I kekahi lā, ʻoiai au ma ka hale ʻaina o ka haukapila, ʻike maila koʻu hoaaloha kula ʻo Rohan iaʻu a kamaʻilio maila iaʻu. He ʻenekinia kamepiula akamai ʻo Rohan i kēia manawa. Mai ko māua hui ʻana ma hope o kekahi manawa lōʻihi, ua kamaʻilio māua e pili ana i ka nui o ka ʻike. Akā ma hope o kekahi manawa, ua ʻike au i ka hopohopo nui ma ka helehelena o Rohan.
"E Kauka Priya, makemake wau e nīnau iā ʻoe i kekahi mea e pili ana i kaʻu ipo wahine ʻo Aditi. Ke hoʻolālā nei mākou e mare. Akā i kēia mau lā iho nei, ua lilo kāna ʻano i pilikia nui iaʻu," wahi a Rohan. "I kekahi mau lā, hauʻoli loa ʻo ia a ʻeleu loa. Hiamoe ʻo ia i ka pō a pau, e hoʻolālā ana i nā papahana hou, e hoʻolilo kālā ana, a e hele ana i nā huakaʻi. Akā naʻe, mai ka pule aʻe, ʻaʻole ʻo ia i puka mai i waho o kona lumi, ʻaʻole kamaʻilio me kekahi, a uē mau a noho mehameha. Ua manaʻo wau ua pili kēia i nā loli hormonal a nā kaikamahine e hele ai i ko lākou wā. Pono anei au e hōʻike iā ia i kahi VOG a i ʻole he endocrinologist?"
Ua kau au i koʻu lima ma ka poʻohiwi o Rohan a ʻōlelo mālie akula, "E Rohan, he ʻoi aku paha kēia ma mua o ka pilikia hormonal e like me kou manaʻo. Hōʻike nā hōʻailona āu i wehewehe ai e loaʻa ana paha iā Aditi kahi maʻi noʻonoʻo i kapa ʻia ʻo Bipolar Disorder . E kamaʻilio wale kākou e pili ana i kēia i kēia lā."
🚨 Nā hae ʻulaʻula e pono ai ke kōkua koke ʻia e ke kauka
I ka wā e ʻoi aku ai ka ʻino o ka maʻi bipolar, hiki i ka mea maʻi ke hōʻeha iā lākou iho a i ʻole ke kaiāulu, no laila e hāʻawi koke ʻia ka lāʻau lapaʻau psychiatric inā ʻike ʻia nā hōʻailona penei:
- Loaʻa nā manaʻo no ka pepehi kanaka iā ia iho, ka hoʻāʻo ʻana e hōʻeha iā ia iho, a i ʻole ke kamaʻilio pinepine ʻana e pili ana i ia mea (Manaʻo Suicidal).
- Ka hoʻolilo ʻana i kāu kālā a pau me ka noʻonoʻo ʻole a i ʻole ke komo ʻana i nā hana pilikia e like me ka hoʻokele ʻana ma nā wikiwiki kiʻekiʻe.
- Nā Manaʻo Hoʻopunipuni - ke manaʻo nei he mana kou i loaʻa ʻole iā ʻoe (nā manaʻo hoʻopunipuni) a i ʻole ka ʻike ʻana i nā mea a me ka lohe ʻana i nā leo i ʻike ʻole ʻia e haʻi (nā manaʻo hoʻopunipuni).
- ʻAʻole hiamoe iki no kekahi mau lā a hana ʻino loa.
He aha ka maʻi Bipolar?
ʻO ka maʻi bipolar kahi maʻi olakino noʻonoʻo e hoʻololi nui i ke ʻano o ke kanaka, ka ikehu, a me ka hiki ke hana. Hoʻololi ka mea maʻi ma waena o ʻelua mau ʻano manaʻo nui (bipolar) i ʻoi aku ka ikaika ma mua o ka pae maʻamau o ka hauʻoli a i ʻole ke kaumaha.
ʻElua mau pae nui o kēia kūlana:
1. Ka Mokuna Manic/Hypomanic:
Maanei ke manaʻo nei ka mea maʻi i kahi pae kiʻekiʻe loa o ka hauʻoli, ka ikaika, a me ka manaʻolana. Aia ʻelua mau pae nui:
- Mania: ʻO kēia ke kahua koʻikoʻi loa o ka maʻi bipolar I. Hiki i ka mea maʻi ke kamaʻilio wikiwiki loa, ʻaʻole hiki ke hiamoe, a hana ma waho o ka pilina me ka ʻoiaʻiʻo.
- Hypomania: He ʻano ʻoluʻolu kēia o ka maʻi bipolar II. Maanei, hauʻoli a hana mau ka mea maʻi, akā ʻaʻole ia e hoʻopilikia nui i ke ola o kēlā me kēia lā.
2. Ka Wā Kaumaha:
Ma hope o ka pau ʻana o ke kahua mania, loaʻa koke i ka mea maʻi kahi kaumaha nui. Eia:
- Nā manaʻo o ke kaumaha mau, ka ʻole, a me ka manaʻolana ʻole.
- Ua manaʻo ke kino ua make a luhi loa.
- ʻAʻohe hoihoi i nā hana waho i makemake mua ʻia.
- Hiki mai ka hiamoe nui ʻana a i ʻole ka insomnia.
ʻO ka pilina ma waena o nā hormones a me ka maʻi bipolar
Manaʻo ka poʻe he nui ʻo nā loli hormonal i hoʻokumu ʻia e ke kaʻina hana menstrual mahina o ka wahine, ka hāpai ʻana, a i ʻole ka menopause ke kumu o kēia maʻi.
Akā, ʻaʻole nā hormones ke kumu pololei o ka maʻi bipolar. Eia nō naʻe, hiki i nā loli hormonal i ke kino ke hoʻoulu i nā loli o ka naʻau i nā wahine me ka maʻi bipolar e wikiwiki. Ua kapa ʻia kēia he rapid cycling . ʻO ia ke kumu he mea nui e ʻike i kahi kauka noʻonoʻo ma mua o kahi VOG.
Nā lāʻau lapaʻau holomua no ka maʻi bipolar
ʻOiai he kūlana kēia no ke ola holoʻokoʻa, me ka mālama kūpono, loaʻa i ka mea maʻi ka hiki piha ke kāohi i nā hōʻailona a ola i kahi ola maʻamau a olakino:
- ʻO ka Pharmacotherapy: Kuhikuhi nā kauka psychiatrist i nā mea hoʻopaʻa manaʻo (nā lāʻau lapaʻau e like me nā antidepressants) , antipsychotics , a i kekahi manawa nā antidepressants e kaulike i ke kemika o ka lolo.
- Psychotherapy: Ke aʻo aku nei ka Cognitive behavioral therapy (CBT) i ka mea maʻi e kāohi i nā manaʻo a me nā ʻano maikaʻi ʻole. Eia kekahi, hoʻomaʻamaʻa ʻo IPSRT (Interpersonal and Social Rhythm Therapy) i ka mea maʻi e mālama i ka hiamoe maʻamau, ka ʻai, a me nā hana hoʻoikaika kino.
- Nā mea hoʻohui e like me Omega-3: Hōʻike kekahi mau noiʻi e hiki i nā waikawa momona omega-3 ke kōkua i ka hoʻokele ʻana i ke kaumaha bipolar, akā ʻaʻole pono ʻoe e lawe i nā mea hoʻohui me ka ʻole o ka ʻōlelo aʻoaʻo lapaʻau.
Nā mea e pono ai a me nā mea ʻaʻole e pono ai
| ✔️ Nā mea e hana ai (Hana) | ❌ Nā mea pono ʻole |
|---|---|
| E kōkua i ka mea maʻi e hiamoe i ka manawa like i kēlā me kēia lā a ʻai i ka ʻai i nā manawa maʻamau. | Mai ho'ōki i ka lawe ʻana i ka lāʻau lapaʻau me ka ʻole o ke aʻoaʻo lapaʻau ke pau nā hōʻailona. |
| E mālama i kahi puke moʻolelo noʻonoʻo e hoʻopaʻa i nā loli o ke ʻano o ka mea maʻi i kēlā me kēia lā. | Mai hoʻopaʻapaʻa a hoʻāhewa paha i ka mea maʻi ke loaʻa lākou i kahi pae manic a depressive paha. |
| E hoʻomaopopo i ka ʻohana o ka mea maʻi a me nā mea aloha ma ka hāʻawi mau ʻana iā lākou i ke aloha a me ka mālama. | Mai ʻae i ka mea maʻi e inu i ka waiʻona, nā cigarette, a i ʻole nā mea inu i loaʻa ka nui o ka caffeine. |
❓ Kekahi mau nīnau ʻē aʻe āu e loaʻa ai (FAQ)
He aha ka ʻokoʻa ma waena o ka maʻi bipolar a me ke kaumaha maʻamau? ▼
I ke kaumaha unipolar, ʻike wale ka mea maʻi i ke kaumaha nui a me ke kaumaha. I ka maʻi bipolar, hoʻololi ka mea maʻi ma waena o nā wā o ke kaumaha nui a me nā wā o ka mania, i hōʻailona ʻia e ka hauʻoli nui a me ka ikaika.
Hiki ke hoʻoili ʻia kēia maʻi ma ke ʻano genetic mai ka ʻohana a i ka ʻohana ?
ʻAe, he kuleana koʻikoʻi ko nā kumu hoʻoilina i ka maʻi bipolar. Inā loaʻa i kahi lālā pili o ka ʻohana, e like me ka makuahine, ka makuakāne, a i ʻole ke kaikaina, ka maʻi, ʻoi aku ka nui o ka pilikia o ka loaʻa ʻana o kekahi lālā ʻohana ma mua o ke kanaka maʻamau.
He aha nā mea hiki i nā ʻohana ke hana i ka wā e noho ana ka mea maʻi i kahi pae manic ?
Mai hoʻopaʻapaʻa me ka mea maʻi i ka wā manic, no ka mea, ua hoʻonāukiuki loa lākou. E mālama iā lākou i kahi mālie, kahi mamao aku mai nā hana pilikia a me nā hana kālā, a e ʻike i kā lākou kauka lapaʻau i ka hikiwawe loa e hoʻoponopono i kā lākou lāʻau lapaʻau.
No ke aha he mea nui ka mālama ʻana i ka hiamoe no nā poʻe maʻi bipolar?
ʻO ka nele o ka hiamoe a i ʻole nā loli i nā ʻano hiamoe kekahi kumu nui no nā poʻe maʻi bipolar e komo i ko lākou pae manic a depressive paha. No laila, he mea nui loa ka hāʻawi ʻana iā lākou i ka liʻiliʻi he 7-8 mau hola o ka hiamoe maikaʻi i kēlā me kēia lā i ka manawa maʻamau.
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