Lithium i ei em? Chuti a nih chuan he hlauhawm hi hre reng ang che! (Lithium Toxicity a awm thei) 1.1.

Nangmah emaw, i hriat mi emaw chuan rilru lam natna thenkhat, a bik takin bipolar disorder atana doctor-te’n damdawi an pek lithium hi i hmang em? He damdawi hi hman dik a nih chuan a \angkai hle thei a, mahse ei tam lutuk chuan natna hlauhawm tak lithium toxicity an tih chu a thlen thei a ni. Hemi chungchang hi vawiin hian han sawi ila. A awlsam zawngin, lithium toxicity chu i taksain lithium a neih tam lutuk hi a ni. Hei hian pum a ti na thei (luak, luak chhuak ang chi) leh nervous system symptoms (confusion, tremors ang chi) a thlen thei a ni. Enkawl that loh chuan hei hian nunna a tichhe thei a ni. Lithium hi pianphung atanga lo awm chi a ni. Mania a tihziaawm. Chuvangin doctor-te chuan bipolar disorder tan he damdawi hi an pe fo thin. Mahse, he damdawi dose him leh hlauhawm tak inkar hi a tlem hle. Chumi awmzia chu a tlem lutuk pawh hi taksa tan chuan tuar theih loh a ni thei tihna a ni.

Engtin nge lithium toxicity hi a lo awm theih?

Hei hi a thlen theih dan kawng hrang hrang a awm. Eng nge an nih i en ang u.

Acute Toxicity a awm thei

Hei hi lithium pill tam tak i ei nghal chuan emaw, i taksaah tui a tlakchham thut chuan a thleng thin. Ngaihtuah teh, a chang chuan i damdawi ei lai hian tihsual i nei thin. Chu chu a thleng thei a ni.

Nitin i mamawh aia tam ei (Acute-on-chronic Toxicity) .

Hei hi nitin lithium i ei tlangpui a, mahse ni khat chu extra dose i ei a nih chuan a thleng thei a, ni khat chu i taksaah tui a tlakchham chuan a thleng thei bawk. Entirnan, ni hnih emaw ni thum emaw chhung tui i in loh chuan emaw, i luak tam a, i taksa atanga tui i hloh chuan.

Chronic toxicity a awm thei

Hei hi a chhan chu nitin lithium i ei hian i taksaa lithium awm zat chu a pung zauh zauh a, hun kal zelah a pung zel bawk. Hei hi awlsam takin a thleng thei a ni. Thil tam tak, tui tlakchhamna, kal hriselna leh damdawi dang i ei te hian i taksain lithium a hman dan a nghawng thei a ni.

Lithium toxicity level engzat nge ni?

Doctor ten thisen test hmangin i lithium level an enfiah thin. I doctor chuan eng level nge i tan a dik tih a rel ang. A tlangpuiin lithium toxicity level hi hetiang hian then a ni:

• Toxicity na lo : 1.5 atanga 2.5 mmol/L thleng a ni.
• Toxicity hniam lam: 2.5 atanga 3.5 mmol/L.
• Toxicity na tak: 3.5 mmol/L aia tam.

He unit millimoles (`mmol/L`) an tih hi ngaihtuah lutuk a ngai lo, doctor tan chuan thil pawimawh tak a ni. I tana pawimawh ber chu a symptoms hriat chian hi a ni.

Lithium toxicity natna lan chhuahna chu engte nge ni?

Heng symptoms te hi poisoning chi leh a nasat dan azirin a danglam thei.

Acute leh acute-on-chronic poisoning natna lan chhuah dan

Hetiang hun lai hian kan rilruah a lo lang hmasa ber a, chu chu pum lam harsatna (Gastrointestinal - GI problems) a ni. Chumi awmzia chu:

• Nausea leh luak chhuak .
• Diarrhea (ril\am) a awm.
• Pum a na .
• I pum a khat ang maia inhriatna.

Heng symptoms te hi lithium ei tam lutuk atanga darkar khat chhungin a lang tan tlangpui.

Pawimawh: Heng symptoms te hi i tawng a nih chuan doctor lam pan vat a pawimawh hle.

Poisoning hi a hniam lam atanga na tak a nih chuan nervous system nena inzawm symptoms te hian pum natna chu a zui thei a ni. Chung zingah chuan:

• Rilru dinhmun inthlak danglamna: Confusion na lo tak atanga delirium na tak thlengin a awm thei.
• Thunun theih loh khawpa nghing (Tremors).
• Kal emaw, ding emawa balance leh coordination hloh (`Ataxia`).
• Muscle a inthlak danglam (`Myoclonus`).
• Thusawi thiam lo (`Dysarthria`).
• Hyperreflexia (a thiltih tam lutuk) a ni.
• Mit chet dan thunun loh (Nystagmus).
• A nasat chuan khawsik a zual (Hyperthermia).
• A nasat chuan seizures .
• A nasat chuan hriatna hloh (`Coma`).

Lithium i ei a, heng symptoms te hi i neih chuan doctor pan nghal tur a ni.

Chronic Lithium Toxicity natna lan chhuah dan

Lithium hi hun rei tak ei a nih chuan kal (kidney) a tichhia fo thin. Hei hian kal natna chi hrang hrang a thlen thei a, pakhat zel hian a symptom set hrang hrang a nei vek a ni. Heng dinhmun lo awm thei thenkhat chu hetiang hi a ni:

Nephrogenic Diabetes natna hrik kai lo

Hei hi i kal (kidney)-in i taksaa tui awmte a balance tha thei lo lai a ni. Antidiuretic hormone (ADH) hi an chhang tha thei lo. A lan chhuah dan chu:

• Dehydration: Kawng a vawt, hah, leh luak chhuak.
• Tuihâl lutuk tih hriatna (` Polydipsia` ).
• Zun tam tak pass (`Polyuria`).

Sodium hloh thei Nephritis

Hetah hian kal (kidney) chhiatna hian taksaah electrolyte imbalances a siam thin. A lan chhuah dan chu:

• Tisa chu a inher a, a chak lo chho zel a ni.
• Rilru dinhmun inthlak danglamna.
• Chau.
• Tuihal lutuk.
• Zun tam lutuk (`Polyuria`).

Nephrotic Syndrome natna a ni

Hetiang dinhmunah hian i kal (kidney) hian i zun (`Proteinuria`) ah protein tam lutuk a paih chhuak thin. Natna:

• Cholesterol a sang (Hyperlipidemia) a ni.
• Ke leh ke ruh a hring (`Edema`).
• Chaw chu a thlum lo.
• Pum a na.
• Zun chu a foam a.

Hun rei tak chhunga lithium poisoning vangin endocrine system lama harsatna a awm thei bawk. Entirnan:

• Thyroid hnathawh a tlahniam (`Hypothyroidism`).
• Thyroid gland hnathawh a tipung (`Hyperthyroidism`).
• Parathyroid glands te hnathawh a tipung (`Hyperparathyroidism`).

Lithium i ei laiin heng symptoms te hi i neih chuan a rang thei ang bera doctor nen inbia ang che.

Lithium leh serotonin syndrome inzawmna

Lithium hian serotonin syndrome an tih natna a thlen thei a ni. Hetiang hlauhawmna hi a bik takin serotonin level tichhe thei damdawi dang i ei a nih chuan a sang hle. Hei hian nunna a tichhe thei bawk. Serotonin syndrome natna lan chhuah dan (a na lo atanga na tak thleng):

• Restlessness a awm.
• Nausea leh luak chhuak.
• Kawthalo.
• Mit mitmeng (pupils) chu a lian chho zel a.
• Tremor a ni.
• Lungkhamna, rilru hahdam lohna.
• Meatballs grinding leh pressing a ni.
• Thawmhnaw hak leh khur chhuak.
• Buaina, hriatna hloh (Delirium).
• Lung na tak tak.
• Thisen sang a sang.

Heng symptoms te hi i neih chuan doctor thurawn zawng nghal rawh!

Lithium toxicity awm chhante chu engte nge ni?

Hei hi chhan lian tak pathum a awm a, chungte chu:

• Lithium ei tam lutuk: Lithium pill tam lutuk, tumruh emaw, tihsual emaw pawh nise, acute emaw acute-on-chronic toxicity emaw a thlen thei. Hei hi doctor-in i dose a tihpun lutuk pawhin a thleng thei a, mahse hei hi a tlem hle.
• Dehydration emaw fluid changes: Hei hi a chhan ber a ni. Taksain sodium (salt) leh tui a hloh chuan kal (kidney) hian lithium a la lut leh thin. Hei hian thisenah lithium a tipung a ni. A chhan awm thei te chu:
• Luak chhuah hunah.
• Diarrhea a awm chuan.
• Khawsik i neih chuan.
• Kidney tha lo a awm.
• Damdawi zun chhuah tir thei, diuretics ang chi ei hian.
• Exercise tam lutuk hian.
• Thaw chhuak lutuk (Hyperhidrosis).
• Tui in loh lai ang bawk khan.
• Salt tlem ei tur ei hian.
• Lung lam natna (`Congestive heart failure`).
• Naupai lai emaw, nau neih lai emaw.
• Thyroid gland a inthlak danglam (`Hyperthyroidism`).
• Lithium paih chhuah chungchanga buaina: A chang chuan taksain lithium a paih chhuak tha thei lo. Hei hi a chunga kan sawi chhante vang pawh a ni thei.

Tute nge lithium toxicity vei theihna sang zawk?

A hnuaia mite hi chronic lithium toxicity vei theihna chance sang zawk an ni:

• Kum 50 chunglam mite.
• Thyroid natna vei te.
• Kidney function tha lo nei te.
• Diabetes insipidus vei te.

Lithium hi rei tak i hmang a nih pawhin nephrogenic diabetes insipidus i vei theihna a sang hle a, hei hi lithium vang a ni. Hei hian lithium toxicity a thlen thei a ni. Lithium i ei laiin heng zinga pakhat tal i neih chuan i doctor nen inbia ang che.

Engtin nge doctor-te hian lithium toxicity hi an hriat theih?

Hei hi engtiang chiahin nge a nasat tih chiang taka hriat theih nan he thu hi doctor tan chuan a pawimawh hle a ni:

• Lithium engzat nge i ei?
• Engtik lai nge i hman?
• Mahse, a rualin damdawi dang emaw thil dang emaw i ei ve em?
• Hei hi tumruhna nge tihsual a ni em?

Lithium toxicity finfiah nan doctor-te chuan test eng emaw zat an nei thin. Chung zinga ṭhenkhat chu:

• Thisen test a, i thisena lithium awm zat enfiah thin.
• Thisen test hmanga i thisena electrolytes (sodium leh calcium ang chi) awm zat enfiah thin.
• Thisen test, thyroid-stimulating hormone (TSH) level enfiahna.
• Urinalysis tih a ni.
• Kidney function test (thisen urea leh creatinine level ang chi).
• Brain imaging test (hei hi tih a tlem hle).

Doctor-te pawhin i hriselna an enfiah ang a, hengte hi:

• I thinlung chu `EKG` (electrocardiogram) hmanga tih a ni.
• Engzat nge i zun (urine output).
• I oxygen level - `pulse oximeter` (`pulse ox`) hmanga teh fo thin.

Lithium toxicity hi engtin nge enkawl a nih?

Acute leh acute-on-chronic lithium poisoning enkawlna hi a nasat dan leh emergency room i thlen thuai dan azirin a inang lo. A tum ber chu i taksa atanga lithium awm chu paih chhuah a, i symptoms control hi a ni. Enkawlna atan hian:

• Gastric lavage tihfai a ni.
• Whole-bowel irrigation: Hei hian tui bik pek a ni a, chu chu ka hmanga emaw, hnar hmanga pum chhunga dah tube hmanga emaw pek a ni. Hei hian chaw kawng atanga lithium awm zawng zawng a paih chhuak vek a ni.
• Activated charcoal: Hei hi damdawi dang emaw thil dang emaw i ei tawh chuan pek thin a ni.
• Hemodialysis: Hei hi kal atanga lithium paih chhuah dan ber a ni.
• Saline (`IV fluids`) pek a ni.
• Damdawi chi hrang hrang hian symptoms a tidam thin.

A tam zawkah chuan emergency room-ah enkawl i ni ang. Poisoning a nasat chuan intensive care unit (ICU)-ah enkawl a ngai mai thei.

Chronic Lithium Toxicity enkawl dan tur

Hun rei tak chhunga lithium poisoning hian kal a tichhia fo thin. Enkawlna chu kal harsatna chi hrang hrangah a innghat a ni. Hemodialysis a ngai mai thei.

Hetiang dinhmunah hian dam leh theihna chance engzat nge awm? (Prognosis) tih a ni.

Lithium toxicity atanga dam lehna chu poisoning chi hrang hrang, a nasat dan leh damdawi lam pan thuai danah a innghat a ni. Acute lithium toxicity avanga neurological symptoms nei lote chuan hun rei tak chhung harsatna an nei lo tlangpui. Mahse, neurological symptoms na tak i neih chuan a awm reng thei a ni. Chuvangin enkawl vat a pawimawh em em a ni. A nasat chuan lithium toxicity hian coma a thlen thei a, thluak a tichhe thei a, thihna pawh a thlen thei bawk. Chronic lithium toxicity hi hriat a harsa thei a, a chhan chu hun kal zelah symptoms a lo awm thei a ni. Hetianga tihkhawtlai hian hun rei tak chhung chu kal leh nervous system lama harsatna a thlen thei a ni.

Lithium toxicity hi engtin nge kan ven theih ang?

Heng step te hi zawm hian acute lithium toxicity venna kawngah a pui thei a ni:

• I damdawi ei tur ang chiah chiah ei rawh: I doctor-in lithium (leh damdawi dang) a pek zat chauh ei rawh. I damdawi bottle-ah hian label dah la, a nih loh leh i ei hun te ziak bawk ang che. Hei hian accident-a double dose ei loh nan a pui thei che a ni.
• I lithium damdawi chu him takin vawng rawh: Naupang leh midangte hmuh theih lohna hmunah dah rawh.
• Hydrated takin awm rawh:Tui tam tak in thin ang che. Dehydration hian lithium toxicity a thlen thei a ni. I riltam, luak chhuak, khawsik i neih chuan doctor hnenah hrilh rawh.
• I doctor hnenah damdawi i ei zawng zawng list hrilh fo ang che: Damdawi thar i ei tan hmain i doctor hnenah lithium (leh damdawi dang eng pawh) i ei tih hrilh hmasa phawt ang che. Damdawi thenkhat hian i taksain lithium a hman dan a nghawng thei a ni.
• I hriselnaah inthlak danglamna thar emaw, rang tak emaw i neih chuan doctor hnenah hrilh rawh: entirnan, naupai leh hormone (endocrine) inthlak danglamna.

Mahni intihhlum tumna i neih chuan, emaw, tumruh taka lithium ei tam lutuk i ngaihtuah a nih chuan, khawngaihin damdawi in hnai ber emergency department-ah kal la, i rintlak mi pakhat nen inbia ang che. Sri Lanka-ah pawh Sumithrayo ang pawl (phone number 0112692909 emaw 0112682535 emaw) aṭangin ṭanpuina i dawng thei bawk.

Lithium hi rei tak i ei a nih chuan i doctor chuan i hriselna enfiah nan thisen leh zun test neih fo a rawt mai thei. Heng test te hian chronic lithium toxicity hi a hmain a hriat theih nan a pui thei a ni. Hengte hi test leh kaihhruaina te chu a ni:

• Lithium atanga ni thum atanga ni nga chhungin thisenah lithium level hi enfiah thin a ni a, a dose thlak atanga ni thum chhungin enfiah thin a ni.
• For those taking medication for a long time , thisen a lithium level chu thla thum atanga thla ruk danah enfiah thin a ni.
• Thla thum atanga thla ruk danah electrolyte, urea, leh creatinine level te enfiah thin a ni.
• Calcium leh thyroid stimulating hormone (TSH) level hi thla ruk atanga thla sawm leh pahnih danah endik thin a ni.

A tawp berah chuan thil hriat reng tur

Lithium hi damdawi chak tak leh tangkai tak a ni a, mahse a hman hunah chuan fimkhur zual a ngai a ni. Lithium toxicity hi nunna atana hlauhawm tak a ni a, damdawi ei tam lutuk vang emaw, damdawi ei laiin tui tam lutuk avanga lo awm thei a ni. Lithium toxicity laka inven dan tur leh fimkhur tur symptoms te chu i doctor nen sawiho rawh. Doctor te chu tanpui tur che leh hrisel taka awm tir turin an awm reng a ni. Chuvangin, zawhna leh ngaihtuahna i neih chuan zawt hreh suh. A pawimawh ber chu doctor-in a tih ang chiah, a hun takah i damdawi ei tur a ni tih hre reng ang che. Tin, tui tam tak in theihnghilh suh.