Ketorolac ni iki: Ibyo ikoreshwa, urugero rwo gufata, ingaruka ziterwa n'iyo miti n'ibindi

Ketorolac ni umuti ukomeye uvura ibibazo by'uburwayi kandi ukora vuba kugira ngo ugabanye uburibwe bwo hagati cyangwa bukomeye. Uyu muti ubarirwa mu cyiciro cy'imiti yitwa NSAIDs (imiti idafite ububasha bwo kurwanya ibibazo by'uburwayi) kandi ikomeye cyane kurusha imiti igurishwa idasabye uruhushya rwa muganga nk'ibuprofen cyangwa aspirine. Muganga wawe akunda kwandika ketorolac kugira ngo agabanye uburibwe bw'igihe gito iyo ukeneye ikintu gikora neza kurusha imiti isanzwe igabanya uburibwe ariko ukaba ushaka kwirinda imiti ya opioid.

Ketorolac ni iki?

Ketorolac ni umuti wa NSAID wandikirwa na muganga utanga imbaraga zo kugabanya uburibwe no kugabanya ibibazo by'uburwayi mu mubiri wawe. Bitandukanye n'imiti igabanya uburibwe yoroheje ushobora kugura muri farumasi, ketorolac isaba uruhushya rwa muganga kubera imbaraga zayo n'ingaruka zishobora guterwa nayo. Iza mu buryo bubiri: ibinini bifatwa mu kanwa kandi bikamizwa n'ibisubizo biterwa n'abaganga banyuzwa mu mushipa cyangwa mu muyoboro w'amaraso.

Uyu muti ukoreshwa mu gihe gito gusa, akenshi ntarenze iminsi 5 yose. Muganga wawe azagenzura neza igihe umaze ufata ketorolac kuko kuyikoresha igihe kirekire bishobora gutera ibibazo bikomeye, cyane cyane ku mpyiko zawe, mu gifu, no ku mutima.

Ketorolac ikoreshwa mu kuvura iki?

Ketorolac ivura uburibwe bwo hagati cyangwa bukomeye butashoboye kuvurwa neza n'imiti igabanya uburibwe yoroheje. Abaganga bakunda kuyandika nyuma yo kubagwa, kubaga amenyo, cyangwa kubera uburibwe bukomeye buturutse ku mvune cyangwa indwara. Bifasha cyane iyo ukeneye imiti ikomeye igabanya uburibwe ariko muganga wawe ashaka kwirinda kwandika imiti ya opioid.

Dore ibintu by'ingenzi aho muganga wawe ashobora kugusaba ketorolac:

• Urubabare rwo nyuma yo kubagwa nyuma yo kubagwa nk'uko gusimbuza ivi, kubagwa mu nda, cyangwa gukuramo amenyo
• Urubabare rukabije rw'imitsi cyangwa urugingo ruturutse ku mvune cyangwa kwiyongera kwa arthrite
• Urubabare rukabije ruturutse ku mabuye yo mu mpyiko igihe banyura mu mubiri wawe
• Umutwe ukabije cyangwa migraine zititabira izindi nshuti
• Urubabare ruturutse ku buryo bwo kuvura nka colonoscopies cyangwa biopsies
• Ibihe by'ububabare bwo mu mugongo bukomeye bugabanya ibikorwa byawe bya buri munsi

Muganga wawe azasuzuma urwego rw'ububabare bwawe bwihariye n'amateka yawe y'ubuvuzi kugirango amenye niba ketorolac ariyo nzira ikwiriye kuri wewe. Intego ni ugutanga ubufasha bukora neza mugihe ugabanya ingaruka zishoboka.

Ketorolac ikora ite?

Ketorolac ikora ibyiciro byihariye mumubiri wawe byitwa COX-1 na COX-2, bikora imiti itera ububabare, kubyimbirwa, na umuriro. Iyo ibi byiciro byahagaritswe, umubiri wawe ukora bike muri ibi bintu bitera ububabare, biganisha ku gufashwa cyane kububabare no kubyimbirwa.

Uyu muti ufashwe nkukomeye cyane ugereranije nizindi NSAIDs. Mugihe ibuprofen itagurishwa ishobora gufasha kububabare bworoshye kugeza hagati, ketorolac itanga ubufasha bukomeye cyane bushobora guhangana nububabare bukomeye. Uburyo bwo guterwa inshinge bukora vuba kuruta ibinini byo kunywa, akenshi bitanga ubufasha muminota 30, mugihe ibinini byo kunywa bisanzwe bifata iminota 30 kugeza kuri 60 kugirango bitangire gukora.

Ingaruka za ketorolac zisanzwe zimara amasaha agera kuri 4 kugeza kuri 6, niyo mpamvu muganga wawe ashobora kugusaba kuyifata buri masaha 6 cyangwa uko bikwiye kubera ububabare. Ariko, igihe cyose cyo kuvurwa kigabanyirizwa cyane kugirango birinde ingaruka zikomeye.

Nkwiriye gufata ketorolac nte?

Fata ketorolac uko muganga wawe abikwandikiye, kandi ntuzigere urenza urugero cyangwa igihe cyagenwe. Niba ufata ibinini byo kunywa, ubimire byose hamwe n'ikirahure cyuzuye cy'amazi. Gufata ketorolac hamwe n'ibiryo cyangwa amata birashobora gufasha kugabanya uburibwe bwo mu nda, nubwo ibi bishobora gutinda gato uburyo umuti utangira gukora.

Kubona ibisubizo byiza no kurengera inda yawe, tekereza kuri izi ngamba:

• Fata ketorolac yo kunywa hamwe n'ibiryo, amata, cyangwa nyuma yo kurya kugirango ugabanye uburibwe bwo mu nda
• Nywa amazi menshi umunsi wose kugirango ufashishe impyiko zawe gutunganya umuti
• Irinde kuryama byibuze iminota 30 nyuma yo gufata umuti wo kunywa
• Ntugasenye, utafune, cyangwa umene ibinini
• Niba uhabwa inshinge, abaganga bazazitanga ahantu hakorerwa ibizamini by'ubuvuzi

Ntuzigere ufata ketorolac ku gifu cyambaye ubusa niba ushobora kubyirinda, kuko ibi byongera ibyago byo kuribwa mu nda no kurwara ibisebe. Niba ubonye uburibwe mu nda, isesemi, cyangwa kuribwa mu gituza, vugana na muganga wawe vuba.

Mbona Nkora Kandi Nkafata Ketorolac Igihe Kingana Gite?

Ketorolac ni umuti w'igihe gito gusa, kuvura bikunda kumara iminsi itarenze 5 yose, harimo n'ibinini byo kunywa n'ibitera. Muganga wawe azavuga igihe nyacyo gishingiye ku burwayi bwawe n'urugero rw'ububabare. Abantu benshi bakoresha ketorolac iminsi 2 kugeza kuri 3, akenshi ni igihe gihagije cyo gutuma ububabare bukaze bugabanuka cyane.

Igihe gito cyo kuvura ni ingenzi ku mutekano wawe. Gukoresha ketorolac igihe kirekire byongera ibyago byo guhura n'ibibazo bikomeye harimo kwangirika kw'impyiko, kuva amaraso mu nda, ibibazo by'umutima, na sitiroki. N'iyo ububabare bwawe bukomeza nyuma y'igihe cyagenwe, ntukomeze gufata ketorolac utabanje kubaza muganga wawe.

Niba ukigaragaza ububabare bukomeye nyuma yo kurangiza imiti ya ketorolac, muganga wawe azagusaba uburyo bwo gukemura ububabare. Ibi bishobora kuba birimo guhindura ubwoko bw'imiti igabanya ububabare, gukora imyitozo ngororamubiri, cyangwa izindi nshingano zihariye zerekeye uburwayi bwawe.

Ni Ibihe Bikorwa Bigaragara bya Ketorolac?

Ketorolac ishobora gutera ibikorwa bigaragara kuva ku byoroheje kugeza ku bikomeye, kandi ni ngombwa kumenya icyo ugomba kwitaho mugihe uvurwa. Abantu benshi bagira ibikorwa bigaragara byoroheje bishira byonyine, ariko ibindi bikorwa bisaba ubufasha bwihuse bw'abaganga.

Ibikorwa bisanzwe bigaragara abantu benshi bahura nabyo birimo:

• Urubu mu nda, isesemi, cyangwa kutagira igogora
• Gusinzira cyangwa kuribwa umutwe
• Umutwe
• Ukubura guto mu ntoki zawe, ibirenge, cyangwa amano
• Kugorana cyangwa guhitwa

Ibikorwa bikomeye bigaragara bisaba ubufasha bwihuse bw'abaganga kandi birimo:

• Urubu rukomeye mu nda, amase yirabura cyangwa afite amaraso, cyangwa kuruka amaraso
• Urubu mu gituza, guhumeka bigoranye, cyangwa umutima utera vuba
• Umutwe ukomeye, urujijo, cyangwa impinduka mu iyerekwa
• Kugabanya kunyara, kubura, cyangwa ibimenyetso by'ibibazo by'impyiko
• Ibikorwa bikomeye byo kwanga imiti nka gusa, guhumeka bigoranye, cyangwa kubura mu maso no mu muhogo

Vugana n'umuganga wawe ako kanya niba ubonye ibikorwa bigaragara bikomeye. Ndetse no ku bikorwa bisanzwe bigaragara, menyesha umuganga wawe niba bibaye imbogamizi cyangwa ntibigenda neza nyuma y'umunsi umwe cyangwa ibiri wo kuvurwa.

Ninde Utagomba Gufata Ketorolac?

Ketorolac ntabwo ari nziza kuri buri wese, kandi muganga wawe azasuzuma neza amateka yawe y'ubuvuzi mbere yo kuyandika. Ibyiciro byinshi n'ibihe bituma ketorolac idakwiriye cyangwa iteje akaga gukoreshwa.

Ntabwo ugomba gufata ketorolac niba ufite kimwe muri ibi bikorwa:

• Ibibazo bikomeye byo mu gifu cyangwa amateka yo kuva amaraso mu nzira yawe yo mu gifu
• Indwara zikomeye z'impyiko cyangwa kunanirwa kw'impyiko
• Kunanirwa k'umutima cyangwa indwara zikomeye z'umutima
• Amateka yo guhura n'umutsi wo mu bwonko cyangwa kuva amaraso mu bwonko
• Indwara zikomeye z'umwijima
• Allergie kuri ketorolac, aspirine, cyangwa izindi NSAIDs
• Gusama, cyane cyane mu gihembwe cya gatatu
• Kubagwa umutima vuba aha cyangwa guteganywa

Byongeye kandi, amatsinda amwe na mwe akeneye kwitabwaho by'umwihariko. Niba urengeje imyaka 65, ufite ibibazo byoroheje by'impyiko cyangwa umwijima, ufata imiti ituma amaraso ataguma, cyangwa ufite umuvuduko ukabije w'amaraso, muganga wawe ashobora kugusaba urugero ruto cyangwa agahitamo undi muti rwose. Buri gihe bwire muganga wawe ibijyanye n'indwara zose ufite n'imiti ufata mbere yo gutangira ketorolac.

Amazina ya Ketorolac

Ketorolac iboneka mu mazina menshi y'ubwoko, nubwo farumasi nyinshi zifite n'ubwoko bwa rusange. Izina risanzwe ni Toradol, rizwi cyane n'abaganga n'abarwayi. Andi mazina y'ubwoko arimo Acular (kubijyanye n'amaso), nubwo ubwoko bwo kunywa no guterwa inshinge busanzwe buvuzwa.

Ketorolac ya rusange ikora neza nk'ubwoko bw'amazina kandi akenshi iraboneka ku giciro gito. Farumasi yawe ishobora guhita ishyiraho ketorolac ya rusange keretse muganga wawe asabye izina ry'ubwoko. Ubwoko bwa rusange n'ubwoko bw'amazina birimo ibintu bimwe bikora kandi bitanga ubufasha bungana mu kubabara.

Uburyo bwa Ketorolac

Niba ketorolac itagukwiriye cyangwa itatanga ubufasha buhagije, muganga wawe afite ubundi buryo bwinshi bwo gucunga uburibwe bwo hagati kugeza ku bukomeye. Uburyo bwiza buterwa n'uburwayi bwawe bwihariye, amateka yawe y'ubuvuzi, n'uko umubiri wawe witwara ku miti itandukanye.

Muganga wawe ashobora gutekereza kuri ubu buryo:

• Izindi miti yandikwa na muganga ya NSAIDs nka diclofenac cyangwa naproxen yo kurwanya ububabare buterwa n'ububyimbirwe
• Acetaminophen ikomeye yandikwa na muganga yo kurwanya ububabare budafite ububyimbirwe bukomeye
• Imiti yo ku ruhu yo kurwanya ububabare ushyira ku ruhu rwose
• Imiti y'igihe gito ya opioid yo kurwanya ububabare bukomeye iyo NSAIDs zitakwiriye
• Imiti yoroshya imitsi yo kurwanya ububabare bufitanye isano no kwikanyanga kw'imitsi
• Imiti yo kurwanya ububabare bw'imitsi nka gabapentin yo kurwanya ubwoko bumwe bw'ububabare burambye

Uburyo butari imiti bushobora kuba harimo kuvurwa mu buryo bw'umubiri, gushyushya cyangwa gukonjesha, gukora imyitozo yoroheje, cyangwa uburyo bwo kuruhuka. Muganga wawe azakorana nawe kugirango abone uburyo bwizewe kandi bufite akamaro ku miterere yawe yihariye.

Ese Ketorolac iruta Ibuprofen?

Ketorolac irakomeye cyane kurusha ibuprofen kandi igenewe kurwanya ububabare bukomeye imiti itagurishwa ku isoko idashobora guhangana nabyo neza. Mugihe ibuprofen ikora neza ku bubabare bworoshye kugeza buringaniye, ububyimbirwe, n'umuriro, ketorolac itanga ubufasha bukomeye cyane kubibazo by'ububabare bukomeye.

Itandukaniro rikomeye rifasha gusobanura igihe buri muti ukwiriye cyane. Ibuprofen irizewe gukoreshwa igihe kirekire kandi ifite ingaruka nke zikomeye, bituma ikwiriye kubibazo bikomeza nka arthrite cyangwa ibikomere bito. Ariko, ketorolac itanga ubufasha bungana n'imiti imwe ya opioid ariko ishobora gukoreshwa iminsi mike gusa kubera ingaruka zayo zikomeye n'ibibazo byinshi.

Muganga wawe azagerageza ibuprofen cyangwa izindi mpuzamiti zitagurishwa ku isoko mbere. Niba ibi bitatanga ubufasha buhagije, bashobora kwandika ketorolac yo gukoreshwa igihe gito. Tekereza ketorolac nk'igikoresho gikomeye cyane cyagenewe ibibazo aho uburyo bworoshye butagize icyo bugeraho.

Ibikunze Kubazwa Kuri Ketorolac

Ese Ketorolac irizewe ku bantu barwaye diyabete?

Ketorolac irashobora gukoreshwa n'abarwayi ba diyabete, ariko bisaba gukurikiranwa neza no gusuzuma ubuzima bwawe muri rusange. Umuti ubwawo ntugira ingaruka zigoranye ku isukari yo mu maraso, ariko ushobora kugira ingaruka ku mpyisi zawe, zishobora kuba zifite ibyago byinshi niba urwaye diyabete.

Muganga wawe azagenzura imikorere y'impyisi zawe mbere yo kugusaba ketorolac kandi ashobora kugusaba gukurikiranwa kenshi mugihe uvurwa. Abantu barwaye diyabete bagomba kandi kumenya ko ketorolac ishobora guhisha ibimenyetso bimwe by'indwara, bityo ni ngombwa gukurikiranira hafi ibikomere cyangwa ibikomere mugihe ufata uyu muti.

Nigute nzakora niba nanyweye ketorolac nyinshi bitunguranye?

Niba utunguranye ufata ketorolac nyinshi kuruta uko byategetswe, vugana na muganga wawe cyangwa abaganga b'uburozi ako kanya, kabone n'iyo wumva umeze neza. Gufata ketorolac nyinshi bishobora gutera ibibazo bikomeye harimo kuva amaraso menshi mu gifu, kwangirika kw'impyisi, cyangwa ibibazo by'umutima.

Ntugategereze ko ibimenyetso bigaragara mbere yo gushaka ubufasha. Hamagara muganga wawe, jya mu cyumba cy'ubutabazi, cyangwa uvugane n'abaganga b'uburozi kuri 1-800-222-1222. Zana icupa ry'umuti hamwe nawe kugirango abaganga bamenye neza urugero wafashe n'igihe.

Nigute nzakora niba nciwe urugero rwa ketorolac?

Niba ucikanwe urugero rwa ketorolac, jya urufata ako kanya wibuka, ariko niba igihe cyo gufata urugero rukurikira kitarageraho. Ntukigere ufata urugero ebyiri icyarimwe cyangwa ufate imiti yinyongera kugirango usimbure urugero rwakucitse.

Kubera ko ketorolac akenshi itangwa kugirango ikoreshwe

Ushobora kureka gufata ketorolac igihe ububabare bwawe bugabanutse bukagera ku rwego rushobora kwihanganirwa cyangwa igihe urangije imiti yategetswe, icyo aricyo cyose kibaye mbere. Bitandukanye n'imiti imwe, ketorolac ntisaba kugabanya urugero buhoro buhoro - urashobora kureka kuyifata ako kanya nta bimenyetso byo kuva mu miti.

Ariko, ntukareke gufata ketorolac maze ako kanya utangire indi NSAID utabanje kuvugana na muganga wawe. Umubiri wawe ukeneye igihe cyo gukuramo umuti, kandi gufata NSAIDs nyinshi zegeranye cyane birashobora kongera ibyago byo kugira ingaruka ziterwa n'imiti.

Nshobora kunywa inzoga nkanwa ketorolac?

Nibyiza kwirinda inzoga rwose mugihe ufata ketorolac, kuko ibintu byombi bishobora kurakaza igifu cyawe kandi bikongera ibyago byo kuva amaraso. Inzoga na ketorolac iyo zifatanyije zongera cyane amahirwe yo kurwara ibisebe byo mu gifu cyangwa kugira kuva amaraso kudasanzwe mu gihe cyo mu nzira yawe yo gutunganya ibiryo.

N'ubwo inzoga ntoya zishobora kuba ikibazo iyo zifatanyije na ketorolac. Niba ufite ibibazo bijyanye no kunywa inzoga mugihe cyo kuvurwa, ganira kubyerekeye ibi na muganga wawe mbere yo gutangira umuti. Bashobora gutanga ubuyobozi bushingiye ku buzima bwawe bwihariye kandi bagufashe gufata ibyemezo byiza mugihe cyo kuvurwa kwawe.