Umarnin don amfani, feedback da kuma analog "Ketanova"

Me sanya wani analog "Ketanova" kuma ya ce da miyagun ƙwayoyi da kanta? Wannan za ka koya daga cikin kayan da labarin. Mun kuma gabatar da umarnin ga yin amfani da magani, ba bayani a kan saki form, m halayen, abun da ke ciki, contraindications, kudin da sauransu.

Abun da ke ciki, marufi, saki fom

Analogue "Ketanova" da kuma wakilci da kayan aiki da kanta iya samun mabanbanta nau'i na release. The aiki ya dogara da yanayi na zafi, da wurin da wuri da kuma yanayin haƙuri.

A halin yanzu, miyagun ƙwayoyi "Ketanov" yana samuwa a cikin biyu daban-daban siffofin. Mun la'akari da kowanne daga cikin wadannan, a more daki-daki.

• Film-rufi Allunan. The aiki bangaren na miyagun ƙwayoyi ne ketorolac tromethamine. Amma ga karin aka gyara, sa'an nan suka hada da masara sitaci, magnesium stearate, microcrystalline cellulose, kuma colloidal silicon dioxide. A abun da ke ciki na film shafi qunshi hydroxypropylmethylcellulose Allunan, tsarkake ruwa, polyethylene glycol, titanium dioxide da talc tsarkake. Ya kamata a lura da cewa irin wannan analog "Ketanova" kamar yadda "Ketorolac", ya ƙunshi guda aiki abu. An fito da shirye-shiryen kasuwanci a aluminum blisters, wanda aka sanya a cikin wani tari na kwali. Daya kunshin iya zama daga goma zuwa ɗaya da ɗari Allunan.

• Allura "Ketanov". Injections, analogues na wanda aka nuna a kasa, kuma dauke da wannan aiki sashi kamar yadda ketorolac tromethamine. Bugu da kari, cikin bayani ya hada a abun da ke ciki da kuma karin aka gyara a cikin nau'i na sodium chloride, ruwa ga allura, disodium edetate, ethanol da sodium hydroxide. Magani da aka sayar a vials na daya milliliter. A kartani iya zama biyar ko goma vials.

A pharmacodynamic Properties na wani analgesic

Abin da pharmacodynamic Properties suna dauke da wani magani da kuma ta m? "Ketanov" (Allunan, kuma ya injections) yana mai furta analgesic sakamako. Da miyagun ƙwayoyi yana matsakaici antipyretic da anti-mai kumburi Properties.

A cewar masana, da manufa na mataki na miyagun ƙwayoyi dangantawa da hanawa (ba zabe) ayyuka na enzyme Cox-2 da kuma Cox-1. Wannan tsari ya auku a gefe kyallen takarda. Irin wannan daukan hotuna sa hanawa na PG biosynthesis, watau modulators thermoregulation, zafi ƙwarai da kumburi.

Aikace-aikace Allunan "Ketanov" ko intramuscular gwamnati na bayani inganta samuwar wani racemic cakuda [-] S- da kuma [+] R-enantiomers. Ba zato ba tsammani, da analgesic sakamako daga cikin miyagun ƙwayoyi ne saboda kawai [-] S-siffar.

Ya kamata a lura da cewa, musamman da aiki medicament ba depress numfasawa, yana da wani sakamako a kan opioid rabe, shi bai mallaki anxiolytic da magani mai kantad da hankali sakamako da kuma ba sa dogara.

Me kana bukatar ka sani kafin shan wannan samfurin ko ta m? "Ketanov" (kwayoyi da kuma injections) a kan da ƙarfin da analgesic sakamako ne m kawai cewa na morphine. A cewar masana, wannan yana nufin muhimmanci fi dukan sauran wadanda ba steroidal kwayoyi.

Bayan baka ko intramuscular gwamnati analgesic sakamako ne lura a awa daya, kuma rabin, bi da bi. Matsakaicin sakamako daga cikin miyagun ƙwayoyi aka samu ta hanyar 60-120 minti.

pharmacokinetic Properties

The asali miyagun ƙwayoyi, kazalika da wani analogue "Ketanova" bayan ingestion wajen da kyau tunawa a cikin gastrointestinal fili. Cincirindo miyagun ƙwayoyi a cikin jini da aka kai bayan game da arba'in minti bayan ingestion azumi Allunan (10 MG). Ya kamata a lura da cewa amfani da m da kuma abinci takarce iya rage matsakaicin maida hankali da miyagun ƙwayoyi a cikin jini da kuma ci gaba ta nasara a sittin minti.

Game 99 bisa dari na kudaden da aka daure su jini sunadaran. Lokacin da yawan free hypoalbuminemia abubuwa a cikin jini yana ƙaruwa. Game da bioavailability da miyagun ƙwayoyi, shi ne game da 80-100%.

Idan intramuscular gwamnati ne hanzari da kuma gaba daya tunawa a cikin jini miyagun ƙwayoyi "Ketanov". Analogs (Ukraine an samar kawai "Ketorolac") da tunawa.

Bayan intramuscular allura na 30 MG da miyagun ƙwayoyi ne ta yi cincirindo 1,75-3,2 micrograms / ml da kuma yin amfani da 60 MG - 3,25-5,75 g / ml. Matsakaicin taro na miyagun ƙwayoyi a cikin jini yana lura a 15-20 da kuma 35-65 minti, bi da bi.

Ko magani ratsa cikin ƙirjinka madara? Kuma tsada, da kuma cheap analogue "Ketanova", kuma ya dauke da miyagun ƙwayoyi iya shiga cikin nono. Wannan na faruwa nan da nan bayan na farko kashi na medicament a wani adadin 10 milligrams. Cincirindo miyagun ƙwayoyi a cikin madara a sashi ne kai bayan game da 120 minti kuma shi ne 7.3 ng / l.

Game da 50% na gudanar kashi na da miyagun ƙwayoyi ne metabolized a cikin hanta. A sakamakon haka, m metabolites suna kafa. Cif daga cikinsu akwai gundumar gidroksiketorolak da glucuronides. Su kullum kodan (kamar 91%) kuma ta hanji (game da 6%).

A rabin rai da miyagun ƙwayoyi a marasa lafiya tare da al'ada na koda aiki ne game da 5.4 hours. Wannan darajar da aka markedly ƙaru a tsofaffi da kuma a cikin matasa tayi.

hanta yana da wani sakamako a kan rabin-rai da miyagun ƙwayoyi. Ya kamata kuma a lura da cewa da miyagun ƙwayoyi ba ya bayyana a kan aiwatar da dialysis.

alamomi

Abin da ake nufi da miyagun ƙwayoyi "Ketanov"? Analogues da kwayoyi da kuma shi ne mai zama dole ga gajere taimako na zafi na daban-daban asalin.

Saboda haka, dauke medicament wajabta:

• postoperative zafi (ciki har da bayan orthopedic, gynecological da kuma na ciki tiyata).
• ciwon hakori (ciki har da bayan tiyata a Dentistry).
• zafi syndromes bayan samun karaya, sāke wuri, da kuma taushi nama rauni.
• zubar jinni zafi.
• zafi syndromes faruwa a osteoarthritis.
• zafi syndromes cewa haddasa ciwon daji.
• sciatica.

'Yan mutane san, amma yin amfani da Allunan "Ketanov" da kuma injectable bayani ba nuna a kullum zafi syndromes. Irin wannan kwayoyi ne kawai dole domin kawar da gajere rashin jin daɗi. Shan da miyagun ƙwayoyi a kan wani dogon lokaci da aka haramta.

contraindications

Kamar yadda wasu ba-steroidal magunguna shiri "Ketanov" amfani da zafi yana da yawa daban-daban contraindications. Wannan shi ne dalilin da ya sa kafin ka yi amfani da shi, ya kamata ka shawarci likitan da kuma karanta umarnin. Ya gano wadannan contraindications:

• erosive da ulcerative raunuka na gastrointestinal fili, musamman a cikin m mataki, hypocoagulation (ciki har da hemophilia) da kuma peptic miki.
• Karuwan ji na ƙwarai to haƙuri ketorolac da sauran NSAIDs, bronchospasm, dehydration, angioedema, asfirin fuka, hypovolemia (ko da a cikin hanyar da ya faru).
• hanta ko koda cuta (a gazawar), musamman jini creatinine a 50 MG / l;
• hemorrhagic bugun jini (da ake zargin ko ya tabbatar), hemorrhagic diathesis, ta ƙara kasadar komowa ko zub da jini (ciki har da bayan tiyata), concomitant amfani da sauran NSAIDs, illa hematopoiesis.
• shekaru a karkashin shekaru 16.
• A lokacin daukar ciki, da haihuwar tsari da kuma a lokacin lactation.
• Jiyya na kullum zafi syndromes hali.
• maganin sa barci kafin tiyata da kuma lokacin su (saboda ƙãra hadarin na jini).

Ba za mu iya ce cewa magani wajabta tare da taka tsantsan a marasa lafiya tare da cholecystitis, asma, na kullum zuciya maye, sosai koda aiki (idan jini creatinine kasa da 50 MG / l), jijiya hauhawar jini, aiki hepatitis, cholestasis, sepsis, tsari lupus lupus, kazalika a cikin tsofaffi (a kan shekaru 65), da waɗanda suke tãre da polyps a cikin rufi na nasopharynx da hanci.

Drug "Ketanov": umarnin don amfani da

Analogs da irin wannan hanyar hanyoyin da aikace-aikace da kuma sashi. Amma domin kauce wa overdoses kafin su yi amfani da shawarar zuwa ganin likita.

Ta yaya ya kamata in sha Allunan "Ketanov"? Wannan nau'i na da miyagun ƙwayoyi wajibi ne a dauki guda baka (10 MG). Idan dole (msl, tare da karfi zafi ciwo) medicament kashi za a iya ninki biyu. Duk da haka, ya kamata a lura da cewa kullum sashi daga cikin miyagun ƙwayoyi kada wuce 40 MG.

Lokacin da ingestion da miyagun ƙwayoyi Hakika duration ne kwanaki biyar (ba more).

Idan daya dalili ko wata haƙuri ba zai iya dauka na baka nau'i na da miyagun ƙwayoyi (msl, a gaban erosive ko ulcerative raunuka na ciki, hanji), to, shi ne sanya wani bayani ga allura. Irin wannan tsari da aka gudanar intramuscularly.

A farkon miyagun ƙwayoyi far amfani a cikin m tasiri dosages cewa an zabi daidai da tsanani da zafi syndromes da kuma mayar da martani daga mãsu haƙuri. Idan ya cancanta, da haƙuri da aka wajabta kuma ƙarin opioid analgesics.

A guda sashi halitta for guda intramuscular allura:

• mutane a karkashin shekaru 65 na shekaru - game 10-30 MG (dangane da tsanani da zafi).
• mutane a kan shekaru 65, kazalika a marasa lafiya tare da mai illa koda aiki - 10-15 MG.

Sashi bayan maimaita intramuscular gwamnati:

• mutane zuwa 65 - game 10-30 MG, sa'an nan guda adadin kowane hudu zuwa bakwai hours;
• mutane girmi 65 shekaru da kuma a cikin marasa lafiya da illa koda aiki - 10-15 MG kowane 4-7 hours.

A kullum sashi daga cikin miyagun ƙwayoyi a lokacin gudanar intramuscularly zuwa manya kada wuce 90 MG. Domin tsofaffi da marasa lafiya da kuma waɗanda suke tare da illa koda aiki da shi wajibi ne don rage adadin up to 60 MG. A tsawon lokaci da magani ya kamata ba zama fiye da kwanaki biyar.

A lokacin mika mulki daga gwamnatin intramuscular da miyagun ƙwayoyi a kan magani cikin jimlar kullum sashi na biyu siffofin kada wuce 90 MG ga manya da 60 MG ga tsofaffi da marasa lafiya, ko marasa lafiya da illa koda aiki.

bayyanar cututtuka na yawan abin sama

A hakan allurai na ce medicament a cikin haƙuri za a iya lura amai, ciwon mara, koda aiki, rayuwa acidosis, tashin zuciya, erosive gastritis da peptic miki.

Kamar yadda magani daga irin wannan yanayin amfani na ciki da lavage da gabatarwar daban-daban adsorbents. Har ila yau symptomatic far (watau tallafawa m ayyuka na jiki).

miyagun ƙwayoyi interactions

Lokacin da hadin gwiwa aikace-aikace na da miyagun ƙwayoyi a karkashin shawara tare da sauran NSAIDs, da mãsu haƙuri iya ci gaba gefen sakamakon Bugu da kari, da kuma anticoagulants (ciki har da "heparin" a kananan allurai da kuma tare da "Pentoxifylline") - zub da jini.

Idan concomitant amfani da miyagun ƙwayoyi kai tare da ACE hanawa, akwai iya zama tafka magudi a koda.

Ya kamata kuma a lura da cewa yin amfani da miyagun ƙwayoyi a karkashin review, tare da "Probenecid" qara rabin-rai na ketorolac da ta maida hankali a jini.

Idan ka dauki wannan magani da lithium, yana yiwuwa ya ragu na koda yarda da lithium da kuma kara ta maida hankali a cikin jini, amma da "Furosemide" - ragewan ta diuretic sakamako.

A lokacin da aikace-aikace na "Ketorolac" babu bukatar ga shan opioid analgesics.

A mafi kyau analogue

"Ketanov" - wannan ne mai matukar karfi da kuma tasiri analgesic miyagun ƙwayoyi, wanda aka sayar a kusan duk drugstores. Magana ta analogs, yana da wuya suna da mafi tasiri magani. Saboda haka, ga m taimako na jin zafi ciwo sau da yawa likitoci rubũta zuwa ga marasa lafiya ne da miyagun ƙwayoyi. Amma idan saboda wasu dalilai da miyagun ƙwayoyi ne contraindicated zuwa gare ku, muna bayar da shawarar cewa ka maye gurbin shi da "Ketorolac". Dangane da kasa-manufacturer farashin da wannan kayan aiki na iya zama daban-daban. A kudin shiryawa Rasha Allunan farawa a 20 rubles, Ukrainian - 35, da kuma India - 45.

Abin da kuma ke dauke da wani magani da za a iya maye gurbinsu? Shin, yanã da wani sauran analogue? "Ketanov" ba tare da takardar sayen magani, ba za ka iya saya ko da yaushe a cikin kantin magani. A daidai wannan hanya za ka iya saya irin kama kafofin watsa labarai a matsayin "Adolor", "Torolak", "Akyular kwayoyi", "Toradol", "Dolak", "Ketofril", "Dolomin", "Ketorolac tromethamine-Farmaplant", "Ketadrop "" Ketorolac tromethamine, "" Ketalgin "," Ketorolac-Eskom "," Ketokam "," Ketorolac-Verte "," Ketolak "," Ketorolac-OBL "," Ketorolac Rompharm "," Ketorol "da sauransu.

A kudin wadannan kwayoyi na iya zama mafi girma da asali da kuma a kasa. Ka tuna cewa da miyagun ƙwayoyi "Ketanov" (10 Allunan) za a iya saya don 50-70 rubles. Ya kamata kuma a ce cewa shi ba da shawarar a yi shi a nasu hankali.

Wanne kayan aiki don amfani ga gida zafi taimako? Shin, akwai wani m tsari na "Ketanov" miyagun ƙwayoyi? Maganin shafawa (analogs na ce jamiái a cikin alluna da aka gabatar a sama) da wannan aiki abu ne da wuya a samu. Duk da haka, har yanzu akwai wani magani da za a iya amfani da topically. Wannan shi ne 2% na magani da ake kira "Ketorol" (sanya a India). Irin wannan hanyar ne samuwa a 30-gram shambura da sauri ta kawar da duk wani zafi syndromes (lokacin amfani da topically).

Reviews na maganin ciwo

Yanzu ka san cewa shi ne mai magani "Ketanov", ga abin da shi ne aka yi nufi. Ya kamata a lura cewa kusan dukan marasa lafiya Reviews na medicament ne tabbatacce. Mutanen da suka lokaci zuwa lokaci ta amfani da Allunan, ko bayani ga allura "Ketanov" jihar da cewa irin wannan magani quite hanzari gusar da wani zafi syndromes.

Kamar yadda aka nuna da likita yi, da sakamako daga m yana for 12-15 hours (wani lokacin ya fi tsayi). Bayan wannan lokaci, da kwayoyi ya kamata a maimaita (idan zafi ba shige).

Duk da haka, ba shi yiwuwa ba a ambaci cewa wannan magani, kamar sauran NSAIDs, akwai da yawa daga illa. A cewar martani da marasa lafiya, wani lokacin wannan magani yana sa tashin zuciya da kuma ciwon mara. A wannan yanayin, masana bayar da shawarar ya maye gurbin na baka form na alura. Bayan duk, don wani ba wani asirin da NSAIDs iya jawo babbar matsala da ciki (misali, taimakawa wajen bayyanar ulcers ko erosions).

Ya kamata kuma a lura da cewa, da yawa marasa lafiya musamman yarda farashin rahoto kayayyakin aiki. Ganin cewa wajibi ne a dauki wani daya-lokaci, da kuma a kan wani gajeren lokaci, bororo da kwayoyi iya zama isa for quite lokaci mai tsawo. Haka ya shafi cikin injectable nau'i na da miyagun ƙwayoyi.