Ketorolac

Qanacsan

• Kahor qaadashada ketorolac,
• Ketorolac waxay sababi kartaa waxyeelo. U sheeg dhakhtarkaaga haddii mid ka mid ah astaamahani ay daran yihiin ama aanad tagin:
• Dhibaatooyinka qaarkood waxay noqon karaan kuwo halis ah. Haddii aad isku aragto mid ka mid ah astaamaha soo socda, ama kuwa lagu sheegay qaybta DIGNIIN MUHIIM AH, isla markiiba wac dhakhtarkaaga. Ha qaadan ketorolac intaa ka badan illaa aad dhakhtarkaaga kala hadlayso.
• Calaamadaha xad-dhaafka ah waxaa ka mid noqon kara kuwa soo socda:

Ketorolac waxaa loo isticmaalaa gargaarka muddada-gaaban ee xanuunka dhexdhexaadka ah ee daran oo waa in aan loo isticmaalin in ka badan 5 maalmood, xanuun fudud, ama xanuun ka yimaada xaaladaha daba dheeraada (muddada-dheer). Waxaad kuheli doontaa qiyaastaada ugu horeeya ee ketorolac irbadda xididka (xididka) ama muruqa (muruqa) isbitaalka ama xafiiska caafimaadka. Intaa kadib, dhakhtarkaagu wuxuu dooran karaa inuu kusii wado daaweyntaada ketorolac afka ah. Waa inaad joojisaa qaadashada ketorolac-ka afka laga qaato maalinta shanaad kadib markaad qaadatay cirbadda ketorolac ee kuugu horreysa La hadal dhakhtarkaaga haddii aad weli xanuun leedahay 5 maalmood ka dib ama haddii xanuunkaaga aan lagu xakamayn daawadan. Ketorolac waxay sababi kartaa waxyeelo daran, gaar ahaan marka si qaldan loo qaato.Qaado ketorolac sida saxda ee lagu faray. Ha ka badsanin ama ha u qaadin si ka badan inta dhakhtarku kuu qoray.

Dadka qaata daawooyinka nonsteroidal anti-inflammatory (NSAIDs) (oo aan ka ahayn asbiriin) sida ketorolac waxaa laga yaabaa inay halista ugu badan ee wadno qabad ama istaroog ka qaadaan dadka aan qaadan daawooyinkan. Dhacdooyinkan waxay dhici karaan digniin la'aan waxayna sababi karaan dhimasho. Khatartani way ka sii badnaan kartaa dadka qaata NSAIDs muddo dheer. Ha u qaadan NSAID sida ketorolac haddii aad dhawaan wadno xanuun ku qabatay, ilaa uu takhtarkaagu kugu amro mooyee. U sheeg dhakhtarkaaga haddii adiga ama qof kale oo qoyskaaga ka mid ah uu leeyahay ama uu waligiis ku dhacay cudur wadne, wadno-qabad, ama istaroog ama 'ministroke;' haddii aad sigaar cabtaan; iyo haddii aad leedahay ama aad waligaa qabtid kolestarool sarreeya, dhiig kar, dhiig-bax ama dhibaatooyin xinjirowga, ama sonkorow. Hel gargaar caafimaad oo deg-deg ah isla markiiba haddii aad isku aragto mid ka mid ah astaamaha soo socda: laabta oo xanuunta, neefta oo ku qabata, daciifnimo oo ku timaadda qayb ka mid ah jirka ama dhinaceeda, ama hadal dabacsan

Haddii aad qalliin sameyneyso, oo ay ku jiraan qalliinka ilkaha, u sheeg dhakhtarka ama dhakhtarka ilkaha inaad qaadatid ketorolac. Haddii aad mari doontid halbowlaha xididdada wadnaha (CABG, nooc qalliin wadnaha ah), waa inaadan qaadin ketorolac isla qalliinka ka hor ama ka dib.

NSAIDs sida ketorolac waxay sababi karaan nabarro, dhiig bax, ama godad caloosha ama xiidmaha. Dhibaatooyinkani waxay soo bixi karaan wakhti kasta inta lagu jiro daweynta, waxay dhici karaan iyadoo aan lahayn astaamo digniin ah, waxayna sababi karaan dhimasho. Khatartu way ka sii badnaan kartaa dadka qaata NSAID-yada muddo dheer, da 'weyn, caafimaadkoodu liito, ama caba khamri tiro badan inta ay qaadanayaan ketorolac. U sheeg dhakhtarkaaga haddii aad qaadato mid ka mid ah daawooyinka soo socda: daawooyinka xinjirowga lidka ku ah ('khafiifiyeyaasha dhiigga') sida warfarin (Coumadin, Jantoven); asbiriin; steroids-ka afka laga qaato sida dexamethasone, methylprednisolone (Medrol), iyo prednisone (Rayos); xulashada serotonin reuptake inhibitors (SSRIs) sida citalopram (Celexa), fluoxetine (Prozac, Sarafem, Selfemra, in Symbyax), fluvoxamine (Luvox), paroxetine (Brisdelle, Paxil, Pexeva), iyo sertraline (Zoloft); ama serotonin norepinephrine reuptake inhibitors (SNRIs) sida desvenlafaxine (Khedezla, Pristiq), duloxetine (Cymbalta), iyo venlafaxine (Effexor XR). Ha u qaadan asbiriin ama NSAIDs kale sida ibuprofen (Advil, Motrin) iyo naproxen (Aleve, Naprosyn) inta aad qaadaneyso ketorolac. Sidoo kale u sheeg dhakhtarkaaga haddii aad qabto ama aad waligaa nabarro ama dhiig ka soo baxeen calooshaada ama xiidmaha. Haddii aad isku aragto mid ka mid ah astaamaha soo socda, jooji qaadashada ketorolac una wac dhakhtarkaaga: calool xanuun, laab xanuun, matag dhiig leh ama u eg qaxwo, dhiig saxarada ku jira, ama saxaro madow iyo kuwa tarry ah.

Ketorolac wuxuu sababi karaa kalyo xanuun. U sheeg dhakhtarkaaga haddii aad qabto cudur kalyaha ama beerka ah, haddii aad yeelatay matag daran ama shuban ama aad u malaynayso inaad fuuqbaxan tahay, iyo haddii aad qaadanayso xannibaadayaasha angiotensin-enzyme (ACE) sida benazepril (Lotensin, Lotrel), , enalapril (Vasotec, Vaseretic), fosinopril, lisinopril (Zestoretic), moexipril (Univasc), perindopril (Aceon, in Prestalia), quinapril (Accupril, Quinaretic), ramipril (Altace), iyo trandolapril ( ); ama durayaasha ('kaniiniyada biyaha'). Haddii aad isku aragto mid ka mid ah astaamaha soo socda, jooji qaadashada ketorolac una wac dhakhtarkaaga: bararka gacmaha, gacmaha, cagaha, anqawyada, ama lugaha hoose; miisaanka oo kordha; jahwareer; ama qalal.

Dadka qaarkood waxay xasaasiyad daran ku leeyihiin ketorolac. U sheeg dhakhtarkaaga haddii aad xasaasiyad ku leedahay ketorolac, aspirin ama NSAIDs kale sida ibuprofen (Advil, Motrin) ama naproxen (Aleve, Naprosyn), ama daawooyin kale. Sidoo kale u sheeg dhakhtarkaaga haddii aad qabtid ama aad waligaa neef qabatay, gaar ahaan haddii aad sidoo kale sanbood badan qabtid ama duufsan yahay ama burooyinka sanka (barar ku dhaca xuubka sanka). Haddii aad isku aragto mid ka mid ah astaamaha soo socda, jooji qaadashada ketorolac isla markaana wac dhakhtarkaaga isla markiiba: finan; finan; cuncun; bararka indhaha, wejiga, cunaha, carrabka, gacmaha, gacmaha, anqawyada, ama lugaha hoose; neefsashada ama liqidda oo ku adkaata; ama xabeeb.

Naasnuujin inta aad qaadaneysid ketorolac.

Dhammaan ballamaha la dhig dhakhtarkaaga iyo shaybaarka. Dhakhtarkaaga ayaa si taxaddar leh ula socon doona astaamahaaga waxaana laga yaabaa inuu amro baaritaanno gaar ah si loo hubiyo jawaabta jirkaaga ee ketorolac. Hubso inaad u sheegto dhakhtarkaaga sida aad dareemaysid si dhakhtarkaagu u qori karo xaddiga saxda ah ee daaweynta si loogu daaweeyo xaaladdaada iyada oo ay ugu jirto khatarta ugu hooseysa ee waxyeelooyinka halista ah.

Dhakhtarkaaga ama farmashiistahaaga ayaa ku siin doona warqada macluumaadka bukaanka soo saaraha (Hagaha Daawada) markaad bilaabeysid daaweynta ketorolac iyo waqti kasta oo aad dib u buuxiso daawadaada. Si taxaddar leh u akhri macluumaadka oo weydii dhakhtarkaaga ama farmashiistaha haddii aad wax su'aalo ah qabtid. Waxa kale oo aad booqan kartaa bogga Maamulka Cuntada iyo Dawooyinka (FDA) (http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm) si aad u hesho Hagaha Daawada.

Ketorolac waxaa loo isticmaalaa in lagu yareeyo xanuunka dhexdhexaadka ah ee daran, badanaa qalliinka ka dib. Ketorolac waxay ku jirtaa nooc dawooyin ah oo loo yaqaan NSAIDs. Waxay ku shaqeysaa iyadoo la joojinayo soo saarista jirka ee walax sababa xanuun, qandho, iyo barar.

Ketorolac wuxuu u yimaadaa kiniin ahaan afka laga qaato. Badanaa waxaa la qaataa 4 ilaa 6 saacadood kasta jadwal ama sida loogu baahdo xanuunka. Haddii aad qaadatid ketorolac jadwal, ku qaado qiyaastii isla waqtiyadii maalin kasta. Si taxaddar leh u raac tilmaamaha ku qoran calaamadaha laguu qoray, oo weydii takhtarkaaga ama farmashiistaha inuu kuu sharxo qayb kasta oo aadan fahmin.

Daawadan ayaa mararka qaarkood loo qoraa adeegsiyo kale; Weydii dhakhtarkaaga ama farmashiistaha wixii macluumaad dheeraad ah.

Kahor qaadashada ketorolac,

• u sheeg dhakhtarkaaga haddii aad qaadanayso pentoxifylline (Pentoxil) ama probenecid (Probalan, in Col-Probenecid). Dhakhtarkaagu wuxuu kuu sheegi doonaa inaadan qaadan ketorolac haddii aad qaadanayso mid ama in kabadan oo daawooyinkan ah.
• u sheeg dhakhtarkaaga iyo farmashiistaha dawooyinka dhakhtarku qoro iyo kuwa aan dhakhtar qorin, fiitamiinnada, nafaqada nafaqada, iyo alaabta dhirta ah ee aad qaadanayso ama aad qorsheyneyso inaad qaadato. Hubso inaad sheegto dawooyinka ku taxan qaybta DIGNIIN MUHIIM AH iyo mid ka mid ah kuwan soo socda: dawooyinka lidka diiqadda; angiotensin-converting enzyme (ACE) inhibitors such as benazepril (Lotensin, in Lotrel), captopril, enalapril (Vasotec, in Vaseretic), fosinopril, lisinopril (in Zestoretic), moexipril (Univasc), perindopril (Aceon, qup) (Accupril, Quinaretic), ramipril (Altace), iyo trandolapril (Mavik, Tarka); xannibaadayaasha 'angiotensin receptor blockers' sida candesartan (Atacand, in Atacand HCT), eprosartan (Teveten), irbesartan (Avapro, in Avalide), losartan (Cozaar, Hyzaar), olmesartan (Benicar, Azor, Benicar HCT, Tribenzor), telmisartan (Micardis, Micardis HCT, Twynsta), iyo valsartan (Exforge HCT); beta blockers sida atenolol (Tenormin, Tenoretic), labetalol (Trandate), metoprolol (Lopressor, Toprol XL, in Dutoprol), nadolol (Corgard, in Corzide), iyo propranolol (Hemangeol, Inderal, InnoPran); daawooyinka walwalka ama cudurada maskaxda; daawooyinka suuxdinta sida carbamazepine (Epitol, Tegretol, Teril, kuwa kale) ama phenytoin (Dilantin, Phenytek); methotrexate (Otrexup, Rasuvo, Trexall); dajiya; kaniiniyada hurdada; iyo kuwa xasiliya. Dhakhtarkaaga ayaa laga yaabaa inuu u baahdo inuu beddelo qiyaasta daawooyinkaaga ama uu si taxaddar leh kuugu ilaaliyo dhibaatooyinka soo raaca.
• u sheeg dhakhtarkaaga haddii aad leedahay ama aad waligaa ku dhacday xaaladaha lagu xusay qaybta DIGNIIN MUHIIM ah ama wadno-qabad ama barar gacmaha, cagaha, anqawyada, ama lugaha hoose.
• u sheeg dhakhtarkaaga haddii aad uur leedahay, qorsheyso inaad uur yeelato; ama naas nuujin Ketorolac waxay waxyeeleyn kartaa uur-jiifka oo waxay dhibaato ku keeni kartaa dhalmada haddii la qaato qiyaastii 20 toddobaad ama ka dib inta lagu jiro uurka. Ha u qaadan ketorolac qiyaastii ama ka dib 20 toddobaad oo uur ah, illaa uu takhtarkaagu kuu sheego mooyee. Haddii aad uur yeelato inta aad qaadanaysid ketorolac, wac dhakhtarkaaga.
• kala hadal dhakhtarkaaga khataraha iyo faa'iidooyinka qaadashada ketorolac haddii aad tahay 65 sano jir ama ka weyn. Dadka waayeelka ah ee waayeelka ah ma aha inay sida caadiga ah qaataan ketorolac sababtoo ah ma ahan amaan sida daawooyinka kale ee loo isticmaali karo in lagu daaweeyo isla xaalad.
• waa inaad ogaataa in daawadani kaa dhigi karto mid hurdo leh ama wareersan. Gaari ha wadin ama ha ku shaqeynin mishiin ilaa aad ka ogaato sida daawadani kuu saameyneyso.
• kala hadal dhakhtarkaaga wixii ku saabsan isticmaalka aaminka ah ee khamriga inta aad qaadanaysid dawadan. Aalkoladu waxay sii xumeyn kartaa dhibaatooyinka soo raaca ee ketorolac.

Ilaa dhakhtarkaagu kuu sheego mooyee, sii wad cuntadaada caadiga ah.

Haddii dhakhtarkaagu kuu sheegay inaad si joogto ah u qaadato ketorolac, qaado qiyaasta la seegay isla marka aad xusuusatoba. Si kastaba ha noqotee, haddii ay ku dhowdahay waqtiga qiyaasta xigta, ka bood qiyaasta la seegay oo sii wad jadwalka daawadaada caadiga ah. Ha qaadan laba-qaadasho si aad uhesho mid kaa dhaafay.

Ketorolac waxay sababi kartaa waxyeelo. U sheeg dhakhtarkaaga haddii mid ka mid ah astaamahani ay daran yihiin ama aanad tagin:

• madax xanuun
• dawakhaad
• lulmid
• shuban
• calool istaag
• gaaska
• nabarro ku dhaca afka
• dhidid

Dhibaatooyinka qaarkood waxay noqon karaan kuwo halis ah. Haddii aad isku aragto mid ka mid ah astaamaha soo socda, ama kuwa lagu sheegay qaybta DIGNIIN MUHIIM AH, isla markiiba wac dhakhtarkaaga. Ha qaadan ketorolac intaa ka badan illaa aad dhakhtarkaaga kala hadlayso.

• qandho
• finanka
• miisaanka oo kordha
• neefta oo ku qabata ama neefsashada oo ku adkaata
• barar caloosha, anqawyada, cagaha, ama lugaha
• hurdi maqaarka ama indhaha
• daal fara badan
• dhiigbax ama nabar aan caadi ahayn
• tamar la’aan
• lallabbo
• cunto xumo
• xanuun qeybta kore ee midig ee caloosha
• astaamaha hargabka oo kale ah
• maqaarka cirro leh
• garaaca wadnaha
• kaadi daruuro, midab leh, ama dhiig leh
• dhabar xanuun
• kaadi adag ama xanuun badan

Ketorolac waxay sababi kartaa waxyeelo kale. Wac dhakhtarkaaga haddii aad qabtid dhibaatooyin aan caadi ahayn intaad qaadanaysid dawadan.

Haddii aad isku aragto waxyeellooyin daran, adiga ama dhakhtarkaaga ayaa warbixin u diri kara Barnaamijka Ka Warbixinta Dhacdooyinka Xun ee Maamulka Cuntada iyo Dawooyinka (FDA) (http://www.fda.gov/Safety/MedWatch) ama taleefan ( 1-800-332-1088).

Daawadan ku hay weelka ay soo gashay, si adag u xir, iyo meel aysan carruurtu gaarin. Ku keydi heerkulka qolka oo ka fog kuleylka iyo qoyaanka badan (ha ku jirin musqusha).

Waa muhiim inaad ka ilaaliso dhammaan daawooyinka meel aan la arkeynin oo aysan gaari karin carruurta maaddaama weelal badan (sida kuwa toddobaadlaha kiniiniga ka fiirsada iyo kuwa loogu talagalay dhibcaha isha, kareemada, dhejiyeyaasha, iyo kuwa neefta ku siiya) uma adkeysana carruurta, carruurta yaryarna si fudud ayey ku furi karaan. Si aad uga ilaaliso carruurta yaryar sunta, marwalba xiro daboolka badbaadada isla markaana isla markiiba dhig dawada meel aamin ah - mid kor iyo fog kana fog aragooda oo gaadha. http://www.upandaway.org

Daawooyinka aan loo baahnayn waa in lagu tuuraa siyaabo gaar ah si loo hubiyo in xayawaanka, carruurta, iyo dadka kaleba aysan cuni karin. Si kastaba ha noqotee, waa inaadan ku daadinin daawadan musqusha hoosteeda. Taabadalkeed, sida ugufiican ee dawada looga takhalusi karaa waa iyada oo loo maro barnaamijka dib u celinta daawada. La hadal farmashiistahaaga ama la xiriir waaxda qashinka / dib u warshadaynta si aad wax uga ogaato barnaamijyada dib-u-celinta ee bulshadaada. Ka eeg bogga internetka ee 'FDA ee Amni-Qaadashada Daawooyinka (http://goo.gl/c4Rm4p) si aad u hesho macluumaad dheeraad ah haddii aadan marin u helin barnaamijka dib-u-celinta.

Xaalada xad dhaafka ah, wac khadka caawinta ka hortagga sunta 1-800-222-1222. Macluumaadka sidoo kale waxaa laga heli karaa internetka https://www.poisonhelp.org/help. Haddii dhibbanuhu burburay, suuxdin qabtay, neefsashadu dhib ku tahay, ama aan la kici karin, isla markiiba wac adeegyada gurmadka ee 911.

Calaamadaha xad-dhaafka ah waxaa ka mid noqon kara kuwa soo socda:

• lallabbo
• matagid
• calool xanuun
• Saxaro dhiig leh, madow, ama daahyo ah
• matag dhiig leh ama u eg qaxwo
• lulmid
• neefta oo gaabisa ama si dhakhso ah, neefsasho aan gaabis ahayn
• miyir beelid (miyir beelid muddo ah)

Ha u ogolaan qof kale inuu qaato daawadaada. Weydii farmashiistahaaga wixii su'aalo ah ee aad ka qabto dib u soo celinta daawada laguu qoray.

Waxaa muhiim kuu ah inaad haysato liis qoran oo ku saabsan dhammaan daawooyinka laguu qoro iyo kuwa aan dhakhtar qorin (warqad dhakhtar la aan ah) ee aad qaadanaysid, iyo sidoo kale wax soo saar kasta sida fiitamiinnada, macdanta, ama nafaqooyinka kale ee nafaqada leh. Waa inaad soo qaadataa liiskan markasta oo aad booqato dhakhtar ama haddii isbitaal la dhigo. Sidoo kale waa macluumaad muhiim ah inaad lasocoto haddii ay jiraan xaalado deg deg ah.

• Toradol^®¶

^¶ Shaygaan sumadda leh kuma sii jiro suuqa. Beddelka guud ayaa la heli karaa.