Hiki iā ʻoe ke noʻonoʻo e hauʻoli nui a kaumaha hoʻi i ka manawa like? Ma kekahi ʻaoʻao, manaʻo ʻoe ua pau kou manaʻolana, ke holo wikiwiki nei kou manaʻo, a kiʻekiʻe kou ikaika. Ma kekahi ʻaoʻao, manaʻo ʻoe ua luhi ʻoe i ke ao nei, manaʻo ʻoe ua hauʻoli ʻole ʻoe i ka mea ʻole, a manaʻo ʻoe ua pau kou manaʻolana no ke ola. Ua hui pū kēia mau manaʻo kūʻē ʻelua a ʻo ia ka mea a mākou e kamaʻilio nei i kēia lā, ke ʻano i kapa ʻia ʻo ka maʻi bipolar. ʻOiai he kumuhana paʻakikī kēia, e kamaʻilio kākou e pili ana i ia mea me ka maʻalahi a ma ke ʻano e hiki ke hoʻomaopopo ʻia.
He aha nā ʻano like ʻole o ka maʻi bipolar?
I ka ʻōlelo maʻalahi, ʻo ka maʻi bipolar kahi kūlana e loli koke ai ke ʻano o ke kanaka ma waena o nā ʻaoʻao ʻelua. ʻO kekahi ʻaoʻao ʻē aʻe he mania, kahi i hōʻike ʻia e ka hauʻoli nui, ka pīhoihoi, a me ka hoʻonui ʻia o ka ikehu. ʻO kekahi ʻaoʻao ʻē aʻe he kaumaha, kahi i hōʻike ʻia e ke kaumaha nui, ke kaumaha, a me ka manaʻolana ʻole. ʻO kēia mau kūlana ʻelua e hana pinepine ʻia.
Akā i kekahi manawa, hiki ke ʻike ʻia nā hōʻailona o nā ʻaoʻao ʻelua i ka manawa like, i ka lā hoʻokahi, a i ʻole e hoʻololi i kekahi mau lā. E noʻonoʻo, he ikaika nui ko kekahi, he hoʻomaha ʻole, a he noʻonoʻo wikiwiki o ka mania, akā, ʻo ke kaumaha nui hoʻi, ka manaʻolana ʻole, a me nā manaʻo pepehi kanaka o ke kaumaha. ʻO ia ka mea a mākou e kapa nei he Episode me nā Hiʻohiʻona Hui Pū ʻia . Ua like kēia me ke hehi ʻana ma luna o ka accelerator a me ka brake o ke kaʻa i ka manawa like. He ʻike huikau a hoʻoluhi loa ia, kahi hiki ʻole iā ʻoe ke hoʻopaʻa i kou manaʻo ma kahi hoʻokahi.
Iā wai lā e loaʻa ai kēia maʻi?
Kokoke i ka hapalua o ka poʻe me ka maʻi bipolar e ʻike i nā hōʻailona like ʻole i kekahi manawa o ko lākou ola. ʻO ka poʻe e loaʻa i ka maʻi bipolar i ka wā ʻōpiopio, ʻoi aku ka nui o ka ʻike ʻana i nā hōʻailona like ʻole.
Eia kekahi, i kekahi manawa, ʻoiai kekahi kanaka ʻaʻole bipolar akā ke ʻeha nei i ke kaumaha nui hiki ke ʻike i nā hōʻailona liʻiliʻi o ka mania (no ka laʻana, ka huhū, ka noʻonoʻo wikiwiki) me ke kaumaha. Ua kapa ʻia kēia he "episode kaumaha me nā hiʻohiʻona hui ʻia."
No ka hapa nui o nā kānaka, hoʻomaka mua nā hōʻailona bipolar ma waena o nā makahiki 15 a me 25. He mea kākaʻikahi loa ka loaʻa ʻana o ke kūlana i kekahi no ka manawa mua ma hope o 50 mau makahiki. Inā loaʻa i kekahi o kou ʻohana (makuahine, makuakāne, kaikaina) ka maʻi bipolar, ʻoi aku kou pilikia o ka loaʻa ʻana o ke kūlana.
He aha nā hōʻailona o kekahi kanaka me nā ʻano like ʻole?
I mea e maopopo ai kēia, e hoʻokaʻawale kākou i kēia mau hōʻailona i ʻelua mau ʻano. Hiki i kēia mau ʻano hōʻailona ʻelua ke kū pū a i ʻole ma ka wikiwiki.
| Nā hōʻailona o ka mania | Nā hōʻailona o ke kaumaha |
|---|---|
| Ka pīhoihoi nui a i ʻole ka huhū no ke kumu ʻole | Nā manaʻo o ke kaumaha nui, ka ʻole, a me ka manaʻolana ʻole |
| Ka piʻi ʻana o ka ikehu, ka hoʻomaha ʻole | Ka nalowale o ka hoihoi i nā mea āu i hauʻoli ai |
| Kahe wikiwiki o nā manaʻo, ʻōlelo wikiwiki | Ka nele o ka ikaika, ka luhi mau |
| Ka paʻakikī e noho kālele ana | He mau manaʻo kou ʻaʻole pono a he lawehala paha ʻoe |
| ʻAʻole luhi ʻoiai ma hope o ka hiamoe iki ʻana | Nā manaʻo pepehi kanaka |
Ke noʻonoʻo nei paha ʻoe pehea e hiki ai kēia, ʻeā? E noʻonoʻo i kekahi e uē mau ana a ʻōlelo, "ʻAʻole au i hauʻoli loa i koʻu ola." A i ʻole, e hauʻoli nui paha lākou, e hiolo koke i ke kaumaha, a laila hauʻoli hou. Hiki i kēia mau kūlana ke mau no nā lā, nā pule, a i kekahi manawa he mau mahina inā ʻaʻole mālama ʻia .
He aha nā pilikia o kēia mau ʻano hui pū ʻia?
ʻO ka pilikia weliweli loa a koʻikoʻi hoʻi o nā hōʻailona like ʻole, ʻo ia ka pepehi kanaka iā ia iho. ʻO ka poʻe me ka maʻi bipolar, ʻoi aku ka nui o ka pepehi kanaka iā lākou iho he 10-20 mau manawa ma mua o nā poʻe ʻē aʻe. Eia nō naʻe, ua hōʻike ʻia nā noiʻi he ʻoi aku ka nui o ka pilikia o ka poʻe me nā hōʻailona like ʻole ma mua o ka poʻe me ke kaumaha wale nō.
ʻO kēia ka mea weliweli loa e pono ai kākou e hoʻomaopopo. Ke hui pū ʻia ka manaʻolana ʻole a me ka manaʻo o ka luhi me ke ola i loko o ke kaumaha me ka ikaika nui, ka hoʻomaha ʻole, a me ka hoʻowahāwahā o ka mania, ʻoi aku ka kiʻekiʻe o ka manawa e hana ai ma muli o nā manaʻo pepehi kanaka.
No laila, ʻaʻole ia he manaʻo maikaʻi e waiho wale i kekahi me kēia mau hōʻailona. He mea nui e ʻimi koke i ke kōkua lapaʻau . ʻO ka mālama kūpono, ʻoiai ka hoʻohana lōʻihi ʻana i nā lāʻau lapaʻau e like me 'Lithium', hiki ke hōʻemi nui i kēia pilikia.
Eia kekahi, ʻoi aku ka nui o ka pilikia o ka poʻe me ka maʻi bipolar i ka hoʻohana ʻana i nā mea ʻona , kahi e hiki ai ke hoʻonui i ke kūlana a paʻakikī hoʻi ke kaohi.
Pehea e mālama ʻia ai?
Pono maoli ka lāʻau lapaʻau e mālama i nā hanana i hui pū ʻia. Eia nō naʻe, hiki ke paʻakikī iki kēia kūlana e mālama ma mua o kahi hanana manic a depressive paha. ʻO nā lāʻau lapaʻau nui i hoʻohana ʻia he mau mea hoʻopaʻa manaʻo a me nā antipsychotics.
Nā mea hoʻopaʻa manaʻo
Kōkua kēia mau lāʻau lapaʻau i ka kaohi ʻana i kēia mau piʻi a me nā iho i loko o ka noʻonoʻo a mālama i ke ʻano paʻa.
- Lithium: He lāʻau lapaʻau koʻikoʻi loa kēia i hoʻohana ʻia no ka manawa lōʻihi i ka mālama ʻana i ka maʻi bipolar. Eia nō naʻe, ʻaʻole lawa paha kona pono i nā hōʻailona i hui pū ʻia. No ka mea he mau pule e hana piha ai, ʻoi aku ka maikaʻi o ka hoʻohana ʻana iā ia ma ke ʻano he lāʻau mālama lōʻihi. I ka wā e lawe ai i ka 'Lithium', pono ʻoe e loaʻa i nā hoʻāʻo koko maʻamau e nānā i kāu pae lāʻau lapaʻau e pale aku i nā hopena ʻaoʻao.
- ʻAkika Valproic (Depakote): He mea hoʻopaʻa manaʻo nō hoʻi kēia. Ua hōʻike ʻia nā noiʻi he ʻoi aku ka maikaʻi o ia ma mua o ka lithium i kekahi manawa i ka kaohi ʻana i nā hōʻailona i hui pū ʻia.
- Nā lāʻau lapaʻau ʻē aʻe: Hoʻohana ʻia nā lāʻau lapaʻau ʻē aʻe e like me Carbamazepine (Tegretol) a me Lamotrigine (Lamictal) no kēia kumu.
Nā lāʻau lapaʻau antipsychotic
He nui nā lāʻau lapaʻau hou o kēia papa he kūpono loa i ka kaohi ʻana i nā hōʻailona like ʻole. ʻO nā laʻana e komo pū me ʻOlanzapine (Zyprexa), ʻRisperidone (Risperdal), a me Quetiapine (Seroquel). Hoʻohana wale ʻia kēia mau mea a i ʻole i hui pū ʻia me nā lāʻau lapaʻau e hoʻopaʻa ana i ka naʻau.
Lapaʻau Hoʻopaʻi Uila (ECT)
ʻOiai paha e kani weliweli ka inoa i kekahi poʻe, he lāʻau palekana a maikaʻi loa ʻo ECT no nā hihia koʻikoʻi ʻaʻole hiki ke kāohi ʻia me ka lāʻau lapaʻau. Hiki i kēia lāʻau ke hoʻōla i ke ola, ʻoiai inā he nui ka pilikia o ka pepehi kanaka.
He mea nui loa!
ʻAʻole hāʻawi ʻia nā lāʻau antidepressant e like me `Fluoxetine (Prozac)` a me `Sertraline (Zoloft)`, i hoʻohana ʻia no ke kaumaha maʻamau, ke loaʻa kēia mau hōʻailona hui. ʻO kēia no ka mea hiki i kēia mau lāʻau ke hoʻonui i nā hōʻailona o ka mania (ka huhū, ka hoʻomaha ʻole). No laila, ʻaʻole loa e kuhikuhi kāu kauka i kēia mau lāʻau i ia mau manawa. ʻO ka mea mua e hoʻāʻo ai, ʻo ia ke kāohi i ke kūlana me nā lāʻau hoʻopaʻa manaʻo a i ʻole nā antipsychotics.
No ka mea he maʻi hoʻi hou ka maʻi bipolar, he mea nui e hoʻomau i ka loaʻa ʻana o ka lāʻau mālama e pale aku ai i ka hoʻi hou ʻana, ʻoiai ma hope o ka emi ʻana o nā hōʻailona.
Leka Lawe-Home
- ʻO nā hōʻailona hui pū ʻia o ka maʻi bipolar ʻo ia ka wā e ʻike ai ʻoe i nā hōʻailona o nā ʻano hauʻoli ʻelua (mania) a me ke kaumaha nui (kaumaha) i ka manawa like.
- He ʻike kaumaha loa kēia, a he kiʻekiʻe loa ka pilikia o ka pepehi kanaka iā ia iho.
- Inā loaʻa iā ʻoe a i ʻole kekahi āu i ʻike ai kekahi o kēia mau hōʻailona, mai hoʻowahāwahā iā lākou. E ʻimi koke i ka ʻōlelo aʻo mai kahi loea lapaʻau kūpono.
- Hoʻohana ʻia nā lāʻau hoʻopaʻa manaʻo a me nā antipsychotics e mālama i kēia maʻi, akā, ʻaʻole kūpono nā antidepressants maʻamau.
- Mai ho'ōki i ka lawe ʻana i nā lāʻau lapaʻau i kuhikuhi ʻia a hoʻololi paha i ka nui me ka ʻole o ke aʻo ʻana a kāu kauka. He mea nui loa ka mālama lōʻihi.
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