Ingabe uthatha i-Lithium? Qaphela le ngozi! (Ubuthi be-Lithium) | Nirogi Lanka

Ingabe wena, noma othile omaziyo, okwamanje uthatha i-Lithium, umuthi ovame ukunqunyelwa izimo zempilo yengqondo njenge-Bipolar disorder? Nakuba lo muthi ungasebenza kahle kakhulu uma usetshenziswa kahle, ngisho noma uphuza kakhulu kungaholela esimweni esiyingozi esaziwa ngokuthi 'i-Lithium Toxicity.' Namuhla, ake sixoxe ngalokho okudingeka ukwazi ukuze uhlale uphephile nge-Nirogi Lanka.

Kalula nje, i-Lithium Toxicity yenzeka lapho amazinga alo muthi emzimbeni wakho eba phezulu kakhulu. Lokhu kungabangela ukucindezeleka kwesisu (njengokucanuzela, ukuhlanza, noma uhudo) futhi kuthinte uhlelo lwakho lwezinzwa (okuholela ekudidekeni noma ekuthuthumeleni). Uma kungelashwa, lokhu kungaba yisimo esiphuthumayo esisongela impilo.

I-Lithium iyi-salty yemvelo esetshenziselwa ukunciphisa iziqephu ze-manic kwi-Bipolar disorder. Kodwa-ke, umkhawulo phakathi komthamo ophephile nowoyingozi mncane kakhulu. Lokhu kusho ukuthi ngisho nokwenyuka okuncane komthamo wakho kungaba nzima ngomzimba wakho ukusingatha.

Ubuthi beLithium buvela kanjani?

Kunezindlela eziningana lokhu okungenzeka ngazo. Ake sizibheke.

Ubuthi Obubukhali

Lokhu kwenzeka uma udla inani elikhulu le-Lithium ngokuzumayo, noma uma umzimba wakho uphelelwa amanzi emzimbeni kakhulu, okwenza ukugcwala kwemithi kukhuphuke ngokushesha. Lokhu kungenzeka ngezinye izikhathi ngenxa yamaphutha okulinganisa ngengozi.

Ubuthi obuhlala isikhathi eside

Lokhu kwenzeka uma usebenzisa i-Lithium nsuku zonke ophuza umthamo owengeziwe ngephutha, noma uma umzimba wakho ulahlekelwa uketshezi oluningi kakhulu. Isibonelo, uma ungazange unamanzi anele izinsuku ezimbalwa noma uma uhlushwa ukuhlanza okukhulu, uhlelo lwakho lungase lube nzima ukucubungula umuthi ngokuphephile.

Ubuthi Obungapheli

Lokhu kwenzeka ngokuhamba kwesikhathi njengoba i-Lithium iqoqana kancane kancane ohlelweni lwakho. Kungenzeka kalula, njengoba izici ezifana nokuphelelwa amanzi emzimbeni, ukusebenza kwezinso, kanye neminye imithi ongase uyithathe ithonya kakhulu indlela umzimba wakho ohlanza ngayo i-Lithium.

Ziyini amazinga e-Lithium Toxicity?

Udokotela wakho uzoqapha amazinga emithi yakho ngokuhlolwa kwegazi ukuze anqume ukuthi yini ephephile kuwe. Ngokuvamile, ubuthi buhlukaniswa kanje:

• Ubuthi obuncane: 1.5 kuya ku-2.5 mmol/L.
• Ubuthi obuphakathi nendawo: 2.5 kuya ku-3.5 mmol/L.
• Ubuthi obukhulu: Kuphezulu kuno-3.5 mmol/L.

Akudingeki ukhathazeke ngeyunithi ethi 'mmol/L'; lokho kuyindlela yokulinganisa yobuchwepheshe yethimba lakho lezokwelapha. Ukugxila kwakho kufanele kube ekuboneni izimpawu eziyisixwayiso.

Yiziphi izimpawu ze-Lithium Toxicity?

Izimpawu ziyahlukahluka kuye ngohlobo kanye nobukhali bobuthi.

Izimpawu Zobuthi Obubukhali Nobungapheli

Lezi zimo zivame ukuqala ngezinkinga zesisu (GI), okuhlanganisa:

• Isicanucanu nokuhlanza .
• Uhudo .
• Ubuhlungu besisu .
• Umuzwa wokuqunjelwa.

Lezi zimpawu zivame ukuqala zingakapheli ihora ngemva kokusebenzisa ngokweqile.

Okubalulekile: Uma uhlangabezana nalezi zimpawu, sicela ufune usizo lwezokwelapha ngokushesha.

Njengoba ubuthi buqhubekela emazingeni aphakathi noma aqinile, ungase uqaphele izinguquko zezinzwa, ezifana nalezi:

• Izinguquko zesimo sengqondo: Kusukela ekudidekeni okuncane kuya ekuphazamisekeni okukhulu kwengqondo.
• Ukuthuthumela okungalawuleki.
• Ukulahlekelwa ibhalansi noma ukuntuleka kokuxhumana ( ataxia ).
• Ukudikiza kwemisipha (i-myoclonus).
• Inkulumo engacacile (i-dysarthria).
• I-Hyperreflexia (ukusabela okusebenzayo ngokweqile).
• Ukunyakaza kwamehlo okuzenzakalelayo (i-nystagmus).
• Ezimweni ezimbi kakhulu: Umkhuhlane ophezulu (i-hyperthermia).
• Ezimweni ezinzima kakhulu:Ukuquleka .
• Ezimweni ezinzima: I-Coma.

Uma uthatha i-Lithium, futhi ubona ngisho nenye yalezi zimpawu, sicela uxhumane nezinsizakalo eziphuthumayo noma uxhumane nodokotela wakho ngokushesha.

Izimpawu Zobuthi Be-Lithium Engapheli

Ubuthi obungapheli buvame ukuthinta ukusebenza kwezinso, okungaholela ezimweni ezithile:

Isifo Sikashukela Esibangelwa Yi-Nephrogenic

Lokhu kwenzeka lapho izinso zakho zingakwazi ukulinganisela kahle uketshezi ngoba ziyeka ukuphendula kuma-hormone alwa nokukhipha isisu. Izimpawu zifaka:

• Ukuphelelwa amanzi emzimbeni (umlomo owomile, ukukhathala, isiyezi).
• Ukoma ngokweqile ( i-polydipsia ).
• Ukuchama ngokweqile (i-polyuria).

I-Nephritis elahlekelwa yi-sodium

Ukulimala kwezinso kungaholela ekungalinganini kwama-electrolyte, okubonakala ngalokhu okulandelayo:

• Ukuqaqamba kwemisipha kanye nobuthakathaka.
• Ukudideka kwengqondo.
• Ukukhathala.
• Ukoma okukhulu.
• Ukuchama njalo.

Isifo Sokuqaqamba Kwamalunga

Lokhu kwenzeka lapho izinso zakho zivuza amaprotheni amaningi kakhulu emchameni wakho (i-proteinuria). Izimpawu zifaka:

• I-cholesterol ephezulu (i-hyperlipidemia).
• Ukuvuvukala emilenzeni nasemaqakaleni (i-edema).
• Ukulahlekelwa yisifiso sokudla.
• Ukungakhululeki esiswini.
• Umchamo onegwebu.

Ukusetshenziswa njalo kungabangela nezinkinga zesistimu ye-endocrine, njenge-hypothyroidism, i-hyperthyroidism, noma i-hyperparathyroidism.

Uma uhlangabezana nanoma yiziphi zalezi zimpawu ngenkathi usebenzisa i-Lithium, khuluma nomhlinzeki wakho wezempilo ngokushesha okukhulu.

Ukuxhumana phakathi kweLithium neSerotonin Syndrome

I-Lithium ingaba nomthelela ku-Serotonin Syndrome, ikakhulukazi uma uthatha eminye imithi ethinta amazinga e-serotonin. Lesi yisimo esingaba yingozi empilweni.

Izimpawu ze-Serotonin syndrome (kusukela kwencane kuya kwembi kakhulu) zifaka:

• Ukungahlaliseki.
• Isicanucanu nokuhlanza.
• Uhudo.
• Abafundi abavulekile.
• Ukuthuthumela.
• Ukukhathazeka nokukhathazeka.
• Ukuqhaqhazela kwemisipha nokuqina kwayo.
• Ukujuluka nokuthuthumela.
• Ukudideka noma ukuphambana kwengqondo.
• Ukushaya kwenhliziyo okusheshayo.
• Umfutho wegazi ophezulu.

Uma uhlangabezana nalezi zimpawu, sicela ufune usizo lwezokwelapha oluphuthumayo ngokushesha!

Yini ebangela ubuthi be-lithium?

Kunezizathu ezintathu eziyinhloko zokuthi lokhu kungenzeka:

• Ukuphuza ngokweqile: Ukuthatha i-lithium eningi kunalokho okunqunyiwe, kungaba ngamabomu noma ngengozi, kungaholela ebubini obukhulu noma obungapheli. Nakuba kungavamile, udokotela wakho angadinga ukulungisa umthamo wakho ngezikhathi ezithile; noma kunjalo, lokhu kufanele kulawulwe ngokuqinile ngaphansi kokuqashwa kwezokwelapha.
• Izinkinga zokuphelelwa amanzi emzimbeni noma ukulinganisela koketshezi: Lokhu kuyimbangela evamile. Uma umzimba wakho ulahlekelwa yi-sodium (usawoti) namanzi, izinso zakho zibuyisela emuva ngokumunca i-lithium eningi, okubangela amazinga egazi akhuphuke. Lokhu kungabangelwa yi:
• Ukuhlanza.
• Uhudo.
• Imfiva.
• Ukwehluleka kwezinso.
• Ukusetshenziswa kwemithi yokukhipha isisu (amaphilisi amanzi).
• Ukuvivinya umzimba okujulile.
• Ukujuluka ngokweqile (i-Hyperhidrosis).
• Ukuphuza uketshezi okunganele.
• Ukudla okungenasawoti omningi.
• Ukwehluleka kwenhliziyo okubangelwa ukuminyana.
• Ukukhulelwa noma ukubeletha.
• Ukungalingani kwe-thyroid (i-Hyperthyroidism).
• Ukunciphisa ukuphuma: Ngezinye izikhathi, umzimba wakho uyahluleka ukuhlunga i-lithium ngempumelelo, ngokuvamile ngenxa yezici eziyisisekelo ezishiwo ngenhla.

Ubani osengozini enkulu yokuthola ubuthi be-lithium?

Labo abasengozini enkulu yokuba nobuthi be-lithium obungapheli bahlanganisa:

• Abantu abangaphezu kweminyaka engama-50.
• Abantu abanezinkinga ze-thyroid.
• Labo abanenkinga yokusebenza kwezinso.
• Abantu abanesifo sikashukela i-Insipidus.

Ukusetshenziswa kwe-lithium isikhathi eside kuhlotshaniswa nengozi yokuthola i-nephrogenic diabetes insipidus, okungase kukufake engozini yokuba nesifo sobuthi.

Uma uthatha i-lithium futhi uba nanoma yiziphi zalezi zimo, sicela uxhumane nodokotela wakho ngokushesha.

Odokotela bakuthola kanjani ukuthi i-Lithium Toxicity iyingozi?

Ukuze uhlole ngokunembile ubucayi besimo sakho, ithimba lakho lezokwelapha lizodinga ulwazi oluthile:

• Inani eliqondile le-lithium oyidlile.
• Isikhathi sokungenisa.
• Kungakhathaliseki ukuthi uphuze eminye imithi noma izinto.
• Kungakhathaliseki ukuthi ukugwinya bekungengozi noma bekuhlosiwe.

Ukuqinisekisa ukuxilongwa, odokotela bazokwenza izivivinyo eziningana, okuhlanganisa:

• Ukuhlolwa kwegazi ukuze kulinganiswe amazinga akho e-lithium.
• Ukuhlolwa kwegazi ukuhlola amazinga e-electrolyte (njenge-sodium ne-calcium).
• Ukuhlolwa kwe -thyroid-stimulating hormone (TSH) .
• Ukuhlolwa komchamo.
• Ukuhlolwa kokusebenza kwezinso (ukuqapha amazinga e-Urea kanye ne-Creatinine).
• Ukuthwebula izithombe zobuchopho (ezimweni ezingavamile, ezinzima kuphela).

Ithimba lakho lizophinde liqaphe izimpawu zakho ezibalulekile, njenge:

• I-EKG (i-electrocardiogram) ukuqapha isigqi senhliziyo yakho.
• Ukuphuma komchamo wakho.
• Amazinga akho e-oxygen nge- pulse oximeter .

Iphathwa kanjani i-Lithium Toxicity?

Ukwelashwa kobuthi obuyingozi noma obuyingozi obuhlala isikhathi eside kuncike ebunzimeni kanye nokuthi ufika ngokushesha kangakanani emnyangweni wezimo eziphuthumayo. Izinhloso eziyinhloko ukususa i-lithium ohlelweni lwakho nokuqinisa izimpawu zakho. Ukwelashwa kungafaka:

• Ukuhlanza isisu.
• Ukunisela ngamathumbu wonke: Isixazululo esikhethekile sinikezwa ngomlomo noma ngepayipi le-nasogastric ukuze kusulwe umgudu wokugaya ukudla.
• I-activated charcoal: Isetshenziswa uma eminye imithi noma izinto zidliwe ngesikhathi esisodwa.
• I-Hemodialysis: Indlela ephumelela kakhulu yokususa i-lithium egazini ezimweni ezimbi kakhulu.
• Uketshezi lwe-IV.
• Imithi eqondiwe yokulawula izimpawu.

Cishe uzothola ukunakekelwa eMnyangweni Wezimo Eziphuthumayo. Uma ubuthi bukhulu kakhulu, ungase ungeniswe eYunithi Yokunakekelwa Okujulile (ICU).

Ukwelashwa Kobuthi Be-Lithium Obungapheli

Ngenxa yokuthi ubuthi besikhathi eside buvame ukuthinta impilo yezinso, ukwelashwa kuhloswe ngokwezinga elithile lokukhubazeka kwezinso, okungase kuhlanganise ne-hemodialysis.

Iyini inhloso? (Isibikezelo)

Ukululama kwakho kuncike ohlotsheni lobuthi, ubukhali balo, nokuthi ufuna usizo ngokushesha kangakanani. Ezimweni zobuthi obukhulu lapho kungekho khona izimpawu zemizwa, izinkinga zesikhathi eside azivamile. Kodwa-ke, uma izimpawu zemizwa ezinzima ziqala, zingaba unomphela. Yingakho ukungenelela okusheshayo yiNirogi Lanka kanye nezinsizakalo eziphuthumayo kubalulekile. Ezimweni ezimbi kakhulu, ubuthi obungelashwanga bungaholela ekukhomeni, ekulimaleni kobuchopho unomphela, noma ngisho nasekufeni.

Ubuthi obungapheli kungaba nzima ukububona ngoba izimpawu zikhula kancane kancane, okungaholela ekulimaleni kwezinso noma kwezinzwa isikhathi eside.

Ungakuvimbela kanjani ubuthi be-Lithium?

Ukulandela lezi zinyathelo kungasiza ekuvimbeleni ubuthi be-lithium obuyingozi:

• Phuza imithi yakho njengoba nje uyalelwe: Sebenzisa kuphela umthamo owuyalelwe udokotela wakho. Sebenzisa amalebula noma ilogi yemithi ukuze ugweme ukuphindaphindwa ngengozi.
• Gcina imithi yakho ngokuphephile: Gcina i-lithium yakho kude nezingane kanye nabantu abangagunyaziwe.
• Hlala unamanzi: Phuza amanzi amaningi usuku lonke. Uma uhlanza, uhudo, noma umkhuhlane, xhumana nodokotela wakho ngokushesha.
• Gcina uhlu oluphelele lwemithi:Yazisa udokotela wakho njalo ukuthi usebenzisa i-lithium ngaphambi kokuqala noma yimiphi imithi emisha, njengoba eminye imithi ingaphazamisa indlela umzimba wakho osebenza ngayo i-lithium.
• Bika izinguquko zempilo: Yazisa udokotela wakho ngokushesha nganoma yiziphi izinguquko zempilo, njengokukhulelwa noma ukushintshashintsha kwe-endocrine.

Uma ubhekene nemicabango yokuzibulala noma uzizwa unesifiso sokuthatha i-Lithium ngokweqile ngamabomu, sicela uye emnyangweni wezimo eziphuthumayo esibhedlela esiseduze ngokushesha, noma uxhumane nomuntu omethembayo. Ezimweni eziphuthumayo, ungaxhumana nezinsizakalo zokusekela izimo eziphuthumayo zendawo noma ushayele izinsizakalo eziphuthumayo (911) ukuze uthole usizo olusheshayo.

Uma ubulokhu uthatha i-Lithium isikhathi eside, udokotela wakho uzovame ukuncoma ukuhlolwa kwegazi nomchamo ukuze aqaphe impilo yakho. Lokhu kuhlolwa kubalulekile ekutholakaleni kusenesikhathi kobuthi be-lithium obungapheli. Nazi iziqondiso ezijwayelekile zokuqapha:

• Ukuhlolwa kwegazi kuyadingeka ezinsukwini ezi-3 kuya kwezi-5 ngemuva kokuqala i-Lithium noma ngemuva kokulungiswa komthamo.
• Kulabo abathola ukwelashwa kwesikhathi eside, amazinga e-Lithium egazini ahlolwa njalo ezinyangeni ezi-3 kuya kwezi-6.
• Amazinga e-Electrolyte, i-Urea, ne-Creatinine ahlolwa njalo ezinyangeni ezi-3 kuya kwezi-6.
• Amazinga e-Calcium kanye ne-Thyroid Stimulating Hormone (TSH) ahlolwa njalo ezinyangeni eziyi-6 kuya kweziyi-12.

Izinto Ezibalulekile Okufanele Uzithathe

Nakuba i-Lithium ingumuthi onamandla kakhulu futhi osebenzayo, idinga ukuqaphela okwengeziwe ngesikhathi sokusetshenziswa. Ubuthi be-lithium buyinkinga esongela ukuphila engenzeka ngenxa yokudlula ngokweqile ngengozi noma ukuphelelwa amanzi emzimbeni ngesikhathi usebenzisa umuthi.

Sicela uxhumane nodokotela wakho ukuze uxoxe ngendlela yokuvimbela ubuthi be-Lithium futhi ufunde izimpawu zokuxwayisa okufanele uziqaphele. Kwa-Nirogi Lanka, ochwepheshe bethu bezokwelapha balapha ukukusekela nokuqinisekisa inhlalakahle yakho. Ungalokothi unqikaze ukubuza imibuzo uma unemibuzo noma ukungabaza.

Khumbula, ukuphuza imithi yakho njengoba nje udokotela wakho ekuyalele kuyisinyathelo esibaluleke kakhulu. Ngaphezu kwalokho, qiniseka ukuthi uhlala unamanzi anele usuku lonke.