Ina kī mai te tākuta ki a koe, ki tētahi mema o te whānau, ki tētahi hoa rānei, he mate hinengaro rua tōu, he mea noa te pōuri me te manukanuka. "Me aha ahau ināianei? He rongoā pai mō tēnei? Ka taea te whakaora i tēnei?" He maha pea ngā pātai e rere ana i roto i tō hinengaro. Engari kaua e manukanuka. He mate hinengaro rua te mea ka taea te whakahaere. Me kōrero tātou mō ngā maimoatanga e wātea ana, takitahi, i roto i te huarahi tino māmā.
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Ngā rongoā matua e whakamahia ana mō te mate bipolar
I te rongoā i te mate hinengaro rua, e toru ngā momo rongoā matua e arohia ana e ngā tākuta. Ko ēnei ko ngā rongoā whakaū kare ā-roto, ngā rongoā ārai hinengaro, me ētahi wā he rongoā ārai pouri. Engari kia maumahara, ehara i te rongoā anake te rongoā . Mō ngā hua pai rawa atu, ko te tikanga he whakakotahitanga o tētahi, neke atu rānei o ngā rongoā me tētahi momo rongoā kōrero e kiia nei ko te hinengaro whakaora .
Nā, kia titiro tātou he aha ēnei rongoā, me te aha hoki e pā ana ki a rātou.
| Kāwai rongoā | Ngā rongoā e whakamahia whānuitia ana (tauira) | Hei whakarāpopototanga, he aha tāu e mahi ai ki ēnei? |
|---|---|---|
| Ngā Kaiwhakaū Wairua | Ritiuma Kāponāte Waikawa Valproic (Depakote) Carbamazepine (Tegretol) Lamotrigine (Lamictal) | Koinei te poutokomanawa o te maimoatanga. Ka āwhina rātou ki te whakahaere i ngā panonitanga o te wairua i waenga i ngā pito rawa o te mania me te pouri. He mea nui rawa atu ēnei mō te whakahaere i ngā wā mania me te ārai i ngā hokinga mai o te mate. |
| Ngā rongoā ārai hinengaro | Olanzapine (Zyprexa) Risperidone (Risperdal) Quetiapine (Seroquel) Aripiprazole (Abilify) Lurasidone (Latuda) | Ka āwhina hoki ēnei ki te whakatau i te wairua. Ka hoatu ēnei rongoā hei whakahaere wawe i ngā tohu o te hinengaro pōuri, pērā i te moemoeā me te pohehe, inā koa i ngā wā e nui ana te mahi (mania). I ētahi wā ka hoatu ngātahitia me ngā rongoā whakatau i te wairua. |
| Ngā rongoā ārai pouri | Fluoxetine He rite ki te Sertraline... | Me tino tupato te whakamahinga o ēnei. Ka hoatu hei whakahaere i te pouri i roto i te mate hinengaro rua. Heoi, ki te whakamahia takitahi, ka taea e ēnei te whakaoho i te mania. Nō reira, he maha ngā wā ka hoatu tahitia me te rongoā whakaū wairua. |
Ngā mea nui hei mōhio māu i te wā e whakamahi ana i te rongoā
Kia maumahara, ehara i te mea he rite te tinana o te katoa. Nō reira, tera pea ka roa te wā ki te kimi i te rongoā me te horopeta tika māu . Ka tīmata tō tākuta ki te whakamahi i tētahi rongoā i te tuatahi, ā, ka tirohia me pēhea te pānga ki a koe. Me whakamātau pea koe i ētahi rongoā rerekē. He mea noa tēnei, nō reira kaua e manukanuka.
Ka taea e ētahi rongoā, inā koa ko te lithium, te whai paitini mēnā ka tangohia i roto i te nui rawa. Koia te take ka tono tō tākuta kia whakamātauria koe i ētahi wā ki te toto . Kaua e mahue ēnei whakamātautau. Hei tiaki i a koe anō.
Ngā Maimoatanga Kore-Rohe
Kotahi noa te wāhanga o tēnei haerenga ko te rongoā. Tērā atu anō ngā maimoatanga he rite te hiranga.
Hinengaro Whakaora - Te whakaora mā te kōrero
He kupu ngāwari tēnei, he kōrero whakaora. He mea tino nui tēnei.
- Kia mārama ki tō āhua: Mā tēnei koe e āwhina ki te mārama he aha i puta ai, me pēhea hoki te noho tahi me taua āhua.
- Te Whakahaere Kare ā-roto: Ka taea e koe te ako i ngā huarahi ki te mōhio me te whakahaere i ngā kare ā-roto pēnei i te harikoa nui me te pouri nui ina puta mai.
- Te whakamahi tika i te rongoā: Ka mutu te tango a ētahi i ā rātou rongoā ina pai ake te āhua. He tino morearea tēnei. Ka taea e te hinengaro whakaora te āwhina ki te whakaū i te hiahia kia haere tonu te tango i te rongoā.
- Tautoko i te whānau: Ehara i te mea ko te tūroro anake te mea ka āwhina i te whānau kia mārama ki te mate, engari ko te whānau anō hoki. He maha ngā tikanga kei raro i tēnei kaupapa, pērā i te whakaora hinengaro-whanonga (CBT), te whakaora whānau.
Te Whakaora Hiko-ā-ringa (ECT)
Ka mataku ētahi tāngata ina rongo i tēnei ingoa. Nā te mea kua whakaaturia pērātia i roto i ngā kiriata. Engari i roto i te ao tūturu , he tino haumaru, he kore mamae, he tino whai hua hoki te ECT hou.
Ka mahia tēnei i raro i te rongoā whakamoe katoa, arā, kāore koe e rongo i tetahi mea. Ka taea e ia te whakaora tere i te hunga e pāngia ana e te pouri nui, te porangi rānei, kāore e aro ki te rongoā, e kino haere ana rānei ō rātou tohu i te wā e hapu ana.
Ētahi atu maimoatanga hou
Haunga tēnei, kei reira anō ētahi atu tikanga maimoatanga hou.
- VNS (Whakaoho i te Nerve Vagus): He taputapu iti kua whakatōkia ki roto i te tinana e tuku ana i ngā tohu hiko ki te io hei whakahaere i te pouri.
- TMS (Whakaoho Aukume Whakawhiti-Angaanga): Te whakaoho i ngā pūtau whakahaere-kare ā-roto i roto i te roro mā te whakamahi i tētahi koiri aukume.
- Te Whakaora Marama : Ka pāngia ētahi tāngata e te pikinga o te pouri i ngā marama o te takurua (Seasonal Affective Disorder). Ka taea e ēnei tāngata te whakaiti i ō rātou pouri mā te whakapau i te 20-30 meneti ia rā ki mua i tētahi pouaka rama motuhake.
Te whakarite i te taiao kāinga me te tūranga o ngā mema o te whānau
Mena kei te noho tahi koe me tētahi tangata he mate hinengaro rua tōu, he mea tino nui te tautoko a te whānau. He maha ngā mea ka taea e koe te mahi.
- He taiao marino: Kia marino te taiao o te kāinga. Kaua e hamama, e whawhai rānei, inā koa i te wā e haurangi ana.
- He mahinga auau: Kia mau tonu te kai, te inu, te moe, me te whakakori tinana. He mea nui rawa te moe nui . Mā te kore moe ka puta he wā porangi.
- Āta karohia te whakaohooho nui rawa: Ko ngā mea pēnei i ngā pāti nui, ngā haruru nui, me te mātakitaki pouaka whakaata tonu ka whakanui ake i ngā tohu o te porangi.
- Āta karohia te waipiro me ngā raau taero: Ka taea e ēnei te whakararu i ngā tohu me te whakaiti i te whai huatanga o ngā rongoā.
Ngā mea hei mahi i te wā e pōrangi ana!
I te wā o te mania, ka ngaro pea i te tūroro te ara e mahi ana rātou. Tērā pea ka whakamatautauria rātou ki te whai i ngā whanonga morearea pērā i te taraiwa tere, te whai wāhi atu ki ngā hākinakina morearea, me te whakapau moni nui.
I roto i tēnei āhuatanga, ko tō kawenga hei mema o te whānau ki te waea atu ki te tākuta tonu . Ahakoa kāore te tūroro e hiahia ki te maimoatanga, whakamāramahia te āhuatanga, me te rapu tohutohu hauora. Ka taea e te wawaotanga wawe te ārai i te whakaurunga ki te hōhipera. Whakaitihia te inu i ngā inu kei roto te kawheine pērā i te tī, te kawhe, me te cola. Kaua rawa e hoatu he waipiro.
Karere Tangohia ki te Kāinga
- Ko te maimoatanga mō te mate hinengaro rua he huinga o te rongoā me te hinengaro whakaora, ā, he rite tonu te hiranga o ēnei e rua.
- Tērā pea ka roa te wā ki te kimi i te rongoā me te horopeta tika māu. Kia manawanui, kia whakawhirinaki hoki ki tō tākuta.
- He mea nui te tautoko me te māramatanga o tō whānau mō te angitu o te maimoatanga. Whakauruhia rātou ki te tukanga.
- Kia tika te whai i ngā tohutohu a te tākuta. Haere ki ngā wāhi rongoā i ngā rā kua whakaritea, ā, me whiwhi koe i ngā whakamātautau e hiahiatia ana.
- Ina puta ngā tohu o te mania, whakaarohia he āhuatanga ohorere tēnei, ā, rapua tonutia he tohutohu hauora.
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