Na Ke Kumu no ka hoʻohana, manaʻo a me ka Analog "Ketanova"

No ke aha la e hoonoho i kekahi Analog "Ketanova" a i mai la i ka waiʻona iho? Kēia 'oe e aʻo mai i nā mea o ka' atikala. E hoʻolauna no hoi oe i na olelo ao no ka hoʻohana 'ana o ka lapaʻauʻia, e hōʻike i ke kala palapala, adverse reactions, haku mele' ana, contraindications, kāki, a no laila, ma luna o.

Haku mele 'ana,'ōpala, hoʻokuʻu palapala

Mea like "Ketanova" a me ka poe ma ka hoʻopololei iho e i loa kekahi 'ano o ke kala. Ka paha hilinaʻi nui ma luna o ke ano o ka eha, i ka wahi o ko lākou wahi a me ka ano o ka hoʻomanawanui.

Currently, Ua loaʻa i loko o nā 'okoʻa' ano apau loa lāʻau "Ketanov". E noonoo kela a me keia o kēia i loko o hou au mamuli.

• Film-kapa komo iā ia papa. Kaʻeleu ke keʻena o ka lāʻau mea ketorolac tromethamine. Like no ke kākoʻo eiiiiiaiou, laila, e nā huapalaoa pia, makanekiuma stearate, microcrystalline kelulose a me colloidal silikone'okikene lua. I ka haku mele 'ana o ka ho film ka penaʻana maupaʻa hydroxypropylmethylcellulose na papa, maloko wai, polyethylene glycol, titanium'okikene lua a me ka talc huikala. It E e kaulana i ka Analog "Ketanova" like "Ketorolac", iloko ona i kakauia na ia hana waiwai. Nānā akula au i ko lakou hoomakaukau ana-market ma ka Aluminum blisters, a i waiho i loko o ka puʻu o ka pepa. Kekahi AEeAaOA paha e mai ka umi a hiki i hoʻokahi haneri na papa.

• Ka pahu kui "Ketanov". Injections, analogues o i i hōʻike ma lalo nei, i pihaʻi me keiaʻeleu 'Oponopono like ketorolac tromethamine. Eia hou, i ka pāʻoihana kikowaena i loko o kona haku mele 'ana a me kākoʻo eiiiiiaiou i loko o ka palapala o ka paʻakai koloriside, ka wai no ka pahu kui, disodium edetate, ethanol a me ka paʻakai hydroxide. Ka lapaʻauʻia ua kuai lilo aku i ehiku huewai o kekahi mililika me. Ke carton paha elima paha he umi hue.

Ke pharmacodynamic waiwai o ka analgesic

He aha pharmacodynamic waiwai i manaoia i ka lāʻau a me kona like paha? "Ketanov" (papa a me nā injections) mai ka'ōlelo ai analgesic hopena. Ka lāʻau i lōpū antipyretic a me Anati-hoʻoʻino waiwai.

E like me ka poe akamai, i ka loina o ka hana o ka lāʻau pili me ka inhibition ( 'ole-e wae) ha awina o ka'ūhū Punk-2 a me Punk-1. Kēia kaʻina ia lŘlŘ iʻike ākea nā'aʻaʻa. Oia waiū ke kumu no inhibition o PG biosynthesis, oa modulators thermoregulation, eha pā lonoaʻili a me ka li nui.

Noi papa "Ketanov" a intramuscular hooponopono o ka pāʻoihana paipai 'ia ka ho okumu ana o ka racemic läÿau, [-] S- a [+] R-enantiomers. Incidentally, ka analgesic hopena o ka lāʻau mea pono wale no [-] S-shape.

It E e pakahi aku la ia kaulana i kaʻeleu medicament aʻole ole e kaumaha ana ka hanu, i ole ia ma ka opioid receptors, ka mea, aole e lilo anxiolytic a me ka kiaha dala ai, a aole i i kaukaʻi.

He aha e pono ai i ike mua lalau ia huahana a me kona like paha? "Ketanov" (huaale a me injections) ma luna o ka ikaika o kona analgesic hookoia Ua like wale no ia o ka Morphine. E like me ka poe akamai, i kēia 'o ia hoʻi me ka nui loa i oi i nā mea a pau kekahi hale-steroidal ai'.

Ma hope o moʻolelo a intramuscular aaieieno? Analgesic hookoia ua malama ia ma ka hora a me ka hapa, kekahi me kekahi. ʻO kā mākou hopena o ka lāʻau ua loaʻa ma 60-120 minuke.

pharmacokinetic waiwai

Ka palapala lāʻau, e like me kekahi mea like "Ketanova" ma hope o 'ai, inu, e pono ke kemu i loko o ka gastrointestinal'āpana. I ka lani kiekie loa lehulehu o ka lāʻau i loko o ke koko ua ma hope ma kahi o kanaha minuke ma hope o 'ai, inu hookeai ana au, o na papa io (10 mg). It E e hoʻomaopopo i ka hokii o oily a me ka junk ai ke me ka nui loa emi i ka i kā mākou lehulehu o ka lāʻau i loko o ke koko, a malama i kona piʻi like ma na minuke kanaono.

About 99 pakeneka o na dala e paa ia i ka wai koko nā polokina. A hiki i ka helu o ka noa hypoalbuminemia 'ona i loko o ka piʻi pū koko. Me ka pili ana i ka bioavailability o ka lāʻau, ia mea ma kahi o 80-100%.

Inā intramuscular aaieieno? Ua hoʻomaka koke a loa paka i loko o ke koko lāʻau "Ketanov". Analogs (Ukraine i ua hua wale "Ketorolac") e like me ke kemu.

Ma hope o intramuscular ka pahu kui o 30 mg o ka lāʻau o kona kiekie lehulehu 1,75-3,2 micrograms / ml a me ka hoʻohana 'ana i 60 mg - 3,25-5,75 g. / Ml. ʻO kā mākou lehulehu o ka lāʻau i loko o ke koko ua mālama i loko o 15-20 a me 35-65 minuke, niioaaonoaaiii.

Ina paha e makemake lāʻau komo i loko o ka umauma o ka waiu? A me ka pipiʻi, a me nike mea like "Ketanova", a aole ia i manao i ka lāʻau 'hiki wawe komo i loko o ka umauma o ka waiu. Keia ia lŘlŘ koke ma hope o ka mahele lāʻau mua o ka medicament i loko o ka nui o ka 10 milligrams. I ka lani kiekie loa lehulehu o ka lāʻau i loko o ka waiū ma ka laʻau heluna ua hiki aku ma hope o ma kahi o 120 mau minuke, a mea 7,3 ng / ho'āo ai.

About 50% o ka lawelawe mahele lāʻau o ka lāʻau ua metabolized ma ke akepaʻa. E like me ka hopena, AEeOEXAaI metabolites i hana. Pookela mawaena o lakou, ua apana gidroksiketorolak a me glucuronides. Ka mea, nui nā puʻupaʻa (ka hola 91%), a ma ka naʻau liʻiliʻi (ma kahi o 6%).

I ka hapalua o ke ola ana o ka lāʻau i loko o nā mea maʻi me ka maʻamauʻaʻa puʻuwai hana nei ma kahi o 5.4 hola. Keia waiwai ua markedly mahuahua ma ka kūpuna, a me ka opiopio emi iho.

ake i ole ia ma ka hapa-ola o ka lāʻau. Ua E hoi e hoʻomaopopo i ka lāʻau, aole ia e hōʻike i loko o ke kaʻina hana o ka dialysis.

nāʻikepili

He aha ka mea i manaoia lāʻau "Ketanov"? Analogues o ai 'a me ia mea e pono loa no ka pokole-makahiki kokua o ka eha ana o kekahi mau kêia kanaka.

Penei, ka noʻonoʻo medicament hoakaka ia no:

• postoperativeʻeha (a me ma hope o orthopedic, gynecological a me ka abdominalʻoki kino);
• toothache (me ma hope oʻoki kino i loko o dentistry);
• eha syndromes ma hope o ka loaa ana fracture, dislocation, a me ka pahee'aʻaʻa eha;
• postpartum eha;
• eha syndromes 'ia i loko o osteoarthritis;
• eha syndromes i kumu maʻi 'aʻai;
• sciatica.

Mau kanaka ike, akā, me ka hoʻohana 'ana o ka papa "Ketanov" a me ka injectable pāʻoihana i hōʻike' ia ma ka maʻiʻeha syndromes. Oia ai 'i e pono ai wale no ka hoʻopau o ka pōkole-makahiki discomfort. Lālau aʻela ia i ka lāʻau ma luna o ka wā lōʻihi o ka manawa ua hookapuia.

Contraindications

E like me nā 'ole-steroidal lapaau makaukau "Ketanov" hoʻohana' ia i loko o ka eha, he nui okoa contraindications. I mea no ke aha la mua oe i hoʻohana ia oe e nīnau i kou kauka a me ka heluhelu i ka olelo. Ka mea, e hōʻike ana i nā kēia contraindications:

• erosive a ulcerative lesions o ka gastrointestinal'āpana, o ka oi aku i loko o ka huʻi ke kahua, hypocoagulation (me hemophilia) a me ka peptic ulcer;
• Mahuahua pā lonoaʻili i ka hoʻomanawanui ketorolac a me nā NSAIDs, bronchospasm, dehydration, angioedema, aspirin asthma, hypovolemia (nānā 'ole o ke kumu o kona hanana);
• akepaʻa a me nā konāhua maʻi (ma ka hoʻokō 'ole'), o ka oi aku wai koko creatinine ma 50 mg / k;
• hemorrhagic mapuna (kēia a hookupaa iho la ia), hemorrhagic diathesis, mahuahua pilikia o ka recurrence ole kahe ana ke koko (me ma hope oʻoki kino), concomitant pono o nā NSAIDs, hoʻopōʻino hematopoiesis;
• makahiki ma lalo o 16 makahiki;
• Ma hāpai keiki, ke hanau kaʻina a me ka wa lactation;
• Iapaau ana o ka maʻi eha syndromes ano;
• anesthesia muaʻoki kino, a iloko o ia (no ka mea, o ka mahuahua pilikia o ke kahe ana ke koko).

Mākou hiki ole ke olelo ia ua hoakaka ia kaʻeleu medicament me ka mālama nui i loko o nā mea maʻi me ka cholecystitis, bronchial asthma, maʻi naau e hemahema,ʻaʻa puʻuwai hana (wai koko creatinine emi o 50 mg / k), hypertension,ʻeleu hepatitis, cholestasis, sepsis, systemic lupus lupus, e like me ka pono me ia ma ka (no 65 makahiki) kūpuna a me ka poe me polyps i loko o ka naʻau o ka nasopharynx a me ka ihu.

Uluwehi O "Ketanov": kauoha no ka hoʻohana

Analogs i like 'ano o kāu kiʻina hana o ka palapala noi a me ka laʻau heluna. Akā, ma ka mea e pale aku overdoses mua lākou hoʻohana ua? Aeiiaiaoaony e ike i ke kauka.

Pehea lā au e inu papa "Ketanov"? Kēia palapala no ka lāʻau mea e pono ke lawe i ka hookahi moʻolelo (10 mg). Inā pono (e laʻa me, me ka ikaikaʻeha maʻi pale) medicament mahele lāʻau hiki e pāpālua. Naʻe, ka mea e e hoʻomaopopo i ka mea i kela la laʻau heluna o ka lāʻau e ole mamua o 40 mg.

Ka wā 'ai, inu o ka lāʻau papa lōʻihi like' ole o elima lā (ole aku).

Inā no kekahi kumu paha kekahi hoomanawanui hiki ole lawe i ka moʻolelo ano o ka lāʻau (e laʻa me, ma ke alo o ka erosive a ulcerative lesions o ka houpo, na naau oʻu), a laila ka mea, ua ia i kākoʻo pāʻoihana no ka pahu kui. Ia palapala ua lawelawe intramuscularly.

I ka hoʻomaka o ka lāʻau Inc ia i loko o ka palena iki pono ka dosages i i ua koho ia e like me ka nui o ka eha syndromes a me ka pane ana o ka hoʻomanawanui. Inā pono, i ka hoʻomanawanui ua hoakaka ia, a hou opioid analgesics.

A hookahi laʻau heluna hoʻomanaʻo no i hookahi intramuscular ka pahu kui.

• kanaka ma lalo o 65 makahiki o ka makahiki - ma kahi o 10-30 mg (ke kaumaha ma muli o ka nui o ka eha);
• kanaka no 65 makahiki, e like me ka pono me ka hoʻomanawanui iki mai me kaʻole hakuʻala kuleana pili i - 10-15 mg.

Laʻau heluna ma hope o ka puana intramuscular hooponopono:

• kanaka i 65 - ma kahi o 10-30 mg, a laila, i ka hookahi dala o kela mea keia eha i ehiku hora;
• kanaka mua ma mua o 65 makahiki, a ma nā mea maʻi me kaʻole hakuʻala kuleana pili i - 10-15 mg kela 4-7 hola.

Na kela la i keia laʻau heluna o ka lāʻau i ka wa lawelawe intramuscularly i nā mākua e ole mamua o 90 mg. No ka poʻeʻelemākule nā mea maʻi a me ka poe me kaʻole hakuʻala kuleana pili i ka mea i pono, e emi ka nui o ka mai i ka 60 mg. ʻAʻole e ka lōʻihi like 'ole o ka hana e oi aku mamua o elima mau lā.

Iloko o ka hoʻololi mai i ka intramuscular hooponopono o ka lāʻau ma luna o ka lapaʻauʻia i loko o ka huina i kela la laʻau heluna o nā 'ano apau loa e ole oi 90 mg no nā mākua a me 60 mg no ka poʻeʻelemākule nā mea maʻi a me nā mea maʻi me kaʻole hakuʻala kuleana pili i.

symptoms o overdose

Ma nā māhele kiekie o ka la medicament i loko o ka hoʻomanawanui hiki e malama ka luaʻi, abdominalʻeha, ʻaʻa puʻuwai hana, metabolic acidosis, nausea, erosive gastritis a me peptic ulcer.

E like me ka hana maikaʻiʻole o ia mau olelo ka hoʻohana gastric lavage a me ka hoike ana o kekahi mau adsorbents. I symptomatic Inc (oa kākoʻo i ka nui mana o ke kino).

lāʻau hana kūleʻa

A hiki aku i ka ami noi o ka lāʻau ma lalo o noonoo a me nā NSAIDs, i ka hoʻomanawanui i hoʻomōhalaʻaoʻao 'ole o ka hou, a me anticoagulants (me "heparin" ma ka liʻiliʻi nā māhele, a me ka "Pentoxifylline") - kahe ana ke koko.

Inā concomitant hoʻohana o ka lāʻau e alakai me ka ACE nā mea kūpale, ma laila e e paewaewa ma ka hakuʻala.

Ua E hoi e hoʻomaopopo i ka hoʻohana 'ana i ka lāʻau ma lalo o ka nāʻanaʻana, a me "Probenecid" maoli i ka hapa-ola o ka ketorolac a me kona lehulehu i ka wai koko.

Inā e lawe keia ka lapaʻauʻia me ka likiuma, ia mea hiki ke emiʻaʻa puʻuwaiʻae o ka likiuma, a mahuahua kona lehulehu i loko o ka wai koko, akā, me ka "Furosemide" - hakumakuma kona diuretic ai.

Ma ka noi o ka "Ketorolac" ka mea, aole e pono no ka lawe ana opioid analgesics.

O kahi momona a mea like

"Ketanov" - keia mea he loa ikaika pono a me ka analgesic lāʻau, a ua kuai lilo aku i aneane pau drugstores. Olelo ana mai o kona analogs, ia mea paakiki i ka inoa o ka loa ka hoʻokō laau lapaau. No laila, no ka mea kokololio kokua o ka eha maʻi pale pinepine kauka i hoakaka ia i kā lākou nā mea maʻi o ka lāʻau. Akā, inā no kekahi kumu o ka lāʻau ua contraindicated ia oe, ua paipai aku ia oe e puku ia me "Ketorolac". Ke kaumaha ma muli o ka aina-Hookah kumukuai o keia mea paahana i e okoa. Ke kāki o ka hāʻawe Lūkini o na papa io hoomaka ma 20 rubles, Ukrainian - 35, a me ka Indian - 45.

He aha hou aʻe ua noʻonoʻo i ka lāʻau hiki ke auou caiaiai? Anei oia i kekahi'ē aʻe mea like? "Ketanov" me ke kuhikuhi, e hiki mau kuai i loko o ka hale kūʻai lāʻau lapaʻau. Ma kēia nui ke Pela no hoi oe e kuai i na like Media me "Adolor", "Torolak", "Akyular ai '", "Toradol", "Dolak", "Ketofril", "Dolomin", "Ketorolac tromethamine-Farmaplant", "Ketadrop "" Ketorolac tromethamine, "" Ketalgin "," Ketorolac-Eskom "," Ketokam "," Ketorolac-Verte "," Ketolak "," Ketorolac-OBL "," Ketorolac Rompharm "," Ketorol "a me na mea e ae.

Ke kāki o kēia mau ai 'ke e oi aku i ka mua, a ma lalo. Hoole i ka lāʻau "Ketanov" (10 papa) hiki ke kuai no 50-70 rubles. Ua E hoi e olelo ana ia mea, ua i waiho i ka lawe ia i ko lakou mau manao.

A mea paahana e hana no kūloko eha kokua? Ua loaʻa he like ke ano o ka "Ketanov" ia waiʻona? Hamo Cuticura (analogs o ka la konohiki i loko o ka papa i ua hōʻike mai iā ia ma luna) me iaʻeleu waiwai ka pilikia i loaʻa. Eia naʻe, he mea nō ka lāʻau e hiki ke hoʻohana topically. He 2% o ka lapaʻauʻia i kapaia "Ketorol" (i loko o India). Oia ka mea i loaʻa i loko o 30-gram paipu a koke e lawe aku oe i kekahi eha syndromes (wā noi topically).

Reviews o painkillers

Ano, e ike i ka mea o ka lāʻau "Ketanov", no ka i ka mea, ua manao ia. It E e kaulana iʻaneʻane a pau nā mea maʻi Reviews o ka medicament mea maikaʻi. People i kekahi manawa hoʻohana papa a pāʻoihana no ka pahu kui "Ketanov" moku'āina ia ia i ka lāʻauʻano hoʻomaka koke eliminates kekahi eha syndromes.

E like me ka hoike ana a me ka 'inikua hana, i ke kanawai o ke anesthetic mau no 12-15 hola (i kekahi manawa hou). Ma hope iho o kēia manawa, na huaale e e hai (ina ua ole i hala i ka eha).

Eia naʻe, he mea hiki ole i ke hōʻike i ka mea i keia k, e like nā NSAIDs, aia no he wahi lihi iki o kaʻaoʻao loa. E like me ka pane o nā mea maʻi, i kekahi manawa, i kēia ka lapaʻauʻia ke kumu no nausea a me abdominal eha. Ma keia hihia, poe akamai i waiho e puku i ka moʻolelo ano o ka lāʻau ka pahu kui. Ma hope o nā mea a pau, no ka ōlaʻi i ka malu i NSAIDs hiki i nui pilikia a me ka opu (e like, he hoʻonui i ka helehelena o ulcers a me erosions).

Ua E hoi e kaulana i nui loa nā mea maʻi e pakahi aku la ia i ka manao o ke kumukuai o ka hōʻike 'ana i na mea paahana. E manao ana ia mea e pono ke lawe i ka hoʻokahi-manawa, a ma luna o ka pōkole kōā o ka manawa, he blister me huaale paha e lawa no ka hala loa o ka lōʻihi manawa. ʻO ia pili i ka injectable ano o ka lāʻau.