Kei te pēhia koe e te piki me te heke o ō kare ā-roto, ahakoa he harikoa, he pouri rānei, i tētahi tere whakaharahara? Kei te tino harikoa, kei te tino hihiko hoki koe i tēnei rā, kātahi ka tino pōuri, ka tino takoto kau, ā, kāore e taea e koe te ara ake i te moenga āpōpō? Tērā pea he hononga tēnei huringa tere o ngā kare ā-roto ki te mate hinengaro rua . Me kōrero tāua mō tēnei i tēnei rā, he rite tonu ki te kōrero ki tētahi hoa.
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He aha rawa te Pahikara Tere?
Ki te whakarapopototanga, ko te Tere Cycling he tauira o ngā huringa tere, auau o ngā wā o te wairua i roto i te tangata whai mate Bipolar. Ina koa, ka kiia e ngā tākuta ko te Tere Cycling mēnā ka pāngia koe e te iti rawa e whā, neke atu rānei ngā wā motuhake o te mania, hypomania, pouri rānei i roto i te tau .
Ko te mea nui kia mārama ki konei, ehara tēnei i te mate motuhake. He āhuatanga tēnei o te Mate Pūrua, he "tohu akoranga" rānei. Ka taea e tēnei tauira te tīmata i ngā wā katoa, ā, ka taea hoki te memeha haere i roto i te wā mā te maimoatanga. Nō reira kaua e whakaaro he mea ka noho tonu.
Ko wai te mea ka nui ake te tūponotanga ka pāngia e tēnei mate?
Ka pāngia te tangata e te mate hinengaro rua. He nui te wāhanga o te taupori o te ao e pāngia ana. I roto i ēnei, i waenga i te 10% me te 20% ka pāngia e te huringa tere .
Kua kitea e ngā rangahau he nui ake te tūponotanga ka pā tēnei mate ki ngā wāhine me te hunga whai mate Bipolar II.
Ko ngā tohu o te mate hinengaro rua ka puta tuatahi i roto i ngā taiohi, i waenganui i te 18 ki te 25 tau te pakeke. I te nuinga o te wā, ka kitea te mate i mua i te 50 tau te pakeke. Mena he mate hinengaro rua tō tētahi e tata ana ki a koe (whaea, pāpā, tuākana/teina), kei te tūpono koe ki te pāngia e te mate.
He aha ngā tohu matua o te Mate Pūrua?
I mua i tā tātou mārama ki tēnei huringa tere, me ako tātou mō ngā āhua hinengaro matua e toru o te Mate Pūrua .
| Wāhanga Wairua | Hei whakarāpopototanga... |
|---|---|
| Pōrangi | He tino harikoa, he tino pūngao hoki. E rua wiki pea te roa o tēnei āhua. Tērā pea ka puta ngā āhuatanga pēnei i te kore e taea te moe i te pō, te kōrero nui, te whakapau moni koretake, me te mahi i ngā mahi mōrearea i tēnei wā. |
| Hypomania | He āhua harikoa iti ake tēnei, he āhua ngāwari ake te whakahaere. E whā ngā rā pea te roa. He nui tonu te harikoa me te kaha i tēnei wā, engari kāore e tino whakararuraru i te oranga o ia rā pērā i te wā e pōrangi ana. He tokomaha e whakaaro ana he "wā harikoa tēnei." |
| Te Pōuri Nui | He mea noa i tēnei wā te pouri nui, te kore tumanako, me te ngaro o te hiahia ki ngā mea i pai ai koe. He mea noa ngā tohu pēnei i te ngenge, te ngenge tonu, te huringa o te moe me te hiahia kai, me te pouri ki te ao. |
Mō te tini o te hunga e tere ana te eke paihikara, he nui ake te wā e noho pouri ana rātou i te mania, i te hypomania rānei. Ko te tikanga he maha ngā wā e pāngia ana rātou e te pouri, me ngā wā poto o te harikoa (manic/hypomanic) me te wairua noa rānei.
Me pēhea te mōhio o te tākuta mēnā kei a koe te Rapid Cycling?
He uaua pea tēnei i ētahi wā ki te tautuhi, nā te mea i ētahi wā kāore pea te wāhanga kotahi e memeha rawa, engari ka nui ake, ka iti iho rānei te auau. He uaua pea ki te kī mēnā e whā ngā wāhanga motuhake, kotahi noa iho rānei te piki me te heke.
Ko tētahi o ngā wero nui o tēnei ko te tātaritanga hē . Nā te mea he maha ngā tāngata e pāngia ana e te Rapid Cycling e te pouri hoki, he nui ake te tūponotanga ka tātaritatia hētia rātou ko te "pouri whānui" ko te "pouri kotahi-polar" rānei, kaua ko te mate bipolar.
Whakaarohia pēnei. Ka haere koe ki te tākuta ki te kōrero ki a ia mō tō pouri nui me tō pouri. Engari kāore koe e kōrero ki a ia mō te whakaekenga o te hypomania i ētahi wā. Nā te mea e whakaaro ana koe he "wā pai, he wā harikoa mō tētahi wā, ina taea e koe te mahi i te maha o ngā mea," ehara i te mea he tohu o tētahi mate. Kātahi ka whiwhi te tākuta i tētahi taha anake o te kōrero. Koia te take kāore ia e mārama ki te pikitia katoa o ō kare ā-roto.Arā, he mea tino nui te kōrero tuwhera ki tō tākuta mō ngā piki me ngā heke.
He aha ngā maimoatanga mō tēnei?
He maha ngā tāngata e tere ana te eke paihikara, ā, he nui ngā tohu pouri e pā ana ki a rātou. Nō reira, ko te whāinga matua o te maimoatanga he whakaū i tō wairua ('mood stabilization'). Arā, he ārai i ngā wā hou me te whakaora i te pouri.
Me āwangawanga koe mō ngā rongoā ārai pouri?
Kua whakaatuhia e ngā rangahau kāore i te tino whai hua ngā rongoā mō te pouri whānui, pērā i te fluoxetine (Prozac) me te sertraline (Zoloft), ki te rongoā i te mate pōuri tere. I ētahi wā ka kino ake ngā wā . Koia te take e mangere ai te nuinga o ngā tākuta ki te whakamahi i ēnei rongoā mō te hunga he mate pōuri tere, inā koa mō te wā roa.
Nā, he aha ngā maimoatanga matua?
Ko te maimoatanga matua i konei ko ngā rongoā whakaū kare ā-roto .
- carbamazepine (Tegretol)
- Lamotrigine (Lamictal)
- rītiuma (Lithobid)
- valproate (Depakote)
Koinei ngā kaupapa matua o te maimoatanga. I ētahi wā, kāore pea e ranea te rongoā kotahi hei whakahaere i tēnei huringa tere. I taua wā, ka whakatau pea te tākuta ki te hoatu i ēnei rongoā e rua, neke atu rānei, i te wā kotahi.
Hei tāpiritanga, ko ētahi rongoā antipsychotic, pērā i te olanzapine (Zyprexa) me te quetiapine (Seroquel) rānei, e whakamahia ana hei āwhina i te whakatau i te wairua, ahakoa kei te pāngia te hinengaro hinengaro, kāore rānei.
He mea tino nui: Kaua e mutu te tango i te rongoā kua tohua e tō tākuta, ahakoa kei te pai koe, ā, kāore he raruraru. Me haere tonu te tango i tēnei rongoā hei ārai i ngā wā e pā mai ana. Ki te hiahia koe ki te whakaiti, ki te whakamutu rānei i tō rongoā, me mahi i raro i te tohutohu a tō tākuta anake .
He aha ngā mōrearea o te eke pahikara tere?
He kaupapa uaua tēnei ki te kōrero, engari he mea nui kia mōhio. Ko te mōrearea nui rawa atu e pā ana ki te tere o te huringa i roto i te mate hinengaro ko te whakamomori . Ko te hunga whai mate hinengaro he 10-20 ngā wā ka nui ake te tūponotanga ki te whakamomori i te hunga kāore i te whai mate hinengaro. Heoi, i waenga i te 8% me te 20% o te hunga whai mate hinengaro ka mate i te whakamomori.
Tērā pea ka nui ake tēnei mōrearea mō te hunga he tere te eke paihikara. Me nui ake pea te wā e hiahiatia ana kia noho hōhipera ai rātou, ā, he uaua ake pea te whakahaere i ō rātou tohumate.
Heoi, mā te maimoatanga tika ka taea te whakaiti nui i tēnei mōrearea.Ina koa, kua whakaatuhia te whakamahinga roa o te rongoā lithium ka whakaiti i te mōrearea o te whakamomori.
Hei tāpiritanga, ko te hunga whai mate hinengaro rua ka tūpono ki te waranga ki ngā raau taero me te waipiro. Ka taea e ēnei waranga te whakakino ake i te āhua, ā, ka uaua ake te whakahaere.
Karere Tangohia ki te Kāinga
- Ehara te Pahikara Tere i te mate motuhake, engari he tauira i roto i te Mate Pūrua. Mena ka pāngia koe e ngā huringa kare ā-roto (ngā wāhanga) neke atu i te whā ngā wā i te tau, tera pea koinei te tauira.
- He tokomaha te hunga whai tēnei tauira ka nui ake ngā tohu pouri ka pāngia e tēnei, ka taea te whakatau he he ko te pouri whānui.
- Ko te whāinga matua o te maimoatanga he whakahaere i ngā kare ā-roto mā te whakamahi i ngā rongoā whakaū kare ā-roto. Me tino tupato te whakamahinga o ngā rongoā ārai pouri.
- Kia tuwhera, kia pono hoki ki tō tākuta mō ō wā pōuri me te pouri.
- Ahakoa kua pai ake tō āhua, kaua e mutu te tango i tō rongoā me te kore he tohutohu a tō tākuta. Ko te maimoatanga te huarahi pai hei āwhina i a koe.
- Ki te pāngia koe, tētahi atu rānei e mōhio ana koe e tēnei mamae, kaua e noho mokemoke. Tirohia te tākuta tonu, ka rapu āwhina. Mā te maimoatanga tika, ka taea e koe te whakahaere i tēnei āhuatanga, ka ora i te oranga noa.
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