Inā loaʻa iā ʻoe ka maʻi bipolar, ʻike paha ʻoe i nā wā o ka hauʻoli nui (mania) a me nā wā o ke kaumaha nui (kaumaha). Akā, ua ʻike anei ʻoe i nā mea ʻelua i ka manawa like, i ka lā hoʻokahi? Ua like ia me ka manaʻo ikaika loa i ka wā e kaumaha nui ana a me ka hakahaka. ʻO ia ka mea a mākou e kapa nei he dysphoric mania i ka lāʻau lapaʻau. Ua kapa pū kekahi poʻe iā ia he "mixed state." ʻOiai ua manaʻo ʻia he ʻano kakaikahi ia, ua ʻike mākou i kēia manawa he mea maʻamau kēia ʻike ma kahi o 40% o ka poʻe me ka maʻi bipolar.
He aha kēia mau hōʻailona?
ʻO ka dysphoric mania ka hui pū ʻana o nā hōʻailona o ka mania a me nā hōʻailona o ke kaumaha, a i ʻole e hoʻololi koke lākou. Hiki ke loaʻa kēia mau hōʻailona i ka lā a pau, kokoke i kēlā me kēia lā, no hoʻokahi a ʻelua paha pule a ʻoi aku paha.
E hoʻomaopopo wale, e nānā i ka ʻokoʻa ma waena o kēia mau ʻano ʻelua.
| Nā Hōʻailona o ka Mania | Nā Hōʻailona o ke Kaumaha |
|---|---|
| Ka manaʻo o ka hauʻoli nui a i ʻole ka pīhoihoi. | Ke kaumaha, ka hopohopo, a i ʻole ka hakahaka. |
| Huhū koke, hoʻonāukiuki. | ʻO ka palaualelo o ke kino, ka manaʻo me he mea lā ʻaʻole ʻoe makemake e hana i kekahi mea. |
| Manaʻo ikaika loa a me ka hana. | Hoʻomaha ʻole, hiki ʻole ke noho ma kahi hoʻokahi. |
| Nā manaʻo heihei. | Ka paʻakikī i ka noʻonoʻo ʻana, ka hoʻoholo ʻana i nā hoʻoholo. |
| Ke kamaʻilio wikiwiki nei, ka lele ʻana mai kekahi kumuhana a i kekahi kumuhana. | ʻŌlelo lohi, poina. |
| ʻO ka makemake nui i nā mea e like me ka meaʻai, ka mea inu, a me ka moekolohe. | Ka nalowale ʻana o ka hoihoi i nā mea āu i hauʻoli ai. |
| Manaʻo ʻia he mea nui loa ia, he talena, a he mana hoʻi. | Manaʻo lapuwale a me ka manaʻolana ʻole i ke ola. |
| Haʻahaʻa loa ka pono no ka hiamoe. | Nā pilikia hiamoe, e like me ka insomnia a i ʻole ka hiamoe nui ʻana. |
Pehea lā ka manaʻo maoli o kēia?
E noʻonoʻo ʻoe ua manaʻo ʻoe i ka piʻi ʻana o ka ikehu i loko o kou kino, akā i ka manawa like, puka mai ke kaumaha a me ka hopohopo hiki ʻole ke hoʻomanawanui mai loko mai. He mau tausani o nā manaʻo e holo nei ma kou poʻo, a ʻaʻole hiki iā ʻoe ke hiamoe . Akā i ka manawa like, ke kaumaha nei ʻoe iā ʻoe iho, a me he mea lā ʻaʻohe manaʻo o ke ola. He ʻike hopohopo loa kēia, paʻakikī ke hoʻomaopopo, a he huikau hoʻi.
Hiki i kou ʻohana a me kou mau hoaaloha ke ʻike maʻalahi i kēia loli iā ʻoe. Hiki paha iā lākou ke paʻakikī ke hoʻomaopopo iā ʻoe.
Ma muli o kou ʻike ʻana i nā manaʻo he nui i ka manawa hoʻokahi, hiki paha iā ʻoe ke luhi i ka naʻau.
He aha nā mea e pono ai kākou e makaʻala?
ʻO kēia ka ʻāpana koʻikoʻi loa o kēia ʻatikala.
ʻO ka pilikia nui o ka dysphoric mania ka hoʻonui ʻia o ka pilikia o nā manaʻo pepehi kanaka . ʻO kēia no ka mea he manaʻolana ʻole kou o ke kaumaha i hui pū ʻia me ka ikaika kiʻekiʻe o ka mania. Hiki i kēia ke alakaʻi iā ʻoe e hana ma muli o ka impulse.
No laila, inā he mau manaʻo kou e hoʻohihi iā ʻoe e like me ʻoe e luhi ana i ke ola, e ʻoluʻolu, mai ʻeha wale. E ʻike koke i kāu kauka. A i ʻole e kamaʻilio me kahi mea āu e hilinaʻi ai e pili ana i kēia. Hiki ke pili kēia ʻano me nā pilikia ʻē aʻe e like me nā maʻi hopohopo a me ka hoʻohana ʻana i nā mea ʻona.
He aha nā lāʻau lapaʻau no kēia?
Aia nā lāʻau lapaʻau kūpono no kēia ʻano. No laila, mai hopohopo. E kuhikuhi kāu kauka i ka lāʻau lapaʻau e kōkua i ka mālama ʻana i kēia ʻano. I ka manawa pinepine, e pili ana kēia i ka hui pū ʻana o hoʻokahi a ʻoi aku paha nā lāʻau lapaʻau, e like me nā mea hoʻopaʻa manaʻo a me nā antipsychotics .
He mea pono loa nō hoʻi ke hoʻohana ʻana i ka talk therapy me ka lāʻau lapaʻau.
Nā lāʻau lapaʻau ʻē aʻe
I nā hihia kahi e paʻakikī ai ke kāohi me ka lāʻau lapaʻau wale nō, hiki i ke kauka ke kuhikuhi iā ʻoe i nā ʻano lapaʻau ʻē aʻe.
- Lapaʻau Electroconvulsive (ECT): Pili kēia i ke kau ʻana iā ʻoe ma lalo o ka anesthesia a me ka hoʻouna ʻana i nā pulse uila liʻiliʻi loa i kou lolo. He lāʻau palekana loa kēia a wikiwiki hoʻi ka hana .
- Hoʻoulu Mana Magnetic Transcranial Repetitive (rTMS): He lāʻau lapaʻau e hoʻohana ana i nā nalu magnetic e hoʻoulu i nā hunaola nerve i loko o ka lolo.
- ʻO ka hoʻoulu ʻana o ke aʻalolo Vagus (VNS): He ʻano hana e hoʻokomo ʻia ai kahi mea like me ka pacemaker i loko o ke kino a hoʻouna i nā hōʻailona uila maalea i ka lolo.
- Hoʻoulu ʻana i ka lolo hohonu (DBS): He ʻano hana e hoʻokomo ai i nā electrodes ma ke ʻoki kino ma nā wahi kikoʻī o ka lolo e kaohi i ka hana lolo ʻē.
Nā mea hiki iā ʻoe ke hana iā ʻoe iho
I ka wā e loaʻa ai ka lāʻau lapaʻau , aia kekahi mau mea hiki iā ʻoe ke hana e mālama i kēia ʻano.
- E kamaʻilio me kekahi: Mai hakakā wale i kēia mau mea. E kamaʻilio me kahi hoaaloha a ʻohana paha āu e hilinaʻi nei. He manaʻo maikaʻi loa ke hui pū me kahi hui kākoʻo me ka poʻe i loaʻa i ka maʻi bipolar e like me ʻoe. Hiki i ke kamaʻilio ʻana me kahi mea lapaʻau ke lilo i ala maikaʻi loa e kōkua iā ʻoe e hoʻokele i kou kūlana.
- E makaʻala i kēia: E makaʻala i kēia kūlana. E heluhelu i nā ʻatikala hilinaʻi a me nā blog ma ka pūnaewele. ʻO ka nui o kou ʻike e pili ana i ia mea, ʻo ka maʻalahi hoʻi ia e noho pū me ia.
- E hoʻomaka i kahi "puke moʻolelo noʻonoʻo": He mea nui loa kēia. E kiʻi i kahi puke a kākau i kou mau manaʻo o kēlā me kēia lā, nā ʻano, a me nā hōʻailona. I ka hala ʻana o ka manawa, e hoʻomaopopo ʻoe i ka mea e hoʻoulu ai i kou ʻano a me nā hōʻailona hōʻike āu i loaʻa ma mua o ka hoʻomaka ʻana. ʻO ka hoʻonui ʻana i ka ʻike ponoʻī ma kēia ʻano he ala maikaʻi loa ia e kāohi ai i kāu mau hōʻailona .
Leka Lawe-Home
- ʻO ka dysphoric mania kahi kūlana e kū pū ai nā hōʻailona o ka mania a me ke kaumaha i ka maʻi bipolar. He mea maʻamau kēia.
- Ma kēia kūlana, ʻoiai ʻoe e manaʻo nei i ka piʻi ʻana o ka ikehu, hiki paha iā ʻoe ke manaʻo i ke kaumaha nui, ka hopohopo, a me ka manaʻolana ʻole.
- Kiʻekiʻe ka pilikia o nā manaʻo pepehi kanaka. Inā manaʻo ʻoe penei, e ʻike koke i kāu kauka a kamaʻilio paha me kahi mea āu e hilinaʻi ai.
- Hiki ke mālama pono ʻia kēia kūlana me ka lāʻau lapaʻau, ka talk therapy, a me nā lāʻau lapaʻau hou ʻē aʻe.
- Hiki i ke hoʻopaʻa ʻana i kou mau manaʻo ma loko o kahi 'mood journal' ke kōkua nui i ka mālama ʻana i ka maʻi.
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