Inā loaʻa iā ʻoe ka maʻi bipolar , i kekahi manawa e ʻike paha ʻoe iā ʻoe iho a me ke ao nei i kahi ʻano ʻē iki. Ua like ia me ka nānā ʻana ma o ʻelua mau aniani lepo. Akā hiki i ka lāʻau lapaʻau kūpono ke kōkua iā ʻoe e holoi i kēlā mau aniani a ʻike maopopo hou i nā mea āpau. ʻOiai ʻaʻole paha e hoʻōla loa kēia mau lāʻau i kou kūlana, he mea nui ia no ka mālama ʻana i kou ʻano kaulike a me ka ʻae ʻana iā ʻoe e hana i nā mea āu e makemake ai a hauʻoli ai, i hiki iā ʻoe ke ola i kahi ola maʻamau.
He aha ka lāʻau lapaʻau maikaʻi loa noʻu?
Hoʻohana nā kauka i nā ʻano lāʻau like ʻole e mālama ai i ka maʻi bipolar. Kōkua kekahi mau lāʻau i ka hoʻomalu ʻana i ka mania, aʻo kekahi e kōkua i ka hoʻomalu ʻana i ke kaumaha. Pono paha ʻoe e lawe i hoʻokahi lāʻau wale nō, a i ʻole pono paha ʻoe e lawe i ka hui pū ʻana o nā lāʻau.
ʻO ka lāʻau lapaʻau maikaʻi loa ka mea e hana maikaʻi loa iā ʻoe. No laila, he mea nui e kamaʻilio me kāu kauka e pili ana i ka lāʻau lapaʻau e kōkua nui iā ʻoe.
ʻOiai ua lōʻihi ka manawa mai kou wā hope loa o ka manic a i ʻole ka depressive, pono paha ʻoe e hoʻomau i ka lawe ʻana i kēia lāʻau lapaʻau, malia paha no nā makahiki. Ua kapa ʻia kēia he maintenance therapy . ʻO kēia ke pale aku i nā hōʻailona mai ka hoʻi hou ʻana mai.
He aha nā lāʻau hoʻoikaika manaʻo?
I ka ʻōlelo maʻalahi, ʻo nā mea hoʻopaʻa manaʻo kahi papa o nā lāʻau lapaʻau e mālama a pale i ka mania a me ke kaumaha, a hiki ke kōkua i ka hōʻemi ʻana i ka hoʻopilikia ʻana o kou ʻano i kāu hana, kula, a i ʻole nā pilina pilikanaka.
Aia ma ka papa ma lalo nei kekahi o nā mea hoʻopaʻa manaʻo i hoʻohana pinepine ʻia.
| Ka inoa laulā o ka lāʻau lapaʻau | Nā inoa inoa kaulana |
|---|---|
| Litiuma | Litiuma Kāponate |
| ʻAkika Valproic / Divalproex sodium | Depakene, Depakote |
| ʻO Carbamazepine | ʻO Tegretol, Carbatrol |
| Lamotrigine | ʻO Lamictal |
ʻO kekahi o kēia mau lāʻau lapaʻau, no ka laʻana ʻo 'Carbamazepine' a me 'Valproic acid', he mau lāʻau anticonvulsants hoʻi i hoʻohana ʻia e mālama i nā hopu ʻana . Eia naʻe, ʻaʻole like ka hana o kēia mau lāʻau āpau. ʻOi aku ka maikaʻi o nā lāʻau lapaʻau e like me 'Lithium' i ka mālama ʻana i ka mania, ʻoiai ʻoi aku ka kōkua o nā lāʻau lapaʻau e like me 'Lamotrigine' no ke kaumaha.
Ke lohe ʻoe i ka inoa "mood stabilizer," mai manaʻo ʻoe e mau ana kou ʻano i ka lā a pau. Hoʻohana nui ʻia kēia mau lāʻau lapaʻau e kāohi i nā ʻano kiʻekiʻe a haʻahaʻa e mau ana no nā lā a i ʻole nā pule.
Nā lāʻau lapaʻau ʻē aʻe e kōkua ai i ka hoʻomalu ʻana i ke ʻano
Hoʻohana pinepine ʻia nā lāʻau antipsychotic i nā hoʻolālā lapaʻau bipolar. Hiki ke hoʻohana wale ʻia kēia mau mea a i ʻole me nā mea hoʻopaʻa manaʻo e kāohi i nā hōʻailona o ka mania.
I kēia mau lā, ʻōlelo pinepine nā kauka i nā antipsychotics hanauna hou.
| Nā Antipsychotics Hou |
|---|
| ʻO Aripiprazole (Abilify) |
| ʻOlanzapine (Zyprexa) |
| ʻO ka Quetiapine fumarate (Seroquel) |
| ʻO Risperidone (Risperdal) |
| Ziprasidone (Geodon) |
| ʻO Lurasidone (Latuda) |
Nā lāʻau lapaʻau kūikawā no ke kaumaha bipolar
Hoʻomaka pinepine nā kauka i ka lāʻau bipolar me kahi mea hoʻopaʻa manaʻo e like me ka lithium. Eia nō naʻe, aia nā lāʻau lapaʻau i ʻae kūikawā ʻia no ka wā kaumaha o ka maʻi bipolar. ʻO kekahi o kēia mau mea e komo pū ana me ka quetiapine fumarate (Seroquel), lurasidone (Latuda), a me ka hui pū ʻana o ka olanzapine a me ka fluoxetine i kapa ʻia ʻo Symbyax.
Hiki i kekahi poʻe ke loaʻa i kahi hanana manic i ka wā e lawe ana i nā antidepressants. Ma muli o kēia pilikia, e nānā pono kāu kauka iā ʻoe inā ua kuhikuhi ʻia ʻoe i ia lāʻau lapaʻau.
He kūpono anei kēia lāʻau lapaʻau iaʻu? E hoʻomanaʻo i kēia mau mea i ka wā e hoʻohana ai i ka lāʻau lapaʻau
ʻAʻole hiki i ke kauka ke haʻi koke iā ʻoe i ka maikaʻi o ka hana ʻana o kahi lāʻau lapaʻau iā ʻoe. Pono paha ʻoe e hoʻāʻo i kekahi mau lāʻau lapaʻau a me nā ʻano lāʻau like ʻole e ʻike ai i ka lāʻau lapaʻau kūpono a me ka nui nou. Hiki i kēia ke lōʻihi.
ʻOiai inā he mea kaumaha iki kēia, mai hoʻōki. Inā ʻoe e hoʻomanawanui, hiki iā ʻoe a me kāu kauka ke loaʻa ka lāʻau lapaʻau kūpono iā ʻoe.
E hahai i kēia mau kuhikuhi i ka wā e hoʻohana ai i ka lāʻau lapaʻau:
- E lawe i kāu lāʻau lapaʻau i ka manawa like i kēlā me kēia lā. ʻAʻole paha e poina inā ʻoe e hoʻomaʻamaʻa i ka lawe ʻana i kāu lāʻau lapaʻau me kahi mea āu e hana ai i kēlā me kēia lā, e like me ka palaki ʻana i kou mau niho, ka ʻai ʻana i ka ʻaina kakahiaka, a i ʻole ka hiamoe ʻana i ka pō. He kōkua nui nō hoʻi ka hoʻohana ʻana i kahi pahu pila kahi e hiki ai iā ʻoe ke hoʻonohonoho i kāu lāʻau lapaʻau ma ka lā o ka pule.
- E nīnau i kāu kauka e pili ana i ka manawa kūpono e lawe ai i kāu lāʻau lapaʻau . ʻOi aku ka maikaʻi o ka lawe ʻana i kekahi mau lāʻau lapaʻau i ke kakahiaka, ʻo kekahi i ka pō. Pono e lawe ʻia kekahi mau lāʻau lapaʻau ma mua a ma hope paha o ka ʻai ʻana.
- E ʻike pono i ka mea e hana ai inā poina iā ʻoe ke lawe i kahi mahele lāʻau. E hōʻoia e nīnau i kāu kauka e pili ana i kēia. Mai pāpālua i ka mahele lāʻau me ka ʻole o ke nīnau ʻana i kāu kauka.
He aha nā hopena ʻaoʻao o ka lāʻau lapaʻau bipolar?
E like me nā lāʻau lapaʻau āpau, hiki i nā lāʻau lapaʻau bipolar ke hana i kekahi mau hopena ʻaoʻao. ʻOkoʻa kēia ma muli o ke ʻano o ka lāʻau lapaʻau āu e lawe nei. ʻO kekahi o nā hopena ʻaoʻao maʻamau:
- Ka luaʻi
- Nā haʻalulu
- Pohō lauoho
- Nā pilikia moekolohe
- Piʻi ke kaumaha
- Nā hopena ma nā puʻupaʻa a i ʻole ke akepaʻa
- ʻO ka ʻōpū ʻeha a me ka maʻi pākī
- Ka hopena ʻili
Hiki i kekahi mau lāʻau lapaʻau ke hoʻopilikia i ka hana o kou ake, nā keʻokeʻo koko a i ʻole ka helu platelet. No laila, hiki i kāu kauka ke paipai i nā hoʻāʻo koko maʻamau e nānā i kou olakino.
Eia kekahi laʻana, hiki i ka lāʻau lapaʻau ziprasidone (Geodon) ke hana i kahi hopena ʻili kakaikahi akā koʻikoʻi i kapa ʻia ʻo DRESS syndrome. Inā loaʻa iā ʻoe kēia ʻano hopena ʻili koʻikoʻi, e ʻike koke i kāu kauka a i ʻole e hele i ka ʻoihana pilikia (ETU) o ka haukapila kokoke loa iā ʻoe.
E nalowale ana ka hapa nui o nā hopena ʻaoʻao i loko o kekahi mau pule o ka hoʻomaka ʻana o ka lāʻau lapaʻau. Akā inā hoʻomau ʻoe i nā pilikia, e ʻike i kāu kauka. Mai manaʻo e pono ʻoe e noho me nā hopena ʻaoʻao. Hiki paha i kāu kauka ke hoʻololi i kāu mahele lāʻau, hāʻawi iā ʻoe i kahi lāʻau lapaʻau ʻokoʻa e hoʻokele i nā hopena ʻaoʻao, a hoʻololi paha iā ʻoe i kahi lāʻau lapaʻau ʻokoʻa.
Mai ho'ōki i ka mālama ʻana ma waena o ke ala!
He ikaika loa nā lāʻau lapaʻau no ka maʻi bipolar. No laila, he mea nui loa ia e lawe iā lākou e like me ka ʻōlelo a kāu kauka iā ʻoe. Mai ho'ōki i ka lawe ʻana i kāu lāʻau lapaʻau me ka ʻae ʻole o kāu kauka. Hiki i kēia ke lilo i mea weliweli.
Ke ʻoluʻolu kou manaʻo, makemake paha ʻoe e hoʻōki i kāu lāʻau lapaʻau. Akā inā ʻaʻole ʻae kāu kauka, ʻaʻole ia he manaʻo maikaʻi. He mea nui ka mālama ʻana i ka mālama ʻana e pale aku i ka hoʻi hou ʻana mai o nā hōʻailona.
ʻO ka ʻoiaʻiʻo ua ʻoi aku kou maikaʻi i kēia manawa, ʻo ia hoʻi ke hana pono nei kāu lāʻau lapaʻau. No laila, mai hoʻōki i ka lawe ʻana i kāu lāʻau lapaʻau me ka ʻole o ke aʻo ʻana a kāu kauka.
Leka Lawe-Home
- He mea nui ka lāʻau lapaʻau no ka kaohi ʻana i ka maʻi bipolar.
- He lōʻihi paha ka manawa e loaʻa ai ka lāʻau kūpono nāu, no laila e hoʻomanawanui a e hana pū me kāu kauka.
- 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 kāu kauka.
- E nīnau mua i kāu kauka i ka mea e hana ai inā poina iā ʻoe ke lawe i kahi mahele o ka lāʻau lapaʻau.
- Mai makaʻu i nā hopena ʻaoʻao, e kamaʻilio ākea me kāu kauka e pili ana iā lākou. Aia nā hopena no lākou.
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