Lithium inorondedzerwa sekusimudzira mafungiro kune vanhu vane bipolar disorder. Inobatsira kubatsira kudzora mania, hypomania, kuora mwoyo, uye psychosis inobatana nemamiriro acho ezvinhu.
Lithium inowanzoitika inowanzoitika, pakupera kwemakore ekuma1800, kuva nemafungiro ekusimudzira zvinhu. Pepa rekutanga pakushandisa lithiamu kuporesa iyo yainzi kunzi manic depress yakabudiswa muna 1949.
Iyo FDA inobvuma lithium muna 1970. Kunyange ikozvino, nzira yakananga lithiamu inobatsira vanhu vane bipolar disorder yakaoma uye isinganzwisisi zvakakwana.
Lithium Inotarirwa Rini?
Lithium inogamuchirwa kuti iite zvirwere zvebipolar kana zviratidzo zvakadai segandiosity , pfungwa dzinofungidzira , unzenza , hupombwe , kunyengedza , uye kuderera kwechido chekurara kuonekwa. Kunyange zvakadaro, yakaratidzwawo kubatsira kubata zvirwere zvinodzvinyirira , maitiro epfungwa , uye zvikamu zvakavhenganiswa.
Imwe tsvakurudzo yakaratidza kuti lithium inogona kuva yakashanda pakurapa kudengenyeka kwe unipolar (kuora mwoyo pasina mania inowanikwa mu bipolar disorder) kana yakawedzerwa kune imwe kana mamwe mamwe mishonga yekuora mwoyo, saka vanachiremba dzimwe nguva vanorondedzera izvozvi, zvakare.
Lithium Inofanira Kunyorwa Rini?
Lithium inogona kukuvadzai itsvo dzenyu, kunyanya nekushandiswa kwenguva refu. Vose varwere vanofanirwa kuongororwa nezvinetso zvepvo vasati vatanga lithium, uye vanofanira kuongororwa nguva dzose vachitora lithiamu, zvakare.
Kana zvinetso zvepenyo zvakakosha zvinoratidzika mukuedzwa kwekutanga, lithium inofanira kurongerwa chete nekunyatsotarisirwa uye kuswedera pedyo. Kana zvinetso zvetsvo dzichikurumidza mberi, chiremba wako angangotarisa kuregera lithium, sezvo zvichigona kugadzirisa kusanganisa paunomira kutora mishonga.
Kune hutano huwandu hwehutano nemamiriro ezvinhu anodawo kunyatsochenjerera apo lithium inorayirwa:
- diuretic use
- ACE inhibitor use
- mwoyo unokosha kana zvirwere zvevascular
- kukanganisika kwakanyanya; sodium uye electrolyte zvisiri izvo
Kuchengetedzwa kweLithium nekubudirira hazvina kugadziriswa kune vana pasi pe12, saka ichi chinodhaka hachibvumirwi kushandiswa kwevana.
Manyevero Pamusoro peLithium
Pane zviyeuchidzo zvinokosha zvevanhu vanotora lithium. Izvi zvinosanganisira:
- Ropa remvura re lithiamu rinofanira kuongororwa nguva dzose. Lithium inogona kuva inotyisa kana uwandu hwenhengo muropa rako hukanyanya. Zviratidzo zvehutomu zvakanyanya zvinosanganisira kurara, kurutsa, kudengenyeka, zvinetso zvishoma zvinofamba, kukotsira, kana kushaya simba. Dzokorora chero zviratidzo izvi kune chiremba pakarepo.
- Kutora lithiamu yeBipolar disorder kunogona kukonzera chirwere chinonzi lithium nephrogenic diabetes insipidus (NDI). Ichi chirwere chisingawanzi umo mafyvo ako anokundikana kudzokazve mvura, zvichiita kuti uwedzere kudhonza. Kana ukacherechedza kuti une nyota kwazvo uye uri kunyura kakawanda, tumira chiremba wako pakarepo kuti utaure zviratidzo zvako.
- Kana iwe uchinge waiswa pasi pekushaya manzwiro - taura, nokuda kwekuvhiyiwa - iva nechokwadi kuti vanachiremba vanoziva kuti uri kutora lithiamu.
Kuchengetedza Paunotora Lithium
- Iva nechokwadi chekuti iwe unogara uine mvura yakachena uye munyu uchidya paunotora lithium. Kunetseka kana kuti kuderera kwezinga resodium muropa kunogona kuva nengozi.
- Kutapira kwenguva refu, chirwere chemashuga, kana fivha huru kunogona kukonzera kushivirira kwako kuti lithium kuderera uye kunoda kurapwa. Tarisai nechiremba wenyu kana mune imwe yezviratidzo izvi.
- Lithium inogona kukonzera utachiona hwakawanda uye basa reparathyroid. Chiremba wako anofanira kutarisa ropa re calcium periodically, sezvo izvi zvakabatana nekushanda kweganda parathyroid, pamwe chete nehutachiona husina simba.
Pane rurefu rwemishonga inogona kuwirirana ne lithiamu kana kuwedzera dambudziko remigumisiro.
Mamwe madhiragi anowanzopiwa maitiro e bipolar disorder anowira munharaunda iyi. Dzinosanganisira:
- Calcium channel blockers (kubatana kungave kwakakomba)
- Clozapine (Clozaril)
- Cymbalta (duloxetine)
- Celexa (citalopram)
- Lexapro (escitalopram)
- Luvox (fluvoxamine)
- Paxil (paroxetine)
- Prozac (fluoxetine) (inoda kutarisa pedyo nechiremba wako)
- Risperdal (risperidone)
- Tegretol (carbamazepine) (kubatana kungave kwakakomba)
- Zoloft (sertraline)
- Zyprexa (olanzapine)
Lithium Side Effects
Nzira dzakawanda dzinowanzobatwa neLithium, iyo inogona kuenda shure mushure mekushandiswa kwekutanga, ndeyikuti:
- kuwedzera kwekuwedzereka kana kurasikirwa kwekugadzirisa chirwere
- nyota yakawedzera
- mild keusea
- kudengenyeka kwemaoko
Kuwedzera kwehuwandu kwekuwedzerwa nguva kunowanzonzi.
Kuberekwa uye Nursing
Lithium inozivikanwa kuti inokonzera kukanganisa kuberekwa, uye njodzi inowedzera kana chimwe chimiro chekusimudzira mafungiro (zvakadai se carbamazepine) inotorwa nayo. Kana uri wezera rekubereka, ane pamuviri, kana kuti wava nepamuviri paanotora lithium, kurukura izvi nechiremba wako.
Lithium yakanyanyisa mumukaka wemukaka, saka vakadzi vanorayirwa kuti vasamwisa vana vacheche pavanotora mishonga iyi.
Sources:
Marples, David. Pamusoro peLithium NDI. Diabetes Insipidus Foundation . 2003.
McKnight RF, Adida, M, Budge, K, Stockton S, Goodwin, GM, Geddes, JR. Lithium toxicity profile: a systematic review uye meta-analysis. The Lancet. 20 Jan 2012.
Roxane Laboratories. Lithium Official FDA Information, Migumisiro Yakashata uye Mashandisiro. Drugs.com . Nov 2009.
Thomsen HealthCare. Lithium Consumer Information. Drugs.com . Haikwanisi.