Puas yog Lithium yog cov tshuaj kho kab mob nqaim?
Puas yog Lithium yog cov tshuaj kho kab mob nqaim?

Video: Puas yog Lithium yog cov tshuaj kho kab mob nqaim?

Video: Puas yog Lithium yog cov tshuaj kho kab mob nqaim?
Video: tus tshuaj kho cov mob o yog ib tus tshuaj zoo 2024, Lub Xya hli ntuj
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Tshuaj nrog a nqaim kho index

4 Peb txhais cov hauv qab no tshuaj to NTI- tshuaj Cov tshuaj: aminoglycosides, ciclosporin, carbamazepine, digoxin, digitoxin, flecainide, lithium , phenytoin, phenobarbital, rifampicin, theophylline thiab warfarin.

Ib yam li ntawd, lithium puas muaj qhov nqaim kho?

Lithium yog tam sim no cov tshuaj xaiv rau kev kho tus mob puas siab puas ntsws bipolar. Yog li, lithium yog ib qho tseem ceeb ntawm cov kws kho mob niaj hnub kho mob hlwb. Hmoov tsis zoo, lithium kuj muaj qhov nqaim kho index , nrog qib kev kho mob nruab nrab ntawm 0.6 thiab 1.5 mEq / L (Table 1) (2, 3, 4).

Qhov thib ob, qhov ntsuas tshuaj ntawm cov tshuaj yog dab tsi? Cov Therapeutic Index (TI) yog siv los sib piv cov tshuaj kho tau zoo rau cov tshuaj lom neeg ntawm cov kws tshuaj. TI yog ib nqe lus hais txog kev nyab xeeb txheeb ze ntawm a tshuaj . Nws yog qhov sib piv ntawm cov koob tshuaj uas ua rau muaj tshuaj lom rau qhov koob tshuaj xav tau los tsim qhov xav tau kho teb.

Tsis tas li ntawd, puas yog amiodarone muaj qhov ntsuas kho qhov nqaim?

Amiodarone hmoov zoo nkaus li muaj txiaj ntsig zoo hauv kev tswj cov refractory arrhythmias. Amiodarone hmoov nyuaj rau kev tswj hwm vim nws nqaim tshuaj lom- kho ntau thiab ntev thauj khoom theem. Qhov tseem ceeb tshaj, thawj qhov cim qhia ntawm kev tsis ua haujlwm antiarrhythmic tuaj yeem tshwm sim raws li kev tuag tam sim ntawd.

Puas yog Tegretol yog cov tshuaj kho kab mob nqaim?

COV PHOOJ YWG THIAB LUB SIJ HAWM: Carbamazepine yog ntawm cov tshuaj uas tau txiav txim siab tias muaj a nqaim kho plasma concentration ntau, uas yog, a nqaim kho index.

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