Ese hari igihe wumva ufite ikibazo cyo kugenzura ibitekerezo byawe? Hari igihe udashobora kugumana ubwenge bwawe ahantu hamwe? Muri ibyo bihe, muganga ashobora kukwandikira umuti witwa 'Lithium', cyane cyane niba ufite indwara nka 'Bipolar Disorder'. None rero uyu munsi, reka tuganire gato kuri uyu muti, kimwe no kuganira n'inshuti.
Ni ubuhe bwoko bw'umuti Lithium?
Mu magambo make,
lithium ni umuti ufasha kuringaniza amarangamutima yawe, imyitwarire yawe, n'ibitekerezo byawe. Guhindagurika kw'amarangamutima bibaho iyo imiti imwe n'imwe mu bwonko bwacu ihinduye imikorere yayo. Lithium ikora mu kugenzura iyi miti no gufasha mu gutuza ubwenge bwawe. Abaganga bakunze kuyiha abantu bafite indwara ya bipolar. Ariko, ishobora no gukoreshwa ku zindi ndwara. Muganga wawe cyangwa umufarumasiye wawe ashobora kukubwira byinshi kuri yo.
Ni ibihe bintu ngomba kubwira muganga mbere yo gutangira uyu muti?
Ibi ni ingenzi cyane. Mbere yo gutangira gufata lithium, hari
ibintu bike ugomba kubwira muganga wawe. Uyu muti si uwa buri wese. Niba ufite kimwe muri ibi bibazo, bwira muganga wawe:
- Ese hari ubwandu buriho ubu?
- Ufite ikibazo cyo guhumeka ?
- Ese hari indwara y'umutima yitwa 'Brugada Syndrome' ? (Iyi ni indwara igira ingaruka ku mitsi y'umutima)
- Ese ufite amazi menshi mu mubiri , byaba biterwa no kurwara impiswi cyangwa ibyuya byinshi ?
- Ukurikiza indyo irimo umunyu muke ?
- Urwaye indwara y'umutima ?
- Ese urugero rwa kalisiyumu mu maraso ruri hejuru ?
- Ese wigeze ugira umutima utera nabi ?
- Urwaye impyiko ?
- Ese urugero rwa potasiyumu cyangwa sodiyumu mu maraso yawe ruri hasi ?
- Indwara ya parathyroid (Urwaye indwara ya parathyroid?
- Ufite ikibazo cyo kunyara ?
- Urwaye indwara ya tiroyide ?
- Ese wigeze ugira ikibazo kidasanzwe cyo kugira ubwivumbure kuri litiyumu, indi miti, ibiryo, amarangi, cyangwa imiti irinda ubushyuhe?
- Uratwite? Cyangwa wifuza gutwita?
- Ese uri umubyeyi wonsa?
Ni ingenzi cyane ku mutekano wawe kubwira muganga ibi bintu.
Ni gute wakoresha Lithium neza?
Noneho reka turebe uburyo bwo gufata uyu muti neza.
- Uyu muti ugomba kunyobwa n'amazi .
- Gerageza gufata imiti yawe mu gihe kimwe buri munsi , nk'uko byavuzwe ku rupapuro rwa muganga. Muri ubwo buryo, umuti uzakora neza.
- Ushobora kubifata uri mu biryo cyangwa utabirya . Ariko, niba wumva ufite ikibazo mu gifu, ni byiza kubifata uri mu biryo.
- Ugomba gukomeza gufata umuti kugeza igihe muganga azakubwiye guhagarika. Ni byiza kutawuhagarika mu buryo butunguranye, kuko ubyumva.
Icy'ingenzi: Iyo farumasi iguhaye uyu muti, inaguha agapapuro k'amabwiriza yihariye ('MedGuide') . Ntukibagirwe gusoma neza aka gapapuro k'amabwiriza igihe cyose ubonye umuti, kandi igihe cyose uhabwa ubuvuzi. Karimo amakuru menshi y'ingenzi kuri wewe.
Ese uyu muti ukwiye guhabwa abana? Uyu muti rimwe na rimwe ushobora guhabwa abana bafite imyaka 7, mu bihe byihariye. Ariko, ingamba zidasanzwe zigomba gukurikizwa. Kubwibyo, niba uha umwana wawe uyu muti, vugana na muganga wawe witonze kandi umenye ibisobanuro birambuye.
Wakora iki niba ufashe imiti myinshi? (Ingano irenze urugero)
Niba ibyo bibaye, ni ukuvuga
niba utekereza ko wafashe imiti myinshi kuruta uko wabitekerezaga, jya mu cyumba cy’ubutabazi bw’ibanze cy’ibitaro biri hafi yawe ako kanya , cyangwa uhamagare ikigo gishinzwe kurwanya uburozi. Iki si ikintu cyo gusetsa.
Uyu muti ni uwawe gusa! Ntugahe abandi umuti muganga wawe yaguhaye, kabone n'iyo baba bafite ibimenyetso nk'ibyawe.
Wakora iki iyo ubuze dose?
Niba wibagiwe gufata umuti wawe,
fata umuti ako kanya ukibuka . Ariko, niba igihe cyo gufata umuti ukurikira kigeze, jya usimbuka uwo muti wabuze hanyuma
ufate umuti ukurikira ku gihe cyagenwe .
Ntukigere ufata imiti ibiri cyangwa myinshi . Kubikora byongera ibyago byo kugira ingaruka mbi.
Ni ibihe bintu bindi bishobora kugira ingaruka kuri uyu muti?
Iki kandi ni ikintu cyo kwitondera cyane. Lithium ni
umuti ushobora kugira ingaruka ku yindi miti, ibyatsi, na vitamine . Ibi bivuze ko iyo ukoreshejwe hamwe, ingaruka za Lithium zishobora guhinduka cyangwa ingaruka mbi zikiyongera.
Ntukigere ufata Lithium hamwe n'imiti ikurikira:- Cisapride
- Dronedarone
- Pimozide
- Thioridazine
Lithium ishobora kandi gukorana n'imiti ikurikira, bityo rero menya neza ko wabibwiye muganga wawe niba ufata imwe muri iyi miti:- Kafeyine (iboneka mu ikawa, icyayi, shokora, n'ibindi binyobwa bidasembuye)
- Karubamazepine
- Imiti imwe n'imwe ivura indwara zo mu mutwe ziterwa no kwiheba, guhangayika, cyangwa izindi ndwara zo mu mutwe
- Imiti imwe ifatwa ku muvuduko ukabije w'amaraso
- Imiti imwe n'imwe ikoreshwa mu kuvura migraine (urugero: almotriptan, eletriptan, sumatriptan)
- Imiti igabanya ubukana bw'amazi n'umunyu mu mubiri (Diuretics)
- Fentanyl
- Linezolide
- Imiti iri mu itsinda ry'imiti yitwa 'MAOIs' (Monoamine Oxidase Inhibitors) (urugero: Carbex, Eldepryl)
- Imiti igabanya imitsi itangwa mbere yo kubagwa
- Methyldopa
- Metronidazole
- 'NSAIDs' (Imiti igabanya ububabare no kubyimba) - imiti ivura ububabare no kubyimba (urugero: ibuprofen, naproxen)
- Indi miti igira ingaruka ku mikorere y'umutima (urugero: dofetilide)
- Phenytoin
- Iyode ya potasiyumu
- Imiti igabanya ubukana bwa SGLT2 - imwe mu miti ikoreshwa mu kuvura diyabete (urugero: canagliflozin, dapagliflozin)
- Sodiyumu bikarubonate
- Sodiyumu kloride (umunyu usanzwe)
- Umuti wa Mutagatifu Yohani (iki ni icyatsi)
- Theophylline
- Tramadol
- Tryptophan
- Urea
Uru rutonde rushobora kuba rutuzuye. Kubwibyo,
bwira muganga wawe imiti yose ufata, harimo imiti y'ibimera, imiti idasaba muganga, n'inyongeramusaruro. Nanone, bwira muganga wawe niba unywa itabi, unywa inzoga, cyangwa ukoresha ibiyobyabwenge bitemewe n'amategeko . Hari ibintu bishobora kugira ingaruka ku miti yawe.
Ni ibihe bindi bintu ngomba kumenya mugihe nfata uyu muti?
Ugomba kandi kwitonda gato mu gihe ufata lithium.
- Jyana na muganga wawe buri gihe: Muganga wawe azagusaba kuza buri gihe kugira ngo arebe uko umerewe no kureba niba umuti ukora neza. Menya neza ko ugiye muri ibyo bihe. Bishobora gufata ibyumweru byinshi kugira ngo umuti ugire icyo ugeraho.
- Witondere umunyu (sodium): Ibi ni ingenzi cyane. Ingano y'umunyu mu mubiri wawe igira ingaruka zitaziguye ku mikorere ya lithium. Nanone, uyu muti ushobora kongera ingano y'umunyu uva mu mubiri. Kubwibyo, fungura ibiryo birimo umunyu nkuko bisanzwe . Ntugafate imiti isimbuza umunyu. Niba urimo guhindura indyo yawe cyane, cyangwa niba ufata imiti irimo sodium nyinshi, nka sodium bicarbonate, saba inama kwa muganga wawe.
- Nywa amazi menshi: Gerageza kunywa nibura ibirahuri 8-12 by'amazi ku munsi mu gihe ufata uyu muti. Ni byiza kugabanya kunywa ibinyobwa birimo kafeyine nka ikawa, icyayi na kola. Niba ufite impiswi cyangwa urimo kubira ibyuya byinshi, ugomba kunywa amazi menshi kurushaho. Ibi bizagufasha kwirinda ingaruka mbi z'uyu muti.
- Witondere gushyuha cyane: Witondere gushyuha cyane iyo uri gukora siporo, muri sauna, wiyuhagira bishyushye, cyangwa mu minsi ishyushye cyane hanze. Niba ufite umuriro mwinshi cyangwa ububabare bw'igifu budashira, bwira muganga wawe.
- Kuringaniza no kuba maso: Uyu muti ushobora kugira ingaruka ku mikorere yawe, igihe cyo gusubiza ibintu mu buryo, no ku bushobozi bwawe bwo gutekereza . Kubwibyo, ntugatware imodoka, ntugakorere ahantu hirengeye, cyangwa ngo ukoreshe imashini kugeza igihe umenye uko uyu muti ukugiraho ingaruka. Kugira ngo ugabanye isereri, haguruka buhoro igihe uhagurutse wicaye cyangwa uvuye ku buriri. Kunywa inzoga hamwe n'uyu muti bishobora kongera izi ngaruka mbi.
Ni izihe ngaruka mbi nagira kuri uyu muti?
Nk’uko imiti yose imeze, lithium ishobora gutera ingaruka zimwe na zimwe. Zimwe ni mbi cyane, izindi si mbi cyane.
Niba ugize ingaruka zikurikira, bwira muganga wawe vuba bishoboka:- Indwara zo kugira ubwivumbure: Kuryarya ku ruhu, kubyimba, kubyimba mu maso, ku minwa, ku rurimi, cyangwa mu muhogo.
- Imihindagurikire y'umutima: Umutima utera vuba cyangwa utari umeze neza, isereri, kubabara umutwe, kubabara mu gituza, guhumeka bigoranye.
- Ubwiyongere bw'umuvuduko hirya no hino mu bwonko: Kuribwa umutwe cyane, kutabona neza, guhinduka k'amaso, isesemi, kuruka.
- Inyota nyinshi n'ingano y'inkari.
- Ibimenyetso bya Syndrome ya Serotonin:Guhangayika, urujijo, umutima utera vuba cyangwa utari mwiza, imitsi ikomera, imitsi ihinda umushyitsi, ibyuya byinshi, umuriro mwinshi, gucika intege, gukonja, kuruka, impiswi. (Iyi ni indwara iteje akaga.)
- Uburozi bwa Lithium: Ibi nabyo ni bibi cyane. Ibimenyetso birimo: impiswi, kuruka, guhinda umushyitsi, kubura uburinganire cyangwa guhuza imikorere, amaso adashobora kugenzurwa, gukubita kw'amatwi, intege nke z'imitsi, imitsi ihindagurika, kuvuga nabi, no kujijinganya.
Ingaruka mbi zikurikira akenshi ntabwo ziba zikomeye. Ariko, niba zikomeje cyangwa zikakubangamira, bwira muganga wawe:- Kuzungera
- Umunaniro
- Isesemi
- Guhinda umushyitsi cyangwa kunyeganyega
Ingaruka mbi zose ntizigaragara kuri uru rutonde. Niba ubonye ikintu kidasanzwe uretse ibi, vugana na muganga wawe.
Ni hehe nabika imiti yanjye?
- Bibike ahantu hirengeye kure y'abana .
- Bika ahantu hashyushye mu cyumba (hagati ya dogere selisiyusi 15 na 30, ni ukuvuga hagati ya dogere selisiyusi 59 na 86).
- Menya neza ko wataye imiti yarengeje igihe.
Amaherezo, ibintu byo kwibuka (Ubutumwa bwo kujyana mu rugo)
Sawa, twavuze byinshi kuri lithium, si byo se? Niba ugomba gukoresha uyu muti, ni ngombwa cyane kuzirikana ibi bintu.
- Koresha umuti neza nk'uko muganga wawe abikubwiye. Uwufate ku gihe, mu rugero rwategetswe. Ntugahagarike cyangwa ngo uhindure urugero uko ubyifuza.
- Bwira muganga wawe indi miti yose, ibyatsi, na vitamine ufata.
- Nywa amazi menshi. Nibura ibirahuri 8-12 by'amazi ku munsi.
- Witondere umunyu (sodium). Shyira umunyu mu biryo byawe nkuko bisanzwe.
- Niba ugize ingaruka mbi nshya cyangwa niba ingaruka mbi zabayeho mbere zirushijeho kuba mbi, bwira muganga wawe ako kanya. Cyane cyane niba ugaragaje ibimenyetso bya lithium toxicity cyangwa serotonin syndrome.
- Shaka muganga wawe ku gihe kandi upime amaraso. Ibi ni ingenzi cyane kugira ngo urebe niba urugero rwa lithium mu mubiri wawe ari rwiza.
- Uyu muti ni uwo kugufasha kumva umeze neza . Ariko kandi, ni ingenzi cyane gukurikiza ingeso nziza zo mu mutwe (gusinzira neza, indyo yuzuye, imyitozo ngororamubiri, uburyo bwo kugabanya stress).
Wibuke ko utari wenyine. Hari abaganga, umuryango, n'inshuti bashobora kugufasha. Ntutinye kuvugana nabo.
Ndizera ko aya makuru azagufasha. Nkwifurije gukira vuba!
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Kwipimisha kanseri y'ibere, kwisuzuma no kwirinda byakozwe byoroshye. Kanseri y'ibihaha
Ishyirireho intego ya calorie hanyuma ubare itariki yo kugabanya ibiro.