Kuhi Diagnosis no ka maʻi Bipolar

Anter
- He aha e hana ai ma mua o ka hōʻailona
- Hoʻopau i nā kūlana ʻē aʻe
- Loiloi olakino noʻonoʻo
- Mania
- Kaumaha
- Kāohi ʻana i ke ola
- Maʻi Bipolar I
- Maʻi Bipolar II
- Cyclothymia
- ʻO ka maʻi bipolar holo wikiwiki
- ʻAʻole kuhikuhi ʻia (NOS)
- ʻIke i ka maʻi bipolar i nā keiki
- Kuhukuhi Hewa
ʻO ka hoʻāʻo ʻana no ka maʻi bipolar
ʻO ka poʻe me ka maʻi bipolar e hele i waena o nā loli ʻano ʻokoʻa loa i ʻokoʻa loa mai ko lākou ʻano maʻamau a me ka hana. Hoʻopili kēia mau hoʻololi i ko lākou ola i kēlā me kēia lā.
ʻAʻole maʻalahi ka hoʻāʻo ʻana no ka maʻi bipolar e like me ka lawe ʻana i kahi hōʻoia koho he nui a i ʻole ke hoʻouna ʻana i ke koko i ka lab. ʻOiai hōʻike ka maʻi bipolar i nā ʻōuli ʻokoʻa, ʻaʻohe hōʻike hoʻokahi e hōʻoia i ke ʻano. ʻO ka pinepine, hoʻohana ʻia kahi hui o nā hana e hana i kahi kuhi.
He aha e hana ai ma mua o ka hōʻailona
Ma mua o kāu hōʻoia ʻana, ʻike paha ʻoe i ka hoʻololi wikiwiki ʻana i nā ʻano a me nā naʻau piʻoloke. Hiki ke paʻakikī ke wehewehe pono i kou manaʻo, akā ʻike paha ʻoe ʻaʻole kūpono kekahi mea.
Hiki ke lilo i ke kaumaha a me ka hopelessness i ikaika. Hiki iā ia ke manaʻo me he mea lā e luʻuluʻu ana ʻoe i ke kanikau i hoʻokahi manawa, a laila ma hope aku, he manaʻolana ʻoe a piha i ka ikaika.
ʻAʻole ʻike pinepine nā wā haʻahaʻa i kēlā me kēia manawa. Hana ka poʻe he nui i kēia mau manawa ma muli o nā pilikia o kēlā me kēia lā. Eia nō naʻe, hiki i nā kiʻekiʻe kiʻekiʻe a me nā haʻahaʻa e pili ana i ka maʻi bipolar ke ʻoi aku ka nui. ʻIke paha ʻoe i kahi loli i kāu hana, akā ʻaʻohe ou mana e kōkua iā ʻoe iho. E ʻike paha nā hoaaloha a me ʻohana i nā loli. Inā ʻoe e ʻike i nā hōʻailona manic, ʻaʻole paha ʻoe e ʻike i ka pono e loaʻa ai ke kōkua mai ke kauka. Mahalo paha ʻoe a ʻaʻole maopopo i nā hopohopo o ka poʻe a puni ʻoe a hiki i ka loli hou ʻana o kou ʻano.
Mai hōʻalo i kou manaʻo. E ʻike i ke kauka inā pilikia nā ʻano nui i ke ola o kēlā me kēia lā a i ʻole inā manaʻo ʻoe he suicidal.
Hoʻopau i nā kūlana ʻē aʻe
Inā ʻike ʻoe i nā loli loa i kou ʻano i hoʻohaunaele i kāu hana o kēlā me kēia lā, pono ʻoe e ʻike i kāu kauka. ʻAʻohe o nā hoʻokolohua koko kikoʻī a i ʻole ka nānā ʻana o ka lolo e hōʻoia i ka maʻi bipolar. ʻOiai paha, e hana paha kāu kauka i kahi hoʻokolohua kino a kauoha i nā hoʻokolohua lab, e like me kahi hoʻokolohua hana thyroid a me nā aniani mimi. Hiki i kēia mau hoʻāʻo ke kōkua i ka hoʻoholo inā he kumu ʻē aʻe a i ʻole nā kumu i hiki ke kumu i kāu mau ʻōuli.
ʻO kahi hoʻokolohua hana thyroid kahi hōʻike i ke koko e ana i ka maikaʻi o ka hana o kāu gland thyroid. Hana ka thyroid a hūnā i nā hormoni e kōkua i ka hoʻoponopono ʻana i nā hana o ke kino. Inā ʻaʻole lawa kou kino o ka thyroid hormone, i ʻike ʻia ʻo hypothyroidism, ʻaʻole e holo pono paha kou lolo. ʻO ka hopena, loaʻa paha iā ʻoe nā pilikia me nā ʻōuli depressive a i ʻole hoʻomohala i kahi ʻano maʻi.
I kekahi manawa, hoʻopuka kekahi mau pilikia thyroid i nā ʻōuli e like me nā maʻi bipolar. ʻO nā ʻōuli kekahi hopena paha o nā lāʻau. Ma hope o ka hoʻoholo ʻia ʻana o nā kumu kumu ʻē aʻe, e kuhikuhi paha kāu kauka iā ʻoe i kahi loea olakino noʻonoʻo.
Loiloi olakino noʻonoʻo
E nīnau kahi psychiatrist a psychologist paha iā ʻoe i nā nīnau e loiloi ai i kou olakino noʻonoʻo āpau. ʻO ka hoʻāʻo ʻana no ka maʻi bipolar e pili ana i nā nīnau e pili ana i nā ʻōuli: pehea ka lōʻihi o lākou, a pehea e hoʻohaunaele ai i kou ola. E nīnau aku ka loea iā ʻoe e pili ana i kekahi mau pilikia no ka maʻi bipolar. Hoʻopili kēia i nā nīnau e pili ana i ka mōʻaukala olakino ʻohana a me nā mōʻaukala o ka hōʻino ʻana i ka lāʻau.
ʻO ka maʻi Bipolar kahi ʻano olakino noʻonoʻo i ʻike ʻia no nā wā o ka mania a me ke kaumaha. ʻO ke kuhi no ka maʻi bipolar e pono ai i hoʻokahi depressive a me hoʻokahi manic a i ʻole hypomanic episode. E nīnau kāu loea olakino noʻonoʻo e pili ana i kou mau manaʻo a me kou mau manaʻo i ka wā a ma hope o kēia mau ʻāpana. Makemake lākou e ʻike inā manaʻo ʻoe i ka kaohi i ka wā o ka mania a me ka lōʻihi o nā manawa. E noi paha lākou i kāu ʻae e nīnau i nā hoaaloha a me ʻohana e pili ana i kāu ʻano. E noʻonoʻo ana kēlā me kēia hōʻailona i nā ʻano ʻē aʻe o kāu mōʻaukala olakino a me nā lāʻau āu i lawe ai.
E kikoʻi me kahi kuhi, hoʻohana nā kauka i ka Diagnostic a me ka Statistic Statistic of Mental Disorder (DSM). Hāʻawi ka DSM i kahi wehewehe loea a kikoʻī o ka maʻi bipolar. Eia ka haki o kekahi o nā huaʻōlelo a me nā hōʻailona i hoʻohana ʻia e ʻike pono i ke ʻano.
Mania
ʻO ka mania ma ke ʻano he "wā kūʻokoʻa o ke kiʻekiʻe a hoʻomau ʻole i hoʻokiʻekiʻe ʻia, ākea a i ʻole ʻano huhū." Pono ka hopena ma kahi o hoʻokahi pule. Pono ke ʻano ma ka liʻiliʻi he ʻekolu o kēia mau hōʻailona:
- manaʻo kiʻekiʻe kiʻekiʻe
- pono iki ka hiamoe
- hoʻonui ʻia ka helu o ka ʻōlelo (kamaʻilio wikiwiki ʻana)
- lele o nā manaʻo
- hoʻoluhi maʻalahi
- hoʻonui i ka hoihoi i nā pahuhopu a i ʻole nā hana
- hoʻonāukiuki psychomotor (pacing, wringing lima, a me nā mea ʻē aʻe)
- hoʻonui i ka ʻimi ʻana i nā hana me kahi makaʻu nui o ka makaʻu
Kaumaha
Ua ʻōlelo ʻo DSM he pono i kahi ʻāpana kaumaha nui ma kahi o ʻehā o kēia mau ʻōuli. Pono lākou he hou a ʻoi paha ka maikaʻi ʻole, a pono no ʻelua mau pule paha.
- hoʻololi i ka makemake a i ʻole ke kaupaona, hiamoe, a i ʻole ka hana psychomotor
- hoʻemi ikehu
- manaʻo o ka waiwai ʻole a i ʻole ka hewa
- pilikia i ka noʻonoʻo ʻana, noʻonoʻo nui ʻana, a i ʻole ke hoʻoholo ʻana
- nā manaʻo o ka make a i ʻole nā hoʻolālā suicidal a i ʻole nā hoʻāʻo
Kāohi ʻana i ke ola
Inā manaʻo ʻoe aia kekahi i ka makaʻu koke iā ia iho a hōʻeha paha i kekahi.
- Kāhea iā 911 a i ʻole kāu helu kūloko kūloko.
- Noho me ke kanaka a hiki ke kōkua.
- Wehe i nā pū, nā pahi, nā lāʻau, a i ʻole nā mea ʻē aʻe e hoʻopōʻino.
- E hoʻolohe, akā, mai hoʻokolokolo, hoʻopaʻapaʻa, hoʻoweliweli, a walaʻau paha.
Inā manaʻo ʻoe e noʻonoʻo ana kekahi i ka pepehi kanaka, a ʻo ʻoe paha, e loaʻa i ke kōkua mai kahi pilikia a i ʻole ka laina pale pale hoʻomake. E hoʻāʻo i ka National Suicide Prevent Lifeline ma 800-273-8255.
Maʻi Bipolar I
Hoʻopili ka maʻi Bipolar I i hoʻokahi a ʻoi aku o nā ʻāpana manic a i ʻole nā ʻāpana i hui ʻia (manic a depressive) a komo pū paha i kahi ʻāpana depressive nui. ʻAʻole pili nā ʻāpana i kahi ʻano olakino a hoʻohana lāʻau paha.
Maʻi Bipolar II
ʻO ka maʻi Bipolar II he hoʻokahi a ʻoi paha nā ʻāpana depressive nui me hoʻokahi mahele hypomanic. ʻO Hypomania kahi ʻano mania liʻiliʻi. ʻAʻohe manic episodes, akā ʻike paha ke kanaka i kahi ʻāpana i hui ʻia.
ʻAʻole hoʻohaunaele ʻo Bipolar II i kou hiki ke hana e like me ka maʻi bipolar I. Pono nā ʻōuli e hoʻonā i ka nui o ke kaumaha a i ʻole nā pilikia ma ka hana, kula, a i ʻole me nā pilina. He mea maʻamau ia no ka poʻe me ka maʻi bipolar II e hoʻomanaʻo ʻole i ko lākou hanana hypomanic.
Cyclothymia
Kuhi ʻia ʻo Cyclothymia e ka hoʻololi ʻana i ke kaumaha haʻahaʻa me nā wā o ka hypomania. Pono e loaʻa nā hōʻailona ma kahi o ʻelua mau makahiki i ka poʻe mākua a i hoʻokahi makahiki i nā keiki ma mua o ka hiki ke hana i kahi hōʻailona. Loaʻa i nā mākua nā wā hōʻailona-ʻole ʻoi aku ma mua o ʻelua mau mahina. Loaʻa nā kamaliʻi a me nā ʻōpio i nā wā kau ʻole i hōʻailona ʻia ma loko o hoʻokahi mahina wale nō.
ʻO ka maʻi bipolar holo wikiwiki
ʻO kēia waeʻano kahi ʻano koʻikoʻi o ka maʻi bipolar. Aia ia ke loaʻa i kekahi kanaka ma ʻehā mau ʻāpana o ke kaumaha nui, mania, hypomania, a i ʻole nā mokuʻāina i loko o hoʻokahi makahiki. Hoʻopilikia ka holo kaʻa holo wikiwiki.
ʻAʻole kuhikuhi ʻia (NOS)
ʻO kēia mahele no nā ʻōuli o ka maʻi bipolar ʻaʻole kūpono i loko o nā ʻano ʻē aʻe. ʻIke ʻia ʻo NOS ke loaʻa nā ʻōuli he nui o ka maʻi bipolar akā ʻaʻole lawa e kū i ka lepili no kekahi o nā subtypes ʻē aʻe. Hiki i kēia mahele ke hoʻopili pū i nā loli wikiwiki i kū ʻole i lōʻihi e lilo i manic a i ʻole depressive episodes. Loaʻa i ka maʻi Bipolar NOS nā hanana hypomanic he nui me ka ʻole o kahi hanana kaumaha nui.
ʻIke i ka maʻi bipolar i nā keiki
ʻO ka maʻi Bipolar ʻaʻole wale ia he pilikia makua, hiki nō ke hana i nā keiki. ʻIke i ka maʻi bipolar i nā keiki hiki ke paʻakikī no ka mea hiki i nā ʻōuli o kēia maʻi ke hoʻohālikelike i kēlā mau manawa o ka maʻi hyperactivity maʻi (ADHD).
Inā mālama ʻia kāu keiki no ADHD a ʻaʻole i hoʻomaikaʻi ʻia kā lākou mau ʻōuli, e kamaʻilio me kāu kauka no ka hiki o ka maʻi bipolar. ʻO nā ʻōuli o ka maʻi bipolar i nā keiki hiki ke hoʻopili ʻia:
- impulsiveness
- ukiuki
- hoʻouka kaua (mania)
- hyperactivity
- huhū huhū
- wā o ke kaumaha
ʻO nā pae hoʻohālikelike no ke kuhi ʻana i ka maʻi bipolar i nā keiki e like me ka ʻike ʻana i ke ʻano o ka poʻe mākua. ʻAʻohe hōʻike diagnostic kikoʻī, no laila hiki i kāu kauka ke nīnau i kahi nīnau e pili ana i ke ʻano o kāu keiki, ka hiamoe, a me ka lawena.
ʻO kahi laʻana, ehia mau manawa e loaʻa ai i kāu keiki ka huhū huhū? Ehia mau hola e hiamoe ai kāu keiki i ka lā? ʻEhia mau manawa o kāu keiki i ka manawa o ka huhū a me ka huhū? Inā he episodic ka hana a me ke ʻano o kāu keiki, hana paha kāu kauka i kahi kuhi maʻi bipolar.
E nīnau paha ke kauka e pili ana i ka moʻolelo o kou ʻohana o ke kaumaha a i ʻole ka maʻi bipolar, a me ka nānā ʻana i ka hana thyroid o kāu keiki e kāpae ai i kahi thyroid underact.
Kuhukuhi Hewa
Hoʻomaopopo pinepine ʻole ʻia ka maʻi Bipolar i kona wā mua, i pinepine i nā makahiki ʻōpio. Ke kuhi ʻia he mea ʻē aʻe, hiki i nā ʻōuli o ka maʻi bipolar ke lilo i mea ʻino. Kū pinepine kēia no ka mea hāʻawi ʻia ka lapaʻau hewa.
ʻO nā kumu ʻē aʻe o kahi kuhi hewa ʻana he inconsistency i ka papa manawa o nā hanana a me nā lawena. ʻAʻole ʻimi ka hapa nui o ka poʻe i ka hoʻomaʻamaʻa a ʻike lākou i kahi hanana depressive.
Wahi a kahi noiʻi 2006 i paʻi ʻia ma, ma kahi o 69 ka pākēneka o nā hihia āpau i kuhi hewa ʻia. ʻAʻole ʻike pono ʻia ka hapakolu o kēlā mau mea no 10 mau makahiki a ʻoi paha.
Mahele ke ʻano i nā ʻōuli e pili ana i nā maʻi noʻonoʻo ʻē aʻe. Kuhi pinepine ʻia ka maʻi Bipolar ma ke ʻano he kaumaha unipolar (nui), hopohopo, OCD, ADHD, kahi maʻi ʻai, a i ʻole ke ʻano pilikino. ʻO kekahi mau mea i hiki ke kōkua i nā kauka i ka loaʻa ʻana o ka pololei he ʻike ikaika i ka mōʻaukala ʻohana, nā ʻāpana hou o ke kaumaha, a me ka nīnau nīnau no ka maʻi maʻi.
E kamaʻilio me kāu kauka inā manaʻo ʻoe hiki paha iā ʻoe ke loaʻa i kekahi hōʻailona o ka maʻi bipolar a i ʻole ke ʻano olakino noʻonoʻo ʻē aʻe.