Ingabe udokotela wakho ukunike i-lithium noma othile oseduze nawe onesifo sokuphazamiseka kwengqondo okuguquguqukayo? Uma kunjalo, kubalulekile ukwazi ngokugcwele ngalo muthi. Nakuba umuthi uwusizo kakhulu, futhi uwumuthi odinga ukucophelela okukhulu lapho uwusebenzisa. Ake sixoxe ngalokhu kalula, ngendlela ongayiqonda.
Iyini le Lithium?
Kalula nje, i-lithium iyisiqinisi semizwa . Umuntu onesifo sokuphazamiseka kwengqondo angase abhekane nokushintshashintsha okungazelelwe kwemizwa yakhe, ukuziphatha kwakhe, kanye nemicabango yakhe. Okusho ukuthi, ingqondo yakhe izoshintshashintsha phakathi kwezikhathi zenjabulo enkulu (mania) kanye nezikhathi zokudabuka okukhulu nokukhathazeka (ukucindezeleka).
Cabanga ngakho, lezi zimo zenzeka lapho umsebenzi wamakhemikhali athile (ama-neurotransmitter) ebuchosheni bethu ungalingani. Ngakho-ke okwenziwa yi-lithium ukulinganisela umsebenzi wamakhemikhali futhi kusize ukugcina isimo sakho sengqondo sizinzile. Lokhu kulawula lokho kushintshashintsha okusheshayo phakathi kwenjabulo enkulu nokudabuka okukhulu.
Izinto okufanele uzitshele udokotela wakho ngaphambi kokuqala imithi
Kubaluleke kakhulu ukunikeza udokotela wakho incazelo ephelele yomlando wempilo yakho. Ngoba i-lithium ingaba yingozi uma isetshenziswa ezimweni ezithile zezokwelapha. Uma unezinye zalezi ezilandelayo, qiniseka ukuthi utshela udokotela wakho.
| Uhlobo lolwazi | Okudingayo ukukwazisa |
|---|---|
| Isifo senhliziyo kanye nokujikeleza kwegazi | Uma unesifo senhliziyo, umlando wokuphazamiseka kwesigqi senhliziyo, noma isimo esifana ne-Brugada Syndrome. |
| Izinso noketshezi lomzimba | Isifo sezinso, ukuphelelwa amanzi emzimbeni (isib. okubangelwa uhudo noma ukujuluka ngokweqile), ukudla okunosawoti omncane, amazinga aphansi e-potassium noma i-sodium egazini. |
| Ezinye izifo | Izifo zendlala yegilo noma ye-parathyroid, ubunzima bokuphefumula, ubunzima bokuchama, ukutheleleka okukhona emzimbeni, kanye namazinga e-calcium akhuphukile egazini. |
| Izimo zomuntu siqu kanye nokungezwani komzimba | Uma ukhulelwe noma uzama ukukhulelwa, uma uncelisa, uma uke waba nokusabela kokungezwani komzimba ne-lithium noma eminye imithi, ukudla, noma udayi. |
Ngiyisebenzisa kanjani ngempela le mithi?
Umthamo walo muthi ubaluleke kakhulu. Ngakho-ke, kubalulekile ukuthatha inani elibekiwe, njengoba nje udokotela ekutshelile.
- Gwinya iphilisi ngengilazi yamanzi.
- Ungaliphuli, ulichoboze, noma ulihlafune. Ukukhululwa Okunwetshiwe kusho ukuthi umuthi ukhishwa kancane kancane emzimbeni, ngakho-ke ithebhulethi kufanele igwinywe yonke.
- Thatha umuthi ngemva kokudla noma kanye nokudla okulula ukuze ugweme ukucasuka kwesisu.
- Zama ukuphuza umuthi ngesikhathi esifanayo nsuku zonke.
- Ungalokothi uthathe okungaphezu kwalokho okuyalelwe udokotela wakho. Ukwenza kanjalo kungabangela imiphumela emibi kakhulu.
- Ungayeki ukuthatha imithi ngaphandle kweseluleko sikadokotela wakho.
Kuthiwani uma ngiphuthelwa umthamo wemithi?
Uma uphuthelwa umthamo, thatha ngokushesha nje lapho ukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo wakho olandelayo, yeqa umthamo ophuthelwe bese uthatha umthamo wakho olandelayo ngesikhathi esihleliwe. Ungalokothi uthathe umthamo ophindwe kabili.
Kuthiwani uma ngiphuza umuthi omningi kakhulu?
Uma ucabanga ukuthi uthathe umuthi omningi kakhulu, iya eMnyangweni Wezimo Eziphuthumayo (ETU) oseduze ngokushesha noma ushayele iNational Poisons Information Centre eColombo National Hospital . Phatha lokhu njengesimo esiphuthumayo.
Lomuthi unikezwe wena wedwa. Ungalokothi unike omunye umuntu lo muthi, noma ngabe unezimpawu ezifana nezakho.
Eminye imithi engase ihlangane ne-lithium
Kufanele utshele udokotela wakho ngayo yonke imithi oyithathayo, okuhlanganisa imithi kadokotela, imithi ethengiswa ngaphandle kwemithi kadokotela, imithi yendabuko, amavithamini, ngisho nezithasiselo, ngoba eminye imithi ingasebenzisana ne-lithium.
Ikakhulukazi, imithi elandelayo akufanele ithathwe ne-lithium:
- I-Cisapride
- I-Dronedarone
- I-Pimozide
- I-Thioridazine
Ngaphezu kwalokho, i-lithium ingasabela ngokulandelayo:
- Iziphuzo eziqukethe i-caffeine (ikhofi, itiye, i-cola)
- Iziqeda-zinhlungu kanye nemithi yokulwa nokuvuvukala (ama-NSAID) - isib. i-Ibuprofen, i-Naproxen
- Amaphilisi amanzi (i-Diuretics)
- Eminye imithi yokwelapha umfutho wegazi ophakeme
- Eminye imithi yokwelapha izimo ezinjengokucindezeleka
- Imithi enikezwa ukuphumula imisipha ngesikhathi sokuhlinzwa
- Imithi yokulwa nesifo sokuwa efana neCarbamazepine nePhenytoin
- Ama-antibiotic afana ne-Metronidazole
- Eminye imithi yesifo sikashukela - isib. izithibi ze-SGLT2
- Imikhiqizo yamakhambi njenge-St. John's Wort
Lolu hlu aluphelele, ngakho-ke kungcono ukutshela udokotela wakho ngakho konke okuthathayo.
Izinto ezibalulekile okufanele uzicabangele lapho uthatha i-lithium
Ibhalansi Kasawoti Namanzi
Lena yinto ebaluleke kakhulu okufanele uyiqaphele lapho uthatha i-lithium. Khumbula, inani likasawoti (i-sodium) namanzi emzimbeni wakho yizinto ezimbili eziyinhloko ezilawula amazinga e-lithium.
- Yidla ukudla okunosawoti olinganiselwe. Gwema ukudla ukudla okunosawoti ophansi ngokuzumayo ngaphandle kweseluleko sikadokotela wakho.
- Phuza amanzi amaningi. Uma unesifo sohudo noma ujuluka kakhulu (ngenxa yokuzivocavoca umzimba, isimo sezulu esishisayo), udinga ukuphuza amanzi engeziwe. Lokhu kungenxa yokuthi lapho amanzi nosawoti kulahleka emzimbeni, amazinga e-lithium egazini angaba phezulu ngendlela eyingozi.
- Nciphisa iziphuzo ezine-caffeine. Izinto ezifana nekhofi netiye zibangela ukuthi umzimba wakho ulahlekelwe amanzi amaningi.
Ukushayela nokusebenzisa imishini
Lomuthi ungakwenza uzizwe unesizungu, ulele, futhi ungase wehlise isikhathi sakho sokuphendula. Ngakho-ke, gwema ukushayela noma ukusebenzisa imishini esindayo uze wazi ukuthi lo muthi uthinta kanjani wena.
Ukuhlolwa njalo kwezokwelapha
Uma uthatha i-lithium, udokotela wakho uzovame ukukutshela ukuthi uhlole amazinga e-lithium egazini lakho. Ungalokothi weqe lokhu kuhlolwa kwegazi. Ukugcina amazinga e-lithium egazini lakho ngaphakathi kwebanga lokwelapha kuyinto ebaluleke kakhulu ukuze uphephe.
Yimiphi imiphumela emibi engaba khona?
Njenganoma yimuphi umuthi, i-lithium ingaba nemiphumela emibi. Eminye iyingozi, eminye ivamile.
| Umphumela ongemuhle | Incazelo |
|---|---|
| Imiphumela emibi kakhulu okufanele ibikwe kudokotela wakho ngokushesha | |
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi noma umphimbo. |
| Ubuthi be-lithium | Uhudo, ukuhlanza, ukuthuthumela, ubunzima bokuhamba, ukungakwazi ukulawula amehlo, ukuzwa imisindo ezindlebeni, ubuthakathaka bemisipha, ukukhuluma okungacacile, ukudideka. |
| I-Serotonin syndrome | Ukudideka, ukushaya kwenhliziyo okusheshayo, ukuqina kwemisipha, ukujuluka ngokweqile, umkhuhlane, ukuxhuzula. |
| Ezinye izimpawu ezinkulu | Izinguquko ekushayeni kwenhliziyo (isiyezi, ubuhlungu besifuba), ukoma ngokweqile kanye nokuchama, ikhanda elibuhlungu elibuhlungu kanye nezinguquko embonweni. |
| Imiphumela emibi evame ukungadingi ukunakekelwa kwezokwelapha (kodwa okufanele ibikwe kudokotela uma iqhubeka) | |
| Isiyezi | Lokhu kungenzeka kuze kube yilapho umzimba usujwayele umuthi. |
| Ukukhathala | Ukuzizwa ukhathele kancane. |
| Isicanucanu | Lokhu kungancishiswa ngokuthatha umuthi kanye nokudla. |
| Ukuthuthumela | Kungase kube nokuthuthumela okuncane kwezandla. |
Umlayezo Wokuya Nawe Ekhaya
- I-Lithium iyisidakamizwa esiwusizo kakhulu, kodwa kufanele isetshenziswe ngokucophelela okukhulu. Landela imiyalelo kadokotela wakho ngokucophelela.
- Tshela udokotela wakho ngayo yonke eminye imithi, amavithamini, kanye nemikhiqizo yamakhambi oyithathayo.
- Ungalokothi weqe ukuhlolwa kwegazi okuhleliwe. Kubalulekile ukugcina amazinga e-lithium egazini lakho elawulwa.
- Gcina amazinga kasawoti namanzi emzimbeni wakho elinganisela. Phuza amanzi amaningi. Phuza amanzi engeziwe uma ujuluka kakhulu noma unesifo sohudo.
- Qaphela izimpawu zobuthi be-lithium (uhudo, ukuhlanza, ukuthuthumela, ukukhuluma okungaqondakali). Funa iseluleko sezokwelapha ngokushesha uma ubona noma yiziphi zalezi zimpawu.
- Gwema ukushintsha umthamo noma ukuyeka umuthi ngaphandle kweseluleko sikadokotela wakho.
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