A chang chuan i ngaihtuahna thunun harsa i ti em? A chang chuan hmun khatah i rilru i dah thei lo em ni? Chutiang hunah chuan doctor chuan ‘Lithium’ tih damdawi a pe thei che a, a bik takin ‘Bipolar Disorder’ ang chi natna i neih chuan. Chuvangin vawiinah hian he damdawi chungchang hi tlem han sawi ila, thianpa nena inbiakna ang maiin.
Lithium hi eng damdawi nge ni?
A awlsam zawngin,
lithium hi i rilru put hmang, i nungchang leh i ngaihtuahna inthlauhna siamtu damdawi a ni. Kan thluaka chemical thenkhatin an hnathawh a thlak danglam hian mood swing a awm thin. Lithium hian heng chemicals te hi a tidanglam a, i rilru a thlamuan theih nan a pui bawk. Doctor-te chuan bipolar disorder nei tan an pe fo thin. Mahse, condition dang atan pawh hman theih a ni. I doctor emaw pharmacist emaw chuan a chungchang hi a hrilh belh thei che a ni.
He damdawi hi ka ei tan hmaa doctor hnena ka hrilh tur te chu engte nge ni?
Hei hi a pawimawh hle. Lithium i ei tan hmain doctor hnenah
i hrilh ngei ngei tur thil tlemte a awm. He damdawi hi mi zawng zawng tan a ni lo. Heng zinga pakhat tal i neih chuan i doctor hnenah hetiang hian hrilh rawh:
- Tunah hian active infection a awm em?
- Thâwk lak harsa i ti em ?
- Lung natna ‘Brugada Syndrome’ an tih hi a awm em ? (Hei hi heartbeat tichhe thei condition a ni)
- I dehydrated em , chu chu riltam vang emaw , thawk hah lutuk vang emaw a ni em ?
- Chi tlem ei leh in i zawm em ?
- Lung natna i nei em ?
- Thisen a calcium level a sang em ?
- Thinlung thawk mumal lo i nei ngai em ?
- Kal natna i nei em ?
- I thisenah potassium emaw sodium emaw a hniam em ?
- Parathyroid gland ( .Parathyroid natna i nei em?
- Zun kawngah harsatna i nei em ?
- Thyroid natna i nei em ?
- Lithium, damdawi dang, ei tur, dye, a nih loh leh preservatives allergy danglam tak i nei tawh em?
- Naupai i ni em? A nih loh leh naupai i beisei em?
- Nu hnute pe thin i ni em?
I himna atan heng thilte hi Doctor hnena hrilh hi a pawimawh hle.
Lithium hi engtin nge dik taka hman theih ang?
Awle, tunah chuan he damdawi hi engtin chiah nge kan ei ang tih i en ang u.
- He damdawi hi tui nen ei tur a ni .
- Nitin i damdawi ei tur chu a rualin ei tum ang che , prescription label-a tarlan angin. Chutiang chuan damdawi chu a thawk tha ang.
- Hei hi ei tur nen emaw ei loh pawhin i ei thei . Amaherawhchu, i pum a na deuh a nih chuan chaw ei ruala ei a tha zawk.
- Doctor-in chawlhsan tura a tih hma loh chuan damdawi hi i ei chhunzawm tur a ni. I duh angin, rang taka tihtawp loh a tha ber.
Pawimawh: Damdawi dawrin he damdawi hi a pek che hian special instruction leaflet (‘MedGuide’) a pe bawk che a ni. Damdawi i dawn apiangin, leh refill i hmuh apiangin he instruction leaflet hi ngun takin chhiar thin ang che. I tan thu pawimawh tak tak a keng tel a ni.
He damdawi hi naupangte hnena pek tur em ni? He damdawi hi a chang chuan naupang kum 7 mi lek, dinhmun bik takah pek theih a ni. Amaherawhchu, fimkhurna bik zawm a ngai a ni. Chuvangin, he damdawi hi i fa hnenah i pe dawn a nih chuan i doctor nen uluk takin sawipui la, a chipchiar zawng zawng chu zawng chhuak rawh.
Damdawi i ei tam lutuk chuan engtin nge i tih ang? (A tam lutuk) .
Chutiang a nih chuan, chu chu
i ngaihtuah aia tam damdawi i ei tawh nia i ngaih chuan, damdawi in hnai ber emergency room-ah kal nghal rawh , a nih loh leh poison control center call rawh. Hei hi thil tenawm tak a ni lo.
He damdawi hi i tan chauh a ni! I doctor-in a pek che damdawi kha midang hnenah pe suh, nangmah ang bawka natna lanchhuahna nei pawh nise.
Dose i miss a nih chuan engtin nge i tih?
I damdawi ei i theihnghilh chuan
i hriatreng veleh a dose kha ei nghal rawh . Mahse, i hriatreng hunah i dose leh tur hun a lo thleng tawh a nih chuan, dose hloh chu skip la,
a hun ruatah dose dang ei rawh .
Dose double emaw extra emaw ei ngai suh . Chutianga tih chuan side effects a thlen theihna a tipung a ni.
He damdawi nen hian eng thil dang nge inzawm thei?
Hei pawh hi fimkhur hle tur a ni. Lithium hi
damdawi dang, thinghnah leh vitamin dangte nena inzawm thei damdawi a ni . Chumi awmzia chu Lithium hi a inzawm khawm chuan a nghawng a danglam thei a, a side effect pawh a pung thei tihna a ni.
Lithium hi a hnuaia damdawi te nen hian ei ngai suh:- Cisapride chuan a rawn ti a
- Dronedarone a ni
- Pimozide a ni
- Thioridazine a ni
Lithium hian a hnuaia damdawi te nen hian a inzawm thei bawk a, chuvangin heng damdawi te hi i ei a nih chuan doctor hnenah hrilh ngei ang che:- Caffeine (coffee, tea, chocolate, leh soft drink thenkhatah te hmuh tur a awm) .
- Carbamazepine a ni
- Depression, lungkhamna emaw, rilru natna dang emaw damdawi thenkhat
- Thisen sang damdawi ei thin thenkhat
- Migraine natna atana hman damdawi thenkhat (e.g., almotriptan, eletriptan, sumatriptan) .
- Diuretics (taksa atanga tui leh chi paih chhuaktu damdawi) .
- Fentanyl a ni
- Linezolid a ni
- ‘MAOIs’ (Monoamine Oxidase Inhibitors) (e.g. Carbex, Eldepryl) an tih damdawi pawla damdawi awmte chu .
- Surgery hmaa muscle relaxant pek thin
- Methyldopa hmanga siam a ni
- Metronidazole a ni
- ‘NSAIDs’ (Nonsteroidal Anti-Inflammatory Drugs) - natna leh vun natna damdawi (e.g. ibuprofen, naproxen) .
- Thinlung thawk rhythm tichhe thei damdawi dang (e.g. dofetilide) .
- Phenytoin a ni
- Potassium iodide hmanga siam a ni
- SGLT2 inhibitors - zunthlum enkawlna atana hman damdawi thenkhat (e.g. canagliflozin, dapagliflozin) .
- Sodium bicarbonate hmanga siam a ni
- Sodium chloride ( chi hman tlanglawn tak) .
- St. John’s Wort (hei hi thinghnah a ni) .
- Theophylline a ni
- Tramadol a ni
- Tryptophan a ni
- Urea a ni
He list hi a kim lo mai thei. Chuvangin,
i doctor hnenah damdawi i ei zawng zawng, herbal remedies, non-prescription drugs, leh dietary supplement te pawh hrilh la. Tin, zu i in emaw, zu i in emaw, ruihhlo i hman emaw chuan i doctor hnenah hrilh bawk ang che . Thil thenkhat chu i damdawi nen a inzawm thei.
He damdawi hi ka ei dawnin eng thil dang nge ka hriat tur?
Lithium i ei dawnin tlem i fimkhur a ngai bawk.
- Doctor hmu fo rawh: I doctor chuan i dinhmun enfiah tur leh damdawi a thawk tha em tih en turin rawn lut fo turin a ti ang che. Chutiang hunah chuan kal ngei ngei ang che. Damdawi hi a hman theih nan kar engemaw zat a la ngai thei.
- Salt (sodium) chungchangah fimkhur rawh: Hei hi a pawimawh hle. I taksaa chi (salt) awm zat hian lithium hman tangkai dan a nghawng nghal vek a ni. Tin, he damdawi hian taksa atanga chi (salt) chhuak a tipung thei bawk. Chuvangin, chaw ei tur chu chi nen ei thin ang che . Salt substitute ei loh tur. I ei leh in i thlak danglam nasa hle a nih chuan, emaw, damdawi sodium tamna, sodium bicarbonate ang chi i ei a nih chuan doctor hnenah thurawn zawt rawh.
- Tui tam in tur: He damdawi ei lai hian ni khatah tui glass 8-12 tal in tum ang che . Caffeinated drinks coffee, tea, leh cola te ei tlem hi a tha hle. Diarrhea i neih emaw, i thawmhnaw a tam emaw a nih chuan tui in tam zawk tur a ni. Hei hian he damdawi hian toxic effect a neih loh nan a pui ang che.
- A lum lutuk loh nan fimkhur rawh: Exercise i tih lai te, sauna-a inbual lai te, tui lum taka inbual lai te, pawn ni lum lutukah te pawh lum lutuk lo turin fimkhur rawh. Khawsik sang tak emaw, pum na reng reng emaw i neih chuan doctor hnenah hrilh rawh.
- Balance leh alertness: He damdawi hian i coordination, reaction time, leh judgment a nghawng thei a ni . Chuvangin, he damdawi hian engtin nge a nghawng che tih i hriat hma chuan lirthei khalh suh, hmun sang takah hna thawk suh, machinery hmang suh . Luak chhuak tihziaawm nan ṭhutna aṭanga tho emaw, khum aṭanga tho emaw chuan zawi zawiin ding rawh. He damdawi nena zu in hian heng side effects te hi a tipung thei a ni.
He damdawi atang hian eng side effect nge ka neih theih ang?
Damdawi zawng zawng ang bawkin lithium hian side effect engemaw zat a nei thei a ni. Ṭhenkhat chu an serious a, ṭhenkhat chu chutiang chuan an serious lo.
A hnuaia side effects te hi i neih chuan a rang thei ang bera doctor hnenah hrilh rawh:- Allergic reactions: Vun natna, vun hring, hives, hmai, hmui, lei emaw, kawr emaw a hring.
- Heart rhythm inthlak danglam: Thinlung thawk chak emaw, mumal lo emaw, luak chhuak, lu hah, rilru na, thawk harsa.
- Thluak vel pressure sang: Lu na nasa tak, mitdel, mit a danglam, luak chhuak, luak chhuak.
- Tuihalna leh zun tam lutuk.
- Serotonin Syndrome natna lan chhuah dan:Lungkhamna, buaina, thinlung thawk chak emaw, mumal lo emaw, taksa ruh khauh, taksa ruh thawm, thawk hah lutuk, khawsik sang, seizure, chills, luak chhuak, luak chhuak. (Hei hi dinhmun hlauhawm tak a ni.)
- Lithium toxicity: Hei pawh hi a hlauhawm hle. A lan chhuah dan chu: ril\am, luak chhuak, khur, balance emaw coordination emaw hloh, mit chetna thunun theih loh, beng ri, taksa ruh chak lohna, taksa ruh hrual, thusawi thiam lo, leh buaina te a ni.
A hnuaia side effects te hi a nasat loh tlangpui. Mahse, an awm reng emaw, an tihbuai che emaw chuan i doctor hnenah hetiang hian hrilh rawh:- Luak chhuak thei
- Chau
- Luhai
- Tremors emaw, nghing emaw
He list-ah hian side effect zawng zawng hi tarlan a ni lo. Heng bakah hian thil danglam bik i hmuh chuan i doctor nen sawiho rawh.
Ka damdawi hi khawiah nge ka dah ang?
- Naupangte hmuh theih lohna hmun sang takah dah rawh .
- Room temperature (15 leh 30 degree Celsius inkar, 59 leh 86 degree Fahrenheit inkar)-ah dah tur a ni.
- Damdawi expired te chu paih vek tur a ni.
A tawp berah chuan thil hriat reng tur (Take-Home Message) .
Okay, lithium chungchang hi kan sawi tam tawh a ni lawm ni? He damdawi hi i hman a ngai a nih chuan hengte hi i ngaihtuah reng a pawimawh hle.
- Damdawi chu i doctor-in a hrilh ang chiah khan hmang ang che. A hun takah ei tur a ni a, a dose ruat saah ei tur a ni. I duh angin dose hi titawp emaw, thlak emaw suh.
- Damdawi dang zawng zawng, thinghnah leh vitamin i ei zawng zawngte chu i doctor hnenah hrilh rawh.
- Tui tam tak in thin ang che. Ni khatah tui glass 8-12 tal in tur a ni.
- Chi (sodium) chungchangah fimkhur rawh. I chaw eiah hian a hma ang bawkin chi telh la.
- Side effect thar i neih emaw, a hmaa side effect i neih kha a na zual emaw a nih chuan doctor hnenah hrilh nghal rawh. A bik takin lithium toxicity emaw serotonin syndrome emaw symptom i neih chuan.
- A hun takah doctor hmu la, thisen test tir rawh. Hei hi i lithium level a normal em tih enfiah nan a pawimawh hle.
- He damdawi hi i rilru a hahdam theih nan chauh a ni . Amaherawhchu, rilru hrisel dan tha (mut that, ei leh in inthlau tak, exercise, stress tihziaawm dan tur) zawm a pawimawh hle bawk.
Nangmah chauh i ni lo tih hre reng ang che. Doctor te, chhungte leh thiante tanpui thei tur che an awm a. Anmahni biak pawh hlau suh.
He thu hi in tan a tangkai ngei ka beisei. Dam leh thuai turin duhsakna ka hlan e!
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