I doctor-in nangmah emaw, i hnaih ber emaw-in lithium ei ṭan tura a hrilh hian tlem a hlauhthawn leh hriat duhna i neih chu thil pangngai a ni. A bik takin mood-regulating medication chungchang a nih chuan zawhna tam tak kan nei fo thin. Mahse hrisel taka awm theihna kawng tha ber chu he damdawi chungchang hi hriat chian vek hi a ni. Chuvangin vawiin hian lithium chungchang tawi te tein kan sawi dawn a, a hnathawh dan te, a hman huna fimkhur tur te kan sawi dawn a ni.
Lithium hi eng damdawi nge ni?
A awlsam zawngin, lithium hi bipolar disorder ang chi natna enkawlna atana hman thin damdawi a ni . Thluaka chemical thenkhat (neurotransmitters an tih) te hian kan rilru put hmang, kan nungchang leh kan ngaihtuahna te chu a thunun thei a ni. Lithium hian heng chemicals te hnathawh dan inthlauhna (balance) hmangin hna a thawk a ni.
Bipolar disorder atan hman ber ni mah se, i doctor chuan a chang chuan natna dang atan a pe thei bawk. Chuvangin hemi chungchanga zawhna i neih chuan doctor zawt rawh.
Damdawi ei tan hmaa doctor hnena hrilh tur pawimawh ber berte
Lithium i ei tan hmain a hnuaia thil awmte hi i neih chuan doctor hnenah i hrilh hmasa phawt tur a ni. Hei hi i himna atan a pawimawh hle.
| I tana hman theih tur dinhmun | Hrilhfiahna |
|---|---|
| Taksaah natna a awm | Lung natna, kal natna, thyroid natna, parathyroid natna, Brugada Syndrome, thawk harsatna, tuna hri kai. |
| Taksa chhunga chi leh tui awm zat | Laxatives emaw, thawmhnaw tam lutuk (dehydration) avanga i taksa atanga tui i hloh a nih chuan, i thisena potassium emaw sodium level a hniam emaw, i thisena calcium level a sang emaw a nih chuan. |
| Ei leh in | Salt tlem ei thin i nih chuan. |
| Naupai leh nau hnute pek | Naupai i nih chuan, nau pai tum i nih chuan, nau hnute i pe a nih chuan. |
| Allergy nei te pawh a awm | Lithium emaw damdawi dang emaw, ei tur emaw, dye dang emaw allergy i neih chuan. |
He damdawi hi engtin nge ka hman ang?
He damdawi hi solution angin a lo thleng a, ei tur a ni. Nitin, a hun takah, i doctor-in a tih angin ei a pawimawh hle .
Damdawi awm zat tehna atan chuan chutiang atana siam tehna hmanrua bik (oral syringe, spoon, emaw dropper) hmang ang che. In chhunga teaspoon pangngai hmangin teh suh , a zat dik tak an teh theih loh avangin. Hei hian dose a tidanglam thei a ni.
Pum natna i neih chuan he damdawi hi ei tur nen ei thin ang che. A pawimawh ber chu, i doctor-in a tih loh chuan he damdawi hi ei kha bansan ngai suh.
Overdose: He damdawi hi i ei tam lutuk nia rinhlelhna i neih chuan Colombo National Hospital-a National Poisons Information Center -ah call nghal la , a nih loh leh damdawi in hnai ber Emergency Department (ETU)-ah kal nghal rawh. Hei hi emergency angin en rawh.
Tin, he damdawi hi i tan chauh a ni tih hre reng ang che. Midang hnenah share ngai suh.
Damdawi dose khat ka ei loh chuan engtin nge ni ang?
Dose i ei theihnghilh 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. Dose double emaw extra emaw ei ngai suh.
Lithium nena inzawm thei damdawi dang
Lithium hi damdawi dang nena inzawm thei damdawi a nih avangin i damdawi ei zawng zawng hi doctor hnenah hrilh vek a pawimawh.
Heng damdawi te nen hian lithium hi ei ngai suh:
- Cisapride chuan a rawn ti a
- Dronedarone a ni
- Pimozide a ni
- Thioridazine a ni
Heng damdawi te hian lithium nen pawh an inzawm thei a:
He list hi a kim lo a, mahse heng damdawi te hi i ei a nih chuan i doctor hnenah hrilh rawh .
- Caffeine awmna thil
- Damdawi Carbamazepine ang chi te
- Depression leh lungkhamna ang chi natna atana damdawi dang
- Thisen sang damdawi thenkhat
- Migraine damdawi (e.g. Sumatriptan) .
- Diuretics - taksa atanga tui paih chhuaktu damdawi
- NSAID natna tidamtu (e.g. Ibuprofen, Naproxen) .
- Surgery neih chhunga taksa ruh tih hahdamna atana damdawi pek thin
- Thlai chi hrang hrang, St. John’s Wort ang chi te
Chuvangin, i doctor hnenah damdawi, vitamin, leh herbal product i ei zawng zawng chauh ni lovin, zu i in emaw, zu i in emaw, damdawi dang i hman emaw pawhin sawifiahna kimchang pe rawh
Damdawi ei huna fimkhur bik tur thil
- Damdawi lam enfiah fo: I dinhmun a ṭhat leh ṭhat loh enfiah turin doctor hmu fo ang che. Damdawi hian a nghawng kimchang a lan theih nan kar engemaw zat a la ngai thei.
- Chi leh tui: Hei hi lithium eituin a fimkhur ber a ngai a ni.
- I taksaa chi (sodium) awm zat hian he damdawi hman tangkai dan leh a side effect awm dan a nghawng nghal vek a ni. Chuvangin, a hma ang bawkin chi (salt) awmna diet ei tur a ni. Salt substitute hmang suh.
- Tui tam tak in thin ang che. Ni khatah tui glass 8-12 tal in a tha ber. Caffeine awmna in tur, coffee, tea, leh cola te hi pumpelh rawh.
- Diarrhea i neih emaw, i thawkrim lutuk emaw (e.g., exercise lai emaw, khaw lum lai emaw) chuan extra fluids in rawh. Hei hian lithium toxicity awm theihna a ti tlem dawn a ni.
- Exercise leh lumna: Exercise i tih lai te, sauna i hman lai te, tui lum taka inbual lai te, ni lum tak takah te tui tlakchham lo turin fimkhur rawh. Khawsik sang emaw, riltam reng reng emaw i neih chuan doctor ko rawh.
- Driving: He damdawi hian i lu a ti buai thei a, i muhil thei a, thutlukna siam harsa i ti thei bawk. Chuvangin , he damdawi hian engtin nge a nghawng tih chiang taka i hriat hma chuan lirthei khalh emaw, machinery emaw hman loh tur a ni.
Eng side effect nge ka neih theih ang?
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/symptom a awm thei | Hrilhfiahna |
|---|---|
| Heng symptoms te hi i neih chuan doctor hnenah hrilh nghal rawh. | |
| Lithium toxium a awm thei | Diarrhea na tak, luak chhuak, khur, balance hloh, mit chetna thunun loh, beng ri, taksa ruh chak lo, tawng thiam lo, leh hriatrengna hloh. |
| Serotonin natna a ni | Agitation, confusion, heartbeat rang, muscle stiffness, thawk hah lutuk, khawsik sang, convulsion, luak chhuak, luak chhuak. |
| Allergy natna a awm thei | Vun vun rawng, hnim hring, hmai, hmui, lei emaw kawr emaw a hring. |
| Symptom na tak dang a awm bawk | Heartbeat mumal lo, rilru na, tuihal lutuk leh zun tam, lu na na tak, mit hmuh fiah lo. |
| Heng symptoms te hi a awm reng emaw, a buaithlak emaw a nih chuan doctor hnenah hrilh rawh. | |
| Side effect awm fo thin | Luak chhuak, hahna, luak chhuak, kut chhunga khur fiah lo tak. |
Take-Home Thuchah a ni
- Lithium hi doctor-in a pek zat leh hun dik takah ei fo ang che. Doctor thurawn tel lo chuan damdawi ei kha bansan ngai suh la, a dose pawh thlak ngai suh.
- Damdawi dang zawng zawng, vitamin leh herbal product i ei tur zawng zawng chu i doctor hnenah hrilh rawh.
- A hma ang bawkin salty diet i ei lai hian nitin tui tam tak in thin ang che. Tui tam zawk in tur a ni a, a bik takin khaw lum lai leh exercise i tih hian in tam zawk tur a ni.
- Lithium poisoning symptoms, riltam na tak, luak chhuak, buai, leh khur te i neih chuan doctor thurawn zawng nghal rawh.
- He damdawi hi i tan chauh a ni. Midang hnenah share ngai suh.
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