Yini iToradol futhi isetshenziselwa ini?

Imininingwane Yezidakamizwa

Udokotela angakunika iToradol (ketorolac) egumbini lezimo eziphuthumayo ngenxa yobuhlungu obukhulu, njenge-migraine ebucayi. Noma, udokotela angahle anikeze i-analgesic ngemuva kokuhlinzwa. Uma ungazange uyithathe endaweni yesibhedlela, ungahle ukhumbule iToradol kusuka ku- Icala lika-2011 esola ukuthi i-NFL inikeze i-painkiller kubadlali ngaphambi nangesikhathi semidlalo yebhola. Kungumuthi onamandla wokuqeda izinhlungu, kepha ngenxa yemiphumela yaso emibi, iToradol iphephe kuphela ekusetshenzisweni kwesikhashana.

Kuyini iToradol?

I-Toradol yisidakamizwa esinqunyiwe sokulwa nokuvuvukala ( I-NSAID ) eyenziwe yiPfizer Pharmaceuticals. Lesi sidakamizwa esinegama lomkhiqizo siqukethe i-ketorolac tromethamine. Iphatha ubuhlungu obulinganiselayo nobunzima ngokunciphisa ama-prostaglandin, amahomoni abangela ukuvuvukala, umkhuhlane nobuhlungu. Akuyona i-narcotic futhi ayisiyomlutha; kodwa-ke, ivunyelwe ukusetshenziswa kuphela izinsuku ezinhlanu noma ngaphansi.

Yisetshenziselwani iToradol?

I-Toradol iyisiqabu sobuhlungu esingelona i-opioid sobuhlungu obulinganiselwe nobunzima. Isetshenziselwa ukuphathwa kobuhlungu ngaphambi noma ngemuva kwezinqubo zokwelashwa njengokuhlinzwa, okukuvumela ukuthi ubuyele emisebenzini yakho yansuku zonke ngokushesha.

Ukusetshenziswa okuvame kakhulu kweToradol ukuqeda izinhlungu ngemuva kokuhlinzwa. Umthamo wakho wokuqala ujojowe noma ulawulwa nge-IV. Amaphilisi e-Toradol angahle anqunyelwe ukuthi uthathe ngomlomo ekhaya.

I-Toradol nayo isetshenziselwa:

• Izinkinga zokugula kwamangqamuzana agulayo
• Amatshe ezinso
• Ubuhlungu obuphansi emuva
• I-migraine enamandla noma ikhanda lokuhlukunyezwa

I-Toradol yisidakamizwa esinamandla esingaqeda ubuhlungu obulinganiselayo nobunzima esikhathini esifushane. Ungayizwa imiphumela ngokushesha njengemizuzu engu-15 ngemuva kokuthola umjovo. Ayikwazi ukwelapha ubuhlungu obungapheli, njenge-arthritis, ngoba kunemiphumela emibi kakhulu. Kwandisa ubungozi bokuhlaselwa yisifo senhliziyo nokushaywa unhlangothi futhi kungadala ukwehluleka kwezinso lapho kuthathwe isikhathi esingaphezu kwezinsuku ezinhlanu.

Ufuna intengo enhle kuToradol?

Bhalisela izexwayiso zentengo yeToradol bese uthola ukuthi intengo ishintsha nini!

Thola izexwayiso zentengo

Imithamo ye-Toradol

I-Toradol iyatholakala njengomjovo, nge-IV, njengesifutho samakhala, nangamaphilisi. Umthamo ojwayelekile wokuqala womuntu omdala (ngaphezu kwamakhilogremu ayi-110) ungama-60 mg njengomjovo noma u-30 mg ngemithambo ngokusho Ukuphathwa Kwezokudla Nezidakamizwa zase-U.S (FDA). Imithamo eyengeziwe inganikezwa njalo emahoreni ayisithupha, njengoba kudingeka, kuze kufike ku-120 mg / ngosuku. Kulabo abangaphansi kwamakhilogremu ayi-100, isilinganiso sinqunywa phakathi. Umthamo wesifutho wamakhala ungukufafaza okukodwa ekhaleni ngalinye njalo emahoreni ayisithupha kuya kwayisishiyagalombili, njengoba kudingeka.

Amathebulethi enzelwe ukwelashwa okulandelwayo kuphela. Kumuntu omdala, umthamo ojwayelekile ungama-20 mg ukuqala bese u-10 mg njalo emahoreni amane kuya kwayisithupha. Kulabo abangaphansi kwamakhilogremu ayi-110, umthamo ulungisa u-10 mg ulandelwe ngu-10 mg njalo emahoreni amane kuya kwayisithupha njengoba kudingeka. Kubantu abadala asebekhulile, sebenzisa i-dosing yabantu abadala abangaphansi kwamakhilogremu ayi-110. Kufanele uyeke umuthi ezinsukwini ezinhlanu ngemuva komthamo wokuqala.

Uma uphuthelwa umthamo, ungathatha umthamo ongabanjwanga lapho uwubona, inqobo nje uma usunesikhathi eside ukwedlula umthamo wakho onqunyiwe. Isibonelo, uma udokotela wakho ekhombisa njalo emahoreni amane kuya kwayisithupha, ungathatha umthamo ongabanjwanga inqobo nje uma sekungaphezu kwamahora amane selokhu umthamo wakho wokugcina. Kufanele unqume ukuthi uzothatha nini umthamo olandelayo ngokuya ngokuthi ugcine nini ukuthatha umuthi, hhayi uhlelo lwakho lokuqala.

Sebenzisa lesi sidakamizwa njengoba kunqunyelwe isikhathi esifushane kuphela. Ngoba iyi-NSAID, ukuphuma kwe-GI kungumphumela ohlangothini weToradol. Abahlinzeki abaningi bezempilo bazokhawulela ukusetshenziswa kweToradol ezinsukwini ezinhlanu kuphela zobuhlungu obunzima. Ngemuva kwezinsuku ezinhlanu, udokotela cishe uzoncoma ukuthi ashintshele emithini ehlukile yokuqeda izinhlungu.

Izexwayiso nokuqapha

Imikhawulo yobudala

I-Toradol ayivunyelwe izingane ezingaphansi kweminyaka emibili ubudala futhi ukuphepha kwayo akwaziwa ezigulini ezingaphansi kweminyaka engu-17 ubudala. Iziguli ezingaphezu kweminyaka engama-65 ubudala zelulekwa ngokungasebenzisi iToradol.

Ukukhulelwa nokuncelisa

Kufanele utshele udokotela wakho uma ukhulelwe, uncelisa, noma uhlela ukukhulelwa ngaphambi kokuthatha iToradol. Ukuyithatha phakathi ne-trimester yokugcina yokukhulelwa kungalimaza ingane yakho engakazalwa, ngokusho kwe-FDA.

I-Toradol isigaba sokukhulelwa se-FDA, okusho ukuthi izifundo ezilwaneni zikhombise imiphumela emibi futhi azikho izifundo ezilawulwayo kwabesifazane abakhulelwe abakhona. Izidakamizwa kufanele zinikezwe kuphela uma inzuzo engaba khona ibeka engcupheni engaba khona enganeni, kuchaza UFeng Chang , Pharm.D., Kanye noprofesa ohlangene e-University of Waterloo’s School of Pharmacy. Izingozi ezingaba khona zibandakanya ukwanda kwengozi yokukhulelwa kwesisu, ingozi eyengeziwe yokuvalwa ngaphambi kwesikhathi kwe-ductus arteriosus. Idatha yezilwane ikhombise ukubambezeleka kokuhlukaniswa kanye nobungozi obandayo bokuzalwa komntwana.

Iziguli ezithatha ukujova noma ngomlomo iToradol kufanele ziyeke ukuncelisa noma zifune enye indlela yokwelashwa. Kodwa-ke, i-ketorolac nasal spray ingacatshangwa ukuthi iyahambisana nokuncelisa ibele ngokuya nge- I-American Academy Yezingane . I-Ketorolac ikhishwa obisini lomuntu kepha [akukho] kukhombisa ngokusobala imiphumela emibi ezinganeni ezincelisayo, kusho uDkt Chang.

Ukusebenzisana kweToradol

Kufanele uqiniseke ukuthi udokotela wakho uyazi yonke imithi oyiphuzayo ukugwema ukuhlangana okungalungile kwezidakamizwa. Ungathathi iToradol uma uthatha:

• I-Pentoxifylline
• I-Probenecid
• ILithium
• IMethotrexate
• Abanciphisa igazi
• Imithi elwa nemithambo yokwelashwa
• Imithi yenhliziyo noma yegazi
• Ukuphumula kwemisipha
• Imithi yokuquleka
• Ama-steroid, afana ne-prednisone

Kufanele futhi ugweme ukuphuza utshwala futhi uthathe noma yimaphi amanye ama-NSAID, njenge-aspirin, ibuprofen, naproxen, celecoxib, diclofenac, indomethacin, ne-meloxicam. Ukuthatha kakhulu noma iyiphi i-NSAID kungadala izilonda nokopha esiswini, ngokusho Ukulawulwa Kobuthi . Umthamo omkhulu ungalimaza izinso futhi ungadala ukuquleka nekhoma. Funa iseluleko sezokwelapha noma uthinte i-Poison Control uma ngephutha uthatha i-NSAID engaphezulu kwe-counter ngenkathi uthatha iToradol.

Kufanele ugweme ukuphuza utshwala ngenkathi uthatha i-ketorolac ngoba ingakhuphula amathuba okuphuma kwesisu.

Indlela yokuphila noma imikhawulo yomsebenzi

Lesi sidakamizwa singadala isiyezi noma ukozela futhi singaphazamisa ikhono lakho lokushayela noma lokusebenzisa imishini ngokuya nge- Ilabhulali Kazwelonke Yezokwelapha yase-U.S . Kufanele uyeke ukwenza le misebenzi uze wazi ukuthi umuthi ukuthinta kanjani.

Iyini imiphumela emibi yeToradol?

I-Toradol ivunyelwe yi- I-FDA ngenxa yobuhlungu obulinganiselayo nobunzima futhi iphephile lapho ithathwa njengoba iqondisiwe. Ukuyithatha kungandisa amathuba okuhlaselwa yisifo senhliziyo noma isifo sohlangothi. Uma unesifo senhliziyo, umfutho wegazi ophakeme, i-cholesterol ephezulu, noma isifo sikashukela, kufanele utshele udokotela wakho ngaphambi kokuthatha lo muthi. Imiphumela emibi kakhulu yeToradol ifaka phakathi:

• Ukucanuzela kwenhliziyo, isisu esithukuthele, ukugaya isisu, noma isilungulela
• Uhudo
• Isiyezi
• Ukozela
• Ubuhlungu bekhanda
• Ukuvuvukala
• Ukuzuza kwesisindo

Abanye abantu bazizwa benomuzwa okweqile wenhlalakahle noma wokuthokoza kulo muthi.

Kuneminye imiphumela emibi kakhulu. Uma uhlangabezana nezimpawu zokunye kwalokhu okulandelayo, kufanele ufune usizo lwezempilo ngokushesha.

• Ukopha esiswini: Izitokisi ezinegazi noma zokulinda, ukukhwehlela igazi, ukuhlanza okufana nezindawo zekhofi
• Izinkinga zezinso kanye nengozi eyengeziwe yokuthola isifo sezinso: Ukwehlisa ukuchama, ukuchama okunzima noma okubuhlungu, ukuvuvukala ezinyaweni nasemaqakaleni, ukuzwa ukhathele nokuphefumula okuncane
• Ukushoda kwegazi: Isikhumba esiphaphathekile, uzizwa unekhanda elincane noma uphefumula kancane, ukushaya kwenhliziyo okusheshayo, kunzima ukugxila
• Izinkinga zesibindi kanye nengozi eyengeziwe yokuthola isifo sesibindi: Ukucanuzela kwenhliziyo, ubuhlungu esiswini esingenhla, ukozela, ukulunywa, ukulahlekelwa isifiso sokudla, umchamo omnyama, izimpawu ezinjengomkhuhlane, ukuphuzi kwesikhumba namehlo
• Unhlangothi: Ukuba ndikindiki ngakolunye uhlangothi lomzimba, ubuthakathaka, ukuphefumula okuncane

Ingabe zikhona ezinye izindlela zeToradol?

Amanye ama-NSAID ayatholakala ngaphezu kwe-counter, njenge-ibuprofen (Advil, Motrin), naproxen (Aleve), ne-aspirin. Ngaphandle kweToradol, kuneminye imishanguzo kadokotela ekhulula izinhlungu ezilinganiselayo kuya kwezinzima zesifo samathambo, i-tendinitis, ubuhlungu ngemuva kokubeletha, nezinye izimbangela. Lezi zindlela zokwelapha zifaka:

• I-Celebrex (celecoxib)
• I-Lodine (etodolac)
• I-Nalfon (fenoprofen)
• I-ibuprofen kadokotela
• I-Indocin (indomethacin)
• I-Ponstel (mefenamic acid)
• I-Mobic (meloxicam)
• UNabumetone
• I-Daypro (oxaprozin)
• I-Feldene (piroxicam)
• I-Clinoril (sulindac)
• I-Tolectin (tolmetin)

Ama-NSAID kadokotela ayadambisa izinhlungu. Ngezinye izikhathi badidekile nezidakamizwa, njenge bhabha . Ubuhlungu be-narcotic buyadambisa , ebizwa nangokuthi i-opioid pain relievers, kufanele isetshenziselwe kuphela ukwelapha ubuhlungu obukhulu obungasizwa ngamanye amaphilisi ezinhlungu. Ungasebenzisa ukudambisa izinhlungu kwe-narcotic izinyanga ezimbalwa. Kodwa-ke, bangazenzela umkhuba uma bengathathiwe njengoba kuqondisiwe nangaphansi kokunakekelwa komhlinzeki wezokunakekelwa kwempilo.

Iyini intengo yokuthengisa yeToradol?

Izintengo zokuthengisa zeToradol ziyahlukahluka ngokususelwa ekhemisi oyisebenzisayo. Kodwa-ke, kungenzeka ukwehlisa izindleko zakho ngokusebenzisa ngokunenzuzo ikhadi lokonga le-SingleCare.

Abalingani beSingleCare abanamakhemisi angama-35,000 ezweni lonke ukukusindisa kuze kufike ku-80% emithini eyizinkulungwane ezingamashumi Qhathanisa izindleko zemithi kuwebhusayithi yethu noma kuhlelo lokusebenza ngaphambi kokugcwalisa incwadi kadokotela.