Lithium ubuthi

ILithium ngumuthi kadokotela osetshenziselwa ukwelapha ukuphazamiseka kwengqondo okuguquguqukayo. Le ndatshana igxile ekudleni ngokweqile kwe-lithium, noma ubuthi.

• Ubuthi obubi benzeka lapho ugwinya kakhulu umuthi we-lithium ngesikhathi esisodwa.
• Ubuthi obungapheli buvela lapho uthatha kancane kancane umuthi we-lithium nsuku zonke isikhashana. Lokhu kulula kakhulu ukukwenza, ngoba ukuphelelwa amanzi emzimbeni, eminye imithi, nezinye izimo kungathinta kalula ukuthi umzimba wakho uphatha kanjani i-lithium. Lezi zinto zingenza i-lithium yakhele emazingeni ayingozi emzimbeni wakho.
• Ukudla okune-toxicity okungapheli kwenzeka lapho ujwayele ukuthatha i-lithium nsuku zonke ngesifo se-bipolar, kepha ngolunye usuku uthatha inani elengeziwe. Lokhu kungaba kuncane njengamaphilisi ambalwa noma ibhodlela eliphelele.

ILithium ingumuthi onobubanzi obuncane bokuphepha. Ubuthi obubalulekile bungavela lapho inani le-lithium elithathiwe lingaphezu kwalolu hlu.

Lo mbhalo ungowolwazi kuphela. UNGAYisebenzisi ukwelapha noma ukuphatha ukuvezwa kobuthi uqobo. Uma wena noma umuntu onaye unokuchayeka, shayela inombolo yakho ephuthumayo yasendaweni (njenge-911), noma isikhungo sendawo sakho sobuthi singafinyelelwa ngqo ngokushayela ucingo lwasimahla lwe-Poison Help hotline (1-800-222-1222) kusuka noma yikuphi e-United States.

ILithium ngumuthi ongalimaza kakhulu.

ILithium ithengiswa ngaphansi kwamagama emikhiqizo ehlukahlukene, kufaka phakathi:

• I-Cibalith
• I-Carbolith
• Duralith
• I-Lithobid

Qaphela: I-lithium nayo itholakala kakhulu kumabhethri, ezintweni zokugcoba, kuma-alloys wensimbi asebenza kakhulu, nakokuphakelayo. Lo mbhalo ugxile kuphela kumuthi.

Izimpawu zezinhlobo ezintathu ze-lithium toxicity zichazwe ngezansi.

BUXA UBUTHAKAZI

Izimpawu ezivamile zokuthatha i-lithium eningi ngesikhathi esisodwa zifaka:

• Isicanucanu
• Ukuhlanza
• Uhudo
• Izinhlungu zesisu
• Isiyezi
• Ubuthakathaka

Ngokuya ngokuthi i-lithium ithathwe kangakanani, umuntu angaba nezinye zezimpawu zesistimu yezinzwa ezilandelayo:

• I-Coma (ukwehla kwezinga lokwazi, ukungaphenduli)
• Ukuthuthumela kwesandla
• Ukuntuleka kokuxhumanisa izingalo nemilenze
• Imisipha iyashwiba
• Ukuquleka
• Inkulumo eshisiwe
• Ukuhamba kwamehlo okungalawuleki
• Izinguquko esimweni sengqondo noma ekushintsheni ukucabanga

Izinkinga zenhliziyo zingenzeka ezimweni ezingavamile:

• Ukushaya kwenhliziyo kuhamba kancane

UBUTHAKAZI OBUPHELELE

Ngeke kube khona noma yiziphi izimpawu zesisu noma zamathumbu. Izimpawu ezingenzeka zifaka:

• Izimo ezikhulayo
• Inkulumo eshisiwe
• Ukuzamazama okungalawuleki (ukuthuthumela)

Ezimweni ezimbi kakhulu zobuthi obungapheli, kungahle kube nezinkinga zesistimu nezinkinga zezinso, ezinjenge:

• Ukuhluleka kwezinso
• Ukuphuza uketshezi oluningi
• Kuchama ngaphezulu noma ngaphansi kunokujwayelekile
• Izinkinga zememori
• Ukuphazamiseka kokuhamba, ukudikiza kwemisipha, ukuthuthumela kwesandla
• Izinkinga zokugcina usawoti emzimbeni wakho
• I-Psychosis (izinqubo zokucabanga eziphazamisekile, indlela yokuziphatha engalindelekile)
• I-Coma (ukwehla kwezinga lokwazi, ukungaphenduli)
• Ukuntuleka kokuxhumanisa izingalo nemilenze
• Ukuquleka
• Inkulumo eshisiwe

ZISHAYELE NGOBUQOTHO BANGOKUPHELELE

Kuzovame ukuba nezimpawu ezithile zesisu noma zamathumbu kanye nezimpawu eziningi zesistimu yezinzwa ezibhalwe ngenhla.

Nquma okulandelayo:

• Iminyaka yomuntu, isisindo, nesimo
• Igama lomkhiqizo (izithako namandla, uma kwaziwa)
• Isikhathi sigwinyiwe
• Inani ligwinyiwe
• Ukuthi umuthi wawubekelwe lowo muntu

Isikhungo sakho sendawo sokulawula ubuthi singafinyelelwa ngqo ngokushayela inombolo yocingo yamahhala kazwelonke (1-800-222-1222) kusuka noma yikuphi e-United States. Le nombolo yocingo kazwelonke izokuvumela ukuthi ukhulume nochwepheshe ekufakeleni ubuthi. Bazokunikeza eminye imiyalelo.

Le yisevisi yamahhala futhi eyimfihlo. Zonke izikhungo zokulawula ubuthi e-United States zisebenzisa le nombolo kazwelonke. Kufanele ushaye uma unemibuzo mayelana nobuthi noma ukuvimbela ubuthi. Akudingeki ukuthi kube yisimo esiphuthumayo. Ungashayela nganoma yisiphi isizathu, amahora angama-24 ngosuku, izinsuku eziyi-7 ngeviki.

Thatha isiqukathi uye naso esibhedlela, uma kungenzeka.

Umhlinzeki uzolinganisa futhi aqaphe izimpawu ezibalulekile zomuntu, kufaka phakathi izinga lokushisa, ukushaya kwenhliziyo, izinga lokuphefumula, nomfutho wegazi.

Ukuhlolwa okungenziwa kufaka:

• Ukuhlolwa kwegazi ukukala amazinga e-lithium namanye amakhemikhali omzimba, nokuhlolwa komchamo ukuthola ezinye izidakamizwa
• I-ECG (i-electrocardiogram noma ukulandelwa kwenhliziyo)
• Ukuhlolwa kokukhulelwa kwabesifazane abasebasha
• I-CT scan yobuchopho kwezinye izimo

Ukwelashwa kungafaka:

• Uketshezi ngomthambo (ngu-IV)
• Imithi yokwelapha izimpawu
• Kwasebenza amalahle, uma ezinye izinto nazo zithathiwe
• I-Laxative
• Ukunisela okuphelele kwamathumbu ngesisombululo esikhethekile esithathwe ngomlomo noma ngeshubhu ngokusebenzisa ikhala lingene esiswini (ukukhipha i-lithium ekhishwa eqinile ngokushesha ngesisu namathumbu)
• I-dialysis yezinso (umshini)

Uma othile enobuthi obunzima be-lithium, ukuthi benza kahle kangakanani kuncike ekutheni bathathe i-lithium engakanani nokuthi baluthola ngokushesha kangakanani usizo. Abantu abangahlakuli izimpawu zesistimu yezinzwa ngokuvamile abanazo izinkinga zesikhathi eside. Uma kwenzeka izimpawu zesistimu ezimbi kakhulu, lezi zinkinga zingase zibe unomphela.

Ubuthi obungapheli kwesinye isikhathi kunzima ukubuthola ekuqaleni. Lokhu kubambezeleka kungaholela ezinkingeni zesikhathi eside. Uma i-dialysis yenziwa ngokushesha, umuntu angazizwa engcono kakhulu. Kepha izimpawu ezinjengezinkinga zememori nezemizwa zingahlala unomphela.

Ukuphuza ngokweqile ngokweqile kaningi kunombono omubi. Izimpawu zesistimu yezinzwa kungenzeka zingapheli, nangemva kokwelashwa nge-dialysis.

Ubuthi beLithobid

U-Aronson JK. ILithium. Ku: Aronson JK, ed. Imiphumela emibi kaMeyler yezidakamizwa. Umhla ka-16. I-Waltham, MA: Elsevier; 2016: 597-660.

UTheobald JL, Aks SE. ILithium. Ku: Walls RM, Hockberger RS, Gausche-Hill M, ama-eds. Imithi Ephuthumayo yaseRosen: Imiqondo kanye Nokuzijwayeza Komtholampilo. Umhlaka 9. IPhiladelphia, PA: Elsevier; 2018: isahluko 154.