"Tsis txhob yws txog qhov mob - qhov no yog tshuaj zoo tshaj plaws." Cov lus no yog Omar Khayyam. Nws zoo li qhov no yog qhov xwm txheej thaum nws los txog rau kev puas siab puas ntsws. Yog tias peb tab tom tham txog cov kab mob ntawm lub cev, tsis tas yuav yws yws, koj yuav tsum tau pab koj lub cev. Ib qho ntawm cov tshuaj tua kab mob zoo nyob rau lub sijhawm tam sim no yog Ketorolac txhaj. Cov lus qhia rau kev siv muaj cov ntaub ntawv tiav tshaj plaws txog cov tshuaj no.
Kev sib xyaw thiab tshuaj muaj zog
Muaj cov tshuaj - cov tshuaj uas tsis yog-steroidal anti-inflammatory. Nws yog ib qho derivative ntawm pyrrolysine-carboxylic acid. Lub ntsiab active ingredient yog ketorolac tromethamine (1 ml ntawm cov tshuaj muaj 30 mg), auxiliary tshuaj yog disodium ntsev thiab sodium chloride, ethylenediaminetetraacetic acid, rectified ethyl cawv, tromethamine.
Ketorolac cov tshuaj tua kab mob muaj cov nyhuv analgesic. Cov yam ntxwv ntawm cov tshuaj no kuj yog ib qho anti-inflammatory nyhuv thiab nruab nrabantipyretic nyhuv.
Lub tshuab ua haujlwm yog ua raws li kev tawm tsam ntawm COX kev ua haujlwm. Qhov no yog lub ntsiab enzyme ntawm arachidonic acid, uas, nyob rau hauv lem, yog lub precursor ntawm prostaglandins, uas plays lub "lub ntsiab violin" nyob rau hauv lub pathogenesis ntawm inflammatory dab, mob thiab kub taub hau.
"Ketorolac" (kho) tshuaj xyuas ntawm cov kws kho mob hais txog lub zog ntawm cov tshuaj tua kab mob yog suav tias yog piv rau morphine thiab zoo dua rau lwm cov NSAIDs.
Cov lus qhia rau kev siv
Lub ntsiab lus ntawm kev siv cov tshuaj no yog mob mob nrog mob hnyav lossis mob hnyav. Cov tshuaj yog siv los kho cov tsos mob kom txo tau qhov mob thiab mob thaum lub sijhawm nkag. Nws tsis muaj kev cuam tshuam rau kev loj hlob ntawm tus kab mob.
Tshaj tawm cov tshuaj no rau cov mob tom qab yug menyuam thiab tom qab phais mob. Cov kev txhaj tshuaj no kuj zoo kho mob pob qij txha uas tshwm sim los ntawm kev raug mob thiab torn ligaments, toothaches.
Tsis tas li, Kev txhaj tshuaj Ketorolac raug pom zoo rau kev kho mob ntawm kev sib cais, pob txha, mob nqaij thiab mob nraub qaum. Cov tshuaj no yog muab rau cov kab mob oncological, myalgia, arthralgia, neuralgia.
Contraindications rau kev siv
Yuav tsum tsis txhob siv cov tshuaj rau kev kho mob ntawm cov neeg mob uas tau kaw qhov tsis hnov tsw rau ib qho ntawm cov khoom. Lub hauv paus rau kev tsis kam lees kuj yog qhov muaj qhov "aspirin triad" thiabhypovolemia (qhov ua rau provoked tus kab mob tsis tseem ceeb). Tsis tas li ntawd, "Ketorolac" (txhaj tshuaj thiab ntsiav tshuaj) tsis raug tshuaj rau cov neeg uas muaj cov kab mob erosive thiab ulcerative lesions ntawm lub plab zom mov nyob rau theem mob.
Cov tshuaj no yuav tsum tsis txhob siv rau kev kho mob los ntawm cov neeg mob hemophilia, hypocoagulability thiab los ntshav los yog muaj feem yuav los ntshav.
Tsis tas li, qhov tsis txaus ntseeg yog qhov muaj cov mob hnyav ntawm lub raum thiab lub siab tsis txaus.
Ketorolac tsis raug sau tseg rau kev siv tam sim tom qab kev phais mob hlab ntsha tawg, thaum lub sijhawm cev xeeb tub thib 3, thaum yug menyuam thiab lactation. Kev txhaj tshuaj yog contraindicated rau cov menyuam yaus hnub nyoog qis dua 16.
koob tshuaj txhaj yog xaiv tus kheej, raws li qhov mob hnyav. Kev txhaj tshuaj "Ketorolac" cov lus qhia rau kev siv tso cai rau koj nkag mus rau hauv / m thiab / hauv. Nrog rau txoj kev intramuscular, ib lub ntim yog los ntawm 10 mus rau 30 mg. Lub sijhawm nruab nrab ntawm cov txheej txheem yuav tsum tsis pub tsawg tshaj 4-6 teev. Qhov kev kho mob siab tshaj plaws yog 5 hnub.
koob tshuaj IM txhua hnub yog 90 mg. Txawm li cas los xij, rau cov neeg mob hnyav txog li 50 kg, rau cov neeg uas muaj lub raum tsis ua haujlwm thiab rau cov neeg mob hnub nyoog 65 xyoos, qhov koob tshuaj yuav tsum tsis pub tshaj 60 mg.
txhawm rau txhim kho cov nyhuv analgesic, Ketorolac txhaj thiab cov ntsiav tshuaj feem ntau tau sau ua ke.
Kev cev xeeb tub, yug menyuam thiab lactation: nws puas tso cai siv Ketorolac?
Tshuaj "Ketorolac" cov lus qhia rau kev siv txwv tsis pub siv rau kev kho cov poj niam cev xeeb tubpoj niam. Kev siv cov tshuaj no tsuas yog ua tau rau kev noj qab haus huv xwb, thaum qhov kev xav tau zoo rau leej niam tshaj qhov muaj feem pheej hmoo rau tus menyuam.
Yog tias yog vim li cas thiaj li yuav tsum tau kho nrog "Ketorolac" thaum lactation, nws yuav tsum tau tham nrog tus kws kho mob txog qhov teeb meem tsis pub niam mis.
Cov kws kho mob tshwj xeeb kuj tsis pom zoo kom siv "Ketorolac" rau kev xav ua ntej, txhawb kev siv tshuaj loog thiab kev kho mob, vim tias cov tshuaj no tuaj yeem ua rau lub sijhawm ua haujlwm ntawm thawj theem. Tsis tas li ntawd, "Ketorolac" tuaj yeem cuam tshuam rau kev cog lus ntawm lub tsev menyuam thiab cov ntshav ncig ntawm tus menyuam.
Muaj kev phiv tshwm sim
Cov kev mob tshwm sim ntawm kev txhaj tshuaj Ketorolac, kev siv uas tau piav qhia saum toj no, kuj muaj ntau haiv neeg thiab tuaj yeem ua raws los ntawm ntau lub cev. Cov kab mob gastrointestinal feem ntau tuaj yeem teb nrog kev txhim kho raws plab thiab cov tsos mob ntawm gastralgia. Tsawg zaus koj tuaj yeem hnov txog cem quav, ntuav, flatulence, kev loj hlob ntawm ulcerative foci.
Cov kab mob tso zis ua rau Ketorolac tsis tshua muaj, tab sis ntawm no koj tuaj yeem hnov txog hematuria, mob nraub qaum, nephritis thiab edema ntawm lub raum keeb kwm.
Tseem tsis tshua muaj, hauv kev teb rau kev txhaj tshuaj, cov kab mob ua pa (bronchospasm, rhinitis, o ntawm lub ntsws thiab lub ntsws) thiab cov khoom nruab nrog cev (tsis pom kev, tsis hnov lus, suab nrov hauv pob ntseg) tshaj tawm lawv tus kheej.
Ntau zaus, cov neeg mob tham txog cov tshuaj tiv thaiv hauv nruab nrab ntawm lub paj hlwb rau Ketorolac, tshwm sim los ntawm kev qaug zog,kiv taub hau, mob taub hau. Tsawg zaus koj tuaj yeem hnov txog cov tsos mob ntawm aseptic meningitis thiab hyperactivity, txog cov tsos mob ntawm psychoses thiab hallucinations.
Ntau lub sijhawm muaj cov ntaub ntawv hais txog qhov tshwm sim tsis zoo los ntawm cov hlab plawv (nce ntshav siab), hematopoietic system (leukopenia, anemia), hemostasis system (los ntshav - qhov ntswg, qhov quav, postoperative).
Ntau zaus, cov neeg mob qhia o ntawm lub ntsej muag, ci ntsa iab, pob taws, ntiv tes, hnyav nce, nce hws.
Nyob zoo
Cov tsos mob ntawm kev noj tshuaj ntau dhau rau cov tshuaj "Ketorolac" (ib zaug txhaj rau hauv cov leeg lossis intramuscularly) feem ntau tshwm sim hauv qhov mob hauv plab, xeev siab thiab ntuav. Tsis tas li ntawd, cov neeg mob thiab cov neeg ua haujlwm noj qab haus huv tham txog qhov ua tau erosive thiab ulcerative lesions ntawm lub plab zom mov, lub raum tsis ua hauj lwm, metabolic acidosis (tshwj xeeb vim yog txuam nrog acidic khoom nyob rau hauv cov ntaub so ntswg, lawv tsis txaus binding los yog kev puas tsuaj).
Kev kho mob hauv cov xwm txheej zoo li no yog cov tsos mob thiab tsom rau kev tswj hwm lub cev tseem ceeb. Hemodialysis yuav tsis muaj txiaj ntsig zoo.
Yuav ua li cas saib?
Ua ntej pib kho nrog Ketorolac, nws yog ib qho tseem ceeb kom paub seb puas muaj cov ntaub ntawv teev tseg yav dhau los ntawm kev ua xua rau cov tshuaj lossis lwm yam NSAIDs. Nws raug nquahu kom ua thawj zaug txhaj tshuaj ntawm tus kws kho mob (kom tsis txhob muaj qhov tshwm sim ntawm kev ua xua).
Yog tias xav tau, koj tuaj yeem siv "Ketorolac"(kev txhaj tshuaj) ua ke nrog narcotic analgesics. Cov neeg mob raug kev txom nyem los ntawm qhov txawv txav ntawm cov ntshav txhaws, "Ketorolac" yog muab rau kev siv tsuas yog nrog rau kev soj ntsuam tas li ntawm platelet suav. Qhov no yog qhov teeb meem tshwj xeeb rau cov neeg uas tau phais thiab yuav tsum tau ceev faj tswj cov hemostasis.
Nyob rau hauv cov neeg uas muaj cov kab mob ntev thiab mob, kev nce ntxiv hauv lub sijhawm kho yuav ua rau muaj kev cuam tshuam ntawm cov tshuaj.
Thaum kho nrog Ketorolac, nws yog ib qho tseem ceeb uas yuav tsum tau ceev faj thaum tsav tsheb thiab tsis txhob muaj kev phom sij rau kev ua haujlwm uas cuam tshuam nrog kev mob siab ntxiv thiab nce nrawm ntawm cov tshuaj tiv thaiv psychomotor.
Kev sib tham nrog lwm yam tshuaj
Kev noj zaub mov kom zoo ntawm "Ketorolac" nrog paracetamol txhim kho nephrotoxicity thawj zaug. Feem ntau cov neeg mob xav txog cov lus nug ntawm seb puas tuaj yeem ua ke nrog Dicloberl thiab Ketorolac txhaj tshuaj. Cov lus teb tsis yog: kev sib xyaw ntawm "Ketorolac" nrog rau lwm cov NSAIDs ua rau muaj qhov tshwm sim ntawm cov kab mob plab hnyuv thiab tuaj yeem ua rau mob plab hnyuv.
Kev siv ib txhij nrog cov tshuaj tiv thaiv coagulants, tshuaj tiv thaiv kab mob, valproic thiab acetylsalicylic acids, cephalosporins ua rau muaj qhov tshwm sim los ntshav.
Ketorolac txo cov txiaj ntsig ntawm cov tshuaj txo cov ntshav siab thiab diuretics. Tshuaj "Methotrexate"nce hepato- thiab nephrotoxicity ntawm Ketorolac. Cov nyhuv tib yam yuav yog thaum noj ua ke nrog lwm cov tshuaj nephrotoxic. Cov tshuaj uas thaiv tubular secretion txo qhov kev tshem tawm ntawm Ketorolac thiab yog li ua kom nws cov ntshav siab ntau ntxiv.
Tsis tas li ntawd, kev txhaj tshuaj Ketorolac ua rau muaj txiaj ntsig zoo ntawm cov tshuaj narcotic analgesics.
Tshuaj - analogues thiab nqi ntau
Ketorolac (txhaj tshuaj) muaj ntau cov tshuaj zoo sib xws rau tib neeg lub cev. Cov lus qhia rau kev siv piav qhia txog cov analogues rau txhua daim ntawv tso tawm, piv txwv li rau kev txhaj tshuaj thiab ntsiav tshuaj. Ntawm cov kev daws teeb meem nto moo tshaj plaws thiab nrov tshaj plaws rau kev txhaj tshuaj los ntawm cov neeg siv khoom, ib tus tuaj yeem qhia cov tshuaj xws li "Ketanov", "Ketalgin", "Ketorol", "Ketofril", "Ketorolac-Eksmo", "Ketorolac-Tromethamine", "Dolak", "Dolomin", Toradol.
Raws li tus nqi, tus nqi ntawm ib pob ntawm 10 ampoules nrog ib koob ntawm 30 mg / ml yog li ntawm 63 txog 144 rubles.
Cov neeg siv tshuaj xyuas
Cov neeg siv khoom feem ntau txaus siab rau cov txiaj ntsig. Cov txiaj ntsig zoo tau pom nyob rau hauv ntau qhov sib txawv ntawm qhov kev hnov mob, qhov kev kho Ketorolac tau pom zoo los ntawm cov lus qhia rau kev siv. Kev tshuaj xyuas cov poj niam cov neeg mob tau pom tias muaj txiaj ntsig zoo rau kev mob khaub thuas. Feem ntau, kev txhaj tshuaj tau siv rau kev mob hniav, thiab txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhuam nws, nws cov txheej txheem, cov tshuaj loog, cov tshuaj loog tau siv tshuaj loog,hauv ntau qhov xwm txheej.
Cov txiaj ntsig zoo ntawm cov tshuaj tau txo qis cov neeg mob, txawm li cas los xij, muaj kev phiv. Yog li, ib pawg neeg sib cais tham txog cov tsos mob ntawm daim tawv nqaij thiab mob plab. Txawm li cas los xij, qhov no tsis cuam tshuam los ntawm nws cov txiaj ntsig zoo ua ib qho tshuaj tua kab mob thiab tshuaj tiv thaiv kab mob.
Ntxiv rau tag nrho cov saum toj no, cov neeg mob txaus siab rau tus nqi ntawm Ketorolac txhaj, uas yog qis dua tus nqi ntawm yuav luag tag nrho nws cov analogues.
Kev xav
Cov kws kho mob cov kev xav txog Ketorolac kuj muaj ob qho zoo thiab tsis zoo. Cov kws tshaj lij feem ntau ntseeg tias yog tias koj ua raws li tag nrho cov lus pom zoo uas cov lus qhia muaj rau cov tshuaj Ketorolac (txhaj tshuaj), ces NSAID no yuav ua tiav tag nrho nws cov haujlwm nrog cov txiaj ntsig zoo thiab yuav tsis ua rau muaj kev mob tshwm sim.
Cov tshuaj tsis nkag mus rau hauv cov kua dej cerebrospinal, vim nws yog cov tshuaj muaj txiaj ntsig - tsuas yog nyob rau thaj tsam ntawm qhov mob. Tseem tsis muaj kev quav yeeb quav tshuaj.
Raws li kev tawm tswv yim tsis zoo los ntawm cov kws kho mob tshwj xeeb, peb tuaj yeem hais tias pawg kws kho mob sib cais ntseeg tias Ketorolac muaj cov tshuaj tiv thaiv tsis muaj zog. Cov kws kho mob kuj tham txog qhov cuam tshuam tsis zoo rau lub txiav (ua rau muaj kev txhim kho ntshav qab zib) thiab kev ua haujlwm ntawm lub raum.
Feem ntau, peb tuaj yeem hais tias ua raws li cov lus qhia thiab ua raws li cov lus pom zoo ntawm tus kws kho mob tuaj koom yuav tso cai rau koj kom tau txais txiaj ntsig zoo tshaj plaws los ntawm kev siv tshuaj txhaj. Ketorolac tsis muaj kev pheej hmoo ntawm kev mob tshwm sim hnyav.
