Loaʻa iā ʻoe a i ʻole kekahi āu i ʻike ai ka maʻi bipolar ? Inā pēlā, ua ʻike paha ʻoe iā ia. I kekahi manawa hauʻoli loa ʻoe, hoihoi, a piha i ka ikaika. Akā aia kekahi mau manawa ke kaumaha loa ʻoe a ʻaʻole hiki iā ʻoe ke hana i kekahi mea, kaumaha loa, a kaumaha. ʻOiai he manawa paʻa mau ma waena o kēia mau ʻano ʻelua, no kekahi poʻe e hana koke kēia loli, i nā manawa he nui i hoʻokahi makahiki. ʻO ia ka mea a mākou e kapa nei ʻo "Rapid Cycling" i ka lāʻau lapaʻau. E kamaʻilio kākou e pili ana i kēia me ka maʻalahi a me ka maopopo i kēia lā.
I ka ʻōlelo maʻalahi, he aha ka Rapid Cycling?
He ʻano maʻi bipolar ka Rapid Cycling. ʻAʻole ia he maʻi ʻokoʻa. I ka ʻōlelo maʻalahi, inā loaʻa i kahi kanaka me ka maʻi bipolar ma ka liʻiliʻi he ʻehā a ʻoi aku paha mau loli ʻano (episodes) i hoʻokahi makahiki , kapa mākou i kēlā ʻano he Rapid Cycling. Hiki i kēia mau episodes ke lilo i mania nui, mania ʻoluʻolu, a i ʻole ke kaumaha nui.
E noʻonoʻo e like me ke aniau. I kekahi lā he lā, i kekahi lā he ʻino a ua nui. I kekahi mau lā ma hope mai, he lā hou. A laila ua hou. Maanei kahi e loli ai ke ʻano. Hiki ke hana ʻia kēia ʻano i kekahi me ka maʻi bipolar, i kēlā me kēia pae o ka maʻi. ʻAʻole ia he mea i "hoʻopaʻa ʻia" mau loa. Me ka mālama kūpono, hiki ke kāohi ʻia kēia ʻano wikiwiki a nalo aku i ka hala ʻana o ka manawa.
ʻO wai ka mea i ʻoi aku ka paʻakikī ke loaʻa i kēia maʻi?
Hiki i ka maʻi bipolar ke hoʻopilikia i kekahi. Ma kahi o 2.5% o ka heluna kanaka ʻAmelika, a kokoke i 6 miliona mau kānaka, e loaʻa ana i kekahi ʻano o ka maʻi. Ma waena o lākou, ma waena o 10% a me 20% e ʻike paha i ka holo paikikala wikiwiki. Ua hōʻike ʻia nā noiʻi he ʻoi aku ka nui o ka ʻike ʻana o nā wahine a me nā poʻe me ka maʻi bipolar II i ka holo paikikala wikiwiki.
No nā kānaka he nui, hoʻomaka mua nā hōʻailona bipolar i ko lākou wā ʻōpiopio, ma kahi o 18-25 mau makahiki. Eia kekahi, inā he ʻohana pili (makuahine, makuakāne, kaikaina) he maʻi bipolar, ʻoi aku ka kiʻekiʻe o ka pilikia ma mua o nā poʻe ʻē aʻe.
He aha nā ʻano nui o ka maʻi bipolar?
He mea nui loa ia e hoʻomaopopo pono i kēia, no ka mea, i ka Rapid Cycling, loli koke kēia mau ʻano. E nānā kākou i kēia mau mea ma ke kaʻawale.
| Mokuna Manaʻo | Wehewehena |
|---|---|
| Mania | He manawa kēia o ka hauʻoli nui, ka pīhoihoi, a me ka ikaika . Me he mea lā ua hoʻā ʻia kahi motika i loko o kou kino. ʻAʻole paha ʻoe e hiki ke hiamoe, hana mau, kamaʻilio nui, hana hoʻomākeʻaka, a hoʻolilo i ke kālā he nui. ʻO kēia kūlana no 7 mau lā ma ka liʻiliʻi. |
| Hypomania | He wā kēia o ka manaʻo hauʻoli iki a ʻoi aku ka ikaika , ʻaʻole i ʻoi aku ka koʻikoʻi e like me ka mania. Hiki iā ʻoe ke hana maikaʻi i kāu hana a ʻoi aku ka launa pū ʻana. Akā ʻoi aku ia ma mua o ka maʻamau. He 4 mau lā ka lōʻihi. ʻAʻole manaʻo ka poʻe he nui he maʻi lapaʻau kēia, me ka manaʻo he "manawa maikaʻi wale nō ia." |
| Kaumaha Nui | I loko o kēia manawa, kaumaha loa ʻoe, nele, a hoʻonāukiuki . Ua nalowale kou hoihoi i nā mea āu i hauʻoli ai. ʻAʻohe ou ikaika, ua loli kāu mau ʻano hiamoe a me ka ʻai ʻana, ua manaʻo ʻino ʻoe iā ʻoe iho, a ua nalowale kou manaʻolana i ke ola. |
ʻO ka mea nui, nui ka poʻe me ka holo paikikala wikiwiki e hoʻolilo i ka hapa nui o ko lākou manawa i loko o ke kaumaha. ʻAʻole pinepine a pōkole ka mania a i ʻole hypomania. ʻO ia ke kumu i kuhi hewa pinepine ʻia ai kēia poʻe he "unipolar depression."
Pehea e ʻike ai ke kauka i ka Rapid Cycling?
E like me ka mea i ʻōlelo ʻia ma mua, ʻaʻole ʻo Rapid Cycling kahi maʻi ʻokoʻa, akā he huaʻōlelo e wehewehe ana i ke ʻano o ka maʻi bipolar. E ʻike ke kauka iā ia ma hope o ka hoʻolohe pono ʻana i kāu mau hōʻailona. Inā ua hōʻoia ʻia he ʻehā a ʻoi aku paha mau hanana o Mania, Hypomania, a i ʻole Depression i loko o hoʻokahi makahiki, ua kapa ʻia ia he ʻano Rapid Cycling.
Akā hiki ke paʻakikī ke ʻike i kēia i kekahi manawa. No ka mea, hiki i kahi hanana hoʻokahi ke pinepine iki a emi iki paha. He paʻakikī ke ʻike inā he ʻehā mau hanana kaʻawale a hoʻokahi wale nō paha. Eia kekahi, no ka mea, ʻaʻole kamaʻilio ka mea maʻi e pili ana i ka wā hypomania, ʻike wale ke kauka i ke kaumaha e hoʻomau nei. No laila, ʻo ka mālama ʻana i kahi puke moʻolelo o kou mau loli ʻano hiki ke lilo i mea kōkua nui no ke kauka e hoʻomaopopo iā ʻoe.
Pehea e mālama ʻia ai kēia?
ʻO ka pahuhopu nui o ka mālama ʻana no ka holo wikiwiki ʻana, ʻo ia ka hoʻopaʻa ʻana i ka naʻau, ke kaohi pono ʻana i ke kaumaha e hoʻomau nei a me ka pale ʻana i nā hanana hou.
ʻO ka ʻōlelo aʻo koʻikoʻi loa: E pili ana i nā antidepressants
ʻO nā lāʻau hoʻēmi kaumaha i kuhikuhi pinepine ʻia no ke kaumaha, e like me ka fluoxetine (Prozac), paroxetine (Paxil), a me sertraline (Zoloft), ʻaʻole kūpono pinepine no ka poʻe me ka maʻi bipolar wikiwiki. Ua hōʻike ʻia nā noiʻi e hiki i kēia mau lāʻau ke hoʻonui i ke alapine o nā hanana. No laila, pale nā kauka i ka hāʻawi ʻana i kēia mau maʻi i nā lāʻau hoʻēmi kaumaha, ʻoiai no ka wā lōʻihi.
Lapaʻau nui: Nā Mea Hoʻopaʻa Manaʻo
ʻO ke ʻano nui o ka lāʻau lapaʻau no kēia maʻi, ʻo ia nā lāʻau lapaʻau e hoʻopaʻa ana i ka naʻau.
ʻO nā hiʻohiʻona o lākou:
- ʻO Carbamazepine (Tegretol)
- ʻO Lamotrigine (lamotrigine (Lamictal))
- Lithium (litium (Lithobid))
- ʻO Valproate ( Depakote )
I ka manawa pinepine, ʻaʻole hiki i hoʻokahi lāʻau lapaʻau wale nō ke kāohi i kēia ʻano wikiwiki. I kēlā hihia, hiki i ke kauka ke hoʻoholo e hāʻawi pū i ʻelua a ʻoi aku paha o kēia mau lāʻau. Eia kekahi, hoʻohana ʻia kekahi mau lāʻau antipsychotic, e like me `olanzapine (Zyprexa)` a i ʻole `quetiapine (Seroquel),` e hoʻopaʻa i ke ʻano.
Pono e hoʻomau ʻia kēia lāʻau lapaʻau ʻoiai ke ʻole ʻoe i nā hōʻailona a maikaʻi kou manaʻo. Penei ʻoe e pale ai i nā hanana e hiki mai ana. Mai hoʻōki i ka lawe ʻana i kāu lāʻau lapaʻau a hoʻololi paha i ka nui me ka ʻole o ke kamaʻilio mua ʻana me kāu kauka.
He aha nā pilikia koʻikoʻi loa e hele mai me ka holo paikikala wikiwiki?
ʻO ka pilikia koʻikoʻi a kaumaha loa e pili ana i kēia maʻi, ʻo ia ka pepehi kanaka iā ia iho. ʻO ka poʻe me ka maʻi bipolar he 10-20 mau manawa ka nui o ka pepehi kanaka iā lākou iho ma mua o ka heluna kanaka maʻamau. ʻO ka mea kaumaha, ma waena o 8% a me 20% o nā maʻi bipolar e make hope loa ma ka pepehi kanaka iā lākou iho.
Hiki ke ʻoi aku ka nui o kēia pilikia no ka poʻe me ke ʻano holo paikikala wikiwiki.Hoʻokomo pinepine ʻia lākou i ka haukapila, a ua paʻakikī ke kaohi i ko lākou mau hōʻailona.
Akā ʻo ka nūhou maikaʻi, hiki ke hoʻemi nui ʻia kēia pilikia me ka mālama kūpono. ʻO ka mea nui, ua hōʻike ʻia ka hoʻohana lōʻihi ʻana i nā lāʻau lapaʻau e like me ka lithium e hōʻemi i ka pilikia o ka pepehi kanaka.
Eia kekahi, he mea maʻamau ka hoʻohana ʻana i nā mea ʻona i waena o nā poʻe maʻi bipolar. Ma kahi o 60% o nā poʻe maʻi e kū nei i kēia pilikia. ʻO ka hoʻohana ʻana i nā mea ʻona e hoʻonui ai i ka maʻi a lilo i mea hiki ʻole ke mālama ʻia.
Leka Lawe-Home
- ʻO ka holo wikiwiki ʻana ka hanana ʻana o ʻehā a ʻoi aku paha mau loli o ka naʻau i loko o hoʻokahi makahiki. He ʻano kēia o ka maʻi bipolar, ʻaʻole he maʻi ʻokoʻa.
- ʻO ke kaumaha ka hōʻailona maʻamau i kēia kūlana, no laila ʻoi aku ka nui o ka hiki ke kuhi hewa ʻia he kaumaha maʻamau.
- ʻO ka lāʻau lapaʻau nui ma ʻaneʻi, ʻo ia nā 'mood stabilizers', a hiki i nā antidepressants maʻamau ke hoʻonui pinepine i ke kūlana.
- He kūlana koʻikoʻi kēia me ka nui o ka pilikia o ka pepehi kanaka iā ia iho. No laila, ʻaʻole loa ʻoe e hoʻōki a hoʻololi paha i kāu lāʻau lapaʻau me ka ʻole o ke aʻo ʻana a kāu kauka.
- Inā ʻoe a i ʻole kekahi āu i ʻike ai e ʻike nei i kēia mau hōʻailona a i ʻole ke manaʻo nei e pepehi iā ʻoe iho, e ʻoluʻolu e ʻimi koke i ke kōkua lapaʻau. Me ka mālama kūpono, hiki iā ʻoe ke ola i kahi ola maikaʻi aʻe.
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