Inaliti ye-Ketorolac

-Delile

• Ngaphambi kokusebenzisa umjovo we-ketorolac,
• Umjovo weKetorolac ungadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:
• Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nenye yalezi zimpawu noma lezo ezibalwe esigabeni ESIBALULEKILE SESEXWAYISO, yeka ukusebenzisa umjovo we-ketorolac bese ushayela udokotela wakho ngokushesha:
• Izimpawu zokudlula ngokweqile zingafaka okulandelayo:

Umjovo weKetorolac usetshenziselwa ukukhululeka kwesikhashana kwezinhlungu ezinzima ngokulingene kubantu abaneminyaka okungenani eyi-17 ubudala. Umjovo weKetorolac akufanele usetshenziswe isikhathi eside kunezinsuku ezi-5, ngobuhlungu obuncane, noma ngobuhlungu obuvela ezimeni ezingalapheki (zesikhathi eside). Uzothola imithamo yakho yokuqala ye-ketorolac ngokufakwa emthanjeni (emthanjeni) noma ngomjovo we-intramuscular (in a muscle) esibhedlela noma ehhovisi lezokwelapha. Ngemuva kwalokho, udokotela wakho angakhetha ukuqhubeka nokwelashwa kwakho nge-ketorolac yomlomo. Kufanele uyeke ukuthatha i-ketorolac yomlomo nokusebenzisa umjovo we-ketorolac ngosuku lwesihlanu ngemuva kokuthola umthamo wakho wokuqala womjovo we-ketorolac. Khuluma nodokotela wakho uma usenobuhlungu ngemuva kwezinsuku ze-5 noma uma ubuhlungu bakho bungalawulwa ngalo muthi. I-Ketorolac ingadala imiphumela emibi kakhulu.

Abantu abelashwa ngemishanguzo yokulwa nokuvuvukala (ama-NSAID) (ngaphandle kwama-aspirin) afana ne-ketorolac bangaba nengozi enkulu yokuhlaselwa yisifo senhliziyo noma isifo sohlangothi kunabantu abangalashwa ngale mithi. Le micimbi ingenzeka ngaphandle kwesixwayiso futhi ingadala ukufa. Le ngozi ingahle ibe phezulu kubantu abaphathwa ngama-NSAID isikhathi eside. Tshela udokotela wakho uma wena noma omunye emndenini wakho enesifo senhliziyo, ehlaselwa yisifo senhliziyo, noma sohlangothi noma i-'servroke; 'futhi uma uke waba nomfutho wegazi ophakeme. Thola usizo lwezokwelapha oluphuthumayo ngokushesha uma uhlangabezana nalezi zimpawu ezilandelayo: Ubuhlungu besifuba, ukuphefumula okuncane, ukuba buthakathaka engxenyeni eyodwa noma ohlangothini lomzimba, noma ukukhuluma okungaqinile.

Ukuthola umjovo we-ketorolac kwandisa ingozi yokuthi uzokwehla ukopha okunzima noma okungalawulwa. Tshela udokotela wakho uma uke waba nenkinga yokopha noma yokuvala igazi. Udokotela wakho cishe ngeke akunikeze umjovo we-ketorolac.

Uma uhlinzwa, kufaka phakathi ukuhlinzwa kwamazinyo, tshela udokotela noma udokotela wamazinyo ukuthi usebenzisa umjovo we-ketorolac. Uma uzobe ubhekene nomthambo we-coronary bypass graft (CABG; uhlobo lokuhlinzwa kwenhliziyo), akufanele usebenzise umjovo we-ketorolac ngaphambi noma ngemuva kokuhlinzwa.

Ama-NSAID afana ne-ketorolac angadala izilonda, ukuphuma kwegazi, noma izimbobo esiswini noma emathunjini. Lezi zinkinga zingakhula nganoma yisiphi isikhathi ngesikhathi sokwelashwa, zingenzeka ngaphandle kwezimpawu zokuxwayisa, futhi zingadala nokufa. Ingozi ingaba phezulu kubantu abathatha ama-NSAID isikhathi eside, sebekhulile ngeminyaka, benempilo ebuthaka, bebhema ugwayi, noma bephuza utshwala ngenkathi besebenzisa umjovo we-ketorolac. Tshela udokotela wakho uma uthatha noma imuphi wale mithi elandelayo: ama-anticoagulants (’ama-thinner egazi’) afana ne-warfarin (Coumadin, Jantoven); i-aspirin; noma i-oral steroids efana ne-dexamethasone (i-Decadron, i-Dexpak), i-methylprednisolone (i-Medrol), ne-prednisone (i-Deltasone). Ungathathi i-aspirin noma amanye ama-NSAID afana ne-ibuprofen (Advil, Motrin) ne-naproxen (Aleve, Naprosyn) ngenkathi usebenzisa i-ketorolac. Phinda utshele udokotela wakho uma uke waba nezilonda, izimbobo, noma ukopha esiswini noma emathunjini, noma isifo esibangela ukuvuvukala kwamathumbu njengesifo sikaCrohn (isimo lapho umzimba uhlasela ulwelwesi lwendlela yokugaya ukudla. , kubangela ubuhlungu, isifo sohudo, ukwehla kwesisindo, nomkhuhlane) noma i-ulcerative colitis (isimo esidala ukuvuvukala nezilonda kulwelwesi lwekholoni [amathumbu amakhulu] ne-rectum). Uma uhlangabezana nanoma yiziphi kulezi zimpawu ezilandelayo, yeka ukusebenzisa umjovo we-ketorolac bese ushayela udokotela wakho: ubuhlungu besisu, isilungulela, ukuhlanza okunegazi noma okubukeka njengezindawo zekhofi, igazi elisesitokisini, noma izitulo ezimnyama nezokulinda.

I-Ketorolac ingadala ukwehluleka kwezinso. Tshela udokotela wakho uma unesifo sezinso noma sesibindi, uma uke wahlanza kakhulu noma uhudo noma ucabanga ukuthi kungenzeka uphelelwe amanzi emzimbeni, futhi uma uthatha ama-inhibitor e-angiotensin-converting enzyme (ACE) afana ne-benazepril (Lotensin), i-captopril (iCapoten) , enalapril (Vasotec), fosinopril, lisinopril (Prinivil, Zestril), moexipril (Univasc), perindopril (Aceon), quinapril (Accupril), ramipril (Altace), ne-trandolapril (Mavik); noma isisu (’amaphilisi amanzi’). Uma uhlangabezana nanoma yiziphi kulezi zimpawu ezilandelayo, yeka ukusebenzisa umjovo we-ketorolac bese ushayela udokotela wakho: ukuzuza kwesisindo okungaqondakali; ukuvuvukala kwezandla, izingalo, izinyawo, amaqakala, noma imilenze engezansi; ukudideka; noma ukuquleka.

Abanye abantu banokungazwani komzimba nomjovo we-ketorolac. Tshela udokotela wakho uma uxabana ne-ketorolac, i-aspirin noma amanye ama-NSAID afana ne-ibuprofen (Advil, Motrin) noma i-naproxen (i-Aleve, iNaprosyn), noma imiphi eminye imithi, noma iziphi izithako zomjovo we-ketorolac. Phinda utshele udokotela wakho uma uke waba ne-asthma, ikakhulukazi uma unezimpumputhe ezigxilile noma ezigijimayo noma ama-nasal polyps (ukuvuvukala kocingo lwekhala). Uma uhlangabezana nalezi zimpawu ezilandelayo, yeka ukusebenzisa umjovo we-ketorolac bese ushayela udokotela wakho ngokushesha: ukuqhuma; imfiva; isikhumba esihlabayo noma esishayayo; isifuba; ukulunywa; ukuvuvukala kwamehlo, ubuso, umphimbo, ulimi, izindebe; ubunzima bokuphefumula noma ukugwinya; noma ukusha.

Akufanele uthole umjovo we-ketorolac ngesikhathi sokubeletha noma ngenkathi ubeletha.

Musa ukuncelisa ibele ngenkathi usebenzisa umjovo we-ketorolac.

Tshela udokotela wakho uma uneminyaka engama-65 noma ngaphezulu noma uma unesisindo esingaphansi kuka-110 lb (50 kg). Udokotela wakho uzodinga ukuthi anikeze isilinganiso esincane semithi. Uma ungumuntu omdala osekhulile, kufanele wazi ukuthi umjovo we-ketorolac awuphephile njengeminye imithi engasetshenziswa ukwelapha isimo sakho. Udokotela wakho angakhetha ukukunikeza umuthi ohlukile ophephe ukusetshenziswa kubantu abadala.

Gcina wonke ama-aphoyintimenti nodokotela wakho kanye nelabhorethri. Udokotela wakho uzoqapha izimpawu zakho ngokucophelela futhi mhlawumbe uzo-oda izivivinyo ezithile ukuze ahlole impendulo yomzimba wakho kumjovo we-ketorolac.

Udokotela wakho noma usokhemisi uzokunikeza ishidi lemininingwane yesiguli lomkhiqizi (Umhlahlandlela Wezokwelapha) njalo lapho uthola umthamo womjovo we-ketorolac. Funda imininingwane ngokucophelela bese ubuza udokotela noma usokhemisi wakho uma unemibuzo. Ungavakashela futhi iwebhusayithi ye-Food and Drug Administration (FDA) (http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm) ukuthola uMhlahlandlela Wezokwelapha.

I-Ketorolac isetshenziselwa ukudambisa izinhlungu ezinesizotha kubantu abadala, imvamisa ngemuva kokuhlinzwa. I-Ketorolac isekilasini lemithi ebizwa ngama-NSAID. Isebenza ngokumisa ukukhiqizwa komzimba wento ebangela ubuhlungu, umkhuhlane nokuvuvukala.

Umjovo weKetorolac uza njengesisombululo (uketshezi) ukujova ngemisipha (emsipheni) noma ngemithambo (emthanjeni). Imvamisa inikezwa njalo emahoreni ayisithupha ngohlelo noma njengoba kudingeka ngobuhlungu ngumhlinzeki wezokunakekelwa kwempilo esibhedlela noma ehhovisi lezokwelapha.

Lo muthi ungabekelwa okunye ukusetshenziswa; buza udokotela wakho noma usokhemisi ukuthola eminye imininingwane.

Ngaphambi kokusebenzisa umjovo we-ketorolac,

• Tshela udokotela wakho uma uthatha i-probenecid (i-Probalan) noma i-pentoxifylline (i-Pentoxil, i-Trental). Udokotela wakho mhlawumbe uzokutshela ukuthi ungasebenzisi umjovo we-ketorolac uma uthatha noma iyiphi yale mithi.
• Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi eminye imishanguzo kadokotela neyokungabhalisi, amavithamini, izithasiselo zokudla okunempilo, nemikhiqizo yamakhambi oyithathayo noma ohlela ukuyithatha. Qiniseka ukuthi uyayisho imishanguzo ebhalwe esigabeni ESIBALULEKILE SESEXWAYISO nanoma yikuphi okulandelayo: abamelene ne-angiotensin II receptor njenge-azilsartan (Edarbi), candesartan (Atacand), eprosartan (Teveten), irbesartan (Avapro, e-Avalide), losartan (Cozaar, e-Hyzaar), olmesartan (Benicar, e-Azor), telmisartan (Micardis) noma i-valsartan (iDiovan, e-Exforge); i-lithium (i-Lithobid); imithi yokuquleka efana ne-carbamazepine (i-Equetro, iTegretol) noma i-phenytoin (i-Dilantin); i-methotrexate (i-Otrexup, i-Rheumatrex, i-Trexall); ukuphumula kwemisipha; i-serotonin reuptake inhibitors (SSRIs) ekhethiwe efana ne-citalopram (Celexa), i-duloxetine (i-cymbalta), i-escitalopram (i-Lexapro), i-fluoxetine (i-Prozac, i-Sarafem, i-Symbyax, abanye), i-fluvoxamine (i-Luvox), i-paroxetine (i-Paxil, i-Pexetaval), ne-seroxtine) (Zoloft); noma thiothixene (Navane). Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi.
• Tshela udokotela wakho uma uke waba nesimo esithile sezempilo noma wake waba naso, ikakhulukazi imibandela eshiwo esigabeni ESIBALULEKILE SESEXWAYISO.
• tshela udokotela wakho uma ukhulelwe, hlela ukukhulelwa; noma ukuncelisa ibele. Umjovo weKetorolac ungalimaza umbungu futhi udale izinkinga ngokulethwa uma uthathwe cishe amasonto angama-20 noma kamuva ngesikhathi sokukhulelwa. Ungathathi umjovo we-ketorolac cishe noma ngemuva kwamasonto angama-20 ukhulelwe, ngaphandle uma utshelwa ngudokotela wakho ukuthi ukwenze lokho. Uma ukhulelwa ngenkathi uthatha umjovo we-ketorolac, shayela udokotela wakho.
• kufanele wazi ukuthi umfutho wegazi wakho ungakhuphuka ngenkathi welashwa ngomjovo we-ketorolac. Udokotela wakho mhlawumbe uzoqapha ukucindezelwa kwakho kwegazi ngesikhathi sokwelashwa kwakho.

Ngaphandle kokuthi udokotela wakho akutshele ngenye indlela, qhubeka nokudla okuvamile.

Umjovo weKetorolac ungadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:

• ikhanda
• isiyezi
• ukozela
• isifo sohudo
• ukuqunjelwa
• igesi
• izilonda emlonyeni
• ukujuluka
• kukhala ezindlebeni
• ubuhlungu endaweni yomjovo
• amachashazi amancane abomvu noma ansomi esikhunjeni

Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nenye yalezi zimpawu noma lezo ezibalwe esigabeni ESIBALULEKILE SESEXWAYISO, yeka ukusebenzisa umjovo we-ketorolac bese ushayela udokotela wakho ngokushesha:

• ukuphuzi kwesikhumba noma kwamehlo
• ukukhathala ngokweqile
• ukopha okungajwayelekile noma ukulinyazwa
• ukungabi namandla
• isicanucanu
• ukulahlekelwa isifiso sokudla
• ubuhlungu engxenyeni engenhla kwesokudla yesisu
• izimpawu ezinjengomkhuhlane
• isikhumba esiphaphathekile
• ukushaya kwenhliziyo okusheshayo

Umjovo weKetorolac ungadala eminye imiphumela emibi. Shayela udokotela wakho uma unezinkinga ezingavamile ngenkathi usebenzisa lo muthi.

Uma uthola imiphumela emibi kakhulu, wena noma udokotela wakho ungathumela umbiko kuhlelo lwe-Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting online (http://www.fda.gov/Safety/MedWatch) noma ngocingo ( 1-800-332-1088).

Uma kwenzeka ukweqisa ngokweqile, shayela ucingo losizo lokulawula ubuthi ku-1-800-222-1222. Imininingwane iyatholakala online ku-https: //www.poisonhelp.org/help. Uma isisulu siwile, saba nokuquleka, sinenkinga yokuphefumula, noma singakwazi ukuvuswa, shayela ngokushesha abezimo eziphuthumayo ku-911.

Izimpawu zokudlula ngokweqile zingafaka okulandelayo:

• isicanucanu
• ukuhlanza
• ubuhlungu besisu
• izihlalo ezinegazi, ezimnyama, noma zokulinda
• uhlanza olunegazi noma olubukeka njengezizathu zekhofi
• ukozela
• isifuba
• ukuqubuka
• ukulunywa
• ubunzima bokugwinya
• ukuphefumula kanzima, ukuphefumula okuphuzile noma ukuphefumula okusheshayo, okungajulile
• ikhoma (ukulahlekelwa ukwazi isikhathi esithile)

Buza usokhemisi wakho noma imiphi imibuzo onayo ngomjovo we-ketorolac.

Kubalulekile ukuthi ugcine uhlu olubhaliwe lwayo yonke imishanguzo oyisebenzisayo kadokotela kanye nokungabhaliswanga (ngaphezulu kokuthenga), kanye nanoma yimiphi imikhiqizo efana namavithamini, amaminerali, noma ezinye izithako zokudla. Kufanele uze nalolu hlu njalo uma uvakashela udokotela noma uma ungeniswa esibhedlela. Kubaluleke kakhulu futhi nemininingwane ebalulekile ukuthi uphathe uma kwenzeka kunezimo eziphuthumayo.

• I-Toradol^®¶

^¶ Lo mkhiqizo onophawu alusekho emakethe. Ezinye izindlela ezijwayelekile zingatholakala.