Ke hopohopo nei ʻoe e pili ana i ka hāpai ʻana inā loaʻa iā ʻoe ka maʻi bipolar? (Bipolar Disorder in Pregnancy)

Loaʻa iā ʻoe ka maʻi bipolar ? Ua hāpai paha ʻoe, a i ʻole ke moeʻuhane nei paha ʻoe e loaʻa kahi pēpē. He mea maʻamau ka loaʻa ʻana o nā nīnau he nui, nā makaʻu, a me nā kānalua i loko o kou manaʻo i ka manawa e like me kēia. "E hoʻopilikia anei ka lāʻau lapaʻau aʻu e lawe nei i ka pēpē?", "He aha ka mea e hiki mai iaʻu inā e hoʻōki koke wau i ka lawe ʻana i ka lāʻau lapaʻau?", "Hiki iaʻu ke lilo i makuahine maikaʻi me kēia maʻi?" Pono kēia mau mea e hoʻopilikia nei iā ʻoe. Mai hopohopo. ʻO ka mea nui loa, ʻo ia ka hoʻomaopopo pono ʻia e pili ana i kēia. E kamaʻilio kākou e pili ana i kēia me ka wehe a me ke ʻano aloha i kēia lā.

Hiki ke lilo ka maʻi Bipolar i mea paʻakikī i ka wā hāpai?

ʻO kaʻoiaʻiʻo, ke hoʻomau nei ka noiʻi ʻana i ka maʻi bipolar a me kona mālama ʻana i ka wā hāpai. Eia nō naʻe, ma muli o ka ʻikepili o kēia manawa, aia kahi pilikia o ka ʻoi aku ka ʻino o ke kūlana i ka wā hāpai. Manaʻo kekahi poʻe he manawa palekana noʻonoʻo ka hāpai ʻana no ka wahine. Akā no ka wahine me ka maʻi bipolar, ʻaʻole ia ka hihia.

Ua ʻike ʻia i loko o kekahi noiʻi ua ʻehiku manawa ka nui o ka hoʻokomo ʻia ʻana i ka haukapila ma mua o nā wahine hāpai ʻē aʻe. Eia kekahi, ua ʻike ʻia i loko o kahi noiʻi i nānā i nā wahine e hoʻolālā ana e loaʻa kahi pēpē a ua hoʻōki i ka lawe ʻana i kā lākou lāʻau lapaʻau i ʻeono mahina ma mua o ka hāpai ʻana i kēia mau mea:

• Inā e hoʻōki ʻia ka lāʻau lapaʻau , e pāpālua ka pilikia o ka hoʻi hou ʻana mai o ka maʻi.
• Inā hoʻōki koke ʻoe i ka lawe ʻana i ka lāʻau lapaʻau, inā paha ʻoe e manaʻo ai a ʻaʻole paha , e hoʻi mai nā hōʻailona i ka 50% o nā kānaka i loko o ʻelua pule wale nō.
• ʻO ka poʻe i hoʻōki i ka lawe ʻana i ka lāʻau lapaʻau, ua ʻeha lākou i nā hōʻailona no 40% o ko lākou hāpai ʻana, ʻoi aku ma mua o ʻehā mau manawa ka lōʻihi ma mua o ka poʻe i hoʻomau i ka lawe ʻana i ka lāʻau lapaʻau.

E aʻo e pili ana i ka hoʻohana ʻana i nā lāʻau lapaʻau bipolar i ka wā hāpai

He nīnau nui kēia no nā poʻe he nui. Nui nā makuahine i hānau i nā pēpē olakino i ka wā e lawe ana i ka lāʻau no ka maʻi bipolar. Eia nō naʻe, aia kekahi mau lāʻau lapaʻau, ʻoiai i ka wā mua o ka trimester o ka hāpai ʻana, he liʻiliʻi ka pilikia o ka hoʻoulu ʻana i nā kīnā hānau.

ʻIke ʻoe, ʻeā? He mea pilikia nō hoʻi ka lawe ʻole ʻana i ka lāʻau lapaʻau. No laila, pono e hoʻoholo pū ʻia kēia me kāu kauka hānau keiki a me ke kauka noʻonoʻo. ʻO lākou ka poʻe e kaupaona i nā pilikia a me nā pono e pili ana i kou kūlana a hana i ka hoʻoholo maikaʻi loa.

Nā mea hoʻopaʻa manaʻo

ʻO kēia nā lāʻau lapaʻau i kuhikuhi pinepine ʻia no ka maʻi bipolar.

• Lithium: Hiki i ka Lithium ke hana i kahi kīnā puʻuwai kakaikahi i loko o ka pēpē i ka trimester mua o ka hāpai ʻana. No laila i kekahi manawa hoʻōki nā kauka i ka hāʻawi ʻana i ka lithium i kēia manawa. Akā no kekahi mau wahine, ʻoi aku ka nui o nā pono o ka hoʻomau ʻana i ka lawe ʻana i ka lithium ma mua o nā pilikia. Eia kekahi, ʻo ka hoʻomau ʻana i ka lawe ʻana i ka lithium ma hope o ka hānau ʻana hiki ke hōʻemi i ka pilikia o ka maʻi mai 50% a i 10%.
• Inā ʻoe e lawe ana i ka lithium: E inu nui i ka wai. E hoʻohana iki i ka paʻakai. E nānā mau i kāu mau pae lithium e like me ke kuhikuhi a kāu kauka. Inā kānalua ʻoe i ka ʻawahia o ka lithium, e hele koke i ka lumi pilikia haukapila kokoke loa (ETU). Hiki iā ʻoe ke kelepona i ke Kikowaena ʻIke Poisons National ma ka Halemai Lahui ʻo Colombo no ka ʻōlelo aʻoaʻo.

• ʻO Valproate (Depakote) a me Carbamazepine (Tegretol):Hoʻonui kēia mau lāʻau ʻelua i ka pilikia o nā kīnā neural tube inā lawe ʻia i ka wā hāpai mua. No laila, hoʻōki pinepine nā kauka i kēia mau lāʻau i ka wā e ʻike ai lākou i ka hāpai ʻana a hoʻololi i nā lāʻau palekana. He mea nui loa ka lawe ʻana i nā huaora i loaʻa ka folic acid i kēia manawa.

• Lamotrigine/Lamictal: He mea palekana paha kēia i nā lāʻau lapaʻau i luna no kekahi mau wahine.

Nā lāʻau lapaʻau antipsychotic

Hoʻohana ʻia kēia mau lāʻau lapaʻau e mālama i ka mania, ʻoiai hoʻi nā hallucinations. Aia nā lāʻau lapaʻau hou e like me Aripiprazole (Abilify), Olanzapine (Zyprexa), a me Quetiapine (Seroquel). Hiki i kāu kauka ke ʻōlelo aku iā ʻoe e hoʻololi i kahi lāʻau lapaʻau kahiko e like me Haloperidol (Haldol) i ka wā hāpai.

Nā lāʻau hoʻēmi kaumaha

ʻAʻohe ʻikepili nui e pili ana i ka hopena o kēia mau mea i nā wahine hāpai me ka maʻi bipolar. Inā ʻoe e lawe i kēia mau lāʻau lapaʻau, e nānā pinepine nā kauka i kou ʻano e ʻike inā loaʻa koke iā ʻoe ka mania.

He kūpono anei ka mālama ʻana me ka ECT (electroconvulsive therapy)?

Makaʻu kekahi poʻe ke lohe lākou i ka huaʻōlelo electroconvulsive therapy (ECT). Akā ʻo ia kekahi o nā lāʻau lapaʻau palekana a maikaʻi loa i loaʻa i ka wā hāpai. Hiki iā ia ke lilo i mea hōʻoluʻolu nui no nā wahine hāpai e ʻeha nei i ke kaumaha nui a i ʻole ka mania. Ke hāʻawi nei i kēia lāʻau lapaʻau, hana nā kauka i kekahi mau hana hou aʻe:

• Hoʻomau ʻia ka nānā ʻana i ka puʻuwai o ka pēpē a me ka pae o ka oxygen i ka wā o ka mālama ʻana.
• Hāʻawi ʻia ka lāʻau lapaʻau e pale ai i ke kahe ʻana o ka waikawa o ka ʻōpū i loko o ka puʻu.
• I mea e pale ai i ka hānau ʻana o ka pēpē i ka wā ʻōpiopio, ua ʻōlelo ʻia e ʻai i ka nui o nā wai a me nā meaʻai momona.

He aha hou aʻe kāu e hana ai?

E like me ka lāʻau lapaʻau, he mea nui loa kou nohona i kēia manawa.

• E hoʻokele i ke kaumaha: E mālama i kou noʻonoʻo i ke kūʻokoʻa e like me ka hiki. E hoʻoikaika kino, e noʻonoʻo pono, e hana i kahi mea āu e makemake ai.
• E mālama i kahi hana maʻamau: E moe, e ala aʻe, a e ʻai i ka manawa like. E kōkua kēia iā ʻoe e kaohi i nā loli koke o ke ʻano.
• E hiamoe maikaʻi: He mea nui ka hiamoe no ka mālama ʻana i ka maʻi bipolar.
• Psychotherapy: I kēia manawa, he mea nui loa e ʻimi i ke kōkua o kahi kākā'ōlelo hilinaʻi e hiki ai iā ʻoe ke kamaʻilio pū me ʻoe e pili ana i kou mau manaʻo a me kou mau makaʻu.