Ua kuhikuhi anei kāu kauka i ka lithium nou a i ʻole kekahi mea kokoke iā ʻoe no ka maʻi bipolar? Inā pēlā, he mea nui e hoʻomaopopo piha ʻia e pili ana i kēia lāʻau lapaʻau. ʻOiai he lāʻau lapaʻau pono loa ia, he lāʻau lapaʻau nō hoʻi e pono ai ke akahele nui i ka wā e hoʻohana ai. E kamaʻilio maʻalahi kākou e pili ana i kēia, ma ke ʻano hiki iā ʻoe ke hoʻomaopopo.
He aha kēia Lithium?
I ka ʻōlelo maʻalahi, he mea hoʻopaʻa manaʻo ka lithium. Hiki i ke kanaka me ka maʻi bipolar ke ʻike i nā loli koke i ko lākou ʻano, ʻano, a me nā manaʻo. ʻO ia hoʻi, e neʻe ko lākou noʻonoʻo ma waena o nā wā o ka hauʻoli nui (mania) a me nā wā o ke kaumaha nui a me ka hopohopo (kaumaha).
E noʻonoʻo e pili ana i ia mea, hana ʻia kēia mau kūlana i ka wā e lilo ai ka hana o kekahi mau kemika (neurotransmitters) i loko o ko kākou lolo i mea kaulike ʻole. No laila, ʻo ka hana a ka lithium, ʻo ia ke kaulike i ka hana o kēia mau kemika a kōkua i ka mālama ʻana i kou ʻano i ke kūpaʻa. Hoʻomalu kēia i kēlā loli wikiwiki ma waena o ka hauʻoli nui a me ke kaumaha nui.
Nā mea e haʻi aku i kāu kauka ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau
He mea nui loa ia e hāʻawi i kāu kauka i kahi wehewehe piha o kou mōʻaukala olakino. No ka mea, hiki i ka lithium ke hoʻoweliweli i ka wā e hoʻohana ʻia ai me kekahi mau kūlana olakino. Inā loaʻa iā ʻoe kekahi o kēia mau mea, e hōʻoia e haʻi i kāu kauka.
| ʻAno ʻike | Nā mea e pono ai ʻoe e hōʻike |
|---|---|
| Maʻi puʻuwai a me ke kahe koko | Inā loaʻa iā ʻoe ka maʻi puʻuwai, kahi mōʻaukala o nā hewa o ka puʻuwai puʻuwai, a i ʻole kahi kūlana e like me Brugada Syndrome. |
| Nā puʻupaʻa a me nā wai o ke kino | Maʻi puʻupaʻa, maloʻo ka wai (e.g. ma muli o ka maʻi pākī a i ʻole ka hou nui ʻana), ka ʻai haʻahaʻa ka paʻakai, haʻahaʻa ka nui o ka potassium a i ʻole ka sodium i loko o ke koko. |
| Nā maʻi ʻē aʻe | Nā maʻi o ka thyroid a i ʻole nā gland parathyroid, nā pilikia hanu, ka paʻakikī o ka mimi, kahi maʻi i loko o ke kino, a me ka piʻi ʻana o ka nui o ka calcium i loko o ke koko. |
| Nā kūlana pilikino a me nā maʻi allergies | Inā hāpai ʻoe a i ʻole e hoʻāʻo ana e hāpai, inā ʻoe e hānai waiū ana, inā ua loaʻa iā ʻoe kahi hopena maʻi i ka lithium a i ʻole nā lāʻau lapaʻau ʻē aʻe, nā meaʻai, a i ʻole nā mea hoʻoluʻu. |
Pehea pololei kaʻu e hoʻohana ai i kēia lāʻau lapaʻau?
He mea nui loa ka nui o kēia lāʻau lapaʻau. No laila, he mea nui e lawe i ka nui i kuhikuhi ʻia, e like me ka mea a ke kauka e ʻōlelo ai iā ʻoe.
- E ale i ka pila me ke aniani wai.
- Mai uhaʻi, kuʻi, a nau paha i ka papa. ʻO ke ʻano o ka hoʻokuʻu lōʻihi ʻana, e hoʻokuʻu mālie ʻia ka lāʻau lapaʻau i loko o ke kino, no laila e ale ʻia ka papa holoʻokoʻa.
- E lawe i ka lāʻau lapaʻau ma hope o ka ʻai ʻana a i ʻole me kahi meaʻai māmā e pale aku ai i ka ʻeha o ka ʻōpū.
- E ho'āʻo e lawe i ka lāʻau lapaʻau i ka manawa like i kēlā me kēia lā.
- Mai lawe ʻoe ma mua o ka mea i kuhikuhi ʻia e kāu kauka. Hiki i ka hana ʻana pēlā ke hana i nā hopena ʻaoʻao koʻikoʻi.
- Mai ho'ōki i ka lawe ʻana i ka lāʻau me ka ʻole o ke aʻo ʻana a kāu kauka.
He aha inā e hala iaʻu kahi mahele o ka lāʻau lapaʻau?
Inā ʻoe e poina i kahi lāʻau lapaʻau, e lawe koke iā ia i kou hoʻomanaʻo ʻana. Eia nō naʻe, inā kokoke ka manawa no kāu lāʻau lapaʻau aʻe, e kāpae i ka lāʻau lapaʻau i poina a lawe i kāu lāʻau lapaʻau aʻe i ka manawa i hoʻonohonoho ʻia. Mai lawe pālua i ka lāʻau lapaʻau.
He aha inā lawe nui wau i ka lāʻau lapaʻau?
Inā manaʻo ʻoe ua lawe nui ʻoe i ka lāʻau lapaʻau, e hele koke i ka ʻOihana Pilikia kokoke loa (ETU) a i ʻole e kelepona i ke Kikowaena ʻIke ʻAi ʻona Lahui ma ka Halemai Lahui ʻo Colombo . E mālama i kēia me he pilikia lā.
Ua kuhikuhi ʻia kēia lāʻau lapaʻau nou wale nō. Mai hāʻawi i kēia lāʻau lapaʻau i kekahi, ʻoiai inā loaʻa iā lākou nā hōʻailona like me ʻoe.
Nā lāʻau lapaʻau ʻē aʻe e hiki ke launa pū me ka lithium
Pono ʻoe e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe ai, me nā lāʻau lapaʻau i kauoha ʻia, nā lāʻau lapaʻau ma luna o ke kūʻai aku, nā lāʻau lapaʻau kuʻuna, nā huaora, a me nā mea hoʻohui pū kekahi, no ka mea hiki i kekahi mau lāʻau lapaʻau ke launa pū me ka lithium.
ʻO ka mea nui, ʻaʻole pono e lawe pū ʻia nā lāʻau lapaʻau me ka lithium:
- ʻO Cisapride
- ʻO Dronedarone
- Pimozide
- ʻO Thioridazine
Eia kekahi, hiki i ka lithium ke hana me kēia mau mea:
- Nā mea inu me ka caffeine (kofe, tī, cola)
- Nā lāʻau hoʻopau ʻeha a me nā lāʻau anti-inflammatory (NSAID) - e.g. Ibuprofen, Naproxen
- Nā pila wai (Diuretics)
- ʻO kekahi mau lāʻau lapaʻau no ke koko kiʻekiʻe
- ʻO kekahi mau lāʻau lapaʻau no nā kūlana e like me ke kaumaha
- Nā lāʻau lapaʻau i hāʻawi ʻia e hoʻomaha i nā ʻiʻo i ka wā o ke ʻoki ʻana
- Nā lāʻau antiepileptic e like me Carbamazepine a me Phenytoin
- Nā lāʻau lapaʻau e like me Metronidazole
- ʻO kekahi mau lāʻau lapaʻau maʻi diabetes - e.g. nā mea hoʻopaʻa SGLT2
- Nā huahana lāʻau lapaʻau e like me ka St. John's Wort
ʻAʻole i piha kēia papa inoa, no laila ʻoi aku ka palekana o ka haʻi ʻana i kāu kauka e pili ana i nā mea āpau āu e lawe ai.
Nā Manaʻo Kūikawā i ka wā e lawe ai i ka lithium
Kaulike Paʻakai a me ka Wai
ʻO kēia ka mea nui e makaʻala ai i ka wā e lawe ai i ka lithium. E hoʻomanaʻo, ʻo ka nui o ka paʻakai (sodium) a me ka wai i loko o kou kino nā kumu nui ʻelua e kāohi ai i nā pae lithium.
- E ʻai i kahi papaʻai me ka nui o ka paʻakai. E pale i ka hele koke ʻana i kahi papaʻai haʻahaʻa paʻakai me ka ʻole o ke aʻo ʻana a kāu kauka.
- E inu i ka nui o ka wai. Inā loaʻa iā ʻoe ka maʻi pākīkī a i ʻole e hou nui ana (mai ka hoʻoikaika kino, ke aniau wela), pono ʻoe e inu i ka wai hou aku. ʻO kēia no ka mea ke nalowale ka wai a me ka paʻakai mai ke kino, hiki i nā pae lithium i loko o ke koko ke lilo i mea kiʻekiʻe loa.
- E hōʻemi i nā mea inu caffeine. ʻO nā mea e like me ke kofe a me ke kī ke kumu o ka nalowale ʻana o kou kino i ka wai.
Nā mīkini hoʻokele a me ka hoʻohana ʻana
Hiki i kēia lāʻau lapaʻau ke hoʻomālielie iā ʻoe, hiamoe, a lohi paha kou manawa pane. No laila, e pale i ka hoʻokele kaʻa a i ʻole ka hoʻohana ʻana i nā mīkini kaumaha a hiki i kou ʻike ʻana i ke ʻano o ka hopena o kēia lāʻau lapaʻau iā ʻoe.
Nā hoʻokolohua lapaʻau maʻamau
I ka wā e lawe ai i ka lithium, e haʻi pinepine kāu kauka iā ʻoe e nānā i kou pae lithium koko. Mai haʻalele i kēia mau hoʻāʻo koko. ʻO ka mālama ʻana i kou mau pae lithium koko i loko o ka pae therapeutic ka mea nui loa no ka palekana.
He aha nā hopena ʻaoʻao e hiki mai ana?
E like me nā lāʻau lapaʻau āpau, hiki i ka lithium ke loaʻa nā hopena ʻaoʻao. He koʻikoʻi kekahi, he mea maʻamau kekahi.
| Ka hopena ʻaoʻao | Wehewehena |
|---|---|
| Nā hopena ʻaoʻao koʻikoʻi e pono e hōʻike koke ʻia i kāu kauka | |
| Nā hopena alerika | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe, ke alelo a i ʻole ka puʻu. |
| ʻAkika Lithium | Ka maʻi kahe, ka luaʻi ʻana, ka haʻalulu ʻana, ka paʻakikī i ka hele wāwae ʻana, ka hiki ʻole ke kāohi i nā maka, ka lohe ʻana i nā walaʻau i loko o nā pepeiao, ka nāwaliwali o nā ʻiʻo, ka ʻōlelo ʻana me ka ʻole o ka leo, ka huikau. |
| ʻO ka maʻi Serotonin | Huikau, puʻuwai wikiwiki, ʻoʻoleʻa o nā ʻiʻo, hou nui, kuni, nā ʻūhā. |
| Nā hōʻailona koʻikoʻi ʻē aʻe | Nā loli i ka helu o ka puʻuwai (dizziness, ʻeha umauma), makewai nui a me ka mimi ʻana, nā ʻeha poʻo nui me nā loli i ka ʻike. |
| Nā hopena ʻaoʻao ʻaʻole pono ka mālama lapaʻau (akā pono e hōʻike i ke kauka inā hoʻomau lākou) | |
| Pōʻino | Hiki ke hana kēia a hiki i ka wā e maʻa ai ke kino i ka lāʻau lapaʻau. |
| Luhi | Manaʻo iki i ka luhi. |
| Ka luaʻi | Hiki ke hoʻēmi ʻia kēia ma ka lawe ʻana i ka lāʻau lapaʻau me ka meaʻai. |
| Nā haʻalulu | Hiki ke loaʻa nā haʻalulu liʻiliʻi o nā lima. |
Leka Lawe-Home
- He lāʻau lapaʻau pono loa ka Lithium, akā pono e hoʻohana ʻia me ke akahele nui. E hahai pono i nā ʻōlelo a kāu kauka.
- E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe, nā huaora, a me nā huahana lāʻau āu e lawe nei.
- Mai hōʻalo i nā hoʻokolohua koko i hoʻonohonoho ʻia. He mea nui e mālama i kou mau pae lithium koko i ka nānā.
- E mālama i ke kaulike o ka paʻakai a me ka wai o kou kino. E inu i ka wai he nui. E inu i ka wai keu ke hou nui ʻoe a i ʻole he maʻi kahe.
- E makaʻala i nā hōʻailona o ka ʻawahia o ka lithium (ka maʻi kahe, ka luaʻi ʻana, ka haʻalulu, ka ʻōlelo palahalaha). E ʻimi koke i ke kōkua lapaʻau inā ʻike ʻoe i kekahi o kēia mau hōʻailona.
- Mai hoʻololi i ka dosage a i ʻole e hoʻōki i ka lāʻau lapaʻau me ka ʻole o ke aʻo ʻana a kāu kauka.
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