Dokotala wanu akakuuzani inu kapena munthu wina wapafupi nanu kuti muyambe kumwa lithiamu, n'zachibadwa kukhala ndi mantha pang'ono komanso chidwi. Makamaka pankhani ya mankhwala oletsa kusinthasintha maganizo, nthawi zambiri timakhala ndi mafunso ambiri. Koma njira yabwino kwambiri yokhalira ndi thanzi labwino ndikudziwitsidwa mokwanira za mankhwalawa. Chifukwa chake lero, tiyeni tikambirane mwachidule za lithiamu, zomwe imachita, komanso zomwe muyenera kusamala nazo mukamaigwiritsa ntchito.
Kodi mankhwala a Lithium ndi otani?
Mwachidule, lithiamu ndi mankhwala omwe amagwiritsidwa ntchito pochiza matenda monga bipolar disorder . Mankhwala ena muubongo (otchedwa neurotransmitters) amathandiza kulamulira maganizo athu, khalidwe lathu, ndi maganizo athu. Lithium imagwira ntchito polinganiza ntchito ya mankhwala awa.
Ngakhale kuti imagwiritsidwa ntchito kwambiri pa matenda a bipolar, dokotala wanu nthawi zina angakupatseni mankhwala pa matenda ena. Choncho ngati muli ndi mafunso okhudza izi, funsani dokotala wanu.
Zinthu zofunika kwambiri zomwe muyenera kuuza dokotala wanu musanayambe kumwa mankhwala
Musanayambe kumwa lithiamu, ndikofunikira kuuza dokotala wanu ngati muli ndi vuto lililonse mwa izi. Izi ndizofunikira kwambiri pa chitetezo chanu.
| Mkhalidwe umene ungakukhudzeni | Kufotokozera |
|---|---|
| Matenda m'thupi | Matenda a mtima, matenda a impso, matenda a chithokomiro, matenda a parathyroid, Brugada Syndrome, mavuto opuma, matenda omwe alipo panopa. |
| Kuchuluka kwa mchere ndi madzi m'thupi | Ngati mwataya madzi m'thupi lanu chifukwa cha mankhwala otsekula m'mimba kapena thukuta kwambiri (kusowa madzi m'thupi), ngati muli ndi potaziyamu kapena sodium m'magazi, kapena ngati muli ndi calcium m'magazi. |
| Zakudya | Ngati mukudya zakudya zopanda mchere wambiri. |
| Mimba ndi kuyamwitsa | Ngati muli ndi pakati, mukuyesera kutenga pakati, kapena mukuyamwitsa. |
| Matenda a ziwengo | Ngati muli ndi vuto la lithiamu kapena mankhwala ena aliwonse, chakudya, kapena utoto. |
Kodi ndiyenera kugwiritsa ntchito bwanji mankhwalawa?
Mankhwalawa amabwera ngati yankho ndipo ayenera kumwedwa pakamwa. Ndikofunikira kwambiri kumwa tsiku lililonse, panthawi yoyenera, monga momwe dokotala wanu wanenera .
Kuti muyese kuchuluka kwa mankhwala, gwiritsani ntchito chipangizo chapadera choyezera (syringe, supuni, kapena chotsukira) chomwe chapangidwira cholinga ichi. Musayese ndi supuni wamba zapakhomo , chifukwa sizingayese kuchuluka kwenikweni. Izi zingayambitse kusintha kwa mlingo.
Ngati mukumva kupweteka m'mimba, imwani mankhwalawa pamodzi ndi chakudya. Chofunika kwambiri, musasiye kumwa mankhwalawa pokhapokha ngati dokotala wanu wakuuzani.
Kumwa Mopitirira Muyeso: Ngati mukukayikira kuti mwamwa mankhwala ochulukirapo, imbani nthawi yomweyo ku National Poisons Information Centre ku Colombo National Hospital , kapena pitani ku Emergency Department (ETU) ya chipatala chapafupi. Chitani izi ngati zadzidzidzi.
Kumbukiraninso kuti mankhwalawa ndi a inu nokha. Musagawane ndi wina aliyense.
Nanga bwanji ngati ndaphonya mlingo wa mankhwala?
Ngati mwaiwala kumwa mlingo, imwani mwamsanga mukangokumbukira. Komabe, ngati nthawi yanu yotsatira yayandikira, dumphani mlingo womwe mwaphonya ndikumwa mlingo wotsatira panthawi yomwe mwakonza. Musamwe kawiri kapena kuposerapo.
Mankhwala ena omwe angagwirizane ndi lithiamu
Lithium ndi mankhwala omwe amatha kuyanjana ndi mankhwala ena, choncho ndikofunikira kuuza dokotala wanu za mankhwala onse omwe mukumwa.
Musamwe lithiamu ndi mankhwala awa:
- Cisapride
- Dronedarone
- Pimozide
- Thioridazine
Mankhwalawa amathanso kuyanjana ndi lithiamu:
Mndandanda uwu sunathe, koma ngati mukumwa mankhwala aliwonse mwa awa, uzani dokotala wanu .
- Zinthu zomwe zili ndi caffeine
- Mankhwala monga Carbamazepine
- Mankhwala ena ochizira matenda monga kuvutika maganizo ndi nkhawa
- Mankhwala ena a kuthamanga kwa magazi
- Mankhwala a mutu waching'alang'ala (monga Sumatriptan)
- Mankhwala ochepetsa mphamvu ya madzi m'thupi (diuretics)
- Mankhwala ochepetsa ululu a NSAID (monga Ibuprofen, Naproxen)
- Mankhwala operekedwa kuti apumule minofu panthawi ya opaleshoni
- Zinthu zochokera ku zitsamba monga St. John's Wort
Choncho, fotokozerani dokotala wanu zonse zokhudza mankhwala onse, mavitamini, ndi mankhwala azitsamba omwe mukumwa, komanso ngati mumasuta fodya, mumamwa mowa, kapena mumagwiritsa ntchito mankhwala ena osokoneza bongo .
Zinthu zofunika kusamala kwambiri mukamamwa mankhwala
- Kuyezetsa dokotala nthawi zonse: Pitani kwa dokotala nthawi zonse kuti muwone ngati vuto lanu likuyenda bwino. Zingatenge milungu ingapo kuti zotsatira zonse za mankhwala ziwonekere.
- Mchere ndi madzi: Izi ndi zomwe munthu amene akumwa lithiamu ayenera kusamala nazo kwambiri.
- Kuchuluka kwa mchere (sodium) m'thupi lanu kumakhudza mwachindunji kugwira ntchito kwa mankhwalawa komanso kupezeka kwa zotsatirapo zake. Chifukwa chake, idyani zakudya zokhala ndi mchere monga mwachizolowezi. Musagwiritse ntchito zinthu zolowa m'malo mwa mchere.
- Imwani madzi ambiri. Ndi bwino kumwa magalasi osachepera 8-12 a madzi patsiku. Pewani zakumwa zokhala ndi caffeine monga khofi, tiyi, ndi cola.
- Ngati mukutsegula m'mimba kapena mukutuluka thukuta kwambiri (monga nthawi yochita masewera olimbitsa thupi kapena nyengo yotentha), imwani madzi ochulukirapo. Izi zichepetsa chiopsezo cha poizoni wa lithiamu.
- Kuchita masewera olimbitsa thupi ndi kutentha thupi: Samalani kuti musataye madzi m'thupi mukamachita masewera olimbitsa thupi, mukugwiritsa ntchito sauna, mukamasambira m'madzi otentha, kapena masiku otentha kwambiri. Imbani dokotala wanu ngati muli ndi malungo aakulu kapena kutsegula m'mimba kosalekeza.
- Kuyendetsa Galimoto: Mankhwalawa angakupangitseni chizungulire, kugona, kapena kukhala ndi vuto lopanga zisankho. Chifukwa chake , pewani kuyendetsa galimoto kapena kugwiritsa ntchito makina mpaka mutadziwa bwino momwe mankhwalawa amakukhudzirani.
Kodi ndi zotsatirapo zotani zomwe ndingakumane nazo?
Monga mankhwala ena aliwonse, lithiamu ingayambitse zotsatirapo zina. Zina zimakhala zoopsa, zina zimakhala zofala.
| Zotsatirapo/zizindikiro | Kufotokozera |
|---|---|
| Ngati muli ndi zizindikiro izi, uzani dokotala wanu nthawi yomweyo. | |
| Kuopsa kwa Lithium | Kutsegula m'mimba kwambiri, kusanza, kunjenjemera, kulephera kukhazikika, mayendedwe osalamulirika a maso, kulira m'makutu, kufooka kwa minofu, kulankhula movutikira, komanso kulephera kukumbukira. |
| Matenda a Serotonin | Kusokonezeka maganizo, kusokonezeka maganizo, kugunda kwa mtima mofulumira, kuuma kwa minofu, thukuta kwambiri, kutentha thupi kwambiri, kugwedezeka, kusanza, kutsegula m'mimba. |
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime kapena pakhosi. |
| Zizindikiro zina zazikulu | Kusayenda bwino kwa mtima, kupweteka pachifuwa, ludzu lochuluka komanso kukodza pafupipafupi, mutu waukulu, kusawona bwino. |
| Ngati zizindikirozi zikupitirira kapena zikukuvutitsani, uzani dokotala wanu. | |
| Zotsatira zoyipa zofala | Chizungulire, kutopa, nseru, kunjenjemera pang'ono m'manja. |
Uthenga Wopita Nawo Kunyumba
- Nthawi zonse imwani lithiamu pa mlingo ndi nthawi yeniyeni yomwe dokotala wanu wakupatsani. Musasiye kumwa mankhwala kapena kusintha mlingo popanda upangiri wa dokotala wanu.
- Uzani dokotala wanu za mankhwala ena onse, mavitamini, ndi mankhwala azitsamba omwe mukumwa.
- Imwani madzi ambiri tsiku lililonse, makamaka nthawi yotentha komanso mukamachita masewera olimbitsa thupi, mukudya zakudya zokhala ndi mchere monga mwachizolowezi.
- Ngati mukuona zizindikiro za poizoni wa lithiamu, monga kutsegula m'mimba kwambiri, kusanza, kusokonezeka, ndi kunjenjemera, funsani upangiri wa dokotala nthawi yomweyo.
- Mankhwalawa ndi a inu nokha. Musagawane ndi ena.
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