Kua kite koe i tētahi panonitanga rerekē i roto i tō whānau, i tō hoa rānei, pērā i te pikinga ohorere o te harikoa, te pikinga o te kaha, te mahi mō ngā rā kāore e moe, te whakapau moni katoa, me te whanonga pōrangi? I ētahi wā koinei te tihi o te mate hinengaro e kiia nei ko te "mania". Hei whakamārama, he āhua tēnei e huri whakarere ai te wairua mai i te teitei ki te iti. Engari kaua e manukanuka, kei reira ngā maimoatanga hei āwhina i te whakahaere i tēnei. I tēnei rā, me kōrero tātou mō te maimoatanga mō tēnei āhua mania.
He aha ngā rongoā e whakamahia ana mō te mania?
Mena kei te pāngia koe e te wā mania, me tīmata pea koe ki te tango rongoā hei whakahaere wawe i taua wā. He maha ngā wā ka tohua e tō tākuta he rongoā e kiia nei ko te "mood stabilizer". Ka kiia hoki ēnei he rongoā "antimanic".
Mā ēnei rongoā koe e āwhina ki te whakahaere i ō kare ā-roto harikoa me ō kare ā-roto pōuri, kia noho noa ai. Me tango pea e koe ēnei rongoā mō te wā roa, mō te toenga o tō oranga pea. He rite ki te tango rongoā mō te mate huka, te toto toto tiketike rānei. Mā reira koe e āwhina ki te whakahaere i tō āhua me te noho i te oranga noa.
Ko ngā rongoā e whakamahia whānuitia ana mō tēnei ko te lithium , me ētahi rongoā ārai-haurangi pērā i te carbamazepine me te valproate . Me aroturukitia koe e tō tākuta i a koe e tango ana i ēnei rongoā. Me whai whakamātautau toto auau hoki koe.
Lithium - te rongoā matua e whakamahia ana mō te wā roa
Ko te Lithium te rongoā e tino rangahauhia ana, ā, kua roa e whakamahia ana hei rongoā i te mate bipolar. Ka whakaitihia te kaha o ngā wā mania me te whakaiti i te auau o te hokinga mai. Kua whakaatuhia hoki e ngā rangahau ka āwhina te lithium ki te whakaiti i te mōrearea o te whakamomori i waenga i te hunga whai mate bipolar.
Ki te kī māmā noa, he rongoā te lithium e pā ana ki te roro, ā, e āwhina ana ki te whakahaere i ō kare ā-roto, moe, taumata pūngao, me ngā whanonga hē.
He aha ngā mea e tika ana kia tumanakohia e koe ina tango koe i tēnei rongoā?
E hia wiki pea te roa ka tino mahi te lithium. Ka whakahau tō tākuta i ngā whakamātautau toto i a koe e tango ana i tēnei rongoā nā te mea ka pā te lithium ki te mahi a ō whatukuhu me te repe tairoi.
Ka tino pai te mahi a te lithium ina rite tonu te taumata o te rongoā i roto i tō tinana. Koia te take ka kī atu tō tākuta kia inu koe i te 8-12 karāhe wai i te rā, me te tāpiri tote ki tō kai pērā i te tikanga. Mā ēnei mea ka āwhina i te pupuri i te pumau o ngā taumata lithium i roto i tō tinana.
Ko te mea nui kia kaua rawa e whakarerekē i te horopeta, kaua hoki e mutu te tango rongoā me te kore e pātai atu ki tō tākuta.
| Ngā pānga taha noa o te lithium | Ngā kōrero nui |
|---|---|
| Te pikinga o te taumaha | Kōrero ki tō tākuta mō te kai me te whakakori tinana. |
| Te wiri o te ringa | He mea noa tēnei, engari ki te kino rawa, kōrero ki tō tākuta . |
| Te matewai nui me te mimi | He mea noa tēnei, inuhia he nui te wai. |
| Ngā uauatanga mahara, te hiamoe | Tērā pea ka heke iho ēnei i roto i te wā. Kia tūpato i te wā e taraiwa ana. |
| Te hakihaki, te ngaro rānei o te makawe | Me whakamōhio atu hoki ki tō tākuta mō tēnei. |
| Kōrero tonu atu ki tō tākuta: | |
| Kei te mau tonu tō mate korere.Mena ka pā mai ngā tohu pēnei i te korere, te ruaki, te kirika, te uaua ki te hikoi, te wiri nui, te ngaro o te māramatanga, te pōhēhē, te uaua ki te kōrero, te tere rānei o te papā o te ngakau, waea atu ki tō tākuta tonu, haere rānei ki te Tari Ohotata (ETU) o te hōhipera. | |
Me pēhea te āwhina a ngā rongoā anticonvulsant?
I ētahi wā, ka whakamahia hoki e ngā tākuta ngā rongoā hei ārai i ngā mate haurangi hei whakahaere i ngā tohumate bipolar. Ka kiia ēnei he "anticonvulsants". Ko te Carbamazepine , lamotrigine, me te valproate (Depakote) ētahi o ēnei rongoā.
Ka whakamahia ēnei i ētahi wā me te lithium, me ētahi atu rongoā, me te whakamahi takitahi rānei. He tino āwhina ēnei mō te hunga whai mate e kiia nei ko te "rapid cycling," e huri haere ana i waenga i ngā wā mania me te pouri neke atu i te whā ngā wā i te tau.
Ka mahi anō hoki ēnei rongoā ki te whakamarie i te hihiko o te roro. I ētahi wā, me whakamātautau toto ina tangohia ēnei rongoā.
He mea tino nui: Me karo ngā wāhine hapu, ngā wāhine rānei e ngana ana kia hapu i te tango i ētahi rongoā, pērā i te valproate (Depakote) me te carbamazepine (Tegretol), nā te mea ka taea e ēnei te whakararu i te pēpi i te whānautanga. Nō reira, ki te mea kei te whakaaro koe kia hapu, ki te kitea rānei kei te hapu koe, me kōrero tonu atu ki tō tākuta.
Ngā rongoā ārai hinengaro
Ko ngā rongoā ārai hinengaro he momo rongoā i hoatu i mua mō te wā poto hei whakahaere i ngā tohu kino pēnei i te moemoeā, i te pohehe rānei i te wā mania.
Engari i ēnei rā, ka whakamahia ngātahitia ēnei rongoā antipsychotic hou me ngā rongoā whakaū kare ā-roto hei whakahaere tere i ngā tohu me te ārai i te hokinga mai anō. Ka mahi rātou mā te whakahaere i te mahi a ngā matū i roto i te roro e kiia nei ko ngā "neurotransmitters" pērā i te dopamine me te serotonin .
Ka āwhina ēnei rongoā ki te whakahaere i ngā whanonga whanoke, ohorere hoki e pā ana ki te mania, ā, ka āwhina i a koe ki te tīmata whakaaro noa i roto i te wiki pea.
| Ngā pānga taha o ngā rongoā antipsychotic |
|---|
| - Te tirohanga pōuri |
| - Waha maroke |
| - Te hiamoe |
| - Te pakari o ngā uaua, te wiri rānei |
| - Te pikinga o te taumaha me te pikinga o ngā taumata cholesterol (he pānga taha tino nui tēnei) |
Ka taea e ētahi o ngā rongoā antipsychotic hou te whakanui i te taumaha, te cholesterol teitei, me te taumata huka toto teitei . Nō reira, ka tirohia e tō tākuta tō mōrearea ki te mate ngakau me te mate huka i mua i te tīmatanga o tēnei rongoā.
Te Whakaora Hiko-ā-ringa (ECT)
Kua rongo pea koe i te kupu "maimoatanga ohorere". Koinei te kupu hauora mōna, ko te ECT . Kāore i te tino whakamataku pērā i te āhua o ngā kiriata. He maimoatanga haumaru rawa te ECT, he maimoatanga whakahaeretia, ka hoatu i raro i te whakamoe katoa (me te rongoā hei whakamoe i a koe) .
Ko te tikanga ka mahia tēnei maimoatanga,
- Mō te hunga he tino kino ngā tohu
- Mō te hunga kāore e pai te urupare ki ngā rongoā
- Mō te hunga kāore e taea te tiaki i a rātou anō, mō te hunga rānei he nui rawa ō rātou whakaaro mō te whakamomori
- He mōrearea te whakamahi i ngā rongoā i te wā e hapu ana mō te hunga e hapu ana
He maimoatanga tino whai hua te ECT, ā, ka taea e ia te whakaora wawe i ngā tohu o te mania, te pouri nui rānei. Kāore koe e rongo i tetahi mea i te wā o tēnei maimoatanga. Tērā pea ka pōhēhē koe, ka mamae hoki te upoko ina oho ake koe, engari ka memeha haere tēnei i muri i tētahi wā.
Kia maumahara, ehara te mate hinengaro rua i te he nāu, ehara hoki i te ngoikore. He mate ka taea te rongoā, nā te kore taurite o ngā matū o te roro.
Karere Tangohia ki te Kāinga
- He āhuatanga te mania bipolar ka taea te whakahaere pai mā te rongoā, nō reira kaua e mataku.
- He mea tino nui kia tangohia ngā rongoā i tohua e tō tākuta i te wā tika, me te horopeta tika hoki.
- Kaua e mutu te tango rongoā, kaua hoki e whakarerekē i te horopeta me te kore e kōrero ki tō tākuta mō tētahi take. Mēnā ka pēnā, ka kino ake pea ō tohumate.
- Ki te pāngia koe e ngā pānga taha o tō rongoā, kōrero ki tō tākuta. Māna e hoatu ki a koe te rongoā tino tika.
- He mea nui kia haere ki ngā wāhi rongoā i ngā rā kua whakaritea, kia whai wāhi hoki ki ngā whakamātautau e tika ana.
- He tino kaha te tautoko me te māramatanga o te whānau me ngā hoa ki te whakahaere i tēnei mate.
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