He aha te Lithium: Ngā Whakamahinga, te Inenga, Ngā Pānga Taha me Ētahi Atu

Ko te Lithium he rongoā whakapumau i te ngākau e āwhina ana ki te whakahaere i ngā piki me ngā heke nui o te mate bipolar. Koinei tētahi o ngā rongoā tawhito me te whai hua mō te whakahaere i ngā wā o te mania me te aukati i ngā huringa o te ngākau. Whakaarohia te lithium hei taputapu ngawari engari kaha e āwhina ana ki te pupuri i te mahi o te pāmahana kare-ā-roto o tō roro kia pai ake.

He aha te Lithium?

Ko te Lithium he kohuke tūturu e mahi ana hei whakapumau i te ngākau i roto i tō roro. No tētahi rōpū rongoā e kīia ana ko ngā āpiha antimanic, ko te tikanga e aro ana ki ngā wā o te mania ka taea te whakangaro i te oranga me te kore e taea te whakahaere.

Kua whakamahia marie tēnei rongoā mō ngā tekau tau hei āwhina i te miriona tāngata ki te noho i ngā oranga tūmau me te whai hua. E wātea ana i roto i ngā momo rerekē - ngā papa, ngā kāpene, me te wai - kia kitea e koe me tō tākuta te kōwhiringa e pai ana mō koe.

Ko te mea motuhake o te lithium kāore i te rongoā noa i ngā tohumate ka puta. Ka āwhina tonu ki te aukati i ngā wā o te ngākau a muri ake nei, e whai wāhi ana koe ki te tūmau i te wā roa.

He aha te Lithium e whakamahia ana mō?

Ko te Lithium te mea nui e tohua ana mō te mate bipolar, e āwhina ana ki te whakahaere i ngā wā o te mania me te pouri. Ka tohutohu pea tō tākuta i tēnei rongoā mēnā kua pā koe i ngā wā o te kaha nui, te tere o ngā whakaaro, te whanonga hihiri rānei e whai ana i te hinga ki te pouri.

I tua atu i te mate bipolar, i ētahi wā ka āwhina te lithium i ētahi atu āhuatanga hoki. E tohutohu ana ētahi tākuta i tēnei rongoā mō te pouri nui kāore i aro ki ētahi atu rongoā, hei whakaiti rānei i ngā whakaaro whakamomori i roto i ngā tāngata e pā ana ki ngā mate o te ngākau.

I ētahi wā ka whakamahia hoki hei rongoā i ētahi momo ānini, hei whakanui rānei i te whai huatanga o ngā rongoā anti-depressant. Heoi, he iti ake te whakamahi i ēnei, me te aro turuki mai i tō kaiwhakarato hauora.

Me pēhea te mahi a te Lithium?

Ka mahi a Lithium mā te pānga ki ngā karere matū i tō roro e kīia nei he neurotransmitters. Ka āwhina i te whakatikatika i te tauritenga o ēnei matū, inā koa ērā e pā ana ki te whakahaere i te ngākau pēnei i te serotonin me te dopamine.

E kiia ana he kaha te rongoā nei - he kaha ki te whakaputa i ngā huringa tūturu i roto i te matū o tō roro, engari he ngawari ki te tango marie mō ngā tau ka tirotirohia tika. Ehara i te rongoā tere e mahi ana i roto i ngā rā, engari he rongoā pūmau, pono e hanga ana i te whai huatanga i te roanga o te wā.

Kāore i te tino mārama te huarahi tika e whakapūmau ai te lithium i te ngākau, engari e whakapono ana ngā kairangahau ka āwhina i ngā pūtau roro ki te kōrero whai hua ake. Ko tēnei whakawhitiwhiti kōrero pai ake ka iti ake ngā huringa ngākau nui me te pai ake o te pumau o te ngākau.

Me pēhea taku tango i te Lithium?

Tangohia te lithium i runga i te tohutohu a tō tākuta, te tikanga 2-3 ngā wā i te rā me ngā kai, i muri tata rānei i te kai. Ko te tango me te kai ka āwhina i te aukati i te pōpō o te puku me te ngāwari ake o te rongoā ki tō pūnaha kūnatu.

Ko te wai tō hoa pai i te tango i te lithium - inu nui i te rā katoa hei āwhina i ō tākihi ki te tukatuka marie i te rongoā. Kaua e nui rawa te kawhe, nā te mea ka raru pea i te āhua e whakahaere ana tō tinana i te lithium.

Whakamātauria ki te tango i ō horopeta i ngā wā kotahi i ia rā kia mau tonu ngā taumata i roto i ō toto. Mēnā kei te tango koe i te puka wai, ineia mā te taputapu ine i tukuna, kaua mā te koko o te whare.

Kaua e kuru, e ngaungau, e whati rānei i ngā papa tuku roa, nā te mea ka nui rawa te rongoā ka tukuna i te wā kotahi. Horomia katoatia me te karaihe wai.

Kia Pēhea te Roa e Tango Ai Au i te Lithium?

Me tango te lithium e te nuinga o te tangata mō te maha o ngā marama ki ngā tau kia whiwhi ai i te painga katoa. E 1-2 wiki te roa ki te tīmata te mahi, engari kāore pea e puta ngā pānga katoa e whakapūmau ana i te ngākau mō te 6-12 wiki.

Mō te mate bipolar, he maha ngā wā e whakaarohia ana te lithium he rongoā wā roa. He maha ngā tāngata e tango ana mō ngā tau, ō rātou tekau tau rānei, hei aukati i ngā wāhanga o te ngākau kia kore e hoki mai. Kāore tēnei e kī ana kei te whakawhirinaki koe ki runga - e kī ana he painga tō roro mai i te tautoko tonu.

Ka arotakehia e tō tākuta tō rongoā i ngā wā katoa, ā, ka whakatika pea i te roa i runga i te āhua o tō urupare. Ka taea e ētahi tāngata te whakaiti i tō rātou horopeta, te whakamutu rānei i te tango, i te mea e kitea ana e ētahi atu e hiahia ana rātou mō te hauora hinengaro pai.

Kaua rawa e whakamutu ohorere i te tango lithium, ahakoa kei te pai koe. Ko te whakamutu ohorere ka pā te wāhanga o te ngākau nui, nō reira ka waihanga tō tākuta i tētahi mahere whakaiti haere mēnā e hiahiatia ana ngā huringa.

He aha ngā pānga taha o te Lithium?

Pērā i ngā rongoā katoa, ka taea e te lithium te pānga taha, ahakoa he maha ngā tāngata e pai ana ki te tango i te wā e urutau ana tō rātou tinana. Ko te māramatanga ki te aha e tūmanako ana ka āwhina i a koe kia pai ake te rite me te māia mō tō rongoā.

Koinei ngā pānga taha tino noa ka pā ki a koe, ina koa i te tīmatanga o te rongoā:

• Te nui haere o te matewai me te mimi
• Te whakapairuaki ngawari, te pōpō rānei o te puku
• Te wiri ringa iti
• Te moe, te ngenge rānei
• Te pikinga o te taumaha
• Te korere, te tūtae rānei

Ko ēnei pānga taha o mua ka pai ake i te wā e waia ana tō tinana ki te rongoā. Ko te nuinga o ngā tāngata e kite ana he ngawari ki te whakahaere, ā, he pai te uara o te pūmautanga o te ngākau e whakaratohia ana e te lithium.

Ko ētahi pānga taha iti noa iho engari he nui ake te kino e hiahia ana kia āwhina tonu mai i te tākuta. Ahakoa he onge, he mea nui kia mōhio ki ēnei mea ka taea:

• Te wiri nui, te mārō rānei o te uaua
• Te rangirua, te uaua rānei ki te whakaaro mārama
• Te pōpō o te ngākau
• Te ruaki nui, te korere rānei
• Ngā tohu o ngā raruraru o te whatukuhu (te pupuhi, ngā huringa i te mimi)
• Ngā raruraru o te thyroid (te ngenge nui, ngā huringa taumaha)

Ka āwhina ngā whakamātautau toto i te wā katoa ki te hopu i ngā take ka puta wawe, ka waiho te lithium hei kōwhiringa haumaru mō te wā roa mō te nuinga o te tangata. Ka mātakitaki tata tō rōpū hauora i a koe, ina koa i ngā marama tuatahi o te rongoā.

Ko wai kāore e tika kia tango Lithium?

Kāore te Lithium e tika ana mō te katoa, ā, ko ētahi āhuatanga hauora ka kore e haumaru, ka hiahiatia rānei he tūpato anō. Ka āta arotake tō tākuta i tō hītori hauora i mua i te whakahau.

Me karo koe i te lithium mēnā he mate tākihi tōna, nā te mea me pai te mahi o ō tākihi ki te tukatuka i te rongoā i runga i te haumaru. Ko ngā tāngata e pā ana ki ētahi āhuatanga o te ngākau, ina koa ngā manawataki kōaro, tērā pea ka hiahia rongoā kē.

Mēnā kei te hapū koe, kei te whakamahere rānei koe kia hapū, kōrero tonu ki tō tākuta. Ka pā te lithium ki te whanaketanga o te pēpi, ina koa i te wā tuatahi, nō reira ka hiahia koe ki te manaaki me te mātakitaki motuhake.

Me tūpato hoki ngā whaea e whāngai ana i te u, nā te mea ka uru te lithium ki te waiu u. Ka āwhina tō tākuta i a koe ki te whakatau i ngā painga me ngā tūponotanga, me te tūhura i ngā kōwhiringa haumaru ake mēnā e tika ana.

Ko ngā tāngata e tino maroke ana, he iti te konutai, ko te hunga rānei e tango ana i ētahi rongoā (pēnei i ētahi rongoā toto toto) tērā pea ka hiahia ki te whakatikatika i te horopeta, ki ngā rongoā kē rānei.

Ngā Ingoa Waitohu Lithium

Kei te wātea te Lithium i raro i ētahi ingoa waitohu, ahakoa he rite tonu te whai hua o ngā putanga whānui. Ko ngā ingoa waitohu noa ko Lithobid, Eskalith, me Lithonate.

Ko te rerekētanga nui i waenga i ngā waitohu ko te hanganga - ko ētahi ka tukuna tonu, ko ētahi atu ka tukuna roa. Me tango ngā putanga tukunga roa i te wā iti, ā, tērā pea ka iti ake ngā pānga taha.

Tērā pea ka huri tō whare rongoā i waenga i ngā kaihanga whānui rerekē, engari kaua e māharahara - ko ngā hua lithium katoa kua whakaaetia e te FDA e tutuki ana i ngā paerewa kounga me te whai huatanga. Mēnā ka kite koe i ētahi huringa i te wā e huri ana i ngā waitohu, whakamōhio atu ki tō tākuta.

Ngā Kōwhiringa Lithium

Ki te kore a lithium e tika ana mōu, he maha atu ngā rongoā whakapūmau i te ngākau ka āwhina i te whakahaere i te mate bipolar. He rerekē te mahi a ēnei rongoā engari he pai tonu mō te nuinga o te tāngata.

Ko ngā rongoā ārai i te pōrearea pēnei i te waikawa valproic (Depakote) me te lamotrigine (Lamictal) he rongoā whānui. Ka pā pea ētahi atu pānga taha, ā, he pai ake pea mō ō hiahia me ō āhuatanga hauora.

Ka taea hoki e ngā rongoā antipsychotics atypical pēnei i te quetiapine (Seroquel) me te olanzapine (Zyprexa) te whakapūmau i te ngākau, ina koa i ngā wā o te pōrearea. Ka whakamahi ētahi tāngata i ēnei rongoā anake, i te tahi rānei me ētahi atu rongoā.

Ka whakaaro pea tō tākuta ki ngā kōwhiringa hou pēnei i te carbamazepine, i te oxcarbazepine rānei, i runga i ō tohumate me te pēhea o tō urupare ki ētahi atu rongoā. Ko te mea nui ko te kimi i te rongoā tika, i te huinga rānei e pai ana mō tō āhuatanga motuhake.

He Pai Ake Anei A Lithium I Te WAIKAWA VALPROIC?

He rongoā whakapūmau i te ngākau pai a lithium me te waikawa valproic, engari he rerekē te mahi, ā, he pai mō ngā tāngata rerekē. He pai ake te lithium ki te ārai i ngā wā o te pōrearea, ā, he kaha ake ngā āhuatanga ārai i te whakamomori.

He pai ake pea te waikawa valproic mēnā he mate bipolar tere-huri tō, he wā rānei i konatunatua ai ngā tohumate pōrearea me te pōuri e puta ngātahi ana. He iti ake hoki te pānga ki ngā pūkahukahu me te thyroid i te lithium.

Ko te kōwhiringa

Me mātakitaki tōtika te lithium mēnā he raruraru tō pūkahukahu, nā te mea ka tukatukahia, ka whakakorea hoki tēnei rongoā e ō pūkahukahu. Mēnā he mate pūkahukahu ngawari tō, ka tohutohu pea tō tākuta i tētahi horopeta iti ake, ā, ka tirohia ō taumata toto i ngā wā maha ake.

Ko te hunga e mate pūkahukahu nui ana, kāore e taea te tango lithium i te nuinga o te wā, nā te mea ka piki te rongoā ki ngā taumata mōrearea i roto i tō rātou pūnaha. Ka whakamātau tō tākuta i ngā whakamātautau mahi pūkahukahu i mua i te tīmatanga o te lithium, ā, i ngā wā katoa o te maimoatanga.

Ko te rongo pai, ko ngā raruraru pūkahukahu e pā ana ki te lithium, he mea huri i te nuinga o te wā mēnā ka kitea wawe. Mā te mātakitaki i ngā wā katoa e āwhina ai kia noho hauora ō pūkahukahu i a koe e whai hua ana i ngā pānga whakau i te ngākau.

Q2. Me pēhea taku mahi mēnā ka whakamahi au i te nui rawa o te lithium?

Mēnā ka tango ohorere koe i te nui rawa o te lithium, whakapā atu ki tō tākuta, ki te pōihana whakahaere rānei i te wā tonu, ahakoa kei te pai koe. Ka taea e te nui rawa o te lithium te pōrearea, ā, kāore pea e puta ngā tohu i te wā tonu.

Ko ngā tohu o te paitini lithium ko te whakapairuaki nui, te ruaki, te korere, te raruraru, te ngoikore o te uaua, te raruraru rānei o te ruruku. Mēnā ka pā ki a koe ētahi o ēnei tohu, rapua te manaakitanga hauora ohorere i te wā tonu.

Kaua e ngana ki te ruaki i a koe anō, ki te tango rānei i ētahi atu rongoā hei whakakore i te nui rawa. Me mātakitaki ngā tohunga hauora i ō taumata toto, ā, me whakarato i te maimoatanga tika i runga i te nui i tangohia e koe.

Q3. Me pēhea taku mahi mēnā ka ngaro au i te horopeta lithium?

Mēnā ka ngaro koe i te horopeta lithium, tangohia i te wā tonu ka mahara koe, ki te kore e tata ana te wā mō tō horopeta e whai ake nei. I taua wā, waiho te horopeta i ngaro, ā, haere tonu ki tō hōtaka auau.

Kaua rawa e tango i ngā horopeta e rua i te wā kotahi hei utu mō te horopeta i ngaro, nā te mea ka piki mōrearea ō taumata lithium. He pai ake te pupuri i tō wā tika i te rua.

Mena he maha ō wā e wareware ana ki ngā horopeta, ngana ki te whakatū i ngā whakamaharatanga waea, ki te whakamahi rānei i tētahi kaiwhakarite pire. He mea nui te taumata toto rite tonu kia whai hua ai te lithium, kia noho haumaru hoki.

Q4. Āhea Āhau e Kati ai te Tango Lithium?

Ko te whakatau ki te whakamutu i te lithium me mahi tonu me tō tākuta, kaua rawa e mahi anake. Ko te nuinga o ngā tāngata me tango lithium mō te iti rawa 1-2 tau i muri i te pumau o ō rātou ngākau kia kore ai e hoki anō.

Ka whakaaro tō tākuta ki ngā āhuatanga pēnei i te roa o tō pumau, mehemea he maha ngā wā i pā mai ngā wāhanga ngākau, me tō hauora hinengaro whānui i te wā e kōrero ana mō te whakamutu. He pai ki ētahi tāngata te noho tonu ki te lithium mō te wā roa.

Mēnā ka whakamutu koe i te tango lithium, me mahi mā te āta haere i roto i ngā wiki, i ngā marama rānei. Ka taea e te whakamutu ohorere te whakaoho i tētahi wāhanga ngākau nui, nō reira ka hangaia e tō tākuta tētahi hōtaka āta whakaheke.

Q5. Ka Taea e Āhau te Inu waipiro i te wā e Tango ana i te Lithium?

He pai ake te karo i te waipiro, te whakaiti rānei i te waipiro i te wā e tango ana i te lithium. Ka taea e te waipiro te whakanui i ngā pānga taha o te lithium, me te whakararu i te whai huatanga o te rongoā ki te whakapumau i tō ngākau.

He kaiwhakawhāiti hoki te waipiro ka taea te whakapōrearea i ngā tohumate ngākau, me te whakanui i te tūponotanga o ngā pānga kino. Mēnā ka whiriwhiri koe ki te inu i ētahi wā, kōrerohia ngā rohe haumaru me tō tākuta i te tuatahi.

Kia mahara ka taea hoki e te waipiro te pā ki tō whakatau mō te tango rongoā i ngā wā katoa, he mea nui tēnei mō te whai huatanga o te lithium. He nui ake te utu o tō hauora hinengaro i ngā pānga rangitahi mai i te inu.