Ua ʻike anei ʻoe i kahi loli ʻē i loko o kou ʻohana a i ʻole hoaaloha, e like me ka piʻi koke ʻana o ka hauʻoli, ka piʻi ʻana o ka ikaika, ka hana ʻana no nā lā me ka hiamoe ʻole, ka hoʻolilo ʻana i kā lākou kālā āpau, a me ka hana hoʻowahāwahā? I kekahi manawa hiki i kēia ke lilo i ka piko o kahi maʻi noʻonoʻo i kapa ʻia ʻo "mania." I ka pololei, he kūlana kēia e hele koke ai ke ʻano mai ke kiʻekiʻe a i ka haʻahaʻa. Akā, mai hopohopo, aia nā lāʻau lapaʻau e hiki ke kōkua i ka kaohi ʻana i kēia. I kēia lā, e kamaʻilio kākou e pili ana i ka lāʻau lapaʻau no kēia kūlana mania.
He aha nā lāʻau lapaʻau i hoʻohana ʻia no ka mania?
Inā loaʻa iā ʻoe kahi hanana manic, pono paha ʻoe e hoʻomaka e lawe i ka lāʻau lapaʻau e kāohi koke iā ia. E kuhikuhi pinepine kāu kauka i kahi lāʻau i kapa ʻia he "mood stabilizer." Ua kapa ʻia kēia mau mea he mau lāʻau "antimanic".
Kōkua kēia mau lāʻau lapaʻau iā ʻoe e kāohi i kou mau ʻano kiʻekiʻe a me ka haʻahaʻa a mālama iā lākou i kahi pae maʻamau. Pono paha ʻoe e lawe i kēia mau lāʻau lapaʻau no ka manawa lōʻihi, malia paha no ke koena o kou ola. Ua like ia me ka lawe ʻana i ka lāʻau lapaʻau no ka maʻi diabetes a i ʻole ke koko kiʻekiʻe. Kōkua ia iā ʻoe e kāohi i kou kūlana a ola i kahi ola maʻamau.
ʻO nā lāʻau lapaʻau i hoʻohana pinepine ʻia no kēia, ʻo ia ka lithium , a me kekahi mau lāʻau anti-epileptic e like me ka carbamazepine a me ka valproate . Pono ʻoe e nānā pono ʻia e kāu kauka i ka wā e lawe ana i kēia mau lāʻau. Pono nō hoʻi ʻoe e loaʻa nā hoʻāʻo koko maʻamau.
Lithium - ka lāʻau lapaʻau nui i hoʻohana ʻia no ka manawa lōʻihi
ʻO Lithium ka lāʻau lapaʻau i aʻo nui ʻia a lōʻihi hoʻi i hoʻohana ʻia e mālama i ka maʻi bipolar. Hoʻemi ia i ke koʻikoʻi o nā hanana manic a hoʻemi i ke alapine o nā relapses. Ua hōʻike pū nā haʻawina e kōkua ana ka lithium i ka hoʻemi ʻana i ka pilikia o ka pepehi kanaka i waena o ka poʻe me ka maʻi bipolar.
I ka ʻōlelo maʻalahi, ʻo ka lithium kahi lāʻau lapaʻau e hoʻopilikia i ka lolo a kōkua i ka mālama ʻana i kou mau manaʻo, hiamoe, pae ikehu, a me nā ʻano ʻino.
He aha kāu e manaʻo ai i ka wā e lawe ai i kēia lāʻau lapaʻau?
Hiki ke hala kekahi mau pule no ka lithium e hana piha ai. E kauoha kāu kauka i nā hoʻokolohua koko i kou wā e lawe ana i kēia lāʻau lapaʻau no ka mea hiki i ka lithium ke hoʻopilikia i ka hana o kou mau puʻupaʻa a me kou thyroid gland.
Hana maikaʻi loa ka Lithium ke like nā pae o ka lāʻau lapaʻau i loko o kou kino. ʻO ia ke kumu e ʻōlelo pinepine ai kāu kauka iā ʻoe e inu i 8-12 mau kīʻaha wai i ka lā a hoʻohui i ka paʻakai i kāu meaʻai e like me ka mea maʻamau. E kōkua kēia mau mea i ka mālama ʻana i nā pae lithium i loko o kou kino i paʻa.
ʻO ka mea nui loa , ʻaʻole loa e hoʻololi i ka nui o ka lāʻau a hoʻōki paha i ka lawe ʻana i ka lāʻau lapaʻau me ka ʻole o ke nīnau ʻana aku i kāu kauka.
| Nā hopena ʻaoʻao maʻamau o ka lithium | Nā mea nui |
|---|---|
| Piʻi ke kaumaha | E kamaʻilio me kāu kauka e pili ana i ka ʻai a me ka hoʻoikaika kino. |
| Haʻalulu lima | He mea maʻamau kēia, akā inā he koʻikoʻi, e haʻi i kāu kauka . |
| Ka makewai nui a me ka mimi ʻana | He mea maʻamau kēia, inu nui i ka wai. |
| Nā pilikia hoʻomanaʻo, hiamoe | Hiki ke emi iho kēia i ka hala ʻana o ka manawa. E akahele i ka wā e hoʻokele ana. |
| ʻAkeka a i ʻole ka nalowale o ka lauoho | E hoʻomaopopo i kāu kauka e pili ana i kēia. |
| E haʻi koke aku i kāu kauka: | |
| Loaʻa iā ʻoe ka maʻi pākī mau.Inā loaʻa iā ʻoe nā hōʻailona e like me ka maʻi kahe, ka luaʻi ʻana, ke kuni, ka paʻakikī i ka hele ʻana, ka haʻalulu nui, ka nalowale o ka ʻike, ka huikau, ka paʻakikī i ka ʻōlelo ʻana, a i ʻole ka wikiwiki o ka puʻuwai, e kāhea koke aku i kāu kauka a i ʻole e hele i ka Emergency Department (ETU) o ka haukapila. | |
Pehea e kōkua ai nā lāʻau anticonvulsant?
I kekahi manawa, hoʻohana pū nā kauka i nā lāʻau lapaʻau e pale ai i nā hopu ʻana e kāohi i nā hōʻailona bipolar. Ua kapa ʻia kēia mau mea he "anticonvulsants." ʻO Carbamazepine , lamotrigine, a me valproate (Depakote) kekahi o kēia mau lāʻau lapaʻau.
Hoʻohana ʻia kēia mau mea i kekahi manawa me ka lithium, me nā lāʻau lapaʻau ʻē aʻe, a i ʻole hoʻokahi wale nō. Hiki iā lākou ke kōkua nui no ka poʻe me ke ʻano i kapa ʻia ʻo "rapid cycling," kahi e hoʻololi ai lākou ma waena o nā wā o ka mania a me ke kaumaha ma mua o ʻehā mau manawa i ka makahiki.
Hana pū kēia mau lāʻau lapaʻau e hōʻoluʻolu i ka hyperactivity i loko o ka lolo. I kekahi manawa, pono nā hoʻāʻo koko i ka wā e lawe ai i kēia mau lāʻau lapaʻau.
He mea nui loa: Pono nā wahine hāpai a i ʻole nā wahine e hoʻāʻo nei e hāpai e pale i ka lawe ʻana i kekahi mau lāʻau lapaʻau, e like me valproate (Depakote) a me carbamazepine (Tegretol), no ka mea hiki iā lākou ke hana i nā kīnā hānau i loko o ka pēpē. No laila, inā ʻoe e hoʻolālā ana e hāpai a ʻike paha ua hāpai ʻoe, e haʻi koke i kāu kauka.
Nā lāʻau antipsychotic
ʻO nā lāʻau antipsychotic kahi ʻano lāʻau i hāʻawi mua ʻia i ka wā pōkole e kāohi i nā hōʻailona koʻikoʻi e like me nā hallucinations a i ʻole nā delusions i ka wā mania.
Akā i kēia mau lā, hoʻohana ʻia kēia mau lāʻau antipsychotic hou me ka hui pū ʻana me nā mea hoʻopaʻa manaʻo e kāohi koke i nā hōʻailona a pale i ka hoʻi hou ʻana. Hana lākou ma ka kaohi ʻana i ka hana o nā kemika i loko o ka lolo i kapa ʻia ʻo "neurotransmitters" e like me ka dopamine a me ka serotonin .
Kōkua kēia mau lāʻau lapaʻau i ka kaohi ʻana i nā hana hoʻowahāwahā a impulsive e pili ana me ka mania a kōkua iā ʻoe e hoʻomaka e noʻonoʻo maʻamau i loko o hoʻokahi pule.
| Nā hopena ʻaoʻao o nā lāʻau antipsychotic |
|---|
| - ʻIke pōwehiwehi |
| - Waha maloʻo |
| - Hiamoe |
| - ʻOʻoleʻa a haʻalulu paha nā ʻiʻo |
| - Ke piʻi ʻana o ke kaumaha a me ke kiʻekiʻe o ka cholesterol (he hopena koʻikoʻi loa kēia) |
Hiki i kekahi o nā lāʻau antipsychotic hou ke hoʻonui i ke kaumaha, ka cholesterol kiʻekiʻe, a me ke kiʻekiʻe o ke kō koko . No laila, e nānā kāu kauka i kou pilikia o ka maʻi puʻuwai a me ka maʻi diabetes ma mua o ka hoʻomaka ʻana i kēia lāʻau.
Lapaʻau Hoʻopaʻi Uila (ECT)
Ua lohe paha ʻoe i ka "shock treatment." ʻO ia ka huaʻōlelo lapaʻau no ia mea ʻo ECT . ʻAʻole ia he mea weliweli e like me ka mea i ʻike ʻia ma nā kiʻiʻoniʻoni. He lāʻau palekana loa ʻo ECT a i kāohi ʻia i hāʻawi ʻia ma lalo o ka anesthesia piha (me ka lāʻau lapaʻau e hoʻohiamoe iā ʻoe) .
Hana pinepine ʻia kēia lāʻau lapaʻau,
- No ka poʻe me nā hōʻailona koʻikoʻi loa
- No ka poʻe i pane maikaʻi ʻole i nā lāʻau lapaʻau
- No ka poʻe hiki ʻole ke mālama iā lākou iho, a i ʻole ka poʻe i loaʻa nā manaʻo nui e pepehi iā lākou iho
- He mea weliweli ka hoʻohana ʻana i nā lāʻau lapaʻau i ka wā hāpai no ka poʻe
He lāʻau lapaʻau kūpono loa ka ECT e hiki ke hōʻoluʻolu koke i nā hōʻailona o ka mania a i ʻole ke kaumaha nui. ʻAʻole ʻoe e manaʻo i kekahi mea i ka wā o kēia lāʻau lapaʻau. Hiki iā ʻoe ke manaʻo iki i ka huikau a loaʻa iā ʻoe ke poʻo ke ala ʻoe, akā e nalo aku kēia ma hope o kekahi manawa.
E hoʻomanaʻo, ʻaʻole kou hewa a he nāwaliwali paha ka bipolar. He maʻi ia e hiki ke mālama ʻia i hoʻokumu ʻia e ke kaulike ʻole o nā kemika o ka lolo.
Leka Lawe-Home
- He kūlana ka bipolar mania hiki ke hoʻomalu maikaʻi ʻia me ka lāʻau lapaʻau, no laila mai makaʻu.
- He mea nui loa ka lawe ʻana i nā lāʻau lapaʻau i kuhikuhi ʻia e kāu kauka i ka manawa kūpono a me ka nui kūpono.
- Mai ho'ōki i ka lawe ʻana i ka lāʻau lapaʻau a hoʻololi paha i ka nui me ka ʻole o ke kūkākūkā ʻana me kāu kauka no kekahi kumu. ʻO ka hana ʻana pēlā e hoʻonui ai i kou mau hōʻailona.
- Inā loaʻa iā ʻoe kekahi mau hopena ʻaoʻao mai kāu lāʻau lapaʻau, e kamaʻilio me kāu kauka e pili ana i ia mea. E hiki iā ia ke hāʻawi iā ʻoe i ka hopena kūpono loa.
- He mea nui e hele i nā keʻena lapaʻau i nā lā i hoʻonohonoho ʻia a hana i nā hoʻokolohua e pono ai.
- ʻO ke kākoʻo a me ka hoʻomaopopo ʻana o ka ʻohana a me nā hoaaloha he ikaika nui ia i ke kaohi ʻana i kēia maʻi.
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