Kāore i te pāngia koe e te taua raruraru? Me kōrero tātou mō te mate hinengaro rua.

I ētahi wā ka ohorere tō harikoa, engari i te aonga ake ka tino pouri koe, ka hoha ki te ao? Kua pāngia rānei tēnei e tētahi e mōhio ana koe? Ehara tēnei i te mea noa iho, engari ko te mate hinengaro rua pea te take. I tēnei rā, ka kōrerohia tēnei mea kia māmā noa iho, kia mārama ai koe.

He aha te Mate Pūrua?

He whakarāpopototanga noa iho, he mate hinengaro roa te mate bipolar. I mua ko te "manic-depressive illness" ko te "manic depression" rānei. Ko tōna āhua he huringa ohorere, nui o tō wairua, o tō kaha, o tō whakaaro, me tō whanonga. Ka roa pea ēnei huringa mō ngā hāora, ngā rā, ngā wiki, tae noa ki ngā marama. Ka taea hoki e rātou te whakararu i tō kaha ki te mahi noa.

E rua ngā āhuatanga matua o te mate bipolar: ko ngā wā mania , hypomania rānei, me ngā wā pouri . Heoi, ehara i te mea kei roto tonu te tangata whai mate bipolar i tētahi o ēnei wā e rua. He wā anō hoki kei reira he wā noa o te wairua. Ka kiia tēnei ko te "euthymia".

He aha i kore ai e whakamahia te ingoa "many-depressive illness"?

He maha ngā take mō tēnei:

• I ngā wā o mua, i whakamahia e ngā tākuta te kupu "manic depression" hei tohu i te whānuitanga o ngā mate hinengaro. Ināianei, i te whanaketanga o ngā pūnaha whakarōpūtanga mate hinengaro, pērā i te "Diagnostic and Statistical Manual of Mental Disorders" (DSM) , mā te whakamahi i te ingoa "bipolar disorder" ka mārama ake te tautuhi mate.
• He nui ngā whakamā me ngā tikanga kino o ngā kupu "manic" me "mania" i roto i te hapori, inā koa ngā kupu pēnei i te "maniac." Waihoki, ka whakamahia e te tangata te kupu "depression" hei whakaahua i te pouri noa, ahakoa ehara i te pouri haumanu . Ko te ingoa "bipolar disorder" ka whakararu i te whakaaro o ēnei kupu e rua.
• Ko te kupu "Bipolar disorder" he kupu hauora, haumanu ake i te "manic depression". He iti ake te taumaha o ngā kare ā-roto.
• Kāore te ingoa "manic depression" e kapi i ngā momo cyclothymic , hypomanic rānei (pērā i te bipolar II disorder) o tēnei āhuatanga.

He aha ngā tohu matua o te mate bipolar?

Kia titiro tātou inaianei ki ngā mea ka puta i ēnei wā o te porangi me te pouri.

Ngā wāhanga porangi

Mate Pūrua IKo te hunga whai mate hinengaro rua pea ka pāngia e ēnei wā mania. Koinei te wā ka tino teitei tō wairua, ka tino riri hoki i ētahi wā. I taua wā anō, ka tino rerekē ō kare ā-roto, ō whakaaro, tō kaha, tō kōrero, me tō whanonga. He tino rerekē tēnei taumata kaha me tō whanonga i tō āhua noa, ā, ka kitea e ētahi atu.

I roto i te āhua porangi, ka mahi pea ētahi tāngata i ngā mea e kino ana ki a rātou anō i te taha tinana, i te taha pāpori, i te taha pūtea rānei. Hei tauira, ka pau ohorere pea te moni nui, ka petipeti, ka taraiwa pōrearea rānei. I ētahi wā , ka puta anō hoki ngā tohu hinengaro pēnei i te whakaaro pohehe me te whakaaro pōhewa . I ētahi wā, ka uaua te wehewehe i te mate bipolar mai i ētahi atu mate pēnei i te schizophrenia.

Hei tauira, i roto i ētahi momo mate bipolar, ka pāngia te hunga whai Mate Bipolar II e te āhua e kiia nei ko te hypomania . He iti ake te kino me te ngawari o tēnei wāhanga i te mania. Kāore e roa pērā i ngā wāhanga mania, ā, kāore e tino whakararuraru i ngā mahi o ia rā.

Ngā wā pouri

I te wā o te pouri nui, ka tino pōuri koe, ka kore hoki e whai hua. Tērā pea ka ngaro tō hiahia ki ngā mea i pai ai koe ki mua. Tērā pea ka puta mai ētahi atu tohu o te pouri:

• Ngenge, ngenge.
• Ngā huringa o te hiahia kai (ka piki ake, ka heke iho rānei).
• Ko te whakaaro koretake he tohu o te kore tumanako.
• Te kore e taea te mahi i tetahi mea.
• Kei te hiahia ahau ki te tangi.

He aha ngā momo mate hinengaro rua?

E whā ngā momo matua o te mate bipolar:

1. Mate Bipolar I: Kua pāngia ēnei tāngata e te kotahi, neke atu rānei o ngā wā mania. He maha ngā tāngata e pāngia ana e ngā wā mania me ngā wā pouri, engari ka taea tonu te tātaritanga kei a koe te bipolar I mēnā he wā mania anake āu kāore he wā pouri. Ko ngā wā pouri e rua wiki te roa. Hei tātaritanga kei a koe te bipolar I, me whitu ngā rā te roa o tō wā mania, me nui rānei te kino kia hiahiatia he whakaurunga ki te hōhipera. Ka taea hoki e ēnei tāngata te pāngia e ngā wā whakauru , arā, ngā wā kei reira ngā tohu mania me ngā tohu pouri.

2. Mate Bipolar II: Ka pāngia ēnei tāngata e ngā wā pouri me ngā wā hypomanic. Engari kāore rātou e pāngia e ngā wā manic katoa e kitea ana i roto i te bipolar I. Ahakoa he iti ake te whakararuraru o te hypomania i te mania, ka nui ake te mamae o te mate bipolar II i te bipolar I. Nā te mea he nui ake te kitea o te pouri mau tonu i roto i te bipolar II.

3.Mate Hurihuri (Cyclothymia): He āhua pōturi tonu tō ēnei tāngata. Ka taupatupatu rātou i waenga i te hypomania me te pouri ngawari mō te rua tau pea te roa. Tērā pea he wā poto o te euthymia, engari he iti iho i te waru wiki ēnei wā.

4. Ētahi atu mate bipolar kua tohua, kāore hoki i tohua, me ērā atu mate e pā ana: Mena kāore te tangata e tutuki i ngā paearu mō te bipolar I, II, te cyclothymia rānei, engari he nui te pikinga o te wairua rerekē i roto i te tinana, ka taka ia ki tēnei wāhanga.

He aha te rerekētanga i waenga i te mate tuakiri rohe (BPD) me te mate bipolar?

Ka taea te whakapoauau i te Mate Tūturu o te Tangata (BPD) me te mate hinengaro rua nā te mea he rite tonu ngā tohu o roto. Heoi, he rerekē ngā āhuatanga e rua.

Ko te BPD te āhuatanga o ngā huringa ohorere, roa, o te wairua, o te whanonga, me te whakaaro ki a ia anō . He maha ngā wā ka puta mai ēnei i ngā pakanga i roto i ngā whanaungatanga ki ētahi atu. E hono ana te BPD ki te nui ake o te whara i a ia anō kāore e whakamomori, he mea kāore i te tino kitea i roto i te mate bipolar.

He rerekē te mate bipolar i te BPD nā te mea he mārama, he roa hoki ngā wā o te mania/hypomania me/ranei te pouri . Ka taea te whakaoho i ēnei wā o te mania, te pouri rānei e ngā āhuatanga maha. Hei tauira, ko ngā raruraru moe, te ahotea, me te whakamahinga o ētahi rongoā me ngā raau taero.

Ko wai ka pāngia e te mate hinengaro rua?

Ka taea e te tangata te pāngia e tēnei mate. I te nuinga o te wā ka tīmata i te 25 tau te pakeke. Engari he tino onge, ka taea te tīmata i te wā taitamariki, i te 40, i te 50 rānei o ō tau.

He ōrite te pānga ki ngā wāhine me ngā tāne, engari tera pea he rerekētanga iti i te āhua o tōna pānga ki a rātou.

• Ka taea e ngā wāhine whai mate hinengaro rua te pāngia e te huringa tere o te wairua. Mēnā e whā, neke atu rānei ngā wā o te mania, o te pouri rānei i roto i te tau, ka kiia tēnei ko te "tere pahikara". Ko ngā huringa o ngā taumata o te homoni ira tangata me te homoni tairoi , me te nui haere o ngā rongoā ārai pouri i roto i ngā wāhine, ka whai wāhi pea ki tēnei āhuatanga "tere pahikara".
• Tērā pea ka nui ake ngā wā pouri o ngā wāhine i ngā tāne.

He pēhea te noa o te mate bipolar?

Tata ki te 5.7 miriona ngā pakeke i te Hononga o Amerika, arā, 2.6% o te taupori, kei a rātou tēnei mate. Ka kitea anō hoki tēnei mate i Sri Lanka.

He aha ngā tohu o te mate hinengaro rua?

Ko te tohu matua o te mate bipolar I ko te wā mania e roa ana mō te wiki neke atu rānei . Ka pāngia te hunga whai mate bipolar II, cyclothymia rānei e ngā wā hypomanic.

Engari he tokomaha ngā tāngata whai mate bipolar ka pāngia e ngā wā mania/hypomania me ngā wā pouri. Kāore ēnei huringa kare ā-roto e puta i te tauira kotahi. Kāore te wā mania e whai tonu i te wā pouri. Ka taea e te tangata te whai i te kare ā-roto kotahi (hei tauira, te mania) i ngā wā maha, ā, ka taea hoki te neke atu i te kare ā-roto noa (euthymia) ki tētahi atu taha (pouri).

Ka roa pea ēnei huringa wairua mō ngā wiki, ngā marama, tae noa ki ngā tau.

Ko te mea nui, kia kaua ēnei huringa kare ā-roto e pā ki a koe, ā, kia roa te wā e mau ai . I roto i te mania, ka roa pea mō ngā rā, mō ngā wiki rānei, ā, i roto i te pouri, ka roa pea mō ngā wiki, mō ngā marama rānei.

Ka rerekē te kaha o ngā wā pouri me te mania i ia tangata ki ia tangata, tae atu ki te roanga o te wā i roto i te tangata kotahi.

Ngā Tohu o ngā Wāhanga Manic

Ka pāngia ētahi tāngata e te mania, e te hypomania rānei i ētahi wā i roto i ō rātou oranga. Ko ētahi he tino onge te pāngia e ēnei āhuatanga.

Ko ngā tohu o tētahi wāhanga mania ko:

• Ngā kare ā-roto o te harikoa nui, te tumanako, me te hihiko.
• He panonitanga ohorere, nui hoki o te wairua. Hei tauira, mai i te tino harikoa ki te riri ohorere, ki te mauahara rānei.
• Te kore okiokinga.
• Te tere o te kōrero, te tere o ngā whakaaro.
• Ka nui ake te kaha, ka iti ake te hiahia mo te moe.
• Te whakanui ake i te mana whakahaere i a koe anō, te whakatau i ngā whakatau kino. Hei tauira, te whakarērea ohorere o te mahi.
• Te whakatakoto i ngā mahere nunui, kāore e taea.
• He whanonga wairangi, mōrearea. Hei tauira, te whakamahi kino i ngā raau taero me te waipiro, te moepuku haumaru kore.
• Te whakaaro he tino nui, he pūkenga, he mana nui rānei.
• Hinengaro - Ka pāngia e ngā moemoeā me ngā pohehe i ngā wā tino kino o te mania.

He maha ngā wā, kāore te hunga e pāngia ana e te mate pōrangi e te mōhio ki ngā hua kino o ā rātou mahi. Kei te kitea tonu te mōrearea o te whakamomori i roto i te mate hinengaro rua. Ka whakamatautauria ētahi tāngata ki te whakamomori i roto i ngā wā pōrangi, ehara i te mea ko ngā wā pouri anake.

Mena kei roto tetahi i te āhua porangi nui, ina koa he moemoeā me he pohehe ā rātou, me kawe pea rātou ki te hōhipera hei tiaki i a rātou anō me ētahi atu i te kino.

Ngā Tohu o te Hypomania

Ka pāngia ētahi tāngata e ngā tohu e rite ana ki te mania, engari he māmā ake. Ka kiia tēnei ko te hypomania . I tēnei wā, tera pea ka tino pai tō wairua, ā, ka rite ki te mea ka taea e koe te mahi i te nuinga o te wā. Ko te hunga kei roto i te āhua hypomanic ka taea te mahi pai i roto i te hapori, i te mahi rānei.

I te wā o te wā hypomanic, kāore pea koe e rongo i te āhua he aha te mea e hē ana. Engari tera pea ka kite tō whānau me ō hoa i ngā huringa o tō wairua me tō whanonga, ā, tera pea ka whakaaro rātou he mea rerekē tēnei mōu. Tērā pea ka pāngia koe e te pouri nui i muri i te wā hypomanic.

Ngā tohu o ngā wā pouri

He rite ngā tohu o ngā wā pouri i roto i te mate bipolar ki ērā o te pouri nui . Kei roto i ēnei:

• Te pouri e kore e taea te tu atu.
• Te korenga o te kaha, te ngenge.
• Te kore hiahia ki te mahi i tetahi mea.
• Te ngakaukore, te whakaaro kāore he painga.
• Kāore i te whiwhi i te ahuareka mai i ngā mea i kawea mai ai te harikoa i mua.
• He uaua ki te arotahi, ki te whakatau kaupapa.
• Te tangi korekore.
• Te riri.
• Te pikinga ake o te hiahia mō te moe.
• Te kore moe, te nui rawa rānei o te moe.
• Te hekenga, te pikinga rānei o te taumaha nā ngā panonitanga o te hiahia kai.
• Ngā whakaaro mō te mate, mō te whakamomori rānei ( Whakaaro Whakamomori ).

Mena kei te whakaaro koe ki te whakamomori, me rapu awhina tonu koe. I Sri Lanka, waea atu ki tētahi whakahaere pēnei i a Sumithrayo (0112692909), haere rānei ki te hōhipera tata.

Ngā Āhuatanga o tētahi Wāhanga Whakaranu

I roto i tētahi wā whakauru, ka puta ngātahi ngā tohu o te mania me te pouri. I tēnei wā, ka pā mai ngā kare ā-roto me ngā whakaaro kino e pā mai ana me te pouri, engari ka pāngia hoki koe e te manukanuka, te kore okiokinga, me te nui o te kaha.

Ko te hunga e pāngia ana e ngā wā rerekē e kī ana koinei te wāhanga kino rawa atu o te mate hinengaro rua.

He aha ngā pūtake o te mate hinengaro rua?

Kāore anō kia tino mōhiotia e ngā kaipūtaiao te take o tēnei.

Engari e whakapono ana rātou he hononga kaha kei waenganui i ngā ira (ira/tuku iho) . Ko te mate hinengaro rua-ira tētahi o ngā mate hinengaro tino noa. Neke atu i te rua hautoru o te hunga whai mate rua-ira he whanaunga toto kei a rātou anō te mate. Engari ahakoa he mate rua-ira tō whanaunga toto, ehara i te mea ka pāngia koe e te mate.

Ko ētahi atu āhuatanga e whakaponohia ana e ngā kaipūtaiao e whai wāhi ana ki te whanaketanga o te mate bipolar ko:

• Ngā panonitanga o tō roro: Kua kitea e ngā kairangahau ngā panonitanga ngawari o te rahi noa, o te mahi rānei o ētahi hanganga roro i roto i te hunga whai mate hinengaro rua. Engari kāore e taea te tautuhi i te mate mā te matawai roro.
• Ngā āhuatanga taiao, pērā i te whara me te ahotea: Ka taea e tētahi āhuatanga taumaha, pērā i te matenga o tētahi e arohaina ana, he mate kino, he whakarere, he raruraru pūtea rānei, te whakaoho i tētahi wā mania, pouri rānei. Nō reira, ka taea hoki e te ahotea me te whara te whai wāhi ki te whanaketanga o te mate bipolar.

Kei te rangahauhia e ngā kaipūtaiao i tēnei wā te hononga o ēnei āhuatanga ki te mate hinengaro rua, me pēhea e taea ai e rātou te āwhina ki te ārai i te mate, me ōna pānga ki te maimoatanga.

Me pēhea te tātaritanga o te mate bipolar?

He maha ngā mea ka whakamahia e tō tākuta hei tātaritanga i tēnei:

• Te whakamātautau tinana.
• He hītori hauora whānui (e pā ana ki ō tohumate, ō wheako oranga, me tō hītori whānau).
• Ngā whakamātautau hauora,Pērā i ngā whakamātautau toto. Ka mahia ēnei hei tirotiro mō ētahi atu āhuatanga ka puta ai ō tohumate (hei tauira, te hyperthyroidism ).
• He aromatawai hauora hinengaro. Ka taea e tō tākuta te mahi i tēnei, ka taea rānei e koe te tuku i a koe ki tētahi tohunga hauora hinengaro, pērā i te tohunga hinengaro.

Hei tātaritanga mō te mate bipolar, me pāngia koe e te iti rawa kotahi te wā mania, hypomania rānei . Ka whakamahia e ngā tohunga hauora hinengaro te Diagnostic and Statistical Manual of Mental Disorders (DSM) hei āwhina i te whakatau ko tēhea momo mate bipolar kei a koe.

Hei whakatau i te momo mate hinengaro rua tōu, ka aromatawaihia e tō tākuta te tauira o ō tohumate me te nui o tōna pānga ki tō oranga i ngā wā tino kino rawa atu.

Ko te hunga whai mate hinengaro bipolar ka nui ake te tūponotanga ka pāngia rātou e ēnei āhuatanga hauora hinengaro:

• Te manukanuka.
• Mate Kore-Aro/Mate Kore-Hirahira (ADHD).
• Te Mate Auautanga Whai Muri i te Whara (PTSD).
• Ngā Mate Pāngarau o te Whakamahinga Matū.

Nā tēnei, ā, nā te mea kāore pea te iwi e mahara kua pāngia rātou e tēnei āhuatanga nā te mea kua ngoikore ō rātou mahara i te wā o te manic, he uaua pea i ētahi wā ki ngā tākuta te tautuhi tika i te hunga whai mate bipolar.

Tērā pea ka hē te tautuhi i te tūroro bipolar i roto i tētahi wāhanga mania kino me ngā moemoeā hei schizophrenia . Tērā pea ka hē te tautuhi i te mate tuakiri rohe (BPD) .

Nō reira, he mea tino nui kia pono, kia mārama hoki ki ō tohumate me ō wheako katoa ina kōrero koe ki tō tākuta. He mea āwhina anō hoki te whakauru i tētahi o ō whanaunga ki roto i ō kōrerorero me tō tākuta, māna e whakarato ētahi atu kōrero mō tō hītori hauora hinengaro.

Me pēhea te rongoā mō te mate bipolar?

Ka taea e te maimoatanga te āwhina i te tini o te tangata, tae atu ki te hunga e pāngia ana e te mate hinengaro rua tino kino. Ko te mahere maimoatanga angitu he tikanga kei roto ko te huinga o ēnei e whai ake nei:

• Whakaora Hinengaro / Whakaora Kōrero.
• Ngā rongoā.
• Ko ngā tikanga whakahaere-i-a-koe, hei tauira, te ako mō te mate, te kite i ngā tohu tōmua o te mate, me te tautuhi i ngā mea e pā mai ai te mate.
• Ka taea e ngā tikanga noho hauora, pērā i te whakakori tinana, te yoga, me te whakaaroaro, te tautoko i te maimoatanga, engari ehara i te mea hei whakakapi mōna.
• Ka whakamahia te Whakaora Hiko-ā-rangi (ECT) i ngā wā kāore e pai te urupare a ētahi atu maimoatanga ki te rongoā, i ngā wā rānei e hiahiatia ana kia tere te whakahaere i ngā tohumate hei ārai i te kino.

He mate mō te wā roa te mate hinengaro rua, nō reira he herenga mō te wā roa te maimoatanga . Tērā pea ka roa ngā marama, ngā tau rānei māu me tō tākuta e kimi i tētahi mahere maimoatanga e pai ana mōu. Ahakoa he whakarihariha tēnei, he mea nui kia haere tonu te maimoatanga.

Ka hoki anō ngā wā o te mania me te pouri i roto i te wā. Ko te nuinga o te hunga whai mate bipolar ka ngaro te āhua o ō rātou kare ā-roto i roto i ēnei wā, engari tera pea ētahi tohu e toe ana. Mā te maimoatanga roa, tonu, ka āwhina i te whakahaere i ēnei tohu.

Mena kei a koe ētahi atu mate hauora hinengaro (hei tauira, te manukanuka, te ADHD) me te mate hinengaro rua, ka uaua ake te rongoā i aua mate. Hei tauira, ka taea e ngā rongoā ārai mate mō te mate hinengaro obsessive-compulsive (OCD) me ngā whakaohooho mō te ADHD te whakararu i ngā tohumate hinengaro rua, tae atu ki te whakaoho i ngā wā mania.

Heoi, ahakoa he uaua te rongoā i ēnei mate, ehara i te mea kāore e taea. Kia kaha ki te kimi i tētahi mahere maimoatanga e tika ana māu.

He aha ngā momo rongoā e whakamahia ana mō te mate bipolar?

Ko te hinengaro whakaora, e mōhiotia ana ko te "talk therapy," he wāhanga nui o te mahere maimoatanga mō te hunga whai mate hinengaro rua.

He momo maimoatanga te hinengaro whakaora hei āwhina i a koe ki te tautuhi me te whakarerekē i ngā kare ā-roto, ngā whakaaro, me ngā whanonga e whakararuraru ana. Mā te mahi tahi me tētahi tohunga hauora hinengaro , pērā i te tohunga hinengaro, ka taea te whakarato tautoko, mātauranga, me te ārahi i a koe me tō whānau.

Ngā momo maimoatanga rerekē mō te mate bipolar:

• Mātauranga Hinengaro: Koinei te wā e whakaako ai ngā tohunga hauora hinengaro i te tangata mō ō rātou āhuatanga hauora hinengaro. Nā te mea he uaua te mate hinengaro rua, ko te ako mōna me tōna pānga ki tō oranga ka āwhina i a koe me ō whanaunga ki te whakahaere me te whakatau i tēnei āhuatanga.
• Te Whakaora i te Rīwai Tangata me te Rīwai Hapori (IPSRT): Kua hangaia tēnei whakaora hei āwhina i a koe ki te mārama me te mahi tahi me ō rīwai koiora me ō rīwai pāpori hei whakapai ake i tō wairua. He maimoatanga whai hua te IPSRT mō te hunga whai mate hinengaro bipolar me ētahi atu mate hinengaro. Ka arotahi ki te piri ki ngā rongoā, te whakahaere i ngā kaupapa taumaha o te ao, me te whakaiti i ngā whakararuraru ki ngā rīwai pāpori (ngā huringa o ngā mahi o ia rā). Ka ako te IPSRT i a koe ki ngā pūkenga hei āwhina i a koe ki te karo i ngā wā o te mania, o te pouri rānei a muri ake nei.
• Whakaora Whānau-Arotahi: He maimoatanga tēnei mō ngā pakeke me ngā tamariki he mate hinengaro rua me ō rātou kaitiaki. I roto i tēnei whakaora, ka mahi tahi ō whanaunga me koe ki te ako mō te mate hinengaro rua, ki te whakapai ake i ngā pūkenga kōrero, me te whakaharatau i ngā pūkenga whakaoti rapanga.
• Te Whakaora Hinengaro Whanoke (CBT): He momo whakaora hanganga tēnei, he arotahi ki te whāinga. Ka āwhina tō kaiwhakaora i a koe ki te tirotiro hohonu i ō whakaaro me ō kare ā-roto. Ka ako koe me pēhea te awe o ō whakaaro ki ō mahi. Mā te CBT, ka taea e koe te ako ki te tuku i ngā whakaaro me ngā whanonga kino, me te whakawhanake i ngā tauira whakaaro me ngā tikanga hauora ake.

He aha ngā rongoā e whakamahia ana mō te mate bipolar?

Ka taea e ētahi rongoā te āwhina i te whakahaere i ngā tohumate o te mate hinengaro rua. Me whakamātau pea koe i ētahi rongoā rerekē i raro i te aratohu a tō tākuta kia kitea ai te mea e pai ana mōu.

Ko ngā rongoā noa mō te mate bipolar ko:

• Ngā Kaiwhakaū Wairua.
• Ngā rongoā neuroleptic o te reanga tuarua ("koretake") (e kiia ana hoki ko ngā rongoā antipsychotic).
• Ngā rongoā ārai pouri.

Mena kei te tango rongoā koe mō te mate hinengaro rua, kia maumahara ki ēnei mea:

• Kōrero ki tō tākuta kia mārama ai koe ki ngā mōrearea, ngā pānga taha, me ngā painga o te rongoā.
• Kōrerotia ki tō tākuta mō ētahi atu rongoā (kua tohua, kua hokona kore-tohu, tāpiringa kai rānei) kei te tangohia e koe.
• Ki te pāngia koe e ētahi pānga taha whakarihariha, kōrero tonu atu ki tō tākuta. Tērā pea ka taea e rātou te whakarerekē i te horopeta, te hoatu rānei i tētahi atu rongoā ki a koe.
• Kia maumahara me tango tonu te rongoā bipolar, kia rite ki te whakahau.

Ngā Whakaū Hinengaro mō te Bipolar

Ko te hunga whai mate bipolar me whakamahi i ngā rongoā hei whakatau i te wairua hei whakahaere i ngā wā mania, hypomanic rānei.

Ngā momo rongoā whakaū wairua me ō rātou ingoa waitohu:

• Ritiuma ( Eskalith®, Lithobid®, Lithonate®)
• Waikawa Valproic (Depakene®)
• Divalproex konutai (Depakote®)
• Carbamazepine (Tegretol®, Equetro®)
• Lamotrigine (Lamictal®)

Ko te Lithium tētahi o ngā rongoā e tino tohua ana, e tino rangahauhia ana hoki mō te mate hinengaro rua. He tote tūturu te Lithium. Ka whakaitihia e ia ngā tohumate mania i roto i ngā wiki e rua o te tīmatanga o te maimoatanga, engari ka roa pea ngā wiki, ngā marama rānei kia tino whakahaerea ngā tohumate mania. Nā tēnei take, he maha ngā wā ka tohua e ngā tākuta ētahi atu rongoā, pērā i ngā rongoā antipsychotics, ngā rongoā antidepressants rānei, hei āwhina i te whakahaere i ngā tohumate.

Ka pāngia pea koe e te lithium i ētahi wā e ngā raruraru o te tairoi me te whatukuhu . Nō reira, ka tirotirohia e tō tākuta te mahi o tō tairoi me tō whatukuhu, tae atu ki ō taumata lithium i roto i te toto, nā te mea ka tere te piki haere o ngā taumata lithium.

Ko ngā mea katoa e whakaiti ana i ō taumata konutai — pērā i te huri ki te kai iti-konutai, te werawera nui, te kirika, te ruaki, te mate korere rānei — ka piki ake te taumata paitini o te lithium i roto i tō tinana. Kia tūpato ki ēnei āhuatanga mēnā kei te tango koe i te lithium, ā, me kōrero ki tō tākuta mēnā ka puta.

Koinei ngā tohu o te paitini/te nui rawa o te lithium . Mēnā kei a koe tētahi o ēnei , waea atu ki tō tākuta tonu, haere rānei ki te rūma whawhati tata:

• Te tirohanga pōuri, te tirohanga takirua rānei.
• Te pāorooro o te ngakau kāore i te ōrite.
• Te tere rawa, te puhoi rawa rānei o te manawa.
• Te uaua ki te manawa.
• Pōhēhē, whanoke.
• Ngā wiri nui, ngā hopuhopu rānei.
• Te mimi nui rawa.
• Ngā nekehanga kanohi kāore e taea te whakahaere.
• He marō, he toto rānei kāore i te ōrite.

Ngā rongoā neuroleptic mō te mate bipolar

He maha ngā wā ka tohua e ngā tākuta ngā rongoā neuroleptics o te whakatupuranga tuarua, o ngā rongoā antipsychotic rerekē rānei, me te rongoā whakaū wairua mō te hunga whai mate bipolar. Ka āwhina ēnei rongoā i ngā wā o te mania me te pouri.

E whā noa iho o ēnei rongoā kua whakaaetia e te US Food and Drug Administration (FDA) hei rongoā mō te pouri bipolar:

• Cariprazine (Vraylar®)
• Lurasidone (Latuda®)
• Te whakakotahitanga o te Olanzapine-fluoxetine (Symbyax®)
• Quetiapine (Seroquel®)

Heoi anō, he maha ngā wā ka tohua hoki ētahi atu rongoā pērā i te Olanzapine (Zyprexa®), Risperidone (Risperdal®), me te Aripiprazole (Abilify®).

Ngā rongoā ārai pouri mō te mate bipolar

I ētahi wā ka tohua e ngā tākuta he rongoā ārai pouri hei rongoā i ngā wā pouri i roto i te mate bipolar. Heoi, hei ārai i ngā wā mania, ka tohua hoki e rātou he rongoā whakaū wairua me te rongoā ārai pouri.

Kāore ngā rongoā ārai pouri e whakamahia ana hei rongoā anake mō te mate hinengaro rua, nā te mea ka taea e te tango i tētahi rongoā ārai pouri te whakaputa i tētahi wā mania.

He aha ngā pānga taha o te rongoā bipolar?

He mea noa ngā pānga taha o ngā rongoā bipolar, ā, he rerekē i ia rongoā, i ia rongoā. He mea nui kia kōrero koe ki tō tākuta mō ngā mea ka tumanakohia mai i te rongoā e tangohia ana e koe. He mea nui anō hoki kia kōrero atu ki a rātou mēnā kei te pāngia koe e ngā pānga taha.

Kaua rawa e mutu te tango rongoā ki te kore koe e tohutohuhia e tō tākuta. Mā te whakamutu ohorere i te rongoā ka pā mai he pānga kino, ā, ka arahi atu ki ngā mate hauora kino.

Ko ngā pānga taha tino noa o ngā rongoā bipolar ko:

• Te pikinga o te taumaha.
• Te koretake o te whakahaere o te pākia o te tinana, tae atu ki ngā taumata ngako rerekē (dyslipidemia) , te toto toto tiketike (hypertension) , me te huka toto tiketike (hyperglycemia) .
• Te hiamoe.
• Akathisia – He kare ā-roto o te manukanuka, te koretake, me te kaha o te hiahia ki te neke, ki te rūrū, ki te nekeneke haere rānei.

He aha atu ngā maimoatanga hauora e whakamahia ana mō te mate bipolar?

Ko ētahi atu maimoatanga ka whakaarohia e tō tākuta hei rongoā i te mate bipolar ko:

• Te Whakaora Hikohiko (ECT): Ko te tikanga o tēnei ko te tuku i tētahi iahiko poto mā roto i tō tumuaki ki tō roro, ka puta he haurangi. Ko te nuinga o te wā ka whakamahia tēnei mō te hunga e pāngia ana e te pouri nui. He tino haumaru, he whai hua hoki te ECT mō te pouri kāore e aro ki te rongoā, ki te porangi kino rānei, e morearea ana ki te ora. Koinei te maimoatanga pai rawa atu mō te porangi mēnā kei te hapu koe. Ka mahia te ECT i raro i te whakamoe whānui, nō reira kei te moe koe i te wā katoa o te tikanga, ā, kāore koe e mamae.
• Te Whakaoho Aukume Whakawhiti-Angaanga (TMS): Ko te tikanga o tēnei ko te tuku i tētahi iahiko mā roto i tētahi koiri hiko poto ki tō roro. I ētahi wā ka whakamahia tēnei e ngā tākuta hei rongoā i te pouri kāore e pai ki te rongoā. He huarahi kē atu tēnei i te ECT. Kāore te TMS e mamae, ā, kāore e hiahiatia he rongoā whakamoe.
• Ngā rongoā tairoi: Ka mahi pea ēnei rongoā hei whakaū i te wairua. Kua whakaatuhia e ngā rangahau he whai hua ēnei rongoā ki te whakaiti i ngā tohu i roto i ngā wāhine he uaua ki te rongoā te mate bipolar "tere-paheketanga".
• Maimoatanga Ketamine: Kua whakaatuhia he pānga poto mō te hunga whai mate hinengaro pōhewa me te ārai i te whakamomori i roto i ngā horopeta iti o te ketamine rongoā whakamoe e tukuna ana mā te uaua (IV) i roto i te hunga whai mate hinengaro rua.
• Te whakaurunga ki te hōhipera: He kōwhiringa ohorere tēnei mō te tiaki hinengaro bipolar. He mea tika tēnei ina kei roto te tangata i tētahi wā pouri nui, i tētahi wā mania rānei, ā, he tūmomo mōrearea tonu ki a ia anō, ki ētahi atu rānei.

He āwhina ngā huringa āhua noho ki te mate hinengaro rua?

Tērā pea ka tūtohu tō tīma hauora i ngā huringa āhua noho hei āwhina i a koe ki te whakamutu i ngā whanonga e kino ake ai ō tohumate bipolar. Ko ētahi o ēnei huringa āhua noho ko:

• Kati te whakamahi i te waipiro, ngā raau taero, me te tupeka: He mea nui kia mutu te whakamahi i te waipiro me ngā raau taero (tae atu ki te tupeka) nā te mea ka taea e ēnei te taunekeneke me ngā rongoā e tangohia ana e koe, ka kino ake tō āhua bipolar, ā, ka piki ake tō tūponotanga ki te whakawhanake i te āhua.
• Puritia he rātaka o ia rā, he tūtohi wairua rānei: Mā te tuhi i ō whakaaro, ō kare ā-roto, me ō whanonga o ia rā ka āwhina i a koe ki te kite i te pai o te mahi a tō maimoatanga me te tautuhi i ngā mea ka puta ai ngā wā o te mania, te pouri rānei.
• Kia mau ki tētahi kaupapa moe hauora:Ka pā nui te mate hinengaro rua ki ō tauira moe, ā, ka pāngia pea koe e ngā panonitanga o ngā tauira moe. Me whakarite kia rite te wā moe, pērā i te haere ki te moenga me te ara ake i te wā kotahi i ia rā.
• Korikori Tinana: Kua whakaatuhia te whakapai ake o te korikori tinana i te wairua me te hauora hinengaro whānui. Nō reira, ka taea hoki e ia te āwhina ki te whakahaere i ngā tohumate bipolar. Ko tētahi pānga taha noa o ngā rongoā bipolar ko te pikinga o te taumaha. Nō reira, ka taea hoki e te korikori tinana te āwhina ki te whakahaere i te taumaha.
• Whakaaroaro: Kua whakaatuhia he whai hua te whakaaroaro ki te whakapai ake i te pouri, he wāhanga tēnei o te mate hinengaro rua.
• Whakahaerehia te ahotea me te pupuri i ngā whanaungatanga hauora: Ka taea e te ahotea me te manukanuka te whakararu i ngā tohu i roto i te tini o te hunga whai mate hinengaro rua. He mea nui kia whakahaerea tō ahotea i roto i te huarahi hauora me te whakakore i ngā ahotea ina taea. Ko tētahi wāhanga nui o tēnei ko te pupuri i ngā whanaungatanga hauora me ngā hoa tautoko me te whānau, me te tuku i ngā whanaungatanga kino e tāpiri ana i te ahotea ki tō oranga.

He aha te āhua o te mate hinengaro rua?

He kino te tirohanga mō te mate hinengaro rua mēnā kāore i te rongoatia tika. Heoi, mā te rongoatia tika, ka taea e te tini o te hunga whai mate hinengaro rua te ora i ngā oranga whai hua, whai hua hoki.

Ka whakapotohia te roanga o te oranga e te mate hinengaro rua mā te iwa tau pea. Tata ki te kotahi i roto i te rima o ngā tāngata whai mate hinengaro rua ka whakamomori. E kiia ana tata ki te 60% o te hunga whai mate hinengaro rua ka waranga ki ngā raau taero, ki te waipiro rānei.

Koia te take he mea nui kia rapu tohutohu hauora ngā tūroro bipolar me te whakapau kaha ki te rongoā.

Mā te whakamahi auau i ngā rongoā ka āwhina i te whakaiti i ngā wā o te porangi me te pouri. Mēnā ka taea e koe te tautuhi i ngā tohu me ngā mea e whakaoho ana i ēnei wā, he nui ake te tūponotanga ki te kimi i ngā maimoatanga angitu me ngā rautaki e ārai ana i te mate roa, te noho hōhipera, me te whakamomori.

Ka taea te ārai i te mate bipolar?

Engari, nā te mea kāore ngā kaipūtaiao i te mōhio ki te tino pūtake o te mate hinengaro rua, kāore he huarahi e mōhiotia ana hei ārai i tēnei.

Heoi, he mea tino nui kia mōhio koe ki ngā tohu o te mate hinengaro rua, me te rapu tohutohu hauora i te wā tōmua (Wawaotanga Moata) .

Āhea koe me toro atu ki te tākuta mō te mate bipolar?

Mena kua tāpaetia koe he mate hinengaro rua, me tūtaki koe ki tō tīma hauora i ia wā, i ia wā, kia mōhio ai koe kei te pai te mahi a tō maimoatanga māu. Kei roto pea i tēnei tīma:

• Tō kaiwhakarato hauora matua.
• Tākuta hinengaro.
• Kaimātai Hinengaro, Kaiwhakaora rānei.
• Tohunga roro.

Āhea ngā tūroro bipolar me haere ki te Wāhanga Maimoatanga Ohotata (ETU) ?

Mena kei a koe ngā āhuatanga pēnei,He mea nui kia waea atu tonu ki te 1990 (te ratonga waka tūroro ohorere o Sri Lanka) me te haere rānei ki te rūma ohorere tata:

• Ngā whakaaro mō te mate, mō te whakamomori rānei.
• Ngā whakaaro, ngā mahere rānei hei whara i a koe anō, i ētahi atu rānei.
• Te wheako i ngā moemoeā me ngā whakaaro pohehe.
• Ngā tohu o te paitini/te nui rawa o te lithium , pērā i te whakapairuaki me te ruaki nui, te wiri nui o ngā ringa, te pōhēhē, me ngā panoni tirohanga.

Hei whakamutunga, kia maumahara (Karere Tangohia ki te Kāinga)

He mate mō te wā roa te mate hinengaro rua. Engari mā te maimoatanga roa, tonu, pērā i te rongoā me te kōrerorero, ka taea e koe te whakahaere i ō tohumate me te noho ora, whai tikanga hoki. He mea nui kia tūtaki tonu koe ki tō rōpū hauora hei aroturuki i tō mahere maimoatanga me ō tohumate. Kia maumahara kei reira ō tākuta me ō whanaunga hei tautoko i a koe. Kaua e wehi ki te tono āwhina.

` Bipolar, pouri mania, mania, pouri, hauora hinengaro, mate kare ā-roto, maimoatanga