Lithium chepfu

Lithium mushonga wekurapa unoshandiswa kurapa bipolar kusagadzikana. Chinyorwa ichi chinotarisa pane lithiamu overdose, kana chepfu.

• Acute toxicity inoitika kana iwe uchimedza yakawandisa yeiyo lithiamu tsamba panguva imwechete.
• Chisingaperi chepfu chinoitika kana iwe zvishoma nezvishoma uchitora yakanyanya kuwanda yetiamu tsamba zuva rega rega kwechinguva. Izvi zviri nyore chaizvo kuita, nekuti kushaya mvura mumuviri, mimwe mishonga, uye zvimwe zvinhu zvinogona kukanganisa mashandisiro anoita muviri wako lithiamu. Izvi zvinhu zvinogona kuita kuti lithiamu iwedzere kusvika pamatanho anokuvadza mumuviri wako.
• Acute pane chisingaperi chepfu inoitika kana iwe uchiwanzotora lithiamu zuva rega rega kune bipolar kusagadzikana, asi rimwe zuva unotora imwe yakawedzera. Izvi zvinogona kuve zvidiki semapiritsi akati wandei kana kuwanda sebhodhoro rose.

Lithium mushonga une yakamanikana nzira yekuchengetedza. Huturu hwakakosha hunogona kukonzeresa kana huwandu hwetiyamu hwatorwa hwadarika huwandu uhu.

Ichi chinyorwa ndechekuziva chete. Usashandise iyo kurapa kana kubata chaiyo pozi kuratidzwa. Kana iwe kana mumwe munhu wauinaye aine mukana wekufona, fonera yako yemunharaunda emergency emergency (yakadai se911), kana nzvimbo yemunharaunda yako ine chepfu inogona kusvikwa yakananga nekufonera iyo yenyika isingabhadhariswe Poison Rubatsiro nhare (1-800-222-1222) kubva chero kupi muUnited States.

Lithium mushonga unogona kukuvadza muhuwandu hwakawanda.

Lithium inotengeswa pasi pemazita emhando dzakasiyana, kusanganisira:

• Cibalith
• Carbolith
• Duralith
• Lithobid

Ongorora: Lithium inowanzo kuwanikwa mumabhatiri, mafuta ekuzora, mashandiro epamusoro esimbi alloys, uye zvigadzirwa zvekunamatira. Ichi chinyorwa chinotarisa chete pamushonga.

Zviratidzo zvemarudzi matatu e lithiamu chepfu zvinotsanangurwa pazasi.

ACUTE TOXICITY

Zviratidzo zvakajairika zvekutora yakawandisa lithiamu panguva imwe zvinosanganisira:

• Nausea
• Kusvipa
• Manyoka
• Dumbu kurwadziwa
• Dzungu
• Kushaya simba

Zvichienderana nekuti yakawanda sei lithiamu yakatorwa, munhu anogona zvakare kunge aine anotevera anoteera system zviratidzo:

• Coma (yakaderera nhanho yekuziva, kushomeka kwekuteerera)
• Kubvunda kwemaoko
• Kushaikwa kwekubatana kwemaoko nemakumbo
• Tsvina dzinokakama
• Kufenda
• Kutaura kwakadzikira
• Kusadzora kufamba kwemaziso
• Shanduko mumamiriro epfungwa kana akachinja kufunga

Zvinetso zvemwoyo zvinogona kuitika mune zvisingawanzoitika zviitiko:

• Inononoka kurova kwemoyo

CHIKONZERO CHENGUVA

Pangangove pasina huni kana mudumbu zviratidzo. Zviratidzo zvinogona kuitika zvinosanganisira:

• Kuwedzera kwekufungisisa
• Kutaura kwakadzikira
• Kudengenyeka kusingadzorwi (kudedera)

Muzviitiko zvakakomba zvehutachiona husingaperi, panogona zvakare kuve nehurongwa hwemitsipa uye matambudziko eitsvo, akadai se:

• Itsvo kutadza
• Kunwa mvura yakawanda
• Kuita weti zvakanyanya kana zvishoma pane zvakajairwa
• Matambudziko ekurangarira
• Kushungurudzika kwekufamba, mhasuru, maoko kudedera
• Zvinetso kuchengeta munyu mumuviri wako
• Psychosis (inokanganisa kufunga maitiro, maitiro asingatarisirwi)
• Coma (yakaderera nhanho yekuziva, kushomeka kwekuteerera)
• Kushaikwa kwekubatana kwemaoko nemakumbo
• Kufenda
• Kutaura kwakadzikira

ACUTE PANE CHIKONZERO CHETE

Pachave paine zvimwe zvemudumbu kana zvemuviri zviratidzo uye mazhinji eakanyanya ehurongwa hwehurongwa zviratidzo zvakanyorwa pamusoro.

Sarudza zvinotevera:

• Zera remunhu, huremu, uye mamiriro
• Zita rechigadzirwa (zvishandiso uye simba, kana zvichizivikanwa)
• Nguva yakamedzwa
• Mari yakamedzwa
• Kunyangwe mushonga wakatemerwa munhu

Yako yepanzvimbo yekudzora huturu inogona kusvikwa yakananga nekufonera iyo yepasirose-isina muripo Poison Rubatsiro nhare (1-800-222-1222) kubva chero muUnited States. Iyi nhamba yehotera yenyika ino ichaita kuti iwe utaure nenyanzvi mune chepfu. Ivo vanozokupa iwe kumwe kuraira.

Iri ibasa remahara uye rakavanzika. Nzvimbo dzese dzemunharaunda dzekudzora chepfu muUnited States dzinoshandisa iyi nhamba yenyika. Iwe unofanirwa kufona kana iwe uine chero mibvunzo nezve chepfu kana kudzivirira chepfu. Hazvidi kuti ive emergency. Iwe unogona kufona chero chikonzero, maawa makumi maviri nemana pazuva, mazuva manomwe pavhiki.

Enda nemudziyo wacho kuchipatara, kana zvichibvira.

Iye mupi anoyera nekutarisa zviratidzo zvakakosha zvemunhu, zvinosanganisira kupisa, kupomba, kufema, uye kuwedzerwa kweropa.

Miedzo inogona kuitwa inosanganisira:

• Ropa bvunzo kuyera lithiamu mazinga uye mamwe muviri makemikari, uye weti bvunzo kuona mimwe mishonga
• ECG (electrocardiogram kana moyo wekutsvagisa)
• Kuedzwa kwepamuviri muvakadzi vadiki
• CT scan yehuropi mune zvimwe zviitiko

Kurapa kunogona kusanganisira:

• Mvura kuburikidza nemutsinga (na IV)
• Mishonga yekurapa zviratidzo
• Yakagadziriswa marasha, kana zvimwe zvinhu zvakatorwawo
• Laxative
• Yese ura kudiridza nemushonga wakasarudzika wakatorwa nemuromo kana kuburikidza netubhu kuburikidza nemumhino kupinda mudumbu (kuburitsa yakasimbiswa-kuburitsa lithiamu nekukurumidza kuburikidza mudumbu uye ura)
• Itsvo dialysis (muchina)

Kana mumwe munhu ane acute lithium chepfu, kuti vanoita zvakadii zvinoenderana nekuwanda kwakaita lithiamu uye nekukurumidza kwavanowana rubatsiro. Vanhu vasingaite zviratidzo zvehurongwa hwemitsipa kazhinji havana matambudziko kwenguva refu. Kana zviratidzo zvakakomba zvehurongwa hwemitsipa zvikaitika, matambudziko aya anogona kuve anogara nekusingaperi.

Chirwere chepfu dzimwe nguva chakaoma kuongorora pakutanga. Kunonoka uku kunogona kutungamira kumatambudziko enguva refu. Kana dialysis ikaitwa nekukurumidza, munhu anogona kunzwa zviri nani zvakanyanya. Asi zviratidzo zvakaita sekurangarira uye zvinetso zvemanzwiro zvinogona kuve zvechigarire.

Yakanyanya pane chisingaperi ovhadhozi kazhinji ine murombo maonero. Kutya system zviratidzo zvinogona kusapera, kunyangwe mushure mekurapwa nedialysis.

Lithobid chepfu

Aronson JK. Lithium. Mune: Aronson JK, ed. Meyler's Side Migumisiro yeMishonga. 16 ed. Waltham, MA: Elsevier; 2016: 597-660.

Theobald JL, Aks SE. Lithium. Mune: Masvingo RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts uye Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: chitsiko 154.