Ka riri rawa koe i ētahi wā, ā, kāore e taea te whakahaere, ahakoa he iti noa te raru? Ka hamama koe, ka patupatu i ngā tatau, ka whiua ngā mea ki te whenua, ā, i ētahi wā ka pā ki tētahi. I muri i te mutunga o ngā mea katoa, ka nui te pouri me te whakama e pā ana ki a koe, me te whakaaro, "Āe, he aha ahau i mahi ai i tēnā?" Mena kua pā ki a koe tēnei wheako, ehara i te mea ko koe anake. I tēnei rā kei te kōrero tātou mō tētahi āhuatanga hauora hinengaro ka taea te whakaputa i tēnei momo riri kore e taea te whakahaere. Ko te Intermittent Explosive Disorder tēnā, ko te IED rānei te whakarapopototanga.
He aha te tikanga o te Intermittent Explosive Disorder (IED)?
Ki te whakarapopototanga, ko te Intermittent Explosive Disorder (IED) he mate hinengaro e tohuhia ana e ngā pahūtanga ohorere, kore e taea te whakahaere, te riri rānei, me te whanonga pukuriri. Ko te mea nui, ko te riri kāore i te ōrite ki te kaupapa i puta ai. Ko te tikanga o tēnei, ahakoa he take iti noa iho, ka taea e ia te whakararuraru nui.
Whakaarohia te peke atu o tētahi ki mua i a koe i te rārangi. Tērā pea ka pōuri te tangata noa, ā, kāore pea e kōrero. Engari, tērā pea ka riri rawa te tangata whai IED, ā, kāore e taea e ia te whakahaere i a ia anō, ka hamama pea ia ki taua tangata, ā, ka tīmata he pakanga nui.
Ina kore ēnei pahūtanga e puta, ka pai te whanonga o ēnei tāngata, ā, ka noho noa iho. Engari ina puta, kāore e taea e rātou te whakahaere i tō rātou riri. Ehara i te riri noa iho tēnei, he mate hinengaro. Tata ki te 80% o te hunga whai mate pēnei ka pāngia pea e tētahi, neke atu rānei, o ngā mate hinengaro, pērā i te manukanuka, te mate hinengaro rua rānei.
Ko wai te mea tino pāngia e tēnei āhuatanga?
Ka pāngia pea ngā tamariki neke atu i te 6 tau te pakeke me ngā pakeke e te IED. Heoi, ko ngā pakeke kua tāpaetia ki tēnei mate he iti iho i te 40 tau te pakeke. Waihoki, he nui ake te kitea o tēnei mate i roto i ngā tāne i ngā wāhine.
E ai ki ngā rangahau, kei waenganui i te 1.4% me te 7% o te taupori o te ao te pānga o te IED, arā, ehara i te mea onge.
He aha ngā tohu o te IED? Me pēhea tātou e mōhio ai?
Ko te tohu matua ko ngā pahūtanga ohorere o te riri kāore i te tika mō te āhuatanga. E mōhio ana te hunga whai mate nei he hē tō rātou riri, engari i taua wā ka whakaaro rātou kāore e taea te whakahaere.
He maha ngā āhuatanga noa o ēnei pahūtanga riri:
- Kāore i te āta whakaarohia: Ehara ēnei i te mea kua whakaritea i mua, pērā i te, "Ka whawhai māua ko Aruth i tēnei rā." He mea ka puta ohorere mai.
- Ka tere te puta: Ina whara tetahi, ina riri rānei, ka puta te pahūtanga i roto i ngā hēkona ruarua.
- He poto te roa: Ko te tihi o tēnei riri kāore e neke atu i te 30 meneti.
- Te ahotea i muri i te whara: I muri i te ngaromanga o te riri, ka nui te ahotea, te whakama, me te pouri.
- Te pānga ki ngā whanaungatanga: Ka puta he raruraru i te kura, i te mahi, me te kāinga nā tēnei whanonga.
Ko te mea nui, ehara te tangata whai IED i te tangata kino. Kei te raru rātou i ēnei kare ā-roto kāore e taea te whakahaere. Nō reira, he mea nui kia mārama ki tēnei hei mate hauora e hiahia ana kia rongoatia, kaua hei raruraru whanonga.
E whakaatu ana te ripanga i raro nei i te putanga mai o tēnei riri me ngā kare ā-roto e whai ake nei.
| Momo āhuatanga | Ngā tauira me ngā whakaahuatanga |
|---|---|
| Ngā pahūtanga |
|
| Ngā mea ka pā ki a koe i mua i te riri |
He iti noa iho ēnei pahūtanga o te riri i ētahi wā, engari he tino kino rawa atu, ā, ka taea te whara kino, te mate rānei. I muri i te ngaromanga o te riri, ka puta he wairua whakamarie i te tīmatanga, engari kātahi ka puta he pouri nui me te whakama mō te mea i mahia.
He aha tēnei ka tupu ai? He aha ngā take o ngā IED?
Kei te ngana tonu ngā kairangahau ki te rapu i te tino take, engari i runga i ngā mea kua kitea e rātou tae noa mai ki tēnei wā, e whakapono ana rātou e toru ngā tino take e whai pānga ana.
1. Ngā āhuatanga ira: Ka taea e tēnei mate te horapa i roto i ngā whānau. Ko te tikanga, ki te pāngia tētahi matua, tētahi whanaunga tata rānei e tēnei momo whanonga ohorere, tera pea ka pāngia anō hoki ā rātou tamariki e tēnei momo whanonga. E ai ki ngā rangahau, i waenga i te 44% me te 72% o te wā, he wāhi nui tō ngā ira ki te whanaketanga o tēnei momo whanonga.
2. Ngā āhuatanga koiora: Tērā pea he take ngā huringa o te hanganga me te mahi o te roro. Hei tauira, kua whakaatuhia e ngā matawai MRI o te roro he rerekētanga kei roto i te amygdala, he wāhanga o te roro e whai wāhi ana ki te whakahaere i ngā kare ā-roto, te hunga whai IED. Kua kitea hoki e rātou he iti ake ngā taumata o te neurotransmitter serotonin, te hunga e whakahaere ana i ō tātou kare ā-roto, i roto i te hunga whai IED.
3. Ngā āhuatanga taiao: He pānga nui tō ngā wheako kino i pā ki a koe i te wā o te tamarikitanga ki tēnei.
- Te tukino tinana, te tukino hinengaro rānei i a koe e tamariki ana.
- Te kitenga i ētahi atu o te whare e tukinotia ana.
- Te pāngia e tētahi, e ētahi atu rānei o ngā āhuatanga mamae i a koe e tamariki ana.
Ka pā pea ēnei momo wheako ki te whanaketanga o te roro me te huarahi e whakahaere ai ngā kare ā-roto, ā, i muri mai ka arahi atu tēnei ki te IED.
Me pēhea koe e tino mōhio ai mēnā he IED tēnei? (Tauātanga)
Mena he iti noa iho tō whakapae kei a koe, kei tāu tamaiti rānei tēnei mate, ko te mea pai ko te kōrero ki tō tākuta . Tērā pea ka tukuna koe e ia ki tētahi kaitohutohu hauora hinengaro (he tohunga hinengaro, he tohunga hinengaro) he mātau ki tēnei mahi.
Mā te kōrero āta ki a koe me te tirotiro taipitopito i ō tohumate ka tātarihia tēnei āhuatanga e te kaitohutohu hauora hinengaro . Ka pātai atu rātou ki a koe i ngā pātai pēnei i:
- Te hītori hauora o tō whānau (ina koa ko te mate hinengaro).
- Mō ō whanaungatanga whaiaro.
- Hītori kura, mahi rānei.
- Te kaha ki te whakahaere i ō hiahia.
Hei tātaritanga mō te IED, me tutuki i te iti rawa tetahi o ngā paearu e whai ake nei:
| Momo Wāhanga | Whakaahuatanga (Paearu) |
|---|---|
| Ngā pahūtanga auau, engari he iti te kaha (Auautanga Teitei/Kaha Iti) | Ngā whakaeke ā-waha (te hamama, te tautohetohe) me ngā whakaeke kāore e hua ake he whara tinana ki ngā taonga, ki ngā kararehe, ki ngā tāngata rānei, e puta ana i te iti rawa i te rua i te wiki mō te wā e toru marama. Kāore tēnei e hua ake he whara kino, he kino rānei ki ngā taonga. |
| Ngā pahūtanga onge engari he kaha nui (Auautanga Iti/Kaha Nui) | I roto i ngā marama 12, kia toru pea ngā pahūtanga nui i puta ai te whakangaromanga o ngā rawa, te whara tinana rānei o ngā kararehe/tangata. |
Ko te mea nui, kia kaua te nui o te riri e ōrite ki te mea i tupu. Ehara hoki i te mea āta whakaarohia. Ka whakarite hoki te tākuta kia kaua ēnei tohu e puta mai i tētahi atu mate hinengaro, mate tinana, mate whakamahi matū rānei.
He rongoā kei reira mō tēnei mate?
Āe, tino tika. He āhuatanga ka taea te whakahaere angitu i te IED. Ko te whāinga matua o te maimoatanga he whakakore katoa i ngā tohu (ngā pahūtanga o te riri) he whakaiti rānei i tōna kaha me tōna auau ki te taumata e taea ai e te tangata me ētahi atu te noho haumaru.
Ko ngā tikanga maimoatanga e wehea ana kia rua ngā wāhanga matua:
1. Te rongoā hinengaro
Koinei te tikanga maimoatanga matua. He tino angitu te Whakaora Whanoke Hinengaro (CBT) .
I roto i te CBT, ka āwhina te kaiwhakaora hinengaro i a koe ki te tirotiro hohonu i ō whakaaro me ō kare ā-roto. Ka taea e koe te mārama ki te pānga o ō whakaaro ki ō mahi. Mā tēnei, ka ako koe ki te whakarerekē i ngā tauira whakaaro hē e whakaoho ana i te riri, ā, ka whakaaro me te whanonga i roto i ngā huarahi hauora.
Ko ētahi tikanga motuhake e whakamahia ana i roto i te CBT:
- Te Hanganga Anō o te Hinengaro: Te whakarerekē i tō whakaaro mō ngā āhuatanga e whakaoho ana i te riri.
- Whakangungu Whakangā: Whakaharatauhia te urupare mārire ki ngā āhuatanga e whakaoho ana i te riri mā roto i ngā tikanga pēnei i te manawa hōhonu me te whakangā o ngā uaua.
- Whakangungu Pūkenga Whakatau: Whakaarihia ngā āhuatanga ka arahi pea ki te riri, ka whakaharatau me pēhea te whakatau i taua riri i roto i te huarahi hauora (hei tauira, te wehe atu i te āhuatanga).
- Te Ārai i te Hokinga Mai o te Mate: Ki te puta anō tēnei momo whanonga i muri i te maimoatanga, ehara i te mea he hinganga, engari he akoranga kua akohia, kua whakaakona hoki me pēhea te anga whakamua.
2. Rongoā
I ētahi wā, ka tūtohu ngā tākuta kia whakamahia ngā rongoā me te hinengaro whakaora. Ka mahi ēnei rongoā mā te whakapiki i tō paepae riri. Ko te tikanga o tēnei, kāore koe e riri anō mō ngā mea iti i riri ai koe i mua.
Ko te Fluoxetine te rongoā e tino rangahauhia ana mō tēnei kaupapa. Hei tāpiri, ka taea hoki te tohu e te tākuta ngā rongoā ārai pouri, ngā rongoā ārai hinengaro, me ngā rongoā whakahaere wairua i runga i te tau me ngā tohu.
Ka haere tonu tēnei āhuatanga? He aha atu ngā tūponotanga ka puta ake?
Tērā pea ka heke te pai o te oranga o te hunga whai IED, ā, ka heke hoki te kounga o te oranga. Ka pā kino pea tēnei ki tō hauora me ō whanaungatanga whaiaro.
Ahakoa ka taea te whakahaere angitu mā te maimoatanga, e whakaatu ana ngā rangahau he mate roa te IED, e 12-20 tau pea te roa, tae atu ki te oranga katoa.
Hei tāpiri, ko te hunga whai IED he nui ake te tūponotanga ki te whakawhanake i ngā āhuatanga e whai ake nei:
- Te pouri
- Manukanuka
- Te Mate Waipiro me te Whakamahinga Matū
Ko te mōrearea nui rawa atu o tēnei mate ko te whara i a koe anō me ngā whakaaro whakamomori . Nō reira, ki te pāngia koe, tētahi rānei o tō whānau e ēnei tohu, he mea tino nui kia rapu tohutohu hauora i te wā e taea ai.
Mena kei te whakaaro koe, kei te whakaaro rānei tētahi atu e mōhio ana koe ki te whara i a rātou anō, tēnā waea atu ki te nama āwhina hauora hinengaro ā-motu o Sri Lanka 1926 tonu atu.
Ngā mea ka taea e koe te mahi hei tiaki i a koe anō
Mena kei a koe te IED, he mea nui kia rapu maimoatanga hauora ngaio. Hei tāpiri, he mea nui kia whakauruhia ngā mea i akohia e koe mai i te maimoatanga ki roto i tō koiora.
- Whakaharatauhia ngā tikanga whakamarie: Whakaharatauhia ngā mahi pēnei i te manawa hōhonu i ia rā.
- Hurihia ō tauira whakaaro: Ina puta te riri, pātai atu ki a koe anō, "He aha tēnei e pā ana ki ahau?" ā, ngana ki te huri i taua whakaaro.
- Whakawhanakehia ngā pūkenga kōrero: Whakaharatauhia te whakapuaki i ō kare ā-roto mā te kupu, me te kore riri.
- Tangohia koe i ngā āhuatanga ahotea: Ki te mea kei te riri koe, me tango atu koe i te āhuatanga mō tētahi wā mēnā ka taea.
Āta karohia te waipiro me ngā tarukino. Ka taea e ēnei te whakararu i tō whanonga ohorere.
Mena kei te pāngia tetahi o tō whānau, tetahi o ō whanaunga rānei e te IED, ka pāngia pea koe e te raruraru hinengaro. Nō reira, kia tiakina tō hauora hinengaro. Rapua he tohutohu mēnā e tika ana. He mea nui hoki kia mahi i ngā mahi hei tiaki i a koe anō me āu tamariki.
Karere Tangohia ki te Kāinga
- Ehara te Intermittent Explosive Disorder (IED) i te kare riri noa iho, he mate hinengaro e hiahia ana kia rongoatia.
- Kāore rawa te riri i konei i te ōrite ki te take i puta ai.
- Ka pāngia tēnei āhuatanga e ngā āhuatanga ira, koiora (ngā panonitanga o te roro), me te taiao (ngā wheako tamarikitanga).
- Ka taea te whakahaere angitu i tēnei āhuatanga mā te hinengaro whakaora pērā i te CBT, me te rongoā mēnā e tika ana.
- Ki te mea kei a koe, kei tētahi rānei e mōhio ana koe, kaua e whakama, kaua hoki e wehi ki te toro atu ki te tākuta me te tono āwhina. Koinei te āwhina nui rawa atu ka taea e koe māu ake.
- Mena kei te whakaaro koe ki te whakamomori, tēnā waea atu ki te nama āwhina 1926. Kāore koe i te mokemoke.
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