Lithium (indlela yokwelapha ngomlomo)
Imikhiqizo etholakalayo
Eskalith, Eskalith-CR, Lithobid
Mayelana naleli khambi
ILithi yasetshenziswa ekwelapheni ukukhalipha okungumkhiqizo wesifo se-bipolar (ukugula kokukhalipha-ukucindezeleka). Isetshenziswa nsuku zonke ukuze kunciphisiwe ubukhulu nokuvamile kokukhalipha. Abahluphekayo ngesifo se-manic-depressive baba nokuhlukahluka okukhulu kwesimo sengqondo, kusukela esimweni esikhaliphile noma esikhaliphile (isib. intukuthelo engavamile noma ukucasuka noma umuzwa oqondile wokulunga) kuya ekucindezelekeni noma ekudumazekeni. Akwaziwa ukuthi i-lithium isebenza kanjani ekuzinziseni isimo sengqondo somuntu. Noma kunjalo, isebenza ohlelweni lwezinzwa elikhulu. Ikusiza ukuthi ube nokulawula okukhulu ngezimpendulo zakho futhi ikusiza ukuba ubhekane kangcono nezinkinga zokuphila. Kubalulekile ukuthi wena nomndeni wakho niqonde zonke iziphumo zaleli yona. Lezi ziphumo ziyahlukahluka ngesimo sakho somuntu siqu nesimpendulo kanye nobuningi be-lithium oyisebenzisayo. Kufanele wazi nokuthi nini kufanele uxhumane nodokotela wakho uma kunezingqinamba ekusebenziseni leli yona. Leli yona liyatholakala kuphela ngesikripthi sodokotela wakho. Lo mkhiqizo uyatholakala ngezindlela zokulinganisa ezilandelayo:
Ngaphambi kokusebenzisa leli khambi
Uma ukhetha ukusebenzisa imithi, kufanele kuqhathaniswe ingozi yokusebenzisa imithi nezinzuzo ezizolethwa yiyo. Lo ngumqondo owenzayo wena nodokotela wakho. Kule mithi, kufanele kucabangelwe okulandelayo: Tshela udokotela wakho uma uke waba nanoma iyiphi impendulo engaqondakali noma ebangelwa ukungezwani kwalolu hlobo lomuthi noma eminye imithi. Tshela futhi ochwepheshe bakho bezempilo uma unezinye izinhlobo zokungezwani, njengokudla, izibhebhe, izigcini, noma izilwane. Ngomkhiqizo ongenaso iresiphi, funda ilebula noma izithako zephakheji ngokucophelela. Izifundo ezifanele azikwenzelwanga ubudlelwano bobudala nemiphumela yethablethi yokukhululwa okuhlanzekile kwe-lithium kubantwana abaneminyaka engaphansi kwengu-12 noma ama-capsules e-lithium, isisombululo, namaphilisi kubantwana abaneminyaka engaphansi kwengu-7. Ukuphepha nokuphumelela akukaqiniswa. Izifundo ezifanele eziphathelene nobudlelwano bobudala nemiphumela ye-lithium azikwenzelwanga kubantu abadala. Kodwa-ke, abantu abadala banesibopho esikhulu sokuba nezinkinga zenhliziyo, izinso, noma isibindi ezihlobene nobudala, okungase kudinge ukuqapha nokulungiswa komthamo kwabaguli abamukela i-lithium. Ayikho izifundo ezifanele kubesifazane zokunquma ingozi yengane uma usebenzisa le mithi ngesikhathi sokuncelisa. Linganisa izinzuzo ezingaba khona nezingozi ezingaba khona ngaphambi kokuthatha le mithi ngesikhathi sokuncelisa. Nakuba ezinye izidakamizwa kufanele zingasetshenziswa ndawonye, kwezinye izimo imithi emibili ehlukene ingasetshenziswa ndawonye ngisho noma kungenzeka ukuthi kube khona ukusebenzisana. Kulezi zimo, udokotela wakho angase afune ukushintsha umthamo, noma ezinye izinyathelo zokuphepha kungase kudingeke. Uma uthatha le mithi, kubalulekile ngokukhethekile ukuthi ochwepheshe bakho bezempilo bazi uma uthatha noma iyiphi imithi ehlwini elingezansi. Ukusebenzisana okulandelayo kukhethwe ngesisekelo sokubaluleka kwabo okungenzeka futhi akuyona yonke into. Ukusebenzisa le mithi nanoma iyiphi imithi elandelayo ngokuvamile akuyona into enconywayo, kodwa kungase kudingeke kwezinye izimo. Uma kokubili imithi ilotshiwe ndawonye, udokotela wakho angase ashintshe umthamo noma ukuthi uyayisebenzisa kangakanani enye noma zombili imithi. Ukusebenzisa le mithi nanoma iyiphi imithi elandelayo kungabangela ukwanda kengozi yezinye izingozi ezihlobene nemiphumela emibi, kodwa ukusebenzisa kokubili imithi kungaba ukwelashwa okuhle kuwe. Uma kokubili imithi ilotshiwe ndawonye, udokotela wakho angase ashintshe umthamo noma ukuthi uyayisebenzisa kangakanani enye noma zombili imithi. Ezinye izidakamizwa akufanele zisetshenziswe ngesikhathi sokudla noma eduze kwesikhathi sokudla noma ukudla izinhlobo ezithile zokudla njengoba kungenzeka kube khona ukusebenzisana. Ukusebenzisa utshwala noma utshaba nezinye izidakamizwa kungabangela ukusebenzisana. Ukusebenzisana okulandelayo kukhethwe ngesisekelo sokubaluleka kwabo okungenzeka futhi akuyona yonke into. Ukusebenzisa le mithi nanoma yini elandelayo ngokuvamile akuyona into enconywayo, kodwa kungase kungakhuphuki kwezinye izimo. Uma kusetshenziswa ndawonye, udokotela wakho angase ashintshe umthamo noma ukuthi uyayisebenzisa kangakanani le mithi, noma akunikeze imiyalo ekhethekile mayelana nokusetshenziswa kokudla, utshwala, noma utshaba. Ukuba khona kwezinye izinkinga zezokwelapha kungathinta ukusetshenziswa kwale mithi. Qiniseka ukuthi utshela udokotela wakho uma unezinye izinkinga zezokwelapha, ikakhulukazi:
Indlela yokusebenzisa leli khambi
Thatha leli lemithi njengoba nje udokotela wakho ekutshele khona. Ungathathi okuningi noma okuncane kunalokho, ungathathi kaningi noma kancane njalo, futhi ungathathi isikhathi eside kunalokho udokotela wakho akuyalile. Ukwenza kanjalo kungase kukhulise amathuba ezingozi ezihambisana nale mithi. Le mithi iza neNcwadi Yemithi. Funda futhi ulandele lezi ziyalezo ngokucophelela. Funda futhi njalo lapho ubuyisela iresiphi yakho uma kungenzeka kukhona ulwazi olusha. Kufanele ukhulume nodokotela wakho uma unemibuzo. Kungase kudingeke uthathe le mithi amasonto ambalwa ngaphambi kokuba uqale ukuzizwa kangcono. Khuluma nodokotela wakho uma unemibuzo. Qiniseka ukuthi udokotela wakho uyazi uma usendleleni yokudla okune-sodium encane noma usawoti omncane. Usawoti omncane kakhulu ekudleni kwakho ungabangela izingozi ezinkulu. Khuluma nodokotela wakho ngobuningi obuhle boketshezi olumele uthathe nale mithi. Abanye abantu badinga ukuphuza uketshezi olwengeziwe nsuku zonke nge-lithium. Gwinya ithebulethi yokukhululwa okwandisiwe yonke. Ungayaphula, uyiqheke, noma uyigaye. Linganisa isisombululo somlomo ngesipuni sokulinganisa esiphawuliwe, isirinji somlomo, noma indebe yemithi. Isipuni esivamile singase singalinganisi inani elifanele lemithi. Kunezinhlobo eziningi ze-lithium. Idosini ngayinye iyahluka futhi zisetshenziswa ngezikhathi ezahlukene zosuku. Ungashintshi uhlobo lwemithi oyithatha ngaphandle kokukhuluma nodokotela wakho kuqala. Ukuze i-lithium isebenze kahle, kufanele ithathe nsuku zonke ngezilinganiso ezihlukanisiwe njengoba udokotela wakho ekutshele khona. Lokhu kuyadingeka ukuze ugcine inani elilinganayo le-lithium egazini lakho. Ukuze ugcine inani lihlale lilingana, ungaphosisi noma iyiphi i-dose futhi ungayeki ukuthatha imithi ngisho noma uzizwa kangcono. Sebenzisa kuphela uhlobo lwemithi yakho udokotela akuyalile. Izinhlobo ezahlukene zingase zingasebenzi ngendlela efanayo. Idosini yale mithi izobahlukile kubantu abahlukene. Landela imiyalo yodokotela wakho noma imiyalo esemthethweni. Ulwazi olulandelayo luhlanganisa kuphela izilinganiso ezimaphakathi zale mithi. Uma i-dose yakho ihlukile, ungayishintshi ngaphandle kokuthi udokotela wakho akuyale ukuba wenze njalo. Inani lemithi oyithatha lixhomeke emandleni emithi. Futhi, inani le-doses oyithatha nsuku zonke, isikhathi esivunyelwe phakathi kwe-doses, nobude besikhathi oyithatha imithi kuyahlukahluka ngokuxhomekeke enkingeni yezokwelapha oyisebenzisela imithi. Uma uphuthelwa i-dose yale mithi, yithathe ngokushesha okukhulu. Noma kunjalo, uma sekusondele isikhathi se-dose yakho elandelayo, skip i-dose ephuthelwe bese ubuyela esimweni sakho sokuthatha imithi. Ungawandisi ama-doses. Gcina imithi esitsheni esivalekile ekushiseni kwegumbi, kude nokushisa, ukufuma, nokukhanya okulungile. Gcina ungayifrizi. Gcina ingafinyeleleki kubantwana. Ungagcini imithi esele iphelile noma imithi engasadingeki. Buza ochwepheshe bakho bezempilo ukuthi kufanele ulahle kanjani noma iyiphi imithi ongayisebenzisi.
Umshwana wokuzihlangula: I-August iyinkundla yolwazi lwezempilo futhi izimpendulo zayo azihlanganisi iseluleko sezokwelapha. Njalo thintana nochwepheshe bezokwelapha onelayisensi eduze nawe ngaphambi kokwenza noma yiluphi ushintsho.