Sɔntɛnde, yu kin fil lɛk se yu gɛt prɔblɛm fɔ kɔntrol wetin yu de tink? Sɔntɛnde, yu nɔ kin ebul fɔ kip yu maynd na wan ples? Na dɛn kayn tɛm ya, dɔktɔ kin gi yu wan mɛrɛsin we dɛn kɔl ‘Lithium’, mɔ if yu gɛt sik lɛk ‘Bipolar Disorder’. So tide, lɛ wi tɔk smɔl bɔt dis mɛrɛsin, jɔs lɛk aw wi de tɔk to wi padi.
Us kayn mɛrɛsin na Litiɔm?
Fɔ tɔk am simpul wan,
litiɔm na mɛrɛsin we de ɛp fɔ balans yu maynd, aw yu de biev, ɛn aw yu de tink. Di we aw wi de fil kin chenj we sɔm kemikal dɛn na wi bren chenj di we aw dɛn de wok. Lithium de wok bay we i de rigul dɛn kemikal ya ɛn ɛp fɔ mek yu maynd kol. Bɔku tɛm, dɔktɔ dɛn kin gi am to pipul dɛn we gɛt di sik we dɛn kɔl bipolar disorder. Bɔt dɛn kin yuz am bak fɔ ɔda sik dɛn. Yu dɔktɔ ɔ fama kin tɛl yu mɔ bɔt am.
Wetin na di tin dɛm we a nid fɔ tɛl di dɔktɔ bifo a bigin dis mɛrɛsin?
Dis rili impɔtant. Bifo yu bigin fɔ tek lithium, sɔm
tin dɛn de we yu fɔ rili tɛl yu dɔktɔ. Dis mɛrɛsin nɔto fɔ ɔlman. If yu gɛt ɛni wan pan dɛn sik ya, tɛl yu dɔktɔ:
- Ɛni aktif infɛkshɔn de naw?
- Yu gɛt prɔblɛm fɔ blo ?
- Yu tink se at sik de we dɛn kɔl ‘Brugada Syndrome’ ? (Dis na wan sik wae de afekt di hat bit)
- Yu nɔ gɛt wata na yu bɔdi , bikɔs yu gɛt dayarɛa ɔ yu de swet pasmak ?
- Yu de fala di it we nɔ gɛt bɔku sɔl ?
- Yu gɛt at sik ?
- Di kalsiɔm lɛvɛl na di blɔd ay ?
- Yu dɔn ɛva gɛt at bit we nɔ de bit ɔltɛm ?
- Yu gɛt sik na yu kidni ?
- Yu blɔd potashɔm ɔ sɔdiɔm lɛvɛl nɔ bɔku ?
- Paratayroyd gland ( .Yu gɛt paratayrɔyd sik?
- Yu gɛt prɔblɛm fɔ pis ?
- Yu gɛt tayroyd sik ?
- Yu dɔn ɛva gɛt wan ɔda kayn alɛji fɔ litiɔm, ɔda mɛrɛsin dɛn, it dɛn, day, ɔ tin dɛn we dɛn kin yuz fɔ mek di bɔdi nɔ pwɛl?
- Yu gɛt bɛlɛ? Ɔ yu de op fɔ gɛt bɛlɛ?
- Yu na mama we de gi pikin in bɛlɛ?
I rili impɔtant fɔ yu sef fɔ tɛl di dɔktɔ bɔt dɛn tin ya.
Aw fɔ yuz Lithium kɔrɛkt wan?
Okay, naw lɛ wi si aw ɛksaktɔli fɔ tek dis mɛrɛsin.
- Dis mɛrɛsin fɔ tek am wit wata .
- Tray fɔ tek yu mɛrɛsin di sem tɛm ɛvride , lɛk aw dɛn rayt am na di prɛskrishɔn lɛbl. Da we de, di mɛrɛsin go wok fayn fayn wan.
- Yu kin tek dis wit it ɔ atɔl it . Bɔt if yu fil se yu bɛlɛ at smɔl, i bɛtɛ fɔ tek am wit it.
- Yu fɔ kɔntinyu fɔ tek di mɛrɛsin te di dɔktɔ tɛl yu fɔ stɔp. I bɛtɛ fɔ lɛ yu nɔ stɔp am wantɛm wantɛm, as yu de fil am.
Impɔtant: We di famasi gi yu dis mɛrɛsin, i kin gi yu spɛshal instrɔkshɔn liflet bak (‘MedGuide’) . Nɔ fɔgɛt fɔ rid dis instrɔkshɔn liflet fayn fayn wan ɛvri tɛm we yu gɛt di mɛrɛsin, ɛn ɛvri tɛm we yu gɛt rifil. I gɛt bɔku impɔtant tin dɛn fɔ yu.
Yu tink se dɛn fɔ gi pikin dɛn dis mɛrɛsin? Sɔntɛnde dɛn kin gi dis mɛrɛsin to pikin dɛn we ol lɛk 7 ia, pan spɛshal tin dɛn. Bɔt dɛn fɔ fala spɛshal tin dɛn fɔ tek tɛm wit. So, if yu de gi yu pikin dis mɛrɛsin, tek tɛm tɔk to yu dɔktɔ bɔt am ɛn no di ditil dɛm.
Wetin fɔ du if yu tek bɔku mɛrɛsin? (Ovadosage) .
If dat apin, dat min se
if yu tink se yu dɔn tek mɔ mɛrɛsin pas aw yu bin tink, go na di ɔspitul imejensi rum we de nia yu wantɛm wantɛm , ɔ kɔl pɔyzin kɔntrol sɛnta. Dis nɔto sɔntin we wi fɔ tek tɛm tink bɔt.
Dis mɛrɛsin na fɔ yu nɔmɔ! Nɔ gi ɔda pipul dɛn di mɛrɛsin we yu dɔktɔ gi yu, ilɛksɛf dɛn gɛt di sem sayn dɛn we yu gɛt.
Wetin yu kin du if yu mis wan doz?
If yu fɔgɛt fɔ tek yu mɛrɛsin,
tek di doz jɔs lɛk aw yu mɛmba . Bɔt if i dɔn lɛf smɔl fɔ lɛ yu tek yu nɛks doz we yu mɛmba, skip di doz we yu mis ɛn
tek di nɛks doz di tɛm we yu dɔn sɛtul .
Nɔ ɛva tek dɛbul ɔ ɛkstra doz . We yu du dat, dat kin mek yu gɛt mɔ sayd ɛfɛkt.
Us ɔda tin dɛn kin miks wit dis mɛrɛsin?
Dis na sɔntin bak we wi fɔ rili tek tɛm wit. Litiɔm na
wan mɛrɛsin we kin miks wit ɔda mɛrɛsin dɛn, ɔyl dɛn, ɛn vaytamɛn dɛn . Dis min se we dɛn tek am togɛda, di ifɛkt dɛn we Lithium gɛt kin chenj ɔ di sayd ɛfɛkt dɛn kin bɔku.
Nɔ ɛva tek Lithium wit dɛn mɛrɛsin ya:- Cisapride we dɛn kɔl Cisapride
- Dronedarone we gɛt di sik
- Pimozayd we dɛn kɔl Pimozide
- Tioridazin we dɛn kɔl Tioridazin
Lithium kin intarakt bak wit dɛn mɛrɛsin ya, so mek shɔ se yu tɛl yu dɔktɔ if yu de tek ɛni wan pan dɛn mɛrɛsin ya:- Kafin (we de insay kɔfi, ti, chɔklɛt, ɛn sɔm sɔft drink dɛn) .
- Kabamazɛpin we dɛn kɔl
- Sɔm mɛrɛsin fɔ pwɛl hat, wɔri, ɔr ɔda kayn maynd sik
- Sɔm mɛrɛsin dɛn we dɛn kin tek fɔ mek pɔsin gɛt ay blɔd prɛshɔn
- Sɔm mɛrɛsin dɛn we dɛn kin yuz fɔ maygren (e.g., almotriptan, eletriptan, sumatriptan) .
- Diuretics (mɛrɛsin we de pul wata ɛn sɔl na di bɔdi) .
- Fɛntanyl we dɛn kɔl
- Linezolid we dɛn kɔl
- Mεdisin dεm we de insay di grup fכ dεm we dεn kכl ‘MAOIs’ (Monoamine Oxidase Inhibitors) (e.g. Carbex, Eldepryl) .
- Mɔsul rilaksant dɛn we dɛn kin gi bifo dɛn du di ɔpreshɔn
- Methyldopa we gɛt di sik
- Metronidazol we dɛn kɔl
- ‘NSAIDs’ (Nonsteroidal Anti-Inflammatory Drugs) - mɛrɛsin fɔ pen ɛn swel (e.g. ibuprofen, naproxen)
- כda mεdikeshכn dεm we de afekt di ritm fכ di at bit (e.g. dofetilide) .
- Fɛnitoin we dɛn kɔl
- Potashכm ayodayd
- SGLT2 inhibito dεm - sכm mεdikeshכn dεm we dεn kin yus fכ trit dayabεtis (e.g. canagliflozin, dapagliflozin)
- Sɔdiɔm baykabɔnɛt
- Sɔdiɔm klorayd (kɔmɔn sɔl) .
- St. John’s Wort (dis na wan ɔyl) .
- Tiofilin we dɛn kɔl
- Tramadol we dɛn kɔl
- Triptofan we de na di wɔl
- Yuria we dɛn kɔl
Sɔntɛm dis list nɔ go kɔmplit. So,
tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek, lɛk ɛbul mɛrɛsin dɛn, mɛrɛsin dɛn we yu nɔ de gi yu, ɛn tin dɛn we yu de it. Dɔn bak, tɛl yu dɔktɔ if yu de smok, drink rɔm, ɔ yuz drɔgs we nɔ rayt . Sɔm tin kin miks wit yu mɛrɛsin dɛm.
Us ɔda tin dɛn a fɔ no bɔt we a de tek dis mɛrɛsin?
Yu nid fɔ tek tɛm bak smɔl we yu de tek litiɔm.
- Si yu dɔktɔ ɔltɛm: Yu dɔktɔ go aks yu fɔ kam insay ɔltɛm fɔ chɛk yu sik ɛn fɔ si if di mɛrɛsin de wok fayn. Mek shɔ se yu go na dɛn tɛm dɛn de. I kin tek sɔm wiks fɔ mek di mɛrɛsin bigin fɔ wok.
- Tek tɛm wit sɔl (sɔdiɔm): Dis rili impɔtant. Di amount of salt na yu bodi de afekt di effektiv we lithium de du dairekt wan. Dɔn bak, dis mɛrɛsin kin mek di sɔl we de kɔmɔt na di bɔdi bɔku. So, it it wit sɔl lɛk aw yu kin it . Nɔ tek tin dɛn we yu kin yuz fɔ tek sɔl in ples. If yu de chenj yu it bɔku bɔku wan, ɔ if yu de tek mɛrɛsin dɛn we gɛt bɔku sɔdiɔm, lɛk sɔdiɔm baykabɔnɛt, aks yu dɔktɔ fɔ advays.
- Drink bɔku wata: Tray fɔ drink at le 8-12 glas wata wan de we yu de tek dis mɛrɛsin. I fayn fɔ mek yu nɔ it bɔku tin dɛn we gɛt kafinɛ lɛk kɔfi, ti, ɛn kola. If yu gɛt dayarɛa ɔ yu de swet bɔku, yu fɔ drink mɔ wata. Dis go ɛp yu fɔ avɔyd di pɔyzin we dis mɛrɛsin gɛt.
- Tek tɛm mek yu nɔ ɔt pasmak: Tek tɛm mek yu nɔ ɔt pasmak we yu de du ɛksɛsayz, we yu de na sawna, we yu de was ɔt, ɔ we yu de na do we di ples wam pasmak. If yu gɛt ay fiva ɔ yu bɛlɛ de pen ɔltɛm, tɛl yu dɔktɔ.
- Balans ɛn wach: Dis mɛrɛsin kin afɛkt aw yu de wok togɛda, aw yu de du tin, ɛn aw yu de jɔj . So, nɔ drayv, wok na ayt, ɔ yuz mashin te yu no aw dis mɛrɛsin de afɛkt yu. Fɔ mek yu nɔ gɛt bɔku diziz, tinap smɔl we yu de grap we yu sidɔm ɔ we yu de na bed. If yu drink rɔm wit dis mɛrɛsin, dat kin mek dɛn sayd ɛfɛkt ya bɔku.
Us sayd ɛfɛkt a kin gɛt frɔm dis mɛrɛsin?
Lɛk ɔl mɛrɛsin, litiɔm kin mek sɔm sayd ɛfɛkt dɛn. Sɔm siriɔs, sɔm nɔ so siriɔs.
If yu gɛt ɛni wan pan dɛn bad bad tin ya, tɛl yu dɔktɔ kwik kwik wan:- Alɛji: Skin de rɔsh, it, ayv, swel na yu fes, lip, tɔng, ɔ trot.
- At ritm de chenj: Hat de bit fast ɔr nɔr de bit ɔltɛm, diziz, layt ed, chɛst pen, i nɔ izi fɔ blo.
- Prɛshɔn we de go ɔp rawnd di bren: I de at bad bad wan, yu nɔ de si fayn, yu nɔ de si fayn, yu de nɔs, yu de vɔmit.
- Di tɔsti we de bɔku ɛn di bɔku bɔku urine.
- Di sayn dɛm fɔ Serotonin Sindrom:Wae yu de wɔri, kɔnfyus, yu at de bit fast ɔr nɔr de bit ɔltɛm, yu mɔsul dɛn de stif, yu mɔsul dɛn de twitch, yu de swet pasmak, yu gɛt ay fiva, yu de siz, yu de fil kol, yu de vɔmit, yu gɛt dayarɛa. (Dis na tin we de mek pɔsin denja.)
- Lithium toxicity: Dis bak kin rili denja. Di sayn dɛm na: dayarɛa, vɔmit, shek shek, nɔr de balans ɔr kɔdineshɔn, yu yay nɔr de kɔntrol, yu yes de ring, yu mɔsul dɛn wik, yu mɔsul dɛn de twitch, yu nɔ de tɔk fayn, ɛn yu nɔ de kɔnfyus.
Di sayd ɛfɛkt dɛm wae de dɔŋ ya nɔr kin siriɔs. Bɔt if dɛn kɔntinyu ɔ de mɔna yu, tɛl yu dɔktɔ se:- Diziz we pɔsin kin gɛt
- Taya
- Vɔmit
- Trem ɔ shek shek
Nɔto ɔl di sayd ɛfɛkt dɛn we dɛn rayt ya. If yu notis ɛnitin we nɔ kɔmɔn apat frɔm dɛn tin ya, tɔk to yu dɔktɔ bɔt am.
Usay a fɔ kip mi mɛrɛsin?
- Kip am na ay ples usay pikin dɛn nɔ go ebul fɔ rich .
- Stɔr am na rum tɛmpracha (bitwin 15 ɛn 30 digri sɛlshiɔs, we de bitwin 59 ɛn 86 digri F.
- Mek shɔ se yu trowe di mɛrɛsin dɛn we dɔn pas.
Fɔ dɔn, tin dɛn fɔ mɛmba (Take-Home Message) .
Okay, wi don tok plenti abaut lithium, no bi so? If yu fɔ yuz dis mɛrɛsin, i rili impɔtant fɔ mɛmba dɛn tin ya.
- Yuz di mɛrɛsin jɔs lɛk aw yu dɔktɔ tɛl yu. Tek am di rayt tɛm, insay di doz we dɛn tɛl yu fɔ tek. Nɔ stɔp ɔ chenj di doz bay yu yon sɛns.
- Tɛl yu dɔktɔ bɔt ɔl di ɔda mɛrɛsin dɛn, ɔyl dɛn, ɛn vaytamɛn dɛn we yu de tek.
- Drink bɔku wata. At least 8-12 glas wata wan de.
- Tek tɛm wit sɔl (sɔdiɔm). Ad sɔl to yu it lɛk aw yu kin ad.
- If yu gɛt ɛni nyu sayd ɛfɛkt ɔ if di sayd ɛfɛkt we yu bin dɔn gɛt trade de wɔs, tɛl yu dɔktɔ wantɛm wantɛm. Ɛspɛshali if yu gɛt sɔm sayn dɛm fɔ lithium toxicity ɔ serotonin syndrome.
- Si yu dɔktɔ di rayt tɛm ɛn mek dɛn du blɔd tɛst. Dis na impɔtant tin fɔ chɛk if yu litiɔm lɛvɛl nɔmal.
- Dis mɛrɛsin na jɔs fɔ ɛp yu fɔ fil fayn . Bɔt i rili impɔtant bak fɔ fala gud mental wɛlbɔdi abit (gud slip, balans it, ɛksesaiz, we fɔ ridyus strɛs).
Mɛmba se nɔto yu wangren de. Dɔktɔ dɛn, fambul dɛn, ɛn padi dɛn de we go ɛp yu. Nɔ fred fɔ tɔk to dɛn.
A op se dis infɔmeshɔn go ɛp yu. A de wish yu fɔ wɛl kwik kwik wan!
💬 Comments (0)
No kɔmɛnt nɔ de yet. Ad yu kɔmɛnt ya fɔ di fɔs tɛm.
Ad yu kɔmɛnt