Ngaba ngamanye amaxesha uziva ngathi unengxaki yokulawula iingcinga zakho? Ngamanye amaxesha awukwazi ukugcina ingqondo yakho ikwindawo enye? Ngamaxesha anjalo, ugqirha unokukunika iyeza elibizwa ngokuba yi-'Lithium', ingakumbi ukuba unesifo esifana 'neBipolar Disorder'. Ngoko ke namhlanje, masithethe kancinci ngale mithi, njengokuthetha nomhlobo.
Luhlobo luni lonyango iLithium?
Ngamafutshane,
i-lithium liyeza elinceda ukulinganisela imo yakho, ukuziphatha, kunye neengcinga. Ukutshintsha kwemood kwenzeka xa iikhemikhali ezithile engqondweni yethu zitshintsha ukusebenza kwazo. I-lithium isebenza ngokulawula ezi khemikhali kwaye inceda ukugcina ingqondo yakho izolile. Oogqirha badla ngokuyinika abantu abanesifo se-bipolar. Nangona kunjalo, ingasetyenziselwa nezinye iimeko. Ugqirha wakho okanye ikhemisti unokukuxelela okungakumbi ngayo.
Zeziphi izinto ekufuneka ndizixelele ugqirha ngaphambi kokuba ndiqalise eli yeza?
Oku kubaluleke kakhulu. Ngaphambi kokuba uqale ukusebenzisa i-lithium, kukho
izinto ezimbalwa ekufuneka uzixelele ugqirha wakho. Eli yeza alilungelanga wonke umntu. Ukuba unayo nayiphi na kwezi meko, xelela ugqirha wakho:
- Ngaba kukho naluphi na usulelo olusebenzayo olukhoyo ngoku?
- Ngaba unengxaki yokuphefumla ?
- Ngaba kukho ingxaki yentliziyo ebizwa ngokuba yi -'Brugada Syndrome' ? (Le yimeko echaphazela ukubetha kwentliziyo)
- Ingaba uphelelwe ngamanzi emzimbeni , mhlawumbi ngenxa yorhudo okanye ukubila kakhulu ?
- Ngaba ulandela ukutya okunetyuwa encinci ?
- Ngaba unesifo sentliziyo ?
- Ingaba inqanaba le-calcium egazini liphezulu ?
- Ngaba wakha waba nentliziyo engaqhelekanga ?
- Ngaba unesifo sezintso ?
- Ingaba amanqanaba akho e-potassium okanye i-sodium egazini aphantsi ?
- I-Parathyroid gland (idlala le-thyroid gland)Ngaba unesifo se-parathyroid?
- Ngaba unengxaki yokuchama ?
- Ngaba unesifo se-thyroid ?
- Ngaba wakha waba ne-allergy engaqhelekanga kwi-lithium, kwamanye amayeza, ukutya, iidayi, okanye izithinteli?
- Ukhulelwe ? Okanye unethemba lokukhulelwa?
- Ingaba ungumama oncancisayo?
Kubaluleke kakhulu ukuxelela ugqirha ngezi zinto ukuze ukhuseleke.
Uyisebenzisa njani iLithium ngokuchanekileyo?
Kulungile, ngoku makhe sibone indlela yokuthatha eli yeza.
- Eli yeza lifanele lithathwe ngomlomo ngamanzi .
- Zama ukusela amayeza akho ngexesha elifanayo yonke imihla , njengoko kuyalelwe kwileyibhile kagqirha. Ngale ndlela, amayeza aya kusebenza kakuhle.
- Ungayithatha le nto nokuba utya okanye ungenalo . Nangona kunjalo, ukuba uziva isisu sibuhlungu kancinci, kungcono ukuyithatha nokuba utya.
- Ufanele uqhubeke nokusela amayeza de ugqirha akuxelele ukuba uyeke. Kungcono ungayeki ngequbuliso, njengoko uziva ufuna.
Kubalulekile: Xa ikhemesti ikunika eli yeza, ikunika nencwadana yemiyalelo ekhethekileyo ('MedGuide') . Ungalibali ukulifunda ngononophelo eli phepha lemiyalelo ngalo lonke ixesha ufumana iyeza, kwaye ngalo lonke ixesha ufumana ukuphinda ulizalise. Liqulethe ulwazi oluninzi olubalulekileyo kuwe.
Ngaba eli yeza lifanele linikwe abantwana? Eli yeza ngamanye amaxesha linokunikwa abantwana abaneminyaka esi-7 ubudala, kwiimeko ezikhethekileyo. Nangona kunjalo, kufuneka kulandelwe amanyathelo akhethekileyo okhuseleko. Ke ngoko, ukuba unika umntwana wakho eli yeza, thetha nogqirha wakho ngalo ngononophelo kwaye ufumane iinkcukacha.
Yintoni omawuyenze ukuba uthatha amayeza amaninzi kakhulu? (Ukusebenzisa amayeza amaninzi kakhulu)
Ukuba oko kuyenzeka, oko kukuthi,
ukuba ucinga ukuba uthathe amayeza amaninzi kunokuba ubucinga, yiya kwigumbi likaxakeka lesibhedlele esikufutshane ngoko nangoko , okanye utsalele umnxeba kwiziko lokulawula ityhefu. Asinto yokudlala ngayo le.
Eli yeza lelakho kuphela! Musa ukunika abanye amayeza owanikwe ngugqirha wakho, nokuba baneempawu ezifanayo nezakho.
Wenza ntoni ukuba uphoswe yidosi?
Ukuba ulibele ukusela amayeza akho,
thatha idosi ngokukhawuleza xa ukhumbula . Nangona kunjalo, ukuba sele kusondele ixesha lokuthatha idosi yakho elandelayo xa ukhumbula, yeka idosi ongayithathanga uze
uthathe idosi elandelayo ngexesha elicwangcisiweyo .
Ungaze uthathe idosi ezimbini okanye ezongezelelweyo . Ukwenza njalo kwandisa umngcipheko weziphumo ebezingalindelekanga.
Ziziphi ezinye izinto ezinokusebenzisana nale mithi?
Oku kukwayinto ekufuneka uyilumkele kakhulu. I-Lithium
liyeza elinokusebenzisana namanye amayeza, imifuno, kunye neevithamini . Oku kuthetha ukuba xa isetyenziswa kunye, iziphumo ze-Lithium zinokutshintsha okanye iziphumo ebezingalindelekanga zinganda.
Ungaze uthathe i-Lithium nala mayeza alandelayo:- I-Cisapride
- I-Dronedarone
- I-Pimozide
- I-Thioridazine
I-Lithium inokusebenzisana namayeza alandelayo, ngoko ke qiniseka ukuba uxelele ugqirha wakho ukuba uthatha nayiphi na kwezi:- I-Caffeine (efumaneka kwikofu, iti, itshokolethi, nakwezinye iziselo ezibandayo)
- I-Carbamazepine
- Amanye amayeza okudakumba, ixhala, okanye ezinye izifo zengqondo
- Amanye amayeza asetyenziswayo ngenxa yoxinzelelo lwegazi oluphezulu
- Amanye amayeza asetyenziselwa i-migraines (umz., i-almotriptan, i-eletriptan, i-sumatriptan)
- I-Diuretics (amayeza asusa amanzi netyuwa emzimbeni)
- I-Fentanyl
- I-Linezolid
- Amayeza akwiqela lamayeza abizwa ngokuba yi-'MAOIs' (iMonoamine Oxidase Inhibitors) (umz. iCarbex, iEldepryl)
- Izinto zokukhulula izihlunu ezinikwa ngaphambi kotyando
- I-Methyldopa
- I-Metronidazole
- 'IiNSAID' (Amayeza Angalwiyo Nee-steroidal Alwa Nokudumba) - amayeza eentlungu nokudumba (umz. ibuprofen, i-naproxen)
- Amanye amayeza achaphazela isingqisho sokubetha kwentliziyo (umz. i-dofetilide)
- I-Phenytoin
- I-potassium iodide
- Izithinteli ze-SGLT2 - amanye amayeza asetyenziselwa ukunyanga isifo seswekile (umz. i-canagliflozin, i-dapagliflozin)
- I-sodium bicarbonate
- I-sodium chloride (ityuwa eqhelekileyo)
- I-St. John's Wort (le yimifuno)
- I-Theophylline
- I-Tramadol
- I-Tryptophan
- I-Urea
Olu luhlu lusenokungaphelelanga. Ngoko ke,
xelela ugqirha wakho ngawo onke amayeza owasebenzisayo, kuquka amayeza esintu, amayeza angagunyaziswanga ngugqirha, kunye nezongezo zokutya. Kwakhona, xelela ugqirha wakho ukuba uyatshaya, usela utywala, okanye usebenzisa iziyobisi ezingekho mthethweni . Ezinye izinto zinokuchaphazela amayeza akho.
Zeziphi ezinye izinto ekufuneka ndizazi xa ndisebenzisa eli yeza?
Kwakhona kufuneka uqaphele kancinci xa uthatha i-lithium.
- Bona ugqirha wakho rhoqo: Ugqirha wakho uza kukucela ukuba uze rhoqo ukuze ajonge imeko yakho aze abone ukuba iyeza lisebenza kakuhle na. Qiniseka ukuba uyaya ngaloo maxesha. Kungathatha iiveki ezininzi ukuba iyeza lisebenze.
- Lumka ngetyuwa (i-sodium): Oku kubaluleke kakhulu. Ubungakanani betyuwa emzimbeni wakho buchaphazela ngokuthe ngqo ukusebenza kwe-lithium. Kwakhona, eli yeza linokunyusa ubungakanani betyuwa ekhutshwa emzimbeni. Ke ngoko, yitya ukutya okunetyuwa njengesiqhelo . Musa ukuthatha izinto ezithatha indawo yetyuwa. Ukuba utshintsha kakhulu ukutya kwakho, okanye ukuba uthatha amayeza aqulethe i-sodium eninzi, njenge-sodium bicarbonate, cela ingcebiso kugqirha wakho.
- Sela amanzi amaninzi: Zama ukusela ubuncinci iiglasi ezisi-8-12 zamanzi ngosuku ngelixa usebenzisa eli yeza. Kungcono ukunciphisa ukutya kwakho iziselo ezine-caffeine ezifana nekofu, iti, kunye ne-cola. Ukuba unesifo sorhudo okanye ubila kakhulu, kufuneka usele amanzi angakumbi. Oku kuya kukunceda uphephe imiphumo enobungozi yale yeza.
- Lumka ungafudumali kakhulu: Lumka ungafudumali kakhulu xa uzilolonga, use-sauna, uhlamba ngamanzi ashushu, okanye xa ungaphandle ushushu kakhulu. Ukuba unomkhuhlane ophezulu okanye iintlungu zesisu ezingapheliyo, xelela ugqirha wakho.
- Ukulinganisela kunye nokuphaphama: Eli yeza linokuchaphazela ukulungelelana kwakho, ixesha lokuphendula, kunye nokugweba . Ngoko ke, musa ukuqhuba, ukusebenza kwiindawo eziphakamileyo, okanye ukusebenzisa oomatshini ude wazi ukuba eli yeza likuchaphazela njani. Ukunciphisa isiyezi, yima kancinci xa uvuka kwindawo yokuhlala okanye ebhedini. Ukusela utywala kunye neli yeza kunokunyusa ezi ziphumo ebezingalindelekanga.
Zeziphi iziphumo ebezingalindelekanga endinokuzifumana kweli yeza?
Njengazo zonke iziyobisi, i-lithium inokubangela ezinye iziphumo ebezingalindelekanga. Ezinye zinzima, ezinye azinzima kangako.
Ukuba ufumana naziphi na kwezi ziphumo zilandelayo, xelela ugqirha wakho ngokukhawuleza:- Iimpendulo ze-allergy: Ukurhawuzelela kwesikhumba, ukurhawuzelela, amaqhuqhuva, ukudumba kobuso, imilebe, ulwimi, okanye umqala.
- Utshintsho lwesingqi sentliziyo: Ukubetha kwentliziyo ngokukhawuleza okanye ngokungangqalanga, isiyezi, intloko ebuhlungu, iintlungu zesifuba, ubunzima bokuphefumla.
- Uxinzelelo oluphezulu olujikeleze ingqondo: Intloko ebuhlungu kakhulu, umbono ofipheleyo, utshintsho lombono, isicaphucaphu, ukuhlanza.
- Ukomelela kakhulu kunye nobungakanani bomchamo.
- Iimpawu zeSerotonin Syndrome:Ixhala, ukudideka, ukubetha kwentliziyo ngokukhawuleza okanye ngokungangqalanga, ukuqina kwemisipha, ukuxhuzula kwemisipha, ukubila okugqithisileyo, umkhuhlane ophezulu, ukuxhuzula, ukubanda, ukuhlanza, urhudo. (Le yimeko eyingozi.)
- Ubuthi beLithium: Oku kuyingozi kakhulu. Iimpawu ziquka: urhudo, ukuhlanza, ukungcangcazela, ukulahlekelwa kukulinganisela okanye ukulungelelana, intshukumo yamehlo engalawulekiyo, ukukhala kweendlebe, ubuthathaka bemisipha, ukuxhuzula kwemisipha, intetho engacacanga, kunye nokudideka.
Iziphumo ebezingalindelekanga ezingezantsi azidli ngokuba zimbi kakhulu. Nangona kunjalo, ukuba ziyaqhubeka okanye ziyakukhathaza, xelela ugqirha wakho:- Isiyezi
- Ukudinwa
- Isicaphucaphu
- Ukungcangcazela okanye ukungcangcazela
Ayizizo zonke iziphumo ebezingalindelekanga ezidweliswe kolu luhlu. Ukuba ubona nantoni na engaqhelekanga ukongeza kwezi, thetha nogqirha wakho ngayo.
Ndingawagcina phi amayeza am?
- Yigcine kwindawo ephakamileyo kude nabantwana .
- Gcina kubushushu begumbi (phakathi kwe-15 kunye ne-30 degrees Celsius, ephakathi kwe-59 kunye ne-86 degrees Fahrenheit).
- Qiniseka ukuba uyawalahla amayeza aphelelwe lixesha.
Okokugqibela, izinto ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)
Kulungile, sithethe kakhulu nge-lithium, akunjalo? Ukuba kufuneka usebenzise eli yeza, kubaluleke kakhulu ukuba uzikhumbule ezi zinto.
- Sebenzisa amayeza kanye njengoko ugqirha wakho ekuxelela. Yithathe ngexesha, ngokwedosi emiselweyo. Musa ukuyeka okanye ukutshintsha idosi ngokubona kwakho.
- Xelela ugqirha wakho ngazo zonke ezinye iziyobisi, iziqholo, kunye neevithamini ozithathayo.
- Sela amanzi amaninzi. Ubuncinane iiglasi ezisi-8-12 zamanzi ngosuku.
- Lumka ngetyuwa (i-sodium). Yongeza ityuwa ekutyeni kwakho njengesiqhelo.
- Ukuba ufumana naziphi na iziphumo ebezingalindelekanga ezintsha okanye ukuba iziphumo ebezingalindelekanga zangaphambili ziba mandundu, xelela ugqirha wakho ngoko nangoko. Ingakumbi ukuba ubonakalisa iimpawu ze-lithium toxicity okanye i-serotonin syndrome.
- Bona ugqirha wakho ngexesha kwaye wenze uvavanyo lwegazi. Oku kubaluleke kakhulu ukujonga ukuba amanqanaba e-lithium yakho aqhelekile na.
- Eli yeza lenzelwe nje ukukunceda uzive ungcono . Nangona kunjalo, kubaluleke kakhulu ukulandela imikhwa emihle yempilo yengqondo (ukulala kakuhle, ukutya okunesondlo, ukuzilolonga, iindlela zokunciphisa uxinzelelo).
Khumbula, awuwedwa. Kukho oogqirha, usapho, kunye nabahlobo abanokukunceda. Ungoyiki ukuthetha nabo.
Ndiyathemba ukuba olu lwazi luza kukunceda. Ndikunqwenelela ukuchacha ngokukhawuleza!
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