The mushonga "Dolak": mirayiridzo kushandiswa, dzomuzana chaiwo

Inonyatsobudirira vasiri steroidal Anti-anogumbura uye marwadzo ketorolac vaiona. MuRugwaro zvirimo zhinji Generic yeimwe, mumwe icho - ". Dolak" Mirayiridzo kushandiswa anorondedzera nayo senzira kusarudza mushonga chete simba zviratidzo kurwadziwa mapfundo akapfava munyama. Zvinowanzoshandiswa "Dolak" kunorapwa zvirwere zviri zvetsandanyama nemapfupa hurongwa. Available zvinodhaka Mahwendefa uye mhinduro kuti intramuscular yaitonga. Ikoko iye Uyewo rinoumbwa kusunungurwa zvinodhaka "Dolak" - mafuta. Mirayiridzo dzokushandisa yakarumbidza kurishandisa kunzwisisa Mabatirwo arthrosis, arthritis, kurwadziwa pashure kukuvara uye kushandiswa.

Iro matanho ane mushonga

Rimwe hwakasimba inonyaradza marwadzo omusoro ndiye "Dolak." Mirayiridzo dzokushandisa Zvinokurudzirwa kushandisa nayo pamatunhu kuchinyanya kurwadziwa. Testimonials vanoti ayo unonyaradza marwadzo mugumisiro akafanana morphine, kunyange mugumisiro chisingaoneki pakarepo, asi pashure maminitsi 30-45. Kuwedzera marwadzo kuzorodzwa, "Dolak" rine zvakadaro zvakaitika:

• zvinobudirira kunoderedza kuzvimba;
• It lowers tembiricha;
• kunonatsiridza ropa fluidity;
• It haakonzeri hope uye kufema mwoyo.

Mugumisiro zvinodhaka kwete pakarepo kuoneka - marwadzo aserera pashure anenge maminitsi 45. A vaifanira unonyaradza marwadzo zvazviri kunoitika mumaawa mashomanana. The mashandiro kuita zvinodhaka chokuita ketorolac inokwanisa rakavhara prostaglandins uye arachidonic acid, izvo tiwedzere marwadzo nehanya uye zvinobatanidzwa munyaya anogumbura mhinduro.

Munda pokushandisa zvinodhaka

"Dolak" - sechekushandisa symptomatic kurapa. Hazvina kuporesa chero chirwere, asi zvinoderedza kuzvimba. Most kazhinji vanenge zvashata muchipatara, kana unofanira kubvisa marwadzo, yakanga kushandisa zvinodhaka "Dolak." kushandiswa kwaro mumamiriro ezvinhu akadaro zvinokurudzirwa kuti:

• munguva kurwadziwa pashure kukuvara, kuvhiya kana kuzvara;
• mu oncology;
• neuralgia, achiperekedzwa kwazvo kurwadziwa;
• kurwadziwa tsandanyama nokuda zvakapfurikidza, kunotevera kana kuzvimba;
• nokuti Mabatirwo Sciatica, arthritis, arthrosis, osteoarthritis;
• nokuti vambotibatsirwei pamusoro ndichinzwa zino;
• rheumatism.

Contraindications kuti kushandisa zvinodhaka

Asi zvakadaro inobudirira nzira vanogona kushandisa, kwete vanhu vose kutambura nokurwadziwa. Pane contraindications dzakawanda kushandisa "Dolak" chinodhaka. Manual hariudzi kurishandisa kuti kurapwa mune nyaya dzakadaro:

• kana murwere ane idiosyncrasy ketorolac;
• kana yakanyanya pathologies ari itsvo kana chiropa;
• pamberi ropa;
• varwere vane gastric urikanwi uyewo intestinal kuzvimba;
• vana pasi pemakore 16;
• hemophilia, kutyora ropa;
• kusashivirirana "asipurini";
• hypovolemia kana kupera mvura mumuviri;
• Vakadzi vane pamuviri uye lactating.

Panewo mamiriro umo zvinodhaka inoshandiswa chete zvachose ezvinhu. In varwere cholecystitis, BP, asima, chirwere cheshuga, chemwoyo, hepatitis, udhakwa unogona chete kushandiswa nokunyatsongwarira "Dolak." Mirayiridzo dzokushandisa anokurudzira kuti imi muite saizvozvo pasi pokudzora chiremba kudzivisa marwadzo. Usashandisa "Dolak" nokuda pakurapa varwere vakwegura kupfuura makore 65 uye mawa kushandisa dzimwe NSAIDs. Uye tinofanira kuyeuka kuti mushonga uyu zvinoratidzwa chete kushandiswa kwenguva pfupi. Naizvozvo, hazvigoni kushandiswa pakurapa chirwere marwadzo.

Zvakasiyana siyana mushonga

"Dolak" yakanakisisa anozivikanwa muchimiro mapiritsi kuti nomumukanwa uye injectable mhinduro. Kwokunze zviito zvinodhaka hakuna simba, saka mafuta ari hainyanyoshanda kuti rusununguko chakakomba marwadzo. Mumwe piritsi "Dolakov" rine 10 MG ose ketorolac tromethamine. Zvakakosha kuti kuteerera, kunyanya mune zviitiko apo mushonga chinobviswa oga. Zvakakodzera ngaaverenge dose zvokuti mushonga akaita, asi haana kukonzera nemigumisiro.

A wakakwirira Kuwanda ketorolac iri huri mvura kugadzirira "Dolak." Ampoules kurairira Chinyorwa anokurudzira kuti iwe ushandise bedzi zvokurapa masangano, kudzivisa ovhadhozi. After 1 ml chimiro ichi kwegadziriro rine 30 MG pamusoro ketorolac, unova kufadza kuroorwa dose nokuda intramuscular kushandiswa. jekiseni kushandiswa zvashata nguva sezvo mugumisiro ruviri sezvo kutsanya kutarisirwa kwakadaro kubva Pfungwa.

"Dolak": mirayiridzo kushandiswa

Kurira kwepfuti, wongororo zvacho zvikurukuru zvakanaka, zvose pakati vanachiremba uye varwere, akaita kazhinji muchipatara. Ndivo zvakabatsirawo kubviswa chakasimba zvikuru kurwadziwa uye zvikuru kuzvimba. Outpatient pakurapa kubviswa kurwadziwa majoini, tsandanyama uye musana inoshandiswa mapiritsi "Dolak". Mirayiridzo yokushandisa anokurudzira kuenderera kurapwa haasi kupfuura 5 mazuva. Kana kuziva uwandu husingakuvadzi zvinokosha kuti unyatsoteerera kurema uye zera murwere. Zvavakabvumirana chitsama rinowanikwa pavanhu kubvira 16 kusvika 65 makore uye vane uremu pamusoro 50 makirogiramu.

Sei zvakanaka kutora "Dolak"? Mirayiridzo kushandisa mapiritsi varumbidzwa kumwa kupfuura maawa 6. Kufadza akabvumira daily kutora 40 MG, saka tora 1 piritsi. Mabiko chokutanga anobvumirwa nekaviri. Kana kushandiswa pamwe chete, mapiritsi uye injectable basa chipimo chemushonga hakufaniri MG anopfuura 60 pazuva.

Kushandisa 'Dolak "iri ampoules

Kunyanya kazhinji pachena systemic nemishonga kana kushandiswa kwezvinodhaka jekiseni. Zvechokwadi, muchiitiko ichi, ketorolac nokukurumidza anopinda muropa uye anoparadzira yose muviri. Saka zvinokosha zvikuru kuti zvakarurama kuchengeta chipimo chemushonga kuti "Dolak" chinodhaka. Mirayiridzo dzokushandisa majekiseni rinokurudzira kuita intramuscularly. Chete dzimwe nguva zvinogamuchirika intravenous chipimo chemushonga iri kudzikiswa hafu.

Jekiseni riri bvumidzwa kuita kurwara 16 kusvika 65 makore ane uremu muviri kupfuura 50 makirogiramu. Panyaya iyi, mushonga unogona kupiwa 1-2 ampoules 3-4 kanomwe pazuva. Between majekiseni vanofanira kuva maawa anenge 6. Uye unofanira nechokwadi chokuti kunonyanyisa dose pazuva haafaniri kupfuudza 90 MG.

Kana murwere muviri uremu idukusa 50 makirogiramu, zera - makore 65 kana kuti chirwere cheitsvo, kuderedza zvinodhaka chipimo chemushonga. Varwere dzakadaro zvinogamuchirika zuva raitongwa asina kupfuura 60 MG "Dolakov".

Side Migumisiro zvinodhaka

Kazhinji "Dolak" rinoshandiswa chete dzawirwa. Naizvozvo, kushandiswa kakawanda akapfuudza Nemwoyo kukuvadza. Asi nhoroondo dzakawanda vanoti mushonga anogona kukonzera kusingafadzi uye dzimwe nguva hune ngozi nemishonga:

• kuda kurutsa, kurutsa, bloating, kurwadziwa epigastric nharaunda;
• bowel nyonganyonga, flatulence, kupatira, rectal ropa;
• ungaderedza Nzara, stomatitis;
• nokufamba BP, tachycardia;
• havachanyatsogoni kufema basa, chikosoro, dyspnea, uye bronchospasm;
• mapundu, pruritus, urticaria;
• nosebleeds;
• madzerere uye mumisasa, kunzwa kurasikirwa;
• kuora mwoyo, zvisipo;
• chakamira pakunodengenyeka zvine, kugwinha, wokusagadzikana;
• edema, kufuta;
• anafilaktichsky kuvhunduka, angioedema.

Chii chaigona kuva ovhadhozi

Kana mushonga unoshandiswa zvakasimba maererano nemirayiridzo, hazvigoni overdosed. Kazhinji kurapwa "Dolakov" mwero kunogona haapfuuri 5 mazuva. Asi kuti nyaya, kana mushonga akadhakwa pasina chiremba kana kusapfuudza rakarumbidza chipimo chemushonga, zvinogoneka migumisiro:

• maronda lesion of mucous Kamudzira ari nemudumbu;
• zvakakomba yokutyora mubasa itsvo;
• metabolic acidosis.

Kusashandiswa zvinodhaka kungaita kukura zvirwere zvakadai gastritis, pfungwa nomuviri zvemwana asati, kupererwa neropa, rhinitis, aseptic yomumuzongoza, asima.

Aiita zvimwe zvinodhaka

Ketorolac ndiye chinodiwa kushandisa aparadzane zvimwe zvinodhaka. Pashure pezvose, haana kukodzera zvakanaka zvakawanda.

• Kana kurishandisa pachiimbwa corticosteroids, karusiyamu supplementation kana panyaya iyi, mukuru mukana ropa iri nemudumbu.
• Kana ukanwa pamwe chete "Dolak" uye "paracetamol" unogona kutambura itsvo.
• Kushandiswa kwezvinodhaka ichi nezvimwe NSAIDs zvabatanidzwa kungaita kuti chirwere cheBP, edema uye cardiac basa.
• Pakurapa jekiseni zvakakodzera kuti adzokorore chipimo chemushonga kwayo, se "Dolak" runogonesa ayo hypoglycemic kushanda.
• Ketorolac harifaniri kushandiswa panguva kurapwa pamwe anticoagulants akadai "asipurini" kana "heparin". Nokudaro Kugadzirwa zvikuru ropa.
• Pamusoro pokugamuchira "Dolakov" kwakaderedza kubudirira diuretic uye antihypertensive zvinodhaka.

Inonyanyoshandiswa ramakanzi mushonga pachiimbwa marwadzo analgesics. Saka kuwedzera kunyatsoshanda yavo.

Mirayiridzo Special nokuti kugamuchira zvinodhaka

Kwete nguva dzose kana kurwadziwa, unogona kushandisa "Dolak." Mirayiridzo dzokushandisa manotsi kuti haungopiwi mushonga kwerunyararo yokutindivadza pamberi kuvhiya. Hazvibviri kurishandisa naiyewo postoperative nguva, sezvo Ketorolac kungaita akawedzera ropa. Hazvina yakarumbidza kushandisa "Dolak" uye kuti kurwadziwa anopona.

Kudzivirira kukura nemaronda pamusoro gastric mucosa uye gastropathy anogona kutora antacids, akadai "Almagel" kana "Omeprazole".

Ketorolac kunowanzokonzera vasanyanye wevasungwa, hope, dzungu, saka panguva kurapwa, zviri chinodiwa kwete kutyaira, uyewo haana kuita basa nengozi pamwe zvigadziriswe zvakasiyana.

Mukuwedzera, chaizvo chakakomba nemishonga uye zvakaoma kunzwisisa inogona kukonzerwa nokutanga zvinodhaka. Saka zvinokosha kuti tidzidze asati kushandisa "Dolak" gadziriro mirayiridzo kushandiswa.

Reviews

Analogs kuti muiti ichi pamusoro zvizivikanwe vatengi. Popular mishonga akadai "Ketorolac", "Ketanov", "Ketorol". Asi "Dolak" Ane zvakaenzana simba unonyaradza marwadzo kushanda uye kunodyira anopfuura 80 rubles. Varwere vakawanda avo vakaedza kurapwa ichi, vakaona kuti kunyange marwadzo makuru amenable kuti ketorolac, uye kunyange marwadzo anoenda pakarepo, asi pashure penguva refu havazobvumirwi kudzokera.

Kunyanya yakawanda zvakanaka wongororo pamusoro "Dolakov" nevaya kutambura arthritis, Sciatica, neuralgia, kurwadziwa netsandanyama. Pashure pezvose, marwadzo akadaro kwakaoma zvisingaiti kubvisa nokuda kwakajairika analgesics. A "Dolak" hazvisi inonyatsobudirira.