Lithium yog tus kws kho mob ua ke kom pom tias tus neeg muaj kev puas siab puas ntsws bipolar. Nws ua tau los tswj kev tswj lub plawv, hypomania, kev nyuab siab, thiab kev mob hlwb nrog rau tus mob.
Lithium yog ib qho ua tau tshwm sim ntawm lub caij nyoog uas tau pom, thaum xyoo 1800s, kom muaj kev nyab xeeb ntawm cov khoom siv. Thawj daim ntawv hais txog kev siv lithium los kho dab tsi tau ces hu ua manic kev nyuaj siab tau muab luam tawm rau xyoo 1949.
Lub FDA pom zoo lithium hauv xyoo 1970. Txawm tias tam sim no, txoj kev lithium tshwj xeeb pab cov neeg uas muaj kev puas siab puas ntsws bipolar tsis yog to taub thiab tsis to taub.
Thaum twg yog Lithium Prescribed?
Lithium muaj kev pom zoo los kho cov teeb meem ntawm kev puas siab puas ntsws bipolar thaum muaj tsos mob xws li kev pom zoo , kev xav sib tw , kev sib daj sib deev , kev ntxias , kev pom kev , thiab kev xav tau pw tsaug zog. Txawm li cas los xij, nws kuj tau qhia tawm los pab rau cov kev mob tshwm sim , kev puas hlwb , thiab lub sijhawm ua rau sib xyaw.
Qee cov kev tshawb fawb tau pom tias lithium tuaj yeem ua rau kev kho tus mob siab ntsws unipolar (kev nyuaj siab tsis muaj tus mob mania hauv kev puas siab puas ntsws bipolar) thaum ntxiv rau ib los sis ntau dua lwm cov tshuaj kho mob, yog li ntawd cov kws kho mob qee zaum muab sau rau qhov no, thiab.
Thaum Yuav Tsum Lit Lithium Yuav Tsis Tau Ntawv Sau?
Lithium tuaj yeem ua rau koj ob lub raum, tshwj xeeb tshaj yog siv lub sij hawm ntev. Txhua tus neeg mob yuav tsum raug kuaj xyuas seb puas muaj teeb meem ntawm lub raum ua ntej pib lithium, thiab yuav tsum tau soj ntsuam tas li thaum noj cov tshuaj lithium, thiab.
Yog muaj teeb meem ntawm lub raum tseem ceeb hauv thawj zaug kev kuaj xyuas, lithium yuav tsum tau qhia tsuas yog nrog kev saib xyuas zoo thiab txheeb ze xyuas. Yog tias lub raum teeb meem tshwm sim tom qab, koj tus kws kho mob yuav txiav txim siab txiav kev qia ntshauv lithium, vim tias nws yuav ua tau kom rov ua kom puas tsuaj thaum koj tsis noj tshuaj.
Muaj ntau ntau yam kev kho mob thiab kev tshwm sim uas tseem yuav tsum tau ceev faj thaum lithium tau sau tseg:
- diuretic siv
- ACE inhibitor siv
- tseem ceeb hauv lub plawv lossis vas leeg mob
- loj heev lub cev qhuav dej; sodium thiab electrolyte txawv txav
Lithium txoj kev nyab xeeb thiab kev ua tau zoo tsis tau txiav txim siab rau cov menyuam yaus hnub nyoog qis dua 12 xyoos, yog li no cov tshuaj no tsis tau txais kev tso cai siv menyuam yaus.
Kev Ceeb Toom Txog Kev Ntsuam Xyuas Lithium
Muaj ntau cov lus ceeb toom tseem ceeb rau cov neeg noj cov tshuaj lithium. Cov no suav nrog:
- Ntshav theem ntawm lithium yuav tsum tau saib xyuas tsis tu ncua. Lithium yuav ua tau yog tias theem ntawm lub hauv koj cov ntshav tau siab heev. Cov tsos mob ntawm cov lithium ntau dhau muaj xws li mob raws plab, ntuav, tremor, teeb meem me me, kev qaug zog, los yog tsis muaj zog ntawm cov leeg. Qhia txog cov tsos mob no rau ib tus kws kho mob tam sim ntawd.
- Noj tshuaj lithium rau kev puas siab puas ntsws bipolar yuav ua rau muaj mob hu ua lithium nephrogenic diabetes insipidus (NDI). Qhov no yog ib qho kab mob tsawg kawg uas koj lub raum tsis tuaj yeem rov ua kom dej, ua rau tso zis ntau. Yog tias koj pom tias koj nqhis dej heev thiab tso zis ntau zaus, hu rau koj tus kws kho mob kom sai li sai tau qhia koj cov tsos mob.
- Yog tias koj yuav muab tso rau hauv ib qho kev ua kom loog - hais, rau kev phais - xyuas kom cov kws kho mob paub tias koj noj lithium.
Cov Kev Xam Pom Thaum Noj Lithium
- Xyuas kom koj muaj lub cev thiab dej qab ntsev thaum noj cov tshuaj lithium. Lub cev qhuav dej los yog cov ntsev tsawg tsawg hauv cov ntshav yuav ua teeb meem.
- Ntev ntev txog kev tawm hws, raws plab, lossis kub taub hau ua rau koj ua siab ntev rau lithium kom txo tau thiab yuav tsum tau mus kho mob. Nug koj tus kws kho mob yog tias koj muaj cov tsos mob no.
- Lithium muaj peev xwm ua tau kom cov thyroid thiab parathyroid ntau dua. Koj tus kws kho mob yuav tsum ntsuas ntshav cov calcium ntau zaus, raws li cov no txuas rau cov haujlwm ntawm cov kabmob parathyroid, thiab rau cov thyroid overactive.
Muaj ntau daim ntawv teev cov tshuaj uas yuav cuam tshuam nrog lithium los yog ua kom muaj kev phom sij ntxiv.
Qee cov tshuaj uas feem ntau tau hais rau kev puas siab puas ntsws bipolar poob rau hauv pawg no. Lawv muaj xws li:
- Calcium channel blockers (qhov kev cuam tshuam yuav loj)
- Clozapine (Clozaril)
- Cymbalta (duloxetine)
- Celexa (citalopram)
- Lexapro (escitalopram)
- Luvox (fluvoxamine)
- Paxil (paroxetine)
- Prozac (fluoxetine) (yuav tsum tau soj ntsuam xyuas koj tus kws kho mob)
- Risperdal (risperidone)
- Tegretol (carbamazepine) (kev sib raug zoo kuj yuav loj)
- Zoloft (sertraline)
- Zyprexa (olanzapine)
Lithium Side Effects
Feem ntau cov kev mob tshwm sim ntawm lithium, uas yuav ploj mus tom qab pib siv, yog:
- nce zaus zaus tso zis los yog poob ntawm lub zais zis
- ntau dua thirst
- mob me me
- me trembling ntawm txhais tes
Qhov hnyav nce dhau lub sijhawm kuj muaj ntau.
Cev xeeb tub thiab lub tsev laus
Lityum paub tias yuav ua rau yug me nyuam, thiab qhov kev pheej hmoo yog muaj zog ntxiv yog tias lwm qhov lub siab nyiam (xws li carbamazepine) nrog nws. Yog tias koj muaj hnub nyoog txog me nyuam muaj hnub nyoog, cev xeeb tub, los yog xeeb tub thaum noj tshuaj lithium, nrog koj tus kws kho mob tham.
Lithium yog tso tawm hauv niam mis, yog li cov poj niam yuav tsum tsis txhob pub niam mis rau menyuam thaum noj cov tshuaj no.
Qhov chaw:
Marples, David. Hais txog Lithium NDI. Mob ntshav qab zib Insipidus Foundation . 2003.
McKnight RF, Adida, M, Budge, K, Stockton S, Goodwin, GM, Geddes, JR. Lithium toxicity profile: ib qho kev ntsuam xyuas thiab ntsuas kev ntsuas. Lub Lancet. 20 Jan 2012.
Roxane Laboratories. Daim ntawv qhia txog Fithium FDA, Cov Kev Los Ntawm Kev Siv thiab Kev Siv. Tshuaj Drugs.com . Kaum Ib Hlis 2009.
Thomsen HealthCare. Cov Lus Qhia Txog Cov Neeg Siv Khoom. Tshuaj Drugs.com . Undated.