He āhua harikoa, he whanoke rānei tō tamaiti i ētahi wā, kāore he take, kātahi ka riri, ka hamama, ka tangi mō ngā mea iti rawa? Kātahi ka tino pouri, ka pōuri? Hei mātua, ko te kitenga i ēnei huringa whanonga he raruraru nui, he pūtake wehi hoki māu. Tērā pea kei te whakaaro koe, "He aha te raru o tēnei tamaiti?" I tēnei rā ka kōrero tātou mō tētahi mate hinengaro ka puta ai tēnei momo āhuatanga. Ko te Mate Pūrua te ingoa.
He aha te Mate Pūrua?
He mate hinengaro mō te wā roa te Mate Pūrua. I mua ko te ingoa o te mate mānia-pōuri. Ko tōna āhua he huringa ohorere, kino hoki o te wairua, o ngā taumata pūngao, o ngā whakaaro, me ngā whanonga o te tangata. Ka roa pea ēnei huringa mō ngā hāora, ngā rā, ngā wiki, tae noa ki ngā marama. Ka uaua pea te mahi i ngā mahi o ia rā.
I te nuinga o te wā, ka kitea tēnei mate i te taiohitanga, i te pakeketanga rānei, engari i ētahi wā ka tīmata te puta o ngā tohu i te tamarikitanga.
E rua ngā momo matua o te mate hinengaro rua.
1. Mania: Koinei te wā e tino teitei ana te wairua, ngā kare ā-roto, me ngā taumata pūngao o te tangata. Pērā i te "harikoa nui." I ētahi wā, ka puta anō hoki he āhua iti ake te kino e kiia nei ko te hypomania.
2. Wāhanga pouri: Ko te ritenga kē tēnei e tupu ana i tēnei wāhanga. Ka tino pōuri koe, ka pouri hoki. Ka ngaro tō hiahia ki ngā mea i pai ai koe ki mua. Hei whakamārama, e whakaatu ana i ngā tohu o te āhua pouri.
Engari me maumahara anō hoki tātou ki tēnei. Kāore te tangata e pāngia ana e tēnei mate i te wā katoa i roto i tētahi o ēnei āhua e rua. I waenganui i aua wā, arā, kāore he raruraru, kei reira anō ngā wā e noho noa ana. Ka kiia tēnā e tātou ko te 'euthymia'. Arā, ko tō rātou āhua noa, noa.
He aha ngā rerekētanga o te mate hinengaro rua i waenga i ngā tamariki me ngā pakeke?
He mea tino nui tēnei. Ina pāngia te pakeke e te Mate Pūrua, ka taea te wehewehe me te tautuhi i ngā wā o te 'mania' me te 'pouri'. Ka roa ēnei wā mō te wiki, neke atu rānei.
Engari mō ngā tamariki me ngā tamariki nohinohi, kāore i te tino mārama ēnei wāhanga. Ā, he tino tere te whakawhiti mai i tētahi wāhanga ki tētahi atu. Hei tauira, whakaarohia kei te harikoa rawa tō tamaiti, kei te katakata hoki, kāore he take i te ata. I te awatea, ka riri ia ki ngā mea iti rawa, ka hamama, ka whiua ngā mea. I te ahiahi, ka noho ia i roto i tōna rūma ka tangi, kāore he take. Ka taea e ēnei mea katoa te tupu i te rā kotahi.
I te nuinga o te wā, ka kitea ngā panoni whanonga o ngā tamariki katoa i te pakeketanga. Engari kāore i te tino kitea te Mate Pūrua. I konei, he tino kaha ngā panoni, ā, he maha ngā wā ka puta noa mai me te kore take. Haunga tēnei, ka kitea pea e koe ēnei e whai ake nei:
- Ngā panonitanga o ngā tauira moe.
- Ngā huringa nui o ngā taumata pūngao o te tinana.
- He uaua ki te arotahi me te whakaaro mārama.
Mā ēnei tohu ka uaua te mahi pai a te tamaiti i te kura, te noho pai ki ngā hoa, me te uaua hoki ki te taunekeneke ki te whānau. Ko te mea tino morearea ko te ngana pea o ētahi tamariki ki te whara i a rātou anō, ki te whakamomori rānei.
He pēhea te noa o tēnei āhuatanga i waenga i ngā tamariki?
E whakaatu ana ngā rangahau e 4% pea o te hunga kei raro iho i te 18 tau te pakeke he mate hinengaro rua. I ētahi wā, ka pāngia pea ngā tamariki e 5 tau te pakeke e tēnei mate.
Ki te whakataurite ki ētahi atu mate hinengaro:
- 9.8% o ngā tamariki he mate aro kore mahi nui (ADHD).
- 9.4% o ngā tamariki he mate manukanuka tō rātou.
- 4.4% o ngā tamariki e pāngia ana e te pouri.
Ko te tikanga he āhuatanga tēnei e kitea nuitia ana i roto i ngā tamariki.
He aha ngā tohu o te mate bipolar i roto i te tamaiti?
Ka taea te wehewehe i ēnei tohu ki ngā wāhanga matua e rua. Ko ēnei ko ngā tohu o te wā 'manic' me ngā tohu o te wā 'pouri'. Ka whakaatuhia e ētahi tamariki ngā tohu o ngā wā e rua i te wā kotahi (ngā wā whakauru). Ko ētahi ka tere te whakawhiti i waenga i ngā wā e rua (tere huringa). I ētahi wā ka puta i roto i te rā kotahi.
Ko te mea nui, he rerekē ēnei āhuatanga i ngā whanonga noa o te tamaiti.
Ngā tohu o te wāhanga mania
Engari i te harikoa, i te hihiko hoki pērā i ngā pakeke, ka riri ngā tamariki, ka whakaatu i ngā whanonga whakangaro i tēnei wā.
| Momo āhuatanga | Whakaahuatanga |
|---|---|
| Ngā kare ā-roto me te wairua | Te harikoa nui me te tumanako nui, kāore he take. Te hanga katakata kāore e tika mō tō tau. Te riri me te hamama ahakoa ngā mea iti rawa. |
| Te taumata pūngao me te moe | He tino hihiko, he tino pukumahi. He maha ngā rā kāore e moe pai, e ngenge ana. |
| He kōrero me ngā whakaaro | Te tere rawa o te kōrero, te kore e tukua ētahi atu kia kōrero. Te pekepeke mai i tētahi whakaaro ki tētahi atu. Te uaua ki te arotahi. |
| Whanoke | Te takahi i ngā ture, te whakangaro i ngā mea, me te mahi i ngā mea wairangi, morearea (hei tauira, te moe tāne me te wahine kāore i tiakina, te inu waipiro). |
| Te whakapono ki a koe anō | Te whakapono he mana, he pūkenga rānei tō te tangata, he mea whakamiharo (hei tauira, te whakaaro he mōhio ake ia i ngā pakeke ki ngā mea katoa, ā, kei a ia te mana whakahaere mō ngā mea katoa). |
Ngā tohu o te wā pouri
I tēnei wā, e tino pouri ana te tamaiti, ā, e iti ana tōna kaha.
| Momo āhuatanga | Whakaahuatanga |
|---|---|
| Ngā kare ā-roto me te wairua | Te pouri i ngā wā katoa, kāore he take, te tangi i ngā wā katoa. Te ngaro o te hiahia ki ngā mea i pai ai koe ki mua. Te mamae ahakoa mō ngā mea iti rawa. |
| Te taumata pūngao me te moe | Te ngoikore, te uaua ki te moe, te oho ake i te atatu, te nui rawa rānei o te moe. |
| Ngā hononga pāpori | E hiahia ana kia noho ko koe anake, kia matara atu i ngā hoa me ngā hoa akomanga. |
| Ngā mahi kura me ngā whakaaro | Te ngaro i ngā mahi kura. Te uaua ki te arotahi me te maumahara ki ngā mea. Te kōrero kino mōu anō. |
| Ngā āhuatanga ā-tinana | Te ngaro o te hiahia kai, te kai nui rānei. Te amuamu tonu mō te ānini, te mamae o te puku, me te mamae o te tinana. |
| Ngā whakaaro mōrearea | Te kōrero, te whakaaro rānei mō te mate, te whakamomori rānei. |
He mea tino nui: Ki te whakaatu tāu tamaiti i ngā tohu o te whakaaro whakamomori, o te kōrero rānei, me toro atu ki te tākuta tonu. Ki te whakaaro koe kei roto tāu tamaiti i te mōrearea i taua wā tonu, haria tonutia ia ki te Tari Ohotata (ETU) o te hōhipera tata.
He aha te take o te Mate Pūrua?
Kāore anō kia kitea e ngā kaipūtaiao he tino take mō tēnei, engari e whakapono ana rātou he maha ngā āhuatanga matua e whai pānga ana ki tēnei.
- Ira: Koinei te tino take. Ki te whakarapopototia, he mea tuku iho . Neke atu i te rua hautoru o te hunga whai mate hinengaro rua he whanaunga tata tō rātou (whaea, pāpā, tuākana/teina) kei a rātou te mate. Heoi, ehara i te mea ka pāngia te katoa e te mate nā te mea kei roto i te whānau tētahi o rātou e pāngia ana.
- Ngā huringa o te roro: E whakaatu ana ētahi rangahau he rerekē te mahi a ētahi wāhanga o te roro o ngā tamariki e pangia ana e tēnei mate.
- Te whara me te ahotea: Mā te pāngia e ngā āhuatanga taumaha, ahotea, pērā i te matenga o tētahi mema o te whānau, te tukino kino rānei, ka taea hoki te whakaoho i te whanaketanga o tēnei mate i roto i te tangata kei roto i te mōrearea ira.
Me pēhea koe e tino mōhio ai mēnā he mate Bipolar te tamaiti?
He tukanga uaua tēnei, nā te mea he rite tonu ngā tohu o te Mate Pūrua ki ērā o ētahi atu mate e kitea whānuitia ana i roto i ngā tamariki, pērā i te ADHD (mate kore aro), te Mate Whakahē Whakahē (whanonga ā-whakaaro nui), me te Pouri Nui.
Nō reira, he mea nui te āwhina a tētahi kaiwhakatakoto whakaaro hauora hinengaro mātau (tākuta hinengaro, tohunga hinengaro rānei) hei tautuhi i tēnei.
Ka mahi te tākuta i ngā mahi penei:
- Whakamātautau tinana: Tirohia mēnā he mate kē atu.
- He hītori hauora katoa: Ka pātaihia koe me tāu tamaiti mō ngā tohumate o tāu tamaiti me te hītori hauora whānau.
- Ngā whakamātautau hauora: Ka mahia ngā mea pēnei i ngā whakamātautau toto hei tirotiro mō ētahi atu mate tinana e puta ai ēnei tohu.
- He aromatawai hauora hinengaro: Tērā pea ka tukuna atu ki tētahi tohunga hinengaro. Tērā pea ka tonoa te tamaiti, ngā mātua, tae atu ki ngā kaiako kia whakakī i ngā pātai mō ngā whanonga a te tamaiti.
Me pēhea te rongoā?
Nā te mea he mate mō te wā katoa o te oranga o te tamaiti te mate hinengaro rua, nō reira, he roa hoki te wā e rongoatia ai . Tērā pea ka roa ngā marama, ngā tau rānei ki te kimi i te mahere maimoatanga tika mō tāu tamaiti. Engari he mea nui kia arotahi tonu, kia haere tonu hoki te maimoatanga.
Ko tētahi mahere maimoatanga angitu he whakakotahitanga o ēnei mea:
- Ngā rongoā
- Hinengaro whakaora (te "whakaora kōrero" rānei)
- Ngā tikanga noho hauora (whakakorikori tinana, whakaaroaro, he mahinga auau)
Hinengaro Whakaora
He wāhanga tino nui tēnei o te mahere maimoatanga. Ka āwhina i te tamaiti ki te tautuhi me te whakahaere i ōna kare ā-roto, ōna whakaaro me ōna whanonga.
- Te mātauranga hinengaro: Te whakamārama mārama i te mate ki te tamaiti me te whānau.
- Te whakaora ā-whānau (FFT): He tikanga maimoatanga e whai wāhi tahi ai te tamaiti me te whānau. Ka āwhina i te tautuhi i ngā tohu, te whakaoti rapanga, me te whakapai ake i te whakawhitiwhiti kōrero.
- Te Whakaora-ā-Whārite: Ka āwhina i te tamaiti ki te whakawhanake i tētahi tauira moe pumau, auau hoki. Ka whakaharatau rātou i te haere ki te moenga me te ara ake i te wā kotahi.
Ngā rongoā
Ko ngā rongoā whakatau kare ā-roto me ngā rongoā ārai mate hinengaro e whakamahia ana ki ngā pakeke, e whakamahia angitu ana hoki i roto i ngā tamariki.
- Ngā rongoā whakaū kare ā-roto: Ka āwhina ngā rongoā pēnei i te 'Lithium', te 'Valproic acid', me te 'Lamotrigine' ki te whakahaere i ngā wā 'manic'.
- Ngā rongoā ārai hinengaro: Ka āwhina ēnei i ngā wā 'manic' me ngā wā 'pouri'.
He mea nui: Mena he mate kē atu tō tamaiti, pērā i te ADHD, ka taea e ētahi rongoā te whakararu i ngā tohu o te mate hinengaro rua. Nō reira, kia tūwhera ki tō tākuta mō ngā rongoā katoa e tangohia ana e tō tamaiti.
He pānga taha kei te rongoā?
Āe, pērā i ngā rongoā katoa, ka pāngia pea tēnei e ngā pānga taha. Ko ngā mea tino kitea ko:
- Te pikinga o te taumaha
- Te hiamoe
- Te kore e marino, te kore e taea te noho marino `(Akathisia)`
- Ngā huringa o te huka toto me ngā taumata cholesterol.
Te aro nui ki te rongoā Lithium:
He rongoā te lithium e whakamahia whānuitia ana hei rongoā i te mate hinengaro-rua. Ko ngā mea katoa e whakaiti ana i te taumata o te konutai (tote) o te tamaiti - te werawera nui, te kirika, te ruaki, te korere - ka pāngia e te paitini lithium. He āhuatanga ohorere tēnei.
| Ngā Tohu Whakatūpato o te Paitini o te Lithium - Haere tonu ki te ETU! | |
|---|---|
| Ngā raruraru tirohanga | Te tirohanga pōuri, te tirohanga takirua |
| Te pao o te ngākau | Te pā o te manawa kāore i te rite, te tere rawa, te puhoi rawa rānei |
| Ētahi atu āhuatanga | Te uaua ki te manawa, te pōhēhē, te whanoke, te wiri nui, te mimi nui rawa rānei |
Kaua rawa e mutu te rongoā a tāu tamaiti me te kore kōrero ki tō tākuta. Mēnā ka mutu ohorere, ka pā mai pea ngā pānga kino, ā, ka kino ake te āhua.
Me pēhea e taea ai e au, hei matua, te āwhina i taku tamaiti?
He tino taumaha te tiaki i tētahi tamaiti he mate hinengaro rua tōna. He mea nui hoki kia tiaki i a koe anō. Ka taea hoki e koe te rapu tohutohu, te whakauru atu rānei ki tētahi rōpū tautoko mō ngā mātua kua pāngia e te mate kotahi.
- Tautokohia tāu tamaiti: Whakatenatenahia tāu tamaiti kia kōrero mō ōna kare ā-roto. Kia pai tō whakarongo.
- Kia manawanui: He roa te wā e hiahiatia ana hei kimi i te maimoatanga tika. Kia manawanui ki te haerenga.
- Kia aro ki te wairua o tāu tamaiti: Puritia he pukapuka tuhi mō ngā huringa whanonga o tāu tamaiti. Tukua atu ēnei mōhiohio ki ngā kaiako me ngā whanaunga.
- Kia mau ki tētahi mahinga kāinga ōrite: inā koa ko ngā wā moe me ngā wā oho ake he ōrite.
- Āwhina ki te whakahaere i te ahotea: Whakaakona tāu tamaiti ki ngā mea ngāwari pēnei i te manawa hōhonu.
- Whakamāramahia te hiranga o te maimoatanga: Whakamāramahia me pēhea te whakapai ake i te oranga e te maimoatanga, whakatenatenahia tāu tamaiti ki te tango i āna rongoā i te wā tika, me te whai wāhi atu ki te whakaora hinengaro.
Karere Tangohia ki te Kāinga
- Ehara te Mate Pūrua i te whanonga kino, i te mangere rānei o te tamaiti. He mate hauora tūturu e tika ana kia rongoatia.
- He mea nui te āwhina hauora motuhake hei tautuhi me te rongoā i te mate.
- He haerenga roa te maimoatanga, ā, hei mātua, he mea nui tō manawanui me tō tautoko mō tāu tamaiti.
- Ki te kōrero tāu tamaiti mō te mate, mō te whara rānei i a ia anō, kaua rawa e warewaretia. Rapua tonutia he tohutohu hauora.
- Kāore koe i te mokemoke. Tērā ngā tākuta, ngā kaiwhakatakoto whakaaro, me ngā rōpū tautoko hei āwhina i a koe me tāu tamaiti.
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