I ētahi wā ka whakaaro koe he kaha tōu ki te mahi i ngā mea katoa, ā, ka tino kaha koe? Engari i te wā kotahi, ka tino pouri koe, ka kore ora, ā, kāore e taea e koe te ara ake i te moenga? Mena he rite ō kare ā-roto ki te eke waka tere, tera pea kei te pāngia koe e te mate hinengaro e kiia nei ko te Mate Pūrua I, engari kāore koe i te mōhio. Kaua e wehi ki te whakarongo ki tēnei. Ehara i te mea nāu. Me kōrero tātou mō tēnei mea me te mārama, me te ngāwari.
He aha rawa te Mate Pūrua I?
Ki te whakarapopototanga, ko te Mate Bipolar I he mate hinengaro e hua ake ai ngā piki me ngā heke tino kino o te wairua, te taumata pūngao, me te mahi. I mua i huaina ko te "mate manic-depressive".
Mena kei a koe te Mate Pūmanawa I, kua pāngia koe e te iti rawa i te kotahi wāhanga o te "mania" e roa ana mō te wiki, neke atu rānei . Ko te wāhanga mania he wā e tino harikoa ana, e riri ana rānei tō wairua, ā, e tino hihiko ana koe. Ka nui hoki te rerekētanga o ō whanonga i tēnei wā.
He maha ngā tāngata e pāngia ana e te Mate Bipolar I ka pāngia hoki e ngā wā " pouri " me ō rātou wā mania. Ka taea e tēnei te mea kei runga rātou i te hurihuri o ngā kare ā-roto. Engari i waenganui i ēnei piki me ngā heke, tera anō ngā wā ka taea e koe te noho i te oranga noa me te kore he tohu.
He aha te rerekētanga i waenga i ngā momo mate hinengaro rua?
He maha ngā momo matua o te mate hinengaro rua, ā, he rerekē te āhua o ia momo.
| Momo Pirau | He whakamārama māmā |
|---|---|
| Mate Pūrua I | Koinei te momo tino kino. Tērā ētahi wā kino o te 'mania' ka pā kino ki te oranga. Tērā pea ka pāngia ētahi e te pouri, ā, ka ngaro pea i ētahi. |
| Mate Pūrua Tuarua | Koinei te wāhi e puta ai ngā wā o te pikinga o te wairua, e kiia nei ko te 'hypomania', he iti ake te kino o ēnei i te mania. Ka whakawhitihia ēnei me ngā wā pouri. |
| Cyclothymia | Koinei te momo ngawari rawa. Ahakoa he roa ngā wā e rerekē ai te wairua, kāore he porangi nui, he pouri nui rānei. |
He aha ngā take o tēnei āhuatanga?
Kāore anō kia kitea he take kotahi mō tēnei, engari e whakapono ana ngā kairangahau he huinga o ngā āhuatanga maha.
- Koiora Roro: E kī ana ētahi rangahau he rerekē te hanganga me te mahi a ngā roro o te hunga whai Mate Pūrua I i ērā o ētahi atu tāngata. Tērā pea ka pā ēnei rerekētanga ki te huarahi e tukatuka ai te roro i ngā kare ā-roto me te ahotea.
- Ira: Kāore he "ira bipolar" motuhake. Heoi, ki te pāngia tētahi o tō whānau, inā koa he mātua, he tuākana, he teina rānei, e te mate, he nui ake te tūponotanga ka pāngia koe e te mate.
- Ngā Āhuatanga Taiao: Ka pā pea te taiao e noho nei tātou me ngā mea e pā ana ki ō tātou oranga ki te putanga mai o tēnei āhuatanga.
Ko ēnei pea te mea e taea ai te tautuhi hei take mōrearea :
- He mema whānau tō te hunga e pāngia ana e te mate hinengaro rua.
- Ngā āhuatanga pōuri i te wā o te tamarikitanga (hei tauira, te tukino, te whakarere, ngā tautohe whānau).
- Ngā huihuinga tino taumaha, pērā i te matenga o tētahi e arohaina ana .
- Te whakamahi i ngā raau taero me te waipiro.
- Kei a koe ētahi atu āhuatanga hauora hinengaro pēnei i te manukanuka me te pouri.
He aha ngā tohu o te mate Bipolar I?
Mena kei a koe te Mate Pūrua I, tera pea ka pā mai ngā wā ka nui ake te kaha o ō kare ā-roto i tō te tikanga. I roto i ēnei "wāhanga kare ā-roto," tera pea ka rerekē rawa ō whanonga i tō tikanga. Hei tauira, tera pea ka iti rawa tō moe, ka nui rawa tō kaha ki te mahi , ka mahi rānei i ngā mahi mōrearea me te kore e whakaaro ki ngā hua ka puta.
Kāore pea koe e kite i ēnei huringa. Ka roa pea ēnei tohu puta noa i te rā, mō ngā rā, wiki, tae noa ki ngā marama.
| Ngā Tohu o te Wāhanga Mania | Ngā Tohu o te Pouri |
|---|---|
| Te peke tere mai i tētahi whakaaro ki tētahi atu | Te ahua o te pouri nui me te kore noa iho |
| Te kōrero nui, te kōrero tere rawa rānei | Te ngoikore, te ngenge |
| Te ahua o te kaha whakamiharo i roto i te tinana | Te āhua pōuri |
| Te whakaiti i te hiahia mō te moe me te kai | He nui rawa te moe, he kore rānei e nui te moe |
| Te tino whakapono ki a koe anō | He uaua ki te mahara ki ngā mea me te whakaaro |
| Te whakapau moni nui rawa | Te ngaronga o te hiahia ki ngā mea i pai ai koe i mua |
| Ngā kare ā-ira nui rawa | Te whai whakaaro mō te mate, mō te whakamomori rānei |
Ina tino kino te mania, he uaua pea i ētahi wā te wehewehe i waenga i te mooni me te wawata. Ka kiia tēnei ko te 'psychosis'.
I ngā wā pēnei,
- Te whakaaro kei te ngana ētahi atu ki te whara i a koe (he whakaaro pohehe).
- Te rongo i ngā mea kāore i reira (ngā moemoeā).
- Ko ngā mea kāore i reira e kitea ana.
- E whakaaro ana rātou ka taea e rātou te mahi i ngā mea kāore e taea, ngā mea kāore i te tūturu.
- E whakapono ana rātou he mana atua motuhake, he mahi motuhake rānei tō rātou.
Me pēhea te tautuhi i tēnei mate?
Kāore he whakamātautau motuhake hei tautuhi i te Mate Bipolar I. Ka tautuhia e te tākuta mā te kōrero ki a koe me te tiki kōrero mō tō wairua, ō taumata pūngao, me ō tauira whanonga.
Ka whai pea tō tākuta i ēnei mahi:
1. Whakamātautau Tinana: Tuatahi, ka tirohia e tō tākuta mēnā he take tinana kē atu mō ēnei tohu. Kei roto pea i tēnei ko ngā whakamātautau toto.
2. Aromatawai Hauora Hinengaro: Ka pātai te tākuta mō ō kare ā-roto, ō whakaaro, me ō whanonga. Ka ngana rātou ki te mārama ki te pānga o ēnei tohu ki tō oranga o ia rā, ki tō mahi, me ō whanaungatanga whānau.
3. Rātaka Wairua: Tērā pea ka tono atu tō tākuta kia pupuri koe i tētahi rātaka o ō kare ā-roto, ō taumata pūngao, me ō tauira moe. Mā tēnei ka āwhina i a koe ki te mārama ki ō ake tauira.
4. Te kōrero ki te whānau me ngā hoa: Ki te whakaaetia e koe, ka taea e te tākuta te kōrero ki te hunga e tata ana ki a koe me te pātai mō ō whanonga. Nā te mea i ētahi wā kāore tātou e mārama ki a tātou anō, ka kitea mārama te rerekētanga e te tangata e titiro mai ana i waho.
Me pēhea te rongoā?
He tino whai hua ngā maimoatanga mō tēnei mate. Ko te tikanga he whakakotahitanga o te rongoā me te hinengaro whakaora.
Rongoā
He tino āwhina ngā rongoā ki te whakahaere me te ārai i ngā wā pōrangi. He maha ngā wā ka hoatu he huinga o ngā rongoā maha.
- Ngā Whakaū Hinengaro: Ka āwhina ēnei ki te whakahaere i te mania me te hypomania. Tauira: Lithium, Valproic acid, Carbamazepine.
- Ngā rongoā ārai hinengaro: Ka whakamahia ēnei hei ārai me te rongoā i ngā wā pōrangi. Hei tauira: Olanzapine, Risperidone, Quetiapine.
- Ngā rongoā ārai pouri: Nā te mea ka taea e ēnei te whakararu i te hinengaro mēnā ka whakamahia ko rātou anake, ka tohua ēnei e ngā tākuta me tētahi rongoā whakaū wairua.
Ngā maimoatanga kore-rongoā
Haunga ngā rongoā, he mea tino nui anō hoki ēnei mea.
- Hinengaro Whakaora: He momo kōrero whakaora e āwhina ana i a koe ki te whakahaere i ō whakaaro me ō whanonga, me te ako ki te noho tahi me te mate. Ko te Whakaora Hinengaro-Whanoke (CBT) tētahi tikanga whai hua e whakamahia ana mō tēnei.
- Te Whakaora Hikohiko (ECT): He maimoatanga tino haumaru, whai hua hoki mō te mania kino, te pouri rānei kāore e pai ki te rongoā.
Me pēhea te noho angitu me te mate Bipolar I?
Haunga te maimoatanga, he maha atu ngā mea ka taea e koe te mahi i a koe anō.
- Tuhia tō wairua: Whakapaua he wā iti i ia rā ki te tuhi i ō kare ā-roto. I roto i te wā, ka tīmata koe ki te mārama ki ō tauira.
- Tāutuhia ngā mea e whakaoho ana i tō mate: Whakaarohia ngā mea e kino ake ai ō tohu. Tērā pea he ahotea, he kore moe, he huringa nui rānei o te ao.
- Kia tūpato ki ngā tohu tōmua: Tērā pea ka kite koe i ngā huringa ngawari o tō moe, tō taumata pūngao, me tō whanonga i mua i te puta mai o tētahi wā pōuri. Ki te mōhio koe ki ēnei tohu whakatūpato, ka taea e koe te tiki āwhina wawe atu.
- Whakatūria he mahinga: Mā te whai tikanga ki te kai, ki te tango rongoā, me te moe i te wā kotahi ka āwhina i tō hinengaro kia tau ake.
- Tiakina koe: kia nui te moe, kai i ngā kai whai kiko, whakakorikori tinana. Kimihia ngā huarahi hei whakaiti i te ahotea.
- Rapua he tautoko: Hangaia he whatunga o te whānau me ngā hoa e whakapono ana ki a koe. Ki te tika, uru atu ki tētahi rōpū tautoko me te hunga kua pāngia e ngā wheako ōrite.
- Hangaia he mahere ohorere: Tuhia ngā mea me mahi e koe mēnā ka pā mai he wā pōuri, me ngā ingoa me ngā nama waea o te hunga me kōrero koe ki a rātou (tākuta, whānau). Tukuna atu tēnei mahere ki te hunga e tata ana ki a koe.
Karere Tangohia ki te Kāinga
- Ko te Mate Pūrua I he āhuatanga e tino pāngia ai te hinengaro. Ehara i te mea nāu te he.
- E rua ngā wāhanga matua o tēnei āhuatanga: ko te 'mania', arā, ko te nui rawa o te harikoa/pūngao, me te 'pouri', arā, ko te pouri nui.
- He mate uaua tēnei e hua mai ana i te huinga o ngā ira, te koiora roro, me ngā āhuatanga taiao.
- Mā te rongoā tika me te hinengaro whakaora, ka taea te whakahaere angitu i tēnei āhuatanga, ā, ka taea hoki te ora i tētahi oranga whai hua, whai hua hoki.
- Mena kei a koe, kei tētahi rānei e mōhio ana koe, kaua e mangere ki te toro atu ki te tākuta me te tiki tohutohu. Koinei te mea pai me te mea haumaru hei mahi.
💬 Comments (0)
Kaore ano kia tukuna he korero. Tāpirihia to korero ki konei mo te wa tuatahi.
Tāpirihia to korero