Lifiyamu
Zamkati
- Asanatenge lithiamu,
- Lithiamu imatha kuyambitsa mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
- Zotsatira zina zingakhale zovuta. Ngati mukukumana ndi izi, uzani dokotala nthawi yomweyo kapena pitani kuchipatala:
- Ngati mukukumana ndi izi, siyani kumwa lithiamu ndikuyimbira dokotala nthawi yomweyo:
- Zizindikiro za bongo zingaphatikizepo izi:
Sungani maimidwe onse ndi dokotala wanu ndi labotale. Dokotala wanu amalamula mayeso ena a labu kuti muwone yankho lanu ku lithiamu.
Lithium imagwiritsidwa ntchito pochiza ndikupewa magawo amisala (okwiya, osangalala modzidzimutsa) mwa anthu omwe ali ndi vuto losinthasintha zochitika (manic-depression disorder; matenda omwe amayambitsa magawo azokhumudwa, magawo a mania, ndi zina zosakhala bwino). Lithium ili mgulu la mankhwala otchedwa antimanic agents. Zimagwira ntchito pochepetsa zochitika zachilendo muubongo.
Lithium imabwera ngati piritsi, kapisozi, piritsi lotulutsa nthawi yayitali, komanso yankho (madzi) kuti mutenge pakamwa. Mapiritsi, makapisozi, ndi yankho nthawi zambiri amatengedwa katatu kapena kanayi patsiku. Mapiritsi otulutsira nthawi zambiri amatengedwa kawiri kapena katatu patsiku. Tengani lithiamu mozungulira nthawi yofananira tsiku lililonse. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani lithiamu chimodzimodzi monga mwalamulira. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.
Kumeza piritsi lotulutsira lonse; osagawanika, kutafuna, kapena kuphwanya.
Dokotala wanu akhoza kuwonjezera kapena kuchepetsa kuchuluka kwa mankhwala anu mukamalandira chithandizo. Tsatirani malangizowa mosamala.
Lifiyamu itha kuthandizira kuwongolera matenda anu koma singachiritse. Zitha kutenga 1 mpaka 3 masabata kapena kupitilira apo kuti mumve bwino lithiamu. Pitirizani kumwa lifiyamu ngakhale mukumva bwino. Osasiya kumwa ma lithiamu osalankhula ndi dokotala.
Lithium nthawi zina imagwiritsidwanso ntchito kuthana ndi kukhumudwa, schizophrenia (matenda amisala omwe amachititsa kusokonezeka kapena kuganiza kosazolowereka, kutaya chidwi ndi moyo, komanso kukhudzidwa mwamphamvu kapena kosayenera), kusokonezeka kwa kuwongolera (kulephera kulimbana ndi chidwi chochita zoyipa) , ndi matenda ena amisala mwa ana. Lankhulani ndi dokotala wanu za kuopsa kogwiritsa ntchito mankhwalawa ngati muli ndi vuto lanu.
Mankhwalawa amatha kupatsidwa ntchito zina; funsani dokotala wanu kapena wamankhwala kuti mudziwe zambiri.
Asanatenge lithiamu,
- uzani dokotala wanu komanso wamankhwala ngati muli ndi vuto la lithiamu kapena mankhwala ena aliwonse.
- auzeni adotolo ngati mukumwa mankhwala okodzetsa ('mapiritsi amadzi'). Dokotala wanu angakuuzeni kuti musatenge lithiamu ngati mukumwa mankhwalawa kapena adzakuyang'anirani mosamala zotsatira zake.
- Uzani dokotala wanu komanso wamankhwala mankhwala ndi mankhwala osapatsirana, mavitamini, zowonjezera zakudya, ndi mankhwala azitsamba omwe mukumwa kapena omwe mukufuna kumwa. Onetsetsani kuti mwatchulapo izi: acetazolamide (Diamox); aminophylline; ma angiotensin otembenuza enzyme (ACE) zoletsa monga benazepril (Lotensin), captopril (Capoten), enalapril (Vasotec), fosinopril, lisinopril (Prinivil, Zestril), moexipril (Univasc), perindopril (Aceon) (Altace), ndi trandolapril (Mavik); otsutsana ndi angiotensin II monga candesartan (Atacand), eprosartan (Teveten), irbesartan (Avapro), losartan (Cozaar), olmesartan (Benicar), telmisartan (Micardis); ndi valsartan (Diovan); Maantacid okhala ndi sodium bicarbonate; tiyi kapena khofi (wopezeka m'mankhwala ena kuti athetse tulo ndi mutu); calcium channel blockers monga amlodipine (Norvasc), diltiazem (Cardizem, Dilacor, Tiazac, ena), felodipine (Plendil), isradipine (DynaCirc), nicardipine (Cardene), nifedipine (Adalat, Procardia), nimodipine (Nymalize), nisoldipine Sular), ndi verapamil (Calan, Covera, Verelan); carbamazepine (Tegretol); mankhwala a matenda amisala monga haloperidol (Haldol); methyldopa (Aldomet); metronidazole (Flagyl); mankhwala osagwiritsidwa ntchito poletsa kutupa (NSAIDs) monga celecoxib (Celebrex), indomethacin (Indocin), ndi piroxicam (Feldene); ayodini wa potaziyamu; serotonin reuptake inhibitors (SSRIs) monga citalopram (Celexa), duloxetine (Cymbalta), escitalopram (Lexapro), fluoxetine (Prozac, Sarafem), fluvoxamine (Luvox), paroxetine (Paxil), ndi sertraline (Zoloft); ndi theophylline (Theolair, Theochron). Dokotala wanu angafunikire kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala pazotsatira zake.
- uzani dokotala wanu ngati mwakhalapo ndi matenda amtima kapena impso. Muuzeni dokotala ngati muli ndi matenda otsekula m'mimba kwambiri, thukuta kwambiri, kapena malungo mukamalandira chithandizo. Dokotala wanu angakuuzeni kuti musatenge lithiamu kapena akhoza kukuyang'anirani mosamala za zotsatirapo zake.
- auzeni adotolo ngati mudakhalako kapena mudakhalapo ndi matenda aubongo (vuto lililonse lomwe limakhudza momwe ubongo wanu umagwirira ntchito) kapena matenda amtundu wa chithokomiro kapena ngati mudakomoka popanda chifukwa. Muuzeni adotolo ngati inu kapena aliyense m'banja mwanu mudakhalapo kapena muli ndi matenda a Brugada (matenda omwe angayambitse mtima wosakhazikika) kapena ngati wina m'banja lanu wamwalira mwadzidzidzi osafotokozedwa asanakwanitse zaka 45.
- Uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa. Mukakhala ndi pakati mukatenga lithiamu, itanani dokotala wanu. Lithiamu itha kuvulaza mwana wosabadwayo.
- ngati mukuchitidwa opaleshoni, kuphatikizapo opaleshoni ya mano, uzani dokotala kapena dokotala kuti mukumwa lithiamu.
- muyenera kudziwa kuti mankhwalawa akhoza kukupangitsani kugona. Osayendetsa galimoto kapena kugwiritsa ntchito makina mpaka mutadziwa momwe mankhwalawa amakukhudzirani.
Ndikofunika kutsatira chakudya choyenera, kuphatikiza kuchuluka kwa madzimadzi ndi mchere mukamalandira chithandizo. Dokotala wanu adzakupatsani malangizo achindunji pankhani ya zakudya zoyenera kwa inu. Tsatirani malangizowa mosamala.
Lankhulani ndi dokotala wanu zakumwa zakumwa zomwe zili ndi caffeine, monga tiyi, khofi, kola, kapena mkaka wa chokoleti.
Tengani mlingo womwe mwaphonya mukangokumbukira. Komabe, ngati ili pafupi nthawi ya mlingo wotsatira, dumpha mlingo womwe umasowa ndikupitiliza dongosolo lanu lokhazikika. Musatenge mlingo wawiri kuti mupange omwe mwaphonya.
Lithiamu imatha kuyambitsa mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
- kusakhazikika
- kusuntha kwa manja kovuta kuvuta kuwongolera
- ludzu pang'ono
- kusowa chilakolako
- kupweteka m'mimba
- mpweya
- kudzimbidwa
- kunenepa kapena kutayika
- pakamwa pouma
- malovu mkamwa
- kusintha pakutha kulawa chakudya
- milomo yotupa
- ziphuphu
- kutayika tsitsi
- kusowa kwachilendo pamazizira ozizira
- kudzimbidwa
- kukhumudwa
- kulumikizana kapena kupweteka kwa minofu
- kutuwa
- zikhadabo zoonda, zopyapyala kapena tsitsi
- kuyabwa
- zidzolo
Zotsatira zina zingakhale zovuta. Ngati mukukumana ndi izi, uzani dokotala nthawi yomweyo kapena pitani kuchipatala:
- kutopa kapena kufooka kosazolowereka
- ludzu lokwanira
- kukodza pafupipafupi
- kuyenda pang'onopang'ono, kosasunthika
- mayendedwe achilendo kapena ovuta kuwongolera
- kuzimitsidwa
- kugwidwa
- kukomoka
- chizungulire kapena mutu wopepuka
- kuthamanga, kuchepa, kusasinthasintha, kapena kugunda kwamtima
- kupuma movutikira
- kufinya pachifuwa
- chisokonezo
- kuyerekezera zinthu m'maganizo (kuwona zinthu kapena kumva mawu omwe kulibe)
- maso owoloka
- zala zala zopweteka, zozizira, kapena zotuwa
- mutu
- kukuwa phokoso mkati mwamutu
- kutupa kwa mapazi, akakolo, kapena miyendo yakumunsi
Ngati mukukumana ndi izi, siyani kumwa lithiamu ndikuyimbira dokotala nthawi yomweyo:
- Kusinza
- kugwedeza gawo la thupi lanu lomwe simungathe kulilamulira
- kufooka kwa minofu, kuuma, kugwedezeka, kapena kulimba
- kutayika kwa mgwirizano
- kutsegula m'mimba
- kusanza
- mawu osalankhula
- kunyada
- kulira m'makutu
- kusawona bwino
Lithiamu imatha kuyambitsa zovuta zina. Itanani dokotala wanu ngati mukukumana ndi zachilendo mukamamwa mankhwalawa.
Mukakumana ndi zovuta zina, inu kapena adokotala mutha kutumiza lipoti ku pulogalamu ya Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting pa intaneti (http://www.fda.gov/Safety/MedWatch) kapena pafoni ( 1-800-332-1088).
Sungani mankhwala awa mu chidebe chomwe chidabwera, chatsekedwa mwamphamvu, komanso chosafikira ana. Zisungeni kutentha ndi kutali ndi kutentha kwambiri ndi chinyezi (osati kubafa).
Mankhwala osafunikira ayenera kutayidwa munjira zapadera zowonetsetsa kuti ziweto, ana, ndi anthu ena sangamwe. Komabe, simuyenera kuthira mankhwalawa mchimbudzi. M'malo mwake, njira yabwino yoperekera mankhwala anu ndikadongosolo lobwezera mankhwala. Lankhulani ndi wamankhwala wanu kapena lemberani dipatimenti yakunyumba / yobwezeretsanso kwanuko kuti muphunzire zamapulogalamu obwezeretsanso mdera lanu. Onani tsamba la FDA's Disposal of Medicines webusayiti (http://goo.gl/c4Rm4p) kuti mumve zambiri ngati mulibe pulogalamu yobwezera.
Ndikofunika kuti mankhwala onse asamawonekere komanso kuti ana asamafikire ngati muli zidebe zambiri (monga mapiritsi a mlungu ndi mlungu ndi omwe amatsikira m'maso, mafuta, zigamba, ndi opumira) sizolimbana ndi ana ndipo ana aang'ono amatha kuzitsegula mosavuta. Pofuna kuteteza ana ang'ono kuti asatenge poyizoni, nthawi zonse tsekani zipewa zachitetezo ndikuyika mankhwalawo pamalo otetezeka - omwe ali pamwamba ndi kutali komanso osawonekera ndi kufikira. http://www.upandaway.org
Mukadwala mopitirira muyeso, itanani foni yothandizira poyizoni pa 1-800-222-1222. Zambiri zimapezekanso pa intaneti pa https://www.poisonhelp.org/help. Ngati wozunzidwayo wagwa, watenga khunyu, akuvutika kupuma, kapena sangathe kudzutsidwa, nthawi yomweyo itanani anthu azadzidzidzi ku 911.
Zizindikiro za bongo zingaphatikizepo izi:
- kutsegula m'mimba
- kusanza
- Kusinza
- kufooka kwa minofu
- kutayika kwa mgwirizano
- kunyada
- kusawona bwino
- kulira m'makutu
- kukodza pafupipafupi
Musalole kuti aliyense azimwa mankhwala anu. Funsani wamankhwala wanu mafunso aliwonse omwe muli nawo okhudzana ndi kudzaza mankhwala anu.
Ndikofunika kuti musunge mndandanda wamankhwala onse omwe mumalandira komanso osalembetsa (owerengera) omwe mukumwa, komanso zinthu zilizonse monga mavitamini, michere, kapena zakudya zina. Muyenera kubwera nawo pamndandandawu nthawi iliyonse mukapita kukaonana ndi dokotala kapena ngati mwalandiridwa kuchipatala. Ndikofunikanso kuthana nanu pakagwa mwadzidzidzi.
- Eskalith®¶
- Eskalith® CR¶
- Lithobid®
¶ Chogulitsa ichi sichikupezeka pamsika. Njira zina zitha kupezeka.
Idasinthidwa Komaliza - 04/15/2017