Uma udokotela wakho ekutshela noma othile oseduze nawe ukuthi uqale ukuthatha i-lithium, kuvamile ukuzizwa ukhathazekile futhi unelukuluku. Ikakhulukazi uma kukhulunywa ngomuthi olawula imizwa, sivame ukuba nemibuzo eminingi. Kodwa indlela engcono kakhulu yokuhlala uphilile iwukuba nolwazi oluphelele ngalo muthi. Ngakho-ke namuhla, ake sixoxe kafushane nge-lithium, ukuthi yenzani, nokuthi yini okudingeka uyiqaphele uma uyisebenzisa.
Uhlobo luni lomuthi iLithium?
Kalula nje, i-lithium umuthi osetshenziselwa ukwelapha izimo ezifana nesifo sokuphazamiseka kwengqondo esibizwa ngokuthi i-bipolar disorder . Amakhemikhali athile ebuchosheni (abizwa ngokuthi ama-neurotransmitters) asiza ukulawula imizwa yethu, ukuziphatha, kanye nemicabango. I-lithium isebenza ngokulinganisela umsebenzi wala makhemikhali.
Nakuba isetshenziswa kakhulu kwi-bipolar disorder, udokotela wakho angase akunike imithi ngezinye izikhathi kwezinye izimo. Ngakho-ke uma unemibuzo ngalokhu, buza udokotela wakho.
Izinto ezibaluleke kakhulu okufanele uzitshele udokotela wakho ngaphambi kokuqala imithi
Ngaphambi kokuthi uqale ukuthatha i-lithium, kubalulekile ukutshela udokotela wakho uma unezinye zezimo ezilandelayo. Lokhu kubaluleke kakhulu ekuphepheni kwakho.
| Isimo esingasebenza kuwe | Incazelo |
|---|---|
| Izifo emzimbeni | Isifo senhliziyo, isifo sezinso, isifo se-thyroid, isifo se-parathyroid, i-Brugada Syndrome, ubunzima bokuphefumula, ukutheleleka kwamanje. |
| Amazinga kasawoti noketshezi emzimbeni | Uma ulahlekelwe amanzi emzimbeni wakho ngenxa yemithi yokuhlanza noma ukujuluka ngokweqile (ukuphelelwa amanzi emzimbeni), uma amazinga akho e-potassium noma e-sodium egazini ephansi, noma uma amazinga akho e-calcium egazini ephakeme. |
| Ukudla | Uma udla ukudla okunosawoti omncane. |
| Ukukhulelwa nokuncelisa | Uma ukhulelwe, uzama ukukhulelwa, noma uncelisa. |
| Ukungezwani komzimba | Uma une-allergy ku-lithium noma kunoma yimuphi omunye umuthi, ukudla, noma udayi. |
Ngingawusebenzisa kanjani lo muthi?
Lo muthi uza njengesixazululo futhi kufanele uphuzwe ngomlomo. Kubaluleke kakhulu ukuwuthatha nsuku zonke, ngesikhathi esifanele, njengoba udokotela wakho ekuyalele .
Ukuze ulinganise inani lomuthi, sebenzisa idivayisi ekhethekile yokulinganisa (isirinji somlomo, isipuni, noma idropha) eyenzelwe le njongo. Ungalinganisi ngezipuni ezivamile zasekhaya , njengoba zingenakukwazi ukulinganisa inani eliqondile. Lokhu kungabangela ukuthi umthamo ushintshe.
Uma uzwa ubuhlungu besisu, thatha lo muthi kanye nokudla. Okubaluleke kakhulu, ungalokothi uyeke ukuthatha lo muthi ngaphandle kokuba udokotela wakho ekutshele ukuthi wenze kanjalo.
Ukweqisa umthamo: Uma usola ukuthi usuthathe lo muthi omningi kakhulu, shayela ngokushesha i-National Poison Information Centre e-Colombo National Hospital , noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze. Phatha lokhu njengesimo esiphuthumayo.
Khumbula futhi, lo muthi unikezwe wena kuphela. Ungalokothi uwuhlanganyele nanoma ubani omunye.
Kuthiwani uma ngiphuthelwa umthamo wemithi?
Uma ukhohlwa ukuthatha 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 noma owengeziwe.
Eminye imithi engase ihlangane ne-lithium
I-Lithium iyisidakamizwa esingasebenzisana neminye imithi, ngakho-ke kubalulekile ukutshela udokotela wakho ngayo yonke imithi oyithathayo.
Ungalokothi uthathe i-lithium nale mithi:
- I-Cisapride
- I-Dronedarone
- I-Pimozide
- I-Thioridazine
Le mithi ingasebenzisana ne-lithium:
Lolu hlu aluphelele, kodwa uma uthatha noma yimuphi wale mithi, tshela udokotela wakho .
- Izinto eziqukethe i-caffeine
- Imithi efana neCarbamazepine
- Eminye imithi yokwelapha izimo ezinjengokucindezeleka nokukhathazeka
- Eminye imithi yokwelapha umfutho wegazi ophakeme
- Imithi ye-migraine (isb. i-Sumatriptan)
- Imithi yokukhipha amanzi emzimbeni - imithi esusa amanzi emzimbeni
- Ama-NSAID painkiller (isib. i-Ibuprofen, i-Naproxen)
- Imithi enikezwa ukuphumula imisipha ngesikhathi sokuhlinzwa
- Imikhiqizo yamakhambi njenge-St. John's Wort
Ngakho-ke, nikeza udokotela wakho incazelo ephelele hhayi nje kuphela ngayo yonke imithi, amavithamini, kanye nemikhiqizo yamakhambi oyithathayo, kodwa futhi uma ubhema, uphuza utshwala, noma usebenzisa ezinye izidakamizwa .
Izinto okufanele uziqaphele kakhulu lapho uthatha imithi
- Ukuhlolwa njalo kwezokwelapha: Bona udokotela wakho njalo ukuze ubone ukuthi isimo sakho siyathuthuka yini. Kungathatha amasonto ambalwa ukuthi imiphumela ephelele yemithi ibonakale.
- Usawoti namanzi: Yilokhu umuntu othatha i-lithium okudingeka akuqaphele kakhulu.
- Inani likasawoti (i-sodium) emzimbeni wakho lithinta ngqo ukusebenza kwalomuthi kanye nokuvela kwemiphumela emibi. Ngakho-ke, yidla ukudla okunosawoti njengenjwayelo. Ungasebenzisi izinto ezithatha indawo kasawoti.
- Phuza amanzi amaningi. Kungcono ukuphuza okungenani izingilazi zamanzi ezingu-8-12 ngosuku. Gwema iziphuzo ezine-caffeine njengekhofi, itiye, kanye ne-cola.
- Uma unesifo sohudo noma ujuluka kakhulu (isib., ngesikhathi sokuzivocavoca noma lapho kushisa), phuza uketshezi olwengeziwe. Lokhu kuzonciphisa ingozi yobuthi be-lithium.
- Ukuzivocavoca nokushisa: Qaphela ukuthi ungaphelelwa amanzi emzimbeni lapho uzivocavoca, usebenzisa i-sauna, ugeza ngamanzi ashisayo, noma ngezinsuku ezishisa kakhulu. Shayela udokotela wakho uma unomkhuhlane omkhulu noma uhudo oluqhubekayo.
- Ukushayela: Lo muthi ungakwenza ube nesiyezi, ulale, noma ube nobunzima bokwenza izinqumo. Ngakho-ke , gwema ukushayela noma ukusebenzisa imishini uze wazi kahle ukuthi lo muthi uthinta kanjani wena.
Yimiphi imiphumela emibi engingayithola?
Njenganoma yimuphi umuthi, i-lithium ingabangela imiphumela emibi. Eminye iyingozi, eminye ivamile.
| Umphumela/izimpawu ezingemuhle | Incazelo |
|---|---|
| Uma unalezi zimpawu, tshela udokotela wakho ngokushesha. | |
| Ubuthi be-lithium | Uhudo olunzima, ukuhlanza, ukuthuthumela, ukulahlekelwa yibhalansi, ukunyakaza kwamehlo okungalawuleki, ukukhala ezindlebeni, ubuthakathaka bemisipha, ukukhuluma okungacacile, kanye nokulahlekelwa yinkumbulo. |
| I-Serotonin syndrome | Ukuphazamiseka, ukudideka, ukushaya kwenhliziyo okusheshayo, ukuqina kwemisipha, ukujuluka ngokweqile, umkhuhlane omkhulu, ukuxhuzula, ukuhlanza, isifo sohudo. |
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi noma umphimbo. |
| Ezinye izimpawu ezinkulu | Ukushaya kwenhliziyo okungahambi kahle, ubuhlungu besifuba, ukoma ngokweqile kanye nokuchama njalo, ikhanda elibuhlungu kakhulu, ukubona okufiphele. |
| Uma lezi zimpawu ziqhubeka noma zikhathaza, tshela udokotela wakho. | |
| Imiphumela emibi evamile | Isiyezi, ukukhathala, isicanucanu, ukuthuthumela okuncane ezandleni. |
Umlayezo Wokuya Nawe Ekhaya
- Njalo phuza i-lithium ngomthamo oqondile nesikhathi esishiwo udokotela wakho. Ungalokothi uyeke ukuthatha umuthi noma ushintshe umthamo ngaphandle kweseluleko sikadokotela wakho.
- Yazisa udokotela wakho ngayo yonke eminye imithi, amavithamini, kanye nemikhiqizo yamakhambi oyithathayo.
- Ngesikhathi udla ukudla okunosawoti njengenjwayelo, phuza amanzi amaningi nsuku zonke. Phuza amanzi amaningi, ikakhulukazi uma kushisa nalapho uzivocavoca.
- Uma uhlangabezana nezimpawu zobuthi be-lithium, njengohudo olunzima, ukuhlanza, ukudideka, nokuthuthumela, funa iseluleko sezokwelapha ngokushesha.
- Lo muthi ungowakho wedwa. Ungalokothi wabelane ngawo nabanye.
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