Kei te rite tō wairua ki te waka tere? I ētahi rā ka tino harikoa koe, ka tino hihiko, ka rite ki te mea ka taea e koe te wikitoria i te ao? Engari i ētahi atu rā, kāore he take, ka tino hoha koe, ka pouri, ka pouri? Ko tēnei momo huringa wairua te tohu matua o te mate hinengaro e kiia nei ko te bipolar. I tēnei rā, e kōrero ana tātou mō tētahi mate motuhake e kiia nei ko te Bipolar II Disorder.
He aha te mate Bipolar II?
Ko te tikanga o te kupu bipolar he "pou e rua." Ko tōna tikanga he rua ngā pito rerekē, pērā i te raki me te tonga. I roto i te mate bipolar, ko ēnei pito e rua ko te harikoa/hihiri nui me te pouri/pouri nui.
I roto i te momo bipolar 2, kāore tēnei harikoa e piki ake hei mania tino nui. Engari, he iti ake te mania, he ngāwari ake te whakahaere i te taumata o te harikoa. E kiia ana tēnei e mātou i roto i te rongoā he hypomania . Heoi, he maha ngā tāngata whai mate pēnei e noho ana i te nuinga o ō rātou wā i roto i ngā wā pouri nui .
Ko te tangata he mate hinengaro momo 2 kua pāngia e te hypomania , neke atu rānei, kotahi te wā o te pouri nui i roto i tōna oranga.
He āhuatanga mōrearea motuhake kei reira mō tēnei mate?
Kāore he take kotahi mō tēnei. Ka taea e te tangata katoa te pāngia e tēnei mate. Heoi anō, tera pea ētahi āhuatanga ka whakanui ake i te mōrearea.
- Hītori whānau: Mena kei te pāngia tētahi o tō whānau tata (whaea, pāpā, tuākana/teina), he nui ake te tūponotanga ka pāngia koe e taua mate.
- Tau: Ka tīmata ngā tohu i te mutunga o te taiohitanga, i te tīmatanga rānei o te 20 tau. Ko te nuinga o te hunga e pāngia ana e tēnei mate ka pāngia e te mate i mua i te 50 tau.
- Ngā huringa matū i roto i te roro: Ka taea hoki tēnei e te kore taurite o ngā neurotransmitters i roto i te roro.
Me pēhea te mōhio ki tēnei? He aha ngā tohu?
I roto i te momo bipolar 2, e rua ngā āhua kare ā-roto matua e taupatupatu ana. Me titiro motuhake tātou ki ēnei.
| Te wā o te wairua | Ngā āhuatanga e kitea ana |
|---|---|
| 1. Hypomania - he āhua o te tino harikoa |
|
| 2. Te pouri - he āhua pouri nui |
|
Ina titiro koe ki tētahi e noho ana i roto i te āhua hypomanic, te āhua nei he tino harikoa, he hihiko hoki rātou. Tērā pea ko rātou te "oranga o te pāti," e kata tahi ana me te katoa, ā, he tino hoa. Nō reira, tērā pea kei te whakaaro koe, "Nā, he aha te hē o tēnā?"
Ko te mea nui, ki te kore e rongoatia, ka taea e te hypomania te arahi ki ngā whanonga koretake, kore hauora, me te morearea. Hei tauira, te tīmata i tētahi pakihi nui me te kore moni, te whakapau moni koretake, me te whai wāhi ki ngā whanonga moepuku morearea.
He aha ngā maimoatanga mō tēnei?
Ko te momo bipolar momo 2 he mate ka taea te whakahaere pai mā te maimoatanga tika.Āhua. E rua ngā whāinga matua o te maimoatanga. Ko tētahi he rongoā i te wā o te hypomania, te pouri rānei o nāianei. Ko tētahi he ārai i ngā wā o muri mai. Tērā pea ka tūtohu tō tākuta i ētahi momo maimoatanga mō tēnei.
Ngā rongoā
He maha ngā momo rongoā e whakamahia ana mō tēnei. Ko te mea nui kia kaua e whakamahia, e whakamutua rānei tētahi o ēnei rongoā me te kore he tohutohu hauora.
- Ngā Whakaū Hinengaro: Koinei ngā wāhanga tino taketake o te maimoatanga. Ka āwhina i te whakahaere i ngā huringa o te wairua. Hei tauira: Lithium, Valproate, Lamotrigine, Carbamazepine.
- Ngā rongoā ārai hinengaro: Ka whakamahia ēnei rongoā hei whakahaere i te hypomania me te pouri i ētahi wā. Hei tauira: `Olanzapine`, `Quetiapine`, `Risperidone`.
- Ngā rongoā ārai pouri: Ka hoatu ēnei mō ngā wā pouri. Heoi, he maha ngā wā ka hoatu ngā rongoā ārai pouri ki te tangata whai mate bipolar me te rongoā whakaū wairua. Nā te mea ka taea e ngā rongoā ārai pouri anake te whakaputa i te hypomania i ētahi wā.
- Benzodiazepines: Ka hoatu ēnei rongoā mō te wā poto hei whakahaere i ngā mea pēnei i te kore moe me te kore okiokinga. Hei tauira: `Diazepam`, `Lorazepam`.
Mā tō tākuta e whakatau te rongoā me te horopeta pai rawa atu māu. Tērā pea ka roa te wā ki te kimi i te huinga rongoā tika. Kaua e manukanuka. He mea nui kia manawanui koe ki tō maimoatanga.
Ētahi atu kōrero mō ngā raau taero
- Ngā pānga taha: Pērā i ngā rongoā katoa, ka puta pea ngā pānga taha pēnei i te whakapairuaki, te taumaha nui, te hiamoe, me te wiri. Ko te nuinga o ēnei ka ngaro i roto i ētahi rā. Ki te mau tonu , kōrero tonu ki tō tākuta.
- Te whakamutu i te maimoatanga: Kaua e mutu ohorere te tango i tō rongoā nā te mea kua pai ake koe. He tino morearea tēnei. Tērā pea ka hoki mai ō tohumate, ka kino haere. Ko tō tākuta anake ka whakatau mēnā ka mutu te rongoā, ka huri rānei i te horopeta.
Hinengaro Whakaora
Haunga te rongoā, he mea tino nui anō hoki te kōrero whakaora. Mā tēnei, ka taea e koe te:
- Kia mārama pai ki tō āhua hauora.
- Kia mōhio ki ngā tohu tōmua e whakaatu ana tērā pea ka hoki mai ngā tohu.
- Whakahaerehia te ahotea.
- Whakakahangia ngā whanaungatanga ki te whānau me ngā hoa.
- Kia mārama ki te hiranga o te tango tika i ngā rongoā.
He tino whai hua ngā tikanga pēnei i te Cognitive Behavioral Therapy (CBT) mō tēnei.
He aha te rerekētanga i waenga i te mate bipolar I me te mate bipolar II?
He wāhi tēnei e pōhēhē ai te tini o te tangata. Me whakamārama anō hoki tēnei.
| Āhuatanga | Bipolar I | Āhuarua Tuarua |
|---|---|---|
| He wā whakahihiri | He āhua porangi tonu . He tino pā ki te oranga pāpori me te oranga mahi. Tērā pea me kawe ki te hōhipera. | He āhua harikoa ngawari ( hypomania ). Kāore i te tino kino pērā i te mania. Ka puta he harikoa nui rawa, he kaha nui rānei. |
| Te pouri | Tērā pea ka puta ngā wā pouri nui, engari kāore e kore ka taea te karo. | He mea noa ngā wā pouri kino, roa hoki . |
| Pānga whānui | He nui ake te pānga o ngā wā mania ki te ao. | He nui ake te mōrearea o te ora i ngā wā pouri, nō reira kāore e taea te kī he momo "ngawari" tēnei o te Bipolar I. |
Karere Tangohia ki te Kāinga
- Ehara te momo rua-rua i te ngoikore, ehara hoki i te he nāu. He mate hauora tēnei ka taea te whakahaere pai mā te rongoā.
- Ki te whakaaro koe kei a koe, kei tētahi atu rānei e mōhio ana koe, tēnā tirohia he tākuta whai tohu, inā koa he tohunga hinengaro.
- He mea tino nui kia tangohia e koe tō rongoā kia rite ki te whakahaunga, me te whai i ngā tohutohu a tō tākuta. Kaua e mutu te tango i tō rongoā me te kore he tohutohu hauora mō tētahi take.
- Kāore koe i te mokemoke. He mano tini ngā tāngata huri noa i te ao e ora angitu ana me tēnei mate. Mēnā ka tautokona me te maimoatanga tika, ka taea hoki e koe te noho i tētahi oranga pumau, harikoa hoki.
- Ki te mea kei te whakaaro koe ki te whakamomori, kōrero tonu atu ki tētahi e tata ana ki a koe, tirohia tō tākuta, haere rānei ki te Tari Ohotata (ETU) o te hōhipera tata.
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