Varwere vane bipolar disorder vanowanzoshamiswa nekuziva kuti matambudziko ehutachiona ndiwo anowanzova nemigumisiro yechirwere ichi. Lithium inowanzoshandisa zvinodhaka kurapa bipolar disorder, iyo dzimwe nguva kunonzi manic kuora mwoyo.
Lithium ine zvinokonzera kuitika pahutachiona:
- inoderedza yako thyroid gland kukwanisa kubereka thyroxine (T4)
- inopesana nekutendeuka kweT4 kusvika kuT3
- inogona kukuvadza kuwedzera muzinga reTSH
- zvinogona kuipa kukura kwechirwere chetachiona chetachiona
Lithium inozivikanwa kuti inokonzera goiter (utachiona hwakawedzerwa), pamwe chete ne hypothyroidism (inotapukirwa nehutachiona), uye inogara iri autoimmune thyroiditis, iyo inoputira chimiro chetachiona gland. Kunewo hukama pakati pe lithiamu ne hyperthyroidism mune vamwe varwere.
Lithium's Thyroid-Related Side Effects
Goiter: Goiter , chirwere chetachiona chakawedzerwa, ndiyo yakanyanya kufanana nehutachiona-yakasvibiswa nhengo ye lithiamu, uye inofungidzirwa kuti inenge inenge hafu yevarwere vose vanobatwa ne lithiamu. Goiter kazhinji inowedzera mukati memakore maviri ekutanga ekurapa kwe lithiamu. Ne-lithium-induced goiter, thyroid yako inogona kuwedzera kusvika kaviri pakukura kwaro.
Hypothyroidism: Hypothyroidism -kushayikwa kwetrojoni -inofungidzirwa kuitika kusvika kusvika hafu yevatwere vose vanotora lithiamu.
Iyo inowanzowanzoitika mukati memakore maviri ekutanga eti lithiamu yako kurapwa. Vakadzi vanopfuura makumi mashanu vari mungozi yakakura ye lithiamu-induced hypothyroidism, uye iyo yakawanda inowanzoita hypothyroidism kune varwere vanobatwa ne lithiamu inowedzera nezera.
Iyo hypothyroidism inogona kunge iine subclinical-nehutachiona yakakwirira inokurudzira hormone (TSH) yezinga, uye yakasvibirira T4 uye T3 mazinga-ane zviratidzo zvishomanana kana zviratidzo.
Mune zvimwe zviitiko, hypothyroidism ine unyoro, uye inoratidzika mukati memwedzi mishomanana yekurapa iitamuum, asi inopera, uye utachiona hunodzokera kuhutano. Chikamu chiduku chevarwere, zvisinei, chichava nekuwanda kwet hypothyroidism , ine zviratidzo zvayo uye zviratidzo . Ava varwere vanofanira kutarisirwa kuti lithiamu-induced hypothyroidism .
Autoimmune Thyroiditis: Varwere vanotora lithiamu vari pangozi yekugara musingagumi autoimmune thyroiditis-kuraira kwekudzivirira kwechirwere chetachiona. Kana iwe uchangotanga lithium therapy, kuvapo kwepamusoro-soro antithyroid antibodies (utachiona peroxidase TPO antibodies) - kunyange pasina utachiona hunogona kumira-hunokuisa pamwero wepamusoro wekuwedzera hutachiona hwepamusoro apo uchirapwa ne lithiamu. Ikoko kunoratidzikawo kune humwe uchapupu hwokuti lithiamu pachayo inogona kukonzera masimba ekudzivirira makuru uye kutanga kwehutachiona hwehutachiona hwemotokari mune vamwe varwere.
Utachiona hweLithium hunoratidzikawo hunobatanidza nehuwandu hwehutachiona hwehutachiona-kana huwandu hwehomoni yekemikari. Tsvakurudzo dzinoverengeka dzakaratidza kuti hyperthyroidism inopetwa kaviri kusvika katatu yakawanda yakawanda kune varwere vanobatwa ne lithiamu, zvichienderana nehuwandu hwevanhu vakawanda.
Chii Chinofanira Kuitwa Murefu?
UpToDate ine mamwe mazano ekubatsira varwere vanotora lithiamu kunzwisisa zvinokonzera utachiona:
Nemhaka yehuwandu hwehuwandu hwe goiter uye hypothyroidism inowanikwa panguva yekurapa kwe lithiamu, varwere vanofanira kuva nehutachiona hwekuongorora uye kugadziriswa kweSerum TSH uye antithyroid antianbody titers vasati vatanga utachiona. Varwere vane chirwere chetachiona chinowanikwa panguva iyoyo vanofanira kuongororwazve mwedzi mitanhatu kusvika kune gumi nemakore kwemakore akawanda. Kana utachiona hunoita zvinhu zvisingawanzoitiki pakutanga, lithiamu inogona kupiwa kana zvichidiwa asi utachiona husina kunaka hunofanira kurapwa.
Izvi zvinorevei kuti kana iwe uchitemerwa lithium, unofanira kuve nechokwadi chokuti une chirwere chetachiona chetachiona , uyewo kuongorora ropa kuenzana neTSH uye antithyroid antibody mazinga , usati watanga lithiamu yako. Dzimwe nyanzvi dzinokurudzirawo kuva nehutachiona kuongorora masvondo masere mushure mekutanga utano hwe lithiamu. Chero bedzi uri kutora lithiamu, chiremba wako anofanira kuongororazve nezvehutachiona hwehutano hwako, kusanganisira kuongororwa kwakawedzerwa ropa uye kliniki yekuongorora, mwedzi mitanhatu kusvika kune gumi nembiri, kana kuti yapfuura, kana iwe ukatanga kuratidza zviratidzo zvinoratidza kuti une utachiona husina kunaka.
Lithium-induced hypothyroidism inowanzogadziriswa kana iwe ukarega kutora lithiamu. Kana iwe uchinge uchinetseka nehutachiona paunenge uri pa lithiamu therapy, nyanzvi hazvikurudzire kumira yako lithiamu therapy. Pane kudaro, ivo vanokosha ndekushanda nachiremba wenyu kuti ave nechokwadi chokuti uri kuwana kurapa kwakanaka kwehutachiona hwako . Chiremba wako achada kuongorora utachiona hwako uye kupindura kwako kune utachiona hwehutano kuti uone kuti wakanyatsorapwa, uye kuti nguva nenguva uongorore kana kuramba uchienderera mberi ne lithiamu therapy ndiyo nzira yakanakisisa yehutano hwako.
Kunobva:
> Goldberg, Joseph, MD. "Kutungamirirwa kweHypothyroidism muvarwere paLithium Prophylaxis yeBipolar Disorder." Medscape. Gumiguru 31, 2008. Online: http://www.medscape.com/viewarticle/581200
> Surks, Martin. "Lithium uye utachiona." Kusvika pari zvino. Yakasvika: March 2009.