Dzimwe nguva unonzwa sekunge une dambudziko rekudzora pfungwa dzako here? Dzimwe nguva haugone kuchengeta pfungwa dzako panzvimbo imwe chete? Panguva dzakadaro, chiremba anogona kukupa mushonga unonzi 'Lithium', kunyanya kana uine chirwere chakadai se'Bipolar Disorder'. Saka nhasi, ngatitaurei zvishoma nezvemushonga uyu, sekutaura neshamwari.
Mushonga werudzii Lithium?
Muchidimbu,
lithium mushonga unobatsira kudzikamisa mafungiro ako, maitiro ako, uye pfungwa dzako. Kuchinja-chinja kwemafungiro kunoitika kana mamwe makemikari muuropi hwedu achichinja mashandiro awo. Lithium inoshanda nekudzora makemikari aya uye kubatsira kuchengetedza pfungwa dzako dzakadzikama. Vanachiremba vanowanzoinyorera vanhu vane chirwere chebipolar. Zvisinei, inogona kushandiswawo kune mamwe mamiriro ezvinhu. Chiremba wako kana wemishonga anogona kukuudza zvakawanda nezvayo.
Ndezvipi zvinhu zvandinofanira kuudza chiremba ndisati ndatanga mushonga uyu?
Izvi zvakakosha zvikuru. Usati watanga kutora lithium, pane
zvinhu zvishoma zvaunofanira kuudza chiremba wako. Mushonga uyu hausi wemunhu wese. Kana uine chimwe chezvirwere izvi, udza chiremba wako:
- Pane hutachiona huripo here parizvino?
- Uri kunetseka kufema here?
- Pane chirwere chemwoyo chinonzi 'Brugada Syndrome' here? (Ichi chirwere chinokanganisa kurova kwemoyo)
- Une mvura mumuviri here , kungave nekuda kwemanyoka kana kuti kudikitira zvakanyanya ?
- Uri kutevedzera kudya kusina munyu wakawanda here?
- Une chirwere chemwoyo here?
- Ko calcium yakawanda muropa here ?
- Wakambova nekurova kwemoyo kusina kurongeka here?
- Une chirwere cheitsvo here?
- Ko potassium kana sodium muropa rako yakaderera here?
- Parathyroid gland (Une chirwere cheparathyroid here?
- Uri kusangana nematambudziko ekuita weti here ?
- Une chirwere chethyroid here?
- Wakambova nechirwere chisingawanzoitika here kana ukasangana ne lithium, mimwe mishonga, chikafu, madhayi, kana zvinochengetedza?
- Une mimba here? Kana kuti uri kutarisira kubata pamuviri here?
- Muri amai vanoyamwisa here?
Zvakakosha zvikuru kuti muve vakachengeteka kuudza chiremba nezvezvinhu izvi.
Nzira yekushandisa Lithium nemazvo sei?
Zvakanaka, ngationei kuti mushonga uyu ungatorwa sei chaizvo.
- Mushonga uyu unofanira kunwiwa nemvura .
- Edza kunwa mushonga wako panguva imwe chete zuva nezuva , sezvakarairwa pachinyorwa chakanyorwa nechiremba. Nenzira iyi, mushonga wacho unoshanda nemazvo.
- Unogona kunwa mushonga uyu uine chikafu kana usina . Zvisinei, kana uchinzwa kurwadziwa mudumbu, zviri nani kuunwa pamwe chete nechikafu.
- Unofanira kuramba uchitora mushonga kusvika chiremba akuudza kuti urege. Zvakanaka kuti usangoerekana warega, sezvaunonzwa uchida.
Zvakakosha: Kana kambani yemishonga ikakupa mushonga uyu, inokupawo gwaro remirayiridzo ('MedGuide') . Musakanganwa kuverenga gwaro iri remirayiridzo nokungwarira pese pamunotora mushonga, uye pese pamunozowedzerwazve mushonga. Rine ruzivo rwakakosha kwamuri.
Mushonga uyu unofanira kupiwa vana here? Mushonga uyu dzimwe nguva unogona kupihwa kuvana vane makore manomwe, mumamiriro ezvinhu akasiyana. Zvisinei, matanho akakosha anofanira kutevedzerwa. Saka, kana uri kupa mwana wako mushonga uyu, taura nachiremba wako nezvazvo nokungwarira uye tsvaga ruzivo rwakadzama.
Chii chaunofanira kuita kana ukatora mushonga wakawandisa? (Kunyanya kunwa mushonga)
Kana izvozvo zvikaitika, kureva kuti,
kana uchifunga kuti watora mushonga wakawanda kupfuura zvawaifunga, enda kuchipatara chiri pedyo nekukurumidza , kana kufonera nzvimbo inodzora chepfu. Ichi hachisi chinhu chekungotamba nacho.
Mushonga uyu ndewako chete! Usape vamwe mushonga wawakapihwa nachiremba wako, kunyangwe vaine zviratidzo zvakafanana nezvako.
Unoita sei kana ukarasikirwa nedosi?
Kana ukakanganwa kutora mushonga wako,
tora mushonga wacho nekukurumidza paunenge wayeuka . Zvisinei, kana yava nguva yekuti mushonga wako unotevera usvike pakuyeuka, svetuka mushonga wausina kutora
wotora mushonga unotevera panguva yakatarwa .
Usambofa watora kaviri kana kuwedzera . Kuita izvi kunowedzera njodzi yemigumisiro yakaipa.
Ndezvipi zvimwe zvinhu zvinogona kupindirana nemushonga uyu?
Izvi zvakare chimwe chinhu chekungwarira zvikuru. Lithium
mushonga unogona kusangana nemimwe mishonga, miriwo, nemavhitamini . Izvi zvinoreva kuti kana ukatorwa pamwe chete, mhedzisiro yeLithium inogona kuchinja kana kuti mhedzisiro inogona kuwedzera.
Usambofa watora Lithium nemishonga inotevera:- Cisapride
- Dronedarone
- Pimozide
- Thioridazine
Lithium inogonawo kushanda nemishonga inotevera, saka iva nechokwadi chekuudza chiremba wako kana uri kutora chero ipi zvayo yeiyi:- Caffeine (inowanikwa mukofi, tii, chokoreti, nezvimwe zvinwiwa zvisina kupfava)
- Carbamazepine
- Mimwe mishonga yekurapa kuora mwoyo, kuzvidya mwoyo, kana zvimwe zvirwere zvepfungwa
- Mimwe mishonga inotorwa yeBP yakakwira
- Mimwe mishonga inoshandiswa pakurwadziwa kwemusoro (semuenzaniso, almotriptan, eletriptan, sumatriptan)
- Mishonga inobvisa mvura nemunyu mumuviri (diuretics)
- Fentanyl
- Linezolid
- Mishonga iri muboka remishonga inonzi 'MAOIs' (Monoamine Oxidase Inhibitors) (semuenzaniso Carbex, Eldepryl)
- Mishonga inozorodza tsandanyama inopiwa usati wavhiyiwa
- Methyldopa
- Metronidazole
- 'NSAIDs' (Nonsteroidal Anti-Inflammatory Drugs) - mishonga yekurwadziwa nekuzvimba (semuenzaniso ibuprofen, naproxen)
- Mimwe mishonga inokanganisa kurova kwemoyo (semuenzaniso dofetilide)
- Phenytoin
- Potassium iodide
- SGLT2 inhibitors - mimwe mishonga inoshandiswa kurapa chirwere cheshuga (semuenzaniso canagliflozin, dapagliflozin)
- Sodium bicarbonate
- Sodium chloride (munyu wakajairika)
- St. John's Wort (uyu mushonga)
- Theophylline
- Tramadol
- Tryptophan
- Urea
Rondedzero iyi ingasave yakakwana. Saka,
udza chiremba wako nezvemishonga yese yaunotora, kusanganisira mishonga yemiti, mishonga isingapihwe mushonga, uye zvekudya zvinovaka muviri. Zvakare, udza chiremba wako kana uchisvuta, uchinwa doro, kana kushandisa zvinodhaka zvisiri pamutemo . Zvimwe zvinhu zvinogona kukanganisa mishonga yako.
Ndezvipi zvimwe zvandinofanira kuziva pandinenge ndichitora mushonga uyu?
Unofanirawo kungwarira zvishoma paunenge uchitora lithium.
- Ona chiremba wako nguva dzose: Chiremba wako achakukumbira kuti uuye nguva dzose kuzoongorora mamiriro ako uye kuona kana mushonga uri kushanda nemazvo. Iva nechokwadi chekuenda panguva idzodzo. Zvinogona kutora mavhiki akati wandei kuti mushonga wacho ushande.
- Ngwarira nezvemunyu (sodium): Izvi zvakakosha zvikuru. Huwandu hwemunyu mumuviri wako hunokanganisa zvakananga kushanda kwe lithium. Zvakare, mushonga uyu unogona kuwedzera huwandu hwemunyu unobuda mumuviri. Saka, idya chikafu chine munyu sezvawagara uchiita . Usatore mishonga inotsiva munyu. Kana uri kuchinja kudya kwako zvakanyanya, kana kuti uri kutora mishonga ine sodium yakawanda, yakadai se sodium bicarbonate, bvunza chiremba wako kuti akupe mazano.
- Inwa mvura yakawanda: Edza kunwa magirazi emvura angangoita 8-12 pazuva paunenge uchitora mushonga uyu. Ipfungwa yakanaka kuderedza kunwa kwako zvinwiwa zvine caffeine zvakaita sekofi, tii, uye cola. Kana uine manyoka kana kuti uri kudikitira zvakanyanya, unofanira kunwa mvura yakawanda. Izvi zvichakubatsira kudzivirira chepfu yemushonga uyu.
- Chenjerera kuti usapisa zvakanyanya: Chenjerera kuti usapisa zvakanyanya paunenge uchirovedza muviri, uri mu sauna, uchigeza nemvura inopisa, kana pamazuva anopisa zvikuru panze. Kana uine fivha yakanyanya kana kurwadziwa mudumbu nguva dzose, udza chiremba wako.
- Kudzikama uye kungwarira: Mushonga uyu unogona kukanganisa kubatana kwako, nguva yekuita, uye kutonga kwako . Saka, usatyaira mota, usashande pakakwirira, kana kushandisa michina kusvika waziva kuti mushonga uyu unokukanganisa sei. Kuti uderedze dzungu, mira zvishoma nezvishoma paunosimuka kubva panzvimbo yakagara kana kubva pamubhedha. Kunwa doro nemushonga uyu kunogona kuwedzera migumisiro iyi.
Ndezvipi zvimwe zvinhu zvingandikanganisa kubva pamushonga uyu?
Kufanana nemishonga yese, lithium inogona kukonzera mimwe migumisiro yakaipa. Mimwe yakakomba, mimwe haina kuipa zvakanyanya.
Kana ukasangana nemimwe yemigumisiro inotevera, taurira chiremba wako nekukurumidza sezvinobvira:- Kurwara nepfungwa: Mapundu paganda, kuvaviwa, mapundu, kuzvimba kwechiso, miromo, rurimi, kana pahuro.
- Kuchinja kwemoyo: Kurova kwemoyo nekukurumidza kana kusina kurongeka, dzungu, musoro wakapfava, kurwadziwa pachipfuva, kuoma kufema.
- Kuwedzera kwekumanikidzwa kweuropi: Musoro wakakomba, kuona zvisipo, kuchinja kwekuona, kuda kurutsa, kurutsa.
- Nyota yakawanda uye huwandu hweweti.
- Zviratidzo zveSerotonin Syndrome:Kunetseka, kuvhiringidzika, kurova kwemoyo nekukurumidza kana kusina kurongeka, kuomarara kwetsandanyama, kugwinha kwetsandanyama, kudikitira zvakanyanya, fivha yakanyanya, pfari, dzihwa, kurutsa, manyoka. (Ichi chirwere chine njodzi.)
- Chepfu yeLithium: Izvi zvine njodzi zvikuru. Zviratidzo zvinosanganisira: manyoka, kurutsa, kudedera, kurasikirwa nekuenzana kana kubatana, kufamba kwemaziso kusingadzoreki, kurira kwenzeve, kushaya simba kwetsandanyama, kudhonzwa kwetsandanyama, kutaura kusina kunyatsojeka, uye kuvhiringidzika.
Migumisiro iri pazasi kazhinji haisi yakakomba. Zvisinei, kana ikaramba iripo kana kukunetsa, udza chiremba wako:- Dzungu
- Kuneta
- Kusvotwa
- Kudedera kana kudedera
Hazvisi zvese zvinokanganisa zvakanyorwa pane izvi. Kana ukaona chimwe chinhu chisina kujairika pamusoro peizvi, taura nachiremba wako nezvazvo.
Ndinofanira kuchengeta kupi mushonga wangu?
- Chengeta panzvimbo yakakwirira kure nevana .
- Chengeta patembiricha yemukamuri (pakati pe15 ne30 degrees Celsius, iri pakati pe59 ne86 degrees Fahrenheit).
- Iva nechokwadi chekurasa mishonga yapera.
Pakupedzisira, zvinhu zvekurangarira (Mharidzo Yekuenda Kumba)
Zvakanaka, tataura zvakawanda nezve lithium, handiti? Kana uchifanira kushandisa mushonga uyu, zvakakosha kuti urambe uchifunga nezvezvinhu izvi.
- Shandisa mushonga wacho sezvawaudzwa nachiremba wako. Utore panguva yakatarwa, muchiyero chawakapihwa. Usamira kana kuchinja chidimbu sezvaunoda.
- Udza chiremba wako nezvemimwe mishonga yese, miriwo, nemavhitamini zvaunotora.
- Inwa mvura yakawanda. Inwa magirazi emvura angangoita 8-12 pazuva.
- Ngwarira munyu (sodium). Wedzera munyu muchikafu chako sezvawagara uchiita.
- Kana ukasangana nemigumisiro mitsva kana kuti mhedzisiro yekare ikawedzera kuipa, taurira chiremba wako nekukasika. Kunyanya kana ukaona zviratidzo zve lithium toxicity kana serotonin syndrome.
- Ona chiremba wako nenguva uye ongororwa ropa. Izvi zvakakosha kuti uone kana huwandu hwe lithium mumuviri wako hwakafanana.
- Mushonga uyu ndewekungokubatsira kuti unzwe zviri nani . Zvisinei, zvakakoshawo kutevedzera tsika dzakanaka dzehutano hwepfungwa (kurara zvakanaka, kudya zvine mwero, kurovedza muviri, nzira dzekuderedza kushushikana).
Yeuka kuti hausi wega. Kune vanachiremba, mhuri, neshamwari vanogona kukubatsira. Usatya kutaura navo.
Ndinovimba ruzivo urwu ruchakubatsira. Ndinokushuvira kuti upore nekukurumidza!
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