Ke manaʻo nei ʻoe e piʻi a iho ana kou mau manaʻo, inā paha he hauʻoli a he kaumaha paha, i kahi wikiwiki kupaianaha? Ke hauʻoli nei ʻoe a me ka ikaika i kēia lā, a laila kaumaha a me ka hakahaka ʻaʻole hiki iā ʻoe ke ala aʻe mai kahi moe i ka lā ʻapōpō? Hiki ke pili kēia pōʻaiapuni wikiwiki o nā manaʻo me ka maʻi bipolar . E kamaʻilio kākou e pili ana i kēia i kēia lā, e like me ke kamaʻilio ʻana me kahi hoaaloha.
He aha maoli ka Rapid Cycling?
I ka ʻōlelo maʻalahi, ʻo ka Rapid Cycling kahi ʻano o nā loli pinepine a wikiwiki i nā hanana naʻau i loko o kekahi kanaka me ka Bipolar Disorder. ʻO ke kikoʻī, kapa ʻia ʻo ia e nā kauka he Rapid Cycling inā loaʻa iā ʻoe ma ka liʻiliʻi he ʻehā a ʻoi aku paha nā hanana like ʻole o ka mania, hypomania, a i ʻole ke kaumaha i hoʻokahi makahiki .
ʻO ka mea nui e hoʻomaopopo ma ʻaneʻi, ʻaʻole kēia he maʻi ʻokoʻa. He ʻano ia o ka Bipolar Disorder, a i ʻole he "course specifier." Hiki ke hoʻomaka kēia ʻano i kēlā me kēia manawa, a hiki nō hoʻi ke nalo i ka hala ʻana o ka manawa me ka mālama ʻana. No laila, mai noʻonoʻo he mea ia e mau ana ma laila.
ʻO wai ka mea i ʻoi aku ka paʻakikī o ka loaʻa ʻana o kēia maʻi?
Hiki i ka maʻi bipolar ke hoʻopilikia i kekahi. Hoʻopilikia ia i kahi hapa nui o ka heluna kanaka o ka honua. Ma waena o lākou, ma waena o 10% a me 20% e ʻike paha i ka holo wikiwiki .
Ua ʻike ʻia e ka noiʻi ʻana he ʻoi aku ka nui o ka hiki ke loaʻa kēia maʻi i nā wahine a me ka poʻe me ka maʻi Bipolar II.
ʻIke mua ʻia nā hōʻailona o ka maʻi bipolar i nā poʻe ʻōpio, ma kahi o 18-25 mau makahiki. ʻO ka hapa nui, ʻike ʻia ka maʻi ma mua o 50 mau makahiki. Inā loaʻa i kekahi mea kokoke iā ʻoe (makuahine, makuakāne, kaikaina) ka maʻi bipolar, aia ʻoe i ka pilikia o ka loaʻa ʻana o ke ʻano.
He aha nā hōʻailona nui o ka maʻi Bipolar?
Ma mua o ko kākou hoʻomaopopo ʻana i kēia holo wikiwiki ʻana, e aʻo iki kākou e pili ana i nā kūlana noʻonoʻo nui ʻekolu o ka maʻi Bipolar .
| Mokuna Manaʻo | I ka ʻōlelo maʻalahi... |
|---|---|
| Mania | Manaʻo nui i ka pīhoihoi a piha i ka ikaika. ʻO kēia kūlana no hoʻokahi pule ma ka liʻiliʻi. ʻO nā mea e like me ka hiki ʻole ke hiamoe i ka pō, ke kamaʻilio nui ʻana, ka hoʻolilo kālā me ka hoʻowahāwahā, a me ka hana ʻana i nā hana weliweli e hiki ke hana ʻia i loko o kēia manawa. |
| Hypomania | He ʻano ʻoluʻolu iki kēia, ʻoi aku ka maʻalahi o ka mālama ʻana. He ʻehā lā ka lōʻihi o ia mea. Nui nō ka hauʻoli a me ka ikaika i loko o kēia manawa, akā, ʻaʻole ia e hoʻopilikia nui i ke ola o kēlā me kēia lā e like me ia i ka wā mania. Manaʻo ka poʻe he nui he "manawa o ke ʻano hauʻoli" kēia. |
| Kaumaha Nui | ʻO nā manaʻo o ke kaumaha nui, ka manaʻolana ʻole, a me ka nalowale o ka hoihoi i nā mea āu i hauʻoli ai i kēia manawa he mea maʻamau. ʻO nā hōʻailona e like me ka manaʻo o ka palaualelo, ka luhi mau, nā loli i ka hiamoe a me ka makemake, a me ka hoʻonāukiuki me ke ola he mea maʻamau. |
No nā poʻe he nui me ka holo paikikala wikiwiki, hoʻolōʻihi lākou i ka manawa ma nā kūlana kaumaha ma mua o ka mania a i ʻole hypomania. ʻO ke ʻano kēia, loaʻa iā lākou nā hanana kaumaha pinepine, me nā wā pōkole o ka euphoria (manic/hypomanic) a i ʻole ke ʻano maʻamau.
Pehea e ʻike ai ke kauka inā loaʻa iā ʻoe ka Rapid Cycling?
Hiki i kēia ke paʻakikī iki ke ʻike, no ka mea, i kekahi manawa ʻaʻole paha e nalowale loa ka hanana like, akā hiki ke pinepine a emi mai paha. Hiki ke paʻakikī ke ʻike inā he ʻehā mau hanana like ʻole a i ʻole hoʻokahi wale nō loli.
ʻO kekahi o nā pilikia nui me kēia, ʻo ia ka kuhi hewa ʻana . ʻOiai he nui ka poʻe me ka Rapid Cycling e kaumaha pū ana hoʻi, ʻoi aku ka nui o ka manawa e kuhi hewa ʻia ai lākou he "kaumaha laulā" a i ʻole "kaumaha unipolar" ma kahi o ka maʻi bipolar.
E noʻonoʻo i kēia ʻano. Hele ʻoe i ke kauka e haʻi iā ia e pili ana i kou kaumaha nui a me ke kaumaha. Akā, ʻaʻole ʻoe e haʻi iā ia e pili ana i ka hypomania i kekahi manawa. No ka mea, manaʻo ʻoe he "manawa maikaʻi a hauʻoli no kekahi manawa, i ka wā e hiki ai iā ʻoe ke hana i nā mea he nui," ʻaʻole he hōʻailona o kahi maʻi. A laila loaʻa i ke kauka hoʻokahi wale nō ʻaoʻao o ka moʻolelo. ʻO ia ke kumu ʻaʻole ʻo ia i loaʻa i ke kiʻi piha o kou mau manaʻo.ʻO ia hoʻi, he mea nui loa ke kamaʻilio ākea me kāu kauka e pili ana i nā piʻi a me nā iho.
He aha nā lāʻau lapaʻau no kēia?
He nui ka poʻe me ka holo paikikala wikiwiki e loaʻa nā hōʻailona kaumaha nui. No laila, ʻo ka pahuhopu nui o ka lāʻau lapaʻau, ʻo ia ke hoʻopaʻa i kou ʻano ('mood stabilization'). ʻO ia hoʻi, e pale i nā hanana hou me ka hoʻomaha ʻana i ke kaumaha.
Pono ʻoe e hopohopo e pili ana i nā antidepressants?
Ua hōʻike ʻia nā haʻawina ʻaʻole maikaʻi loa nā lāʻau lapaʻau no ke kaumaha maʻamau, e like me ka fluoxetine (Prozac) a me sertraline (Zoloft), i ka mālama ʻana i ka maʻi bipolar wikiwiki. Hiki iā lākou ke hoʻonui i ka ʻino o nā hanana . ʻO ia ke kumu e kānalua ai nā kauka he nui e hoʻohana i kēia mau lāʻau lapaʻau no ka poʻe me ka holo wikiwiki, ʻoiai no ka wā lōʻihi.
No laila he aha nā lāʻau lapaʻau nui?
ʻO ka lāʻau lapaʻau nui ma ʻaneʻi, ʻo ia nā lāʻau hoʻopaʻa manaʻo .
- ʻO ka carbamazepine (Tegretol)
- ʻO Lamotrigine (Lamictal)
- `lithium (Lithobid)`
- ʻO ka valproate (Depakote)
ʻO kēia nā kumu o ka lāʻau lapaʻau. I kekahi manawa, ʻaʻole lawa ka lāʻau hoʻokahi wale nō e kāohi i kēia pōʻaiapuni 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 ka olanzapine (Zyprexa) a i ʻole quetiapine (Seroquel), e kōkua i ka hoʻopaʻa ʻana i ke ʻano, inā paha he psychosis a ʻaʻole paha.
He mea nui loa: Mai ho'ōki i ka lawe ʻana i ka lāʻau lapaʻau a kāu kauka i kuhikuhi ai, ʻoiai inā maikaʻi kou manaʻo a ʻaʻohe pilikia. E hoʻomau i ka lawe ʻana i kēia lāʻau lapaʻau e pale aku i nā hanana e hiki mai ana. Inā pono ʻoe e hōʻemi a hoʻōki paha i kāu lāʻau lapaʻau, e hana pēlā ma lalo o ke aʻo a kāu kauka .
He aha nā pilikia o ka holo paikikala wikiwiki?
He kumuhana paʻakikī kēia e kamaʻilio e pili ana, akā he mea nui e ʻike. ʻO ka pilikia koʻikoʻi loa e pili ana me ka holo wikiwiki ʻana i ka maʻi bipolar ʻo ia ka pepehi kanaka . ʻO ka poʻe me ka maʻi bipolar he 10-20 mau manawa ka nui o ka pepehi kanaka ʻana ma mua o ka poʻe me ka ʻole. ʻO ka mea kaumaha, ma waena o 8% a me 20% o ka poʻe me ka maʻi bipolar e make ana mai ka pepehi kanaka ʻana.
ʻOi aku paha ke kiʻekiʻe o kēia pilikia no ka poʻe me nā ʻano holo paikikala wikiwiki. Pono paha lākou e mālama pinepine ʻia i ka haukapila, a ʻoi aku ka paʻakikī o ka kaohi ʻana i kā lākou mau hōʻailona.
Eia nō naʻe, hiki i ka mālama kūpono ke hōʻemi nui i kēia pilikia.ʻO ke ʻano kūikawā, ua hōʻike ʻia ka hoʻohana lōʻihi ʻana i ka lāʻau lithium e hōʻemi i ka pilikia o ka pepehi kanaka.
Eia kekahi, ʻo ka poʻe me ka maʻi bipolar e pilikia ana i ka hoʻohui ʻana i ka lāʻau lapaʻau a me ka waiʻona. Hiki i kēia mau hoʻohui ke hoʻonui i ke kūlana a paʻakikī hoʻi ke kāohi.
Leka Lawe-Home
- ʻAʻole he maʻi ʻokoʻa ka Rapid Cycling, akā he ʻano maʻamau i loko o ka Bipolar Disorder. Inā ʻike ʻoe i nā loli maopopo o ka naʻau (episodes) ma mua o ʻehā manawa i ka makahiki, ʻo ia paha kēia ʻano maʻamau.
- He nui ka poʻe me kēia ʻano e ʻike i nā hōʻailona kaumaha nui aʻe, hiki ke kuhi hewa ʻia he kaumaha laulā.
- ʻO ka pahuhopu nui o ka lāʻau lapaʻau, ʻo ia ke kāohi i nā manaʻo me ka hoʻohana ʻana i nā mea hoʻopaʻa manaʻo. Hoʻohana ʻia nā antidepressants me ke akahele nui.
- E wehe a ʻoiaʻiʻo me kāu kauka e pili ana i kou mau wā o ke ʻano kiʻekiʻe (hypomania) a me ke ʻano haʻahaʻa.
- ʻOiai inā ʻoe e ʻoi aku ka maikaʻi, mai hoʻōki i ka lawe ʻana i kāu lāʻau lapaʻau me ka ʻole o ke aʻo ʻana a kāu kauka. ʻO ka lāʻau lapaʻau ke ala maikaʻi loa e kōkua iā ʻoe.
- Inā ʻoe a i ʻole kekahi āu i ʻike ai e ʻike nei i kēia ʻano ʻeha, mai noho hoʻokahi. E ʻike koke i ke kauka a e ʻimi i ke kōkua. Me ka mālama kūpono, hiki iā ʻoe ke kāohi i kēia kūlana a ola i kahi ola maʻamau.
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