Kei te tango koe, tetahi atu rānei e mōhio ana koe, i te Lithium, he rongoā e tohua pinepinetia ana mō ngā mate hinengaro pēnei i te mate Bipolar? Ahakoa he tino whai hua tēnei rongoā ina whakamahia tika, ahakoa he iti noa te nui o te tango ka arahi pea ki tētahi mate morearea e mōhiotia ana ko te 'Lithium Toxicity.' I tēnei rā, me matapaki tātou i ngā mea me mōhio koe kia noho haumaru ai koe ki Nirogi Lanka.
I roto i ngā kupu māmā noa iho, ka puta te paitini o te lithium ina nui rawa ngā taumata o tēnei rongoā i roto i tō tinana. Ka taea e tēnei te whakaoho i te mamae o te puku (pēnei i te whakapairuaki, te ruaki, te korere rānei) me te pā ki tō pūnaha io (ka arahi ki te pōhēhētanga, te wiri rānei). Ki te kore e rongoatia, ka noho hei āhuatanga ohorere e morearea ai te ora.
He tote tūturu te lithium e whakamahia ana hei whakaiti i ngā wā o te mania i roto i te mate Bipolar. Heoi, he tino iti te tawhiti i waenga i te horopeta haumaru me te horopeta morearea. Ko te tikanga o tēnei, ahakoa he iti noa te pikinga o tō horopeta, ka uaua pea ki tō tinana te whakahaere.
He pēhea te puta o te paitini o te lithium?
He maha ngā huarahi e puta ai tēnei. Me titiro tātou ki a rātou.
Te Paitini Kino
Ka puta tēnei mēnā ka horomia e koe he nui o te Lithium i roto i te tinana i te wā ohorere, ka maroke rawa rānei, ka tere te piki o te kukū o te rongoā. I ētahi wā ka puta tēnei nā ngā hapa horopeta tūpono.
Te Paitini Kino-ki-te-mau tonu
Ka puta tēnei mēnā he kaiwhakamahi Lithium koe i ia rā, ā, ka tangohia he horopeta tāpiri, mēnā rānei ka nui rawa te wai e ngaro ana i tō tinana. Hei tauira, mēnā kāore i nui te wai i a koe mō ētahi rā, mēnā rānei ka ruaki nui koe, tera pea ka uaua ki tō pūnaha te tukatuka haumaru i te rongoā.
Te Paitini Mau tonu
Ka puta tēnei i roto i te wā i te mea ka āta kohikohi haere te Lithium ki roto i tō pūnaha. Ka ngāwari te tupu, nā te mea he nui te pānga o ngā āhuatanga pēnei i te matewai, te mahi a te whatukuhu, me ētahi atu rongoā ka tangohia e koe ki te whakakorenga o te Lithium e tō tinana.
He aha ngā taumata o te paitini o te lithium?
Ka aroturukihia e tō tākuta ō taumata rongoā mā roto i ngā whakamātautau toto hei whakatau ko tēhea te mea haumaru māu. Ko te tikanga, ka whakarōpūtia te paitini penei:
- Te paitini ngawari: 1.5 ki te 2.5 mmol/L.
- Te paitini ngawari: 2.5 ki te 3.5 mmol/L.
- Te paitini nui: Neke atu i te 3.5 mmol/L.
Kāore koe e manukanuka ki te ine 'mmol/L'; he ine hangarau tēnā mā tō rōpū hauora. Me arotahi koe ki te mōhio ki ngā tohu whakatūpato.
He aha ngā tohu o te paitini o te lithium?
Ka rerekē ngā tohu i runga i te momo me te kaha o te paitini.
Ngā Tohu o te Paitini Koi me te Paitini Koi-ki-te-mau tonu
Ko te tikanga ka tīmata ēnei take me ngā raruraru gastrointestinal (GI), tae atu ki:
- Whakapairuaki me te ruaki .
- Korere .
- Mamae puku .
- He ahua pupuhi.
Ka tīmata ēnei tohu i roto i te haora i muri i te nui rawa o te horomanga.
He mea nui: Ki te pāngia koe e ēnei tohu, me rapu awhina hauora tonu.
I te piki haere o te paitini ki ngā taumata ngawari, ki ngā taumata kino rānei, ka kite pea koe i ngā huringa pūnaha io, pēnei i:
- Ngā huringa āhua hinengaro: Mai i te pōhēhē ngawari ki te pōrangi kino.
- Ngā wiri kāore e taea te whakahaere.
- Te ngaronga o te taurite, te kore rānei o te taunga o ngā hononga ( ataxia ).
- Te wiri o te uaua (myoclonus).
- Te kōrero pōturi (dysarthria).
- Te tino pukumahi o ngā urupare (ngā urupare hohe rawa).
- Ngā nekehanga kanohi koretake (nystagmus).
- I ngā wā tino kino: Te kirika nui (hyperthermia).
- I ngā wā tino kino:Ngā hopuhopu .
- I ngā take kino: Koma.
Mena kei te tango koe i te Lithium, ā, ka kite koe i tētahi o ēnei tohu, whakapā atu ki ngā ratonga ohorere, whakapā atu rānei ki tō tākuta i runga i te wā tonu.
Ngā Tohu o te Paitini Ritenga Mau tonu
He maha ngā wā ka pāngia te mahi a te whatukuhu e te paitini mau tonu, ka arahi pea tēnei ki ngā āhuatanga motuhake:
Mate Huka Insipidus Nephrogenic
Ka puta tēnei ina kore e taea e ō whatukuhu te whakataurite tika i ngā wai nā te mea ka mutu tā rātou urupare ki ngā homoni anti-diuretic. Ko ngā tohu ko:
- Te matewai (te mangai maroke, te ngenge, te whanoke).
- Te matewai nui ( polydipsia ).
- Te nui o te mimi (polyuria).
Te Nephritis Ngaro-Konutai
Ka taea e te kino o te whatukuhu te arahi ki te kore taurite o te electrolyte, e tohuhia ana e:
- Ngā mamae o te uaua me te ngoikore.
- Te pōhēhētanga hinengaro.
- Te ngenge.
- Te matewai nui.
- Te mimi pinepine.
Te Mate Pūkahukahu
Koinei te wā e turuturu nui rawa ai te pūmua ki roto i tō mimi (proteinuria) e ō whatukuhu. Ko ngā tohu ko:
- Te nui o te cholesterol (hyperlipidemia).
- Te pupuhi i ngā waewae me ngā pona (edema).
- Te ngaronga o te hiahia kai.
- Te mamae o te puku.
- Mimi huka.
Ka pāngia pea te pūnaha endocrine e te whakamahinga roa, pērā i te hypothyroidism, te hyperthyroidism, te hyperparathyroidism rānei.
Mena ka pāngia koe e tētahi o ēnei tohu i a koe e tango ana i te Lithium, me kōrero wawe tonu ki tō tākuta.
Te hononga i waenga i te Lithium me te Serotonin Syndrome
Ka taea e te lithium te whai wāhi ki te whanaketanga o te Serotonin Syndrome, ina koa mēnā kei te tango koe i ētahi atu rongoā e pā ana ki ngā taumata serotonin. He mate morearea pea tēnei.
Ko ngā tohu o te mate Serotonin (mai i te ngawari ki te kino) ko:
- Te kore okiokinga.
- Whakapairuaki me te ruaki.
- Te korere.
- Ngā ākonga kua whānui.
- Te wiri.
- Te āwangawanga me te manukanuka.
- Te wiri me te pakari o ngā uaua.
- Te werawera me te wiri.
- Pōhēhē, pōrangi rānei.
- Te tere o te manawa.
- Te toto toto tiketike.
Ki te pāngia koe e ēnei tohu, me rapu awhina hauora tonu!
He aha ngā take o te paitini o te lithium?
E toru ngā take matua ka puta ai tēnei:
- Te nui rawa o te kai: Ki te nui rawa te kai i te lithium i te mea kua tohua, ahakoa i āta whakaarohia, i tūpono rānei, ka arahi pea ki te paitini tere, tere rānei. Ahakoa he onge, me whakarerekē pea e tō tākuta tō horopeta i ētahi wā; heoi, me whakahaere tēnei i raro i te tirotiro haumanu.
- Ngā raruraru matewai, te taurite wai rānei: He take noa tēnei. Ina ngaro te konutai (tote) me te wai i roto i tō tinana, ka whakakapihia e ō whatukuhu mā te mimiti anō i te lithium, ka piki ake ngā taumata toto. Tērā pea nā:
- Te ruaki.
- Te korere.
- Te kirika.
- Te ngoikore o te whatukuhu.
- Te whakamahinga o ngā rongoā whakaheke toto (ngā pire wai).
- Te whakakorikori tinana kaha.
- Te werawera nui (Hyperhidrosis).
- Te kore e ranea te inu wai.
- He kai iti te tote.
- Te ngoikore o te ngākau.
- Te haputanga, te whānautanga rānei.
- Ngā kore taurite o te tairoi (Hyperthyroidism).
- Te iti o te tukunga: I ētahi wā, ka uaua ki te tinana te tātari i te lithium, nā ngā āhuatanga matua kua whakahuatia i runga ake nei.
Ko wai kei te mōrearea nui ake ki te paitini o te lithium?
Ko te hunga e nui ake ana te mōrearea mō te paitini lithium mau tonu ko:
- Ngā tāngata neke atu i te 50 tau te pakeke.
- Ngā tāngata whai mate tairoi.
- Te hunga he ngoikore te mahi a te whatukuhu.
- Ngā tāngata whai mate huka insipidus.
Ko te whakamahinga roa o te lithium e pā ana ki te mōrearea o te whakawhanake i te nephrogenic diabetes insipidus, ka taea ai e tēnei te whakararu i a koe ki te paitini.
Mena kei te tango koe i te lithium, ā, ka pāngia koe e tētahi o ēnei āhuatanga, me toro atu ki tō tākuta tonu atu.
Me pēhea te tautuhi a ngā tākuta i te paitini o te lithium?
Hei aromatawai tika i te kaha o tō mate, me whiwhi tō tīma hauora i ngā mōhiohio motuhake:
- Te nui tika o te lithium i horomia e koe.
- Te wā o te horomitanga.
- Ahakoa i tangohia e koe ētahi atu rongoā, matū rānei.
- Ahakoa i horomia ā-tūpono, i āta whakaarohia rānei.
Hei whakaū i te mate, ka whakahaerehia e ngā tākuta ētahi whakamātautau, tae atu ki:
- Ngā whakamātautau toto hei ine i ō taumata lithium.
- Ngā whakamātautau toto hei tirotiro i ngā taumata electrolytes (pēnei i te konutai me te konupūmā).
- Ngā whakamātautau mō te homoni whakaoho tairoiti (TSH) .
- Te tātaritanga mimi.
- Ngā whakamātautau mahi whatukuhu (te aroturuki i ngā taumata o te Urea me te Creatinine).
- Whakaahua roro (i ngā wā tino onge, tino kino anake).
Ka aroturukihia hoki e tō rōpū ō tohu ora, pēnei i:
- EKG (electrocardiogram) hei aroturuki i te manawataki o tō ngakau.
- Te putanga o tō mimi.
- Ō taumata hāora mā te whakamahi i te pulse oximeter .
Me pēhea te rongoā i te paitini o te lithium?
Ko te maimoatanga mō te paitini whakapeka, whakapeka rānei, ka whakawhirinaki ki te kaha me te tere o tō taenga atu ki te tari whawhati tata. Ko ngā whāinga matua ko te tango i te lithium mai i tō pūnaha me te whakaū i ō tohu. Ko ētahi o ngā maimoatanga ko:
- Te horoi i te puku.
- Te whakamakuku i te whekau katoa: Ka tukuna he wai motuhake mā te mangai, mā te ngongo nasogastric rānei hei whakawātea i te ara kai.
- Waro whakahohe: Ka whakamahia mēnā i horomia ētahi atu rongoā, matū rānei i te wā kotahi.
- Hemodialysis: Ko te huarahi tino whai hua ki te tango i te lithium mai i te toto i ngā take tino kino.
- Ngā wai IV.
- Ngā rongoā kua arotahihia hei whakahaere i ngā tohu.
Tērā pea ka whiwhi koe i te tiaki i roto i te Wāhanga Ohotata. Mena he kino te paitini, ka whakaurua pea koe ki te Wāhanga Tiaki Kaha (ICU).
Te Maimoatanga mō te Paitini Ritenga Mau tonu
Nā te mea he maha ngā pānga o te paitini roa ki te hauora o te whatukuhu, ka whakaritea te maimoatanga kia rite ki te taumata o te ngoikore o te whatukuhu, tae atu ki te hemodialysis.
He aha te tirohanga? (Te matapae)
Ko tō whakaoranga e whakawhirinaki ana ki te momo paitini, tōna kaha, me te tere o tō rapu āwhina. Mēnā he paitini nui te mate, kāore he tohu mate pūnaha io, he onge ngā raruraru roa. Heoi, ki te puta he tohu mate pūnaha io kino, ka taea e rātou te noho pumau. Koia te take he mea nui te wawaotanga wawe a Nirogi Lanka me ngā ratonga ohorere. I ngā take kino, ka taea e te paitini kāore i rongoatia te arahi ki te koma, te kino o te roro pumau, te mate rānei.
Ka uaua ake te kite i te paitini mau tonu nā te mea ka āta whanake haere ngā tohu, ka arahi pea tēnei ki te kino o te whatukuhu, te pūnaha io rānei mō te wā roa.
Me pēhea te ārai i te paitini o te lithium?
Mā te whai i ēnei mahi ka āwhina i te ārai i te paitini nui o te lithium:
- Tangohia tō rongoā kia rite ki te mea i whakaritea: Whakamahia noa te horopeta i whakaritea e tō tākuta. Whakamahia ngā tapanga, ngā pukapuka rongoā rānei hei karo i te horopeta takirua tūpono.
- Rokirokihia tō rongoā kia haumaru: Puritia tō lithium kia matara atu i ngā tamariki me ngā tāngata kāore i whakaaetia.
- Kia mau te wai: Inuhia he nui te wai i te roanga o te rā. Mena ka pāngia koe e te ruaki, te korere, te kirika rānei, whakapā atu ki tō tākuta tonu.
- Puritia he rārangi rongoā katoa:Me whakamōhio atu ki tō tākuta kei te tango koe i te lithium i mua i te tīmatanga o tētahi rongoā hou, nā te mea ka taea e ētahi rongoā te whakararuraru i te tukanga o te lithium e tō tinana.
- Pūrongohia ngā huringa hauora: Me whakamōhio wawe atu ki tō tākuta mō ngā huringa hauora, pērā i te hāputanga, ngā rerekētanga rānei o te pūnaha endocrine.
Mena kei te pāngia koe e ngā whakaaro whakamomori, kei te hiahia rānei koe ki te tango i te nui rawa o te Lithium, haere tonu ki te tari ohorere o te hōhipera tata, whakapā atu rānei ki tētahi e whakawhirinaki ana koe. I ngā wā ohorere, ka taea hoki e koe te whakapā atu ki ngā ratonga tautoko ā-rohe mō ngā āhuatanga ohorere, te waea atu rānei ki ngā ratonga ohorere (911) mō te āwhina tonu.
Mena kua roa koe e tango ana i te Lithium, ka tūtohu tonu tō tākuta i ngā whakamātautau toto me te mimi hei aroturuki i tō hauora. He mea nui ēnei whakamātautau mō te kitenga wawe i te paitini lithium mau tonu. Anei ngā aratohu paerewa mō te aroturuki:
- Me whai whakamātautau toto i muri i te 3 ki te 5 ngā rā i muri i te tīmatanga o te rongoā lithium, i muri rānei i te whakarerekētanga o te horopeta.
- Mō te hunga e rongoatia ana mō te wā roa, ka tirohia ngā taumata o te lithium i roto i tō rātou toto i ia 3 ki te 6 marama.
- Ka tirohia ngā taumata o te irahiko hiko, te urea, me te creatinine i ia 3 ki te 6 marama.
- Ka tirohia ngā taumata o te konupūmā me te homoni whakaoho tairoi (TSH) i ia 6 ki te 12 marama.
Ngā Whakaaro Nui
Ahakoa he rongoā tino kaha, tino whai hua hoki te Ritiumu, me tino tupato i te wā e whakamahia ana. He raruraru morearea te paitini o te Ritiumu ka puta mai i te nui rawa o te horopeta, i te maroke rānei i te wā e tango ana i te rongoā.
Tena koa kōrero ki tō tākuta kia matapakihia ai te ārai i te paitini o te Lithium, kia mōhio ai hoki koe ki ngā tohu whakatūpato hei tirotiro māu. I Nirogi Lanka, kei konei ā mātou tohunga hauora hei tautoko i a koe, hei whakarite hoki i tō oranga. Kaua e mangere ki te pātai mēnā he āwangawanga, he ruarua rānei ōu.
Kia maumahara, ko te tango i tō rongoā kia rite ki te mea i tohua e tō tākuta te taahiraa nui rawa atu. Hei tāpiri, kia mau tonu te wai i roto i a koe i te roanga o te rā.
