I doctor hian i tan emaw, i hnaih ber tu emaw tan bipolar disorder nei tan lithium a pe em? Chutiang a nih chuan he damdawi chungchang hi hriat chian a pawimawh hle. Damdawi \angkai tak a nih rualin a hman hunah fimkhur hle a ngai bawk. Hemi chungchang hi awlsam takin, i hriatthiam theih dan tur angin sawi ila.
He Lithium hi eng nge ni?
A awlsam zawngin, lithium hi mood stabilizer a ni . Bipolar disorder vei chuan a rilru put hmang, nungchang leh ngaihtuahnaah inthlak danglamna a nei nghal thei a. Chu chu, an rilru chu hlimna nasa tak (mania) leh lungngaihna leh lungkhamna nasa tak (depression) hun chhung inkarah a inthlak danglam dawn tihna a ni.
Ngaihtuah teh, heng dinhmunte hi kan thluaka chemical (neurotransmitter) thenkhat hnathawh a inthlau lutuk hian a thleng thin. Chuvangin lithium hian a tih chu heng chemicals te hnathawh hi a balance a, i mood stable reng turin a pui bawk. Hei hian hlimna nasa tak leh lungngaihna nasa tak inkara chu inthlak danglamna rang tak chu a thunun a ni.
Damdawi ei tan hmaa doctor hnena hrilh tur thil
I doctor hnenah i hriselna chanchin kimchang taka sawifiah a pawimawh hle . A chhan chu lithium hi damdawi lam thil thenkhat nena hman a nih chuan a hlauhawm thei a ni. A hnuaia mi hi i neih chuan doctor hnenah hrilh ngei ang che.
| Thu hriat tur chi hrang hrang | I hriattir tur chu |
|---|---|
| Lung natna leh thisen kal dan | Lung natna i neih chuan, heart rhythm mumal lo i neih tawh chuan, Brugada Syndrome ang chi i nei a nih chuan. |
| Kidney leh taksa tui te | Kidney natna, tui tlakchhamna (e.g. riltam emaw thawk hah lutuk vang), chi tlem ei loh, thisenah potassium emaw sodium level hniam emaw. |
| Natna dang | Thyroid emaw parathyroid glands natna te, thawk harsatna, zun harsatna, taksaa natna awm tawh, leh thisena calcium level sang te. |
| Mimal dinhmun leh allergy te | Naupai emaw, naupai tum emaw i nih chuan, nau i hnute i pe a nih chuan, lithium emaw damdawi dang emaw, ei tur emaw, dye dang emaw allergy i neih tawh chuan. |
Engtin chiah nge he damdawi hi ka hman ang?
He damdawi dose hi a pawimawh hle. Chuvangin, doctor-in a hrilh ang chiah chiah, a zat tur ruat chu ei a pawimawh hle.
- Pill chu tui glass khat nen ei la.
- Tablet chu tichhia suh, tikehsawm suh, chew suh. Extended-Release tih awmzia chu damdawi chu taksaah a chhuak zauh zauh a, chuvangin tablet chu a pumin ei tur a ni.
- Damdawi hi chaw ei zawhah emaw, chawhmeh ei rualin emaw ei tur a ni a, chu chuan pum a ti na lo.
- Nitin damdawi hi a ruala ei tum ang che.
- I doctor-in a tih aia tam ei ngai suh. Chutianga tih chuan side effect na tak a thlen thei a ni.
- Doctor thurawn tel lo chuan damdawi ei kha bansan suh.
Damdawi dose khat ka ei loh chuan engtin nge ni ang?
Dose i miss a nih chuan i hriatreng veleh ei nghal rawh. Mahse, i dose leh tur hun a lo thleng tawh a nih chuan missed dose kha skip la, i dose leh tur chu a hun ruatah ei rawh. Double dose ei ngai suh.
Damdawi ka ei tam lutuk chuan engtin nge ni ang?
Damdawi i ei tam lutuk nia i hriat chuan Emergency Department (ETU) hnai ber pan nghal la , a nih loh leh Colombo National Hospital-a National Poisons Information Center ah call rawh . Hei hi emergency angin en rawh.
He damdawi hi i tan chauh pek a ni. He damdawi hi midang hnenah pe ngai suh, nangmah ang bawka natna lanchhuahna nei pawh nise.
Lithium nena inzawm thei damdawi dang
Damdawi i ei zawng zawngte chu i doctor hnenah i hrilh tur a ni a, chutah chuan damdawi i ei zawng zawng te, damdawi lei theih loh te, hmanlai damdawi te, vitamin te, leh supplement te pawh a tel a, a chhan chu damdawi thenkhat hian lithium nen an inzawm thei a ni.
A bik takin, a hnuaia damdawi te hi lithium nen hian ei ngai lo tur a ni:
- Cisapride chuan a rawn ti a
- Dronedarone a ni
- Pimozide a ni
- Thioridazine a ni
Chu bakah, lithium hian a hnuaia mite nen hian a inrem thei bawk:
- Caffeine awmna in tur (coffee, tea, cola) .
- Natna tidamtu leh natna tidam thei damdawi (NSAID) - e.g. Ibuprofen, Naproxen tih te hi a ni
- Tui damdawi (Diuretics) .
- Thisen sang damdawi thenkhat
- Depression ang chi natna damdawi thenkhat
- Surgery neih chhunga taksa ruh tih hahdamna atana damdawi pek thin
- Antiepileptic damdawi Carbamazepine leh Phenytoin te a ni
- Antibiotics te chu Metronidazole te hi a ni
- Zunthlum damdawi thenkhat - e.g. SGLT2 inhibitor te hi an ni
- Thlai chi hrang hrang, St. John’s Wort ang chi te
He list hi a kim lo a, chuvangin i ei zawng zawng doctor hnenah hrilh vek a him ber.
Lithium ei dawna ngaihtuah tur bik
Chi leh Tui Inthlauhna
Hei hi lithium ei huna ngaihven tur pawimawh ber a ni. I taksaa chi (sodium) leh tui awm zat hi lithium level control tu ber pahnih a ni tih hre reng ang che.
- Diet-a chi (salt) tlem tawk ei tur a ni. Doctor thurawn tel lova chi low-salt diet ei nghal mai loh tur.
- Tui tam tak in thin ang che. Diarrhea i neih emaw, i thawmhnaw a chhuah tam emaw (exercise atanga, khaw lum atanga) i nih chuan tui i in belh a ngai a ni. Hei hi a chhan chu taksa atanga tui leh chi a bo chuan thisenah lithium level hlauhawm takin a sang thei a ni.
- Caffeine awmna in tur hi tihtlem rawh. Coffee leh tea ang chi thil te hian i taksain tui a hloh tam zawk thin.
Driving leh machinery hman dan tur
He damdawi hian i lu a ti buai thei a, i muhil thei a, i reaction time pawh a tikhawtlai thei bawk. Chuvangin, he damdawi hian engtin nge a nghawng che tih i hriat hma chuan lirthei khalh emaw, machine rit tak tak hman emaw loh tur a ni.
Damdawi lam enfiah fo thin
Lithium i ei hian i doctor chuan i thisena lithium level enfiah turin a hrilh fo ang che. Heng thisen test te hi skip ngai suh. I thisen lithium level chu therapeutic range chhunga dah hi himna atana pawimawh ber a ni.
Side effect awm thei te chu engte nge ni?
Damdawi dang ang bawkin lithium hian side effect a nei thei a ni. Ṭhenkhat chu a serious a, a then chu a common.
| Side effect a awm thei | Hrilhfiahna |
|---|---|
| Side effect na tak tak, doctor hnena hriattir nghal tur | |
| Allergy natna a awm thei | Vun vun rawng, hnim hring, hmai, hmui, lei emaw kawr emaw a hring. |
| Lithium toxium a awm thei | Diarrhea, luak chhuak, khur, kal harsa, mit thunun theih loh, beng chhunga thawm hriat, taksa ruh chak lohna, tawng thiam lo, buai. |
| Serotonin natna a ni | Buaina, thinlung na rang, taksa ruh khauh, thawk hah lutuk, khawsik, seizures. |
| Symptom na tak dang a awm bawk | Heart rate inthlak danglam (luak chhuak, rilru na), tuihal lutuk leh zun tam lutuk, lu na nasa tak bakah mit hmuh dan inthlak danglam. |
| Side effects, a tlangpuiin damdawi lam pan ngai lo (mahse a awm reng chuan doctor hnenah hriattir tur a ni) . | |
| Luak chhuak thei | Hei hi taksain damdawi a hman thiam hma loh chuan a thleng thei. |
| Chau | Tlem a chau deuh tih hriatna. |
| Luhai | Hei hi damdawi ei ruala ei hian tihziaawm theih a ni. |
| Tremors a awm | Kut khur tlem a awm thei. |
Take-Home Thuchah a ni
- Lithium hi damdawi tangkai tak a ni a, mahse uluk taka hman tur a ni. I doctor thupek chu uluk takin zawm rawh.
- Damdawi dang zawng zawng, vitamin leh herbal product i ei zawng zawng chu i doctor hnenah hrilh rawh.
- Thisen test ruahman sa chu skip ngai suh. I thisena lithium level hi control reng a pawimawh hle.
- I taksa chi leh tui level inthlau takin vawng la. Tui tam tak in thin ang che. I thawmhnaw tam emaw, riltam emaw i neih chuan tui tam zawk in thin ang che.
- Lithium toxicity symptoms (riltam, luak chhuak, khur, tawng thiam lo) te hi hre reng ang che. Heng symptoms te hi i hmuh chuan doctor advice la nghal rawh.
- I doctor thurawn tel lo chuan a dose thlak emaw, damdawi ei kha tihtawp emaw loh tur a ni.
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