Pāpaʻi lithium

ʻO ka lithium kahi lāʻau lapaʻau i hoʻohana ʻia e mālama ai i ka maʻi bipolar. Kuhi kēia ʻatikala i ka lithium overdose, a i ʻole ka ʻawahia.

• Kū ka ʻino kūpilikiʻi ke moni ʻoe i kahi nui loa o kahi lāʻau lithium i hoʻokahi manawa.
• Hana ʻia ka pīhoihoi koʻikoʻi ke lawe lohi ʻoe i kahi nui o kahi lāʻau lithium i kēlā me kēia lā no kekahi manawa. Maʻalahi loa kēia e hana, no ka mea ʻo ka make wai ʻana, nā lāʻau ʻē aʻe, a me nā ʻano ʻē aʻe hiki ke hoʻopili maʻalahi i ka hopena o kou kino i ka lithium. Hiki i kēia mau mea ke hana i ka lithium e kūkulu i nā pae hōʻino i kou kino.
• Kūpono ka huehue ma ka pīhoihoi mau loa ke lawe mau ʻoe i ka lithium i kēlā me kēia lā no ka maʻi bipolar, akā i hoʻokahi lā lawe ʻoe i kahi nui keu. Hiki i kēia ke lilo i mea liʻiliʻi e like me nā pila ʻelua a i ʻole ka nui o kahi ʻōmole holoʻokoʻa.

ʻO ka lithium kahi lāʻau me kahi ākea o ka palekana. Hiki ke hopena i nā lāʻau make nui ke ʻoi aku ka nui o ka lithium i lawe ʻia ma mua o kēia pae.

ʻO kēia ʻatikala no ka ʻike wale nō. Mai hoʻohana ia mea e mālama a mālama i kahi lāʻau make maoli. Inā loaʻa ʻoe a i ʻole kekahi mea āu e launa pū ai, e kāhea i kāu helu pilikia kūloko (e like me 911), a i ʻole hiki ke kiʻi pololei ʻia i kahi kikowaena lāʻau make kūloko ma ke kāhea ʻana i ka laina laina kōkua Poison Help free (1-800-222-1222) mai nā wahi a ʻAmelika Hui Pū ʻIa.

ʻO ka lithium kahi lāʻau e hiki ke hoʻopōʻino i ka nui.

Kūʻai ʻia aku ka lithium ma lalo o nā inoa inoa like ʻole, e like me:

• ʻO Cibalith
• ʻO Carbolith
• ʻO Duralith
• Lithobid

Kaha: ʻike pinepine ʻia ka līlī i loko o nā paila, nā lubricants, nā mea hiki ke hana i nā mea kila kiʻekiʻe, a me nā lako soldering. Kau wale kēia ʻatikala i ka lāʻau.

Hōʻike ʻia nā hōʻailona o nā ʻano ʻekolu o ka lithium toxicity ma lalo.

HUAKAI AKUAI

ʻO nā ʻōuli maʻamau o ka lawe nui ʻana i ka lithium i hoʻokahi manawa me:

• Nusea
• ʻO ka luaʻi
• Pohā
• Nā ʻeha ʻōpū
• Puʻupuʻu
• Nawaliwali

Kaukaʻi ʻia i ka nui o ka lithium i lawe ʻia ai, i kekahi paha i kekahi o nā ʻōnaehana ʻōnaehana hopohopo:

• Coma (hoʻemi i ka pae o ka ʻike, nele i ka pane ʻole)
• Haʻalulu lima
• Ka nele o ka hoʻonohonoho ʻana o nā lima a me nā wāwae
• Mīkini ʻili
• Ka hopu ʻana i nā maʻi
• ʻLelo lohi
• Holo maka maka ʻole
• Nā hoʻololi i ke kūlana noʻonoʻo a i ʻole ka noʻonoʻo i hoʻololi ʻia

Hiki paha i nā pilikia o ka puʻuwai ke hana i nā hihia maʻamau:

• Kuhi puʻuwai lohi

HUAKAI CHRONIC

ʻAʻole paha e loaʻa kahi ʻōpū a ʻōpū paha. Nā ʻōuli e hiki ke komo pū me:

• Hoʻonui i nā reflexes
• ʻLelo lohi
• Lulu kaohi ʻole (haʻalulu)

I nā hihia koʻikoʻi o ka hoʻoweliweli mau loa, aia paha kekahi ʻōnaehana hopohopo a me nā pilikia puʻupaʻa, e like me:

• Hewa ʻole nā ​​hakuʻala
• Ke inu nei i nā wai he nui
• Urencing ʻoi aku a ʻoi aku paha ma mua o ka maʻamau
• Nā pilikia hoʻomanaʻo
• Nā maʻi neʻe, nā haʻalulu o kaʻiʻo, haʻalulu ka lima
• Nā pilikia e mālama ana i nā paʻakai i kou kino
• Psychosis (nā manaʻo noʻonoʻo i hoʻopilikia ʻia, nā hana kūpono ʻole)
• Coma (hoʻemi i ka pae o ka ʻike, nele i ka pane ʻole)
• Ka nele o ka hoʻonohonoho ʻana o nā lima a me nā wāwae
• Ka hopu ʻana i nā maʻi
• ʻLelo lohi

ACute MA KA TOXICITY CHRONIC

E loaʻa pinepine kekahi ʻōpū a ʻōpū paha i nā ʻōuli a me nā ʻōuli ʻōnaehana ʻōpū nui i helu ʻia ma luna.

E hoʻoholo i ka mea aʻe:

• Ka makahiki o ke kanaka, kaupaona, a me ke kūlana
• Ka inoa o ka huahana (nā mea hoʻohui a me ka ikaika, inā ʻike ʻia)
• Ka manawa ua ale ʻia
• Ua ale ʻia ka nui
• Inā ua kau ʻia ka lāʻau no ke kanaka

Hiki ke kiʻi pololei ʻia kāu kikowaena lāʻau hoʻomake lāʻau kūloko ma ke kāhea ʻana i ka laina laina kōkua Poison Help manuahi (1-800-222-1222) mai nā wahi a pau o ʻAmelika Hui Pū ʻIa. E ʻae kēia helu hotline aupuni iā ​​ʻoe e kamaʻilio me nā loea i ka lāʻau make. E hāʻawi lākou iā ʻoe i nā ʻōkuhi ʻē aʻe.

He lawelawe manuahi kēia a pilikino. Hoʻohana nā kikowaena mālama lāʻau ʻona āpau i ʻAmelika Hui Pū ʻIa i kēia helu aupuni. E kāhea ʻoe inā he nīnau kāu e pili ana i ka lāʻau make a i ʻole ka pale ʻana i ka lāʻau make. ʻAʻole pono ia e pilikia. Hiki iā ʻoe ke kāhea no nā kumu, 24 mau hola i ka lā, 7 mau lā o ka pule.

Lawe i ka ipu i ka haukapila me ʻoe, inā hiki.

E ana a mālama ka mea hāʻawi i nā hōʻailona koʻikoʻi o ke kanaka, e like me ka mahana, ka pālū, ka hanu hanu, a me ke kahe o ke koko.

ʻO nā hoʻokolohua i hana ʻia e komo pū paha:

• ʻO nā hoʻokolohua koko e ana i nā pae lithium a me nā kemikino kino ʻē aʻe, a me nā hōʻoia mimi e ʻike i nā lāʻau ʻē aʻe
• ECG (electrocardiogram a i ʻole ka huli ʻana o ka naʻau)
• Hōʻaʻo hāpai keiki i nā wahine ʻōpio
• CT scan o ka lolo i kekahi mau hihia

Hiki ke hoʻopili ʻia i ka mālama ʻana:

• Nā Fluids ma o kahi aa (e IV)
• Nā lāʻau lapaʻau e mālama ai i nā ʻōuli
• Hoʻoneʻe i nā lanahu, inā i lawe ʻia kekahi mau mea ʻē aʻe
• Laxative
• ʻO ka holoi holoʻokoʻa holoʻokoʻa me kahi hopena kūikawā i lawe ʻia e ka waha a i ʻole ma kahi ʻōmole ma o ka ihu i loko o ka ʻōpū (e hoʻoheheʻe wikiwiki i ka lithium ma waena o ka ʻōpū a me nā ʻōpū)
• ʻO ka dialysis kidney (mīkini)

Inā loaʻa ka lithium i kekahi, pehea lākou e hilinaʻi ai i ka nui o nā lithium a lākou i lawe ai a me ka wikiwiki o ke kōkua. ʻO ka poʻe i hoʻomohala ʻole i nā ʻōnaehana ʻōnaehana ʻaʻohe o lākou pilikia lōʻihi. Inā kū nā ʻōnaehana ʻōnaehana koʻikoʻi, paʻa mau paha kēia mau pilikia.

He paʻakikī ka hoʻoweliweli mau ʻana i kekahi manawa e ʻike mua. Hiki i kēia lohi ke alakaʻi i nā pilikia lōʻihi. Inā hana wikiwiki ʻia ka dialysis, manaʻo paha ke kanaka ʻoi aku ka maikaʻi. Akā mau ʻōuli e like me ka hoʻomanaʻo ʻana a me nā pilikia o ke ʻano e mau paha.

Loaʻa maikaʻi ʻole ka huehue ma ka overdose maʻi mau. ʻAʻole hele aku paha nā ʻōnaehana ʻōnaehana hopohopo, ʻoiai ma hope o ka mālama ʻana me ka dialysis.

Pākuʻi lithobid

Aronson JK. Likiuma I: Aronson JK, hoʻoponopono. Nā hopena a Meyler o nā lāʻau. 16th ed. Waltham, MA: Elsevier; 2016: 597-660.

ʻO Theobald JL, Aks SE. Likiuma I: Nā paia RM, Hockberger RS, Gausche-Hill M, nā ʻaoʻao. ʻO Rosen's Emergency Medicine: Nā Manaʻo Manaʻo a me ka hana lapaʻau. 9th ed. Piladelapia, PA: Elsevier; 2018: chap 154.