Ese muganga wawe yaba yarakwandikiye umuti wa lithium cyangwa undi muntu wa hafi wawe urwaye indwara ya bipolar? Niba ari byo, ni ngombwa kumenya neza iby'uyu muti. Nubwo ari umuti w'ingirakamaro cyane, ni n'umuti ukeneye kwitonda cyane mu gihe ukoreshwa. Reka tubiganireho mu buryo bworoshye, mu buryo ushobora kumva.
Iyi Lithium ni iki?
Mu magambo make, lithium ni umuti utuma umuntu adahungabana mu byiyumvo bye . Umuntu urwaye indwara ya bipolar ashobora kugira impinduka zitunguranye mu byiyumvo bye, mu myitwarire ye no mu bitekerezo bye. Ni ukuvuga ko ubwenge bwe buzahindagurika hagati y'ibihe by'ibyishimo bikabije (mania) n'ibihe by'agahinda gakabije n'imihangayiko (depression).
Tekereza nawe, izi ndwara ziba iyo imikorere y’ibintu bimwe na bimwe (neurotransmitters) mu bwonko bwacu idafite ubuziranenge. Icyo lithium ikora ni ukuringaniza imikorere y’ibyo bintu no gufasha mu gutuma amarangamutima yawe ahora ahindagurika. Ibi bigenzura ihindagurika ryihuse hagati y’ibyishimo bikabije n’agahinda gakabije.
Ibintu ugomba kubwira muganga wawe mbere yo gutangira imiti
Ni ingenzi cyane guha muganga wawe ibisobanuro byuzuye ku buzima bwawe. Kuko lithium ishobora guteza akaga iyo ikoreshejwe mu ndwara zimwe na zimwe. Niba ufite kimwe muri ibi bikurikira, menya neza ko wabibwiye muganga wawe.
| Ubwoko bw'amakuru | Icyo ukeneye kumenyesha |
|---|---|
| Indwara z'umutima n'imitemberere y'amaraso | Niba ufite indwara y'umutima, amateka yo kutumvikana kw'imitsi y'umutima, cyangwa indwara nka Brugada Syndrome. |
| Impyiko n'amazi yo mu mubiri | Indwara z'impyiko, kubura amazi mu mubiri (urugero: guterwa no gucibwamo cyangwa kubira ibyuya byinshi), indyo idafite umunyu mwinshi, urugero ruto rwa potasiyumu cyangwa sodiyumu mu maraso. |
| Izindi ndwara | Indwara za tiroyide cyangwa parathyroid, guhumeka nabi, kunanirwa kwihagarika, ubwandu buriho mu mubiri, hamwe n’ubwiyongere bwa kalisiyumu mu maraso. |
| Indwara z'umuntu ku giti cye n'uburwayi bwe | Niba utwite cyangwa ugerageza gutwita, niba wonsa, niba waragize ikibazo cy'ubwivumbure kuri litiyumu cyangwa indi miti iyo ari yo yose, ibiryo, cyangwa amarangi. |
Ni gute neza neza nkoresha uyu muti?
Igipimo cy'uyu muti ni ingenzi cyane. Kubwibyo, ni ngombwa gufata ingano yatanzwe, nkuko muganga yabikubwiye.
- Mirira ikinini n'ikirahure cy'amazi.
- Ntukavune, ntukajanjagure, cyangwa ngo uhekenye ikinini. Gusohora umuti mu buryo bwa Extended-Release bivuze ko umuti usohokera mu mubiri buhoro buhoro, bityo ikinini kigomba kumira cyose.
- Fata umuti nyuma yo kurya cyangwa hamwe n'utundi duto kugira ngo wirinde kuribwa mu gifu.
- Gerageza gufata umuti mu gihe kimwe buri munsi.
- Ntukigere ufata ibirenze ibyo muganga wawe yagutegetse. Kubikora bishobora guteza ingaruka mbi zikomeye.
- Ntureke gufata umuti utabanje kugirwa inama na muganga.
Bite ho nintakaza urugero rw'umuti?
Niba wabuze dose, fata ako kanya wibuka. Ariko, niba igihe cyo gufata dose ikurikira kigeze, jya usimbuka dose yabuze hanyuma ufate dose ikurikira ku gihe cyagenwe. Ntukigere ufata dose ebyiri.
Bite ho iyo mfashe imiti myinshi?
Niba ubona ko wafashe imiti myinshi cyane, jya mu ishami rishinzwe ubutabazi bwihuse (ETU) cyangwa uhamagare Ikigo cy'Igihugu gishinzwe gutanga amakuru ku burozi mu bitaro by'igihugu bya Colombo . Bifate nk'ikibazo cyihutirwa.
Uyu muti wanditswe kuri wewe gusa. Ntukigere uha undi muntu uwo ari we wese uyu muti, kabone n'iyo yaba afite ibimenyetso nk'ibyawe.
Indi miti ishobora kugira ingaruka kuri lithium
Ugomba kubwira muganga wawe imiti yose ufata, harimo imiti yanditswe na muganga, imiti igurishwa mu kigo, imiti gakondo, vitamine, ndetse n'inyongeramusaruro, kuko imwe mu miti ishobora kugira ingaruka kuri lithium.
By’umwihariko, imiti ikurikira ntigomba na rimwe gufatwa hamwe na lithium:
- Cisapride
- Dronedarone
- Pimozide
- Thioridazine
Byongeye kandi, lithium ishobora no kugira ingaruka ku bintu bikurikira:
- Ibinyobwa birimo kafeyine (ikawa, icyayi, cola)
- Imiti igabanya ububabare n'imiti igabanya ubushyuhe (NSAIDs) - urugero: Ibuprofen, Naproxen
- Ibinini by'amazi (Diuretics)
- Imiti imwe n'imwe ivura umuvuduko ukabije w'amaraso
- Imiti imwe n'imwe ivura indwara nk'ihungabana
- Imiti itangwa kugira ngo imitsi iruhure mu gihe cyo kubagwa
- Imiti igabanya igicuri nka Carbamazepine na Phenytoin
- Antibiyotike nka Metronidazole
- Imiti imwe n'imwe ya diyabete - urugero nk'imiti igabanya ubukana bwa SGLT2
- Ibikomoka ku bimera nka St. John's Wort
Uru rutonde ntirwuzuye, bityo ni byiza kubwira muganga wawe ibyo ufata byose.
Ibintu by'ingenzi ugomba kwitaho mu gihe ufata lithium
Kunganya Umunyu n'Amazi
Iki ni cyo kintu cy'ingenzi ugomba kwitaho cyane mu gihe ufata lithium. Wibuke ko ingano y'umunyu (sodium) n'amazi mu mubiri wawe ari byo bintu bibiri by'ingenzi bigenzura urugero rwa lithium.
- Kurya indyo irimo umunyu uringaniye. Irinde ko uhita urya indyo irimo umunyu muke utarinze kugirwa inama na muganga.
- Nywa amazi menshi. Niba ufite impiswi cyangwa urimo kubira ibyuya byinshi (kubera imyitozo ngororamubiri, ubushyuhe bwinshi), ugomba kunywa amazi y'inyongera. Ibi biterwa nuko iyo amazi n'umunyu bibuze mu mubiri, urugero rwa lithium mu maraso rushobora kwiyongera cyane.
- Gabanya ibinyobwa birimo kafeyine. Ibintu nk'ikawa n'icyayi bituma umubiri wawe utakaza amazi menshi.
Gutwara no gukoresha imashini
Uyu muti ushobora gutuma wumva umeze nk'ufite isereri, usinziriza, kandi ushobora kugabanya igihe cyo gusubiza ibintu mu buryo. Kubwibyo, irinde gutwara imodoka cyangwa gukoresha imashini ziremereye kugeza igihe umenye uko uyu muti ukugiraho ingaruka.
Kwisuzumisha kwa muganga buri gihe
Mu gihe ufata lithium, muganga wawe akunze kukubwira kugenzura urugero rwa lithium mu maraso yawe. Ntuzigere ureka ibi bipimo by'amaraso. Kugumana urugero rwa lithium mu maraso yawe mu rwego rwo kuvura ni cyo kintu cy'ingenzi cyane kugira ngo ugire umutekano.
Ni izihe ngaruka mbi zishobora kubaho?
Kimwe n'indi miti iyo ari yo yose, lithium ishobora kugira ingaruka mbi. Zimwe ni mbi cyane, izindi ni izisanzwe.
| Ingaruka mbi | Ibisobanuro |
|---|---|
| Ingaruka mbi zikomeye zigomba kumenyeshwa muganga wawe ako kanya | |
| Ubushobozi bwo kugira ubwivumbure | Uruhu rushyushye, kuribwa, kubyimba mu maso, ku minwa, ku rurimi cyangwa mu muhogo. |
| Uburozi bwa Lithium | Impiswi, kuruka, guhinda umushyitsi, kugenda bigoranye, kunanirwa kugenzura amaso, kumva urusaku mu matwi, intege nke z'imitsi, kuvuga nabi, urujijo. |
| Indwara ya Serotonin | Kujijinganya, umutima utera cyane, imitsi ikagira ubukana, ibyuya byinshi, umuriro, gucika intege. |
| Ibindi bimenyetso bikomeye | Impinduka mu gutera k'umutima (kuzunguza, kubabara mu gituza), kugira inyota nyinshi no kunyara, kuribwa umutwe cyane hamwe n'impinduka mu kureba. |
| Ingaruka mbi ubusanzwe zidasaba ubuvuzi (ariko zigomba kumenyeshwa muganga mu gihe zikomeje) | |
| Kuzungera | Ibi bishobora kubaho kugeza igihe umubiri umenyereye imiti. |
| Umunaniro | Kumva unaniwe gato. |
| Isesemi | Ibi bishobora kugabanuka iyo ufashe umuti hamwe n'ibiryo. |
| Guhinda umushyitsi | Kujugumira gato kw'amaboko bishobora kubaho. |
Ubutumwa bwo kujyana mu rugo
- Lithium ni umuti w'ingirakamaro cyane, ariko ugomba gukoreshwa witonze cyane. Kurikiza amabwiriza ya muganga wawe witonze.
- Bwira muganga wawe indi miti yose, vitamine, n'ibikomoka ku bimera ufata.
- Ntuzigere usiba gupimwa amaraso mu buryo bwateganijwe. Ni ngombwa kugenzura urugero rwa lithium mu maraso yawe.
- Komeza umunyu n'amazi biringaniye mu mubiri wawe. Nywa amazi menshi. Nywa amazi y'inyongera iyo ubyiye ibyuya byinshi cyangwa urwaye impiswi.
- Menya ibimenyetso by'uburozi bwa lithium (impiswi, kuruka, guhinda umushyitsi, kuvuga nabi). Shaka ubufasha kwa muganga vuba niba ubonye kimwe muri ibi bimenyetso.
- Irinde guhindura ingano cyangwa guhagarika imiti utabanje kugirwa inama na muganga.
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