Ðe nèle lithium nom? Ekema nya nu tso afɔku sia ŋu! (Lithium ƒe Aɖi) .

Ðe wò ŋutɔ alo ame aɖe si nènya zãa lithium, si nye atike si ɖɔktawo ŋlɔna na wò na susumedɔléle aɖewo, vevietɔ tagbɔdɔléle si me susu ƒe dɔwɔwɔ le? Togbɔ be atike sia ate ŋu akpe ɖe ame ŋu ŋutɔ ne wozãe nyuie hã la, enono fũ ate ŋu ahe nɔnɔme si me afɔku le si woyɔna be lithium toxicity vɛ. Mina míaƒo nu tso esia ŋu egbea. Kpuie ko la, lithium ƒe aɖi nye ne lithium sɔ gbɔ ɖe wò ŋutilã me akpa. Esia ate ŋu ana dɔgbo natsi (abe ʋuʋudedi, aɖuɖɔtoe) kple lãmekawo ƒe dɔwɔwɔ ƒe dzesiwo (abe tɔtɔ, ʋuʋudedi ene). Ne womewɔ atike na wo nyuie o la, esia ate ŋu ade ame ƒe agbe afɔku me. Lithium nye dze si le dzɔdzɔme nu. Eɖea alɔ̃madɔmadɔ dzi kpɔtɔna. Esia tae ɖɔktawo ŋlɔa atike sia na ame zi geɖe na tagbɔdɔléle si nye bipolar disorder ɖo. Gake vovototo si le atike sia ƒe agbɔsɔsɔ si le dedie kple esi me afɔku le dome la le sue ŋutɔ. Esia fia be ne wogbɔ eme vie gɔ̃ hã ate ŋu anye nusi dzi ŋutilãa mate ŋu ado dzi le o.

Aleke lithium ƒe aɖi ate ŋu adzɔe?

Mɔ vovovowo li siwo dzi esia ate ŋu ato adzɔ ɖo. Na míakpɔ nusiwo wonye ɖa.

Aɖi si Le Ame Ŋu Kpata

Esia dzɔna ne èno lithium-tike geɖe zi ɖeka, alo kasia tsi vɔ le wò ŋutilã me ŋutɔ. Bu eŋu kpɔ, ɣeaɖewoɣi la, èwɔa vodada ne èle wò atikewo nom. Ema ate ŋu adzɔ.

Nu geɖe nono wu alesi nèhiã gbesiagbe (Acute-on-chronic Toxicity) .

Esia ate ŋu adzɔ ne zi geɖe la, ènoa lithium gbesiagbe, gake gbeɖeka ènoa atike bubu, alo ne tsi vɔ le wò ŋutilã me gbeɖeka. Le kpɔɖeŋu me, ne mèno tsi nyuie o ŋkeke eve alo etɔ̃, alo ne èɖea aɖuɖɔ geɖe eye tsi bu le wò ŋutilã me.

Aɖi si nɔa anyi didi

Esia dzɔna elabena ne èno lithium gbesiagbe la, lithium ƒe agbɔsɔsɔ si le wò ŋutilã me dzina ɖe edzi vivivi eye wòdzina ɖe edzi le ɣeyiɣi aɖe megbe. Esia ate ŋu adzɔ bɔbɔe. Nu geɖe, abe tsikuɖiɖi, ayiku ƒe lãmesẽ, kple atike bubu siwo nèno ene, ate ŋu akpɔ ŋusẽ ɖe alesi wò ŋutilã wɔa nu ɖe ​​lithium ŋui dzi.

Nukae nye lithium ƒe aɖi ƒe agbɔsɔsɔme?

Ðɔktawo tsɔa ʋudodokpɔ léa ŋku ɖe wò lithium ƒe agbɔsɔsɔ ŋu. Wò ɖɔkta akpɔ agbɔsɔsɔ si sɔ na wò. Le goawo katã me la, woma lithium ƒe aɖi ƒe agbɔsɔsɔme ale:

• Aɖi fafɛ : 1.5 va ɖo 2.5 mmol/L.
• Aɖi si sɔ gbɔ: 2.5 va ɖo 3.5 mmol/L.
• Aɖi sesẽ: Ekɔ wu 3.5 mmol/L.

Mehiã be nàbu tame fũu akpa le unit sia si woyɔna be millimoles (`mmol/L`) ŋu o, enye nusi le vevie na ɖɔktawo. Nusi le vevie na wò enye be nànya dzesiawo.

Nukae nye lithium ƒe aɖi ƒe dzesiwo?

Dzesi siawo ate ŋu ato vovo le aɖi si ƒomevi wòxɔ kple alesi wòsẽe nu.

Aɖi si nu sẽ kple esi nɔa anyi didi ƒe dzesiwo

Le ɣeyiɣi siawo tɔgbe me la, nu gbãtɔ si vaa susu me na ame enye dɔgbo ƒe kuxiwo (Gastrointestinal - GI problems). Ema fia be:

• Aɖuɖɔtoe kple ʋuʋudedi .
• Aɖuɖɔtoe (ʋuʋudedi).
• Dɔgbo ƒe vevesese .
• Sese le ɖokuiwò me be yeƒe dɔgbo yɔ.

Zi geɖe la, dzesi siawo dzea egɔme dzena le gaƒoƒo ɖeka me ne wozã lithium fũu akpa.

Vevietɔ: Ne èkpɔ dzesi siawo la, ele vevie ŋutɔ be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo enumake.

Ne aɖia le titina va ɖo esi nu sẽ la, dzesi siwo do ƒome kple lãmekawo ate ŋu akplɔ dɔgboa ƒe dɔmawɔmawɔ nyuie ɖo. Esiawo dometɔ aɖewoe nye:

• Tɔtrɔ siwo vaa susu ƒe nɔnɔme me: Ate ŋu atso tɔtɔ vie dzi va ɖo tagbɔdɔ sesẽ dzi.
• Ʋuʋu si dzi womate ŋu aɖu o (Tremors).
• Dadasɔ kple nuwɔwɔ aduadu ƒe bu ne èle zɔzɔm alo le tsitrenu (`Ataxia`).
• Lãmetsiwo ƒe ʋuʋu (`Myoclonus`).
• Nuƒoƒo ƒe ʋuʋu (`Dysarthria`).
• Hyperreflexia (nuwɔwɔ fũu akpa).
• Ŋkuwo ƒe ʋuʋu si dzi womeɖu o (Nystagmus).
• Le nɔnɔme sesẽwo me la, asrã dzina ɖe edzi (Hyperthermia).
• Le nɔnɔme sesẽwo me la, alɔ̃madɔmadɔ .
• Le nɔnɔme sesẽwo me la, ame ƒe susu ƒe dɔwɔwɔ (`Coma`).

Ne èle lithium nom eye nèkpɔ dzesi siawo dometɔ aɖe la, ele be nàkpɔ ɖɔkta enumake.

Lithium ƒe Aɖi si Nɔa Anyi Didi ƒe Dzesiwo

Ne woɖu lithium ɣeyiɣi didi aɖe la, ate ŋu agblẽ nu le ayikuwo ŋu zi geɖe. Esia ate ŋu ahe ayikudɔ vovovowo vɛ, eye wo dometɔ ɖesiaɖe kple eƒe dzesiwo. Nɔnɔme siwo ate ŋu ado mo ɖa dometɔ aɖewoe nye esi:

Suklidɔ si Naa Aɖuɖɔtoewo Gbɔna

Esia nye ne wò ayikuwo mete ŋu da sɔ nyuie le tsi siwo le wò ŋutilã me o. Womete ŋu wɔa nu nyuie ɖe lãmetsi si tsia tsinyegoe me (ADH) ŋu o. Dzesiawo dometɔ aɖewoe nye:

• Tsikuɖiɖi: Nu me ƒuƒu, ɖeɖiteameŋu, kple taɖuame.
• Tsikɔwuame si gbɔ eme ƒe seselelãme (` Polydipsia` ).
• Aɖuɖɔ geɖe dodo (`Polyuria`).

Nephritis si me sodium mesɔ gbɔ ɖo o

Le esia me la, nusiwo gblẽ le ayikuwo ŋu nana elektrikŋusẽ ƒe dadasɔ le ŋutilãa me. Dzesiawo dometɔ aɖewoe nye:

• Ŋutilã la le tɔtrɔm hele gbɔdzɔgbɔdzɔm.
• Tɔtrɔ siwo vaa susu ƒe nɔnɔme me.
• Ɖeɖi te eŋu.
• Tsikɔwuame si gbɔ eme.
• Aɖuɖɔtoe si gbɔ eme (`Polyuria`).

Nephrotic Syndrome ƒe Dɔléle

Le nɔnɔme sia me la, wò ayikuwo ɖea protein geɖe doa goe le wò aɖuɖɔ me (`Proteinuria`). Dɔléle dzesi:

• Lãmetsiŋusẽ ƒe dzidziɖedzi (Hyperlipidemia).
• Afɔwo kple afɔkpodziwo ƒe vuvu (`Edema`).
• Nuɖuɖua mevivina o.
• Dɔgbo ƒe vevesese.
• Aɖuɖɔa le fu ɖem.

Dɔlékuiwutikewo ƒe kuxiwo ate ŋu ado mo ɖa hã le lithium ƒe aɖi si le ame ŋu le ɣeyiɣi didi aɖe me ta. Kpɔɖeŋuwo:

• Lãmetsiŋusẽ ƒe dɔwɔwɔ dzi ɖe kpɔtɔ (`Hypothyroidism`).
• Lãmetsiŋusẽ ƒe dɔwɔwɔ ƒe dzidziɖedzi (`Hyperthyroidism`).
• Parathyroid glands ƒe dɔwɔwɔ dzi ɖe edzi (`Hyperparathyroidism`).

Ne èkpɔ dzesi siawo dometɔ aɖe esime nèle lithium nom la, ƒo nu kple ɖɔkta kaba ale si nàte ŋui.

Ƒomedodo si le lithium kple serotonin ƒe dɔlélea dome

Lithium ate ŋu ahe nɔnɔme aɖe si woyɔna be serotonin syndrome vɛ. Afɔku sia lolo ŋutɔ vevietɔ ne èle atike bubu siwo gblẽa nu le serotonin ƒe agbɔsɔsɔ ŋu zãm. Esia ate ŋu ade ame ƒe agbe afɔku me hã. Serotonin ƒe dɔléle ƒe dzesiwo (tso esiwo mesẽ o dzi va ɖo esiwo nu sẽ dzi):

• Dzimaɖitsitsi.
• Aɖuɖɔtoe kple ʋuʋudedi.
• Dɔmetɔtrɔ.
• Ŋkuawo ƒe ŋkumeɖobolowo va lolona ɖe edzi.
• Ʋuʋudedi.
• Dzimaɖitsitsi, dzimaɖitsitsi.
• Lãgbalẽgolowo tutu kple wo ƒoƒo.
• Fifia kple ʋuʋudedi.
• Tɔtɔ, susu ƒe dɔmawɔmawɔ nyuie (Delirium).
• Dzi ƒe tsotso.
• Ʋusɔgbɔdɔ.

Ne dzesi siawo le ŋuwò la, di atikewɔlawo ƒe aɖaŋuɖoɖo enumake!

Nukawoe hea aɖi si lithium vɛ?

Susu vevi etɔ̃ tae wòle alea ɖo:

• Lithium nono fũ akpa: Lithium-tikewo nono fũ akpa, eɖanye eɖoɖo koŋ alo le vo me o, ate ŋu ahe aɖi si nu sẽ alo esi nu sẽ ŋutɔ vɛ. Esia ate ŋu adzɔ hã ne ɖɔkta dzi wò atike ƒe agbɔsɔsɔme ɖe edzi akpa, gake esia mebɔ kura o.
• Tsikuɖiɖi alo tsi ƒe tɔtrɔ: Esiae nye nusi gbɔ wòtsona wu. Ne sodium (dze) kple tsi bu le ŋutilãa me la, ayikuawo gaxɔa lithium ake. Esia nana lithium ƒe agbɔsɔsɔ si le ʋua me dzina ɖe edzi. Nusiwo ate ŋu atsoe dometɔ aɖewoe nye:
• Ne èle ʋu ɖum.
• Ne aɖuɖɔtoetetedɔ dzɔ.
• Ne asrã dze dziwò.
• Ayiku ƒe dɔmawɔmawɔ nyuie.
• Ne èle atike siwo nana ame naɖe aɖuɖɔ, abe aɖuɖɔtoemetikewo ene, zãm.
• Ne èle kame dem wògbɔ eme.
• Fifia fũu akpa (Hyperhidrosis).
• Abe alesi ko ne mèno tsi o ene.
• Ne èle nuɖuɖu si me dze mesɔ gbɔ ɖo o ɖum.
• Dzi ƒe nɔnɔmewo (`dzi ƒe dɔmawɔmawɔ nyuie`).
• Le fufɔfɔ alo vidzidzi me.
• Thyroid gland ƒe tɔtrɔ (`Hyperthyroidism`).
• Nya siwo ku ɖe lithium ƒe dodo ŋu: Ɣeaɖewoɣi la, ŋutilã mete ŋu ɖea lithium ɖa nyuie o. Esia ate ŋu atso susu siwo míeyɔ ɖe etame hã gbɔ.

Amekawoe le afɔku gã aɖe me be lithium ƒe aɖi nate wo ŋu?

Ame siwo gbɔna la le afɔku gã aɖe me be woaxɔ lithium ƒe aɖi si nɔa anyi didi:

• Ame siwo xɔ wu ƒe 50.
• Ame siwo ŋu lãkusidɔ le.
• Ame siwo ƒe ayikuwo mewɔa dɔ nyuie o.
• Ame siwo ŋu suklidɔ le.

Ne èzã lithium ɣeyiɣi didi aɖe hã la, afɔku le eme be nàxɔ suklidɔ si me dɔlékui mele o si tsoa aɖuɖɔ me, si tso lithium gbɔ. Esia ate ŋu ana lithium nazu aɖi. Ne dɔléle siawo dometɔ aɖe va dze dziwò esime nèle lithium nom la, ƒo nu kple wò ɖɔkta.

Aleke ɖɔktawo wɔa anya aɖi si lithium le?

Be woanya alesi tututu esia nu sẽe la, nyatakaka sia le vevie ŋutɔ na ɖɔktawo:

• Lithium agbɔsɔsɔme nenie nèno?
• Ɣekaɣie nèxɔe?
• Gake ɖe nèno atike bubu aɖewo alo nu bubu aɖewo le ɣeyiɣi ɖeka mea?
• Ðe woɖoe koŋ wɔ esia loo alo vodadae?

Be ɖɔktawo naɖo kpe lithium ƒe aɖi dzi la, wowɔa dodokpɔ geɖe. Wo dometɔ aɖewoe nye:

• Ʋudodokpɔ be nàlé ŋku ɖe lithium ƒe agbɔsɔsɔ si le wò ʋu me ŋu.
• Ʋudodokpɔ siwo léa ŋku ɖe elektrikŋusẽ (abe sodium kple calcium ene) ƒe agbɔsɔsɔ si le wò ʋu me ŋu.
• Ʋudodokpɔ siwo léa ŋku ɖe lãmetsi si doa ŋusẽ lãkusi (TSH) ƒe agbɔsɔsɔ ŋu.
• Aɖuɖɔtoe me dzodzro.
• Ayiku ƒe dɔwɔwɔ dodokpɔ (abe urea kple creatinine ƒe agbɔsɔsɔ le ʋu me ene).
• Ahɔhɔ̃ ƒe nɔnɔmetatawo dodokpɔ (ƒã hafi wowɔa esia).

Ðɔktawo alé ŋku ɖe wò lãmesẽ hã ŋu hena nusiwo le abe:

• Wò dzi kple `EKG` (electrocardiogram).
• Agbɔsɔsɔme si nèɖena (aɖuɖɔ si dona).
• Wò oxygen ƒe agbɔsɔsɔ - wodzidzenɛ zi geɖe kple `pulse oximeter` (`pulse ox`).

Aleke wowɔa atike na lithium ƒe aɖi?

Atikewɔwɔ na lithium aɖi si nu sẽ kple esi nu sẽ le ɣeyiɣi didi me la toa vovo le alesi wòsẽe kple alesi nèɖoa xɔ si me wowɔa dɔ kpata le kabakabae nu. Taɖodzinu vevitɔwoe nye be nàɖe lithium si le wò ŋutilã me ɖa eye nàɖu wò dzesiwo dzi. Atikewɔwɔ ate ŋu anye:

• Dɔgbo me tsilele.
• Tsidede dɔgbo bliboa: Esia bia be woana tsi tɔxɛ aɖe to nu me alo to mɔ̃ aɖe si wotsɔ to ŋɔti me de dɔgboa me. Esia ɖea lithium siwo katã le dɔgboa me ɖa.
• Activated charcoal: Wona esia ne èno atike alo nu bubuwo kpɔ.
• Ʋumenugbagbeviɣidɔ: Esiae nye mɔ vevitɔ si dzi woato aɖe lithium ɖa le ayiku me.
• Saline (`IV tsiwo`) nana.
• Atike vovovowo daa dɔlélea ƒe dzesiwo.

Zi geɖe la, woawɔ atike na wò le xɔ si me wowɔa dɔ kpata le me. Ne aɖia nu sẽ la, ahiã be woawɔ atike na wò le dɔnɔdzikpɔƒe si wokpɔa dɔnɔwo gbɔ le vevie (ICU).

Atikewɔwɔ na Lithium ƒe Aɖi si Nɔa Anyi Didi

Zi geɖe la, lithium ƒe aɖi si nɔa ame ŋu ɣeyiɣi didi la gblẽa nu le ayiku ŋu. Atikewɔwɔ nɔ te ɖe ayiku ƒe kuxi ƒomevi dzi. Ðewohĩ ahiã be woawɔ ʋumenugbagbeviɣidɔ.

Mɔnukpɔkpɔ kawoe li be woahaya le nɔnɔme sia me? (Nyagblɔɖi) .

Lithium ƒe aɖi ƒe hayahaya nɔ te ɖe aɖi si ƒomevi wòxɔ, alesi wòsẽe, kple alesi nèdi atikewɔƒe kabae dzi. Zi geɖe la, kuxi siwo nɔa anyi didi menɔa amesiwo mexɔa ahɔhɔ̃mekawo ƒe dzesiwo tso lithium ƒe aɖi sesẽ gbɔ o. Gake ne ahɔhɔ̃mekawo ƒe dɔléle ƒe dzesi sesẽwo dze le ŋuwò la, ate ŋu anɔ anyi ɖaa. Esia tae atikewɔwɔ kaba le vevie ŋutɔ ɖo. Le nɔnɔme sesẽwo me la, lithium ƒe aɖi ate ŋu ana ame natsi alɔ̃ me, ahɔhɔ̃a nagblẽ, alo aku gɔ̃ hã. Ate ŋu asesẽ be woakpɔ lithium ƒe aɖi si nɔa anyi didi elabena dzesiawo ate ŋu adze le ɣeyiɣi aɖe megbe. Heheɖemegbe sia ate ŋu ahe ayiku kple lãmekawo ƒe kuxiwo vɛ ɣeyiɣi didi.

Aleke woawɔ axe mɔ ɖe lithium ƒe aɖi nu?

Afɔɖeɖe siawo dzi wɔwɔ ate ŋu akpe ɖe ŋuwò nàxe mɔ ɖe lithium ƒe aɖi sesẽ nu:

• No wò atikewo abe alesi wogblɔe ene pɛpɛpɛ: No lithium (kple atike bubuwo) agbɔsɔsɔme si wò ɖɔkta ŋlɔ na wò ko. Ŋlɔ ŋkɔ ɖe wò atikekuiwo dzi, alo ŋlɔ ɣeyiɣi siwo nènoe ɖi. Esia ate ŋu akpe ɖe ŋuwò nàƒo asa na atike eve nono le vo me.
• Na wò lithium-tikea nanɔ dedie: Na wòanɔ afisi ɖeviwo kple ame bubuwo mate ŋu akpɔe o.
• Tsi nɔ tsi me:No tsi geɖe. Tsikuɖiɖi ate ŋu ana lithium nazu aɖi. Gblɔe na wò ɖɔkta ne èkpɔ aɖuɖɔtoe, aɖuɖɔtoe, alo asrã.
• Gblɔ atike siwo katã nèzãna ƒe xexlẽdzesi na wò ɖɔkta ɣesiaɣi: Hafi nàdze atike yeye zazã gɔme la, gblɔ na wò ɖɔkta be yele lithium (kple atike bubu ɖesiaɖe) zãm. Atike aɖewo ate ŋu akpɔ ŋusẽ ɖe alesi wò ŋutilã wɔa nu ɖe ​​lithium ŋui dzi.
• Gblɔe na wò ɖɔkta ne tɔtrɔ yeye alo tɔtrɔ kpata aɖe va wò lãmesẽ me: le kpɔɖeŋu me, fufɔfɔ kple lãmetsiŋusẽ (endocrine) ƒe tɔtrɔ.

Ne ameɖokuiwuwu ƒe susu le ŋuwò, alo nèle tame bum be yeano lithium fũu akpa la, taflatse yi kɔdzi ƒe dɔwɔƒe si te ɖe ŋuwò kpata, alo ƒo nu kple ame aɖe si dzi nèka ɖo. Le Sri Lanka la, àte ŋu axɔ kpekpeɖeŋu tso habɔbɔwo abe Sumithrayo (telefon xexlẽdzesi 0112692909 alo 0112682535) hã gbɔ.

Ne èle lithium nom ɣeyiɣi didi aɖe la, anɔ eme be wò ɖɔkta aɖo aɖaŋu be nàdo ʋu kple aɖuɖɔ kpɔ edziedzi be wòalé ŋku ɖe wò lãmesẽ ŋu. Dodokpɔ siawo ate ŋu akpe ɖe ame ŋu woade dzesi lithium ƒe aɖi si nɔa anyi didi kaba. Esiawoe nye dodokpɔawo kple mɔfiamewo:

• Woléa ŋku ɖe lithium ƒe agbɔsɔsɔ si le ʋua me ŋu le ŋkeke etɔ̃ va ɖo atɔ̃ me le lithium gɔmedzedze alo eƒe agbɔsɔsɔme tɔtrɔ megbe.
• Le amesiwo noa atike ɣeyiɣi didi gome la , woléa ŋku ɖe lithium ƒe agbɔsɔsɔ si le ʋu me ŋu ɣleti etɔ̃ va ɖo ade ɖesiaɖe.
• Woléa ŋku ɖe elektrikŋusẽ, urea, kple creatinine ƒe agbɔsɔsɔ ŋu ɣleti etɔ̃ va ɖo ade ɖesiaɖe.
• Woléa ŋku ɖe calcium kple thyroid stimulating hormone (TSH) ƒe agbɔsɔsɔ ŋu ɣleti ade va ɖo wuieve ɖesiaɖe.

Mlɔeba la, nu siwo dzi wòle be woaɖo ŋkui

Lithium nye atike si ŋu ŋusẽ le ŋutɔ eye wòwɔa dɔ nyuie, gake ebia beléle geɖe wu ne ele ezãm. Lithium ƒe aɖi nye kuxi si ate ŋu ade ame ƒe agbe afɔku me si ate ŋu ado tso atikeawo nono fũ alo tsi geɖe ƒe bu ne wole atikeawo nom me. Ƒo nu kple wò ɖɔkta tso mɔ siwo dzi nàto axe mɔ ɖe lithium ƒe aɖi nu kple dzesi siwo ŋu wòle be nàlé ŋku ɖo ŋu. Ðɔktawo li be yewoakpe ɖe ŋuwò ahanɔ lãmesẽ me. Eya ta, mègavɔ̃ be yeabia ne nya aɖe alo nya aɖe le asiwò o. Ðo ŋku edzi be nu vevitɔ kekeakee nye be nàno wò atikeawo abe alesi tututu wò ɖɔkta gblɔe ene, le ɣeyiɣi nyuitɔwo dzi. Azɔ hã, mègaŋlɔ tsi geɖe nono be o.