Tērā ētahi rā, tika? Ina ara ake koe i te ata, ka tino harikoa koe, ka tino kaha hoki. Ka rite koe ki te mea ka taea e koe te wikitoria i te ao katoa. Engari i te ahiahi, kāore he take, ka hoha koe ki te ao katoa, ā, kāore koe e hiahia ki te mahi i tetahi mea, ā, ka pōuri koe. He maha ngā wā ka pāngia koe e ēnei āhuatanga? Ehara tēnei i te mea rerekē noa iho, ko te take pea o tēnei he mate hinengaro e kiia nei ko te Cyclothymia. Kaua e manukanuka, me kōrero tātou mō tēnei mea, me te taipitopito hoki.
He aha te Cyclothymia?
He māmā noa iho, he momo mate hinengaro rua te cyclothymia, engari he roa te wā. Pērā i te mate hinengaro rua, ka tere te huri o tō wairua, engari kāore i te tino kino pērā i te mate hinengaro rua.
Whakaarohia te mate bipolar he tsunami nui. He rite te cyclothymia ki tētahi raupapa ngaru iti e haere mai ana, e haere atu ana, engari kāore i te tino kaha. Ka haere tonu mai ēnei ngaru, ā, ka taea e rātou te whakararuraru i tō kaha ki te noho i tō oranga noa.
I tēnei āhuatanga, ka tino pāngia koe e te panoni i waenga i ngā kare ā-roto e rua:
1. Hypomania: I tēnei wāhanga, ka tino harikoa koe, ka hihiko, ka ora hoki.
2. Te Pouri Ngāwari: I tēnei wāhanga, ka pōuri koe, ka ngaro te tumanako, ā, kua ngaro te hiahia ki te ao.
Ka tere rawa te puta o ēnei huringa, i ētahi wā i roto i te rā kotahi. I ētahi wā, tera pea he noa tō wairua (euthymia), engari he iti iho i te waru wiki taua wā. Ka tīmata tēnei āhuatanga i te taiohinga.
He aha ngā tohu o te cyclothymia?
I tēnei āhua, he mārama ngā tohu o te huringa o te wairua (hypomania) me te pouri. Me titiro tātou ki ēnei tohu motuhake. Tērā pea kua mōhio koe ki ēnei.
| Ngā tohu o te Hypomania | Ngā Tohumate Pōuri Ngāwari |
|---|---|
| He tino hihiko, he kaha te āhua. He iti noa te moe. He rite ki te mea kua nui te moe ahakoa kua moe mō ētahi haora. | Te ngenge me te kore kaha i ngā wā katoa. Te ngaro o te hiahia ki ngā mea i pai ai koe ki mua. |
| He tere rawa te kōrero. Te āhua nei kei te rere ngā whakaaro i roto i tō hinengaro. Te peke tere mai i tētahi kaupapa ki tētahi atu. | Ngā kare ā-roto o te pouri, te kore tumanako, me te koretake. Ngā kare ā-roto o te hara, o te koretake rānei. |
| Ngāwari te tahuri ke i te aro. E pekepeke ana, e kore e taea te whakaoti tika i tētahi mahi. | He uaua ki te arotahi me te whakatau kaupapa. He ngoikore hoki te mahara. |
| Te aro nui rawa ki ngā whāinga (te mahi, te kura, ngā mahi pāpori) Te tīmata i ngā mahi maha i te wā kotahi. | Ngā panonitanga o ngā tauira moe. He kore moe (he kore moe) he nui rawa rānei te moe (he kore moe). |
| He nui te whakapono ki a koe anō. Te whakaaro ka taea e koe te mahi i ngā mea katoa. | Ngā panonitanga ki ngā tikanga kai. Te ngaronga o te hiahia kai, te kai nui rawa rānei. |
| Te whakamātau i ngā tūponotanga me te kore e whai whakaaro ki ngā hua kino. Hei tauira, te whakapau moni i runga i te whakaaro pōrearea, te whakatau pakihi ohorere. | E ngana ana ki te noho tawhiti atu i te hapori. E pai ake ana ki te noho mokemoke, ki te tawhiti atu i ngā hoa me te whānau. |
Ko te mea nui, i roto i te cyclothymia, kāore ēnei tohu e tino kino pērā i te pouri nui, i te tihi rānei o te mate bipolar (mania). Engari ka taea tonu e ēnei huringa ngawari te pā nui ki tō oranga o ia rā, ki ō whanaungatanga, me tō mahi.
He aha tēnei e tupu nei?
Kāore anō kia tino mōhiotia e ngā kaipūtaiao he aha tēnei, engari e whakapono ana rātou he maha ngā āhuatanga e whai wāhi ana ki tēnei.
- Hononga ira: E whakaarohia ana hoki ka pā mai tēnei i roto i ngā whānau. Ko te tikanga, ki te pāngia tētahi o tō whānau e te mate hinengaro rua, te pouri rānei, he iti noa te tūponotanga ka pāngia koe e te mate.
- Ngā āhuatanga taiao: Ka taea e ngā āhuatanga pōuri, te ahotea roa rānei o te ao te whakaoho i tēnei āhuatanga i roto i ētahi tāngata. Hei tauira, he mate kino, he pakaru o te whanaungatanga, he raruraru rānei i te mahi.
Me pēhea koe e mōhio ai mēnā he cyclothymia tēnei?
He uaua pea te tautuhi i tēnei āhuatanga nā te mea he rite tonu ōna tohu ki ērā o ētahi atu mate hinengaro. Hei tauira:
- Mate pouri nui
- Mate pūrua tuarua
- Mate manukanuka whānui
- Ngā mate tuakiri
Nō reira, ki te pāngia koe e ēnei tohu, he mea nui kia toro atu koe ki tētahi tākuta whai tohu . Ka whai ia i ētahi mahi hei tātaritanga tika i te mate.
1. Te pātai mō ō tohumate: Ka pātai atu te tākuta ki a koe mō ō kare ā-roto, te roa o te wā e pāngia ana koe e ēnei tohumate, me te pānga ki tō oranga.
2. Hītori hauora katoa: He mea nui anō hoki kia mōhio koe mēnā he mate hinengaro tō tētahi o tō whānau.
3. Whakamātautau tinana: Ka mahia ngā whakamātautau toto hei tirotiro mō ētahi atu āhuatanga tinana (hei tauira, te hyperthyroidism) e puta ai ēnei tohu.
4. He aromatawai hauora hinengaro: Tērā pea ka tukuna koe e tō tākuta ki tētahi tohunga hauora hinengaro, pērā i te tohunga hinengaro, i te tohunga hinengaro rānei.
Ka tātaritatia tēnei e te tākuta hei cyclothymia mēnā ka tutuki ngā paearu e whai ake nei:
* Mena he pakeke koe, me pāngia koe e ēnei tohu o te pouri me te manukanuka i te iti rawa 50% o te wā mō te iti rawa e rua tau. Mō ngā tamariki me ngā taiohi, kotahi tau tēnei wā.
* I tēnei wā, kāore e taea e koe te noho kore tohumate mō ngā marama neke atu i te rua karapīpiti.
* Kaua ēnei tohu e puta mai i te whakamahinga o ētahi atu tarukino, i tētahi mate tinana rānei.
* Waihoki, me whakararuraru nui ēnei tohu i tō oranga o ia rā.
He aha ngā maimoatanga mō tēnei?
He tokomaha te hunga kāore e rapu awhina hauora nā te mea he ngawari noa iho ō rātou tohu. Heoi anō, mā te whiwhi maimoatanga ka māmā ake tō oranga. E rua ngā momo maimoatanga matua.
1. Te rongoā hinengaro
Koinei te momo maimoatanga matua. Ki te whakarāpopototanga, ko te kōrero mō ō raruraru me ō kare ā-roto ki tētahi kaitohutohu hauora hinengaro . Mā tēnei, ka taea e koe te:
- Ka taea e koe te tautuhi me te whakahaere i ō tohumate.
- Ka taea e koe te ako me pēhea te aro atu ki te ahotea.
- Ka taea e koe te whakarerekē i ngā tauira kino i roto i tō whakaaro me tō whanonga.
- Ka taea e koe te whakapai ake i ō whanaungatanga ki ētahi atu.
Kua kitea he tino whai hua te Whakaora Whanoke Hinengaro (CBT) mō te cyclothymia.
2. Rongoā
Kāore he rongoā motuhake kua whakaaetia mō te cyclothymia. Heoi, i ētahi wā, ka tohua pea e tō tākuta he rongoā whakaū i te wairua hei āwhina i te whakahaere i ō huringa tere o te wairua. Hei tauira, ko te valproate, te lamotrigine, me te lithium.
He mea tino nui: Ko tō tākuta anake te hunga e whakatau ana mēnā ka hoatu tēnei rongoā ki a koe, he aha te mea hei hoatu ki a koe, me te roa o te wā e hoatu ai. Kaua rawa e whakamahia ēnei rongoā ko koe anake, e ai ki tā tētahi atu rānei e tohutohu ana ki a koe.
Ka pēhea rā te āhua o te heke mai me tēnei āhuatanga?
He uaua te noho me tēnei mate. Mā te piki me te heke o te wairua ka uaua te pupuri i ngā whanaungatanga pai ki te whānau, ki ngā hoa, ki ngā hoa mahi, me ngā hoa rangatira.
Heoi, ki te whakatauritea ki te hunga whai mate hinengaro rua, ko te hunga whai cyclothymia:
- Kua whakaitihia te maha o ngā whakaurunga hōhipera.
- Kei te heke haere te maha o ngā rā kāore e taea e au te haere ki te mahi.
- Ka taea e koe te haere tonu i tāu mahi me te pumau ake.
Ko te mea pai ko te kite wawe i ngā tohumate, me te rapu rongoā. Ki te pērā koe, ka taea e koe te whakaiti i te pānga ki tō oranga, ā, ka ora angitu, ka ora harikoa hoki.
Ki te pā mai ēnei tohu ki a koe, kaua e mamae ko koe anake. Ehara i te mea nāu te he. Tirohia he tākuta, kōrero ki a ia. Kia maumahara kei reira ngā tākuta me ō whanaunga hei āwhina i a koe.
Karere Tangohia ki te Kāinga
- Ko te Cyclothymia he momo ngawari o te mate bipolar, e tohuhia ana e te huringa kare ā-roto pinepine.
- Kei roto i tēnei ko ngā wā tauutuutu o te kare ā-roto o te hihiko me te hihiko (Hypomania) me te pouri ngawari me te ngaro o te hiahia (Pouri).
- Ki te pā mai ēnei tohu ki a koe, kaua e warewaretia pērā i te mea noa. Kaua e mataku. Me toro atu ki te tākuta, me te rapu tohutohu.
- Mā te maimoatanga tika (te kōrero whakaora me te rongoā mēnā e tika ana), ka taea e koe te whakahaere pai i tēnei mate me te noho ora tonu, hauora hoki.
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