Ngaba ugqirha wakho ukunike i-lithium okanye umntu osondeleyo kuwe onesifo se-bipolar disorder? Ukuba kunjalo, kubalulekile ukuba nolwazi olupheleleyo ngale mithi. Nangona iyimithi eluncedo kakhulu, ikwayimithi efuna unonophelo olukhulu xa uyisebenzisa. Makhe sithethe ngale nto ngokulula, ngendlela onokuyiqonda.
Yintoni le Lithium?
Ngamafutshane, i-lithium sisizinzisi semood . Umntu onesifo se-bipolar disorder unokufumana utshintsho olukhawulezileyo kwimo yakhe, indlela aziphethe ngayo, kunye neengcinga zakhe. Oko kukuthi, ingqondo yakhe iya kutshintshatshintsha phakathi kwamaxesha onwabe kakhulu (mania) kunye namaxesha osizi olukhulu kunye noxinzelelo (uxinzelelo).
Cinga ngayo, ezi meko zenzeka xa umsebenzi weekhemikhali ezithile (ii-neurotransmitters) engqondweni yethu ungalingani. Ngoko ke into eyenziwa yi-lithium kukulinganisela umsebenzi wezi khemikhali kwaye incede ukugcina isimo sakho sengqondo sizinzile. Oku kulawula ukuguquka okukhawulezayo phakathi kolonwabo olukhulu kunye nosizi olukhulu.
Izinto ekufuneka uzixelele ugqirha wakho ngaphambi kokuba uqale amayeza
Kubaluleke kakhulu ukunika ugqirha wakho inkcazo epheleleyo ngembali yakho yempilo. Kuba i-lithium inokuba yingozi xa isetyenziswa kwiimeko ezithile zempilo. Ukuba unayo nayiphi na kwezi zilandelayo, qiniseka ukuba uxelele ugqirha wakho.
| Uhlobo lolwazi | Oko kufuneka ukwazise |
|---|---|
| Isifo sentliziyo kunye nokujikeleza kwegazi | Ukuba unesifo sentliziyo, imbali yokungahambi kakuhle kwesingqisho sentliziyo, okanye imeko efana neBrugada Syndrome. |
| Izintso kunye nolwelo lomzimba | Isifo sezintso, ukuphelelwa ngamanzi emzimbeni (umz. okubangelwa kurhudo okanye ukubila kakhulu), ukutya okungenatyuwa ingako, amanqanaba aphantsi e-potassium okanye i-sodium egazini. |
| Ezinye izifo | Izifo ze-thyroid okanye i-parathyroid glands, ubunzima bokuphefumla, ubunzima bokuchama, usulelo olukhoyo emzimbeni, kunye namanqanaba aphezulu e-calcium egazini. |
| Iimeko zomntu kunye nee-aleji | Ukuba ukhulelwe okanye uzama ukukhulelwa, ukuba uncancisa, ukuba ukhe waba ne-allergy kwi-lithium okanye nayiphi na eminye imithi, ukutya, okanye idayi. |
Ndingayisebenzisa njani kanye kanye le yeza?
Idosi yale yeza ibaluleke kakhulu. Ngoko ke, kubalulekile ukuthatha umlinganiselo omiselweyo, kanye njengoko ugqirha ekuxelela.
- Ginya ipilisi ngeglasi yamanzi.
- Musa ukuphula, ukutyumza, okanye ukuhlafuna ithebhulethi. Ukukhululwa Okukhawulezileyo kuthetha ukuba iyeza likhutshwa emzimbeni kancinci kancinci, ngoko ke ithebhulethi kufuneka iginywe yonke.
- Sela iyeza emva kokutya okanye kunye nesnack ukuze uphephe ukudumba kwesisu.
- Zama ukusela amayeza ngexesha elifanayo yonke imihla.
- Ungaze uthathe okungaphezulu koko ugqirha wakho akuxelele kona. Ukwenza njalo kunokubangela iziphumo ebezingalindelekanga ezibi kakhulu.
- Musa ukuyeka ukuthatha amayeza ngaphandle kwengcebiso kagqirha wakho.
Kuthekani ukuba ndiphoswa lidosi leyeza?
Ukuba uphoswe yidosi, yithathe ngokukhawuleza xa ukhumbula. Nangona kunjalo, ukuba sele kuza kufuneka uyithathe idosi elandelayo, yitsibe idosi oyiphosileyo uze uthathe idosi elandelayo ngexesha elicwangcisiweyo. Ungaze uthathe idosi ephindwe kabini.
Kuthekani ukuba ndithatha amayeza amaninzi kakhulu?
Ukuba ucinga ukuba uthathe amayeza amaninzi kakhulu, yiya kwiSebe leeNgxamiseko (i-ETU) elikufutshane ngoko nangoko okanye utsalele umnxeba iZiko loLwazi lweeTyhefu leSizwe kwiSibhedlele sikaZwelonke saseColombo . Yiphathe le nto njengengxamiseko.
Eli yeza limiselwe wena wedwa. Ungaze unike omnye umntu eli yeza, nokuba uneempawu ezifana nezakho.
Amanye amayeza anokusebenzisana ne-lithium
Ufanele uxelele ugqirha wakho ngazo zonke amayeza owasebenzisayo, kuquka amayeza kagqirha, amayeza athengiswa ngaphandle kwemvume kagqirha, amayeza esintu, iivithamini, kwanezongezo, kuba amanye amayeza anokusebenzisana ne-lithium.
Ngokukodwa, la mayeza alandelayo akufuneki athathwe kunye ne-lithium:
- I-Cisapride
- I-Dronedarone
- I-Pimozide
- I-Thioridazine
Ukongeza, i-lithium inokusabela ngale ndlela ilandelayo:
- Iziselo ezine-caffeine (ikofu, iti, i-cola)
- Iipilisi zokunciphisa iintlungu kunye namayeza okulwa nokuvuvukala (ii-NSAID) - umz. i-Ibuprofen, i-Naproxen
- Iipilisi zamanzi (i-Diuretics)
- Amanye amayeza oxinzelelo lwegazi oluphezulu
- Amanye amayeza eemeko ezinje ngokudakumba
- Amayeza anikwa ukuphumza izihlunu ngexesha lotyando
- Amayeza okulwa nesifo sokuwa afana neCarbamazepine kunye nePhenytoin
- Ii-antibiotics ezifana neMetronidazole
- Amanye amayeza eswekile - umz. izithinteli ze-SGLT2
- Iimveliso zezityalo ezifana neSt. John's Wort
Olu luhlu aluphelelanga, ngoko ke kungcono ukuxelela ugqirha wakho ngayo yonke into oyithathayo.
Izinto ezibalulekileyo ekufuneka ziqwalaselwe xa uthatha i-lithium
Ibhalansi yeTyuwa naManzi
Le yeyona nto ibalulekileyo ekufuneka uyiqwalasele xa uthatha i-lithium. Khumbula, ubungakanani betyuwa (i-sodium) kunye namanzi emzimbeni wakho zezona zinto zimbini ziphambili ezilawula amanqanaba e-lithium.
- Yitya ukutya okunetyuwa encinci. Kuphephe ukutya ukutya okunetyuwa encinci ngequbuliso ngaphandle kwengcebiso kagqirha wakho.
- Sela amanzi amaninzi. Ukuba unesifo sorhudo okanye ubila kakhulu (ngenxa yokuzilolonga, imozulu eshushu), kufuneka usele amanzi angaphezulu. Oku kungenxa yokuba xa amanzi netyuwa zilahleka emzimbeni, amanqanaba e-lithium egazini anokuba phezulu ngendlela eyingozi.
- Nciphisa iziselo ezine-caffeine. Izinto ezifana nekofu neti zibangela ukuba umzimba wakho ulahlekelwe ngamanzi amaninzi.
Ukuqhuba nokusebenzisa oomatshini
Eli yeza linokukwenza uzive unesizungu, ulele, kwaye linokucothisa ixesha lakho lokuphendula. Ngoko ke, kuphephe ukuqhuba okanye ukusebenzisa oomatshini abanzima ude wazi ukuba eli yeza likuchaphazela njani.
Ukuhlolwa rhoqo kwezonyango
Xa uthatha i-lithium, ugqirha wakho uya kukuxelela rhoqo ukuba ujonge amanqanaba e-lithium egazini lakho. Ungaze uluphose olu vavanyo lwegazi. Ukugcina amanqanaba e-lithium egazini lakho kuluhlu lonyango yeyona nto ibalulekileyo kukhuseleko.
Zithini iziphumo ebezingalindelekanga ezinokubakho?
Njengayo nayiphi na imithi, i-lithium inokuba nemiphumo emibi. Eminye iyingozi, eminye ixhaphakile.
| Imiphumela | Inkcazo |
|---|---|
| Iziphumo ebezingalindelekanga ezinzulu ekufuneka zixelwe kugqirha wakho ngoko nangoko | |
| Iimpendulo ze-allergy | Ukurhawuzelela kwesikhumba, ukurhawuzelela, ukudumba kobuso, imilebe, ulwimi okanye umqala. |
| Ubuthi beLithium | Urhudo, ukuhlanza, ukungcangcazela, ubunzima bokuhamba, ukungakwazi ukulawula amehlo, ukuva iingxolo ezindlebeni, ubuthathaka bemisipha, intetho engacacanga, ukudideka. |
| Isifo seSerotonin | Ukudideka, ukubetha kwentliziyo ngokukhawuleza, ukuqina kwemisipha, ukubila kakhulu, umkhuhlane, ukuxhuzula. |
| Ezinye iimpawu ezinzulu | Utshintsho kwisantya sentliziyo (isiyezi, iintlungu zesifuba), ukoma kakhulu kunye nokuchama, iintloko ezibuhlungu kakhulu kunye notshintsho embonweni. |
| Iziphumo ebezingalindelekanga ezihlala zingadingi nyango (kodwa kufuneka zixelwe kugqirha ukuba ziyaqhubeka) | |
| Isiyezi | Oku kunokwenzeka de umzimba uqhele amayeza. |
| Ukudinwa | Ndiziva ndidiniwe kancinci. |
| Isicaphucaphu | Oku kungancitshiswa ngokuthatha amayeza kunye nokutya. |
| Iingxolo | Kusenokubakho ukungcangcazela okuncinci kwezandla. |
Umyalezo Wokuya Ekhaya
- I-Lithium liyeza eliluncedo kakhulu, kodwa kufuneka lisetyenziswe ngononophelo olukhulu. Landela imiyalelo kagqirha wakho ngononophelo.
- Xelela ugqirha wakho ngazo zonke ezinye iziyobisi, iivithamini, kunye neemveliso zezityalo ozisebenzisayo.
- Ungaze uluphose uvavanyo lwegazi olucwangcisiweyo. Kubalulekile ukugcina amanqanaba e-lithium egazini lakho ejongeka.
- Gcina amanqanaba etyuwa namanzi emzimbeni wakho elungelelene. Sela amanzi amaninzi. Sela amanzi angaphezulu xa ubila kakhulu okanye unesifo sorhudo.
- Qaphela iimpawu zetyhefu ye-lithium (urhudo, ukuhlanza, ukungcangcazela, ukuthetha okungaqondakaliyo). Funa ingcebiso kagqirha ngokukhawuleza ukuba ubona naziphi na kwezi mpawu.
- Kuphephe ukutshintsha idosi okanye ukuyeka amayeza ngaphandle kwengcebiso kagqirha wakho.
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