, kwintlungu ethambileyo, okanye kwintlungu evela kwiimeko ezingapheliyo (zexesha elide). Uya kufumana amanani akho okuqala e-ketorolac nge-intravenous (kwi-vein) okanye kwi-intramuscular (kwi-muscle) inaliti esibhedlele okanye kwi-ofisi yezonyango. Emva koko, ugqirha wakho unokukhetha ukuqhubeka nonyango lwakho nge-ketorolac yomlomo. Kuya kufuneka uyeke ukuthatha i-ketorolac yomlomo kunye nokusebenzisa inaliti ye-ketorolac ngosuku lwesihlanu emva kokuba ufumene idosi yakho yokuqala yenaliti ye-ketorolac. Thetha nogqirha wakho ukuba usenentlungu emva kweentsuku ezi-5 okanye ukuba iintlungu azilawulwa ngala mayeza. I-Ketorolac inokubangela iziphumo ebezingalindelekanga ezimandundu.

Abantu abanyangwa ngamachiza angasebenziyo (anti-inflammatory) (i-NSAIDs) (ngaphandle kwe-aspirin) anjenge ketorolac banokuba semngciphekweni omkhulu wokuhlaselwa sisifo sentliziyo okanye ukubethwa ngabantu kunabantu abanganyangwa ngala mayeza. Ezi ziganeko zinokwenzeka ngaphandle kwesixwayiso kwaye zingabangela ukufa. Lo mngcipheko unokuphakama kubantu abaphathwa nge-NSAID ixesha elide. Xelela ugqirha wakho ukuba wena okanye nabani na kusapho lwakho ukhe unesifo sentliziyo, isifo sentliziyo, okanye isifo soqhenqetho okanye ‘i-ministroke;’ kwaye ukuba ukhe wanaso okanye wakha waba noxinzelelo lwegazi. Fumana uncedo lonyango olungxamisekileyo kwangoko ukuba unazo naziphi na kwezi mpawu zilandelayo: iintlungu esifubeni, ukuphefumla kancinci, ukuba buthathaka kwelinye icala okanye icala lomzimba, okanye intetho egoso.

Ukufumana inaliti ye-ketorolac yonyusa umngcipheko wokuba uza kuba negazi elibi okanye elingalawulekiyo. Tshela ugqirha wakho ukuba ukhe wopha okanye unengxaki yokunqanda igazi. Ugqirha wakho ngekhe akunike inaliti ye-ketorolac.

Ukuba wenza utyando, kubandakanya utyando lwamazinyo, xelela ugqirha okanye ugqirha wamazinyo ukuba usebenzisa inaliti ye-ketorolac. Ukuba uya kuba nomthambo we-coronary bypass graft (CABG; uhlobo lotyando lwentliziyo), akufuneki usebenzise inaliti ye-ketorolac kanye phambi okanye emva kotyando.

Ii-NSAID ezinje nge-ketorolac zinokubangela izilonda, ukopha, okanye imingxunya esiswini okanye emathunjini. Ezi ngxaki zinokuvela nanini na ngexesha lonyango, zinokwenzeka ngaphandle kweempawu zesilumkiso, kwaye zinokubangela ukufa. Umngcipheko unokuphakama kubantu abathatha ii-NSAID ixesha elide, badala kubudala, impilo enkenenkene, ukutshaya icuba, okanye ukusela utywala ngelixa usebenzisa inaliti ye-ketorolac. Xelela ugqirha wakho ukuba uthatha nawaphi na amayeza alandelayo: ii-anticoagulants ('blood thinner') ezinjenge-warfarin (Coumadin, Jantoven); iasprini; okanye ii-steroids zomlomo ezifana ne-dexamethasone (i-Decadron, i-Dexpak), i-methylprednisolone (Medrol), kunye ne-prednisone (Deltasone). Musa ukuthatha i-aspirin okanye ezinye ii-NSAID ezinje nge-ibuprofen (Advil, Motrin) kunye ne-naproxen (Aleve, Naprosyn) ngelixa usebenzisa i-ketorolac. Xelela ugqirha wakho ukuba unayo okanye wakha waba nezilonda, imingxunya, okanye ukopha esiswini okanye emathunjini, okanye isifo esibangela ukudumba kwamathumbu anjengesifo sikaCrohn (imeko apho umzimba uhlasela ulusu lwendlela yokugaya ukutya. , kubangela iintlungu, urhudo, ukwehla kobunzima bomzimba, kunye nomkhuhlane) okanye i-ulcerative colitis (imeko ebangela ukudumba kunye nezilonda kumngxunya wekholoni [amathumbu amakhulu] kunye ne-rectum). Ukuba unazo naziphi na kwezi mpawu zilandelayo, yeka ukusebenzisa inaliti ye-ketorolac kwaye ubize ugqirha wakho: iintlungu zesisu, isilungulela, ukugabha okunegazi okanye okujongeka njengendawo yekofu, igazi elisesitofini, okanye isitulo esimnyama nesokulinda.

I-Ketorolac inokubangela ukusilela kwezintso. Tshela ugqirha wakho ukuba unesifo sezintso okanye sesibindi, ukuba uye wagabha kakhulu okanye urhudo okanye ucinga ukuba unokuphelelwa ngamanzi emzimbeni, kwaye ukuba uthatha i-angiotensin-converting enzyme (ACE) inhibitors enjenge benazepril (Lotensin), captopril (Capoten) , enalapril (Vasotec), fosinopril, lisinopril (Prinivil, Zestril), moexipril (Univasc), perindopril (Aceon), quinapril (Accupril), ramipril (Altace), kunye trandolapril (Mavik); okanye umchamo ('iipilisi zamanzi'). Ukuba ufumana naziphi na kwezi mpawu zilandelayo, yeka ukusebenzisa inaliti ye-ketorolac kwaye ubize ugqirha wakho: ukuzuza ubunzima obungachazwanga; ukudumba kwezandla, iingalo, iinyawo, amaqatha, okanye imilenze esezantsi; ukudideka; okanye ukuxhuzula.

Abanye abantu baneempendulo ezibi kakhulu kwi-ketorolac injection. Tshela ugqirha wakho ukuba uxabisa i-ketorolac, i-aspirin okanye ezinye i-NSAID ezifana ne-ibuprofen (Advil, Motrin) okanye naproxen (Aleve, Naprosyn), nawaphi na amanye amayeza, okanye naziphi na izithako kwi-ketorolac injection. Xelela ugqirha wakho ukuba ukhe wanesifo sombefu, ngakumbi ukuba uhlala unezinto okanye impumlo egudileyo okanye iipolyps zempumlo (ukudumba kwenwebu yempumlo). Ukuba ufumana naziphi na kwezi mpawu zilandelayo, yeka ukusebenzisa inaliti ye-ketorolac kwaye ubize ugqirha ngoko nangoko: irhashalala; ifiva; ukuxobuka okanye ukudumba kolusu; imihlathi ukurhawuzelela; ukudumba kwamehlo, ubuso, umqala, ulwimi, imilebe; ubunzima bokuphefumla okanye ukugwinya; okanye ukungcungcutheka.

Akufanele ufumane inaliti ye-ketorolac ngexesha lokubeleka okanye ngelixa ubeleka.

Musa ukuncancisa xa usebenzisa inaliti ye-ketorolac.

Tshela ugqirha wakho ukuba uneminyaka engama-65 ubudala okanye ngaphezulu okanye ukuba unobunzima obungaphantsi kwe-110 lb (50 kg). Ugqirha wakho kuya kufuneka anike idosi esezantsi yamayeza. Ukuba sele umdala, kufuneka uyazi ukuba inaliti ye-ketorolac ayikhuselekanga njengamanye amayeza anokusetyenziswa ukunyanga imeko yakho. Ugqirha wakho unokukhetha ukumisela iyeza elahlukileyo elikhuselekileyo ukuba lisetyenziswe kubantu abadala.

Gcina lonke ixesha lokudibana nogqirha wakho kunye nelabhoratri. Ugqirha wakho uya kujonga iimpawu zakho ngononophelo kwaye uya kuyalela iimvavanyo ezithile ukujonga impendulo yomzimba wakho kwinaliti ye-ketorolac.

Ugqirha wakho okanye usokhemesti uya kukunika uxwebhu lolwazi lwesigulana lomenzi (Isikhokelo seyeza) ngalo lonke ixesha ufumana idosi yenaliti ye-ketorolac. Funda ulwazi ngononophelo kwaye ubuze ugqirha okanye usokhemesti ukuba unayo nayiphi na imibuzo. Ungandwendwela noLawulo lwezoKutya noLawulo lweziyobisi (FDA) iwebhusayithi (http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm) ukufumana isiKhokelo seyeza.

I-Ketorolac isetyenziselwa ukunciphisa iintlungu eziqatha kubantu abadala, ngesiqhelo emva kotyando. I-Ketorolac ikudidi lwamayeza abizwa ngokuba zii-NSAID. Isebenza ngokumisa imveliso yomzimba yento ebangela iintlungu, umkhuhlane kunye nokudumba.

Inaliti ye-Ketorolac iza njengesisombululo (ulwelo) sokufaka inaliti intramuscularly (in a muscle) or intravenously (into a vein). Ihlala inikwa zonke iiyure ze-6 kwishedyuli okanye njengoko kufuneka iintlungu ngumboneleli wezempilo esibhedlele okanye kwiofisi yezonyango.

Eli yeza linokumiselwa ezinye izinto; buza ugqirha wakho okanye usokhemesti ngolwazi oluthe kratya.

Ngaphambi kokusebenzisa inaliti ye-ketorolac,

• xelela ugqirha wakho ukuba uthatha i-probenecid (Probalan) okanye ipentoxifylline (Pentoxil, Trental). Ugqirha wakho uya kuthi ungasebenzisi inaliti ye-ketorolac ukuba uthatha elinye lala mayeza.
• xelela ugqirha wakho kunye nosokhemesti ukuba loluphi olunye amayeza amiselweyo kunye nalawo angabhalwanga, iivithamini, izongezo zesondlo, kunye nemveliso yamayeza owathathayo okanye oceba ukuyithatha. Qiniseka ukuba ukhankanya amayeza adweliswe kwicandelo LESILUMKISO ESIBALULEKILEYO kunye nayo nayiphi na kwezi zinto zilandelayo: ii-angiotensin II receptor antagonists ezinje nge-azilsartan (Edarbi), candesartan (Atacand), eprosartan (Teveten), irbesartan (Avapro, eAvalide), losartan (Cozaar, e-Hyzaar), olmesartan (Benicar, e Azor), telmisartan (Micardis) okanye i-valsartan (iDiovan, e-Exforge); lithium (Lithobid); amayeza okubanjwa njenge-carbamazepine (i-Equetro, iTegretol) okanye i-phenytoin (iDilantin); imethotrexate (iOtrexup, iRheumatrex, iTrexall); izihlunu ezonwabisayo; i-serotonin reuptake inhibitors (i-SSRIs) ekhethiweyo njenge-citalopram (i-Celexa), i-duloxetine (i-cymbalta), i-escitalopram (i-Lexapro), i-fluoxetine (i-Prozac, i-Sarafem, i-Symbyax, ezinye), i-fluvoxamine (i-Luvox), i-paroxetine (i-Paxil, i-Pexetaval), (Zoloft); okanye thiothixene (Navane). Ugqirha wakho unokufuna ukutshintsha amayeza akho okanye akubeke esweni ngononophelo kwiziphumo ebezingalindelekanga.
• xelela ugqirha wakho ukuba ukhe wakha wanayo na imeko yonyango, ngakumbi iimeko ezichazwe kwicandelo LESILUMKISO ELIBALULEKILEYO.
• xelela ugqirha wakho ukuba ukhulelwe, cwangcisa ukukhulelwa; okanye ukuncancisa. Inaliti ye-Ketorolac inokwenzakalisa umntwana ongekazalwa kwaye ibangele iingxaki ngokuhanjiswa ukuba ithathwa malunga neeveki ezingama-20 okanye kamva xa ukhulelwe. Musa ukuthatha inaliti ye-ketorolac ngeenxa zonke okanye emva kweeveki ezingama-20 ukhulelwe, ngaphandle kokuba uxelelwe njalo ngugqirha wakho. Ukuba ukhulelwa ngelixa uthatha inaliti ye-ketorolac, tsalela ugqirha wakho.
• Kuya kufuneka uyazi ukuba uxinzelelo lwegazi lwakho lunokunyuka ngexesha lonyango ngenaliti ye-ketorolac. Ugqirha wakho uya kuthi abeke esweni uxinzelelo lwegazi ngexesha lonyango lwakho.

Ngaphandle kokuba ugqirha wakho akuxelele ngenye indlela, qhubeka nokutya okuqhelekileyo.

Inaliti ye-Ketorolac inokubangela iziphumo ebezingalindelekanga. Tshela ugqirha wakho ukuba ngaba ezinye zeempawu zinzima okanye azihambi:

• intloko ebuhlungu
• isiyezi
• ukozela
• urhudo
• ukuqhina
• irhasi
• izilonda emlonyeni
• ukubila
• kukhala ezindlebeni
• iintlungu kwindawo yenaliti
• amachaphaza amancinci abomvu okanye mfusa kulusu

Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. Ukuba ufumana naziphi na kwezi mpawu okanye ezo zidweliswe kwicandelo LESILUMKISO ESIBALULEKILEYO, yeka ukusebenzisa inaliti ye-ketorolac kwaye ubize ugqirha ngoko nangoko:

• mthubi ulusu okanye amehlo
• ukudinwa kakhulu
• ukopha okungaqhelekanga okanye ukugruzuka
• ukunqongophala kwamandla
• isicaphucaphu
• Ukuphelelwa ngumdla wokutya
• iintlungu kwinxalenye ephezulu yesisu
• Iimpawu ezinjengomkhuhlane
• ulusu oluthuthu
• ukubetha kwentliziyo ngokukhawuleza

Inaliti ye-Ketorolac inokubangela ezinye iziphumo ebezingalindelekanga. Biza ugqirha wakho ukuba unayo nayiphi na ingxaki engaqhelekanga ngelixa usebenzisa eli yeza.

Ukuba uhlangabezana neziphumo ebezingalindelekanga ezimandundu, wena okanye ugqirha wakho ungathumela ingxelo kwiNkqubo yoKutya kunye nezoLawulo (i-FDA) yeMedWatch yeNkqubo yokuNgxelo ngezeMeko eziGwenxa kwi-Intanethi (http://www.fda.gov/Safety/MedWatch) okanye ngomnxeba ( 1-800-332-1088).

Kwimeko yokugqithisa, fowunela umnxeba wolawulo lwetyhefu kwi-1-800-222-1222. Ulwazi lukwafumaneka kwi-Intanethi kwi-https: //www.poisonhelp.org/help. Ukuba ixhoba liye lawa, laxhuzula, linengxaki yokuphefumla, okanye alikwazi ukuvuswa, ngoko nangoko lifowunele iinkonzo zongxamiseko ngo-911.

Iimpawu libanda kungaquka oku kulandelayo:

• isicaphucaphu
• ukugabha
• isisu esibuhlungu
• enegazi, emnyama, okanye ilindle
• ukugabha okunegazi okanye okujongeka njengendawo yekofu
• ukozela
• urhwebo
• irhashalala
• ukurhawuzelela
• kunzima ukugwinya
• ubunzima bokuphefumla, ukuphefumla okucothayo okanye ukukhawulezisa ukuphefumla
• isiqaqa (ukulahleka kwengqondo ixesha elithile)

Buza usokhemesti wakho nayiphi na imibuzo onayo malunga nenaliti ye-ketorolac.

Kubalulekile ukuba ugcine uluhlu olubhaliweyo lwawo onke amayeza owasebenzisayo amayeza owasebenzisayo, kunye nezinye iimveliso ezinjengeevithamini, iiminerali, okanye ezinye izongezo zokutya. Kuya kufuneka uze nolu luhlu qho xa undwendwela ugqirha okanye ungeniswe esibhedlele. Kukwabalulekile ulwazi ukuba uphathe nawe xa kukho imeko kaxakeka.

• I-Toradol^®¶

^¶ Le mveliso inophawu akusekho kwimarike. Ezinye iindlela ezinokubakho zinokubakho.