ʻAʻole anei ʻoe i loaʻa i ka pilikia like? E kamaʻilio kākou e pili ana i ka maʻi bipolar.

Ke hauʻoli koke nei ʻoe i kekahi manawa, akā i ka lā aʻe, ua kaumaha loa ʻoe a luhi i ke ola? A i ʻole ua loaʻa i kekahi āu i ʻike ai kēia ʻike? ʻAʻole kēia he mea ʻē aʻe, malia paha ke kumu o kēia he maʻi bipolar. I kēia lā, e kamaʻilio maʻalahi mākou e pili ana i kēia, ma ke ʻano hiki iā ʻoe ke hoʻomaopopo.

He aha ka maʻi Bipolar?

I ka ʻōlelo maʻalahi, he maʻi noʻonoʻo lōʻihi ka maʻi bipolar. Ua kapa ʻia ʻo ia ma mua he "manic-depressive maʻi" a i ʻole "manic depression." Hōʻailona ʻia ia e nā loli koke a koʻikoʻi i kou ʻano, nā pae ikehu, ka noʻonoʻo, a me ke ʻano. Hiki i kēia mau loli ke mau no nā hola, nā lā, nā pule, a i ʻole nā ​​mahina. Hiki iā lākou ke hoʻopilikia i kou hiki ke hana maʻamau.

ʻO ka maʻi bipolar ka mea i hōʻike ʻia e nā loli nui o ke ʻano: nā hanana manic a hypomanic paha a me nā hanana depressive . Eia naʻe, ʻaʻole kēia manaʻo e noho mau ana kekahi kanaka me ka maʻi bipolar i kekahi o kēia mau hanana ʻelua. Loaʻa iā lākou nā wā o ke ʻano maʻamau. Kāhea mākou i kēia "euthymia."

No ke aha i hoʻohana ʻole ʻia ai ka inoa "manic-depressive maʻi"?

Aia kekahi mau kumu no kēia:

• I ka wā ma mua, ua hoʻohana nā kauka i ka huaʻōlelo "manic depression" e pili ana i nā ʻano maʻi noʻonoʻo like ʻole. I kēia manawa, i ka ulu ʻana o nā ʻōnaehana hoʻokaʻawale maʻi noʻonoʻo, e like me ka "Diagnostic and Statistical Manual of Mental Disorders" (DSM) , ʻo ka hoʻohana ʻana i ka inoa "bipolar disorder" e hoʻomaopopo pono ai i ka hōʻailona.
• He nui ka stigma a me nā manaʻo maikaʻi ʻole o nā huaʻōlelo "manic" a me "mania" i loko o ke kaiāulu, ʻoiai nā huaʻōlelo e like me "maniac." Pēlā nō, hoʻohana ka poʻe i ka huaʻōlelo "depression" e wehewehe i ke kaumaha maʻamau, ʻoiai inā ʻaʻole ia he kaumaha lapaʻau . Hoʻopilikia ka inoa "bipolar disorder" mai kēia mau huaʻōlelo ʻelua.
• ʻO ka huaʻōlelo "Bipolar disorder" he huaʻōlelo lapaʻau a lapaʻau hoʻi ma mua o ka "manic depression." ʻAʻole ia he kaumaha o ka naʻau.
• ʻAʻole uhi ka inoa "manic depression" i nā ʻano cyclothymic a hypomanic paha (e like me ka bipolar II disorder) o kēia ʻano.

He aha nā hōʻailona nui o ka maʻi bipolar?

E nānā kākou i ka mea e hana ʻia i kēia mau wā o ka mania a me ke kaumaha.

Nā hanana manic

Ka maʻi Bipolar IʻO ka poʻe me ka maʻi bipolar e ʻike paha i kēia mau hanana manic. ʻO kēia ka manawa e lilo ai kou ʻano i mea kiʻekiʻe loa, i kekahi manawa huhū loa. I ka manawa like, loli nui kou mau manaʻo, kou mau manaʻo, kou ikehu, kou ʻōlelo, a me kou ʻano. He ʻokoʻa loa kēia pae ikehu kiʻekiʻe a me kou ʻano mai kou ʻano maʻamau, a ʻike ʻia e nā poʻe ʻē aʻe.

I ka wā maʻi manic, hiki i kekahi poʻe ke hana i nā mea e hōʻino kino ai iā lākou iho, pilikanaka, a i ʻole ke kālā. No ka laʻana, hiki iā lākou ke hoʻolilo koke i ke kālā he nui, piliwaiwai, a hoʻokele hewa paha. I kekahi manawa , hiki ke loaʻa nā hōʻailona psychotic , e like me nā delusions a me nā hallucinations . Hiki i kēia ke paʻakikī i ka hoʻokaʻawale ʻana i ka maʻi bipolar mai nā maʻi ʻē aʻe, e like me ka schizophrenia.

I kekahi mau ʻano maʻi bipolar, no ka laʻana, ʻike ka poʻe me ka Bipolar II Disorder i kahi kūlana i kapa ʻia ʻo hypomania . He ʻano ʻoi aku ka ʻino a me ka palupalu o kēia ma mua o ka mania. ʻAʻole ia e lōʻihi e like me nā ʻano manic a ʻaʻole ia e hoʻopilikia nui i ka hana o kēlā me kēia lā.

Nā hanana kaumaha

I ka wā o kahi hanana kaumaha, hiki iā ʻoe ke kaumaha loa a me ka manaʻolana ʻole. Hiki iā ʻoe ke nalowale i ka hoihoi i nā mea āu i hauʻoli ai. Hiki ke ʻike ʻia nā hōʻailona ʻē aʻe o ke kaumaha:

• Luhi, luhi.
• Nā loli i ka makemake (hoʻonui a emi paha).
• ʻO ka manaʻo waiwai ʻole he manaʻo ia o ka manaʻolana ʻole.
• ʻO ka hiki ʻole ke hana i kekahi mea.
• Makemake au e uē.

He aha nā ʻano o ka maʻi bipolar?

ʻEhā ʻano nui o ka maʻi bipolar:

1. Maʻi Bipolar I: Ua ʻike kēia poʻe i hoʻokahi a ʻoi aku paha mau hanana manic. He nui ka poʻe i loaʻa i nā hanana manic a me ke kaumaha, akā hiki nō ke ʻike ʻia ʻoe me ka bipolar I inā loaʻa iā ʻoe nā hanana manic wale nō me ka ʻole o kahi hanana kaumaha. ʻO ka maʻamau, ʻelua pule ka lōʻihi o nā hanana kaumaha. I mea e ʻike ʻia ai me ka bipolar I, pono e mau kāu hanana manic ma ka liʻiliʻi he ʻehiku lā a i ʻole e koʻikoʻi e pono ai ke komo i ka haukapila. Hiki i kēia poʻe ke loaʻa nā hanana hui pū ʻia , ʻo ia hoʻi nā hanana kahi i loaʻa ai nā hōʻailona manic a me ke kaumaha.

2. Maʻi Bipolar II: Loaʻa i kēia poʻe nā hanana kaumaha a me nā hanana hypomanic. Akā, ʻaʻole lākou e ʻike i nā hanana manic piha e like me ka mea maʻamau i ka bipolar I. ʻOiai ʻoi aku ka liʻiliʻi o ka hoʻopilikia ʻana o ka hypomania ma mua o ka mania, hiki i ka maʻi bipolar II ke ʻoi aku ka hoʻoluhi ma mua o ka bipolar I. ʻO kēia no ka mea ʻoi aku ka maʻamau o ke kaumaha mau loa i ka bipolar II.

3.Maʻi Cyclothymic (Cyclothymia): Loaʻa i kēia poʻe kahi ʻano paʻa ʻole mau. Hoʻololi lākou ma waena o ka hypomania a me ke kaumaha iki no ʻelua mau makahiki. Loaʻa paha iā lākou nā manawa pōkole o ka euthymia, akā ʻo kēia mau manawa he emi ma mua o ʻewalu pule.

4. Nā maʻi bipolar ʻē aʻe i kuhikuhi ʻia a kuhikuhi ʻole ʻia a me nā mea pili: Inā ʻaʻole i hoʻokō pololei ke kanaka i nā kūlana no ka bipolar I, II, a i ʻole cyclothymia, akā he kiʻekiʻe koʻikoʻi koʻikoʻi o ka hoʻokiʻekiʻe ʻana o ke ʻano maʻamau, hāʻule lākou i loko o kēia māhele.

He aha ka ʻokoʻa ma waena o ka maʻi pilikino borderline (BPD) a me ka maʻi bipolar?

Hiki ke huikau ʻia ka maʻi pilikino palena (BPD) a me ka maʻi bipolar no ka mea ua like ko lāua mau hōʻailona. Eia nō naʻe, he ʻelua mau maʻi like ʻole lāua.

ʻIke ʻia ka BPD e nā loli lōʻihi a koke i ke ʻano, ke ʻano, a me ke kiʻi ponoʻī . Hoʻokumu pinepine ʻia kēia e nā hakakā i nā pilina me nā poʻe ʻē aʻe. Pili ka BPD me kahi kiʻekiʻe o ka hōʻeha ponoʻī nonsuicidal, ʻaʻole ia he mea maʻamau i ka maʻi bipolar.

ʻOkoʻa ka maʻi bipolar mai ka BPD ma muli o ia mea e pili ana i nā hanana maopopo a lōʻihi o ka mania/hypomania a/a i ʻole ke kaumaha . Hiki ke hoʻoulu ʻia kēia mau hanana o ka mania a i ʻole ke kaumaha e nā kumu like ʻole. No ka laʻana, nā pilikia hiamoe, ke kaumaha, a me ka hoʻohana ʻana i kekahi mau lāʻau lapaʻau a me nā lāʻau lapaʻau.

ʻO wai ka mea e loaʻa ana i ka maʻi bipolar?

Hiki iā ia ke ulu i loko o kekahi. Hoʻomaka pinepine ia ma kahi o 25 mau makahiki. Akā, he mea kākaʻikahi loa, hiki ke hoʻomaka i ka wā ʻōpio, a i ʻole i kou mau makahiki 40 a 50 paha.

Hoʻopilikia like ia i nā wāhine a me nā kāne, akā aia paha he ʻokoʻa iki i ke ʻano o kona hoʻopilikia ʻana iā lākou.

• Hiki i nā wāhine me ka maʻi bipolar ke loaʻa i nā loli wikiwiki o ke ʻano. Inā loaʻa iā ʻoe ʻehā a ʻoi aku paha mau hanana o ka mania a i ʻole ke kaumaha i hoʻokahi makahiki, ua kapa ʻia ʻo "rapid cycling." ʻO nā loli i ka nui o ka hormone sex a me ka thyroid hormone , a me ka nui o nā antidepressants i nā wāhine, hiki ke kōkua i kēia kūlana "rapid cycling".
• Hiki i nā wāhine ke ʻike i nā hanana kaumaha nui aʻe ma mua o nā kāne.

Pehea ka maʻamau o ka maʻi bipolar?

Ma kahi o 5.7 miliona mau mākua ma ʻAmelika Hui Pū ʻIa, a i ʻole 2.6% o ka heluna kanaka, i loaʻa i kēia maʻi. Hiki ke ʻike ʻia kēia maʻi ma Sri Lanka.

He aha nā hōʻailona o ka maʻi bipolar?

ʻO ka hōʻailona nui o ka maʻi bipolar I he hanana manic e mau ana ma ka liʻiliʻi he hoʻokahi pule . ʻIke ka poʻe me ka maʻi bipolar II a i ʻole cyclothymia i nā hanana hypomanic.

Akā, nui ka poʻe me ka maʻi bipolar e ʻike i nā hanana manic/hypomanic a me ke kaumaha. ʻAʻole mau kēia mau loli o ke ʻano ma ke ʻano like. ʻAʻole mau ka hanana manic ma hope o kahi hanana kaumaha. Hiki i ke kanaka ke loaʻa i ke ʻano like (e.g., mania) i nā manawa he nui, a hiki nō hoʻi ke hele mai kahi ʻano maʻamau (euthymia) i kekahi ʻaoʻao (kaumaha).

Hiki i kēia mau loli i ke ʻano ke mau no nā pule, nā mahina, a i ʻole nā ​​​​makahiki.

ʻO ka mea nui, ʻo kēia mau loli o ke ʻano ma waho o kou pae maʻamau a he lōʻihi ka manawa e mau ai ka loli . I ka mania, hiki ke mau no nā lā a i ʻole nā ​​pule, a i ke kaumaha, hiki ke mau no nā pule a i ʻole nā ​​mahina.

Hiki ke ʻokoʻa ke koʻikoʻi o nā hanana kaumaha a me ka manic mai kēlā kanaka a kēia kanaka, a ma ka lōʻihi o ka manawa ma ke kanaka hoʻokahi.

Nā Hōʻailona o nā Manic Episodes

Loaʻa i kekahi poʻe nā hanana o ka mania a i ʻole hypomania i nā manawa he nui i ko lākou ola. ʻO kekahi poʻe, ʻaʻole loa lākou e ʻike pinepine ʻia.

ʻO nā hōʻailona o kahi hanana manic:

• Nā manaʻo o ka hauʻoli nui, ka manaʻolana, a me ka pīhoihoi.
• He loli koke a koʻikoʻi o ke ʻano. Eia kekahi laʻana, mai ka hauʻoli nui a i ka huhū koke a i ʻole ka ʻenemi.
• Hoʻomaha ʻole.
• Kamaʻilio wikiwiki, manaʻo holo wikiwiki.
• Hoʻonui ʻia ka ikehu, emi ka pono e hiamoe.
• Hoʻonui i ke kāohi ponoʻī, hana i nā hoʻoholo maikaʻi ʻole. Eia kekahi laʻana, haʻalele koke i kahi hana.
• Ke hana nei i nā hoʻolālā nui a hiki ʻole.
• Hana hoʻomākeʻaka, pilikia. Eia kekahi laʻana, ka hoʻohana ʻana i nā lāʻau lapaʻau a me ka waiʻona, ka moekolohe palekana ʻole.
• Manaʻo nei he mea nui loa, he talena, a he mana paha.
• Psychosis - Ke ʻike nei i nā hallucinations a me nā delusions i nā hihia koʻikoʻi o ka mania.

I ka manawa pinepine, ʻaʻole ʻike ka poʻe i loko o kahi kūlana manic i nā hopena maikaʻi ʻole o kā lākou mau hana. Loaʻa mau ka pilikia o ka pepehi kanaka iā ia iho i ka maʻi bipolar. Hoʻowalewale ʻia kekahi poʻe e pepehi iā ia iho i ka wā o nā kūlana manic, ʻaʻole wale i ka wā o nā kūlana depressive.

Inā loaʻa kekahi i kahi mania koʻikoʻi, ʻoiai inā he mau hallucinations a me nā delusions ko lākou, pono paha lākou e mālama ʻia i ka haukapila e pale iā lākou iho a me nā poʻe ʻē aʻe mai ka pōʻino.

Nā Hōʻailona o Hypomania

Loaʻa i kekahi poʻe nā hōʻailona like me ka mania, akā ʻoi aku ka mālie. Ua kapa ʻia kēia he hypomania . I loko o kēia manawa, hiki iā ʻoe ke manaʻo maikaʻi loa a manaʻo e like me hiki iā ʻoe ke hana i nā mea he nui. Hiki i ka poʻe i loko o ke kūlana hypomanic ke hana maikaʻi i loko o ke kaiāulu a i ʻole ma ka hana.

I ka wā o kahi hanana hypomanic, ʻaʻole paha ʻoe e manaʻo he hewa kekahi mea. Akā e ʻike paha kou ʻohana a me kou mau hoaaloha i nā loli i kou ʻano a me kou ʻano, a manaʻo paha lākou he mea maʻamau ʻole ia nou. Hiki paha iā ʻoe ke loaʻa i ke kaumaha nui ma hope o kahi hanana hypomanic.

Nā hōʻailona o nā hanana kaumaha

Ua like nā hōʻailona o nā hanana kaumaha i loko o ka maʻi bipolar me nā hōʻailona o ke kaumaha nui . Hoʻokomo pū lākou:

• Ke kaumaha nei me ke kaumaha hiki ʻole ke hoʻomanawanui.
• ʻAʻohe ikaika, luhi.
• Ka nele o ka hoihoi i ka hana ʻana i kekahi mea.
• Ka manaʻolana ʻole, ka manaʻo he mea ʻole.
• ʻAʻole e loaʻa ka hauʻoli mai nā mea i leʻaleʻa ma mua.
• Ka paʻakikī i ka noʻonoʻo ʻana, ka hoʻoholo ʻana i nā hoʻoholo.
• Uē nui ʻole.
• Huhū.
• Hoʻonui ʻia ka pono no ka hiamoe.
• ʻO ka hiamoe ʻole a i ʻole ka hiamoe nui ʻana.
• Ka pohō a i ʻole ka piʻi ʻana o ke kaumaha ma muli o nā loli o ka makemake e ʻai.
• Nā manaʻo e pili ana i ka make a i ʻole ka pepehi kanaka iā ia iho ( Suicidal Ideation ).

Inā loaʻa iā ʻoe nā manaʻo pepehi kanaka, pono ʻoe e ʻimi koke i ke kōkua. Ma Sri Lanka, e kelepona i kahi hui e like me Sumithrayo (0112692909), a i ʻole e hele i ka haukapila kokoke loa.

Nā ʻano o kahi Episode Hui Pū ʻia

I loko o kahi hanana i hui pū ʻia, ʻike pū ʻia nā hōʻailona mania a me ke kaumaha. I loko o kēia manawa, loaʻa iā ʻoe nā manaʻo a me nā manaʻo maikaʻi ʻole e hele mai me ke kaumaha, akā ke manaʻo nei hoʻi ʻoe i ka hopohopo, ka hoʻomaha ʻole, a me ka nui o ka ikaika.

ʻO ka poʻe i ʻike i nā hanana i hui pū ʻia e ʻōlelo pinepine ʻo ia ka ʻāpana ʻino loa o ka maʻi bipolar.

He aha nā kumu o ka maʻi bipolar?

ʻAʻole maopopo i nā kānaka ʻepekema ke kumu o kēia.

Akā manaʻoʻiʻo lākou aia kahi pilina genetic ikaika (genetic/inherited) . ʻO ka maʻi bipolar kekahi o nā maʻi noʻonoʻo maʻamau. ʻOi aku ma mua o ʻelua hapakolu o ka poʻe me ka maʻi bipolar he hoahānau koko ko lākou nona ke ʻano. Akā no ka mea he maʻi bipolar kou hoahānau koko, ʻaʻole ia he manaʻo e loaʻa iā ʻoe.

ʻO nā kumu ʻē aʻe a nā kānaka ʻepekema e manaʻoʻiʻo nei e kōkua i ka ulu ʻana o ka maʻi bipolar:

• Nā loli i kou lolo: Ua ʻike nā kānaka noiʻi i nā loli liʻiliʻi i ka nui maʻamau a i ʻole ka hana o kekahi mau ʻano lolo i ka poʻe me ka maʻi bipolar. Akā, ʻaʻole hiki ke ʻike ʻia ka maʻi me kahi scan lolo.
• Nā kumu o ke kaiapuni, e like me ka trauma a me ke kaumaha: ʻO kahi hanana kaumaha, e like me ka make ʻana o kahi mea aloha, kahi maʻi koʻikoʻi, ka hemo ʻana, a i ʻole nā ​​​​pilikia kālā, hiki ke hoʻoulu i kahi hanana manic a depressive paha. No laila, hiki i ke kaumaha a me ka trauma ke kōkua i ka ulu ʻana o ka maʻi bipolar.

Ke noiʻi nei nā kānaka ʻepekema i ka pili ʻana o kēia mau mea i ka bipolar, pehea e hiki ai iā lākou ke kōkua i ka pale ʻana i ke ʻano, a me ko lākou hopena i ka mālama ʻana.

Pehea e ʻike ʻia ai ka maʻi bipolar?

Hiki i kāu kauka ke hoʻohana i kekahi mau mea e hōʻoia i kēia:

• Hoʻokolokolo kino.
• He moʻolelo lapaʻau piha (e nīnau ana e pili ana i kou mau hōʻailona, ​​​​nā ʻike o ke ola, a me ka moʻolelo ʻohana).
• Nā hoʻokolohua lapaʻau,E like me nā hoʻokolohua koko. Hana ʻia kēia e nānā i nā kūlana ʻē aʻe e hiki ke hoʻoulu i kāu mau hōʻailona (e.g., hyperthyroidism ).
• He loiloi olakino noʻonoʻo. Hiki i kāu kauka ke hana i kēia, a i ʻole hiki iā ʻoe ke kuhikuhi iā ʻoe i kahi loea olakino noʻonoʻo, e like me ke kauka noʻonoʻo.

I mea e ʻike ʻia ai me ka maʻi bipolar, pono ʻoe i loaʻa i hoʻokahi hanana manic a hypomanic paha . Hoʻohana nā loea olakino noʻonoʻo i ka Diagnostic and Statistical Manual of Mental Disorders (DSM) e kōkua i ka hoʻoholo ʻana i ke ʻano o ka maʻi bipolar āu e loaʻa ai.

No ka hoʻoholo ʻana i ke ʻano o ka bipolar āu, e loiloi kāu kauka i ke ʻano o kāu mau hōʻailona a me ka nui o ko lākou hopena i kou ola i nā hihia ʻino loa.

ʻOi aku ka nui o ka poʻe me ka maʻi bipolar i kēia mau kūlana olakino noʻonoʻo:

• Hopohopo.
• Ka maʻi hoʻolohe-nele/hyperactivity disorder (ADHD).
• Ka maʻi hoʻoluhi ma hope o ka trauma (PTSD).
• Nā Maʻi Hoʻohana ʻAna i nā Mea ʻIno.

Ma muli o kēia, a no ka mea ʻaʻole paha e hoʻomanaʻo ka poʻe i ka ʻike ʻana iā ia no ka mea ua pilikia ko lākou hoʻomanaʻo i ka wā o kahi hanana manic, hiki i kekahi manawa ke paʻakikī i nā kauka ke ʻike pololei i ka poʻe me ka bipolar.

ʻO ka mea maʻi bipolar i loko o kahi hanana manic koʻikoʻi me nā hallucinations hiki ke kuhi hewa ʻia he schizophrenia . Hiki nō hoʻi ke kuhi hewa ʻia he maʻi pilikino borderline (BPD) .

No laila, he mea nui loa ka ʻoiaʻiʻo a me ka piha e pili ana i kāu mau hōʻailona a me nā ʻike āpau i ke kamaʻilio ʻana me kāu kauka. Hiki nō hoʻi ke kōkua i ka hoʻokomo ʻana i kahi mea aloha i kāu mau kūkākūkā ʻana me kāu kauka nāna e hāʻawi i nā kikoʻī hou aku e pili ana i kou mōʻaukala olakino noʻonoʻo.

Pehea e mālama ʻia ai ka maʻi bipolar?

Hiki i ka lāʻau lapaʻau ke kōkua i nā poʻe he nui, ʻoiai ka poʻe me nā hihia koʻikoʻi loa o ka maʻi bipolar. ʻO ka hoʻolālā lapaʻau holomua e komo pū me ka hui pū ʻana o kēia mau mea:

• Hoʻōla Manaʻo / Hoʻōla Kamaʻilio.
• Nā lāʻau lapaʻau.
• Nā ʻano hana hoʻokele ponoʻī, no ka laʻana, ke aʻo ʻana e pili ana i ka maʻi, ka ʻike ʻana i nā hōʻailona mua o ka maʻi, a me ka ʻike ʻana i nā mea hoʻoulu.
• Hiki i nā ʻano nohona olakino, e like me ka hoʻoikaika kino, ka yoga, a me ka noʻonoʻo ʻana, ke kākoʻo i ka mālama ʻana, akā ʻaʻole ia he pani no ia.
• Hoʻohana ʻia ka Electroconvulsive Therapy (ECT) i nā hihia kahi i pane maikaʻi ʻole ai nā lāʻau ʻē aʻe i ka lāʻau lapaʻau, a i ʻole i ka wā e pono ai ke kaohi koke i nā hōʻailona e pale aku i ka hōʻino ʻia.

He maʻi ola ka maʻi bipolar, no laila he kūpaʻa ola ka mālama ʻana . Hiki ke hala nā mahina a i ʻole nā ​​makahiki no ʻoe a me kāu kauka e ʻike i kahi hoʻolālā lapaʻau e kūpono iā ʻoe. ʻOiai hiki ke hoʻonāukiuki kēia, he mea nui e hoʻomau i ka mālama ʻana.

Hoʻi hou mai nā hanana manic a me ke kaumaha i ka hala ʻana o ka manawa. ʻIke ka hapa nui o ka poʻe me ka maʻi bipolar i kahi hoʻomaha o nā loli o ke ʻano i ka wā o nā hanana, akā loaʻa paha i kekahi kekahi mau hōʻailona i koe. Hiki i ka mālama lōʻihi a hoʻomau ke kōkua i ka hoʻokele ʻana i kēia mau hōʻailona.

Inā loaʻa iā ʻoe nā maʻi olakino noʻonoʻo ʻē aʻe (e.g., hopohopo, ADHD) me ka bipolar, hiki ke paʻakikī hou aku ka mālama ʻana i kēlā mau maʻi. No ka laʻana, hiki i nā antidepressants no ka maʻi obsessive-compulsive (OCD) a me nā stimulants no ADHD ke hoʻonui i nā hōʻailona bipolar a hoʻoulu i nā hanana manic.

Eia nō naʻe, ʻoiai he paʻakikī ka mālama ʻana i kēia mau kūlana, ʻaʻole ia he mea hiki ʻole. E kūpaʻa i ka loaʻa ʻana o kahi hoʻolālā lapaʻau e kūpono iā ʻoe.

He aha nā ʻano lāʻau lapaʻau i hoʻohana ʻia no ka maʻi bipolar?

ʻO ka Psychotherapy, i ʻike ʻia hoʻi ʻo "talk therapy," hiki ke lilo i ʻāpana koʻikoʻi o ka hoʻolālā lapaʻau no ka poʻe me ka maʻi bipolar.

ʻO ka Psychotherapy kahi ʻano lapaʻau like ʻole e kōkua iā ʻoe e ʻike a hoʻololi i nā manaʻo hopohopo, nā manaʻo, a me nā ʻano. ʻO ka hana pū ʻana me kahi loea olakino noʻonoʻo , e like me ke kauka psychiatrist, hiki ke hāʻawi i ke kākoʻo, ka hoʻonaʻauao, a me ke alakaʻi no ʻoe a me kou ʻohana.

Nā ʻano lapaʻau like ʻole no ka maʻi bipolar:

• Psychoeducation: ʻO kēia ka manawa e aʻo ai nā loea olakino noʻonoʻo i nā kānaka e pili ana i ko lākou mau kūlana olakino noʻonoʻo. No ka mea he maʻi paʻakikī ka bipolar, ʻo ke aʻo ʻana e pili ana i ia mea a pehea e pili ai i kou ola e hiki ke kōkua iā ʻoe a me kāu poʻe aloha e hoʻokele maikaʻi a hoʻomanawanui iā ia.
• ʻO ka Lapaʻau Rhythm Interpersonal a me Social (IPSRT): Ua hoʻolālā ʻia kēia lāʻau lapaʻau e kōkua iā ʻoe e hoʻomaopopo a hana pū me kāu mau mele olaola a me ka nohona e hoʻomaikaʻi i kou ʻano. He lāʻau lapaʻau kūpono ʻo IPSRT no ka poʻe me ka maʻi bipolar a me nā maʻi ʻano ʻē aʻe. Ke nānā nei ia i ka mālama ʻana i ka lāʻau lapaʻau, ka hoʻokele ʻana i nā hanana ola kaumaha, a me ka hōʻemi ʻana i nā hoʻopilikia i nā mele nohona (nā loli i nā hana maʻamau o kēlā me kēia lā). Aʻo ʻo IPSRT iā ʻoe i nā mākau e hiki ke kōkua iā ʻoe e pale i nā hanana mania a i ʻole ke kaumaha i ka wā e hiki mai ana.
• Lapaʻau Hoʻoikaika ʻOhana: He lāʻau lapaʻau kēia no nā pākeke a me nā keiki me ka maʻi bipolar a me ko lākou poʻe mālama. Ma kēia lāʻau lapaʻau, hana pū kāu poʻe aloha me ʻoe e aʻo e pili ana i ka bipolar, hoʻomaikaʻi i nā mākau kamaʻilio, a hoʻomaʻamaʻa i nā mākau hoʻoponopono pilikia.
• ʻO ka Cognitive Behavioral Therapy (CBT): He ʻano hoʻōla i hoʻonohonoho ʻia a kālele ʻia i ka pahuhopu kēia. Kōkua kāu mea hoʻōla iā ʻoe e nānā hohonu i kou mau manaʻo a me kou mau manaʻo. E aʻo ʻoe pehea e hoʻohuli ai kou mau manaʻo i kāu mau hana. Ma o CBT, hiki iā ʻoe ke aʻo e hoʻokuʻu i nā manaʻo a me nā ʻano maikaʻi ʻole a hoʻomohala i nā ʻano noʻonoʻo a me nā ʻano olakino.

He aha nā lāʻau lapaʻau i hoʻohana ʻia no ka maʻi bipolar?

Hiki i kekahi mau lāʻau lapaʻau ke kōkua i ka mālama ʻana i nā hōʻailona bipolar. Pono paha ʻoe e hoʻāʻo i kekahi mau lāʻau lapaʻau like ʻole ma lalo o ke alakaʻi a kāu kauka e ʻike i ka mea e kūpono loa iā ʻoe.

Nā lāʻau lapaʻau maʻamau no ka maʻi bipolar:

• Nā mea hoʻopaʻa manaʻo.
• Nā neuroleptics hanauna ʻelua ("atypical") (i kapa ʻia hoʻi he antipsychotics).
• Nā lāʻau hoʻēmi kaumaha.

Inā ʻoe e lawe nei i ka lāʻau lapaʻau no ka maʻi bipolar, e hoʻomanaʻo i kēia mau mea:

• E kamaʻilio me kāu kauka e hoʻomaopopo i nā pilikia, nā hopena ʻaoʻao, a me nā pono o ka lāʻau lapaʻau.
• E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe (i kauoha ʻia, ma luna o ke kūʻai aku, a i ʻole nā ​​​​​​mea hoʻopihapiha meaʻai) āu e lawe nei.
• Inā loaʻa iā ʻoe kekahi mau hopena ʻaoʻao hoʻopilikia, e haʻi koke i kāu kauka. Hiki paha iā lākou ke hoʻololi i ka nui o ka lāʻau a hāʻawi paha iā ʻoe i kahi lāʻau lapaʻau ʻē aʻe.
• E hoʻomanaʻo he pono e lawe mau ʻia ka lāʻau lapaʻau bipolar, e like me ke kauoha.

Nā mea hoʻopaʻa manaʻo no Bipolar

ʻO ka poʻe me ka maʻi bipolar e pono pinepine i nā lāʻau lapaʻau e hoʻomalu ai i ka naʻau e hoʻokele i nā hanana manic a hypomanic paha.

Nā ʻano o nā mea hoʻopaʻa manaʻo a me ko lākou inoa inoa:

• Lithium ( Eskalith®, Lithobid®, Lithonate®)
• ʻAkika Valproic (Depakene®)
• ʻO Divalproex sodium (Depakote®)
• ʻO Carbamazepine (Tegretol®, Equetro®)
• Lamotrigine (Lamictal®)

ʻO Lithium kekahi o nā lāʻau lapaʻau i kuhikuhi pinepine ʻia a noiʻi nui ʻia no ka maʻi bipolar. He paʻakai kūlohelohe ka Lithium. Hoʻemi ia i nā hōʻailona manic i loko o ʻelua pule o ka hoʻomaka ʻana, akā hiki ke hala i nā hebedoma a i ʻole nā ​​​​mahina no ka hoʻomalu piha ʻana i nā hōʻailona manic. No kēia kumu, kuhikuhi pinepine nā kauka i nā lāʻau lapaʻau ʻē aʻe, e like me nā antipsychotics a i ʻole antidepressants, e kōkua i ka kaohi ʻana i nā hōʻailona.

Hiki i ka Lithium ke hana i nā pilikia thyroid a me nā puʻupaʻa i kekahi manawa. No laila e nānā mau kāu kauka i kāu hana thyroid a me nā puʻupaʻa, a me kou mau pae lithium koko, no ka mea, hiki i nā pae lithium ke lilo i kiʻekiʻe loa.

ʻO nā mea e hoʻohaʻahaʻa i kou pae sodium - e like me ke hoʻololi ʻana i ka ʻai haʻahaʻa-sodium, ka hou nui ʻana, ke kuni, ka luaʻi ʻana, a i ʻole ka maʻi diarrhea - hiki ke hoʻonui i ka lithium i nā pae ʻawahia i loko o kou kino. E makaʻala i kēia mau kūlana inā ʻoe e lawe ana i ka lithium, a e haʻi i kāu kauka inā loaʻa lākou.

ʻO kēia nā hōʻailona o ka ʻawahia/overdose lithium . Inā loaʻa iā ʻoe kekahi o kēia mau mea , e kelepona koke i kāu kauka a i ʻole e hele i ka lumi pilikia kokoke loa:

• ʻIke pōwehiwehi a ʻike pālua paha.
• Puʻuwai kūpono ʻole.
• Ka puʻuwai wikiwiki loa a lohi loa paha.
• Paʻakikī ka hanu ʻana.
• Huikau, poniuniu.
• Nā haʻalulu nui a i ʻole nā ​​hopu ʻana.
• Ka mimi nui ʻana.
• Nā neʻe ʻana o nā maka i hiki ʻole ke kāohi ʻia.
• ʻO ka palapū a i ʻole ke kahe koko ma ke ʻano ʻē.

Nā lāʻau lapaʻau neuroleptic no ka maʻi bipolar

Hoʻomaʻamaʻa pinepine nā kauka i nā neuroleptics hanauna ʻelua a i ʻole atypical (antipsychotics) me kahi mea hoʻopaʻa manaʻo no ka poʻe me ka maʻi bipolar. Kōkua kēia mau lāʻau lapaʻau i nā hanana manic a me depressive.

ʻEhā wale nō o kēia mau lāʻau lapaʻau i ʻāpono ʻia e ka US Food and Drug Administration (FDA) e mālama i ke kaumaha bipolar:

• ʻO Cariprazine (Vraylar®)
• ʻO Lurasidone (Latuda®)
• ʻO ka hui pū ʻana o Olanzapine-fluoxetine (Symbyax®)
• Quetiapine (Seroquel®)

Eia nō naʻe, ʻo nā lāʻau lapaʻau ʻē aʻe e like me Olanzapine (Zyprexa®), Risperidone (Risperdal®), a me Aripiprazole (Abilify®) i kuhikuhi pinepine ʻia.

Nā lāʻau antidepressants no ka maʻi bipolar

I kekahi manawa, kuhikuhi nā kauka i nā lāʻau antidepressants e mālama i nā hanana kaumaha i ka maʻi bipolar. Eia nō naʻe, no ka pale ʻana i nā hanana manic, kuhikuhi pū lākou i kahi mea hoʻopaʻa manaʻo me ka antidepressant.

ʻAʻole hoʻohana ʻia nā antidepressants ma ke ʻano he lāʻau lapaʻau wale nō no ka maʻi bipolar, ʻoiai ʻo ka lawe ʻana i kahi antidepressant wale nō hiki ke hana i kahi hanana manic.

He aha nā hopena ʻaoʻao o ka lāʻau lapaʻau bipolar?

He mea maʻamau nā hopena ʻaoʻao o nā lāʻau lapaʻau bipolar, a ʻokoʻa lākou mai nā lāʻau lapaʻau a i nā lāʻau lapaʻau. He mea nui e kamaʻilio me kāu kauka e pili ana i ka mea e manaʻo ai mai ka lāʻau lapaʻau āu e lawe nei. He mea nui hoʻi e haʻi iā lākou inā loaʻa iā ʻoe nā hopena ʻaoʻao.

Mai ho'ōki i ka lawe ʻana i ka lāʻau lapaʻau ke ʻole ke kuhikuhi ʻia e kāu kauka. ʻO ka hoʻōki koke ʻana i ka lāʻau lapaʻau hiki ke hana i nā hopena ʻaoʻao koʻikoʻi a alakaʻi i nā maʻi koʻikoʻi.

ʻO nā hopena ʻaoʻao maʻamau o nā lāʻau lapaʻau bipolar:

• Piʻi ke kaumaha.
• ʻO ka metabolic dysregulation, me nā pae lipid kūpono ʻole (dyslipidemia) , ke koko kiʻekiʻe (hypertension) , a me ke kō koko kiʻekiʻe (hyperglycemia) .
• Hiamoe.
• ʻAkathisia - He manaʻo o ka hoʻomaha ʻole, ka hoʻomaha ʻole, a me ka makemake ikaika e neʻe, e lūlū, a e neʻe paha a puni.

He aha nā lāʻau lapaʻau ʻē aʻe i hoʻohana ʻia no ka maʻi bipolar?

ʻO nā koho lapaʻau ʻē aʻe e hiki i kāu kauka ke noʻonoʻo e mālama i ka maʻi bipolar:

• ʻO ka Electroconvulsive Therapy (ECT): Pili kēia i ka hoʻouna ʻana i kahi au uila pōkole ma o kou poʻo i kou lolo, e hana ana i kahi hopu. Hoʻohana pinepine ʻia kēia no ka poʻe me ke kaumaha nui. He palekana loa a he pono ka ECT no ke kaumaha i pane ʻole i ka lāʻau lapaʻau a i ʻole ka mania koʻikoʻi a hoʻoweliweli i ke ola. ʻO ia ka lāʻau lapaʻau maikaʻi loa no ka mania inā hāpai ʻoe. Hana ʻia ka ECT ma lalo o ka anesthesia laulā, no laila ke hiamoe nei ʻoe i ka wā holoʻokoʻa a ʻaʻole ʻoe e ʻeha.
• ʻO ka hoʻoulu ʻana i ka Magnetic Transcranial (TMS): Pili kēia i ka hoʻouna ʻana i kahi au uila ma o kahi wili electromagnetic pōkole i kou lolo. Hoʻohana pinepine nā kauka i kēia e mālama i ke kaumaha i pane ʻole i ka lāʻau lapaʻau. He koho ʻē aʻe ia no ka ECT. ʻAʻole ʻeha ka TMS a ʻaʻole pono ka anesthesia.
• Nā lāʻau lapaʻau thyroid: Hiki i kēia mau lāʻau lapaʻau ke hana ma ke ʻano he mea hoʻopaʻa i ka naʻau. Ua hōʻike ʻia nā haʻawina he pono lākou i ka hōʻemi ʻana i nā hōʻailona i nā wahine me ka maʻi bipolar "wikiwiki" paʻakikī ke mālama.
• Lapaʻau Ketamine: Ua hōʻike ʻia nā haʻahaʻa haʻahaʻa o ka ketamine anesthetic i hāʻawi ʻia ma ke ʻano intravenous (IV) he mau hopena antidepressant a me anti-suicidal pōkole i ka poʻe me ka maʻi bipolar.
• Ka Hoʻokipa ʻana ma ka Halemai: He koho pilikia kēia no ka mālama bipolar. He mea pono ia i ka wā e pilikia ai kekahi i kahi kūlana kaumaha nui a manic paha a he mea hoʻoweliweli koke iā lākou iho a i ʻole nā ​​​​​​mea ʻē aʻe.

Kōkua anei nā loli o ke ʻano o ka nohona i ka bipolar?

E paipai paha kāu hui lapaʻau i nā hoʻololi nohona e kōkua iā ʻoe e hoʻōki i nā ʻano e hoʻonui ai i kou mau hōʻailona bipolar. ʻO kekahi o kēia mau hoʻololi nohona:

• E ho'ōki i ka hoʻohana ʻana i ka waiʻona, nā lāʻau lapaʻau, a me ka paka: He mea nui e ho'ōki i ka hoʻohana ʻana i ka waiʻona a me nā lāʻau lapaʻau (me ka paka) no ka mea hiki i kēia mau mea ke launa pū me nā lāʻau lapaʻau āu e lawe nei, e hoʻonui i kou kūlana bipolar, a hoʻonui i kou pilikia o ka hoʻomohala ʻana i ke kūlana.
• E mālama i kahi puke pai i kēlā me kēia lā a i ʻole ka pakuhi naʻau: ʻO ke kākau ʻana i kou mau manaʻo, nā manaʻo, a me nā ʻano o kēlā me kēia lā e hiki ke kōkua iā ʻoe e ʻike i ka maikaʻi o kāu hana ʻana a ʻike i nā mea hoʻonāukiuki e hiki ai ke alakaʻi i nā hanana o ka mania a i ʻole ke kaumaha.
• E mālama i kahi papa hana hiamoe olakino:Hiki i ka Bipolar ke loaʻa ka hopena nui i kāu mau ʻano hiamoe, a hiki i nā loli i nā ʻano hiamoe ke alakaʻi i ka maʻi. E hoʻolilo i mea nui ka loaʻa ʻana o kahi papa hana hiamoe maʻamau, e like me ka hele ʻana i ka hiamoe a me ke ala ʻana i ka manawa like i kēlā me kēia lā.
• Hoʻoikaika Kino: Ua hōʻike ʻia ka hoʻoikaika kino e hoʻomaikaʻi i ke ʻano a me ke olakino noʻonoʻo ma ke ʻano laulā. No laila, hiki iā ia ke kōkua i ka hoʻokele ʻana i nā hōʻailona bipolar. ʻO kahi hopena maʻamau o nā lāʻau lapaʻau bipolar ka piʻi ʻana o ke kaumaha. No laila, hiki i ka hoʻoikaika kino ke kōkua i ka hoʻokele ʻana i ke kaumaha.
• Noʻonoʻo: Ua hōʻike ʻia ka noʻonoʻo ʻana he mea pono ia i ka hoʻomaikaʻi ʻana i ke kaumaha, ʻo ia kekahi ʻāpana o ka maʻi bipolar.
• E hoʻokele i ke kaumaha a mālama i nā pilina olakino: Hiki i ke kaumaha a me ka hopohopo ke hoʻonui i nā hōʻailona i nā poʻe he nui me ka maʻi bipolar. He mea nui e hoʻokele i kou kaumaha ma ke ʻano olakino a hoʻopau i nā mea hoʻonāukiuki i ka wā hiki. ʻO kahi ʻāpana nui o kēia ka mālama ʻana i nā pilina olakino me nā hoaaloha kākoʻo a me ka ʻohana, a me ka hoʻokuʻu ʻana i nā pilina ʻawaʻawa e hoʻohui i ke kaumaha i kou ola.

He aha ka wānana o ka maʻi bipolar?

ʻO ka nānā ʻana no ka maʻi bipolar he mea maikaʻi ʻole pinepine inā ʻaʻole mālama pono ʻia. Eia nō naʻe, me ka mālama pono ʻana, hiki i nā poʻe he nui me ka maʻi bipolar ke alakaʻi i nā ola piha a huahua.

Hoʻopōkole ka maʻi bipolar i ka manaʻolana ola ma kahi o ʻeiwa mau makahiki. Ma kahi o hoʻokahi o kēlā me kēia ʻelima o ka poʻe me ka maʻi bipolar e pepehi iā lākou iho. Ua manaʻo ʻia he 60% o ka poʻe me ka maʻi bipolar ua hoʻopili ʻia i nā lāʻau lapaʻau a i ʻole ka waiʻona.

ʻO ia ke kumu he mea nui no nā poʻe maʻi bipolar e ʻimi i ka ʻōlelo aʻo lapaʻau a e kūpaʻa i ka mālama ʻana.

ʻO ka hoʻohana mau ʻana i nā lāʻau lapaʻau e hiki ke kōkua i ka hōʻemi ʻana i nā hanana o ka mania a me ke kaumaha. Inā hiki iā ʻoe ke ʻike i nā hōʻailona a me nā mea hoʻoulu o kēia mau hanana, loaʻa iā ʻoe kahi manawa kūpono e loaʻa ai nā lāʻau lapaʻau holomua a me nā hoʻolālā hoʻoponopono e hiki ai ke pale i ka maʻi lōʻihi, nā haukapila, a me ka pepehi kanaka.

Hiki ke pale ʻia ka maʻi bipolar?

ʻO ka mea pōʻino, no ka mea, ʻaʻole ʻike ka poʻe ʻepekema i ke kumu kikoʻī o ka bipolar, ʻaʻohe ala i ʻike ʻia e pale aku ai.

Eia nō naʻe, he mea nui loa ia e ʻike i nā hōʻailona o ka maʻi bipolar a e ʻimi i ke aʻo lapaʻau i ka wā mua loa (Early Intervention) .

I ka manawa hea e ʻike ai ʻoe i ke kauka e pili ana i ka bipolar?

Inā ua ʻike ʻia ʻoe me ka maʻi bipolar, pono ʻoe e hālāwai me kāu hui lapaʻau i nā manawa a pau o kou ola e hōʻoia i ka holo pono ʻana o kāu lāʻau lapaʻau nou. Hiki i kēia hui ke komo pū me:

• ʻO kāu mea lawelawe mālama ola kino mua.
• Kauka noʻonoʻo.
• Kauka Noʻonoʻo a i ʻole Luna Hoʻōla.
• Kauka lolo.

I ka manawa hea e hele ai nā poʻe maʻi bipolar i ka Emergency Treatment Unit (ETU) ?

Inā loaʻa iā ʻoe nā kūlana e like me kēia,He mea nui e kāhea koke i ka 1990 (ka lawelawe ambulance ulia pōpilikia o Sri Lanka) a i ʻole e hele i ka lumi ulia pōpilikia kokoke loa:

• Nā manaʻo e pili ana i ka make a i ʻole ka pepehi kanaka ʻana.
• Nā manaʻo a i ʻole nā ​​hoʻolālā e hōʻeha iā ʻoe iho a i ʻole i kekahi poʻe ʻē aʻe.
• Ke ʻike nei i nā hallucinations a me nā delusions.
• Nā hōʻailona o ka ʻawahia o ka lithium/overdose , e like me ka nausea nui a me ka luaʻi ʻana, ka haʻalulu nui o nā lima, ka huikau, a me nā loli o ka ʻike.

ʻO ka mea hope loa, e hoʻomanaʻo (Leka Lawe-Home)

He maʻi ola ka maʻi bipolar. Akā , ʻo ka mālama lōʻihi, e like me ka lāʻau lapaʻau a me ka hoʻōla kamaʻilio, hiki ke kōkua iā ʻoe e hoʻokele i kāu mau hōʻailona a ola i kahi ola olakino a me ke kumu. He mea nui e hālāwai pinepine me kāu hui mālama ola e nānā i kāu hoʻolālā lapaʻau a me nā hōʻailona. E hoʻomanaʻo aia kāu mau kauka a me nā mea aloha e kākoʻo iā ʻoe. Mai makaʻu e noi i ke kōkua.

ʻO Bipolar, kaumaha manic, mania, kaumaha, olakino noʻonoʻo, nā maʻi naʻau, lāʻau lapaʻau