Kodi dokotala wanu wakupatsani mankhwala a lithiamu kapena munthu wina wapafupi nanu amene ali ndi vuto la bipolar disorder? Ngati ndi choncho, ndikofunikira kudziwa bwino za mankhwalawa. Ngakhale kuti ndi mankhwala othandiza kwambiri, ndi mankhwala omwe amafunika kusamala kwambiri akagwiritsidwa ntchito. Tiyeni tikambirane za izi mosavuta, m'njira yomwe mungamvetse.
Kodi Lithium iyi ndi chiyani?
Mwachidule, lithiamu ndi mankhwala oletsa kusinthasintha kwa maganizo . Munthu amene ali ndi vuto la bipolar disorder angakumane ndi kusintha kwadzidzidzi kwa maganizo ake, khalidwe lake, ndi maganizo ake. Izi zikutanthauza kuti, maganizo ake amasinthasintha pakati pa nthawi ya chisangalalo chachikulu (mania) ndi nthawi ya chisoni chachikulu ndi nkhawa (depression).
Taganizirani izi, izi zimachitika pamene ntchito ya mankhwala enaake (ma neurotransmitters) muubongo mwathu yakhala yosalinganika. Chifukwa chake chomwe lithiamu imachita ndikulinganiza ntchito ya mankhwala awa ndikuthandiza kuti malingaliro anu akhale olimba. Izi zimalamulira kusinthana kwachangu pakati pa chisangalalo chachikulu ndi chisoni chachikulu.
Zinthu zoti muuze dokotala wanu musanayambe kumwa mankhwala
Ndikofunikira kwambiri kupatsa dokotala wanu kufotokozera kwathunthu mbiri yanu ya thanzi. Chifukwa lithiamu ikhoza kukhala yoopsa ikagwiritsidwa ntchito ndi matenda ena. Ngati muli ndi chilichonse mwa izi, onetsetsani kuti mwauza dokotala wanu.
| Mtundu wa chidziwitso | Zomwe muyenera kudziwa |
|---|---|
| Matenda a mtima ndi kuyenda kwa magazi | Ngati muli ndi matenda a mtima, mbiri ya kusakhazikika kwa kayendedwe ka mtima, kapena vuto monga Brugada Syndrome. |
| Impso ndi madzi amthupi | Matenda a impso, kusowa madzi m'thupi (monga chifukwa cha kutsegula m'mimba kapena thukuta kwambiri), kudya zakudya zopanda mchere wambiri, kusowa potaziyamu kapena sodium m'magazi. |
| Matenda ena | Matenda a chithokomiro kapena parathyroid glands, kupuma movutikira, kuvutika kukodza, matenda omwe alipo m'thupi, komanso kuchuluka kwa calcium m'magazi. |
| Matenda a munthu payekha komanso ziwengo | Ngati muli ndi pakati kapena mukufuna kutenga pakati, ngati mukuyamwitsa, ngati mwakhala ndi vuto la lithiamu kapena mankhwala ena aliwonse, zakudya, kapena utoto. |
Kodi ndimagwiritsa ntchito bwanji mankhwalawa molondola?
Mlingo wa mankhwalawa ndi wofunika kwambiri. Chifukwa chake, ndikofunikira kumwa kuchuluka komwe kwalembedwa, monga momwe dokotala wanenera.
- Mezani piritsi ndi kapu ya madzi.
- Musaswe, kuphwanya, kapena kutafuna piritsi. Kutulutsa kwa Extended-Release kumatanthauza kuti mankhwalawo amatuluka m'thupi pang'onopang'ono, kotero piritsilo liyenera kumezedwa lonse.
- Imwani mankhwalawa mutadya kapena pamodzi ndi chakudya chokoma kuti mupewe kuvutika m'mimba.
- Yesani kumwa mankhwala nthawi yomweyo tsiku lililonse.
- Musamwe mankhwala opitirira muyeso womwe dokotala wanu wakupatsani. Kuchita zimenezi kungayambitse mavuto aakulu.
- Musasiye kumwa mankhwala popanda upangiri wa dokotala.
Nanga bwanji ngati ndaphonya mlingo wa mankhwala?
Ngati mwaphonya mlingo, imwani mwamsanga mukangokumbukira. Komabe, ngati nthawi yatsala pang'ono yoti mutenge mlingo wotsatira, thawani mlingo womwe mwaphonya ndikumwa mlingo wotsatira panthawi yomwe mwakonza. Musamwe mlingo wowirikiza kawiri.
Nanga bwanji ngati nditamwa mankhwala ochulukirapo?
Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, pitani ku Dipatimenti Yoona za Zadzidzidzi (ETU) yapafupi nthawi yomweyo kapena imbani National Poisons Information Centre ku Colombo National Hospital . Chitani izi ngati zadzidzidzi.
Mankhwalawa aperekedwa kwa inu nokha. Musapatse wina aliyense mankhwalawa, ngakhale atakhala ndi zizindikiro zomwezo monga inu.
Mankhwala ena omwe angagwirizane ndi lithiamu
Muyenera kuuza dokotala wanu za mankhwala onse omwe mumamwa, kuphatikizapo mankhwala olembedwa ndi dokotala, mankhwala ogulitsidwa kunja kwa chipatala, mankhwala achikhalidwe, mavitamini, komanso zowonjezera, chifukwa mankhwala ena amatha kuyanjana ndi lithiamu.
Makamaka, mankhwala otsatirawa sayenera kumwedwa ndi lithiamu:
- Cisapride
- Dronedarone
- Pimozide
- Thioridazine
Kuphatikiza apo, lithiamu imathanso kuchitapo kanthu ndi izi:
- Zakumwa zokhala ndi caffeine (khofi, tiyi, cola)
- Mankhwala ochepetsa ululu ndi oletsa kutupa (NSAIDs) - mwachitsanzo Ibuprofen, Naproxen
- Mapiritsi a madzi (Diuretics)
- Mankhwala ena a kuthamanga kwa magazi
- Mankhwala ena a matenda monga kuvutika maganizo
- Mankhwala operekedwa kuti apumule minofu panthawi ya opaleshoni
- Mankhwala oletsa khunyu monga Carbamazepine ndi Phenytoin
- Mankhwala opha tizilombo monga Metronidazole
- Mankhwala ena a shuga - mwachitsanzo zoletsa za SGLT2
- Zinthu zochokera ku zitsamba monga St. John's Wort
Mndandandawu sunathe, choncho ndibwino kuuza dokotala wanu zonse zomwe mumamwa.
Zinthu Zapadera Zofunika Kuziganizira Mukatenga Lithium
Kulinganiza Mchere ndi Madzi
Ichi ndi chinthu chofunikira kwambiri chomwe muyenera kusamala nacho mukamamwa lithiamu. Kumbukirani, kuchuluka kwa mchere (sodium) ndi madzi m'thupi lanu ndi zinthu ziwiri zazikulu zomwe zimalamulira kuchuluka kwa lithiamu m'thupi.
- Idyani zakudya zokhala ndi mchere wochepa. Pewani kudya zakudya zokhala ndi mchere wochepa mwadzidzidzi popanda malangizo a dokotala.
- Imwani madzi ambiri. Ngati mukutsegula m'mimba kapena mukutuluka thukuta kwambiri (chifukwa cha masewera olimbitsa thupi, nyengo yotentha), muyenera kumwa madzi owonjezera. Izi zili choncho chifukwa madzi ndi mchere zikatayika m'thupi, kuchuluka kwa lithiamu m'magazi kumatha kukwera kwambiri.
- Chepetsani zakumwa zokhala ndi caffeine. Zinthu monga khofi ndi tiyi zimapangitsa kuti thupi lanu litaye madzi ambiri.
Makina oyendetsa ndi kugwiritsa ntchito
Mankhwalawa angakupangitseni kumva chizungulire, kugona, komanso kuchedwetsa nthawi yanu yochitira zinthu. Choncho, pewani kuyendetsa galimoto kapena kugwiritsa ntchito makina olemera mpaka mutadziwa momwe mankhwalawa amakukhudzirani.
Kupimidwa kuchipatala nthawi zonse
Mukamamwa lithiamu, dokotala wanu nthawi zambiri amakuuzani kuti muyang'ane kuchuluka kwa lithiamu m'magazi mwanu. Musamalumphe mayeso a magazi awa. Kusunga kuchuluka kwa lithiamu m'magazi mwanu mkati mwa njira zochiritsira ndikofunikira kwambiri kuti mukhale otetezeka.
Kodi zotsatirapo zake zingakhale zotani?
Monga mankhwala ena aliwonse, lithiamu ikhoza kukhala ndi zotsatirapo zake. Zina zimakhala zoopsa, zina zimakhala zofala.
| Zotsatira zoyipa | Kufotokozera |
|---|---|
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala wanu nthawi yomweyo | |
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime kapena pakhosi. |
| Kuopsa kwa Lithium | Kutsegula m'mimba, kusanza, kunjenjemera, kuvutika kuyenda, kulephera kulamulira maso, kumva phokoso m'makutu, kufooka kwa minofu, kulankhula movutikira, kusokonezeka maganizo. |
| Matenda a Serotonin | Kusokonezeka, kugunda kwa mtima mofulumira, kuuma kwa minofu, thukuta kwambiri, kutentha thupi, komanso kukomoka. |
| Zizindikiro zina zazikulu | Kusintha kwa kugunda kwa mtima (chizungulire, kupweteka pachifuwa), ludzu lochuluka ndi kukodza, mutu waukulu pamodzi ndi kusintha kwa masomphenya. |
| Zotsatirapo zomwe nthawi zambiri sizifuna chithandizo chamankhwala (koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira) | |
| Chizungulire | Izi zitha kuchitika mpaka thupi litazolowera mankhwalawo. |
| Kutopa | Kumva kutopa pang'ono. |
| Kusanza | Izi zitha kuchepetsedwa mwa kumwa mankhwala pamodzi ndi chakudya. |
| Kugwedezeka | Kugwedezeka pang'ono kwa manja kungachitike. |
Uthenga Wopita Nawo Kunyumba
- Lithium ndi mankhwala othandiza kwambiri, koma ayenera kugwiritsidwa ntchito mosamala kwambiri. Tsatirani malangizo a dokotala wanu mosamala.
- Uzani dokotala wanu za mankhwala ena onse, mavitamini, ndi mankhwala azitsamba omwe mukumwa.
- Musamalumphe mayeso a magazi omwe anakonzedwa. Ndikofunikira kuti muchepetse kuchuluka kwa lithiamu m'magazi mwanu.
- Sungani mchere ndi madzi m'thupi lanu moyenera. Imwani madzi ambiri. Imwani madzi ochulukirapo mukakhala ndi thukuta kwambiri kapena mukutsegula m'mimba.
- Dziwani zizindikiro za poizoni wa lithiamu (kutsegula m'mimba, kusanza, kunjenjemera, kulankhula movutikira). Funsani dokotala nthawi yomweyo ngati muwona zizindikiro izi.
- Pewani kusintha mlingo kapena kusiya kumwa mankhwala popanda upangiri wa dokotala.
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