Ingabe ngezinye izikhathi uzizwa sengathi unenkinga yokulawula imicabango yakho? Ngezinye izikhathi awukwazi ukugcina ingqondo yakho endaweni eyodwa? Ngezikhathi ezinjalo, udokotela angase akunike umuthi obizwa ngokuthi 'i-Lithium', ikakhulukazi uma unesifo esifana 'ne-Bipolar Disorder'. Ngakho-ke namuhla, ake sixoxe kancane ngalo muthi, njengokukhuluma nomngane.
Uhlobo luni lomuthi iLithium?
Kalula nje,
i-lithium umuthi osiza ukulinganisela isimo sakho sengqondo, ukuziphatha, kanye nemicabango. Ukushintshashintsha kwesimo sengqondo kwenzeka lapho amakhemikhali athile ebuchosheni bethu eshintsha ukusebenza kwawo. I-lithium isebenza ngokulawula la makhemikhali nokusiza ukugcina ingqondo yakho izolile. Odokotela bavame ukuyinika abantu abanesifo sokuphazamiseka kwengqondo. Kodwa-ke, ingasetshenziswa nakwezinye izimo. Udokotela wakho noma usokhemisi angakutshela okwengeziwe ngayo.
Yiziphi izinto okudingeka ngizitshele udokotela ngaphambi kokuqala lo muthi?
Lokhu kubaluleke kakhulu. Ngaphambi kokuthi uqale ukuthatha i-lithium, kunezinto ezimbalwa
okufanele uzitshele udokotela wakho. Lo muthi awufanele wonke umuntu. Uma unezinye zalezi zimo, tshela udokotela wakho:
- Ingabe kukhona ukutheleleka okusebenzayo okukhona njengamanje?
- Ingabe unenkinga yokuphefumula ?
- Ingabe kukhona isifo senhliziyo esibizwa ngokuthi 'i-Brugada Syndrome' ? (Lesi yisimo esithinta ukushaya kwenhliziyo)
- Ingabe uphelelwe amanzi emzimbeni , kungaba ngenxa yohudo noma ukujuluka ngokweqile ?
- Ingabe ulandela ukudla okunosawoti omncane ?
- Unesifo senhliziyo ?
- Ingabe izinga le-calcium egazini liphezulu ?
- Wake waba nokushaya kwenhliziyo okungajwayelekile ?
- Unesifo sezinso ?
- Ingabe amazinga akho e-potassium noma i-sodium egazini aphansi ?
- i-parathyroid gland (i-gland ye-parathyroid)Ingabe unesifo se-parathyroid?
- Ingabe unenkinga yokuchama ?
- Unesifo se-thyroid ?
- Wake waba nokusabela okungavamile kokungezwani komzimba ne-lithium, eminye imithi, ukudla, udayi, noma izithasiselo?
- Ukhulelwe ? Noma unethemba lokukhulelwa?
- Ingabe ungumama oncelisayo?
Kubaluleke kakhulu ukuze uphephe ukutshela udokotela ngalezi zinto.
Ungayisebenzisa kanjani i-Lithium ngendlela efanele?
Kulungile, manje ake sibone ukuthi ungawuthatha kanjani lo muthi.
- Lomuthi kufanele uphuzwe ngomlomo ngamanzi .
- Zama ukuphuza imithi yakho ngesikhathi esifanayo nsuku zonke , njengoba kuqondiswe kwilebula kadokotela. Ngaleyo ndlela, imithi izosebenza kahle.
- Ungakuthatha lokhu nokudla noma ngaphandle kokudla . Kodwa-ke, uma uzizwa unesisu esibuhlungu, kungcono ukukuthatha nokudla.
- Kufanele uqhubeke uthatha umuthi kuze kube yilapho udokotela ekutshela ukuthi uyeke. Kungcono ukungawuyeki ngokuzumayo, njengoba uzizwa sengathi uyawuyeka.
Okubalulekile: Uma ikhemisi likunikeza lo muthi, likunikeza nencwajana yemiyalelo ekhethekile ('MedGuide') . Ungakhohlwa ukufunda le ncwajana yemiyalelo ngokucophelela njalo uma uthola umuthi, futhi njalo uma uthola ukugcwalisa kabusha. Iqukethe ulwazi oluningi olubalulekile kuwe.
Ingabe lo muthi kufanele unikezwe izingane? Lo muthi ngezinye izikhathi unganikezwa izingane ezineminyaka engu-7 ubudala, ezimweni ezikhethekile. Kodwa-ke, kumele kulandelwe izinyathelo zokuphepha ezikhethekile. Ngakho-ke, uma unikeza ingane yakho lo muthi, khuluma nodokotela wakho ngawo ngokucophelela bese uthola imininingwane.
Yini okufanele uyenze uma uthatha umuthi omningi kakhulu? (Umthamo oweqile)
Uma lokho kwenzeka, okungukuthi,
uma ucabanga ukuthi uphuze umuthi omningi kunalokho obekucabanga, iya ekamelweni lezimo eziphuthumayo esibhedlela esiseduze ngokushesha , noma ushayele isikhungo sokulawula ubuthi. Lokhu akuyona into yokudlala ngayo.
Lo muthi ungowakho kuphela! Unganiki abanye umuthi udokotela wakho akunike wona, noma ngabe banezimpawu ezifanayo nezakho.
Wenzani uma uphuthelwa umthamo?
Uma ukhohlwa ukuphuza umuthi wakho,
thatha umthamo ngokushesha nje lapho ukhumbula . Kodwa-ke, uma sekuyisikhathi somthamo wakho olandelayo lapho ukhumbula, yeqa umthamo ongawusebenzisi bese
uthatha umthamo olandelayo ngesikhathi esihleliwe .
Ungalokothi uthathe imithamo ephindwe kabili noma eyengeziwe . Ukwenza kanjalo kwandisa ingozi yemiphumela emibi.
Yiziphi ezinye izinto ezingasebenzisana nalo muthi?
Lokhu futhi kuyinto okufanele uyiqaphele kakhulu. I-Lithium
umuthi ongasebenzisana neminye imithi, amakhambi, namavithamini . Lokhu kusho ukuthi uma uthathwa ndawonye, imiphumela ye-Lithium ingashintsha noma imiphumela emibi inganda.
Ungalokothi uthathe i-Lithium nemithi elandelayo:- I-Cisapride
- I-Dronedarone
- I-Pimozide
- I-Thioridazine
I-Lithium ingasebenzisana nemithi elandelayo, ngakho qiniseka ukuthi utshela udokotela wakho uma uthatha noma iyiphi yale mithi:- I-caffeine (etholakala ekhofini, etiyeni, kushokoledi, nakwezinye iziphuzo ezibandayo)
- I-Carbamazepine
- Eminye imithi yokucindezeleka, ukukhathazeka, noma ezinye izifo zengqondo
- Eminye imithi esetshenziswayo yomfutho wegazi ophakeme
- Eminye imithi esetshenziselwa i-migraines (isb., i-almotriptan, i-eletriptan, i-sumatriptan)
- Imithi yokuhlanza (imithi esusa amanzi nosawoti emzimbeni)
- I-Fentanyl
- I-Linezolid
- Imithi eqenjini lemithi ebizwa ngokuthi 'MAOIs' (Monoamine Oxidase Inhibitors) (isib. Carbex, Eldepryl)
- Iziphumuli zemisipha ezinikezwa ngaphambi kokuhlinzwa
- I-Methyldopa
- I-Metronidazole
- 'Ama-NSAID' (Izidakamizwa Ezingavimbeli Ukuvuvukala) - imithi yobuhlungu nokuvuvukala (isib. i-ibuprofen, i-naproxen)
- Eminye imithi ethinta isigqi sokushaya kwenhliziyo (isib. i-dofetilide)
- I-Phenytoin
- I-potassium iodide
- Izithibi ze-SGLT2 - eminye imithi esetshenziselwa ukwelapha isifo sikashukela (isib. i-canagliflozin, i-dapagliflozin)
- I-sodium bicarbonate
- I-sodium chloride (usawoti ovamile)
- I-St. John's Wort (lena isitshalo)
- I-Theophylline
- I-Tramadol
- I-Tryptophan
- I-Urea
Lolu hlu lungase lungaphelele. Ngakho-ke,
tshela udokotela wakho ngayo yonke imithi oyithathayo, okuhlanganisa imithi yamakhambi, imithi engekho ngaphansi kukadokotela, kanye nezithasiselo zokudla. Futhi, tshela udokotela wakho uma ubhema, uphuza utshwala, noma usebenzisa izidakamizwa ezingekho emthethweni . Ezinye izinto zingathintana nemithi yakho.
Yiziphi ezinye izinto okufanele ngiziqaphele lapho ngithatha lo muthi?
Udinga futhi ukuqaphela kancane lapho uthatha i-lithium.
- Bona udokotela wakho njalo: Udokotela wakho uzokucela ukuthi ufike njalo ukuze ahlole isimo sakho futhi abone ukuthi umuthi usebenza kahle yini. Qiniseka ukuthi uyaya ngalezo zikhathi. Kungathatha amasonto ambalwa ukuthi umuthi usebenze.
- Qaphela usawoti (i-sodium): Lokhu kubaluleke kakhulu. Inani likasawoti emzimbeni wakho lithinta ngqo ukusebenza kahle kwe-lithium. Futhi, lo muthi ungandisa inani likasawoti elikhishwa emzimbeni. Ngakho-ke, yidla ukudla okunosawoti njengenjwayelo . Ungathathi izinto ezithatha indawo kasawoti. Uma ushintsha kakhulu ukudla kwakho, noma uma uthatha imithi equkethe i-sodium eningi, njenge-sodium bicarbonate, cela iseluleko kudokotela wakho.
- Phuza amanzi amaningi: Zama ukuphuza okungenani izingilazi zamanzi ezingu-8-12 ngosuku ngenkathi uthatha lo muthi. Kungumqondo omuhle ukunciphisa ukudla kwakho iziphuzo ezine-caffeine njengekhofi, itiye, ne-cola. Uma unesifo sohudo noma ujuluka kakhulu, kufanele uphuze amanzi amaningi. Lokhu kuzokusiza ugweme imiphumela enobuthi yalo muthi.
- Qaphela ukuthi ungashisi ngokweqile: Qaphela ukuthi ungashisi ngokweqile lapho uzivocavoca, use-sauna, ugeza ngamanzi ashisayo, noma ngezinsuku ezishisayo kakhulu ngaphandle. Uma unomkhuhlane omkhulu noma ubuhlungu besisu obuqhubekayo, tshela udokotela wakho.
- Ukulinganisela nokuqapha: Lo muthi ungathinta ukuhlangana kwakho, isikhathi sokusabela, kanye nokwahlulela . Ngakho-ke, ungashayeli, usebenze ezindaweni eziphakeme, noma usebenzise imishini uze wazi ukuthi lo muthi uthinta kanjani wena. Ukuze unciphise isiyezi, sukuma kancane lapho uvuka endaweni yokuhlala noma embhedeni. Ukuphuza utshwala ngalo muthi kungandisa le miphumela emibi.
Yimiphi imiphumela emibi engingayithola kulo muthi?
Njengayo yonke imithi, i-lithium ingabangela eminye imiphumela emibi. Eminye iyingozi, eminye ayibi kakhulu.
Uma uhlangabezana nanoma yimiphi imiphumela emibi elandelayo, tshela udokotela wakho ngokushesha okukhulu:- Ukusabela kokungezwani komzimba: Ukuqubuka kwesikhumba, ukulunywa, amaqhubu, ukuvuvukala kobuso, izindebe, ulimi, noma umphimbo.
- Ukushintsha kwesigqi senhliziyo: Ukushaya kwenhliziyo okusheshayo noma okungajwayelekile, isiyezi, ikhanda elibuhlungu, ubuhlungu besifuba, ubunzima bokuphefumula.
- Ukwanda kwengcindezi ezungeze ubuchopho: Ikhanda elibuhlungu kakhulu, umbono ofiphele, izinguquko zombono, isicanucanu, ukuhlanza.
- Ukoma okwandayo kanye nenani lomchamo.
- Izimpawu ze-Serotonin Syndrome:Ukukhathazeka, ukudideka, ukushaya kwenhliziyo okusheshayo noma okungajwayelekile, ukuqina kwemisipha, ukudikiza kwemisipha, ukujuluka ngokweqile, umkhuhlane ophezulu, ukuxhuzula, ukubanda, ukuhlanza, isifo sohudo. (Lesi yisimo esiyingozi.)
- Ubuthi be-lithium: Lokhu nakho kuyingozi kakhulu. Izimpawu zifaka: uhudo, ukuhlanza, ukuthuthumela, ukulahlekelwa yibhalansi noma ukuhlangana, ukunyakaza kwamehlo okungalawuleki, ukukhala kwezindlebe, ubuthakathaka bemisipha, ukudikiza kwemisipha, ukukhuluma okungacacile, kanye nokudideka.
Imiphumela emibi engezansi ngokuvamile ayibi mibi kakhulu. Kodwa-ke, uma iqhubeka noma ikukhathaza, tshela udokotela wakho:- Isiyezi
- Ukukhathala
- Isicanucanu
- Ukuthuthumela noma ukuthuthumela
Akuzona zonke imiphumela emibi ezibalwe lapha. Uma ubona noma yini engavamile ngaphezu kwale, khuluma nodokotela wakho ngakho.
Ngingayigcina kuphi imithi yami?
- Yigcine endaweni ephakeme kude nezingane .
- Gcina ekamelweni lokushisa (phakathi kwama-degree Celsius angu-15 no-30, okuphakathi kwama-degree Fahrenheit angu-59 no-86).
- Qiniseka ukuthi ulahla imithi ephelelwe yisikhathi.
Okokugcina, izinto okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)
Kulungile, sesikhulume kakhulu nge-lithium, akunjalo? Uma kufanele usebenzise lo muthi, kubaluleke kakhulu ukukhumbula lezi zinto.
- Sebenzisa umuthi njengoba nje udokotela wakho ekutshelile. Yithathe ngesikhathi, ngomthamo onqunyiwe. Ungayeki noma ushintshe umthamo ngokuthanda kwakho.
- Tshela udokotela wakho ngayo yonke eminye imithi, amakhambi, namavithamini owaphuzayo.
- Phuza amanzi amaningi. Okungenani izingilazi zamanzi ezingu-8-12 ngosuku.
- Qaphela usawoti (i-sodium). Faka usawoti ekudleni kwakho njengokujwayelekile.
- Uma uhlangabezana nanoma yimiphi imiphumela emibi emisha noma uma imiphumela emibi yangaphambilini iba mibi kakhulu, tshela udokotela wakho ngokushesha. Ikakhulukazi uma uba nezimpawu zobuthi be-lithium noma i-serotonin syndrome.
- Bona udokotela wakho ngesikhathi bese wenza ukuhlolwa kwegazi. Lokhu kubaluleke kakhulu ukuhlola ukuthi amazinga akho e-lithium ajwayelekile yini.
- Lo muthi umane nje uzokusiza uzizwe ungcono . Kodwa-ke, kubaluleke kakhulu ukulandela imikhuba emihle yezempilo yengqondo (ukulala kahle, ukudla okulinganiselayo, ukuzivocavoca, izindlela zokunciphisa ukucindezeleka).
Khumbula, awuwedwa. Kukhona odokotela, umndeni, nabangani abangakusiza. Ungesabi ukukhuluma nabo.
Ngiyethemba ukuthi lolu lwazi luzokusiza. Ngikufisela ukululama okusheshayo!
💬 Comments (0)
Awekho amazwana athunyelwe okwamanje. Faka amazwana akho lapha okokuqala ngqa.
Engeza amazwana akho