So ɛtɔ mmere bi a wote nka sɛ ɛyɛ den ma wo sɛ wubedi w’adwene so? Ɛtɔ da bi a, wuntumi mfa w’adwene nsi baabi biako? Mmere a ɛte saa no, oduruyɛfo betumi akyerɛw aduru bi a wɔfrɛ no ‘Lithium’ ama wo, titiriw sɛ wowɔ tebea bi te sɛ ‘Bipolar Disorder’ a. Enti ɛnnɛ, momma yɛnka saa aduru yi ho asɛm kakra, te sɛ nea yɛne yɛn adamfo bi rekasa no.
Aduru bɛn na Lithium yɛ?
Sɛ yɛbɛka no tiawa a,
lithium yɛ aduru a ɛboa ma wo nkate, wo nneyɛe, ne wo nsusuwii kari pɛ. Adwene mu nsakrae ba bere a nnuru bi a ɛwɔ yɛn amemene mu sesa wɔn dwumadi no. Lithium yɛ adwuma denam nnuru yi a ɛhwɛ so na ɛboa ma w’adwene yɛ komm no so. Nnuruyɛfo taa kyerɛw ma nnipa a wɔwɔ adwenemhaw. Nanso, wobetumi de adi dwuma nso ama tebea afoforo. Wo duruyɛfo anaa nnuruyɛfo betumi aka ho asɛm pii akyerɛ wo.
Nneɛma bɛn na ɛsɛ sɛ meka kyerɛ oduruyɛfo no ansa na mafi saa aduru yi ase?
Eyi ho hia paa. Ansa na wubefi ase anom lithium no,
nneɛma kakraa bi wɔ hɔ a ɛsɛ sɛ woka kyerɛ wo duruyɛfo ampa . Saa aduru yi nyɛ obiara dea. Sɛ wowɔ saa tebea horow yi bi a, ka kyerɛ wo duruyɛfo sɛ:
- So ɔyare mmoawa bi a ɛyɛ nnam wɔ hɔ mprempren?
- So worehyia ɔhaw wɔ ahomegye mu ?
- So komayare bi wɔ hɔ a wɔfrɛ no ‘Brugada Syndrome’ ? (Eyi yɛ tebea a ɛka koma no bɔ) .
- So wo ho ayɛ wo hyew , esiane akisikuru anaa fifiri a ɛboro so nti ?
- So woredi aduan a nkyene nnim akyi ?
- So wowɔ komayare ?
- So calcium dodow a ɛwɔ mogya no mu no dɔɔso ?
- So woanya koma a ɛbɔ a ɛnteɛ pɛn ?
- So wowɔ asaabo mu yare ?
- So potassium anaa sodium dodow a ɛwɔ wo mogya mu no sua ?
- Parathyroid ntini ( .So wowɔ parathyroid yare?
- So worehyia ɔhaw wɔ nsu a wobɛtow ho ?
- So wowɔ thyroid yare ?
- So woanya lithium, nnuru afoforo, nnuan, nnuru a wɔde yɛ nneɛma, anaa nneɛma a wɔde siw ano ho adwene a ɛyɛ soronko pɛn?
- So woanyinsɛn? Anaasɛ wowɔ anidaso sɛ wubenyinsɛn?
- So woyɛ ɛna a ɔma nufu?
Ɛho hia paa ma w’ahobammɔ sɛ wobɛka saa nneɛma yi ho asɛm akyerɛ oduruyɛfo no.
Ɔkwan bɛn so na wɔde Lithium bedi dwuma yiye?
Okay, afei momma yɛnhwɛ sɛnea yɛbɛfa saa aduru yi ankasa.
- Ɛsɛ sɛ wɔnom saa aduru yi a wɔde nsu ka ho .
- Bɔ mmɔden sɛ wobɛnom w’aduru no bere koro mu da biara , sɛnea wɔakyerɛ wɔ nnuru a wɔakyerɛw ama wo no so no. Saa kwan no so no, aduru no bɛyɛ adwuma yiye.
- Wubetumi de eyi aka aduan ho anaasɛ wunhia . Nanso, sɛ wote nka sɛ wo yafunu ayɛ wo yaw kakra a, eye sɛ wode bɛka aduan ho.
- Ɛsɛ sɛ wokɔ so nom aduru no kosi sɛ oduruyɛfo no bɛka akyerɛ wo sɛ gyae. Ɛyɛ papa sɛ worennyae mpofirim, sɛnea wote nka no.
Nea ɛho hia: Sɛ nnurutɔnbea no ma wo saa aduru yi a, ɛsan nso ma wo akwankyerɛ krataa titiriw bi (‘MedGuide’) . Mma wo werɛ mmfi sɛ wobɛkenkan akwankyerɛ krataa yi yiye bere biara a wubenya aduru no, ne bere biara a wobɛsan ahyɛ no ma. Nsɛm pii a ɛho hia ma wo wom.
So ɛsɛ sɛ wɔde aduru yi ma mmofra? Ɛtɔ da bi a wobetumi de saa aduru yi ama mmofra a wɔadi mfe 7 pɛ, wɔ tebea soronko mu. Nanso, ɛsɛ sɛ wodi ahwɛyiye soronko bi akyi. Enti, sɛ wode saa aduru yi rema wo ba a, wo ne wo duruyɛfo nka ho asɛm yiye na hwehwɛ mu nsɛm nyinaa.
Sɛ wonom nnuru pii a, dɛn na ɛsɛ sɛ woyɛ? (Nneɛma a wɔde ma boro so) .
Sɛ ɛba saa a, kyerɛ sɛ,
sɛ wususuw sɛ woanom nnuru pii sen sɛnea wususuwii a, kɔ ayaresabea dan a ɛhwɛ ntɛmpɛ a ɛbɛn wo no mu ntɛm ara , anaa frɛ baabi a wɔhwɛ awuduru so. Eyi nyɛ biribi a ɛsɛ sɛ wobu no adewa.
Saa aduru yi yɛ ma wo nkutoo! Mfa aduru a wo duruyɛfo de maa wo no mma afoforo, sɛ mpo wɔn nso wɔ sɛnkyerɛnne koro no ara sɛ wo de a.
Sɛ wopa dose bi a, dɛn na woyɛ?
Sɛ wo werɛ fi sɛ wobɛnom w’aduru no a,
fa dodow no bere a woakae ara pɛ . Nanso, sɛ ɛkame ayɛ sɛ bere aso sɛ wobɛma wo dodow a edi hɔ bere a wokae a, twa dodow a woayera no so na
fa dodow a edi hɔ no wɔ bere a woahyɛ da ayɛ no mu .
Mfa nnuru mmɔho abien anaa nea ɛboro so da . Saa a wɔyɛ no ma asiane a ɛwɔ hɔ sɛ wobenya ɔhaw ahorow no yɛ kɛse.
Nneɛma foforo bɛn na ebetumi ne aduru yi adi nkitaho?
Eyi nso yɛ biribi a ɛsɛ sɛ yɛhwɛ yiye wɔ ho. Lithium yɛ
aduru a ebetumi ne nnuru afoforo, nhabannuru, ne vitamin ahorow adi nkitaho . Eyi kyerɛ sɛ sɛ wɔka bom a, Lithium no nkɛntɛnso betumi asesa anaasɛ nea efi mu ba no betumi akɔ soro.
Mfa Lithium nka nnuru a edidi so yi ho da:- Cisapride na ɔkyerɛwee
- Dronedarone a wɔfrɛ no Dronedarone
- Pimozide a wɔde yɛ nnuru
- Thioridazine a wɔde ma
Lithium nso betumi ne nnuru a edidi so yi adi nkitaho, enti hwɛ hu sɛ wobɛka akyerɛ wo duruyɛfo sɛ worenom eyinom mu biara a:- Caffeine (a wohu wɔ kɔfe, tii, chocolate, ne anonne a ɛyɛ dɛ bi mu) .
- Carbamazepine a wɔde di dwuma
- Nnuru bi a wɔde sa adwenemhaw, dadwen, anaa adwenemyare afoforo
- Nnuru bi a wɔnom ma mogya mmoroso
- Nnuru bi a wɔde sa atiridiinini (sɛ nhwɛso no, almotriptan, eletriptan, sumatriptan) .
- Diuretics (nnuru a ɛma nsu ne nkyene fi nipadua no mu) .
- Fentanyl a wɔde yɛ aduru
- Linezolid a wɔfrɛ no linezolid
- Nnuru a ɛwɔ nnuru kuw a wɔfrɛ no ‘MAOIs’ (Monoamine Oxidase Inhibitors) mu (e.g. Carbex, Eldepryl) .
- Nnuru a ɛma ntini mu dwo a wɔde ma ansa na wɔayɛ oprehyɛn
- Methyldopa a wɔde yɛ aduru
- Metronidazole a wɔde ma
- 'NSAIDs' (Nonsteroidal Anti-Inflammatory Drugs) - nnuru a wɔde sa ɛyaw ne ɔfe (e.g. ibuprofen, naproxen) .
- Nnuru afoforo a ɛka koma no bɔ (e.g. dofetilide) .
- Phenytoin a wɔfrɛ no phenytoin
- Potassium iodide a ɛwɔ nipadua no mu
- SGLT2 inhibitors - nnuru bi a wɔde sa asikreyare (e.g. canagliflozin, dapagliflozin) .
- Sodium bicarbonate a wɔde yɛ nneɛma
- Sodium chloride (nkyene a wɔtaa de di dwuma) .
- St. John’s Wort (eyi yɛ nhabannuru) .
- Theophylline a wɔde yɛ nnuru
- Tramadol a wɔde di dwuma
- Tryptophan a ɛyɛ aduru a wɔfrɛ no Tryptophan
- Urea a wɔde yɛ adwuma
Ebia saa nsɛm a wɔahyehyɛ yi renwie pɛyɛ. Enti,
ka nnuru a wonom nyinaa ho asɛm kyerɛ wo duruyɛfo, a nhabannuru, nnuru a wɔmfa nkyerɛw, ne aduan a wɔde ka aduan ho ka ho. Afei nso, sɛ wonom sigaret, wonom nsa, anaa wode nnubɔne a mmara mma ho kwan di dwuma a, ka kyerɛ wo duruyɛfo . Nneɛma bi betumi ne wo nnuru no adi nkitaho.
Nneɛma foforo bɛn na ɛsɛ sɛ mehwɛ bere a merenom aduru yi?
Ɛsɛ sɛ wohwɛ yiye kakra nso bere a worenom lithium no.
- Kɔ wo duruyɛfo nkyɛn daa: Wo duruyɛfo bɛka akyerɛ wo sɛ bra mu daa nkɔhwɛ sɛnea wo tebea te na wahwɛ sɛ aduru no reyɛ adwuma yiye anaa. Hwɛ hu sɛ wobɛkɔ saa mmere no mu. Ebia ebegye adapɛn pii ansa na aduru no atumi ayɛ adwuma.
- Hwɛ yiye wɔ nkyene (sodium) ho: Eyi ho hia yiye. Nkyene dodow a ɛwɔ wo nipadua mu no ka sɛnea lithium yɛ adwuma yiye no tẽẽ. Afei nso, saa aduru yi tumi ma nkyene dodow a woyi fi nipadua no mu no yɛ kɛse. Enti, di aduan a nkyene wom sɛnea wotaa yɛ no . Mfa nneɛma a wɔde si nkyene ananmu. Sɛ woresakra w’aduan kɛse, anaasɛ worenom nnuru a sodium pii wom te sɛ sodium bicarbonate a, bisa wo duruyɛfo ma ɔmma no afotu.
- Nom nsu pii: Bɔ mmɔden sɛ anyɛ yiye koraa no wobɛnom nsu nkuruwa 8-12 da biara bere a worenom saa aduru yi. Ɛyɛ papa sɛ wobɛtew anonne a caffeine wom te sɛ kɔfe, tii, ne cola a wobɛnom so. Sɛ wo ho yɛ wo yaw anaasɛ wo ho fifiri pii a, ɛsɛ sɛ wonom nsu pii mpo. Eyi bɛboa wo ma woakwati awuduru a aduru yi de ba no.
- Hwɛ yiye na woanhyew dodo: Hwɛ yiye na woanhyew dodo bere a woreteɛteɛ w’apɔw mu, wɔ sauna mu, woreguare a ɛyɛ hyew, anaa nna a ɛhɔ yɛ hyew kɛse wɔ abɔnten no. Sɛ wowɔ atiridiinini kɛse anaasɛ wo yafunu mu yɛ wo yaw bere nyinaa a, ka kyerɛ wo duruyɛfo.
- Kari pɛ na w’ani da hɔ: Saa aduru yi betumi aka wo nhyehyɛe, bere a wode yɛ w’ade, ne w’adwene . Enti, nka kar, nnyɛ adwuma wɔ mmeae a ɛkorɔn, anaa mfa mfiri nni dwuma kosi sɛ wubehu sɛnea aduru yi ka wo. Sɛnea ɛbɛyɛ a wobɛtew adwenemhaw no so no, sɔre gyina hɔ brɛoo bere a woresɔre afi baabi a wote anaa worefi mpa so no. Nsã a wɔde ka aduru yi ho no betumi ama saa nsunsuanso bɔne yi ayɛ kɛse.
Nsunsuanso bɔne bɛn na ebia menya afi aduru yi mu?
Te sɛ nnuru nyinaa no, lithium betumi de ɔhaw ahorow bi aba. Ebi yɛ aniberesɛm, ebi nso nyɛ aniberesɛm saa.
Sɛ wunya nsunsuanso bɔne a edidi so yi mu biara a, ka kyerɛ wo duruyɛfo ntɛm ara sɛnea wubetumi:- Nneɛma a ɛma obi ho yɛ no hyew: Honam ani akisikuru, ɛyaw, akisikuru, anim, anofafa, tɛkrɛma, anaa menewa a ɛho ahonhon.
- Koma mu nnyigyei sesa: Koma bɔ ntɛmntɛm anaasɛ ɛnteɛ, adwenemhaw, ti a ɛyɛ hare, koko mu yaw, ɛyɛ den sɛ ɔbɛhome.
- Nhyɛso a ɛkɔ soro wɔ amemene no ho: Tiyɛ a emu yɛ den, aniwa a ɛyɛ kusuu, aniwa a ɛsakra, akisikuru, ɔfe.
- Sukɔm ne nsu dodow a ɛkɔ soro.
- Serotonin Syndrome Ho Nsɛnkyerɛnne:Dadwen, adwene a ɛyɛ basaa, koma a ɛbɔ ntɛmntɛm anaasɛ ɛnteɛ, ntini a ɛyɛ den, ntini a ɛtwetwe, fifiri a ɛboro so, atiridiinini a ano yɛ den, akisikuru, atiridiinini, ɔfe, akisikuru. (Eyi yɛ tebea a asiane wom.)
- Lithium awuduru: Eyi nso yɛ asiane kɛse. Nsɛnkyerɛnne no bi ne: dwensɔtwaa, ɔfe, wosow, kari a ɛnkari pɛ anaasɛ ɔnyɛ adwuma yiye, aniwa a ɛkeka ne ho a wontumi nni so, aso a ɛbɔ, ntini a ɛyɛ mmerɛw, ntini a ɛwosow, kasa a ɛyɛ mmerɛw, ne adwene a ɛyɛ basaa.
Mpɛn pii no, nsunsuanso bɔne a ɛwɔ ase ha no nyɛ aniberesɛm. Nanso, sɛ wɔkɔ so anaasɛ wɔhaw wo a, ka kyerɛ wo duruyɛfo sɛ:- Adwene a ɛyɛ basaa
- Ɔbrɛ
- Abofono
- Wosow anaasɛ wosow
Ɛnyɛ nea efi mu ba no nyinaa na wɔakyerɛw wɔ saa nsɛm a wɔahyehyɛ yi mu. Sɛ wuhu biribi a ɛyɛ soronko ka eyinom ho a, wo ne wo duruyɛfo nka ho asɛm.
Ɛhe na ɛsɛ sɛ mede m’aduru sie?
- Fa sie baabi a ɛkorɔn a mmofra ntumi nkɔ hɔ .
- Fa sie wɔ dan mu hyew (a ɛyɛ digrii Celsius 15 kosi 30, a ɛyɛ digrii Fahrenheit 59 kosi 86).
- Hwɛ hu sɛ wobɛtow nnuru a ne bere atwam agu.
Nea etwa to no, nneɛma a ɛsɛ sɛ wokae (Take-Home Message) .
Okay, yɛaka lithium ho asɛm pii, ɛnte saa? Sɛ ɛsɛ sɛ wode saa aduru yi di dwuma a, ɛho hia yiye sɛ wode saa nneɛma yi tra w’adwenem.
- Fa aduru no di dwuma sɛnea wo duruyɛfo ka kyerɛ wo no pɛpɛɛpɛ. Fa no bere ano, wɔ dodow a wɔakyerɛw ama no mu. Nnyae anaasɛ nnsesa dodow a wɔde ma no sɛnea w’ankasa wopɛ.
- Ka nnuru, nhabannuru, ne vitamin afoforo a wonom nyinaa ho asɛm kyerɛ wo duruyɛfo.
- Nom nsu pii. Anyɛ yiye koraa no, nsu nkuruwa 8-12 da biara.
- Hwɛ yiye wɔ nkyene (sodium) ho. Fa nkyene gu w’aduan mu sɛnea wotaa yɛ no.
- Sɛ wunya ɔhaw foforo biara anaasɛ sɛ ɔhaw bi a atwam no mu yɛ den a, ka kyerɛ wo duruyɛfo ntɛm ara. Titiriw sɛ wunya lithium awuduru anaa serotonin syndrome ho sɛnkyerɛnne ahorow a.
- Kɔ wo duruyɛfo nkyɛn wɔ bere ano na kɔyɛ mogya mu nhwehwɛmu. Eyi ho hia yiye sɛ wobɛhwɛ sɛ wo lithium dodow no yɛ nea ɛfata anaa.
- Saa aduru yi yɛ nea ɛbɛboa wo ara kwa . Nanso, ɛho hia yiye nso sɛ wubedi adwene mu akwahosan ho su pa akyi (da pa, aduan a ɛkari pɛ, apɔw-mu-teɛteɛ, akwan a wobɛfa so atew adwennwen so).
Kae sɛ ɛnyɛ wo nko ara. Nnuruyɛfo, abusuafo, ne nnamfo wɔ hɔ a wobetumi aboa wo. Nsuro sɛ wo ne wɔn bɛkasa.
Mewɔ anidaso sɛ saa nsɛm yi bɛboa wo. Mepɛ sɛ wo ho tɔ wo ntɛm!
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