Yu dɔktɔ dɔn gi yu ɔr pɔrsin wae de nia yu fɔ gɛt lithium fɔ bipola muud disɔda? If na so, i impɔtant fɔ mek yu no gud gud wan bɔt dis mɛrɛsin. Pan ɔl we na mɛrɛsin we rili yusful, na mɛrɛsin bak we yu nid fɔ tek tɛm gud gud wan we yu de yuz am. Lɛ wi tɔk bɔt dis simpul wan, di we we yu go ɔndastand.
Wetin na dis Litiɔm?
Fɔ tɔk am simpul wan, litiɔm na tin we de mek yu fil fayn . Pɔrsin wae gɛt dis maynia sik kin chenj kwik kwik wan pan aw pɔrsin de fil, aw i de biev, ɛn aw i de tink. Dat min se dɛn maynd go de chenj bitwin di tɛm dɛn we dɛn kin gladi pasmak (mania) ɛn di tɛm dɛn we dɛn kin fil bad bad wan ɛn wɔri (dipreshɔn).
Tink bɔt am, dɛn tin ya kin apin we sɔm kemikal dɛn (nyurotransmitta) we de wok na wi bren nɔ kin balans. So wetin lithium de du na fɔ balans di wok we dɛn kemikal ya de du ɛn ɛp fɔ mek yu maynd stebul. Dis kin kɔntrol da swing de kwik kwik wan bitwin gladi at pasmak ɛn pwɛl hat pasmak.
Tin dɛm fɔ tɛl yu dɔktɔ bifo yu bigin fɔ tek mɛrɛsin
I rili impɔtant fɔ gi yu dɔktɔ kɔmplit diskripshɔn bɔt yu wɛlbɔdi istri. Bikɔs litiɔm kin denja we dɛn yuz am wit sɔm mɛrɛsin dɛn. If yu gɛt ɛni wan pan dɛn tin ya, mek shɔ se yu tɛl yu dɔktɔ.
| Di kayn infɔmeshɔn we dɛn gɛt | Wetin yu nid fɔ tɛl |
|---|---|
| At sik ɛn aw blɔd de go ɔlsay | If yu gɛt at sik, yu gɛt histri bɔt aw yu at nɔ de rit ɔltɛm, ɔ yu gɛt wan sik lɛk Brugada Syndrome. |
| Kidni ɛn wata we de kɔmɔt na di bɔdi | Kidni sik, we yu nɔ gɛt wata na yu bɔdi (e.g. bikɔs yu gɛt dayarɛa ɔ yu de swet pasmak), it we nɔ gɛt bɔku sɔl, we potashɔm ɔ sɔdiɔm nɔ de na di blɔd. |
| Ɔda sik dɛn we pɔsin kin gɛt | Sik dɛm na di tayroyd ɔ paratayroyd gland dɛm, i nɔ kin izi fɔ blo, i nɔ kin izi fɔ pis, wan infɛkshɔn we dɔn de na di bɔdi, ɛn di kalsiɔm we de na di blɔd kin bɔku. |
| Pɔsin in yon kɔndishɔn ɛn alɛji | If yu gɛt bɛlɛ ɔ yu de tray fɔ gɛt bɛlɛ, if yu de gi pikin in bɛlɛ, if yu dɔn gɛt alɛji fɔ litiɔm ɔ ɛni ɔda mɛrɛsin, it, ɔ day. |
Aw ɛksaktɔli a kin yuz dis mɛrɛsin?
Di doz fɔ dis mɛrɛsin rili impɔtant. So, i impɔtant fɔ tek di mɔni we dɛn tɛl yu fɔ tek, jɔs lɛk aw di dɔktɔ tɛl yu.
- Swɛla di pil wit wan glas wata.
- Nɔ brok, krɔs, ɔ chew di tablɛt. Extended-Release min se di mɛrɛsin de kɔmɔt na di bɔdi smɔl smɔl, so yu fɔ swɛla di tablɛt ɔl.
- Tek di mɛrɛsin afta yu dɔn it ɔ wit snek fɔ mek yu bɛlɛ nɔ pwɛl.
- Tray fɔ tek di mɛrɛsin di sem tɛm ɛvride.
- Nɔ ɛva tek pas wetin yu dɔktɔ tɛl yu fɔ tek. If yu du dat, dat kin mek yu gɛt siriɔs sayd ɛfɛkt.
- Nɔ stɔp fɔ tek di mɛrɛsin if yu dɔktɔ nɔ advays yu.
Wetin a go du if a mis wan doz fɔ tek mɛrɛsin?
If yu mis wan doz, tek am jɔs afta yu mɛmba. Bɔt if i dɔn lɛf smɔl fɔ lɛ yu tek yu nɛks doz, skip di doz we yu mis ɛn tek yu nɛks doz di tɛm we yu dɔn sɛtul. Nɔ ɛva tek dabl doz.
Wetin a go du if a tek bɔku mɛrɛsin?
If yu tink se yu dɔn tek bɔku mɛrɛsin, go na di Imejɛnsi Dipatmɛnt (ETU) we de nia yu wantɛm wantɛm ɔ kɔl di Nashɔnal Pɔyzin Infɔmeshɔn Sɛnta na di Kɔlɔmbɔ Nashɔnal Ospital . Trit dis lɛk se na imejensi.
Dɛn dɔn gi yu dis mɛrɛsin fɔ yu nɔmɔ. Nɔ ɛva gi dis mɛrɛsin to ɔda pɔsin, ilɛksɛf dɛn gɛt di sem sayn lɛk yu.
Ɔda mɛrɛsin dɛn we kin miks wit litiɔm
Yu fɔ tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek, lɛk di mɛrɛsin dɛn we dɛn kin gi yu, di mɛrɛsin dɛn we yu kin bay na kɔt, tradishɔnal mɛrɛsin dɛn, vaytamɛn dɛn, ɛn ivin sɔpɔtmɛnt dɛn, bikɔs sɔm mɛrɛsin dɛn kin miks wit litiɔm.
Na mɔtalman, dɛn mɛrɛsin ya nɔ fɔ ɛva tek wit litiɔm:
- Cisapride we dɛn kɔl Cisapride
- Dronedarone we gɛt di sik
- Pimozayd we dɛn kɔl Pimozide
- Tioridazin we dɛn kɔl Tioridazin
Apat frɔm dat, litiɔm kin riak bak wit dɛn tin ya:
- Drink dɛn we gɛt kafin (kɔfi, ti, kola) .
- Pen kil ɛn anti-inflammatory drɔgs (NSAID) - ɛgz. Ibuprofen, Naproksen, we dɛn kɔl Naproxen
- Wata pils (Diuretics) .
- Sɔm mɛrɛsin fɔ ay blɔd prɛshɔn
- Sɔm mɛrɛsin fɔ sik lɛk pwɛl hat
- Mɛrɛsin dɛn we dɛn kin gi fɔ rilaks di mɔsul dɛn we dɛn de du ɔpreshɔn
- Antiepileptic drɔgs lɛk Carbamazepine ɛn Phenytoin
- Antibayɔtik dɛn lɛk Metronidazole
- Sɔm mɛrɛsin fɔ dayabitis - ɛgz. SGLT2 inhibito dεm
- Herbal prodak dɛm lɛk Sɛnt Jɔn Wɔt
Dis list nɔr kɔmplit, so i go fayn fɔ tɛl yu dɔktɔ bɔt ɔltin wae yu de tek.
Speshal tin dɛn we yu fɔ tink bɔt we yu de tek litiɔm
Sɔl ɛn Wata Balɛns
Dis na di impɔtant tin fɔ pe atɛnshɔn to we yu de tek lithium. Mɛmba se di bɔku sɔl (sɔdiɔm) ɛn wata we de na yu bɔdi na di tu men tin dɛn we de kɔntrol di lɛvɛl we di litiɔm de.
- It di it we gɛt smɔl sɔl. Nɔ it tin dɛn we nɔ gɛt bɔku sɔl wantɛm wantɛm we yu nɔ gɛt yu dɔktɔ in advays.
- Drink bɔku wata. If yu gɛt dayarɛa ɔ yu de swet bɔku (frɔm ɛksɛsayz, ɔt wɛda), yu nid fɔ drink ɛkstra wata. Dis na bikɔs we wata ɛn sɔl dɔn lɔs na di bɔdi, di litiɔm we de na di blɔd kin rili bɔku.
- Limit fɔ drink tin dɛn we gɛt kafinɛ. Tin dɛn lɛk kɔfi ɛn ti kin mek yu bɔdi lɔs mɔ wata.
Drayv ɛn ɔpreshɔn mashin dɛn
Dis mɛrɛsin kin mek yu fil lɛk yu ed, yu kin slip, ɛn i kin mek yu riakshɔn tɛm slo. So, nɔ drayv ɔ yuz ebi ebi mashin te yu no aw dis mɛrɛsin de afɛkt yu.
Dɛn kin chɛk yu dɔktɔ ɔltɛm
We yu de tek lithium, yu dɔktɔ go tɛl yu bɔku tɛm fɔ chɛk di lithium lɛvɛl na yu blɔd. Nɔ ɛva skip dɛn blɔd tɛst ya. Fɔ kip yu blɔd lithium lɛvɛl insay di tritmɛnt rɛnj na di impɔtant tin fɔ sef.
Wetin na di bad tin dɛn we kin apin to pɔsin?
Lɛk ɛni mɛrɛsin, litiɔm kin gɛt sayd ɛfɛkt. Sɔm siriɔs, sɔm kɔmɔn.
| Sayd ɛfɛkt we pɔsin kin gɛt | Tɔk bɔt |
|---|---|
| Siriɔs sayd ɛfɛkt dɛm we yu fɔ ripɔt to yu dɔktɔ wantɛm wantɛm | |
| Alɛji we pɔsin kin gɛt | Skin rash, it, swel na di fes, lip, tong ɔ trot. |
| Litiɔm we gɛt pɔyzin | Daya, vɔmit, shek shek, at fɔ waka, nɔ ebul fɔ kɔntrol di yay, yɛri nɔys na di yes, mɔsul dɛn wik, nɔ de tɔk fayn, kɔnfyushɔn. |
| Sɛrotonin sindrom we gɛt di sik | Kɔnfyushɔn, at bit kwik kwik wan, di mɔsul dɛn kin stif, yu kin swet pasmak, yu kin gɛt fiva, yu kin gɛt sik. |
| Ɔda siriɔs sayn dɛn | Chenj na di at rit (diziz, chɛst pen), tɔsti pasmak ɛn pis, bad bad ed pen wit di chenj we yu de si. |
| Sayd ɛfɛkt dɛn we nɔ kin nid fɔ go to dɔktɔ (bɔt dɛn fɔ ripɔt to dɔktɔ if dɛn kɔntinyu fɔ du am) . | |
| Diziz we pɔsin kin gɛt | Dis kin apin te di bɔdi yus to di mɛrɛsin. |
| Taya | Fɔ fil se yu taya smɔl. |
| Vɔmit | Dis kin ridyus if yu tek di mɛrɛsin wit it. |
| Di we aw pɔsin kin shek shek | Smɔl an kin shek. |
Mɛsej we dɛn kin kɛr go na os
- Litiɔm na mɛrɛsin we rili yusful, bɔt yu fɔ tek tɛm yuz am. Fɔ fala yu dɔktɔ in instrɔkshɔn dɛn gud gud wan.
- Tɛl yu dɔktɔ bɔt ɔl di ɔda mɛrɛsin dɛn, vaytamɛn dɛn, ɛn ɛbul prɔdak dɛn we yu de tek.
- Nɔ ɛva skip di blɔd tɛst we dɛn dɔn plan fɔ du. I impɔtant fɔ mek yu nɔ gɛt di litiɔm we de na yu blɔd.
- Kip di sɔl ɛn wata we de na yu bɔdi balans. Drink bɔku wata. Drink ekstra wata we yu de swet bɔku ɔ we yu gɛt dayarɛa.
- Yu fɔ no di sayn dɛm wae de sho se yu gɛt lithium toxicity (dayarɛa, vɔmit, shek shek, nɔr de tɔk fayn). Go to dɔktɔ wantɛm wantɛm if yu notis ɛni wan pan dɛn sayn ya.
- Nɔ chenj di doz ɔ stɔp di mɛrɛsin if yu dɔktɔ nɔ advays yu.
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