We yu dɔktɔ tɛl yu ɔ pɔsin we de nia yu fɔ bigin tek litiɔm, i nɔmal fɔ mek yu fred smɔl ɛn want fɔ no mɔ. Ɛspɛshali we i kam pan mɛrɛsin we de mek wi fil fayn, bɔku tɛm wi kin gɛt bɔku kwɛstyɔn dɛn. Bɔt di bɛst we fɔ gɛt wɛlbɔdi na fɔ no ɔltin bɔt dis mɛrɛsin. So tide, lɛ wi tɔk smɔl bɔt litiɔm, wetin i de du, ɛn wetin yu nid fɔ tek tɛm we yu de yuz am.
Us kayn mɛrɛsin na Litiɔm?
Fɔ tɔk am simpul wan, litiɔm na mɛrɛsin we dɛn kin yuz fɔ mɛn sik dɛn lɛk bipolar disorder . Sɔm kemikal dɛn we de na di bren (we dɛn kɔl nyurotransmitta) kin ɛp fɔ kɔntrol di we aw wi de fil, di we aw wi de biev, ɛn di tin dɛn we wi de tink bɔt. Litiɔm de wok bay we i de balans di wok we dɛn kemikal ya de du.
Pan ɔl we dɛn kin yuz am mɔ fɔ bipola muud disɔda, sɔntɛnde yu dɔktɔ kin gi am fɔ ɔda sik dɛn. So if yu gɛt ɛni kwɛstyɔn bɔt dis, aks yu dɔktɔ.
De tin wae impɔtant pas ɔl fɔ tɛl yu dɔktɔ bifo yu bigin fɔ tek mɛrɛsin
Bifo yu bigin fɔ tek lithium, i impɔtant fɔ tɛl yu dɔktɔ if yu gɛt ɛni wan pan dɛn tin ya. Dis rili impɔtant fɔ mek yu sef.
| Situeshɔn we kin apin to yu | Tɔk bɔt |
|---|---|
| Sik dɛn we de na di bɔdi | At sik, kidni sik, tayroyd sik, paratayroyd sik, Brugada Syndrome, prɔblɛm fɔ blo, infɛkshɔn we de naw. |
| Sɔl ɛn wata we de na di bɔdi | If yu dɔn lɔs wata na yu bɔdi bikɔs ɔf di tin dɛn we de mek yu nɔ gɛt wata ɔ yu de swet pasmak (we yu nɔ gɛt wata na yu bɔdi), if di potashɔm ɔ sɔdiɔm na yu blɔd nɔ bɔku, ɔ if di kalsiɔm we de na yu blɔd bɔku. |
| Lɛ yu bɔdi kam dɔŋ | If yu de pan it we nɔ gɛt bɔku sɔl. |
| Bεlε εn we i de gi pikin in bεlε | If yu gɛt bɛlɛ, yu de tray fɔ gɛt bɛlɛ, ɔ yu de gi pikin in bɛlɛ. |
| Alɛji dɛn we pɔsin kin gɛt | If yu gɛt alɛji fɔ litiɔm ɔ ɛni ɔda mɛrɛsin, it, ɔ day. |
Aw a fɔ yuz dis mɛrɛsin?
Dis mɛrɛsin kin kam as sɔlv ɛn yu fɔ tek am wit yu mɔt. I rili impɔtant fɔ tek am ɛvride, di rayt tɛm, lɛk aw yu dɔktɔ tɛl yu fɔ tek am .
Fɔ no di kayn mɛrɛsin, yuz spɛshal tin fɔ mɛzhɔ (sirinj we dɛn kin yuz fɔ it, spun, ɔ drɔp) we dɛn mek fɔ dis. Nɔ mɛzhɔ wit ɔdinari ti spɔnj dɛn we yu kin yuz na os , bikɔs dɛn nɔ kin ebul fɔ mɛzhɔ di rayt we. Dis kin mek di doz kin chenj.
If yu gɛt bɛlɛ at, tek dis mɛrɛsin wit it. Di tin we impɔtant pas ɔl na dat, nɔ ɛva stɔp fɔ tek dis mɛrɛsin pas yu dɔktɔ tɛl yu fɔ tek am.
Ɔvados: If yu gɛt ɛnitin fɔ tink se yu dɔn tek dis mɛrɛsin tumɔs, kɔl di Nashɔnal Pɔyzin Infɔmeshɔn Sɛnta wantɛm wantɛm na di Kɔlɔmbɔ Nashɔnal Ospital , ɔ go na di Imejɛnsi Dipatmɛnt (ETU) na di ɔspitul we de nia yu. Trit dis lɛk se na imejensi.
Mɛmba bak se na fɔ yu nɔmɔ dɛn gi dis mɛrɛsin. Nɔ ɛva sheb am wit ɛni ɔda pɔsin.
Wetin a go du if a mis wan doz fɔ mɛrɛsin?
If yu fɔgɛt fɔ tek wan doz, tek am jɔs lɛk aw 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 dɛbul ɔ ɛkstra dos.
Ɔda mɛrɛsin dɛn we kin miks wit litiɔm
Lithium na wan mɛrɛsin wae kin intarakt wit ɔda mɛrɛsin dɛm, so i impɔtant fɔ tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛm wae yu de tek.
Nɔ ɛva tek litiɔm wit dɛn mɛrɛsin ya:
- Cisapride we dɛn kɔl Cisapride
- Dronedarone we gɛt di sik
- Pimozayd we dɛn kɔl Pimozide
- Tioridazin we dɛn kɔl Tioridazin
Dɛn mɛrɛsin ya kin wok bak wit litiɔm:
Dis list nɔ kɔmplit, bɔt if yu de tek ɛni wan pan dɛn mɛrɛsin ya, tɛl yu dɔktɔ .
- Tin dɛn we gɛt kafinɛ
- Mɛrɛsin dɛn lɛk Carbamazepine
- Ɔda mɛrɛsin fɔ sik lɛk pwɛl hat ɛn wɔri
- Sɔm mɛrɛsin fɔ ay blɔd prɛshɔn
- Maygren mεdikeshכn dεm (e.g. Sumatriptan) .
- Diuretics - mεdisin dεm we de pul wata na di bכdi
- NSAID mɛrɛsin dɛn we de mek pɔsin fil pen (e.g. Ibuprofen, Naproxen) .
- Mɛrɛsin dɛn we dɛn kin gi fɔ rilaks di mɔsul dɛn we dɛn de du ɔpreshɔn
- Herbal prodak dɛm lɛk Sɛnt Jɔn Wɔt
So, gi yu dɔktɔ wan kɔmplit diskripshɔn nɔto jɔs ɔl di mɛrɛsin dɛn, vaytamɛn dɛn, ɛn ɛbul prɔdak dɛn we yu de tek, bɔt bak if yu de smok, drink rɔm, ɔ yuz ɔda drɔgs .
Tin dɛn we yu fɔ tek tɛm wit mɔ we yu de tek mɛrɛsin
- Fɔ chɛk yu dɔktɔ ɔltɛm: Si yu dɔktɔ ɔltɛm fɔ si if yu sik de go bifo. I kin tek sɔm wiks fɔ mek di ful ifɛkt we di mɛrɛsin gɛt fɔ sho.
- Sɔl ɛn wata: Dis na wetin pɔsin we de tek litiɔm nid fɔ tek tɛm mɔ bɔt.
- Di amount of salt (sodium) na yu bɔdi de afɛkt di effektiv we dis mɛrɛsin de wok ɛn di sayd ɛfɛkt we de apin. So, it it we gɛt sɔl lɛk aw yu kin it. Nɔ yuz tin dɛn we yu kin yuz fɔ mek sɔl.
- Drink bɔku wata. I bεst fɔ drink at le 8-12 glas wata wan de. Nɔ drink tin dɛn we gɛt kafinɛ lɛk kɔfi, ti, ɛn kola.
- If yu gɛt dayarɛa ɔ yu de swet bɔku (e.g., we yu de du ɛksɛsayz ɔ we di ples wam), drink ɛkstra wata. Dis go ridyus di risk fɔ gɛt lithium toxicity.
- Ɛksesaiz ɛn ɔt: Tek tɛm mek yu nɔ gɛt wata we yu de du ɛksɛsayz, we yu de yuz sawna, we yu de was ɔt, ɔ we di ples wam bad bad wan. Kɔl yu dɔktɔ if yu gɛt ay fiva ɔ yu gɛt dayarɛa we nɔ de dɔn.
- Drayv: Dis mɛrɛsin kin mek yu ed de tɔn, yu kin slip, ɔ i nɔ kin izi fɔ yu fɔ disayd fɔ du sɔntin. So , nɔ drayv ɔ yuz mashin te yu no gud gud wan aw dis mɛrɛsin de afɛkt yu.
Us sayd ɛfɛkt dɛn we a go gɛt?
Lɛk ɛni mɛrɛsin, litiɔm kin mek yu gɛt sayd ɛfɛkt. Sɔm siriɔs, sɔm kɔmɔn.
| Sayd ɛfɛkt/simptom | Tɔk bɔt |
|---|---|
| If yu gɛt dɛn sik ya, tɛl yu dɔktɔ wantɛm wantɛm. | |
| Litiɔm we gɛt pɔyzin | Siriɔs dayarɛa, vɔmit, shek shek, nɔ balans, yu yay nɔ de muv, yu yes de ring, yu mɔsul dɛn wik, yu nɔ de tɔk fayn, ɛn yu nɔ de mɛmba fayn. |
| Sɛrotonin sindrom we gɛt di sik | Agiteshɔn, kɔnfyushɔn, at bit kwik, mɔsul dɛn stiff, swet pasmak, ay fiva, kɔnvulshɔn, vɔmit, dayarɛa. |
| Alɛji we pɔsin kin gɛt | Skin rash, it, swel na di fes, lip, tong ɔ trot. |
| Ɔda siriɔs sayn dɛn | At nɔ de bit ɔltɛm, yu chɛst de pen, yu tɔsti pasmak ɛn yu de pis bɔku tɛm, yu ed de at bad bad wan, yu nɔ de si fayn. |
| If dɛn sayn ya de kɔntinyu ɔ yu de mɔna yu, tɛl yu dɔktɔ. | |
| Kɔmɔn sayd ɛfɛkt dɛn | Diziz, taya, nɔs, wan subtil trem na di an. |
Mɛsej we dɛn kin kɛr go na os
- Ɔltɛm tek di litiɔm di rayt doz ɛn di tɛm we yu dɔktɔ tɛl yu fɔ tek. Nɔ ɛva stɔp fɔ tek di mɛrɛsin ɔ chenj di doz if yu dɔktɔ nɔ advays yu.
- Tɛl yu dɔktɔ bɔt ɔl di ɔda mɛrɛsin dɛn, vaytamɛn dɛn, ɛn ɛbul prɔdak dɛn we yu de tek.
- Drink bɔku wata ɛvride, mɔ we di wɛda wam ɛn we yu de du ɛksɛsayz, we yu de it sɔl it lɛk aw yu kin it.
- If yu gɛt sɔm sayn dɛn we de sho se yu gɛt litiɔm pɔyzin, lɛk fɔ gɛt bad bad dayarɛa, vɔmit, kɔnfyushɔn, ɛn fɔ shek, go to dɔktɔ wantɛm wantɛm.
- Dis mɛrɛsin na fɔ yu nɔmɔ. Nɔ ɛva sheb am wit ɔda pipul dɛn.
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