Lithiamu kawopsedwe

Lithium ndi mankhwala akuchipatala omwe amagwiritsidwa ntchito pochiza matenda ochititsa munthu kusinthasintha zochitika. Nkhaniyi ikufotokoza za lithiamu bongo, kapena poyizoni.

• Kawopsedwe kabwino kamachitika mukamamwa mankhwala ambiri a lithiamu nthawi imodzi.
• Kawopsedwe kosatha amapezeka mukamamwa pang'ono pang'ono mankhwala a lithiamu tsiku lililonse kwakanthawi. Izi ndizosavuta kuchita, chifukwa kusowa kwa madzi m'thupi, mankhwala ena, ndi zina zimatha kukhudza momwe thupi lanu limagwirira lithiamu. Izi zitha kupangitsa kuti lithiamu ifike povutirapo m'thupi lanu.
• Chizoloŵezi choopsa cha poizoni chimachitika mukamamwa lithiamu tsiku lililonse chifukwa cha matenda osinthasintha zochitika, koma tsiku lina mumatenga ndalama zina. Izi zitha kukhala zochepa ngati mapiritsi angapo kapena botolo lonse.

Lithium ndi mankhwala okhala ndi chitetezo chochepa. Poizoni wambiri amatha kuchitika kuchuluka kwa lithiamu yomwe yatengedwa iposa iyi.

Nkhaniyi ndi yongodziwa zambiri. MUSAMAGWIRITSE NTCHITO pofuna kuchiza kapena kusamalira poizoni weniweni. Ngati inu kapena munthu amene muli naye muli ndi chidziwitso, itanani nambala yanu yadzidzidzi (monga 911), kapena malo omwe muli poizoni kwanuko atha kufikiridwa mwachindunji poyimbira foni ya nambala yaulere ya Poison Help (1-800-222-1222) kuchokera kulikonse ku United States.

Lithium ndi mankhwala omwe amatha kukhala owopsa pamiyeso yambiri.

Lithium imagulitsidwa pamitundu yosiyanasiyana, kuphatikiza:

• Cibalith
• Carbolith
• Zamgululi
• Lithobid

Chidziwitso: Lifiyamu imapezekanso m'mabatire, mafuta, zotengera zamagetsi zamagetsi, komanso zinthu zamagetsi. Nkhaniyi ikufotokoza za mankhwala okha.

Zizindikiro za mitundu itatu ya lithiamu kawopsedwe ikufotokozedwa pansipa.

PANGANI ZOIPA

Zizindikiro zodziwika za kumwa ma lithiamu ochuluka nthawi imodzi ndi monga:

• Nseru
• Kusanza
• Kutsekula m'mimba
• Zowawa m'mimba
• Chizungulire
• Kufooka

Kutengera kuchuluka kwa ma lithiamu omwe adatengedwa, munthu amathanso kukhala ndi zina mwaziwonetsero zamanjenje:

• Coma (kuchepa kwa chidziwitso, kusayankha)
• Kugwedeza kwa manja
• Kupanda kulumikizana kwa manja ndi miyendo
• Kupindika kwa minofu
• Kugwidwa
• Mawu osalankhula
• Kuyenda kosalamulirika kwa diso
• Kusintha kwa malingaliro kapena kusintha kwa malingaliro

Mavuto amtima amatha kuchitika nthawi zambiri:

• Kugunda kwa mtima pang'ono

ZOOPSA ZOCHITIKA

Sipadzakhala vuto lililonse m'mimba kapena m'mimba. Zizindikiro zomwe zingachitike ndi monga:

• Kuchuluka kwa malingaliro
• Mawu osalankhula
• Kugwedezeka kosalamulirika (kunjenjemera)

Pakakhala zovuta kwambiri, pangakhale mavuto amanjenje ndi impso, monga:

• Impso kulephera
• Kumwa madzi ambiri
• Kukodza pang'ono kapena pang'ono kuposa zachilendo
• Mavuto okumbukira
• Matenda oyenda, kupindika kwa minofu, kunjenjemera kwa manja
• Mavuto kusunga mchere m'thupi lanu
• Psychosis (kusokoneza malingaliro, machitidwe osayembekezereka)
• Coma (kuchepa kwa chidziwitso, kusayankha)
• Kupanda kulumikizana kwa manja ndi miyendo
• Kugwidwa
• Mawu osalankhula

DZIWANI ZOOPSA ZOCHITIKA

Nthawi zambiri pamakhala zisonyezo zam'mimba kapena m'matumbo komanso zambiri mwazizindikiro zamanjenje zomwe zatchulidwa pamwambapa.

Sankhani izi:

• Msinkhu wa munthu, kulemera kwake, ndi momwe alili
• Dzina la malonda (zosakaniza ndi mphamvu, ngati zikudziwika)
• Nthawi yomwe idamezedwa
• Kuchuluka kumeza
• Kaya mankhwalawa amaperekedwa kwa munthuyo

Malo anu olamulirako poizoni amatha kufikiridwa mwachindunji poyimbira foni yaulere ya dziko lonse (1-800-222-1222) kuchokera kulikonse ku United States. Nambala yoyimbira foni yamtunduwu ikulolani kuti mulankhule ndi akatswiri pankhani yakupha. Akupatsani malangizo ena.

Uwu ndi ntchito yaulere komanso yachinsinsi. Malo onse oletsa poizoni ku United States amagwiritsa ntchito nambala iyi. Muyenera kuyimba ngati muli ndi mafunso aliwonse okhudzana ndi poyizoni kapena kupewa poyizoni. SIYENERA kukhala mwadzidzidzi. Mutha kuyimba pazifukwa zilizonse, maola 24 patsiku, masiku 7 pasabata.

Tengani chidebecho kuchipatala, ngati zingatheke.

Woperekayo amayesa ndikuwunika zizindikilo zofunika za munthuyo, kuphatikiza kutentha, kugunda, kupuma, komanso kuthamanga kwa magazi.

Mayeso omwe angachitike ndi awa:

• Kuyezetsa magazi kuti mupime ma lithiamu komanso mankhwala ena amthupi, komanso kuyesa kwamkodzo kuti mupeze mankhwala ena
• ECG (electrocardiogram kapena kutsata mtima)
• Mayeso apakati mwa atsikana achichepere
• CT scan yaubongo nthawi zina

Chithandizo chingaphatikizepo:

• Zamadzimadzi kudzera mumtsempha (mwa IV)
• Mankhwala ochizira matenda
• Makina oyambitsidwa, ngati zinthu zina zidatengedwanso
• Mankhwala otsegulitsa m'mimba
• Kuthirira m'matumbo kwathunthu ndi yankho lapadera lotengedwa pakamwa kapena kudzera pa chubu kupyola mphuno m'mimba (kutulutsa lithiamu yotulutsa mphamvu kudzera m'mimba ndi m'matumbo)
• Impso dialysis (makina)

Ngati wina ali ndi vuto loopsa la lithiamu, momwe amachitira zimadalira kuchuluka kwa ma lithiamu omwe amalandira komanso kuti amalandira thandizo mwachangu. Anthu omwe samakhala ndi zizindikiritso zamanjenje nthawi zambiri samakhala ndi zovuta kwakanthawi. Ngati zizindikiro zazikulu zamanjenje zimachitika, mavutowa akhoza kukhala okhazikika.

Matenda owopsa nthawi zina amakhala ovuta kuwazindikira poyamba. Kuchedwa kumeneku kumatha kubweretsa mavuto kwakanthawi. Ngati dialysis yachitika mwachangu, munthuyo amatha kumva bwino. Koma zizindikilo monga zovuta zakukumbukira komanso kusokonezeka kwa malingaliro zimatha kukhala zosatha.

Chidwi cha bongo ambiri nthawi zambiri amakhala ndi malingaliro olakwika. Zizindikiro zamanjenje sizingathe, ngakhale atalandira chithandizo cha dialysis.

Lithobid kawopsedwe

Aronson JK. Lifiyamu. Mu: Aronson JK, mkonzi. Zotsatira zoyipa za Meyler za Mankhwala Osokoneza bongo. Wolemba 16. Waltham, MA: Zotsalira; 2016: 597-660.

Theobald JL, Aks SE. Lifiyamu. Mu: Makoma RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts and Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: mutu 154.