Ua hauʻoli loa anei ʻoe, piha i ka ikaika, a i ka manawa like, he kaumaha nui a me ka hakahaka i loko? A i ʻole ua hauʻoli loa kekahi āu i ʻike ai i kekahi manawa a laila hoʻomaka koke e uē me ke kumu ʻole i ka lā aʻe? Hiki i kēia ke lilo i mea huikau a paʻakikī hoʻi e hoʻomaopopo. I kēia lā ke kamaʻilio nei mākou e pili ana i kēia mau 'hiʻohiʻona hui' hiki ke hana me ka maʻi bipolar . ʻOi aku ka maʻamau o kēia ma mua o kou manaʻo.
He aha nā 'Hiʻohiʻona Hui' o ka maʻi bipolar?
I ka ʻōlelo maʻalahi, ʻo ka maʻi bipolar kahi kūlana kahi e loli ai ke ʻano o ke kanaka ma waena o nā ʻaoʻao ʻelua. ʻO kekahi ʻaoʻao ʻo ka mania, ʻo ia hoʻi nā wā o ka hauʻoli nui, ka ikaika nui, a me ka hana. ʻO kekahi ʻaoʻao ʻo ke kaumaha, ʻo ia hoʻi nā wā o ke kaumaha nui, ka ikaika haʻahaʻa, a me ka hoʻonāukiuki me ke ola. Hoʻololi pinepine kēia mau ʻaoʻao ʻelua.
Akā i loko o ke kūlana i kapa ʻia ʻo 'Mixed Features', ʻike ʻia nā hōʻailona o kēia mau ʻano ʻelua i ka manawa like, i ka lā hoʻokahi, a i ʻole i loko o ka hanana hoʻokahi. E noʻonoʻo e like me ke hehi ʻana ma luna o ka accelerator a me ka brake o ke kaʻa i ka manawa like. Ke hoʻāʻo nei kou manaʻo e piʻi i luna i kekahi ʻaoʻao, huki ia iā ʻoe i lalo i kekahi. He ʻike huikau a ʻeha loa kēia.
ʻO wai ka mea i loaʻa pinepine i kēia maʻi?
He mea maʻamau nā hiʻohiʻona hui ʻia i waena o ka poʻe me ka maʻi bipolar . Wahi a kekahi mau noiʻi, kokoke i ka hapalua o nā maʻi bipolar e ʻike i kekahi mau hiʻohiʻona manic i ko lākou wā kaumaha.
- Makahiki: ʻO ka hapa pinepine, ʻike mua ʻia nā hōʻailona o ka maʻi bipolar i nā poʻe ʻōpio , ma waena o 15 a me 25 mau makahiki. ʻO ka poʻe e hoʻomaka ana i ka maʻi i kēia makahiki, ʻoi aku ka nui o nā hiʻohiʻona like ʻole. He mea kākaʻikahi loa ka loaʻa ʻana o ka maʻi bipolar i kekahi no ka manawa mua ma hope o 50 mau makahiki.
- Moʻolelo ʻohana: Inā loaʻa i kekahi o kou ʻohana pili (nā mākua, nā kaikaina) ka maʻi bipolar , ʻoi aku ka nui o kou pilikia o ka loaʻa ʻana o ka maʻi.
- ʻO ka poʻe me ke kaumaha wale nō: I kekahi manawa, ʻo kekahi mea i ʻike ʻole ʻia me ka maʻi bipolar akā loaʻa iā ia ka maʻi kaumaha nui e hōʻike pū i kekahi mau hōʻailona mania haʻahaʻa me ke kaumaha. Ua kapa ʻia kēia he 'episode depressive me nā hiʻohiʻona hui'.
He aha nā ʻano o kahi 'Mīkini Hui'?
He hui pū kēia o nā hōʻailona o ka mania a me ke kaumaha. Aia kahi ʻokoʻa nui ma waena o nā manaʻo i loko o ka noʻonoʻo a me ka hana a ke kino.
| Nā hōʻailona manic | Nā hōʻailona kaumaha |
|---|---|
| Ke manaʻo nei o ka ikaika nui, e neʻe mau ana a puni me ka hoʻomaha ʻole | Nā manaʻo o ke kaumaha hiki ʻole ke hoʻomanawanui, ke kaumaha, a me ka ʻole |
| Nā manaʻo a me ka ʻōlelo hoʻokūkū | Ka nalowale o ka hoihoi i nā mea āu i hauʻoli ai |
| Ka huhū, ka huhū koke ʻana i nā mea liʻiliʻi loa | Manaʻo o ka nele i ka ikaika, ka luhi mau |
| ʻO ke ʻano hana ʻole, hiki ʻole ke noho ma kahi hoʻokahi | Nā manaʻo hewa e pili ana iā ʻoe iho, nā manaʻo o ka pono ʻole |
| Ka hoʻowalewale ʻana e hana i nā mea pilikia (e laʻa, ka hoʻolilo ʻana i ke kālā he nui) | Nā manaʻo pepehi kanaka |
Ke noʻonoʻo nei paha ʻoe, "Pehea lā e hiki ai kēia mau mea ʻelua ke hana pū?" He mea hiki nō kēia. E noʻonoʻo i kekahi e uē nui ana a ʻōlelo mai, "ʻAʻole au i hauʻoli loa i koʻu ola." A i ʻole e hauʻoli koke paha lākou a i kekona aʻe e moe ana lākou ma ka papahele e uē ana i ka ʻeha. Hiki i kēia mau kūlana ke mau no nā lā, nā pule, a i ʻole nā mahina me ka ʻole o ka mālama ʻia.
He aha nā pilikia o ka loaʻa ʻana o nā 'Mixed Features'?
ʻO ka pilikia koʻikoʻi loa a kaumaha hoʻi e pono ai kākou e kamaʻilio e pili ana ma ʻaneʻi, ʻo ia ka pepehi kanaka iā ia iho.ʻO ka poʻe me ka maʻi bipolar he 10-20 mau manawa i ʻoi aku ka nui o ka pepehi kanaka iā lākou iho ma mua o ka heluna kanaka maʻamau.
Ua hōʻike ʻia e ka noiʻi ʻoi aku ke kiʻekiʻe o ka pilikia o ka pepehi kanaka iā ia iho i nā hihia me nā 'hiʻohiʻona hui pū ʻia' ma mua o nā hihia o ke kaumaha maʻamau.
ʻO kēia no ka mea ua hui pū ʻia ke kaumaha nui, ka manaʻolana ʻole, a me nā manaʻo o ka waiwai ʻole o ke kaumaha me ka ikaika nui, ka hoʻomaha ʻole, a me ka impulsiveness o ka mania. Hoʻokumu kēia hui weliweli i ka ikehu a me ka hoʻoikaika e hana ma nā manaʻo pepehi kanaka.
ʻO ka pilikia nui aʻe, ʻo ia ka hoʻohui ʻana i ka lāʻau lapaʻau a me ka waiʻona . Hiki i kekahi poʻe ke hoʻohana i nā lāʻau lapaʻau ma ke ʻano he hoʻāʻo e pakele i kēia haunaele a me ka ʻeha hiki ʻole ke hoʻomanawanui. ʻAʻole wale kēia e hoʻonui i ke kūlana, akā e paʻakikī hoʻi ka mālama ʻana.
Inā loaʻa iā ʻoe kēia mau manaʻo, e ʻoluʻolu, mai ʻeha hoʻokahi . E kamaʻilio me kahi hoaaloha a i ʻole e ʻike koke i kāu kauka . Inā pono, mai kānalua e hele i ka Emergency Department (ETU) o ka haukapila kokoke loa.
He aha nā lāʻau lapaʻau no kēia?
ʻO ka nūhou maikaʻi, aia nā lāʻau lapaʻau no kēia ʻano. Eia nō naʻe, hiki ke paʻakikī iki ka mālama ʻana ma mua o ke ʻano maʻamau o ka mania a i ʻole ke kaumaha. Hoʻohana ʻia kekahi mau ʻano lapaʻau nui.
Nā mea hoʻopaʻa manaʻo
Hoʻomalu kēia mau lāʻau lapaʻau i kēia mau piʻi a me nā iho i loko o ka noʻonoʻo.
- Lithium: He lāʻau lapaʻau maikaʻi loa i hoʻohana ʻia no nā makahiki he ʻumi no ka maʻi bipolar. Eia nō naʻe, ʻaʻole paha e like ka maikaʻi me nā hihia me nā 'hiʻohiʻona hui'.
- ʻAkika Valproic (Depakote): He mea hoʻopaʻa manaʻo nō hoʻi kēia. Ua hōʻike kekahi mau noiʻi he ʻoi aku ka maikaʻi ma mua o ka lithium no nā kūlana 'hui ʻia'.
- Nā lāʻau lapaʻau ʻē aʻe: Ma waho aʻe o kēia, hoʻohana pū ʻia nā lāʻau lapaʻau e like me `(Carbamazepine)` a me `(Lamotrigine)`.
Nā lāʻau lapaʻau antipsychotic
Hāʻawi ʻia kēia mau lāʻau lapaʻau hoʻokahi a i ʻole me ka hui pū ʻana me nā mea hoʻopaʻa manaʻo e kāohi i ke kūlana 'Mixed Features'. ʻO nā laʻana e like me nā lāʻau lapaʻau e like me `(Aripiprazole)`, `(Olanzapine)`, `(Quetiapine)`, `(Risperidone)`.
Lapaʻau Hoʻopaʻi Uila (ECT)
E hoʻoweliweli paha ka inoa i kekahi poʻe, akā he lāʻau lapaʻau kūpono a palekana hoʻi ʻo ECT, ʻoiai ma nā hihia koʻikoʻi kahi i holo pono ʻole ai nā lāʻau lapaʻau ʻē aʻe, a ma kahi i kiʻekiʻe loa ai ka pilikia o ka pepehi kanaka.
He ʻōlelo aʻo kūikawā e pili ana i nā antidepressants!
ʻO kahi hewa nui a ka poʻe he nui e hana ai ma ʻaneʻi, ʻo ia ka hoʻohana ʻana i nā lāʻau antidepressants i kuhikuhi ʻia no ke kaumaha maʻamau, me ka manaʻo he kaumaha lākou. Eia kekahi laʻana, `(Fluoxetine)`, `(Sertraline)`. Eia naʻe, inā hoʻohana ʻia kēia mau lāʻau i ka wā e loaʻa ai nā 'Mixed Features', ma kahi o ka hōʻemi ʻana i ke kaumaha, hiki iā lākou ke hoʻonui i nā hōʻailona manic. No laila, pono ʻoe e pale loa i ka hoʻohana ʻana i ia mau lāʻau me ka ʻole o ka ʻōlelo aʻoaʻo a kahi loea.
He maʻi ola mau ka bipolar. No laila, ʻoiai ma hope o ka hoʻomalu ʻia ʻana o nā hōʻailona, he mea nui e hoʻomau i ka lawe ʻana i ka lāʻau mālama e like me ke kauoha a kāu kauka e pale aku i ka hoʻi hou ʻana.
Leka Lawe-Home
- ʻO nā 'Hiʻohiʻona Hui' e pili ana i ka hanana like ʻana o nā hōʻailona o nā ʻaoʻao ʻelua o ka hauʻoli a me ke kaumaha i loko o ka maʻi bipolar.
- He mea huikau loa kēia kūlana, a kiʻekiʻe loa ka pilikia o ka pepehi kanaka iā ia iho.
- Inā loaʻa iā ʻoe a i ʻole kekahi āu i ʻike ai kēia mau hōʻailona, mai hoʻāʻo e ʻimi i nā hopena ma kāu iho. E ʻimi koke i ka ʻōlelo aʻo mai kahi loea lapaʻau kūpono.
- E pale i ka lawe ʻana i nā antidepressants, ʻoiai nā mea no ke kaumaha maʻamau, me ka ʻole o ke aʻo ʻana a ke kauka. Hiki iā lākou ke hoʻonui i ke kūlana.
- Me ka lāʻau kūpono (nā mea hoʻopaʻa manaʻo, antipsychotics) a me ka hoʻokele lōʻihi, hiki ke kaohi pono ʻia kēia kūlana a hiki ke alakaʻi ʻia i kahi ola maʻamau.
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