"Ketorolac" injections: murayiridzo, mazano, analogo

"Usanyunyuti pamusoro pekutambudzika - iyo ndiyo mishonga yakanakisisa." Aya mazwi ndeaOmar Khayyam. Zvichida izvi ndizvo zvakaitika pazvinouya kumatambudziko ekufunga. Kana tiri kutaura nezvirwere zvemuviri, haufaniri kunyunyuta, unoda kubatsira muviri wako. Imwe yevanonyanya kupora painkillers panguva ino ine injections yaKetorolac. Mirayiridzo yekushandiswa iine mashoko akakwana kwazvo pamusoro pemishonga iyi.

Kuumbwa uye pharmacodynamics

Mishonga ndeyekuti haisi - steroidal anti - inflammatory drugs. Icho chinokonzerwa ne pyrrolizine-carboxylic acid. Icho chikuru chekushanda chinokonzerwa ket ketonc tromethamine (1 mami ye solution ine 30mg), sezvinhu zvinobatsira zvakadai seal disodium uye sodium chloride, ethylenediaminetetraacetic acid, ethyl alcohol reftificate, tromethamine.

Anesthetic injections "Ketorolac" inoratidza an pronounced analgesic effect. Chimiro chechirwere ichi chinopesana nehutachiona hwekuvhiringidza uye anonyatsorwisa antipyretic effect.

Iyo nzira yekuita inobva pakudzingwa kwe COX basa. Iyi ndiyo enzyme chaiyo yeArachidonic acid, iyo iyo inotanga kufambisa prostaglandin, iyo ichishandisa "violin main" mumapathogenesis ekuvhiringidza maitiro, kurwadziwa uye fivha.

"Ketorolac" (injections) kuongororwa kwevashandi vezvechiremba pamusana pesimba zvinogadziriswa zvinofungidzirwa kufanana ne morphine uye zvakanyanya kukunda kune dzimwe NSAIDs.

Zviratidzo zvekushandiswa

Nzvimbo huru yekushandiswa kwechirwere ichi inonzi syndromes zvinorwadza uye zvakakomba kana zvakakomba zvakasimba. Mishonga yekurapa zviratidzo inoshandiswa kuderedza marwadzo nekuputika panguva yekubvuma. Pakukura kwechirwere hachina maturo.

Sarudza chigadzirwa ichi mumamiriro ekurwadziwa kwepakuvamba uye kumashure. Shingairira kupa mushonga nemajekiseni aya uye marwadzo akabatana, zvichikonzerwa nekushungurudzika nekuparara kwemigumisiro, mazino.

Uyezve, "Ketorolac" shots inokurudzirwa kuti ishandiswe mukurapa kwekudzima, kupera, kurwadziwa kwemitsipa uye kurwadziwa shure. Sarudza mushonga uyu wekenza, myalgia, arthralgia, neuralgia.

Contraindications for use

Usashandisa mishonga yekurapa varwere ivavo vane hypersensitivity kune chero chezvikamu. Nheyo yekuramba ndeyekuvapo kwe "aspirin triad" uye hypovolemia (chikonzero chakakonzera chirwere chacho hachikoshi). Uyezve, "Ketorolac" (injections nemapiritsi) haisi yakanyorerwa kune avo vane chirwere chekudya uye chepachiviri chepachiviri chepachiviri mumatambo akaoma.

Aya majekiseni haafaniri kushandiswa kurapa avo vanotambura neHemophilia, hypocoagulation uye vanozviisa pasi nekubuda ropa kana kuti pangozi yekukura kwavo.

Uyewo, kupesanidza ndekuvapo kwemaitiro akaoma ekunyangadza uye kushaya simba.

Usataurira Ketorolac pakarepo mushure mokunge aortocoronary shunting, panguva yechitatu katatu yekuita pamuviri, munguva yebasa uye lactation. Contraindicated kune injections yevana pasi pemakore gumi nematanhatu.

Kushandisa uye kudhesa

Nhamba yejojo inosarudzwa mumwe nomumwe, zvichienderana nekuoma kwemarwadzo ekurwadziwa. Injections "Ketorolac" mirayiridzo yekushandisa inokubvumira kupinda ma / m uye / in. Nenzira yegumbo, iyo imwechete ndeye 10 kusvika ku 30 mg. Nharaunda pakati pemitambo haifaniri kuva pasi pemasere 4-6. Mazuva mazhinji ehutano hwemazuva mashanu.

Mukana wezuva nezuva pa / m mutsanangudzo ndewe 90 mg. Zvisinei, kune varwere vanorema kusvika ku50 kg, kune avo vasina simba rekuita basa uye kune varwere vakwegura vanopfuura makore makumi matanhatu, muyero haufaniri kupfuudza huwandu hwa 60 mg.

Kuti kusimbise kufanana kwemashoko, anowanzogadzirirwa kutora majekiseni uye mahwendefa "Ketorolac" mumatambudziko.

Kuberekwa, kuberekwa uye kukwana: Chiri kukwanisika kushandisa Ketorolac?

Injections "Ketorolac" mirayiridzo yekushandisa inorambidza kushandiswa kwekurapa vakadzi vane pamuviri. Kushandiswa kwemishonga iyi kunogona kungoita zviratidzo zvinokosha, apo zvinotarisirwa zvakanaka kuti amai vawedzere njodzi yemwana.

Kana, nokuda kwechikonzero chipi nechipi, pane chikonzero chekurapwa neKetorolac munguva yewakabatwa, zvinokosha kuti ukurukure nachiremba mubvunzo wekuramba kwekuyamwisa.

Nyanzvi dzezvechirembawo hazvikurudziri kushandisa Ketorolac nokuda kwekugadzirira, iyo inotsigira anesthesia uye anesthesia yebasa, sezvo mushonga uyu unogona kupedza nguva yekutanga yebasa. Mukuwedzera, "Ketorolac" inogona kuora mwoyo inokanganisa uterine contractil uye kubuda kweropa kwomwana.

Zvinogona kuonekwa zvisingadikanwi

Zvimwe zvinokonzerwa nemajekesiti "Ketorolac", kushandiswa kwezvakatsanangurwa pamusoro apa, zvakare zvakasiyana uye zvinogona kutevera kubva kumarudzi akasiyana-siyana emitambo. Chirwere chepamuviri kakawanda chinogona kuita nekukura kwehurwere uye kuonekwa kwezviratidzo zvegastralgia. Pashoma kazhinji unogona kunzwa nezvekudzivirira, kushambidzika, flatulence, kukura kwechirwere chekuonda.

Iyo urinary system inopinda kuna Ketorolac inowanzoshoma, asi pano inogonawo kunzwa nezve hematuria, marwadzo mumucheto wakadzika, nephritis uye edema yemafungiro epiesis.

Nhengo dzekuputira (bronchospasm, rhinitis, pulmonary uye laryngeal edema) uye nhengo dzemuviri (kuonekwa kusingaoneki, kuora kwekuona kwemaonero, kuchera munzeve) uyewo kazhinji zvakakwana mukupindura majekiseni.

Kazhinji vatachiri vanotaura nezvekuita kwehutano hwemutambo we "Ketorolac", inoratidzwa nekubatwa, chirungu, musoro. Pashoma kazhinji unogona kunzwa nezviratidzo zve aseptic meningitis nekushaya simba, pamusoro pekuonekwa kwepfungwa uye mazano.

Nguva nenguva, kune ruzivo pamusoro pekusafarirwa kusingadikanwi kwepfungwa dzemwoyo (kuwedzerwa kwehutano hweropa), hematopoiesis system (leukopenia, anemia), hemostasis zvirongwa (kubuda ropa-nasal, rectal, postoperative).

Kazhinji vatachiri vanotaura nezvekuonekwa kweedema yechiso, shins, zvigunwe, zvigunwe, hupfumi, kuwedzera kutuka.

Kupfuurira chiremu chinotenderwa

Chirwere chepachiratidzo chechirwere "Ketorolac" (a prick in vein or intramuscularly made once) inowanzoratidzwa mukurwadziwa mudumbu, mukunyunyutira nekurutsa. Uyewo, varwere nevashandi vehutano vanotaura nezvezviitiko zvinogona kuitika uye zvinokonzera chirwere chekudya, chirwere chisina kunaka mukushanda kwetsvo, metabolic acidosis (inowedzera nekuda kwekuunganidza kwezvinhu zvakasikwa mumashizha, kusakwanira kusungirwa kana kuparadzwa).

Therapy mumamiriro ezvinhu akadaro chiratidzo uye chinangwa chekuchengetedza basa rinokosha remuviri. Hemodialysis haina chinhu chakakosha.

Chii chandinofanira kutarisa?

Usati watanga kurapwa naKetorolac, zvakakosha kuziva kana pane zvakambove zvataurwa zvichiratidza zvirwere zvinoratidzika pamishonga kana dzimwe NSAIDs. Mujoyo wokutanga unofadza kuitwa pamberi pechiremba (kuti usaponesa kuratidzwa kwemishonga).

Kana pane chido chakadaro, unogona kushandisa "Ketorolac" (injections) pamwe chete neancotic analgesics. Varwere vanotambura nekusava nekusingaperi muropa rekuvhara, "Ketorolac" inorayirwa kuti ishandiswe chete nemamiriro ekugara achicherechedza nhamba yeplatelet. Iyi ndiyo nyaya inonyanya kukurumidzira yevanhu vakambororwa nekuvhiya uye avo vanoda kunyatsochenjerera hemostasis.

Kune vanhu vane zvirwere zvisingaperi uye marwadzo, kuwedzerwa munguva yekurapa kunogona kutungamirira kukura kwezvinodhaka zvinodhaka.

Mune nzira yekurapa neKetorolac, zvakakosha kuva wakangwarira pakuchengetedza nzira yekufambisa mumigwagwa uye kudzivisa maitiro anogona kutyisa ebasa ane chokuita nekuwedzera kukurumidza uye kukurumidza kukurumidza kwekupindura kwepfungwa.

Kuwirirana nemimwe mishonga

Kubvumirana kwakafanana kwe "Ketorolac" neparacetamol kunowedzera nephrotoxicity yekutanga. Kakawanda, varwere vanofarira mubvunzo wekuti kana zvichikwanisika kuyananisa majekesiti eDiclobert naKetorolac. Mhinduro yacho haina kunaka: kubatanidza Ketorolac nedzimwe nzira dzeNSAID dzinowedzera mikana yekudzivirira kwepamuviri mucosa uye inogona kukonzera kubuda kwepamuviri.

Kushandiswa kwakafanana neanticoagulants, antiplatelet agents, valproic uye acetylsalicylic acid, cephalosporins inowedzera mikana yekubuda ropa.

"Ketorolac" inoderedza kushanda kwezvinodhaka zvinoderedza ropa, uye diuretics. "Methotrexate" inowedzera hepato- uye nephrotoxicity ye "Ketorolac". Izvozvo zvinoitika zvichave nekugamuchira kwakagadzikana nemamwe mishonga yephrotoxic. Mishonga inogadzirisa kuchengetedza kwemafura, kuderedza kusununguka kwe "Ketorolac" uye nokudaro kuwedzera kuiswa kwayo mu plasma.

Mukuwedzera, majekiseni e "Ketorolac" anowedzera kubudirira kweanorganics yechirango .

Mishonga - mimwe yakafanana uye mutengo wemari

Nhamba yakawandisa yemishonga yakafanana yemuviri womunhu inowanikwa kune mishonga yeKetorolac (injections). Mirayiridzo yekushandiswa zvakafanana inotsanangura imwe neimwe yekusunungurwa, i.e nokuda kwejojo, uye mahwendefa. Pakati pezvinonyanya kuzivikanwa uye zvinozivikanwa zvinogadziriswa zvirongwa zvejecha, unogona kutsanangura mishonga yakadai seKetanov, Ketalgin, Ketorol, Ketofril, Ketorolac-Exmo, Ketorolac-Tromethamine, Dolak, Dolomin, Toradol.

Kana ari mutengo, mari yepoules 10 ampoules ine muyero we 30 mg / ml inowanikwa kubva pa 63 kusvika ku144 rubles.

Customer Reviews

Vazhinji vashandi vanogutsikana zvikuru nemigumisiro. Migumisiro yakanaka inowanikwa muhuwandu hwekunzwa marwadzo umo chirongwa cheKetorolac chirongwa chinokurudzirwa kuti chishandiswe. Majekesheni evakadzi vechikadzi anoonekwa seanobudirira chaizvo mukurwa kwemwedzi. Kazhinji, majekiseni aishandiswa kumarwadzo emeno, uye kuisa maitiro ekugadzira marombo kushanda muitsvo, uye munguva inotevera, uye mune dzimwe nguva dzakawanda.

Kubudirira kwechirwere ichi kwakanyatsogadzirisa chirwere chevarwere, zvisinei, migumisiro yakaipa yakaitika zvakare. Saka, boka rakasiyana revanhu rinotaura pamusoro pekuonekwa kweganda nekuita marwadzo. Zvisinei, izvi hazvivhiringidzi kubva pakushanda kwayo kwakanyanya seanorganic and anti-inflammatory agent.

Mukuwedzera kune zvose zviri pamusoro apa, varwere vanogutsikana nemutengo wejojo dze Ketorolak, iyo yakaderera zvikuru kudhura mari inenge yakafanana yayo yose.

Maonero evanoongorora

Mafungiro echiremba nezvemishonga "Ketorolac" anewo maonero akanaka uye akaipa. Vakawanda veongorori vanotenda kuti kana iwe ukatevera mazano ose ane dzidziso yeMetrolak (nyxes) mishonga, ipapo iyi NSAID ichaita mabasa ayo ese nemaitiro akanaka uye haizokonzeri migumisiro yechirwere.

Mishonga haifaniri kupinda mukati memvura inokonzera mvura, sezvo iri mishonga isingagumi-inongova munzvimbo yekuvhiringidza. Mhedzisiro yekudhakwa haisipo zvakare.

Nezvekupindura kwakashata kubva kune vanyori, zvinogona kutaurwa kuti boka rakasiyana rechiremba rinotenda kuti "Ketorolac" ine simba risina kupesana nekuvhiringidza. Uyezve, vanachiremba vanotaura nezvekukanganisa kwepancreas (kutsamwisa kwechirwere cheshuga) uye nekushanda kwetsvo.

Nenzira yakawanda, zvinogona kutaurwa kuti kutevera mirayiridzo uye kutevera mazano ekuenda kwachiremba achaita kuti zvikwanise kuwana zvakanakisisa kubva pakushandiswa kwejenisi yeKetorolac pasina kungozi yemigumisiro yakakomba.