I kekahi mau lā, hauʻoli loa ʻoe, ikaika ... me he mea lā hiki iā ʻoe ke hana i nā mea āpau. Akā i nā lā ʻē aʻe, kaumaha loa ʻoe ʻaʻole hiki iā ʻoe ke ala aʻe mai kahi moe, kaumaha loa ʻoe ʻaʻole makemake e hana i kekahi mea? ʻO kēia ʻano o ka neʻe ʻana ma waena o nā manaʻo kūʻē ʻelua hiki ke lilo i hōʻailona o kahi maʻi noʻonoʻo i kapa ʻia ʻo ka maʻi bipolar. I kēia lā, e kamaʻilio mākou e pili ana i kēia, ʻoiai pehea ia e pili ai i nā wahine, ma ke ʻano maʻalahi a aloha hoʻi.
I ka ʻōlelo maʻalahi, he aha ka maʻi bipolar?
He maʻi noʻonoʻo ka maʻi bipolar i hōʻailona ʻia e nā loli nui i ke ʻano o ke kanaka. ʻElua ona ʻano nui.
1. Mania: ʻO kēia ka wā o ka hauʻoli nui a me ka ikaika aʻu i ʻōlelo ai ma mua. I loko o kēia manawa, manaʻo paha ʻoe ʻaʻole hiki iā ʻoe ke hana i kekahi mea. ʻAʻole paha ʻoe e hiamoe, hana mau paha ʻoe, kamaʻilio wikiwiki paha ʻoe, a hana wikiwiki paha ʻoe i nā hoʻoholo (e laʻa me ka hoʻolilo ʻana i ke kālā he nui i ka manawa hoʻokahi). ʻO kēia ke kiʻekiʻe.
2. Kaumaha : ʻO kēia kekahi ʻaoʻao ʻē aʻe. He wā ia o ke kaumaha nui, ka manaʻolana ʻole, a me ka nele o ka hoihoi i kekahi mea. ʻAʻole ʻoe makemake e ala aʻe mai kahi moe, luhi mau ʻoe, a ʻaʻole ʻoe makemake e hana i nā mea āu i hauʻoli ai. ʻO kēia ka wahi haʻahaʻa loa.
ʻO ke ʻano o kēia maʻi, ʻo ia ka loli ʻana o ke ʻano ma waena o kēia mau ʻaoʻao ʻelua. No kekahi poʻe, hiki ke koʻikoʻi loa kēia mau kūlana.
Ke ʻokoʻa nei anei ka hopena o kēia kūlana i nā wāhine?
ʻAe. ʻOiai hiki i nā kāne a me nā wahine ke loaʻa i kēia maʻi, aia kekahi mau ʻokoʻa i ke ʻano o ka ʻike ʻana o nā wahine.
Ua hōʻike ʻia nā noiʻi he ʻoi aku ka nui o ka ʻike ʻana o nā wāhine i ke kaumaha ma mua o ka mania , a hiki i nā hormones a me ka hana o ka ʻōnaehana hānau keiki ke hoʻopilikia pololei i ke ʻano a me ka mālama ʻana i kēia maʻi.
Pehea ka hopena o nā hormones?
Hoʻololi nā pae hormone i nā pae like ʻole o ke ola o ka wahine. E nānā kākou pehea e pili ai kēia mau loli i ka maʻi bipolar.
- Ka Pōʻaiapuni Menstrual: Hōʻike kekahi mau noiʻi e ʻike paha nā wahine me ka maʻi bipolar i nā hōʻailona premenstrual koʻikoʻi (PMS). Eia nō naʻe, ua hōʻike ʻia nā noiʻi e loaʻa i nā wahine i loaʻa ka lāʻau kūpono ke ʻano paʻa i ko lākou pōʻaiapuni menstrual.
- Menopause : Ma muli o nā loli hormonal nui e kū mai ana a puni a ma hope o ka menopause, hiki i kekahi mau wahine ke ʻike i nā hōʻailona bipolar no ka manawa mua. No ka poʻe i loaʻa mua i ke ʻano, hiki ke ʻoi aku ka ʻino o nā hōʻailona i kēia manawa.
- Ka Hāpai a me ka Wā Ma hope o ka Hānau ʻana:ʻO kēia ka manawa koʻikoʻi loa a me ka pilikia . Inā hāpai kahi wahine me ka maʻi bipolar a hānau paha i kahi pēpē, ʻehiku manawa ke kiʻekiʻe o kona pilikia o ka hoʻonui ʻia ʻana o kona kūlana a me ka pono e mālama ʻia i ka haukapila ma mua o nā wahine ʻē aʻe. ʻElua nō hoʻi ka nui o kona hiki ke hoʻi hou mai kāna mau hōʻailona.
No laila, inā loaʻa iā ʻoe ka maʻi bipolar, he mea nui loa ia e kūkākūkā i kēia me kāu kauka ma mua o ka noʻonoʻo ʻana e loaʻa kahi keiki.
He aha nā koho lapaʻau?
ʻO ka pahuhopu nui o ka mālama ʻana i ka maʻi bipolar ka mālama ʻana i ke kūpaʻa o ka naʻau. ʻO ia hoʻi, e kāohi i nā kūlana kiʻekiʻe (manic) a me nā kūlana haʻahaʻa (depressive). He lāʻau lapaʻau kēia no ke ola holoʻokoʻa.
Hoʻohana nui ʻia ka lāʻau lapaʻau a me ke kamaʻilio ʻana ma ke ʻano he lāʻau lapaʻau.
ʻO kekahi o nā lāʻau lapaʻau i kauoha ʻia e nā kauka e komo pū me nā mea hoʻopaʻa manaʻo a me nā antipsychotics.
| Ka inoa laulā o ka lāʻau lapaʻau | Nā inoa lama i hoʻohana pinepine ʻia |
|---|---|
| Litiuma | ʻO Lithobid |
| ʻAkika Valproic / Divalproex Sodium | ʻO Depakote, Depakene, Stavzor |
| Lamotrigine | ʻO Lamictal |
| ʻO Carbamazepine | ʻO Tegretol, Carbatrol |
| ʻO Olanzapine, Quetiapine, Risperidone, Aripiprazole | ʻO Zyprexa, Seroquel, Risperdal, Abilify |
He mea nui: Aia kekahi o kēia mau lāʻau lapaʻau i kahi ʻōlelo aʻo e hiki ke hoʻonui iki i ka pilikia o nā manaʻo a i ʻole ke ʻano pepehi kanaka , ʻoiai i nā keiki a me nā ʻōpio. No laila , pono ʻoe e hōʻike koke i nā hōʻailona hou a i ʻole e ʻoi aku ka ʻino, nā loli ʻē aʻe i ke ʻano, a i ʻole nā manaʻo pepehi kanaka i kāu kauka ma hope o ka hoʻomaka ʻana o ka lāʻau.
Pono e mālama pono ʻia ka lāʻau lapaʻau i ka wā hāpai.
He kumuhana koʻikoʻi kēia no nā wāhine. He mea nui e hoʻomau i ka mālama ʻana i ka wā hāpai, no ka mea, ʻo ka hoʻōki ʻana i ka mālama ʻana hiki ke hoʻonui i ka maʻi a hōʻeha i ka makuahine a me ke pēpē. Eia nō naʻe, he mea nui hoʻi e noʻonoʻo i nā hopena hiki o ka lāʻau lapaʻau i ka pēpē.
No laila, ʻo ka hana a nā kauka, ʻo ia ka hoʻēmi ʻana i ka pilikia i ka pēpē i ka wā e mālama ai i ka makuahine. He mea kēia e pono e mālama pono ʻia.
Nā lāʻau lapaʻau palekana a weliweli hoʻi i ka wā hāpai
- Nā lāʻau lapaʻau i manaʻo ʻia he palekana: Makemake nui nā kauka i nā lāʻau lapaʻau kahiko e like me 'Lithium' a me 'Haloperidol (Haldol)' no ka mea, ʻoi aku ka nui o kā lākou ʻikepili lōʻihi a me ka ʻike palekana.
- Nā lāʻau lapaʻau pilikia: Ua hōʻike ʻia nā lāʻau lapaʻau ʻo `Valproic acid` a me `Carbamazepine` he mea ʻino i ka pēpē i hānau ʻole ʻia a hiki ke kōkua i nā kīnā hānau. Inā ʻike ʻoe ua hāpai ʻoe i ka wā e lawe ana i ka `Valproic acid`, e hoʻololi koke kāu kauka i ka lāʻau lapaʻau a hoʻoponopono paha i ka nui a kuhikuhi i ka waikawa folic e pale aku i nā kīnā hānau e pili ana i ka ulu ʻana o ka lolo a me ke kaula iwi kuamoʻo o ka pēpē.
- Nā lāʻau lapaʻau i hāʻawi ʻia i ka trimester hope loa o ka hāpai ʻana: Inā ʻoe e lawe i nā lāʻau lapaʻau e like me ʻAripiprazole (Abilify), ʻRisperidone (Risperdal), a me Quetiapine (Seroquel) i nā mahina ʻekolu hope loa o ka hāpai ʻana, hiki i ka pēpē ke loaʻa i kekahi mau hōʻailona ma hope o ka hānau ʻana. Ua kapa ʻia kēia mau mea he 'extrapyramidal signs (EPS).'
Nā hōʻailona e hiki ke ʻike i ke keiki:
- Hoʻomaha ʻole
- ʻO ka paʻa a i ʻole ka ʻūmiʻi ʻana o nā ʻiʻo ma ke ʻano kūpono ʻole
- Hiamoe nui
- Ka paʻakikī o ka hanu ʻana a me ka hānai waiū
- Nā ʻūmiʻi a i ʻole nā ʻūmiʻi ʻana o nā ʻiʻo me ka makemake ʻole
No kekahi mau pēpē, e nalo wale kēia mau hōʻailona i loko o kekahi mau hola a i ʻole mau lā, akā pono paha kekahi e mālama ʻia i ka haukapila no ka nānā ʻana a i ʻole ka mālama ʻana.
Nā kiko kūikawā ʻē aʻe no nā wahine
ʻO ka waikawa Valproic a me ka PCOS
Pono nā kaikamahine a me nā wahine ʻōpio e lawe ana i ka lāʻau valproic acid e nānā pono i ke kauka. ʻO kēia no ka mea, ʻoiai he kakaikahi, hiki i ka lāʻau ke hoʻonui i nā pae o ka testosterone hormone kāne, hiki ke alakaʻi i ka polycystic ovary syndrome (PCOS) . ʻO ka PCOS kahi kūlana e hoʻopilikia ai i nā ovaries a hoʻoulu i ka momona, ka ulu nui o ka lauoho kino, a me nā pōʻaiapuni menstrual maʻamau ʻole.
Nā hopena ʻaoʻao o ka lithium
Hiki i ka hoʻohana ʻana i ka Lithium ke hoʻohaʻahaʻa i nā pae hormone thyroid i kekahi poʻe. Hiki i kēia ke hoʻopilikia i nā hōʻailona bipolar. Inā hana ʻia kēia, pono paha ka lāʻau lapaʻau hormone thyroid. Eia kekahi, hiki ke loaʻa nā hopena ʻaoʻao e like me ka hiamoe, ka mimi pinepine, a me ke poʻo.
Hoʻōla uila (ECT)
I nā hihia koʻikoʻi loa o nā hōʻailona, hiki ke hoʻohana ʻia ka electroconvulsive therapy (ECT) ma ke ʻano he koho palekana no ka lāʻau lapaʻau, ʻoiai i ka wā hāpai. Maanei, nānā mau nā kauka i ka puʻuwai o ka pēpē a me nā pae oxygen, i hiki ke mālama koke ʻia nā pilikia.
Leka Lawe-Home
- He maʻi noʻonoʻo ka maʻi bipolar e hoʻoulu ai i nā loli nui o ka naʻau. Hiki iā ia ke hoʻopilikia i nā wahine ma mua o nā kāne.
- ʻO nā pae hormone o nā wahine, ʻoiai i ka wā o ka menstrual cycle, ka hāpai ʻana, a me ka menopause, hoʻopilikia i nā hōʻailona.
- Inā loaʻa iā ʻoe ka maʻi bipolar a ke kali nei i kahi pēpē, he mea nui e kūkākūkā a hoʻomohala i kahi hoʻolālā lapaʻau me kāu kauka ma mua o ka hāpai ʻana.
- Hiki ke hoʻoweliweli ka hoʻōki ʻana i ka lāʻau lapaʻau i ka wā hāpai. E koho kāu kauka i ke ala maikaʻi loa e mālama ai i ka makuahine me ka hoʻēmi ʻana i ka pilikia i ka pēpē.
- Mai ho'ōki i ka lawe ʻana i kāu lāʻau lapaʻau a hoʻololi paha i ka nui me ka ʻole o ke aʻo ʻana a ke kauka. E kamaʻilio me kāu kauka e pili ana i kekahi hopohopo.
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