Kei te pōuri koe, kei te harikoa hoki i te wā kotahi? Me ako tātou mō ngā āhuatanga whakaranu o te mate hinengaro rua.

Ka taea e koe te whakaaro kei te tino harikoa koe, ā, kei te tino pouri hoki i te wā kotahi? I tētahi taha, kei te pōuri koe, kei te tere haere tō hinengaro, ā, kei te kaha tō kaha. I tētahi atu taha, kei te hoha koe ki te ao, kei te pouri koe ki te korenga o tetahi mea, ā, kei te pōuri koe ki te ao. Ka huihui ēnei kare ā-roto e rua e whakahē ana, ā, koinei tā tātou e kōrero nei i tēnei rā, te mate e kiia nei ko te mate hinengaro rua. Ahakoa he kaupapa uaua tēnei, me kōrero noa iho, me te mārama hoki.

He aha ngā āhuatanga whakauru o te mate bipolar?

Ki te kī māmā noa, ko te mate hinengaro rua he āhua e tere ai te huri o te wairua o te tangata i waenga i ngā pito e rua. Ko tētahi pito ko te mania, e tohuhia ana e te harikoa nui, te hihiri, me te kaha nui ake. Ko tētahi atu pito ko te pouri, e tohuhia ana e te pouri nui, te pouri, me te kore tumanako. Ko ēnei āhua e rua ka puta tauutuutu.

Engari i ētahi wā, ka puta ngā tohu o ngā āhuatanga tino kino e rua i te wā kotahi, i te rā kotahi, ka taupatupatu rānei mō ētahi rā. Whakaarohia, he tangata kei a ia te kaha nui, te kore okiokinga, me te whakaaro tere o te porangi, engari kei roto hoki te pouri nui, te kore tumanako, me ngā whakaaro whakamomori o te pouri. Koinei te mea e kiia nei e mātou he Wāhanga me ngā Āhuatanga Whakauru . He rite tēnei ki te takahi i te whakateretere me te parai o te motuka i te wā kotahi. He wheako tino pōhēhē, he wheako whakararuraru hoki, e kore e taea e koe te pupuri i tō hinengaro ki te wāhi kotahi.

Ko wai ka pāngia e tēnei āhuatanga?

Tata ki te haurua o te hunga whai mate hinengaro rua ka pāngia e ngā tohu rerekē i tētahi wā o ō rātou oranga. Ko te hunga e pāngia ana e te mate hinengaro rua i te wā taitamariki, ko te nuinga o te wā ka pāngia e ngā tohu rerekē.

Waihoki, i ētahi wā, ahakoa te tangata ehara i te tangata mate hinengaro rua engari e pāngia ana e te pouri nui, ka pāngia pea e ngā tohu iti o te mania (hei tauira, te riri, te whakaaro tere) me te pouri. Ka kiia tēnei he "wāhanga pouri me ngā āhuatanga whakauru."

Mō te nuinga o te tangata, ka tīmata ngā tohumate o te mate hinengaro rua i waenga i te 15 me te 25 tau te pakeke. He tino onge te pāngia o tētahi e te mate hinengaro rua mō te wā tuatahi i muri i te 50 tau te pakeke. Mena he mate hinengaro rua tō tētahi o tō whānau (whaea, pāpā, tuākana/teina), he nui ake tō tūponotanga ki te pāngia e te mate.

He aha ngā tohu o te tangata he rerekē ōna āhuatanga?

Kia mārama ai tēnei, me wehewehe ēnei tohumate kia rua ngā wāhanga. Ka puta ngātahi ēnei momo tohumate, ka tere rānei te puta.

Tērā pea kei te whakaaro koe me pēhea tēnei e puta ai, tika? Whakaarohia tētahi e tangi tonu ana, e mea ana, "Kāore anō ahau kia tino harikoa pēnei i roto i tōku ao." Tērā pea ka tino harikoa rātou, ka hinga ohorere i te pouri, kātahi ka harikoa anō. Ka roa pea ēnei āhuatanga mō ngā rā, wiki, ā, i ētahi wā tae noa ki ngā marama mēnā kāore e rongoatia .

He aha ngā mōrearea o ēnei āhuatanga whakauru?

Ko te mōrearea tino mōrearea me te tino kino o ngā tohu whakauru ko te whakamomori. Ko te hunga whai mate hinengaro rua, ko te nuinga o te wā, 10-20 ngā wā ka nui ake te tūponotanga ki te whakamomori i ētahi atu. Heoi, kua whakaatuhia e ngā rangahau he nui ake te mōrearea o te hunga whai tohu whakauru i te hunga e pāngia ana e te pouri anake.

Nō reira, ehara i te mea pai te waiho i tētahi tangata me ēnei tohumate. He mea nui kia rapu awhina hauora tonu. Mā te maimoatanga tika, inā koa te whakamahinga roa o ngā rongoā pēnei i te 'Lithium', ka taea te whakaiti i tēnei mōrearea.

Hei tāpiri, ko te hunga whai mate hinengaro rua ka nui ake te mōrearea ki te whakamahi kino i ngā matū , ka kino ake ai te āhua, ka uaua ake hoki te whakahaere.

Me pēhea te rongoā?

Me tino hiahiatia he rongoā hei whakahaere i ngā wā rerekē. Heoi, he uaua ake te whakahaere i tēnei āhuatanga i te wā o te mania, o te pouri rānei. Ko ngā rongoā matua e whakamahia ana ko ngā rongoā whakaū wairua me ngā rongoā antipsychotics.

Ngā Kaiwhakaū Wairua

Ka āwhina ēnei rongoā ki te whakahaere i ēnei pikinga me ngā hekenga o te hinengaro, me te pupuri i te pumau o te wairua .

• Ritiuma: He rongoā tino nui tēnei kua roa e whakamahia ana hei rongoā mō te mate hinengaro rua. Heoi, kāore pea tōna whai huatanga e ranea mō ngā tohumate whakauru. Nā te mea he maha ngā wiki e pau ana kia tino mahi, he pai ake te whakamahi hei rongoā pupuri mō te wā roa. Ina tango koe i te 'Ritiuma', me whai whakamātautau toto auau koe hei tirotiro i ngā taumata o ō rongoā hei karo i ngā pānga taha.
• Waikawa Valproic (Depakote): He rongoā whakaū wairua anō hoki tēnei. Kua whakaatuhia e ngā rangahau he pai ake i te lithium i ētahi wā ki te whakahaere i ngā tohumate whakauru.
• Ngā rongoā kē atu: Ka whakamahia ētahi atu rongoā pēnei i te ` Carbamazepine (Tegretol)` me te `Lamotrigine (Lamictal)` mō tēnei kaupapa.

Ngā rongoā ārai hinengaro

He tino whai hua te nuinga o ngā rongoā hou o tēnei akomanga ki te whakahaere i ngā tohumate whakauru. Hei tauira, ko te `Olanzapine (Zyprexa), `Risperidone (Risperdal),` me te `Quetiapine (Seroquel).` Ka whakamahia takitahi ēnei, ka whakamahia ngātahi rānei me ngā rongoā whakaū wairua.

Te Whakaora Hiko-ā-ringa (ECT)

Ahakoa te āhua whakamataku o te ingoa ki ētahi, he maimoatanga haumaru, whai hua hoki te ECT mō ngā mate kino kāore e taea te whakahaere mā te rongoā. Ka taea e tēnei maimoatanga te whakaora i te ora, inā koa he nui te mōrearea o te whakamomori.

Tino nui!

Kāore e hoatu ngā rongoā ārai pouri pērā i te `Fluoxetine (Prozac)` me te `Sertraline (Zoloft)`, e whakamahia ana mō te pouri whānui, ina kitea ēnei tohu whakauru. Nā te mea ka taea e ēnei rongoā te whakanui ake i ngā tohu o te mania (te riri, te kore okiokinga). Nō reira, e kore rawa tō tākuta e tohu i ēnei rongoā i ēnei wā. Ko te mea tuatahi hei whakamātau ko te whakahaere i te āhua me ngā rongoā whakaū wairua, ngā rongoā antipsychotic rānei.

Nā te mea he mate hoki anō te mate hinengaro rua, he mea nui kia haere tonu te whiwhi maimoatanga tiaki hei ārai i te hoki anō ki te mate, ahakoa kua memeha haere ngā tohu.