Chiremba wako akakunyorera mushonga we lithium here kana kuti mumwe munhu ari pedyo newe ane chirwere chebipolar disorder? Kana zvakadaro, zvakakosha kuti uzive zvizere nezvemushonga uyu. Kunyange zvazvo uri mushonga unobatsira zvikuru, mushonga unodawo kungwarira kukuru pakushandisa. Ngatitaurei nezvazvo zviri nyore, nenzira yaunogona kunzwisisa.
Chii chinonzi Lithium ichi?
Zvichitaurwa zviri nyore, lithium inodzora mafungiro . Munhu ane chirwere chebipolar disorder anogona kusangana nekuchinja-chinja kwemafungiro ake, maitiro ake, uye mafungiro ake. Kureva kuti, pfungwa dzake dzichachinja-chinja pakati penguva dzemufaro wakanyanya (mania) nenguva dzekusuruvara zvakanyanya uye kuzvidya mwoyo (depression).
Funga nezvazvo, mamiriro ezvinhu aya anoitika kana mashandiro emamwe makemikari (neurotransmitters) muuropi hwedu asina kuenzana. Saka chinoitwa nelithium ndechekuenzanisa mashandiro emakemikoro aya uye kubatsira kuchengetedza manzwiro ako akadzikama. Izvi zvinodzora kuchinja-chinja kukuru pakati pemufaro wakanyanya nekusuwa kwakanyanya.
Zvinhu zvekuudza chiremba wako usati watanga mushonga
Zvakakosha kupa chiremba wako tsananguro yakazara yehutano hwako. Nekuti lithium inogona kuva nengozi kana ikashandiswa kune mamwe mamiriro ehutano. Kana uine chimwe chezvinotevera, iva nechokwadi chekuudza chiremba wako.
| Rudzi rwemashoko | Zvaunofanira kuzivisa |
|---|---|
| Chirwere chemwoyo nekutenderera kweropa | Kana uine chirwere chemwoyo, nhoroondo yekusagadzikana kwemoyo, kana chirwere chakadai seBrugada Syndrome. |
| Itsvo nemvura yemuviri | Chirwere cheitsvo, kushaya mvura mumuviri (semuenzaniso nekuda kwemanyoka kana kudikitira zvakanyanya), kudya kusina munyu mushoma, potassium shoma kana sodium muropa. |
| Zvimwe zvirwere | Zvirwere zvegland re thyroid kana parathyroid, kufema zvakaoma, kuita weti yakaoma, hutachiona huripo mumuviri, uye kuwedzera kwecalcium muropa. |
| Matambudziko emunhu uye allergies | Kana uine pamuviri kana kuti uri kuedza kubata pamuviri, kana uri kuyamwisa, kana wakambova neallergy ye lithium kana mimwe mishonga, chikafu, kana madhayi. |
Ndingashandisa sei mushonga uyu chaizvo?
Mushonga uyu wakakosha zvikuru. Saka, zvakakosha kutora huwandu hwakanyorwa, sezvakaudzwa nachiremba.
- Medza piritsi negirazi remvura.
- Usapwanye, kupwanya, kana kutsenga piritsi. Kuburitswa Kwakawedzerwa zvinoreva kuti mushonga unoburitswa mumuviri zvishoma nezvishoma, saka piritsi rinofanira kumedzwa rese.
- Tora mushonga mushure mekudya kana pamwe chete nechikafu chekudya kuti usarwadziwe nemudumbu.
- Edza kunwa mushonga panguva imwe chete zuva nezuva.
- Usambofa watora zvinopfuura zvawakarairwa nachiremba wako. Kuita izvi kunogona kukonzera migumisiro yakaipa.
- Usarega kutora mushonga usina kurayirwa nachiremba wako.
Ko kana ndikarasikirwa nedosi remushonga?
Kana ukarasikirwa nedosi, inwa nekukurumidza sezvaunoyeuka. Zvisinei, kana yava nguva yekutora dosi yako inotevera, svetuka dosi yawakarasikirwa nayo wotora dosi yako inotevera panguva yakatarwa. Usambofa watora dosi yakapetwa kaviri.
Ko kana ndikatora mushonga wakawandisa?
Kana uchifunga kuti watora mushonga wakawandisa, enda kuEmergency Department (ETU) iri pedyo nekukasika kana kufonera National Poisons Information Centre kuColombo National Hospital . Bata izvi sedambudziko rekukurumidzira.
Mushonga uyu wakanyorerwa iwe chete. Usambofa wakapa mumwe munhu mushonga uyu, kunyangwe aine zviratidzo zvakafanana nezvako.
Mimwe mishonga inogona kusangana ne lithium
Unofanira kuudza chiremba wako nezvemishonga yese yaunotora, kusanganisira mishonga yaunonyorerwa nachiremba, mishonga inotengeswa kunze kwemutero, mishonga yechivanhu, mavhitamini, uye kunyange mishonga yekuwedzera, nekuti mimwe mishonga inogona kushanda pamwe chete ne lithium.
Kunyanya, mishonga inotevera haifanirwe kutorwa ne lithium:
- Cisapride
- Dronedarone
- Pimozide
- Thioridazine
Uye zvakare, lithium inogonawo kuita zvinotevera:
- Zvinwiwa zvine caffeine (kofi, tii, cola)
- Mishonga inouraya marwadzo nemishonga inoderedza kuzvimba (NSAIDs) - semuenzaniso Ibuprofen, Naproxen
- Mapiritsi emvura (Diuretics)
- Mimwe mishonga yekurapa BP yakakwira
- Mimwe mishonga yekurapa zvirwere zvakaita sekuora mwoyo
- Mishonga inopiwa yekuzorodza tsandanyama panguva yekuvhiyiwa
- Mishonga yekudzivirira pfari yakaita seCarbamazepine nePhenytoin
- Mishonga inorwisa mabhakitiriya yakaita seMetronidazole
- Mimwe mishonga yechirwere cheshuga - semuenzaniso mishonga inodzivirira chirwere cheSGLT2
- Mishonga yemishonga yakaita seSt. John's Wort
Rondedzero iyi haina kukwana, saka zvakachengeteka kuudza chiremba wako nezvese zvaunotora.
Zvakakosha kufunga nezvazvo pakutora lithium
Munyu neMvura Kuenzana
Ichi ndicho chinhu chakakosha kungwarira paunenge uchitora lithium. Yeuka, huwandu hwemunyu (sodium) nemvura mumuviri wako ndizvo zvinhu zviviri zvikuru zvinodzora huwandu hwe lithium.
- Idya chikafu chine munyu uri pakati nepakati. Dzivisa kungoerekana watanga kudya chikafu chine munyu mushoma usina kurairwa nachiremba wako.
- Inwa mvura yakawanda. Kana uine manyoka kana kuti uri kudikitira zvakanyanya (nekuda kwekurovedza muviri, mamiriro ekunze anopisa), unofanirwa kunwa mvura yakawandisa. Izvi zvinodaro nekuti kana mvura nemunyu zvikabviswa mumuviri, huwandu hwe lithium muropa hunogona kukwira zvine njodzi.
- Deredza zvinwiwa zvine caffeine. Zvinhu zvakaita sekofi netii zvinoita kuti muviri wako urasikirwe nemvura yakawanda.
Kutyaira nekushandisa michina
Mushonga uyu unogona kuita kuti unzwe dzungu, hope, uye unogona kunonoka nguva yako yekuita chimwe chinhu. Saka, dzivisa kutyaira kana kushandisa michina inorema kusvika waziva kuti mushonga uyu unokukanganisa sei.
Kuongororwa nachiremba nguva dzose
Paunenge uchitora lithium, chiremba wako anowanzo kukuudza kuti utarise huwandu hwe lithium muropa rako. Usambofa wakasiya bvunzo idzi dzeropa. Kuchengetedza huwandu hwe lithium muropa rako huri mukati mehuwandu hwekurapa ndicho chinhu chakakosha pakuchengetedza.
Ndezvipi zvingakonzera migumisiro yakaipa?
Kufanana nemishonga yese, lithium inogona kuva nemigumisiro yakaipa. Mimwe yakakomba, mimwe yakajairika.
| Mhedzisiro yedivi | Tsananguro |
|---|---|
| Migumisiro yakakomba inofanira kutaurwa kuna chiremba wako nekukasika | |
| Kusawirirana kwemuviri | Mapundu paganda, kuvaviwa, kuzvimba kwechiso, miromo, rurimi kana pahuro. |
| Chepfu yeLithium | Manyoka, kurutsa, kudedera, kunetseka kufamba, kutadza kudzora maziso, kunzwa ruzha munzeve, kushaya simba kwetsandanyama, kutaura kusina kunyatsojeka, kuvhiringidzika. |
| Serotonin chirwere | Kuvhiringidzika, kurova kwemoyo nekukurumidza, kuomarara kwetsandanyama, kudikitira zvakanyanya, fivha, pfari. |
| Zvimwe zviratidzo zvakakomba | Kuchinja kwekurova kwemoyo (dzungu, kurwadziwa pachipfuva), nyota yakawandisa uye weti, musoro wakanyanya pamwe nekuchinja kwekuona. |
| Migumisiro isingawanzodi kurapwa (asi inofanira kutaurwa kuna chiremba kana ikaramba iripo) | |
| Dzungu | Izvi zvinogona kuitika kusvika muviri wajaira mushonga wacho. |
| Kuneta | Kunzwa kuneta zvishoma. |
| Kusvotwa | Izvi zvinogona kuderedzwa nekutora mushonga pamwe chete nechikafu. |
| Kudengenyeka | Kudedera kudiki kwemaoko kunogona kuitika. |
Mharidzo Yekuenda Nayo Kumba
- Lithium mushonga unobatsira zvikuru, asi unofanira kushandiswa nokungwarira kukuru. Tevedzera mirairo yachiremba wako nokungwarira.
- Udza chiremba wako nezvemimwe mishonga yese, mavhitamini, uye mishonga yemiti yauri kutora.
- Usambofa wakarega kuongororwa ropa kwakarongwa. Zvakakosha kuti uchengetedze huwandu hwe lithium muropa rako.
- Chengetedza munyu nemvura mumuviri wako zvakaenzana. Inwa mvura yakawanda. Inwa mvura yakawanda kana ukanyanya kudikitira kana kuti uine manyoka.
- Ziva zviratidzo zve chepfu ye lithium (manyoka, kurutsa, kudedera, kutaura kusina kunyatsojeka). Tsvaga rubatsiro rwechiremba nekukasika kana ukaona chimwe chezviratidzo izvi.
- Dzivisa kuchinja mwero wemushonga kana kurega kushandisa mushonga usina kurayirwa nachiremba wako.
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