Kua rongo pea koe i te ingoa mate hinengaro rua . Engari ehara i te mea he huringa wairua noa iho. He mate hauora tēnei e whai tātaritanga me te maimoatanga motuhake. Engari e mōhio ana koe me pēhea te puta mai o te whakaaro mō te mate e kīia nei e tātou i ēnei rā? He kōrero tino whakamere kei muri i a ia, e hoki ana ki ngā mano tau ki muri. Me kōrero tātou mō taua kōrero i tēnei rā.
Ngā whakaaro mai i ngā wā roa rawa atu
I tīmata tēnei kōrero i Kariki onamata. Ko Hippocrates, e mōhiotia ana e tātou ko te "matua o te rongoā," te tuatahi ki te tuhi i tēnei. Ko ia te tuatahi ki te kite e rua ngā āhuatanga tino rerekē o te tangata i roto i ō rātou kare ā-roto. Ko tētahi ko te pouri nui me te manukanuka . I ēnei rā ka kiia tēnei he pouri . Ko tētahi ko te kaha nui me te hihiri . I ēnei rā ka kiia tēnei he porangi .
I taua wā, i whakaaro a Hippocrates nā ngā huringa o ngā wai (bilie) i roto i te tinana ēnei mea i puta ai.
- Melancholia: I mea ia ko te nui o te pouri ka puta mai i te pikinga o te " au pango." Ko te tikanga o "Melas" he mangu, ā, ko te tikanga o "chole" he au.
- Pōrangi: I whakaaro ia i ahu mai te nui rawa o te pūngao i te pikinga o te "auka kōwhai".
Kātahi ka kawea ake tēnei whakaaro e tētahi atu rata Kariki ko Aretaeus o Kapatokia, i noho i te rautau tuatahi pea. Nāna i whakaaro ko tēnei pouri nui me te kaha nui he rua ngā pito o te wairua kotahi. Ko ia anō hoki te tuatahi ki te whakaaro he hononga ngā āhuatanga e rua ki tētahi raruraru o te roro . He kitenga nui tēnei mō taua wā.
He whakarapopototanga, kua ngana ngā tākuta ki te mārama ki te whakaaro ehara ēnei āhuatanga i te mea he kare ā-roto o te pouri, o te harikoa rānei, engari e pā ana ki ngā huringa koiora e puta ana i roto i te tinana, inā koa te roro.
He taha rua rānei o te moni kotahi te pouri me te mania?
Mō ngā rau tau, i whakaaro ngā tākuta he rerekē rawa ngā mate o te pouri me te mania. Engari i waenganui o te rautau 19, i whakarerekētia tēnei whakaaro e ngā tākuta hinengaro Wīwī e rua.
- Jean-Pierre Falret: Ko ia te tuatahi ki te kī ko taua mate anō tēnei, he huringa te puta mai. I tapaina e ia ko te "folie circulaire" (he porangi hurihuri). Ko tana whakaaro, ka taea e te tangata te pāngia e te pouri, kātahi ka noho noa mō tētahi wā, kātahi ka whanake te porangi. Ka haere tonu tēnei huringa.
- Jules Baillarger:I kī tētahi atu tākuta Wīwī o taua wā anō he huringa tēnei, engari kāore he wā noa i waenganui i te pouri me te porangi , ā, ina mutu tētahi, ka tīmata anō tētahi.
I taua wā anō, i whakakotahihia ēnei whakaaro katoa e tētahi rata Tiamana ko Emil Kraepelin, i kiia ko ia te "matua o te hinengaro hou," ā, i tapaina he ingoa kotahi mō te mate: "te porangi manic-depressive." I whakaaetia tana whakaaro puta noa i te ao i taua wā.
Te āhua o te whakarerekētanga o ngā mea katoa e te DSM
I ngā tau 1950, i huihui mai ngā tohunga hinengaro ki te waihanga i tētahi pūnaha noa, he pukapuka ture, mō te tautuhi i ngā mate hinengaro. Ko te ingoa o tēnei pukapuka ko te Diagnostic and Statistical Manual of Mental Disorders (DSM) . He pukapuka aratohu tēnei e whakamahia ana e ngā tākuta hei āwhina i a rātou ki te tautuhi i ngā mate hinengaro. Ka whakahoutia tēnei pukapuka i ia wā, i ia wā. Kua rerekē haere te huarahi e tautuhia ai te mate hinengaro.
| Putanga DSM (Putanga) | Te whakaurunga mai o te Mate Pūrua |
|---|---|
| DSM-I (1952) | I wehea te "porangi mania-pouri" a Kraepelin kia toru ngā wāhanga: te mania, te pouri, me te "kē atu." I whakaurua te huringa ki te wāhanga "kē atu". |
| DSM-II (1968) | I hurihia te ingoa ki "te mate mania-pouri." Engari mō te "kē atu," i whakaurua mai he kāwai hou e kiia nei ko te "cyclical," arā, ko te hunga kua pāngia e ngā wā mania me te pouri i te iti rawa i te kotahi. |
| DSM-III (1980) | Koinei te tino huringa! I whakamahia tuatahitia te ingoa "Bipolar Disorder" ki konei. I whakaurua mai hoki hei mate motuhake, he mate motuhake mai i te pouri whānui. Ko ngā paearu e whakamahia ana e tātou i ēnei rā i ahu mai i konei. |
Te tirohanga a tātou ki te Mate Pūrua i ēnei rā
I ēnei rā, kua wehea e ngā tākuta te mate hinengaro rua kia whā ngā momo matua. Nā tēnei whakarōpūtanga kua taea te whakarato i te maimoatanga tika me te tika ki te tūroro.
| Momo Mate Pūrua | Hei whakarāpopototanga... |
|---|---|
| Bipolar I | Kua pāngia koe e te wā pōuri nui, neke atu rānei, kotahi te wā o te mania, e whitu ngā rā te roa. Tērā pea ka haere mai, ka haere atu ngā wā pouri. |
| Āhuarua Tuarua | Kāore he wā tino pōrangi. Engari, he wā tauutuutu kei waenganui i te pōrangi me te pouri . |
| Mate Cyclothymic | Mō te iti rawa e rua tau, ka taupatupatu i waenga i ngā tohu mania me ngā tohu pouri. Heoi, kāore ēnei i te tino kino pērā i te Bipolar I, II rānei. Ko te wā i roto i te wairua noa he iti iho i te 8 wiki. |
| Mate Pūrua Kāore i Whakapūtātia | Ngā take e nui ai ngā huringa kare ā-roto o te tangata engari kāore e tutuki i a ia ngā paearu mō tētahi o ngā kāwai o runga ake nei. |
Mō te maimoatanga, i puta he panoni nui i ngā tau 1970 i te whakaaetanga o te rongoā lithium . I ēnei rā, he maha ngā rongoā whai hua, pērā i ngā rongoā whakaū kare ā-roto, ētahi rongoā ārai mate haurangi, me ngā rongoā antipsychotic.
Te awe o te ahurea me te hapori
He mate te Mate Pūrua-rua e pāngia ai te tangata i roto i ngā whenua me ngā ahurea katoa. E ai ki te World Health Organization, tata ki te 45 miriona tāngata puta noa i te ao e pāngia ana e tēnei mate.
Heoi, he pānga tō te ahurea me te hapori ki te āhua o te tautuhi me te whiwhi maimoatanga a te tangata.
- Te Whakamā: Ahakoa i roto i tō tātou whenua, kei te whakama, kei te mataku hoki ētahi tāngata ki te kōrero mō te mate hinengaro, ki te toro atu rānei ki te tākuta. Nā tēnei "whakamā", he tokomaha kāore e rapu maimoatanga tika. Ka taea e tēnei te whakaroa i te tautuhi tika i te mate.
- Te āhua o te whakaaturanga o ngā tohu: Kua whakaatuhia e ētahi rangahau he nui ake te kōrero a te iwi o ngā whenua Āhia mō ngā tohu ā-tinana (hei tauira, te mamae o te tinana, te ānini) i ngā raruraru hauora hinengaro. Tērā pea ka rerekē te tautuhi mate.
E whakanui ana ngā whakahaere hauora nui katoa, tae atu ki te World Health Organization, he mea nui te rongoā me te tautoko hinengaro/pāpori hei whakahaere i tēnei mate.
Karere Tangohia ki te Kāinga
- Ehara i te mea hou te Mate Pūrua. Kua whanake haere tō tātou māramatanga ki tēnei mate i roto i ngā wā, mai i ngā whakaaro tawhito pēnei i te "auku pango" ki te mate roro e mōhiotia ana e tātou i ēnei rā.
- Ehara tēnei i te huringa wairua noa iho. He huringa huringa i waenga i ngā wā porangi, arā, ina tino kaha koe, me ngā wā pouri, arā, ina tino pōuri koe.
- I ēnei rā, he momo whakarōpūtanga motuhake pērā i te Bipolar I me te II, kia taea ai te tautuhi tika i te mate me te rongoā.
- Ki te pāngia koe, tētahi atu rānei e mōhio ana koe e ēnei tohu, kaua e whakama, kaua e mataku. Kōrero ki tō tākuta , ki tō nēhi rānei mō tēnei mea. I ēnei rā, kei reira ngā maimoatanga whai hua hei āwhina i te whakahaere pai i tēnei āhuatanga.
💬 Comments (0)
Kaore ano kia tukuna he korero. Tāpirihia to korero ki konei mo te wa tuatahi.
Tāpirihia to korero