Kodi nthawi zina mumamva ngati mukuvutika kulamulira maganizo anu? Nthawi zina simungathe kusunga maganizo anu pamalo amodzi? Nthawi ngati zimenezi, dokotala angakulembereni mankhwala otchedwa 'Lithium', makamaka ngati muli ndi vuto monga 'Bipolar Disorder'. Choncho lero, tiyeni tikambirane pang'ono za mankhwalawa, monga momwe mungalankhulire ndi mnzanu.
Kodi mankhwala a Lithium ndi otani?
Mwachidule,
lithiamu ndi mankhwala omwe amathandiza kulinganiza momwe mukumvera, khalidwe lanu, ndi malingaliro anu. Kusintha kwa malingaliro kumachitika pamene mankhwala ena muubongo mwathu asintha ntchito yawo. Lithium imagwira ntchito powongolera mankhwala awa ndikuthandiza kuti maganizo anu akhale bata. Madokotala nthawi zambiri amalemba mankhwalawa kwa anthu omwe ali ndi vuto la bipolar. Komabe, ingagwiritsidwenso ntchito pa matenda ena. Dokotala wanu kapena wamankhwala angakuuzeni zambiri za izi.
Ndi zinthu ziti zomwe ndiyenera kuuza dokotala ndisanayambe kumwa mankhwalawa?
Izi ndizofunikira kwambiri. Musanayambe kumwa lithiamu, pali
zinthu zingapo zomwe muyenera kuuza dokotala wanu. Mankhwalawa si a aliyense. Ngati muli ndi vuto lililonse mwa izi, uzani dokotala wanu:
- Kodi pali matenda aliwonse omwe alipo pakadali pano?
- Kodi mukuvutika kupuma ?
- Kodi pali vuto la mtima lotchedwa 'Brugada Syndrome' ? (Ili ndi vuto lomwe limakhudza kugunda kwa mtima)
- Kodi mwataya madzi m'thupi chifukwa cha kutsegula m'mimba kapena thukuta kwambiri ?
- Kodi mukutsatira zakudya zopanda mchere wambiri ?
- Kodi muli ndi matenda a mtima ?
- Kodi calcium m'magazi ndi yokwera ?
- Kodi munayamba mwakhalapo ndi kugunda kwa mtima kosakhazikika ?
- Kodi muli ndi matenda a impso ?
- Kodi potaziyamu kapena sodium m'magazi mwanu ndi yotsika ?
- Parathyroid gland (chithokomiro cha chithokomiro)Kodi muli ndi matenda a parathyroid?
- Kodi muli ndi vuto pokodza ?
- Kodi muli ndi matenda a chithokomiro ?
- Kodi munayamba mwakhalapo ndi vuto lachilendo la ziwengo chifukwa cha lithiamu, mankhwala ena, zakudya, utoto, kapena zotetezera?
- Kodi muli ndi pakati? Kapena mukuyembekezera kutenga pakati?
- Kodi ndinu mayi woyamwitsa?
Ndikofunikira kwambiri kuti mukhale otetezeka kuuza dokotala za zinthu izi.
Kodi mungagwiritse ntchito bwanji Lithium moyenera?
Chabwino, tsopano tiyeni tiwone momwe tingamwere mankhwalawa.
- Mankhwalawa ayenera kumwedwa ndi madzi .
- Yesetsani kumwa mankhwala anu nthawi yomweyo tsiku lililonse , monga momwe zalembedwera pa chizindikiro cha mankhwala. Mwanjira imeneyi, mankhwalawo adzagwira ntchito bwino.
- Mungathe kumwa izi muli ndi chakudya kapena ayi . Komabe, ngati mukumva kupweteka m'mimba pang'ono, ndi bwino kumwa izi muli ndi chakudya.
- Muyenera kupitiriza kumwa mankhwalawo mpaka dokotala atakuuzani kuti musiye. Ndi bwino kuti musasiye mwadzidzidzi, chifukwa mukumva ngati mukufuna.
Chofunika: Pamene pharmacy ikupatsani mankhwala awa, imakupatsiraninso kabuku ka malangizo apadera ('MedGuide') . Musaiwale kuwerenga kabuku ka malangizo aka mosamala nthawi iliyonse mukalandira mankhwalawo, komanso nthawi iliyonse mukalandira mankhwala owonjezera. Kabukuka kali ndi mfundo zambiri zofunika kwa inu.
Kodi mankhwalawa ayenera kuperekedwa kwa ana? Mankhwalawa nthawi zina angaperekedwe kwa ana azaka 7, m'mikhalidwe yapadera. Komabe, njira zapadera zodzitetezera ziyenera kutsatiridwa. Chifukwa chake, ngati mukupereka mankhwalawa kwa mwana wanu, lankhulani ndi dokotala wanu mosamala za izi ndipo mudziwe zambiri.
Chochita ngati mwamwa mankhwala ochulukirapo? (Kupitirira muyeso)
Ngati zimenezo zitachitika, ndiye kuti,
ngati mukuganiza kuti mwamwa mankhwala ambiri kuposa momwe mumaganizira, pitani ku chipatala chapafupi nthawi yomweyo , kapena imbani malo owongolera poizoni. Ichi si chinthu chongoseweretsa.
Mankhwala awa ndi a inu nokha! Musapatse ena mankhwala omwe dokotala wanu anakupatsani, ngakhale atakhala ndi zizindikiro zomwezo monga inu.
Kodi mumatani ngati mwaphonya mlingo?
Ngati mwaiwala kumwa mankhwala anu,
imwani mlingo mwamsanga mukangokumbukira . Komabe, ngati nthawi yoti mutenge mlingo wotsatira yafika nthawi yomwe mwakumbukira, dumphani mlingo womwe mwaphonya ndikumwa
mlingo wotsatira panthawi yomwe mwakonza .
Musamwe mlingo wowirikiza kawiri kapena wowonjezera . Kuchita izi kumawonjezera chiopsezo cha zotsatirapo zoyipa.
Ndi zinthu zina ziti zomwe zingagwirizane ndi mankhwalawa?
Ichi ndi chinthu choyenera kusamala nacho kwambiri. Lithium ndi
mankhwala omwe angagwirizane ndi mankhwala ena, zitsamba, ndi mavitamini . Izi zikutanthauza kuti akamwedwa pamodzi, zotsatira za Lithium zingasinthe kapena zotsatira zake zingachuluke.
Musamwe Lithium ndi mankhwala awa:- Cisapride
- Dronedarone
- Pimozide
- Thioridazine
Mankhwala a Lithium amathanso kuyanjana ndi mankhwala otsatirawa, choncho onetsetsani kuti mwauza dokotala wanu ngati mukumwa chilichonse mwa izi:- Kafeini (yomwe imapezeka mu khofi, tiyi, chokoleti, ndi zakumwa zina zoziziritsa kukhosi)
- Carbamazepine
- Mankhwala ena ochizira kuvutika maganizo, nkhawa, kapena matenda ena amisala
- Mankhwala ena omwe amatengedwa chifukwa cha kuthamanga kwa magazi
- Mankhwala ena omwe amagwiritsidwa ntchito pa mutu waching'alang'ala (monga almotriptan, eletriptan, sumatriptan)
- Mankhwala ochepetsa mphamvu ya madzi m'thupi (Diuretics)
- Fentanyl
- Linezolid
- Mankhwala omwe ali m'gulu la mankhwala otchedwa 'MAOIs' (Monoamine Oxidase Inhibitors) (monga Carbex, Eldepryl)
- Mankhwala opumulira minofu amaperekedwa musanachite opaleshoni
- Methyldopa
- Metronidazole
- 'NSAIDs' (Mankhwala Oletsa Kutupa Osagwiritsa Ntchito Ma steroid) - mankhwala ochizira ululu ndi kutupa (monga ibuprofen, naproxen)
- Mankhwala ena omwe amakhudza kayendedwe ka kugunda kwa mtima (monga dofetilide)
- Phenytoin
- Iodide ya potaziyamu
- Zoletsa za SGLT2 - mankhwala ena omwe amagwiritsidwa ntchito pochiza matenda a shuga (monga canagliflozin, dapagliflozin)
- Sodium bicarbonate
- Sodium chloride (mchere wamba)
- Wort wa St. John (uyu ndi chomera)
- Theophylline
- Tramadol
- Tryptophan
- Urea
Mndandanda uwu mwina sungakhale wokwanira. Chifukwa chake,
uzani dokotala wanu za mankhwala onse omwe mumamwa, kuphatikizapo mankhwala azitsamba, mankhwala osaperekedwa ndi dokotala, ndi zowonjezera zakudya. Komanso, uzani dokotala wanu ngati mumasuta fodya, mumamwa mowa, kapena mumagwiritsa ntchito mankhwala osokoneza bongo . Zinthu zina zingakhudze mankhwala anu.
Ndi zinthu zina ziti zomwe ndiyenera kudziwa ndikamamwa mankhwalawa?
Muyeneranso kusamala pang'ono mukamamwa lithiamu.
- Pitani kwa dokotala wanu nthawi zonse: Dokotala wanu adzakupemphani kuti mubwere nthawi zonse kuti akaone ngati muli ndi vuto komanso ngati mankhwalawo akugwira ntchito bwino. Onetsetsani kuti mwapita nthawi imeneyo. Zingatenge milungu ingapo kuti mankhwalawo ayambe kugwira ntchito.
- Samalani ndi mchere (sodium): Izi ndizofunikira kwambiri. Kuchuluka kwa mchere m'thupi lanu kumakhudza mwachindunji mphamvu ya lithiamu. Komanso, mankhwalawa amatha kuwonjezera kuchuluka kwa mchere wotuluka m'thupi. Chifukwa chake, idyani chakudya chokhala ndi mchere monga mwachizolowezi . Musamwe mankhwala olowa m'malo mwa mchere. Ngati mukusintha kwambiri zakudya zanu, kapena ngati mukumwa mankhwala omwe ali ndi sodium yambiri, monga sodium bicarbonate, funsani dokotala wanu kuti akupatseni upangiri.
- Imwani madzi ambiri: Yesetsani kumwa magalasi osachepera 8-12 a madzi patsiku mukamamwa mankhwalawa. Ndibwino kuchepetsa kumwa zakumwa zokhala ndi caffeine monga khofi, tiyi, ndi cola. Ngati mukutsegula m'mimba kapena mukutuluka thukuta kwambiri, muyenera kumwa madzi ambiri. Izi zikuthandizani kupewa zotsatirapo zoyipa za mankhwalawa.
- Samalani kuti musatenthe kwambiri: Samalani kuti musatenthe kwambiri mukamachita masewera olimbitsa thupi, mu sauna, mukamasamba ndi madzi otentha, kapena masiku otentha kwambiri panja. Ngati muli ndi malungo aakulu kapena kupweteka m'mimba kosalekeza, uzani dokotala wanu.
- Kusamala ndi kukhala maso: Mankhwalawa angakhudze kugwirizana kwanu, nthawi yochitira zinthu, komanso kuganiza bwino . Choncho, musayendetse galimoto, kugwira ntchito pamalo okwera, kapena kugwiritsa ntchito makina mpaka mutadziwa momwe mankhwalawa amakukhudzirani. Kuti muchepetse chizungulire, imirirani pang'onopang'ono mukamadzuka pampando wokhala pansi kapena pabedi. Kumwa mowa ndi mankhwalawa kungapangitse kuti zotsatirapo zake ziwonjezeke.
Kodi ndi zotsatirapo zotani zomwe ndingapeze kuchokera ku mankhwalawa?
Monga mankhwala ena onse, lithiamu ingayambitse zotsatira zina zoyipa. Zina ndi zoopsa, zina sizili zoopsa kwambiri.
Ngati mukukumana ndi zotsatirapo zotsatirazi, uzani dokotala wanu mwamsanga:- Matenda a ziwengo: Ziphuphu pakhungu, kuyabwa, ziphuphu, kutupa kwa nkhope, milomo, lilime, kapena pakhosi.
- Kusintha kwa kayimbidwe ka mtima: Kugunda kwa mtima mofulumira kapena kosakhazikika, chizungulire, mutu wopepuka, kupweteka pachifuwa, kuvutika kupuma.
- Kupanikizika kowonjezereka kuzungulira ubongo: Mutu waukulu, kusawona bwino, kusintha kwa masomphenya, nseru, kusanza.
- Kuchuluka kwa ludzu ndi kuchuluka kwa mkodzo.
- Zizindikiro za Serotonin Syndrome:Nkhawa, chisokonezo, kugunda kwa mtima mofulumira kapena kosasinthasintha, kuuma kwa minofu, kugwedezeka kwa minofu, thukuta kwambiri, kutentha thupi kwambiri, khunyu, kuzizira, kusanza, kutsegula m'mimba. (Ichi ndi vuto loopsa.)
- Kuopsa kwa lithiamu: Izi ndizoopsa kwambiri. Zizindikiro zake ndi izi: kutsegula m'mimba, kusanza, kunjenjemera, kulephera kugwirizana bwino kapena kusagwirizana, kuyenda kosalamulirika kwa maso, kulira kwa makutu, kufooka kwa minofu, kugwedezeka kwa minofu, kulankhula movutikira, ndi kusokonezeka maganizo.
Zotsatirapo zomwe zili pansipa nthawi zambiri sizikhala zoopsa. Komabe, ngati zikupitirira kapena kukuvutitsani, uzani dokotala wanu:- Chizungulire
- Kutopa
- Kusanza
- Kugwedezeka kapena kugwedezeka
Si zotsatirapo zonse zomwe zalembedwa pamndandandawu. Ngati muwona china chake chachilendo kuwonjezera pa izi, lankhulani ndi dokotala wanu za izi.
Kodi ndiyenera kusunga kuti mankhwala anga?
- Sungani pamalo okwera kwambiri omwe ana sangafikire .
- Sungani kutentha kwa chipinda (pakati pa madigiri 15 ndi 30 Celsius, komwe kuli pakati pa madigiri 59 ndi 86 Fahrenheit).
- Onetsetsani kuti mwataya mankhwala omwe atha ntchito.
Pomaliza, zinthu zoti muzikumbukira (Uthenga Wopita Nawo Kunyumba)
Chabwino, takambirana zambiri za lithiamu, sichoncho? Ngati muyenera kugwiritsa ntchito mankhwalawa, ndikofunikira kwambiri kukumbukira zinthu izi.
- Gwiritsani ntchito mankhwala monga momwe dokotala wanu wanenera. Imwani pa nthawi yake, mu mlingo wovomerezeka. Musasiye kapena kusintha mlingo monga mwakufuna kwanu.
- Uzani dokotala wanu za mankhwala ena onse, zitsamba, ndi mavitamini omwe mumamwa.
- Imwani madzi ambiri. Osachepera magalasi 8-12 a madzi patsiku.
- Samalani ndi mchere (sodium). Onjezani mchere muzakudya zanu monga mwachizolowezi.
- Ngati mukukumana ndi zotsatirapo zatsopano kapena ngati zotsatirapo zoyipa zina zikuipiraipira, uzani dokotala nthawi yomweyo. Makamaka ngati mukupeza zizindikiro za lithiamu toxicity kapena serotonin syndrome.
- Kaonaneni ndi dokotala wanu nthawi yake ndipo muyeze magazi. Izi ndizofunikira kwambiri kuti muwone ngati muli ndi lithiamu wabwinobwino.
- Mankhwalawa ndi ongokuthandizani kuti mumve bwino . Komabe, ndikofunikira kwambiri kutsatira zizolowezi zabwino zosamalira maganizo (kugona bwino, kudya zakudya zoyenera, kuchita masewera olimbitsa thupi, njira zochepetsera nkhawa).
Kumbukirani, simuli nokha. Pali madokotala, abale, ndi anzanu omwe angakuthandizeni. Musaope kulankhula nawo.
Ndikukhulupirira kuti izi zikuthandizani. Ndikufunirani kuti muchire mwachangu!
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