He uaua ki a koe te whakahaere i ngā pahūtanga ohorere o te riri? Me kōrero tātou mō te Intermittent Explosive Disorder (IED)!

Ka riri koe i ētahi wā ki tētahi mea iti rawa, kāore e taea e koe te whakaaro? Ka hamama koe, ka whiua tetahi mea ki te whenua, ka patu rānei i tētahi? He mea hohonu ake pea tēnei i te "tikanga kino" noa iho, i te "tangata tere riri" rānei. I tēnei rā ka kōrero tātou mō tēnei momo pahūtanga ohorere o te riri, he mate hinengaro e kiia nei ko te `(Intermittent Explosive Disorder - IED)`.

He aha te "Intermittent Explosive Disorder - IED"?

Ki te whakarapopototia, ko te Intermittent Explosive Disorder (IED) he mate hinengaro e tohuhia ana e te whanonga ohorere, kore e taea te whakahaere, te riri nui rānei. Ko te mea nui ko te urupare a ēnei tāngata ki te riri i roto i te huarahi e kore rawa e rite ki te āhuatanga. Ahakoa he mea iti noa iho, he tino uaua ki a rātou te whakahaere. Whakaarohia, ki te peke tetahi ki mua i a koe i te rarangi, ā, ka tino riri koe ka puta koe i tō motuka ka whakamomori i a koe anō, ehara tēnā i te riri noa.

Engari ko te mea whakamiharo, ina kore rātou e riri, ka tino pai, ka tino noa hoki te whanonga o te hunga whai "IED". He āhuatanga tēnei e pā ana ki te kāwai o ngā "mate whakahaere hihiri", arā, ngā mate e uaua ai te whakahaere i ngā hihiri e puta ake ana i roto i te hinengaro.

Kua kitea e ngā rangahau tae atu ki te 80% o te hunga whai IED ka pāngia pea e tētahi atu mate hinengaro. Ko ngā mea tino kitea ko ngā mate manukanuka, te mate bipolar, te autism, me ngā hauātanga hinengaro.

Ko wai te mea tino pāngia e tēnei āhuatanga `(IED)`?

Ka pāngia pea ngā tamariki e ono tau te pakeke, ngā pakeke rānei e tēnei mate. Heoi, i te nuinga o te wā ka kitea tēnei mate i roto i ngā taiohi kei raro iho i te 40 tau te pakeke. E kiia ana hoki he nui ake te kitea i roto i ngā tāne .

E ai ki ngā whakatau tata a ngā kairangahau kei waenganui i te 1.4% me te 7% o te taupori o te ao te mate pāwera ā-wā. Ko te tikanga, ahakoa ehara i te mea tino noa, he tokomaha te hunga e pāngia ana e tēnei mate.

He aha ngā tohu o te `(Intermittent Explosive Disorder - IED)`?

Ko te āhuatanga matua o tēnei āhuatanga ko te pahūtanga ohorere o te riri i roto i te āhua kāore i te tika, kāore i te whakaarohia, ā, kāore i te ōrite ki te āhuatanga. E mōhio ana ēnei tāngata he hē, he koretake hoki ā rātou whanonga, engari i taua wā ka uaua ki a rātou te whakahaere i a rātou anō.

Anei te āhua o ēnei pahūtanga riri:

• Ehara i te mea he mea āta mahia, he mea e puta ohorere ana, e tupu ohorere ana. Ehara i te mea kua whakaritea i mua.
• Ka tīmata tēnei riri i roto i ētahi meneti torutoru o te puta o tētahi mea (he whakapataritari).
• Kāore tēnei riri e roa ake i te 30 meneti.
• Ka nui te ahotea hinengaro me te pouri o te tangata nā tēnei mahi i pā ki a ia.
• Ka puta ngā raruraru i te kura, i te mahi, me te kāinga i tēnei whanonga.

Me pēhea te putanga mai o tēnei riri?

He maha ngā huarahi e puta ai tēnei riri. Anei ētahi tauira:

• Te riri puku: Ngā whanonga pēnei i te hurihuri i runga i te papa, te tangi, me te hamama pēnei i te tamaiti.
• Ngā tūmomo whakawehi ā-waha: te hamama, te whakawehi i ētahi atu, te kanga.
• Te whakaeke tinana ki te tangata, ki te kararehe rānei: te pana, te patu, te kuru, ā, i ētahi wā ka whakamahia he patu hei whara.
• Te kino ki ngā taonga: te whiu i ngā mea i te wā e pai ai, te whana, te pakaru o ngā taonga, te patuki i ngā tatau.
• Te tūkino ā-whare: Te tukino i ngā mema o te whānau.
• Te riri i te rori: Whakaarohia kei te riri nui koe ka hiahia koe ki te patu i tetahi nā te mea i hipa noa atu rātou i a koe i roto i te waka.

He iti noa iho ēnei aituā riri i ētahi wā, ā, i ētahi wā ka tino kino rawa atu ka whara kino tetahi, ka mate rānei.

He aha ngā momo mea ka taea e koe te rongo i mua i tō riri?

I mua i te puta mai o tētahi pahūtanga nanakia pēnei, ka pāngia pea koe e ētahi o ēnei tohu:

• Te riri, he kare ā-roto e kore e taea te pupuri i roto i te hinengaro.
• Te riri.
• He nui te pēhanga me te ahotea e pā ana ki tōku ngākau.
• Me te mea kei te rere tonu ngā whakaaro i roto i tōu mahunga i te tere tiketike.
• Kāore e taea e au te kōrero tika ki ētahi atu tāngata.
• Me te mea kua nui ake te kaha o tōku tinana.
• Ngā wiri.
• Ka piki ohorere te tere o te manawa (palpitations).
• Te kikī o te uma.

I muri i te tukunga o tēnei riri, ka puta he wairua whakamarie mō tētahi wā poto, engari kātahi ka puta ake ngā kare ā-roto o te pouri, te pouri, me te whakama . Ka whakaaro koe, "He aha taku i mahi ai?"

He aha i puta ai te Intermittent Explosive Disorder (IED)?

Kei te ngana tonu ngā kairangahau ki te rapu i te take o tēnei, engari e whakaaro ana rātou e toru ngā take matua:

1. Ngā āhuatanga ira: Ka taea tēnei te horapa i roto i ngā whānau. Ko te tikanga, ki te pāngia tētahi o tō whānau e tēnei mate, ka nui ake te tūponotanga ka pāngia koe. Kua whakaatuhia e ngā rangahau he 44% ki te 72% te awe ira ki te whanaketanga o ēnei whanonga whanoke, pukuriri.

2. Ngā āhuatanga koiora: Ka taea e ngā panonitanga o te hanganga me te mahi a ō tātou roro te whai wāhi ki tēnei. Hei tauira, kua kitea e ngā matawai MRI (Magnetic Resonance Imaging) kua pāngia te wāhanga o te roro e kiia nei ko te amygdala, e whakahaere ana i ō tātou kare ā-roto. I kitea anō hoki e rātou ko ngā taumata o te neurotransmitter serotonin (he matū e kawe ana i ngā karere i waenga i ngā io, ā, e mahi ana hoki hei homoni) he iti iho i te mea noa i roto i te hunga whai IED.

3.Ngā āhuatanga taiao: Ko te tukino ā-waha, ā-tinana rānei i a koe e tamariki ana, te kitenga rānei i te tukino i roto i te kāinga, ka whai wāhi pea ki te whanaketanga o tēnei āhuatanga. Waihoki, ko tētahi, neke atu rānei o ngā āhuatanga mamae i pā ki a koe i te wā o te tamarikitanga ka taea te waiho hei take.

Me pēhea te tātaritanga o te Mate Pāhūtanga Ā-Wā Poto (IED)?

Ki te whakaaro koe kei a koe, kei tētahi atu rānei e mōhio ana koe, inā koa ko tāu tamaiti, ēnei tohu, he mea nui kia kite tuatahi koe i tētahi tākuta whai tohu . Tērā pea ka tukuna koe e rātou ki tētahi tohunga hauora hinengaro e tohunga ana ki te tātaritanga me te rongoā i ēnei āhuatanga. Tērā pea he tohunga hinengaro, he tohunga hinengaro, he kaimahi hapori haumanu rānei.

Ka tātaritatia e rātou te IED mā te whakamahi i ngā paearu motuhake mai i te American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders (DSM). Ka kōrero mārire rātou ki a koe, ka pātai atu hoki ki a koe i ngā pātai hōhonu mō ō tohu me ō whanonga. Ka pātai atu rātou mō ngā mea pēnei i:

• Ngā hītori hauora o tō whānau, inā koa mō ngā āhuatanga hauora hinengaro.
• Mō ō whanaungatanga whaiaro (Hītori whanaungatanga).
• Ngā taipitopito o te kura me te wāhi mahi.
• Mō tō kaha ki te whakahaere i ō hiahia.

Tērā pea ka taea e koe te tiki kōrero mō ō whanonga me tō hītori mai i tō whānau me ō hoa tata.

Hei tautuhi tika i te mate "(IED)", me whakaatu e koe te kore e taea te whakahaere i ngā hiahia pukuriri, pēnei i:

• Me ētahi atu āhuatanga e auau ake ana, engari he iti ake te kino: arā, te riri ā-waha (te hamama, te whakawehi, te tautohetohe) te riri tinana rānei ki ngā taonga, ki ngā kararehe, ki ngā tāngata rānei (engari kāore he whara nui, he kino rānei ki ngā taonga) e puta ana i te iti rawa i te rua i te wiki mō ngā marama e toru .
• Me ētahi atu āhuatanga onge engari he kino: E toru ngā āhuatanga o te kino o ngā rawa me/ranei ngā whakaekenga ki ngā kararehe, ki ngā tāngata rānei, i whara ai, i roto i te wā 12-marama (kotahi tau) .

Ko te mea nui ko te nui o te riri kāore i te ōrite ki te āhuatanga, ā, he tino kino rawa atu. Ehara ēnei i te mahi i whakaritea. Ka puta ohorere mai, nā te riri, nā te hiahia ohorere rānei. Waihoki, ka whakarite te tākuta kia kaua ēnei tohu e puta mai i tētahi atu mate hinengaro, i tētahi atu mate tinana, i te whakamahinga tarukino rānei.

Me ono tau te pakeke o te tangata kia mōhiotia ai kua pāngia ia e tēnei mate, engari i te nuinga o te wā ka puta tuatahi mai i te mutunga o te tamarikitanga, i te taiohitanga rānei.

He aha ngā maimoatanga mō te "Intermittent Explosive Disorder - IED"?

Ko te rongoā mō tēnei mate he rongoā hinengaro (kōrero whakaora) me te rongoā i ētahi wā. Ka whakatau tō tākuta i runga i tō tau, te āhua me te kaha o ō tohumate.

Ko te whāinga matua o te maimoatanga he whakamutu katoa i ngā tohu, he whakaiti rānei i te kaha o tētahi, o ētahi rānei tohu. Ahakoa kāore pea ētahi tāngata e ora katoa, ko te whāinga kia noho haumaru te tangata me ētahi atu, kia whakaiti hoki i te auau, te kaha, me te auau o ngā putanga mai o te mate.

`(Whakaora Hinengaro)` mō `(IED)`

Ko te hinengaro whakaora te maimoatanga matua, te maimoatanga tino nui hoki mō tēnei. Ina koa , he tino angitu te whakamahinga o te Whakaora Whanoke Hinengaro (CBT) mō tēnei kaupapa.

>He tikanga maimoatanga hanganga, he whāinga hoki te `(CBT)`. I roto i tēnei, 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. `(CBT)`, ka taea e koe te tango i ngā whakaaro hē, kino me ngā tauira whanonga kino i roto i tō mahunga, ā, ka ako ki te whakaaro me te whanonga i roto i te huarahi hauora ake. Ka taea e te `(IED)` te āwhina i te hunga whai `(CBT)` ki te whakahaere i ngā āhuatanga uaua o te oranga o ia rā, me te whakahaere i ngā hihiri e whakaoho ana i te riri.

Ko ētahi o ngā tikanga motuhake e whakamahia ana mō te IED i roto i te CBT ko:

• Te whakarerekētanga hinengaro: Kei roto i tēnei ko te tautuhi me te whakarerekē i ngā whakaaro hē me ngā whakaaro kino kei a koe mō ngā kaupapa e whakaoho ana i te riri, i ngā mea rānei e kite ana koe he tūmomo mōrearea.
• Whakangungu whakangā: Mā te manawa hōhonu me te whakangā haere o ngā uaua (he tikanga e whakakorikori ana, e whakangā mārire ana hoki i ngā uaua o tō tinana me te whakaaro anō ki ngā āhuatanga e whakaoho ana i te riri) ka āwhina i a koe ki te whakaiti i tō urupare ki te riri.
• Te whakangungu pūkenga aro atu: Te mahi tahi me te kaiwhakaora hinengaro, ngā āhuatanga ka mura ake ai te riri, me te whakaharatau i ngā urupare hauora, pēnei i te wehe atu i te wāhi.
• Te ārai i te hokinga mai: E akona ana te hunga whai IED he mea noa kia hoki anō rātou ki te whanonga pukuriri, kaua e tirohia hei korenga, engari hei 'hē' iti, hei 'taupatupatu' rānei.

Ngā rongoā mō te `(IED)`

Ka taea e ētahi rongoā te whakanui ake i tō "paepae"', arā, ka taea e koe te whakaiti i tō riri ahakoa mō ngā mea iti rawa.

Ko te Fluoxetine (he Selective Serotonin Reuptake Inhibitor - SSRI) te rongoā e tino rangahauhia ana mō te rongoā i te IED. Ko ētahi atu rongoā kua rangahauhia mō te IED ko te Phenytoin, Lithium, Oxcarbazepine, me te Carbamazepine.

Ko ēnei momo rongoā pea ka tohua e ngā tākuta mō te IED:

• `(Ngā rongoā ārai pouri)`
• `(Ngā rongoā ārai hinengaro)` (ngā rongoā mō te mate hinengaro)
• `(Ngā rongoā ārai i te haurangi)` (ngā rongoā e hoatu ana mō ngā āhuatanga pēnei i te mate haurangi)
• `(Ngā rongoā ārai manukanuka)` (Ngā rongoā ārai manukanuka)
• `(Ngā kaiwhakahaere kare ā-roto)` (ngā rongoā hei whakatau i te kare ā-roto)

He mea nui: Me tango noa ēnei rongoā i raro i te tirotiro a te tākuta, i roto i te horopeta kua whakaritea, me te wā kua whakaritea. Ka pā mai pea ngā pānga kino kino ki te tango, ki te whakamutu rānei i ngā rongoā i te wā e hiahiatia ana.

He aha ngā āhuatanga mōrearea mō te whakawhanake i te Intermittent Explosive Disorder (IED)?

Kua tautuhia e ngā kairangahau ētahi āhuatanga mōrearea e whai wāhi ana ki tēnei mate:

• Te noho hei taitama.
• Te kore mahi.
• Te noho takakau (kāore i te mārena).
• He iti te taumata mātauranga.
• Te tukino tinana, te tukino ā-ira tangata rānei, inā koa i te wā tamarikitanga.
• He mema tata tō te whānau e pāngia ana e te Intermittent Explosive Disorder.

Mena he wehi, he ruarua rānei āu kei pāngia tō tamaiti e tēnei mate, he pai ake te kōrero ki te tākuta mō tēnei mea.

He aha te āhua o te mate mō te tangata e pāngia ana e te Intermittent Explosive Disorder (IED)?

E whakaatu ana ngā rangahau he iti te makona o te hunga whai IED, ā, he iti hoki te kounga o te oranga. Ka pā kino pea tēnei ki tō hauora whānui, tae atu ki te whakararuraru i tō oranga whaiaro, oranga whānau, wāhi mahi, me ngā whanaungatanga pāpori.

Ko te rongo pai , ka taea te whakahaere angitu i te IED mā te Whakaora Whanoke Hinengaro (CBT) me te rongoā mēnā e tika ana. Heoi, he mea nui kia mahara ko ngā rangahau e whakaatu ana he roa te wā e roa ai te IED, e 12-20 tau te roa, tae atu ki te oranga katoa.

Hei tāpiri, ko te hunga whai IED ka nui ake te tūponotanga ka pāngia e ēnei āhuatanga:

• `(Pouri)` (Pouri)
• `(Manukanuka)` (Manukanuka)
• `(Te mate whakamahi waipiro)` (Te waranga waipiro)
• `(Te mate whakamahi matū)` (Te waranga ki ētahi atu tarukino)

He mea tino nui: Ko te hunga whai IED he nui ake te mōrearea ki te whara i a rātou anō (hei tauira, te tapahi, te tahu) me te whakamomori. Nō reira, ki te whakaaro koe kei a koe, kei tētahi rānei o tō whānau he Intermittent Explosive Disorder, he mea nui kia rapu tohutohu hauora i te wā e taea ai.

Me pēhea taku tiaki i ahau anō mēnā kei a au te mate pāwera wā poto (IED)?

Mena kua tāpaetia koe he mate pāwera wā-poto, he mea nui ētahi hei tiaki i a koe anō. Ko te mea nui ko te rapu maimoatanga ngaio me te hauora, me te piri tonu ki tēnā. I roto i te maimoatanga, ka taea e koe te ako i ngā mea maha hei āwhina i a koe ki te ārai i te riri, ā, ki te puta, me whakahaere:

• Ngā tikanga whakangā: Ngā mahi pēnei i te manawa hōhonu me te whakaaroaro.
• Te whakarerekē i tō whakaaro (Te whakarerekētanga hinengaro): Te tautuhi me te whakarerekē i ngā whakaaro e whakaoho ana i te riri.
• Ngā Pūkenga Whakawhitiwhiti Kōrero: Te ako ki te whakapuaki mārama i ō kare ā-roto me ō hiahia ki ētahi atu, me te kore riri.
• Hurihia tō taiao, ā, akona te mawhiti atu i ngā wāhi ahotea ki te taea: I ētahi wā, ko te mawhiti noa atu i tētahi wāhi, i tētahi tangata rānei mō tētahi wā ka nui te rerekētanga.

Ko tētahi atu mea tino nui ko te karo rawa i te waipiro me ētahi atu raau taero. Ka taea e ēnei te whakaiti i tō kaha ki te whakahaere i ō kare ā-roto, me te whakanui ake i tō tūponotanga ki te whanonga tutu.

Āhea ahau me toro atu ki te tākuta mō te `(Intermittent Explosive Disorder - IED)`?

Mena kua tāpaetia koe, tāu tamaiti rānei ki te Intermittent Explosive Disorder, me hui tahi koe me tō tīma hauora (tākuta, kaiwhakaora hinengaro) i ia wā, kia kite ai mēnā kei te whai hua tō maimoatanga (hinengaro me/ranei rongoā) me te mea me huri tetahi mea.

Mena kei te whara, kei te tūpono rānei te whanonga a tō tamaiti, a tō tamaiti rānei ki ētahi atu (ētahi atu tāngata, kararehe), rapua tonutia he āwhina hauora. Waihoki, ki te whakaaro tetahi tangata whai `(IED)` ki te whara i a ia anō, ki te whakamātau rānei ki te whakamomori, me āwhina tonu. Tena koa whakamōhio atu ki te tākuta, ki tētahi tangata pono rānei, me tuku atu rānei ki te ratonga hauora hinengaro tata (hei tauira, he wāhanga hinengaro o tētahi hōhipera tūmatanui).

Kia maumahara, he mate hinengaro te Intermittent Explosive Disorder (IED). Ehara i te mea he whanonga kino, he whanonga kino rānei. Pērā i ngā mate hinengaro katoa, mā te rapu āwhina i te wā tonu ka kite koe i ngā tohu ka āwhina i te whakaiti i te whakararuraru me ngā raruraru o tō ao. Ka taea e ngā tohunga hauora hinengaro te whakarato i tētahi mahere maimoatanga e hāngai ana ki a koe, ā, ka āwhina i a koe ki te whakahaere i ō whakaaro me ō whanonga.

Ka taea e te whānau me ngā whanaunga o te hunga whai IED te tino pāngia e te ahotea, te pouri, me te mokemoke. He mea nui kia tiakina tō hauora hinengaro me te rapu āwhina mēnā kei a koe ēnei tohu. Mēnā kei roto koe i tētahi whanaungatanga me tētahi tangata whai IED, whakaarohia te mahi i ngā mahi hei tiaki i a koe me āu tamariki.

Ngā mea tino nui hei maumahara (Karere hei kawe ki te kāinga)

Āe, me whakarāpopoto tātou i ētahi o ngā mea tino nui hei maumahara māu mai i ngā mea kua kōrerohia e tātou.

• He mate hinengaro tūturu te Intermittent Explosive Disorder (IED). Ehara i te mea he "riri kino" noa iho, he "riri kino" rānei.
• Ka taea te whakahaere angitu i tēnei āhuatanga mā te hinengaro whakaora, ā, mēnā e tika ana, mā te rongoā.
• He pai ake te rapu āwhina me te maimoatanga i te wā e taea ai kia taea ai te whakatau i ngā raruraru i mua i te kino haere.
• Kaua e whakama ki te tono āwhina i roto i tēnei āhuatanga. Kāore koe i te mokemoke.
• Pērā i te tangata whai IED, me tautoko, me āwhina hoki ōna mema whānau. Tērā pea ka pāngia rātou e tēnei.

Mena he pātai anō āu mō tēnei, tēnā kōrero ki tētahi tākuta, ki tētahi kaitohutohu hauora hinengaro whai tohu rānei.

` Te Mate Pāhūtanga Ā-Wā, IED, whakahaere riri, whanonga ohorere, hauora hinengaro, CBT, maimoatanga