Ikhonkco phakathi kweLithium kunye noGawulayo

Indlela iLithium inokunyusa ngayo ubunzima bakho

I-lithium ye-drug-stabilizing drug-stabilizing ishicilelo esona siphumelelo sonyango lwe-bipolar disorder-kodwa ngelishwa, inokubangela ukuzuza ubunzima. Nangona kunokwenzeka ukufumana ubunzima ngelixa uthatha i-lithium yaziwa kakuhle, le mpembelelo yecala ayichaphazeli wonk 'ubani othabatha amayeza.

Phantse ama-25 ekhulwini abantu bathabatha i-lithium gain weight, ngokubhekiselele kwinqaku lokuphononongwa kwe-2008 elipapashwe kwiphepha lezokwelapha laseActa Chicatrica Scandinavica .

Emva kokuhlalutya zonke iziphumo zonyango ezipapashwe ngokufanelekileyo, abalobi babike inzuzo yokulinganisa isisindo esiphakathi kwama-10 ukuya kuma-26 iipounds phakathi kwabo bafumana le mpembelelo.

Nangona iinkqubo zezinto eziphilayo ezikhokelela ekuzuzeni i-lithium-weight gain not fully clear, abaphandi bacacisa ukuba kukho iinkqubo ezininzi ezichaphazelekayo. Ukongezelela, izinto ezininzi zinokuchaphazela amathuba okufumana ubunzima ngelixa uthatha i-lithium.

Izinto zexesha kunye neengozi

Uninzi lwabantu abaneengxaki ze-bipolar zithatha i-lithium ixesha elide ukuze zizinze kwaye zikhusele isiqhelo somntu kunye nesifo esibuhlungu. Umngcipheko wokufumana ubunzima ngelixa uthatha i-lithium yinto ephakamileyo kwiminyaka emibili yokuqala yeengxelo zonyango umlobi we-2016 International Journal of Bipolar Disorders review article. Inzuzo yesisindo esinxulumene ne-lithium ibonakala kwinqanaba emva kwexesha elide, nangona unokuba nobunzima kwezinye izizathu ezingahambelani namachiza.

Umngcipheko wokufumana ubunzima ngelixa uthatha i-lithium inokwandiswa ukuba sele usuphethe ubunzima obunzima xa uqala ukuthatha amayeza. Ukongezelela, obunye ubungqina bubonisa ukuba umngcipheko wokufumana ubunzima be-lithium unokuxhomekeka kwimizi. Oku kuthetha ukuba amathuba okufumana ubunzima atyuka kunye nezinga le-lithium kwigazi lakho.

Nangona kunjalo, akukona zonke iiphando zophando ezifumene olu lwalamano, njengoko kuphawulwe kwi-2016 International Journal ye-Bipolar Disorders review article.

Ukuthabatha amanye amayeza anokunceda ukuzuza ubunzima kunye ne-lithium kwandisa ingozi yakho yokubeka iipounds. Imizekelo eqhelekileyo yezobisi zibandakanya:

Kutheni I-Lithium Isenza Ubunzima Bokuzuza?

Nangona i-lithium isetyenziswe eUnited States ukwenzela unyango lwe-bipolar disorder ukususela ngowe-1970, iindlela ezivusa ukunyuka kwesisindo kwabanye abantu zihlala zingacacanga. Iingcamango ezininzi zicetywayo. Le nkqubo inokusebenza yedwa okanye idibeneyo ukwenzela ukuba uzuze ubunzima kubantu abantu kwiyeza le-lithium.

Ukufumana ubunzima bokuqala emva kokuqalisa iyeza le-lithium kungabonisa ukubuyiswa kweepounds eziye zalahleka ngokungazenzanga. Le meko inokusetyenziswa xa ufumene isiqhelo somntu-esinokukhokelela ekulahlekeni kwesisindo ngenxa yokutya nokunyuka komsebenzi-ngaphambi kokuqala i-lithium.

ILithium idla ngokubangela ukunyuka ukomeleza. Ukucima ukoma kwakho ngeolimo eziphezulu zokunxila, ezifana ne-soda epheleleyo ye-koda okanye i-juice yesithelo, unokuba luncedo ekuncedeni ubunzima.

I-lithium inokubangela ukuba i-sodium kunye nokugcinwa kwamanzi kubantu abasebenzisa ukutya okunotyuwa kancinci, oku kunokukhokelela ekunyameni komzimba.

Umsebenzi ophantsi we-thyroid, okanye i-hypothyroidism, yinto eyaziwayo yokuxhamla kwexesha elide le-lithium. Le meko ikhokelela kwisilinganiselo sokunciphisa umzimba, oko kukukhokelela ekuzuzeni ubunzima. Abasetyhini bathatha i-lithium banakho amathuba okuhlakulela i-hypothyroidism kunabantu, njengoko kuchazwe kwinqaku lokuphononongwa kwe- Thyroid Research 2013.

Amanye ama-hormone kunye neengqondo ezibonakalisa iindlala, umgaqo weeshukela wegazi, kunye nokugcinwa kwamandla kunye nokugonywa kwamandla kungabamba indima ekuzuzeni i-lithium-weight gain.

Njengoko ezi nkqubo zinzima kakhulu kwaye zilawulwa kumanqanaba amaninzi emzimbeni, uphando olongezelelweyo lufunekayo ukufumanisa umphumo onokwenzeka we-lithium.

ILizwi

Siyayiqonda inkxalabo yakho malunga nokufumana ubunzima ngelixa uphethwe unyango lwe-lithium. Ukuzuza ubunzima kuyaqondakala ngokugqithiseleyo kokubini ngokwendlela ozijonga ngayo, kunye nokuphila kwakho kwengqondo nangokwenyama. Hlalani nikhumbula, nangona kunjalo, ukuba inzuzo ye-lithium-inxulumene nesisindo senziwa kuphela malunga nama-25 ekhulwini abantu abathatha amayeza. Ukongezelela, kukho iindlela ezininzi eziqhelekileyo ongazithatha ukuze unciphise kwaye mhlawumbi uphephe impembelelo yecala, kuquka:

> Imithombo:

> Bauer IE, uGálvez JF, Hamilton JE, et al. Indlela yokuphila Iindlela zokujoliswa kweeDetari kunye nokuzivocavoca kwi-Bipolar Disorder: Uhlolo lokuHlola. J Psychiatr Res . 2016 Mar; 74: 1-7.

> Geddes JR, uMiklowitz DJ. Unyango lwe-Bipolar Disorder. Lancet . 2013 Meyi 11; 381 (9878): 1672-1682.

> I-Gitlin M. Lithium Imiphumo emibi kunye noTyhefu: Amanqanaba okuPhatha kunye noLawulo. Int J Bipolar Disord . 2016; 4: 27.

> Goldstein BI, Liu SM, Zivkovic N, Schaffer A, Chien LC, uBluco C. Ukunyulwa kobukhulu phakathi kwabantu abadala abane-Bipolar Disorder e-United States. I-Bipolar Disord . 2011; 13 (4): 387-395.

> Goodwin GM, Haddad PM, Ferrier IN, et al. Izikhokelo ezisekelwe kwiingqinisiso zokuPhatha i-Bipolar Disorder: Iingcebiso zoHlelo lweThathu lweNkcazo evela kwiBritish Association ye-Psychopharmacology. J Psychopharmacol . 2016 Juni; 30 (6): 495-553.

> Hershman, JM. Hypothyroidism. Ku: I- Merck Manual Professional Professional Version . > Keniworth >, NJ: Merck & Co., Inc; 2016. https://www.merckmanuals.com/professional/endocrine-and-metabolic-disorders/thyroid-disorders/hypothyroidism.

> Kibirige D, > Luzinda > K, Ssekitoleko R. I-spectrum ye-lithium-Impuced Thyroid Ukungahambi kakuhle: I-Persistent Current. Resroid . 2013 Feb 7; 6 (1): 3. i-doi: 10.1186 / 1756-6614-6-3.

> McKnight RF, Adida M, Budge K, Stockton S, Goodwin GM, iGeddes JR. IProfayili Yobunzima beLithium: Uhlolo lokuHlola kunye noHlelo lweMeta. Lancet . 2012 Feb 25; 379 (9817): 721-8.

> Ricken R, Bopp S, Schlattmann P, et al. Iingcamango ze-Leptin Serum Zixhamle noGawulayo Ukunyuka kweLitium. Psychoneuroendocrinology . 2016 Sep; 71: 31-5.

> Ufutshane E. Imbali yeLithium Therapy. I-Bipolar Disord . 2009 Juni; 11 iSiza 2: 4-9.

> I-Torrent C, uAmann B, uSánchez-Moreno J, et al. Ukuphakama kwesisifo kwi-Bipolar Disorder: Ukwelashwa kweMasiphilisi njengeCandelo eliBangela. I-Acta Psychiatr Scand . 2008 Julayi; 118 (1): 4-18.