Nangmah emaw, i hmangaih tak emaw chuan bipolar disorder i neih chuan, chu natna nena nunpui harsatna chu i hre chiang hle. He dinhmun khirh tak, rilru natna a sang nghal a, a tlahniam nghal mai thin hi enkawl chu thil awlsam a ni lo. Lithium hi khawvela damdawi pek chhuah tam ber, hman lar ber leh zirchian hlawh ber pawl a ni. A hming hi i lo hre tawh mai thei. Chuvangin vawiinah hian lithium chungchang hi han sawi ila, kan thianpa nen kan inbia ang maiin.
Engvangin nge bipolar disorder tan lithium hi pek a nih? Engtin nge a thawh?
A awlsam zawngin sawi ila, lithium hi mood stabilizer a ni. Bipolar disorder-ah hian extreme lian pahnih a awm a. Pakhat chu manic period a ni a, chutah chuan i thawkrim hle a, i hlim hle a, chu chu mania an ti a ni. A dang chu lungngaihna hun a ni a, chutah chuan lungngaihna leh lungngaihna nasa tak i nei thin.
Lithium hian manic episodes nasat dan leh a tihziaawm ber a ni. Depressive episodes control leh venna kawngah pawh a pui bawk.
A pawimawh ber chu zirchianna atanga a lan dan chuan lithium hman hian mahni intihhlum hlauhawmna nasa takin a tihziaawm thei a ni. Hei hi bipolar disorder vei tan chuan thlamuanna nasa tak a ni .
He damdawi hian engtin nge hna a thawh tih chiang taka hriat ni lo mah se, doctor-te chuan lithium hian kan central nervous system , thluak leh ruhro (spinal cord) a nghawng niin an ngai. Tunah hian he damdawi hian kan rilru put hmang, ngaihtuahna leh nungchang thununtu thluaka nerve cell inzawmna tichak turin a pui niin an ngai.
Lithium hman huna fimkhur tur thil
Lithium hian hna a thawk nghal lo. Damdawi hian taksaah nghawng a neih theih nan kar engemaw zat a la ngai thei . Chuvangin dawhtheih a pawimawh.
He enkawlna chhung hian i doctor chuan thisen test mumal tak neih a ti mai thei. Hei hi a pawimawh a, a chhan chu lithium hian i kal leh thyroid hnathawh a nghawng thei a ni. Heng thisen test te hian i taksaah lithium i neih zat dik tak i nei em tih an enfiah bawk.
Engvangin nge he thisen level hi a pawimawh em em?
Ngaihtuah teh, lithium level chu a mamawh aia hniam a nih chuan ..., damdawi chuan hna a thawk tha lo thei a, a lan chhuah dan pawh a lo lang leh thei bawk. Tin, lithium level mamawh aia tam a san chuan taksa tan toxic a ni thei bawk. Hei hi dinhmun hlauhawm tak a ni. Chuvangin doctor chuan thisen chu a dose leh level dik tak a awm theih nan a enfiah fo thin.
Doctor pawhin hengte hi a hrilh ang che:
- Ni khatah tui emaw tui emaw glass 8-12 vel in thin ang che.
- Chaw eiah hian a hma ang bawkin chi telh bawk ang che.
Hei hi a pawimawh hle a, a chhan chu tui i in tam leh chi i ei tam hian i thisena lithium level a nghawng nghal vek a ni. Chuvangin nitin tui i in zat leh chi i ei zat chu a inang tlang vek tum ang che.
Lithium hian eng side effect nge a neih?
Lithium ei zawng zawng hian side effect tenau tak tak an nei thei lo nain, mi tam zawk chuan an nei ve tho. Mahse, lungngai suh, heng zinga a tam zawk hi chu minor an ni. Chung zinga a tam zawk chu i taksain damdawi a insiamrem avangin kar tlemte chhungin a reh vek ang.
A pawimawh ber: Eng chhan pawh nise i damdawi ei tur chu i duh angin thlak suh. Side effect a awm chuan a buaithlak hmel a nih chuan doctor nen inbiakna neihpui ngei ang che. A dose chu tlem a siamrem thei a, a solution dang pawh a rawn rawt thei bawk.
A hnuaia table-ah hian side effects awm fo thin thenkhat tarlan a ni.
| Side Effect a awm thei | A sawifiahna awlsam tak |
|---|---|
| Kut a nghing | Kut ah chuan a tingling deuh ang maiin a awm. I doctor zawt la, a dose chu i tihtlem thei maithei. |
| Tui tuihalna a pung | Tui in fo ang maia inhriatna. |
| Zun tam lutuk | A tlangpui aia tam zun chhuah a ngai. |
| Diarrhea emaw, luak chhuak emaw | Nausea emaw, luak chhuak emaw. |
| A taksa rihna a tipung | Mi thenkhat chuan hun engemaw chen damdawi an ei hnuah an thau chho thei a ni. |
| Hriatrengna leh ngaihtuahna tlakchhamna | Thil theihnghilh emaw, ngaihtuahna seng harsa emaw ang maia inhriatna. |
| Mutthilh leh taksa ruh chak lohna | Nunna nei lo leh muhil thei lo anga inhria. |
| Acne emaw sam tlakchham emaw | Mi thenkhat chuan hmai vun emaw, sam tlakchham emaw a pung tih an hmu mai thei. |
Engtikah nge Doctor i hmuh nghal tur?
A hnuaia symptoms te hi i neih chuan i thisenah lithium hlauhawm taka sang (lithium toxicity) chhinchhiahna a ni thei. Chuvang chuan Doctor hmuh emaw, damdawi in emergency department (ETU) pan nghal mai tur a ni.
- Diarrhea emaw luak chhuak reng reng
- Khawsik
- Kal laiin tlu, taksa thunun theih lohna
- Mutthilh lutuk, buaina
- Thusawi hrual (slurred) a ni
- Lung na tak tak
Point pawimawh dang leh risk awm thei te
- I damdawi lam chanchin: Damdawi dang (thinlung natna, kal natna, epilepsy) leh allergy i neih te chu i doctor hnenah hrilh rawh.
- Damdawi dang: Damdawi i ei zawng zawng, vitamin pawh i doctor hnenah hrilh rawh. A bik takin nonsteroidal anti-inflammatory drugs (NSAIDs) (e.g., ibuprofen, diclofenac) te hian lithium nena ei hian i thisenah lithium level a tisang thei a ni. Chuvangin doctor zawt hmasa lovin natna tidamtu damdawi engmah ei loh tur a ni.
- Naupai leh nau hnute pek: Lithium hi naupai lai, a bik takin first trimester-ah a nghawng thei a ni. Chuvangin naupai i tum emaw, naupai tawh emaw i nih chuan he thu hi i doctor nen inbia ngei ang che. Tin, nau hnute pek laiin ei a him em tih doctor nen pawh in sawiho hmasa tur a ni.
- Dose i miss a nih chuan: Dose i ei theihnghilh chuan i hriatreng veleh ei nghal rawh. Mahse i dose leh tur thleng darkar hnih aia rei lo a nih chuan missed dose kha skip la, i dose leh tur chu a hun ruatah ei rawh. Double dose ei ngai suh.
Lithium hi nun tidanglam thei damdawi a ni a, bipolar disorder enkawlna kawngah nasa takin a pui thei a ni. Mahse doctor-in a tih ang chiah khan hman tur a ni a, fimkhur takin hman tur a ni.
Take-Home Thuchah a ni
- Lithium hi damdawi tha tak a ni a, bipolar disorder-a mood swings awm thin te chu a control thei a ni.
- He enkawlna chhung hian lithium level leh kidney/thyroid function enfiah nan hun bituk chhunga thisen test neih a ngai a ni.
- Thisenah lithium level stable a awm theih nan nitin tui in tam leh chi pangngai ei hi a pawimawh hle.
- Doctor rawn hmasa lovin i lithium dose hi thlak ngai suh, titawp ngai suh. I doctor nen side effects chungchang sawipui rawh.
- Hriselna nasa tak, luak chhuak nasa, hriatna hloh, kal harsa tih ang chi a awm chuan damdawi lam pan nghal tur a ni a, hei hi rulhut (poisoning) chhinchhiahna a nih theih avangin.











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