I ētahi rā ka tino harikoa koe, ka tino hihiko... me te mea ka taea e koe te mahi i ngā mea katoa. Engari i ētahi rā ka tino pouri koe, kāore e taea e koe te ara ake i te moenga, ka tino pouri koe, kāore koe e hiahia ki te mahi i tetahi mea? Ko tēnei momo hurihuri i waenga i ngā kare ā-roto e rua e taupatupatu ana he tohu pea nō te mate hinengaro e kiia nei ko te mate hinengaro rua. I tēnei rā, ka kōrero tātou mō tēnei, inā koa te pānga ki ngā wāhine, i roto i te huarahi tino māmā me te hoa.
He aha te mate hinengaro rua?
Ko te mate hinengaro rua-ira he mate hinengaro e tohuhia ana e ngā huringa nui o te kare ā-roto o te tangata. E rua ngā tino āhuatanga matua.
1. Porangi: Koinei te wā o te harikoa nui me te kaha i kōrerotia e au i mua ake nei. I tēnei wā, ka whakaaro pea koe kāore e taea e koe te mahi i tetahi mea. Kāore pea koe e moe, kei te mahi tonu koe, kei te tere rawa pea koe ki te kōrero, ā, kei te whakatau pōrangi pea koe (hei tauira, te whakapau moni nui i te wā kotahi). Koinei te pikinga.
2. Te Pouri : Ko tētahi atu āhuatanga nui tēnei. He wā pouri nui, he kore tumanako, me te kore hiahia ki tetahi mea. Kāore koe e hiahia ki te ara ake i te moenga, he ngenge tonu koe, ā, kāore koe e hiahia ki te mahi i ngā mea i pai ai koe i mua. Koinei te wāhi iti rawa.
Ko te āhua o tēnei mate ko te hurihuri haere o te wairua i waenga i ēnei pito e rua. Mō ētahi, ka tino kino ēnei āhuatanga.
He rerekē te pānga o tēnei āhuatanga ki ngā wāhine?
Āe. Ahakoa ka pāngia ngā tāne me ngā wāhine e tēnei mate, he rerekētanga kei roto i te āhua o te pānga o tēnei mate ki ngā wāhine.
E whakaatu ana ngā rangahau he nui ake te tūponotanga o te pāngia o ngā wāhine e te pouri i te mania , ā, ko ngā homoni me te mahi a te pūnaha whakaputa uri o ngā wāhine ka pā tika ki te āhua me te maimoatanga o tēnei mate.
He aha ngā pānga o ngā homoni?
Ka rerekē ngā taumata homoni i ngā wāhanga rerekē o te oranga o te wahine. Me titiro tātou ki te pānga o ēnei huringa ki te mate hinengaro rua.
- Te Huringa Paheketanga: E kī ana ētahi rangahau ka pāngia pea ngā wāhine whai mate hinengaro rua e ngā tohumate kino ake i mua i te paheketanga (PMS). Heoi, kua whakaatuhia e ngā rangahau ko ngā wāhine e whiwhi ana i te maimoatanga tika ka noho pūmau te wairua puta noa i te huringa paheketanga.
- Te wā pāhekeheke : Nā ngā huringa nui o te homoni e puta ana i te wā pāhekeheke, ā, i muri hoki i te wā pāhekeheke, ka pāngia pea ētahi wāhine e ngā tohumate bipolar mō te wā tuatahi. Mō te hunga kua pāngia kētia e te mate, ka kino haere pea ngā tohumate i tēnei wā.
- Te Hapūtanga me te Wā i Muri i te Whānautanga:Koinei te wā tino nui, tino mōrearea hoki . Mēnā ka hapu, ka whānau rānei he pēpi i tētahi wahine whai mate hinengaro rua, e whitu ngā wā ka nui ake tōna tūponotanga kia kino haere tōna āhua, kia hiahiatia hoki te kawe ki te hōhipera i ērā atu wāhine. E rua hoki ngā wā ka hoki mai anō ōna tohu.
Nō reira, ki te mea he mate hinengaro rua tōu, he mea tino nui kia kōrero koe ki tō tākuta i mua i te whakaaro ki te whānau tamariki.
He aha ngā kōwhiringa maimoatanga?
Ko te whāinga matua o te maimoatanga mō te mate hinengaro rua ko te pupuri i te pumau o te wairua. Arā, ko te whakahaere i ngā āhua teitei (manic) me ngā āhua iti (pouri). He maimoatanga tēnei mō te wā katoa.
Ko ngā maimoatanga matua e whakamahia ana ko te rongoā me te kōrero whakaora .
Ko ētahi o ngā rongoā e tohua ana e ngā tākuta ko ngā rongoā whakaū kare ā-roto me ngā rongoā ārai mate hinengaro.
| Ingoa whānui o te rongoā | Ngā ingoa waitohu e whakamahia whānuitia ana |
|---|---|
| Ritiuma | Ritopiti |
| Waikawa Valproic / Divalproex Konutai | Depakote, Depakene, Stavzor |
| Lamotrigine | Rāmitara |
| Carbamazepine | Tegretol, Carbatrol |
| Olanzapine, Quetiapine, Risperidone, Aripiprazole | Zyprexa, Seroquel, Risperdal, Abilify |
He mea nui: Kei roto i ētahi o ēnei rongoā he whakatūpato ka paku whakanui ake i te mōrearea o ngā whakaaro me ngā whanonga whakamomori , inā koa i roto i ngā tamariki me ngā taiohi. Nō reira , me ripoata tonu e koe ngā tohu hou, ngā tohu kino rānei, ngā huringa rerekē o te wairua, ngā whakaaro whakamomori rānei ki tō tākuta i muri i te tīmatanga o te maimoatanga.
Me tino tupato te maimoatanga i te wa e hapu ana.
He kaupapa tairongo tēnei mā ngā wāhine. He mea nui kia haere tonu te maimoatanga i te wā e hapu ana, nā te mea ka kino ake te mate mēnā ka mutu te maimoatanga, ā, ka pā kino ki te whaea me te pēpi. Heoi anō, he mea nui anō hoki kia whakaarohia ngā pānga pea o te rongoā ki te pēpi.
Nō reira, ko tā ngā tākuta he whakaiti i te mōrearea ki te pēpi i a rātou e rongoā ana i te whaea. He mea tēnei me tino āta whakahaere.
Ngā rongoā haumaru, mōrearea hoki i te wā e hapu ana
- Ngā rongoā e kiia ana he haumaru ake: Ko te tikanga he pai ake ki ngā tākuta ngā rongoā tawhito pēnei i te 'Lithium' me te 'Haloperidol (Haldol)' nā te mea he nui ake ngā raraunga mō te wā roa me ngā mōhiohio haumaru kei roto.
- Ngā rongoā mōrearea: Kua whakaatuhia he kino ngā rongoā 'Valproic acid' me 'Carbamazepine' ki te pēpi kāore anō kia whānau, ā, ka taea hoki te whai wāhi ki ngā hapa whānau. Mēnā ka kitea e koe kei te hapu koe i a koe e tango ana i te 'Valproic acid', ka whakarerekē tonu tō tākuta i te rongoā, ka whakatikatika rānei i te horopeta, ka tohua he waikawa folic hei ārai i ngā hapa whānau e pā ana ki te whanaketanga o te roro me te taurakira o te pēpi.
- Ngā rongoā e hoatu ana i te toru marama whakamutunga o te hapūtanga: Ki te tango koe i ngā rongoā pēnei i a `Aripiprazole (Abilify), `Risperidone (Risperdal),` me `Quetiapine (Seroquel)` i ngā marama e toru whakamutunga o te hapūtanga, ka pāngia pea te pēpi e ētahi tohu i muri i te whānautanga. Ka kiia ēnei ko ngā `tohu extrapyramidal (EPS).`
Ngā tohu ka pā ki te tamaiti:
- Te kore okiokinga
- Te kikī, te pūmau rānei o te uaua
- Te hiamoe nui rawa
- Te uaua ki te manawa me te whāngai ū
- Ngā whakakorikori uaua, ngā wiri rānei e kore e tūpato
Mō ētahi pēpi, ka memeha noa iho ēnei tohu i roto i ētahi haora, i ētahi rā rānei, engari ko ētahi me kawe ki te hōhipera kia mātakitakina, kia rongoatia rānei.
Ētahi atu tohu motuhake mō ngā wāhine
Waikawa Valproic me te PCOS
Me tirotiro hauora ngā kōtiro me ngā wāhine taitamariki e tango ana i te rongoā valproic acid i ia wā. Nā te mea, ahakoa he onge, ka taea e te rongoā te whakanui ake i ngā taumata o te homoni tāne testosterone, ka arahi pea ki te mate ovary polycystic (PCOS) . Ko te PCOS he mate e pā ana ki ngā ovaries, ā, ka puta te momona, te tupu nui o te huruhuru o te tinana, me ngā huringa paheketanga koretake.
Ngā pānga taha o te lithium
Ka taea e te whakamahinga o te lithium te whakaiti i te taumata o te homoni tairoi i roto i ētahi tāngata. Ka pā hoki tēnei ki ngā tohumate bipolar. Mena ka puta tēnei, me rongoā pea te homoni tairoi. Hei tāpiri, ka puta pea ngā pānga taha pēnei i te hiamoe, te mimi pinepine, me te ānini.
Te rongoā hiko-whakaohooho (ECT)
I ngā wā tino kino o ngā tohu, ka taea te whakamahi i te rongoā hiko-ohorere (ECT) hei huarahi haumaru atu i te rongoā, inā koa i te wā e hapu ana. I konei, ka aroturukihia tonutia e ngā tākuta te tere o te manawa o te pēpi me ngā taumata hāora, kia taea ai te rongoā tonu i ngā raruraru katoa.
Karere Tangohia ki te Kāinga
- He mate hinengaro te mate bipolar e tino pāngia ai ngā wāhine e ngā huringa nui o te wairua. He rerekē te pānga ki ngā wāhine i ngā tāne.
- Ka pāngia ngā tohu e ngā taumata homoni o te wahine, inā koa i te wā o te paheketanga, te hapūtanga, me te paheketanga.
- Mena he mate hinengaro rua tōu, ā, kei te hapu koe, he mea nui kia kōrero koe ki tō tākuta me te whakawhanake i tētahi mahere maimoatanga i mua i te haputanga.
- He mea morearea pea te whakamutu i te maimoatanga i te wā e hapu ana. Mā tō tākuta e whiriwhiri te huarahi pai hei rongoā i te whaea, me te whakaiti hoki i te mōrearea ki te pēpi.
- Kaua rawa e mutu te tango i tō rongoā, kaua hoki e whakarerekē i te horopeta me te kore he tohutohu hauora. Kōrero ki tō tākuta mō ō āwangawanga katoa.
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