Ke manaʻo nei ʻoe i kekahi manawa he pilikia kou i ka kaohi ʻana i kou mau manaʻo? I kekahi manawa ʻaʻole hiki iā ʻoe ke hoʻopaʻa i kou manaʻo ma kahi hoʻokahi? I kēlā mau manawa, hiki i ke kauka ke kuhikuhi i kahi lāʻau lapaʻau i kapa ʻia ʻo 'Lithium' nou, ʻoiai inā he maʻi kou e like me 'Bipolar Disorder'. No laila i kēia lā, e kamaʻilio iki kākou e pili ana i kēia lāʻau lapaʻau, e like me ke kamaʻilio ʻana me kahi hoaaloha.
He aha ke ʻano lāʻau lapaʻau ʻo Lithium?
I ka ʻōlelo maʻalahi,
he lāʻau lapaʻau ka lithium e kōkua i ke kaulike ʻana i kou ʻano, kou ʻano, a me kou mau manaʻo. Hiki mai nā loli o ke ʻano ke hoʻololi kekahi mau kemika i loko o ko kākou lolo i kā lākou hana. Hana ka Lithium ma ka hoʻoponopono ʻana i kēia mau kemika a me ke kōkua ʻana e hoʻomālielie i kou noʻonoʻo. Hoʻomaʻamaʻa pinepine nā kauka iā ia no ka poʻe me ka maʻi bipolar. Eia nō naʻe, hiki ke hoʻohana ʻia no nā kūlana ʻē aʻe. Hiki i kāu kauka a kauka lāʻau lapaʻau paha ke haʻi hou aku iā ʻoe e pili ana i ia mea.
He aha nā mea e pono iaʻu e haʻi aku i ke kauka ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau?
He mea nui loa kēia. Ma mua o kou hoʻomaka ʻana e lawe i ka lithium, aia kekahi mau
mea āu e haʻi aku ai i kāu kauka. ʻAʻole no nā kānaka āpau kēia lāʻau. Inā loaʻa iā ʻoe kekahi o kēia mau maʻi, e haʻi aku i kāu kauka:
- Aia kekahi maʻi ʻeha e kū nei i kēia manawa?
- Ke pilikia nei ʻoe i ka hanu ʻana ?
- Aia kekahi maʻi puʻuwai i kapa ʻia ʻo 'Brugada Syndrome' ? (He maʻi kēia e hoʻopilikia ai i ka puʻuwai)
- Ua maloʻo anei ʻoe , ma muli paha o ka maʻi pākī a i ʻole ka hou nui ?
- Ke hahai nei ʻoe i kahi papaʻai haʻahaʻa i ka paʻakai ?
- He maʻi puʻuwai kou?
- Ua kiʻekiʻe anei ka nui o ka calcium i loko o ke koko ?
- Ua loaʻa anei iā ʻoe kahi puʻuwai puʻuwai kūpono ʻole ?
- He maʻi puʻupaʻa kou?
- Ua haʻahaʻa anei kou pae potassium a sodium paha i loko o ke koko?
- ʻO ka ʻōpū parathyroid (Loaʻa iā ʻoe ka maʻi parathyroid?
- Ke pilikia nei ʻoe i ka mimi ʻana ?
- Loaʻa iā ʻoe ka maʻi thyroid ?
- Ua loaʻa paha iā ʻoe kahi hopena maʻi ʻē aʻe i ka lithium, nā lāʻau lapaʻau ʻē aʻe, nā meaʻai, nā kala, a i ʻole nā mea mālama?
- Ua hāpai ʻoe? A i ʻole ke manaʻolana nei ʻoe e hāpai?
- He makuahine hānai waiū ʻoe?
He mea nui loa no kou palekana e haʻi aku i ke kauka e pili ana i kēia mau mea.
Pehea e hoʻohana pono ai i ka lithium?
ʻAe, e nānā kākou pehea e lawe ai i kēia lāʻau lapaʻau.
- Pono e lawe waha ʻia kēia lāʻau lapaʻau me ka wai .
- E ho'āʻo e lawe i kāu lāʻau lapaʻau i ka manawa like i kēlā me kēia lā , e like me ke kuhikuhi ʻana ma ka lepili lāʻau. Ma kēlā ala, e hana pono ka lāʻau lapaʻau.
- Hiki iā ʻoe ke lawe i kēia me ka meaʻai a me ka ʻole . Eia nō naʻe, inā ʻeha iki kou ʻōpū, ʻoi aku ka maikaʻi o ka lawe ʻana me ka meaʻai.
- Pono ʻoe e hoʻomau i ka lawe ʻana i ka lāʻau a hiki i ka wā e ʻōlelo ai ke kauka iā ʻoe e hoʻōki. ʻOi aku ka maikaʻi o ka hoʻōki koke ʻole ʻana, e like me kou makemake.
He mea nui: Ke hāʻawi ka hale kūʻai lāʻau lapaʻau iā ʻoe i kēia lāʻau lapaʻau, hāʻawi pū ia iā ʻoe i kahi pepa kuhikuhi kūikawā ('MedGuide') . Mai poina e heluhelu pono i kēia pepa kuhikuhi i kēlā me kēia manawa āu e loaʻa ai ka lāʻau lapaʻau, a i kēlā me kēia manawa āu e loaʻa ai kahi hoʻopihapiha. Loaʻa iā ia ka nui o nā ʻike koʻikoʻi nāu.
Pono anei e hāʻawi ʻia kēia lāʻau lapaʻau i nā keiki? Hiki ke hāʻawi ʻia kēia lāʻau lapaʻau i kekahi manawa i nā keiki a hiki i 7 mau makahiki, i nā kūlana kūikawā. Eia nō naʻe, pono e mālama ʻia nā hana palekana kūikawā. No laila, inā ʻoe e hāʻawi ana i kēia lāʻau lapaʻau i kāu keiki, e kamaʻilio pono me kāu kauka e pili ana i ia mea a e ʻike i nā kikoʻī.
He aha kāu e hana ai inā lawe ʻoe i ka nui o ka lāʻau lapaʻau? (Overdosage)
Inā hana ʻia kēlā, ʻo ia hoʻi,
inā manaʻo ʻoe ua lawe ʻoe i ka lāʻau lapaʻau ma mua o kou manaʻo, e hele koke i ka lumi pilikia o ka haukapila kokoke loa , a i ʻole e kelepona i kahi kikowaena kaohi lāʻau make. ʻAʻole kēia he mea e pāʻani wale ʻia.
Nou wale nō kēia lāʻau lapaʻau! Mai hāʻawi i ka lāʻau lapaʻau a kāu kauka i hāʻawi ai iā ʻoe i nā poʻe ʻē aʻe, ʻoiai inā loaʻa iā lākou nā hōʻailona like me ʻoe.
He aha kāu e hana ai inā e poina ʻoe i kahi lāʻau?
Inā poina iā ʻoe ke lawe i kāu lāʻau lapaʻau,
e lawe i ka lāʻau i ka wā e hoʻomanaʻo ai ʻoe . Eia nō naʻe, inā kokoke ka manawa no kāu lāʻau aʻe i kou hoʻomanaʻo ʻana, e kāpae i ka lāʻau i hala ʻole a
lawe i ka lāʻau aʻe i ka manawa i hoʻonohonoho ʻia .
Mai lawe pālua a keu paha . ʻO ka hana ʻana pēlā e hoʻonui ai i ka pilikia o nā hopena ʻaoʻao.
He aha nā mea ʻē aʻe e hiki ke launa pū me kēia lāʻau lapaʻau?
He mea kēia e makaʻala nui ai. He
lāʻau lapaʻau ka Lithium e hiki ke launa pū me nā lāʻau lapaʻau ʻē aʻe, nā mea kanu, a me nā huaora . ʻO ke ʻano kēia, i ka wā e lawe pū ʻia ai, hiki ke loli nā hopena o ka Lithium a i ʻole e hoʻonui ʻia nā hopena ʻaoʻao.
Mai lawe pū i ka Lithium me kēia mau lāʻau lapaʻau:- ʻO Cisapride
- ʻO Dronedarone
- Pimozide
- ʻO Thioridazine
Hiki i ka Lithium ke launa pū me nā lāʻau lapaʻau e hiki mai ana, no laila e hoʻomaopopo pono i kāu kauka inā ʻoe e lawe ana i kekahi o kēia mau mea:- Kafeina (loaʻa i loko o ke kofe, ke kī, ke kokoleka, a me kekahi mau mea inu palupalu)
- ʻO Carbamazepine
- ʻO kekahi mau lāʻau lapaʻau no ke kaumaha, ka hopohopo, a i ʻole nā maʻi noʻonoʻo ʻē aʻe
- ʻO kekahi mau lāʻau lapaʻau i lawe ʻia no ke koko kiʻekiʻe
- ʻO kekahi mau lāʻau lapaʻau i hoʻohana ʻia no ka migraines (e.g., almotriptan, eletriptan, sumatriptan)
- Diuretics (nā lāʻau lapaʻau e wehe i ka wai a me ka paʻakai mai ke kino)
- ʻO Fentanyl
- Linezolid
- Nā lāʻau lapaʻau i loko o ka hui o nā lāʻau i kapa ʻia ʻo 'MAOIs' (Monoamine Oxidase Inhibitors) (e.g. Carbex, Eldepryl)
- Nā lāʻau hoʻomaha ʻiʻo i hāʻawi ʻia ma mua o ke ʻoki ʻana
- Methyldopa
- Metronidazole
- 'NSAIDs' (Nonsteroidal Anti-Inflammatory Drugs) - nā lāʻau lapaʻau no ka ʻeha a me ka pehu (e.g. ibuprofen, naproxen)
- Nā lāʻau lapaʻau ʻē aʻe e hoʻopilikia ai i ke ʻano o ka puʻuwai (e like me dofetilide)
- ʻO Phenytoin
- Potasiuma iodide
- Nā mea hoʻopaʻa SGLT2 - kekahi mau lāʻau lapaʻau i hoʻohana ʻia e mālama i ka maʻi diabetes (e.g. canagliflozin, dapagliflozin)
- Sodium bicarbonate
- Sodium chloride (paʻakai maʻamau)
- ʻO St. John's Wort (he lau nahele kēia)
- ʻO ka Theophylline
- Tramadol
- ʻO ka Tryptophan
- ʻUrea
ʻAʻole paha i piha kēia papa inoa. No laila,
e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe ai, me nā lāʻau lapaʻau lāʻau, nā lāʻau lapaʻau ʻaʻole i kauoha ʻia, a me nā mea hoʻohui meaʻai. Eia kekahi, e haʻi i kāu kauka inā ʻoe e puhipaka, inu waiʻona, a hoʻohana paha i nā lāʻau lapaʻau kū ʻole i ke kānāwai . Hiki i kekahi mau mea ke launa pū me kāu mau lāʻau lapaʻau.
He aha nā mea ʻē aʻe e pono iaʻu e makaʻala i ka wā e lawe ai i kēia lāʻau?
Pono ʻoe e akahele iki i ka wā e lawe ai i ka lithium.
- E ʻike pinepine i kāu kauka: E noi aku kāu kauka iā ʻoe e hele pinepine mai e nānā i kou kūlana a e ʻike inā e hana pono ana ka lāʻau. E hōʻoia e hele i kēlā mau manawa. Hiki ke hala kekahi mau pule no ka hopena o ka lāʻau.
- E makaʻala e pili ana i ka paʻakai (sodium): He mea nui loa kēia. ʻO ka nui o ka paʻakai i loko o kou kino e pili pololei ana i ka pono o ka lithium. Eia kekahi, hiki i kēia lāʻau lapaʻau ke hoʻonui i ka nui o ka paʻakai i hoʻokuʻu ʻia mai ke kino. No laila, e ʻai i ka meaʻai me ka paʻakai e like me ka maʻamau . Mai lawe i nā pani paʻakai. Inā ʻoe e hoʻololi nui ana i kāu ʻai, a inā ʻoe e lawe ana i nā lāʻau lapaʻau i loaʻa ka nui o ka sodium, e like me ka sodium bicarbonate, e noi i kāu kauka no ka ʻōlelo aʻo.
- E inu i ka nui o ka wai: E ho'āʻo e inu ma ka liʻiliʻi he 8-12 mau kīʻaha wai i ka lā i ka wā e lawe ana i kēia lāʻau. He manaʻo maikaʻi e hōʻemi i kāu lawe ʻana i nā mea inu caffeine e like me ke kofe, ke kī, a me ka cola. Inā loaʻa iā ʻoe ka maʻi diarrhea a i ʻole e hou nui ana, pono ʻoe e inu hou aku i ka wai. E kōkua kēia iā ʻoe e pale aku i nā hopena ʻawaʻawa o kēia lāʻau.
- E makaʻala ʻaʻole e wela nui: E makaʻala ʻaʻole e wela nui i ka wā e hoʻoikaika kino ai, i loko o ka sauna, e ʻauʻau ana i ka wela, a i ʻole i nā lā wela loa ma waho. Inā loaʻa iā ʻoe ke kuni kiʻekiʻe a i ʻole ka ʻeha mau o ka ʻōpū, e haʻi i kāu kauka.
- Kaulike a me ka makaʻala: Hiki i kēia lāʻau lapaʻau ke hoʻopilikia i kou hoʻonohonoho ʻana, ka manawa pane, a me ka noʻonoʻo . No laila, mai hoʻokele, hana ma nā kiʻekiʻe, a hoʻohana paha i nā mīkini a hiki i kou ʻike ʻana i ke ʻano o ka hopena o kēia lāʻau lapaʻau iā ʻoe. No ka hōʻemi ʻana i ka poniuniu, e kū mālie i ke ala ʻana mai kahi noho a i ʻole mai kahi moe. ʻO ka inu ʻana i ka waiʻona me kēia lāʻau lapaʻau e hoʻonui paha i kēia mau hopena ʻaoʻao.
He aha nā hopena ʻaoʻao e hiki iaʻu ke loaʻa mai kēia lāʻau lapaʻau?
E like me nā lāʻau lapaʻau āpau, hiki i ka lithium ke hana i kekahi mau hopena ʻaoʻao. He koʻikoʻi kekahi, ʻaʻole koʻikoʻi kekahi.
Inā loaʻa iā ʻoe kekahi o nā hopena ʻaoʻao ma lalo nei, e haʻi koke i kāu kauka:- Nā hopena maʻi: ʻŌhūhū ʻili, maneʻo, hives, pehu o ka maka, lehelehe, alelo, a i ʻole ka puʻu.
- Nā loli o ke ʻano o ka puʻuwai: Puʻuwai wikiwiki a ʻano ʻole paha, poniuniu, poʻo māmā, ʻeha o ka umauma, paʻakikī ke hanu.
- Hoʻonui ʻia ke kaomi a puni ka lolo: ʻEha poʻo nui, ʻike maka pohihihi, loli ka ʻike, nausea, luaʻi.
- Hoʻonui ʻia ka make wai a me ka nui o ka mimi.
- Nā hōʻailona o ka maʻi Serotonin:Hopohopo, huikau, puʻuwai wikiwiki a ʻano ʻole paha, ʻoʻoleʻa o nā ʻiʻo, ʻoniʻoni ʻana o nā ʻiʻo, hou nui, kuni nui, hopu ʻana, anuanu, luaʻi, kahe koko. (He kūlana weliweli kēia.)
- ʻAkika Lithium: He mea weliweli loa kēia. ʻO nā hōʻailona e komo pū ana me: ka maʻi pākī, ka luaʻi ʻana, ka haʻalulu, ka nalowale o ke kaulike a i ʻole ka hoʻonohonoho ʻana, ka neʻe ʻana o nā maka hiki ʻole ke kāohi ʻia, ke kani ʻana o nā pepeiao, ka nāwaliwali o nā ʻiʻo, ka ʻūlū ʻana o nā ʻiʻo, ka ʻōlelo ʻana me ka ʻole o ka ʻike, a me ka huikau.
ʻAʻole koʻikoʻi nā hopena ʻaoʻao ma lalo nei. Eia nō naʻe, inā hoʻomau a hoʻopilikia paha lākou iā ʻoe, e haʻi i kāu kauka:- Pōʻino
- Luhi
- Ka luaʻi
- Nā haʻalulu a i ʻole ka haʻalulu
ʻAʻole i helu ʻia nā hopena ʻaoʻao a pau ma ʻaneʻi. Inā ʻike ʻoe i kekahi mea ʻē aʻe ma waho aʻe o kēia mau mea, e kamaʻilio me kāu kauka e pili ana i ia mea.
Ma hea kahi e mālama ai i kaʻu lāʻau lapaʻau?
- E mālama iā ia ma kahi kiʻekiʻe loa i hiki ʻole i nā keiki ke loaʻa .
- E mālama i ka mahana o ka lumi (ma waena o 15 a me 30 kekelē Celsius, ʻo ia hoʻi ma waena o 59 a me 86 kekelē Fahrenheit).
- E hoʻolei pono i nā lāʻau lapaʻau i pau ka lā.
ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai (Leka Lawe-Home)
ʻAe, ua kamaʻilio nui mākou e pili ana i ka lithium, ʻeā? Inā pono ʻoe e hoʻohana i kēia lāʻau lapaʻau, he mea nui loa ia e hoʻomanaʻo i kēia mau mea.
- E hoʻohana i ka lāʻau lapaʻau e like me ka ʻōlelo a kāu kauka. E lawe i ka manawa kūpono, ma ka nui i kuhikuhi ʻia. Mai hoʻōki a hoʻololi paha i ka nui ma kāu manaʻo ponoʻī.
- E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe, nā mea kanu, a me nā huaora āu e lawe ai.
- E inu i ka wai he nui. Ma ka liʻiliʻi he 8-12 mau aniani wai i ka lā.
- E makaʻala i ka paʻakai (sodium). E hoʻohui i ka paʻakai i kāu meaʻai e like me ka mea maʻamau.
- Inā loaʻa iā ʻoe kekahi mau hopena ʻaoʻao hou a i ʻole inā e ʻoi aku ka ʻino o kahi hopena ʻaoʻao ma mua, e haʻi koke i kāu kauka. ʻOi loa aku inā loaʻa iā ʻoe nā hōʻailona o ka lithium toxicity a i ʻole serotonin syndrome.
- E ʻike i kāu kauka i ka manawa kūpono a e hana i nā hoʻokolohua koko. He mea nui loa kēia e nānā inā maʻamau kāu mau pae lithium.
- ʻO kēia lāʻau lapaʻau wale nō ke kōkua iā ʻoe e ʻoluʻolu . Eia nō naʻe, he mea nui loa hoʻi e hahai i nā ʻano olakino noʻonoʻo maikaʻi (hiamoe maikaʻi, ʻai kaulike, hoʻoikaika kino, nā ala e hōʻemi ai i ke kaumaha).
E hoʻomanaʻo, ʻaʻole ʻoe hoʻokahi. Aia nā kauka, ʻohana, a me nā hoaaloha e hiki ke kōkua iā ʻoe. Mai makaʻu e kamaʻilio me lākou.
Manaʻolana wau he kōkua kēia ʻike iā ʻoe. Makemake wau iā ʻoe e ho'ōla koke!
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