Chii Chaunoda Kuziva Kutora Lithium Zvakachengeteka?
Lithium inogadzirisa mafungiro anokwanisa kubatsira ne bipolar disorder nezvimwewo mamiriro, asi anozivikanwa zvikuru nekukonzera migumisiro uye chepfu. Izvozvo zvakati, kana miedzo ichiitwa nguva dzose kuti iongorore mazinga, uye vanhu vanoziva kushandiswa kwakakodzera kwemishonga, inogona kuva yakakosha mukudzora mafungiro. Chii chaunoda kuziva kuti ushandisa lithium zvakachengeteka?
Lithium: A Mood Stabilizer Nemigumisiro Yakasviba Sezvimwe Zvinodhaka
Lithium ndiyo yekutanga yekusimudzira mishonga yakagadziriswa inoshandiswa bipolar disorder, sezvo yakatanga kushandiswa pakurapa kwechiremara chemuguru gout. Tiri kungotanga kudzidza nzira iyo iyo mishonga inoshanda nayo pahutano hwehupenyu.
Migumisiro inogona kuitika yeLithium Therapy
Sezvo nemishonga yakawanda, lithiamu inogona kuuya nemigumisiro yakawanda, zvose zvenguva pfupi uye kwenguva refu uye zvose zvinyoro uye zvakakomba.
Zvipembenene zvinowanzoitika zveti lithium zvinowanzova zvinogumbura kupfuura dambudziko. Izvi zvinosanganisira:
- Nyota yakawedzera
- Kuramba uchidzoka
- Nausea
- Diarrhea
- Kuvhunduka (kudengenyeka kunowedzera kuipa nekuedza kushandiswa kwemaoko.
- Kuwedzera kwehupfumi - Lithium inonyatsozivikanwa nokuda kwekuita kwayo kuwedzera kuwanda. Paavhareji, vanhu vanowanzowana mapaundi 13,5 pamishonga, asi vanenge 20 muzana yevanhu vanowana zvinopfuura izvi. Chidzidzo che 2016 chakawana kuti mishonga yeMetformin inogona kubatsira mukuderedza kana kudzivirira kuwandisa kuwanda kune vamwe vanhu vane lithiamu therapy.
- Kurema (edema)
- Kuora bvudzi
Nhengo dzakawanda dzakakanganiswa (uye dzinofanira kuongororwa) dzinosanganisira:
- Nyopi - Nguva yakawanda yenguva kusvibiswa kwetsvo kwakanyorova, asi dzimwe nguva izvi zvinogona kufambira mberi.
- Thyroid - Lithium inogona kukanganisa utachiona hune nzira dzakawanda. Inogona kukonzera hypothyroidism, a goiter, kana autoimmune thyroiditis. Lithium therapy yakabatanidzwawo ne hyperthyroidism kune vamwe vanhu.
- Parathyroid - Kushaya simba kwePathyroid kwave kuchizivikanwa munguva pfupi yapfuura sechinhu chinopisa chekushandisa kwe lithiamu.
Mamwe matambudziko makuru anosanganisira:
- Zvinetso zvepyiyo
- Nephrogenic chirwere cheshuga insipidus - Nephrogenic chirwere cheshuga insipidus ndiyo mamiriro ayo mafungiro asingakwanisi kuisa pfungwa mumuginho unoita kuti uwedzere kudhonza (polyuria) uye nyota yakawanda (polydipsia.)
- Kuziva kusanzwisisika - Iyo chaiyo iyo lithiamu inowedzera mukuziva kugadzirisa zvakaoma kudzidza nemhaka yekuvapo kwehutano hwepfungwa uye pamwe ne hypothyroidism. Chidzidzo che 2017 chakawana kuti lithiamu ine simba rakakosha pamagadzirirwo epfungwa, kunyange zvisingaratidzi kuva nechinetso chekucherechedza. Kuita kwaro mumusoro, mano eunyanzvi, uye kushanda kwakasimba hachiri pachena.
Lithium Toxicity-Yakanaka uye Isingaperi
Lithium toxicity inogona kutora maitiro akasiyana uye inosanganisira yakaoma, isingagumi uye yakaoma pamusoro pekusagadzikana kwechirwere.
Zviratidzo zvekutanga zve lithiamu inongoti zvinosanganisira kubuda, kurutsira, kurara, kushaya simba, uye kusava nekubatana. Zviratidzo zvinowedzera zvinosanganisira ataxia (kusakundikana kana kusagadzikana kwemaitiro emusumbu), giddiness, tinnitus (kurira munzeve), kuonekwa kwakasvibiswa, uye chikuru chekuderedza urini. Dambudziko rekuti lithium toxicity chirwere chinokurumidzira chinogona kukonzera kuora mwoyo uye chirwere chemwoyo.
Kubatana Kwezvinodhaka neLithium
Kune mishonga yakawanda inogona kuguma nekuwedzera kwema lithiamu muropa. Izvi zvinosanganisira:
- Kwete-steroidal anti-inflammatory drugs like Advil (ibuprofen) uye Aleve (naproxen.)
- Diuretics (mvura mapiritsi.)
- Angiotensin-kuchinja enzyme inhibitors (ACE inhibitors) yakadai seVasotec (enalapril) uye Prinivil (lisinopril.)
- Angiotensin II inopikisana nevarwi (ARB) yakadai seDovan (valsartan) naCozaar (losartan.)
Kune zvakawanda zvekuti zvinogona kushandiswa kwezvinodhaka ne lithiamu uye zvakakosha kutaura nachiremba wako usati watanga chero mushonga mutsva kana kana ukarega mishonga iwe uri kutora.
Caffeine uye theophylline, zvakasiyana, zvinogona kukonzera maitiro ezasi anonzi lithiamu.
Kuongororwa Kuedzwa Kusati Kuitika uye panguva yeLithium Therapy
Ropa rekuongororwa rinoongororwa musati munhu atanga lithium therapy, uye nenguva nenguva kwenguva iyo mishonga inotorwa.
Kutarisa Lithium mazinga
Pamberi pemishonga yatanga, miedzo inorayirwa kuti iongorore zvose mafungiro epi uye utachiona basa. Lithium yakanyanyisa kubva mumuviri neitsvo, saka kana itsvo dzisina kushanda kune chero dhigirii, mazinga e lithiamu anogona kuvaka muropa.
Lithium inofanirwa kuongororwa mushure mekunge kurapwa kwave kwatanga, uye mushure mokunge kuchinja kwese kuwedzerwa. Ropa remazi rinowanzoitwa mazuva mashanu mushure mekuchinja kwehuwandu sezvo zvinotora nguva kuti mazinga agare akasimba. Nhamba dzinofanirawo kuongororwa kana chero mishonga mitsva ichiwedzerwa kana kuregererwa, semishonga yakawanda inobatanidza ne lithiamu. Lithium ine "firiji yakakura yehutachiona" iyo inoreva kuti uwandu hwechirwere hunoda kuva nehutano hwepedyo huri pedyo zvikuru, uye dzimwe nguva kunyange huputika, uye izvo zvinokonzera kuora.
Chirwere chetachiona chethiamu chinowanzomira pakati pe8,8 mmol / L, kunyange zvazvo vamwe vanhu vangave vachida nhamba chero ipi zvayo kubva kune 0.5 kusvika 1.2 mmol / L kuti ave kurapwa. Nhamba dzakatarisana nepamusoro-soro dzimwe nguva dzinoda kudzora mania.
Inotyisa inotanga paanenge ma 1.5 mmol / L. Zviratidzo zvekutanga zvehutachiona zvinosanganisira kuwedzera kuwedzera kwekudengenyeka, kuora mwoyo, kurarisa, uye kuonesa. Sezvo maitiro achikwirira, zviratidzo zvekusava nechivimbo, kutaura kwakanyanyisa, kusvibiswa kwemisimba uye kushaya simba, nekunyonganiswa kunooneka.
Nhamba ye 2.0 mmol / L ndeyekukurumidzira mune zvehutano uye kutarisirwa kwakatarwa kunodiwa. Zviratidzo zvinogona kusanganisira zviratidzo zvehutano zvakanyanya zvakadai sedrium uye kusaziva. Moyo arrhythmias inogonawo kuitika, iyo kana, isina kutorwa, inogona kuuraya.
Matambudziko eTroyo
Zvakakosha kucherechedza kuti ani naani anoonekwa ane bipolar chirwere anofanira kunge ane utachiona hunongororwa nguva dzose kunyange kana kwete pa lithiamu sezvo zvirwere zvisingawanzoitiki zvehomoni zvinogona kukonzera zviratidzo zvinofanidza (kana kuti zvinopera) zvose mania uye kuora mwoyo. Utachiona hwemazinga hunofanirwa kuongororwa kanenge mwedzi mitanhatu.
Calcium levels
A serum calcium level inofanira kuongororwa gore negore se lithi lithi inogona kukonzera hypoparathyroidism.
Zvinetso zvepyiyo
A BUN uye creatinine (kuongorora maitiro epfungwa) inofanira kutorwa pakutanga kwekurapa, nguva dzose panguva yekurapwa, uye kana zviratidzo zvehosha yepere zvichioneka.
Mimwe miedzo
Mimwe miedzo yakadai seropa chemistries uye EKG inogona kudiwa zvichienderana nezvimwe zvinhu.
Kurarama neLithium Side Effects uye Toxicity
Kune nzira dzakasiyana-siyana umo njodzi yemigumisiro uye chepfu inogona kuderedzwa. Chimwe chacho ndechokuderedza chirwere ichi kuitira kuti ropa rehutano riri pazasi kwemahwindo ekurapa. Nguva yenguva inogonawo kubatsira. Zvechokwadi, kuongororwa kwehutano hweropa kunokosha nguva dzose pamwe chete kana kana chero zviratidzo zvitsva zvinofanira kubuda. Mune zvimwe zviitiko, mishonga inogona kushandiswa kuderedza zviratidzo zvemigumisiro.
Pasi pepamusoro paLithium Side Effects uye Toxicity
Lithium inogona kuva mishonga yakanakisisa yevanhu vane bipolar disorder uye inofungidzirwa kuva mushonga wekusarudza kune vakwegura vane bipolar disorder. Yakawanikwa yekuderedza mukana wekuzviuraya, njodzi huru pakati pevanhu vane chirwere.
Panguva imwecheteyo, kutarisa nokungwarira kwehutano kwakakosha pakugadzirisa zvinogona kutyisa, pamwe nemigumisiro yekutyisa. Migumisiro yakaipa inowanzoonekwa, uye dzakawanda dzazvo dzinonyanya kuodza mwoyo kudarika ngozi. Kunyatsotarisa maitiro ekuongorora maitiro (uye mwoyo wemwoyo kunyanya kune vakwegura) inodiwa nekuda kwehutachiwana hwekushaya hutano, uye utachiona uye hypothyroid nemigumisiro.
Nekucherechedza, zvisinei, uye kunyatsonzwisisa zviratidzo zvekutanga zvekushaya chepfu, vanhu vazhinji vave vachikwanisa kufadzwa nezvinodiwa nemushonga uyu pasina ngozi yakawanda.
> Sources:
> Baird-Gunning, J., Lea-Henry, T., Hoegberg, L., Gosselin, S., uye D. Roberts. Lithium Poisoning. Zvinyorwa zveKuchengeta Kuchengetedza Mishonga . 2017. 32 (4): 249-263.
> Finley, P. Drug Kubatana neLithium: An Update. Clinical Pharmacokinetics . 2016. 55 (8): 925-41.
> Gitlin, M. Lithium Side Effects uye Dhiyabhorosi: Kuwandisa uye Kutonga Mazano. International Journal Bipolar Disorder . 2016. 4 (1): 27.
> Paterson, A., naG. Parker. Lithium uye Cognition Kune Vaya vane Bipolar Disorder. International Clinical Psychopharmacology . 2017. 32 (2): 57-62.