Kua kite koe i tētahi hoa, mema o te whānau, hoa rānei kua huri whakarere? Tērā pea he nui ake ā rātou kōrero i te tikanga, he mahi i te pō katoa, he kī nui rānei ka taea e rātou te wikitoria i te ao. Tērā pea ka riri nui rātou mō ngā mea iti. I ngā wā pēnei, ka whakaaro tātou, "Kei te ahotea noa iho pea rātou." Engari i ētahi wā, koinei pea te tīmatanga o tētahi kōrero hohonu ake. Koinei te āhua o te porangi.
He aha te tikanga o tēnei porangi?
Whakaarohia pēnei: Ko te Mania he wā e tino teitei ana, e kore e taea te whakahaere i ō kare ā-roto, ō kare ā-roto, me tō pūngao. Ehara i te mea he kare ā-roto harikoa, he iti noa iho rānei te kaha. He huringa nui tēnei e tino rerekē ana i ō whanonga noa, ā, e kitea mārama ana e ētahi atu.
Kia mārama tātou ki te āhua o tēnei whanonga "rerekē" mā te whakamahi i tētahi tauira. Whakaarohia kua puta ake te whakaaro ki a koe ki te tīmata i tētahi pakihi rongonui i Sri Lanka mā te hanga i tētahi momo kai hou. E whakaaro ana koe mā tēnei whakaaro ka taea e koe te noho hei mirionaire i te pō kotahi. Engari ko te mea pono, kāore anō koe kia takahi i tō waewae ki te kīhini, kia tunu kai tika rānei, kāore koe e mōhio ki tētahi mea mō te pakihi, ā, kāore āu moni hei mahi. Engari ka tino harikoa koe mō tēnei whakaaro, ā, ka pau ō pō kore moe ki te whakamahere, ki te pānui mōna ki te katoa, ā, e tino whakapono ana koe ka taea tēnei te mahi.
Hei tauira, kāore koe e whakaae ki tētahi mea i kōrerotia e tētahi i runga i ngā pāpāho pāpori. Engari ko te tuku kōrero noa iho mōna, ka tuhi koe i tētahi tuhinga mano kupu, ka rapu i ngā paetukutuku katoa e pā ana ki taua tangata, ka tuku atu ki ia paetukutuku. Ahakoa te āhua nei he mahi mā te tangata noa ēnei mea, he nui rawa te wā me te kaha e pau ana i te tangata whai porangi ki ēnei mea. Ko tōna oranga katoa e aro ana ki taua mea kotahi i taua wā.
Ka puta te mania hei wāhanga o tētahi atu mate hinengaro?
Ae, i te nuinga o te wā. Ina pāngia te tangata e te wā mania, he tohu noa iho tēnei nō tētahi atu mate hinengaro. Ka kitea nuitia tēnei i roto i te mate bipolar I. Heoi anō, ka puta anō hoki te mania i roto i ētahi atu āhuatanga.
- Mate Bipolar I: Koinei te mate matua me te mate tino noa e kitea ai te mania.
- Mate kare ā-wā: He mate hinengaro e puta mai ana i ngā huringa o te rangi.
- Te hinengaro pōuri i muri i te whānautanga: He mate hinengaro kino ka pā ki ngā whaea i muri i te whānautanga.
- Mate hinengaro: He āhuatanga e whakaatu ana i ngā āhuatanga o te hinengaro hinengaro me te mate hinengaro.
- Te Hurikotimia:He momo mate hinengaro rua ngawari ake, kāore i te kino rawa.
Ko te mea nui, ki te pāngia koe e tētahi wā mania ahakoa kotahi noa iho, ka kiia he raruraru hauora hinengaro. Nō reira, he mea nui kia rapu tohutohu hauora.
Nā, he aha te mate bipolar I?
He whakarāpopototanga noa iho, ko te bipolar he āhuatanga e rerekē ana te wairua, te taumata kaha, te ngohe, me te kaha ki te whakaaro mārama o te tangata i waenga i ngā pito e rua. He rite ki te eke i tētahi waka tere. I tētahi taha he wā porangi, ina tino harikoa koe, kaha, me te hihiko. I tētahi atu taha he wā pouri, ina tino pouri koe , e pouri ana, ā, kāore he hiahia ki tetahi mea.
Hei tātaritanga mō te mate bipolar I, me pāngia te tangata e te kotahi wāhanga mania, neke atu rānei. Me roa te wāhanga mō te 7 rā neke atu rānei, me nui rawa rānei te kino, ā, me noho ki te hōhipera. Ko te nuinga o te tangata ka taupatupatu i waenga i te mania me te pouri. Heoi, ko ētahi tāngata ka pāngia noa iho e te mania.
He aha ngā mea motuhake hei whakaoho i te mania?
Ae, kei reira. Engari he rerekē ngā take i ia tangata, i ia tangata. Mena kei a koe tēnei mate, me noho koe hei kaitirotiro mōu ake, me te aroturuki i ō kare ā-roto. Ki te taea, puritia he "rātaka kare ā-roto." Tuhia ō kare ā-roto i mua i te wā o te porangi me ngā mea e pā ana ki a koe i taua wā. Me tono āwhina hoki i ngā mema o te whānau me ngā hoa tata e whakawhirinaki ana koe. I ētahi wā, ko ngā huringa kāore koe e kite ana ka kitea e ngā kaimātakitaki o waho.
Mā te tautuhi i ēnei mea whakaoho, ka taea e koe te ārai i te puta mai o tētahi wā pōrangi, te whakaiti rānei i tōna pānga.
| Ngā Whakaoho Noa | He whakamārama māmā |
|---|---|
| He taiao tino whakahihiri | Hei tauira, ngā haruru nui, ngā rama kanapa, ngā wāhi kī tonu i te tangata (pērā i ngā pāti, ngā kōnohete waiata). |
| Ngā huringa nui o te ao | Ngā mea pēnei i te marena, te whakarere, te ngaronga o te mahi, te matenga o tētahi e arohaina ana. |
| Te kore moe | He take tino kaha tēnei. Ahakoa he torutoru noa ngā rā o te kore moe tika, ka taea e koe te arahi ki te āhua porangi. |
| Te whakamahi i ngā raau taero, waipiro rānei | Ka taea e ēnei te whakararu i te hinengaro nā te mea ka pā tika ki te matū o te roro. |
He aha ngā tohu o te mania?
He maha ngā tohu ka kitea i te wā e pōrangi ana. Ka taea te wehewehe i ēnei ki ngā wāhanga matua e rua.
| Ngā Tohu o te Wāhanga Manic | |
|---|---|
| Ngā tohu noa | |
| Te kaha/te ngohe nui | Te kaha o te nekeneke, te kore e taea te noho ki te wāhi kotahi. |
| Te harikoa/te tino harikoa | Te tino harikoa me te hihiko, kāore he take. Te āhua nei nāu te ao katoa. |
| Kāore e hiahiatia te moe | He tino okioki te ngākau, ahakoa he torutoru noa ngā haora o te moe. |
| Te tino whakapono ki a koe anō | Te āhua kāore e taea te hinga, me te mea ka taea e koe te mahi i ngā mea katoa. |
| Te kōrero tonu | Te tere ake o te kōrero, te haere tonu atu i te tikanga. Kāore hoki e tukua ētahi atu kia uru mai. |
| Ngā whakaaro mō te reihi | He maha ngā whakaaro mō ngā kaupapa rerekē ka puta ake i te hinengaro i te wā kotahi. Ka peke tere tonu mai i tētahi whakaaro ki tētahi atu. Ka kiia hoki tēnei he rerenga whakaaro . |
| Ngāwari te tahuri ke te aro | Te aro nui ki ngā mea kāore e tika ana, kāore hoki e whai tikanga. |
| Ngā whanonga mōrearea | Te mahi pōrearea. Hei tauira, te whakapau moni nui ki ngā mea i te wā kotahi, te whanonga moepuku morearea, me ngā haumitanga pakihi kuware. |
| Ngā tohu hinengaro kino | |
| Ngā tinihanga | He whakapono teka ēnei, kāore he pūtake. Hei tauira, ko te whakapono ki ngā mea pēnei i te "kei te whaia ahau e te katoa," te "kei te whiwhi karere motuhake ahau i runga i te pouaka whakaata." |
| Ngā moemoeā | Te kite, te rongo, te pā, te hongi, te whakamātautau rānei i ngā mea kāore i te tino wāhi. Hei tauira, te rongo i ngā reo i te wāhi kāore he tangata, te kite i ngā mea kāore i te wāhi. |
Kia pēhea te roa o te wā mania?
I mua i te tīmatanga o te wā mania, ka roa pea ngā tohu prodromal mai i ngā wiki ki ngā marama. Ki te kore he maimoatanga, ka roa pea te wā mania i waenga i te 3 me te 6 marama. Heoi, me te maimoatanga tika, ka taea te whakahaere i te mate i roto i te 3 marama.
Me pēhea te rongoā mō te mania?
He āhuatanga te mania ka taea te whakahaere angitu mā te rongoā. He maha ngā maimoatanga matua mōna. Kia maumahara, ko ēnei maimoatanga ka whakatauhia e tō tākuta i runga i tō āhua.
1. Ngā rongoā
He maha ngā rongoā e whakamahia ana hei whakahaere i te mania.
- Ngā rongoā whakaū kare ā-roto: Koinei ngā rongoā e whakamahia whānuitia ana mō te mate hinengaro rua. Hei tauira, ko te lithium, te valproate, me te carbamazepine.
- Ngā rongoā ārai hinengaro: Ka āwhina ēnei ki te whakahaere i ngā tohu kino o te mania, inā koa ko ngā whakaaro pohehe me ngā kitenga pōhewa. Hei tauira: Olanzapine, Risperidone.
- I ētahi wā ka whakamahia hoki ngā rongoā pōuri, engari me tino tupato te mahi i tēnei, nā te mea i ētahi wā ka pā mai he āhua porangi.
He mea tino nui: Me tango noa ēnei rongoā katoa i runga i te tohutohu a te tākuta . Kaua rawa e tīmata, e whakamutu, e whakarerekē rānei i te horopeta o ēnei rongoā māu ake. He mea morearea pea tēnei.
2. Te rongoā hinengaro
Pērā i te rongoā, he mea tino nui anō hoki te tohutohu hinengaro i tēnei haerenga.
- Whakaora Hinengaro Hinengaro (CBT): Ka āwhina tēnei whakaora i a koe ki te tautuhi i ō tauira whakaaro me ō whanonga kino, me te whakarerekē i aua tauira.
- Te whakaora whānau: He mea tino nui tēnei. Ka āwhina i tō whānau ki te mārama ki te āhua me te ako me pēhea te āwhina i a koe.
- Ngā rōpū tautoko: Mā te kōrero ki te hunga he rite ō rātou wheako ki ōu, me te whakapuaki whakaaro, ka waiho hei puna kaha nui mōu.
3. Ētahi atu maimoatanga
I ngā wā tino kino kāore e pai ki ētahi atu maimoatanga, ka whakaarohia pea e ngā tākuta ngā maimoatanga pēnei i te whakaora hiko-whakaoho (ECT) . He maimoatanga haumaru tēnei e mahia ana i raro i te rongoā whakamoe.
He aha taku e taea ai i a au e noho tahi ana me te mania?
Haunga te whiwhi maimoatanga, mā te hanga i ngā huringa iti ki tō momo noho ka nui te āwhina ki te whakahaere i tēnei mate.
- Kia mau ki tētahi mahinga auau: Haere ki te moe, ara ake, kai, me te whakakorikori tinana i te wā kotahi. Mā tēnei ka āwhina i te whakahaere i tō karaka tinana.
- Āta karohia ngā wāhi e tino whakaohooho ana: Ki te mea kei te tata koe ki te uru ki te wā porangi, me noho tawhiti atu i ngā wāhi kīkī, haruru hoki. Ngāna kia noho ki tētahi taiao marino, marino hoki.
- Whakaroa i te whakatau i ngā whakataunga nui:Kaua e whakatau i ngā whakataunga nui o te ao pēnei i te haumitanga pūtea nui, te huri mahi, te marena rānei i te wā e pōrangi ana koe.
- Āta karohia te waipiro me ngā tarukino: Ka taea e ēnei te whakararuraru i tō āhua.
- Tukuna tō whakahaere moni ki tētahi e whakawhirinaki ana koe: Hei karo i ngā whakapaunga koretake i te wā e pōrangi ana koe, ka taea e koe te tuku i ō mahi pūtea ki tētahi e whakawhirinaki ana koe mō tētahi wā.
Ki te whakaaro koe ki te whara i a koe anō, kaua e mahi ko koe anake. Kōrero tonu atu ki tētahi mema o te whānau, ki tētahi hoa, ki tō tākuta, waea atu rānei ki te Raina Āwhina Hauora Hinengaro ā-Motu o Sri Lanka i te 1926. Kei te wātea rātou mō ngā hāora 24 o te rā hei āwhina i a koe.
Karere Tangohia ki te Kāinga
- Ehara i te mea ko te harikoa anake te mea e pā ana ki te mania. He mate hinengaro kino e hiahia ana kia rongoatia.
- Ka kitea nuitia tēnei āhuatanga me te mate bipolar I.
- Ki te mea kei a koe ngā tohu pēnei i te kaha nui, te moe koretake, te kōrero tonu, me ngā whanonga mōrearea, kaua e whakahawea.
- Ahakoa he mate mō te wā katoa te mania, ka taea te whakahaere angitu mā te rongoā, te hinengaro hinengaro, me ngā huringa āhua noho.
- Mena kei a koe, kei tētahi atu rānei e mōhio ana koe, me toro atu ki tētahi tākuta whai tohu tonu. Ko te wawe o te tīmatanga o te maimoatanga, ko te pai ake o te putanga.
- Kāore koe i te mokemoke i tēnei haerenga. Rapua te tautoko mai i te whānau, i ngā hoa, me ngā tākuta.
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