I kekahi mau lā, hauʻoli loa ʻoe, pīhoihoi, a piha i ka ikaika... Akā i kekahi mau lā, kaumaha loa ʻoe a ʻaʻole hiki iā ʻoe ke hana i kekahi mea, a manaʻo ʻoe ua luhi ʻoe i ke ao nei... Kāhea mākou i kēia loli koke o ka naʻau ʻo 'mood swings'. Ua ʻike paha ʻoe i kēia. Hiki i kēia ke lilo i hōʻailona nui o kahi maʻi noʻonoʻo i kapa ʻia ʻo bipolar. I kēia lā, ma kēia ʻatikala, e kamaʻilio mākou e pili ana i ka Bipolar I Disorder a me ka lāʻau lapaʻau ʻo Vraylar i hoʻohana ʻia e mālama ai.
He aha maoli ka Bipolar I?
I ka ʻōlelo maʻalahi, ʻo ka bipolar kahi maʻi e hoʻoulu ai i nā loli nui i kou ʻano, ka ikehu, a me nā pae hana. Hōʻike ʻia ia e ʻelua mau ʻano hana nui.
1. Ka Manic Episode: I loko o kēia manawa, hiki iā ʻoe ke hauʻoli loa, pīhoihoi, a me ka ikaika. Hiki iā ʻoe ke loaʻa i ka hiamoe ʻole, ka ʻōlelo wikiwiki, ka hana mau ʻana, a me ka hana ʻana i nā hoʻoholo pilikia.
2. Ka Wā Kaumaha: I loko o kēia manawa, manaʻo nui ʻoe i ke kaumaha, ka luuluu, a ʻaʻohe hoihoi i kekahi mea. Luhi mau ʻoe, ʻaʻohe makemake e ʻai , a ʻaʻole makemake e hana i nā mea āu i hauʻoli ai.
Pono ke kanaka me ka bipolar I i ʻike i hoʻokahi hanana manic. I kekahi manawa, loaʻa nā hanana i hui pū ʻia, kahi e hui pū ai nā hōʻailona manic a me ke kaumaha. ʻOiai ʻaʻohe lāʻau lapaʻau no kēia ʻano, me nā lāʻau lapaʻau kūpono a me ka mālama ʻana, hiki ke kāohi i nā hōʻailona a ola i kahi ola maʻamau .
He lāʻau lapaʻau ʻo Vraylar i hoʻohana ʻia e mālama i kēia mau kūlana ʻekolu (mania, kaumaha, a me ka hui pū ʻia). ʻO kāna mea hana nui ʻo cariprazine. No kahi papa lāʻau i kapa ʻia ʻo antipsychotics hanauna ʻelua. ʻOi aku ka maikaʻi o kēia papa lāʻau ma mua o nā lāʻau kahiko no ka mea ʻaʻole lākou e hoʻoulu i nā hopena ʻaoʻao e pili ana i ka neʻe ʻana (nā hōʻailona extrapyramidal) e like me ka haʻalulu a me ka hoʻomaha ʻole.
ʻOiai ʻaʻole i maopopo piha ʻia ke ʻano o ka hana ʻana o kēia lāʻau lapaʻau, ʻike mākou e kaulike ana ia i ka hana o ʻelua mau kemika i loko o ka lolo i kapa ʻia ʻo serotonin a me dopamine . ʻO kēia mau kemika ʻelua nā mea e kōkua nui ai i ka kaohi ʻana i ko mākou ʻano.
Pehea ʻoe e hoʻohana ai i kēia lāʻau lapaʻau?
Loaʻa ʻo Vraylar i loko o nā capsules. Hiki iā ʻoe ke lawe iā ia i hoʻokahi manawa i ka lā, me ka ʻai a me ka ʻole. Akā ʻo ka mea nui loa, ʻo ia ka lawe ʻana e like me ke kuhikuhi a kāu kauka, ma ka nui kūpono, i ka manawa kūpono.Hiki i kāu kauka ke hoʻololi i ka dosage ma muli o kāu mau hōʻailona.
Mea nui: Mai ho'ōki i ka lawe ʻana i kāu lāʻau lapaʻau a hoʻonui a hoʻēmi paha i ka nui me ka ʻole o ka nīnau mua ʻana i kāu kauka.
Hōʻike ka papa ma lalo nei pehea e kuhikuhi pinepine ai ke kauka i kēia lāʻau lapaʻau.
| ʻAno Mokuna | Ka lāʻau hoʻomaka maʻamau | ʻO ka nui loa o ka lāʻau e hiki ai i ke kauka ke hoʻololi |
|---|---|---|
| Nā ʻĀpana Manic a i ʻole nā ʻĀpana Hui Pū ʻia | 1.5mg i ka lā mua, hiki ke hoʻonui ʻia i 3mg mai ka lua o ka lā. | 6mg i kēlā me kēia lā |
| Nā Mokuna Kaumaha | 1.5mg i ka lā mua. | Ma hope o 15 mau lā, inā pono, hiki ke hoʻonui ʻia ka nui i 3 mg i kēlā me kēia lā. |
ʻEhia ka lōʻihi o ka hana ʻana o ka lāʻau lapaʻau?
He nīnau kēia a ka poʻe he nui e nīnau ai. ʻAʻole hana koke ʻo Vraylar. Hoʻomaka mālie ia e hoʻopilikia i kou kino. No laila hiki ke hala i kekahi mau pule e ʻike i nā hopena. ʻO ka mea nui loa, ʻo ia ka hoʻomau ʻana i ka lawe ʻana i ka lāʻau me ka ʻole o ka hala ʻana o kahi lā a no ka lōʻihi e like me ka ʻōlelo a kāu kauka iā ʻoe. Inā poina iā ʻoe e lawe i kāu lāʻau, hiki iā ʻoe ke hoʻohana i kahi pahu pill a hoʻonohonoho paha i kahi hoʻomanaʻo ma kāu kelepona.
He mea e makaʻala nui ai!
I ka hoʻomaka ʻana i ka lāʻau lapaʻau no kekahi maʻi noʻonoʻo, ʻoiai i nā mahina mua a i ka wā e hoʻololi ai i ka nui, hiki i kekahi poʻe ke ʻike i nā loli o ka naʻau. Aia kahi pilikia o nā manaʻo a i ʻole nā hana pepehi kanaka . Mai makaʻu i kēia, akā pono ʻoe e makaʻala loa.
Inā makemake ʻoe a i ʻole kekahi āu i ʻike ai e hōʻeha iā lākou iho, e hele koke i ka haukapila kokoke loa.E hele i ka ʻOihana Pilikia (ETU) a kāhea koke aku paha i kāu kauka.
E makaʻala i nā hiʻohiʻona ma lalo nei:
- Nā manaʻo hou a i ʻole nā manaʻo i hoʻonui ʻia no ka pepehi kanaka.
- Ke hoʻāʻo nei e pepehi iā ia iho.
- Ka hopohopo hou a i ʻole ka hoʻonui ʻia ʻana, ke kaumaha, a i ʻole nā loli ʻē aʻe i ke ʻano.
He aha e hana ai inā loaʻa nā hopena ʻaoʻao?
E like me nā lāʻau lapaʻau āpau, hiki iā Vraylar ke hana i nā hopena ʻaoʻao. ʻAʻole loaʻa i nā kānaka a pau. ʻOiai inā loaʻa iā lākou, hiki ke mālama pinepine ʻia. Aia ma lalo kekahi o nā hopena ʻaoʻao maʻamau a me nā mea hiki iā ʻoe ke hana e pili ana iā lākou.
| Hopena ʻaoʻao | Nā mea hiki iā ʻoe ke hana a me nā mea āu e pono ai e ʻike |
|---|---|
| Nā neʻe ʻana i hiki ʻole ke kāohi ʻia (nā hōʻailona extrapyramidal) - e.g. haʻalulu, paʻakikī | Hiki i kēia mau mea ke hoʻopilikia loa. Inā ʻike ʻoe i kēia mau hōʻailona , e haʻi koke i kāu kauka . Hiki paha iā ia ke hoʻololi i ka nui o ka lāʻau a hāʻawi paha iā ʻoe i kahi lāʻau lapaʻau ʻē aʻe. |
| Ka Hoʻomaha ʻole (Akathisia) | Ua like kēia me ka mea i ʻōlelo ʻia ma luna. E kamaʻilio me ke kauka. E hāʻawi ʻo ia i kahi hopena no kēia. |
| ʻŌpū ʻeha, nausea, luaʻi | E inu i ka wai he nui e pale aku i ka maloʻo ʻana o ka wai. E ʻai i nā meaʻai māmā e like me nā kuki a me ka berena. E pale i nā meaʻai ʻaila a me nā mea ʻala. Inā ʻaʻole e hoʻomaikaʻi kāu mau hōʻailona, e haʻi i kāu kauka. |
| Hiamoe | E hōʻalo i ka hoʻokele kaʻa a i ʻole ka hana ʻana i nā mīkini e pono ai ka makaʻala a hiki i kou ʻike pono ʻana i ke ʻano o ka hopena o ka lāʻau iā ʻoe. |
Ma muli o ka noho ʻana o Vraylar i loko o ke kino no ka manawa lōʻihi, ʻaʻole paha e ʻike koke ʻia kekahi mau hopena ʻaoʻao, akā e ʻike ʻia paha i kekahi mau pule ma hope. No laila e makaʻala i nā hōʻailona hou.
Hiki paha nā pilikia me nā lāʻau lapaʻau ʻē aʻe?
ʻAe, ʻoiaʻiʻo nō. Hiki i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei ke hoʻopilikia i ke ʻano o ka hana a Vraylar. Hiki iā Vraylar ke hoʻololi i ke ʻano o ka hana a nā lāʻau lapaʻau ʻē aʻe. No laila, he mea nui e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei (me nā lāʻau lapaʻau no nā kūlana ʻē aʻe, nā lāʻau hoʻomaha ʻeha ma luna o ke kauka, nā huaora, a me nā lāʻau lapaʻau Ayurvedic). Hiki iā ia ke kuhikuhi i ka lāʻau lapaʻau i kūpono loa iā ʻoe.
Leka Lawe-Home
- He kūlana ka Bipolar I hiki ke hoʻomalu maikaʻi ʻia me ka lāʻau lapaʻau. He lāʻau lapaʻau kūpono ʻo Vraylar i hoʻohana ʻia no ia.
- ʻO ka hoʻomaka ʻana, ka hoʻololi ʻana i ka dosage, a me ka hoʻōki ʻana i kēia lāʻau lapaʻau e hana wale ʻia ma ke ʻōlelo aʻo a kāu kauka.
- Hiki ke hala i kekahi mau pule e ʻike i nā hopena piha o ka lāʻau lapaʻau, no laila he mea nui loa e hoʻomau i ka hoʻohana ʻana me ka ʻole o ka hala ʻana o hoʻokahi lā.
- E makaʻala loa i nā loli noʻonoʻo, e like me nā manaʻo pepehi kanaka, i nā pae mua o ka mālama ʻana. Inā ʻike ʻoe i kekahi o kēia mau mea, e ʻimi koke i ka ʻōlelo aʻoaʻo lapaʻau a i ʻole e hele i ka keʻena pilikia haukapila kokoke loa (ETU).
- Mai makaʻu i nā hopena ʻaoʻao e hiki mai ana, akā e kamaʻilio ākea me kāu kauka e pili ana i ia mea. E hāʻawi ʻo ia iā ʻoe i ka hopena maikaʻi loa.
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