Nā hoʻāʻo no ka maʻi Bipolar

Anter

• He aha ka hōʻike hoʻokolohua no ka maʻi bipolar?
• Nā nīnau nīnau mai kahi hōʻike loiloi no ka maʻi bipolar
• He aha nā hoʻokolohua ʻē aʻe āu e pono ai e lawe?
• He aha nā hopena i hiki ke nānā ʻia no ka maʻi bipolar?
• He aha nā koho lapaʻau no ka maʻi bipolar?
• Nā Lapaʻau
• Nā hana lapaʻau ʻē aʻe
• Psychotherapy
• Nā hoʻoponopono ʻino ma ka home
• Lawe aku

Hōʻike Overview

ʻO ka maʻi Bipolar i kapa ʻia ma mua he maʻi manic-depressive. He maʻi lolo ia e ʻike ai i ke kanaka ke kiʻekiʻe loa, a i kekahi mau manawa, haʻahaʻa haʻahaʻa loa i ke ʻano. Hiki i kēia mau hoʻololi ke hoʻololi i ka hiki i ke kanaka ke hana i nā hana o kēlā me kēia lā.

ʻO ka maʻi Bipolar kahi kūlana lōʻihi i ʻike pinepine ʻia i ka wā ʻōpio a i ʻole ke oʻo makua ʻana.

Wahi a ka National Institute of Mental Health, 4.4 pākēneka ʻAmelika a me nā keiki e ʻike i ka maʻi bipolar i kekahi manawa i ko lākou ola. ʻAʻole maopopo ka poʻe loea i ke kumu o ka maʻi bipolar. Hiki i ka mōʻaukala ʻohana ke hoʻonui i kou makaʻu.

He mea nui ia e ʻike i kahi ʻoihana mālama ola inā manaʻo ʻoe hiki ke hōʻike nei ʻoe i nā hōʻailona o ka maʻi bipolar. ʻO ka hana pēlā e kōkua iā ʻoe e loaʻa kahi hōʻoia pololei a me ka lāʻau kūpono.

E heluhelu e ʻike ai i ka ʻike ʻana o nā mea lawelawe olakino a me nā ʻoihana olakino noʻonoʻo i kēia maʻi.

He aha ka hōʻike hoʻokolohua no ka maʻi bipolar?

ʻAʻole hana maikaʻi nā hōʻike loiloi o kēia manawa no ka maʻi bipolar. ʻO ka hōʻike maʻamau ka nīnau nīnau Mood Disorder (MDQ).

I loko o kahi noiʻi 2019, ua hōʻike ʻia nā hopena i loaʻa i nā poʻe i loaʻa ka maikaʻi ma ka MDQ i ka maʻi pilikino e like me ka loaʻa ʻana o ka maʻi bipolar.

Hiki iā ʻoe ke hoʻāʻo i kekahi mau hoʻokolohua loiloi pūnaewele inā manaʻo ʻoe he maʻi bipolar kāu. E noi ana kēia mau hoʻokolohua loiloi iā ʻoe i nā ʻano nīnau like ʻole e hoʻoholo inā ʻike ʻoe i nā hōʻailona o ka manic a i ʻole nā ​​mea kaumaha. Eia nō naʻe, ʻo ka hapa nui o kēia mau mea loiloi he "home grow" a ʻaʻole paha he kūpono kūpono o ka maʻi bipolar.

Nā ʻōuli no ka hoʻololi ʻana i ke ʻano me:

ʻAʻole pono kēia mau hoʻokolohua e pani i kahi hōʻailona ʻoihana. ʻO ka poʻe e lawe ana i ka hoʻokolohua loiloi e ʻike paha i nā ʻōuli o ke kaumaha ma mua o kahi manic episode. A ʻo kahi hopena, nānā pinepine ʻole ʻia kahi hōʻailona maʻi bipolar no kahi hōʻailona kaumaha.

Pono e hoʻomaopopo ʻia he hōʻailona o ka maʻi bipolar 1 wale nō e pono ai i kahi mana manic. ʻAʻole paha a ʻike paha kekahi kanaka me ka bipolar 1 i kahi hanana depressive nui. ʻO ke kanaka me ka bipolar 2 e loaʻa kahi hanana hypomanic i mua a i ʻole ka hopena depressive nui.

E ʻimi koke i ka lāʻau lapaʻau inā pilikia ʻoe a i ʻole kekahi mea ʻē aʻe i ka lawena e hiki ai ke hōʻeha iā ʻoe iho a hōʻeha paha iā haʻi, a i ʻole me ka noʻonoʻo ʻana i ka pepehi kanaka.

Nā nīnau nīnau mai kahi hōʻike loiloi no ka maʻi bipolar

E pili ana kekahi mau nīnau kānana i ka nīnau ʻana inā loaʻa iā ʻoe kahi hanana o ka mania a me ke kaumaha, a pehea ka hopena i kāu hana i kēlā me kēia lā.

• I loko o nā pule he 2 i hala iho nei, ua kaumaha loa ʻoe i hiki ʻole iā ʻoe ke hana a hana paha me ka paʻakikī wale nō a manaʻo ʻehā o nā mea aʻe?
  • lilo o ka hoihoi i ka hapa nui o nā hana
  • loli i ka makemake a i ʻole ke kaupaona
  • pilikia hiamoe
  • ukiuki
  • luhi
  • manaʻolana ʻole a me ka kōkua ʻole
  • pilikia e nānā ana
  • manaʻo o ka pepehi kanaka
• Loaʻa iā ʻoe nā loli i ke ʻano o ka pōʻaiapuni ma waena o nā wā o ke kiʻekiʻe a me ka haʻahaʻa, a no ka lōʻihi o kēia mau kau? Ke hoʻoholo nei i ka lōʻihi o nā ʻāpana he hana nui i ka ʻike ʻana inā e loaʻa ana i kahi kanaka ka maʻi bipolar maoli a i ʻole kahi maʻi pilikino, e like me ka maʻi pilikino borderline (BPD).
• I kou wā kiʻekiʻe, manaʻo ʻoe i ʻoi aku ka ikaika a i ʻole ka hyper ma mua o kāu i nā manawa o ka maʻamau?

Hiki i kahi ʻoihana ola kino ke hāʻawi i ka loiloi maikaʻi loa. E nānā nō hoʻi lākou i ka palena manawa o kāu mau hōʻailona, ​​nā lāʻau āu e lawe nei, nā maʻi ʻē aʻe, a me ka mōʻaukala ʻohana e hana ai i kahi hōʻailona.

He aha nā hoʻokolohua ʻē aʻe āu e pono ai e lawe?

Ke kiʻi ʻana i kahi kuhi no ka maʻi bipolar, ʻo ke ʻano maʻamau ka hoʻopau mua ʻana i nā kūlana olakino ʻē aʻe a i ʻole nā ​​maʻi.

ʻO kāu mea mālama ola:

• hana i kahi hōʻike kino
• kauoha i nā hoʻāʻo e nānā i kou koko a me ka mimi
• e nīnau e pili ana i kou ʻano a me kāu lawena no ka loiloi psychological

Inā ʻaʻole i loaʻa i kāu kauka olakino kahi kumu olakino, e kuhikuhi paha lākou iā ʻoe i kahi loea olakino noʻonoʻo, e like me ka psychiatrist. Kākau paha kahi loea olakino noʻonoʻo i lāʻau e mālama ai i ke ʻano.

E kuhikuhi ʻia paha ʻoe i kahi psychologist i hiki ke aʻo iā ʻoe i nā ʻenehana e kōkua ai e ʻike a mālama i nā loli i kou ʻano.

Aia nā pae hoʻohālikelike no ka maʻi bipolar i ka mana hou o ka Diagnostic and Statistics Manual of Mental Disorder. Loaʻa ka manawa i ka loaʻa ʻana o kahi hōʻailona - a i mau kau. Pili nā ʻōuli o ka maʻi bipolar i nā mea o nā maʻi olakino ʻē aʻe.

ʻAʻole hiki ke wānana ʻia ka manawa o ka naʻau bipolar. I ke kumu o ka holo kaʻa kaʻa wikiwiki, hiki ke hoʻololi i nā ʻano mai ka mania a i ke kaumaha ʻehā a ʻoi mau manawa o ka makahiki. Keʻike nei paha kekahi i kahi "hui huikau," kahi e loaʻa ai nā hōʻailona o ka mania a me ke kaumaha i ka manawa like.

Ke hele a loli kou ʻano i mania, ʻike paha ʻoe i kahi hōʻemi koke ʻana o nā hōʻailona depressive a i ʻole hiki ke ʻike maikaʻi a ikaika loa hoʻi. Akā e maopopo nā loli i ka naʻau, ka ikaika, a me nā pae hana. ʻAʻole pinepine iki kēia mau hoʻololi, a hiki paha i kekahi mau pule ke hala.

ʻOiai i ka hihia o ka holo kaʻa kaʻa wikiwiki a me nā ʻāpana i hui ʻia, pono kahi ʻike bipolar i kekahi e ʻike.

• i hoʻokahi pule no kahi ʻāpana o mania (ʻo ka lōʻihi inā hoʻokipa ʻia)
• Nā lā 4 no kahi ʻāpana o hypomania
• kahi ʻokoʻa mawaena o ke kaumaha e mau ana no 2 mau pule

He aha nā hopena i hiki ke nānā ʻia no ka maʻi bipolar?

ʻEhā ʻano o ka maʻi bipolar, a ʻokoʻa iki nā pae hoʻohālikelike no kēlā me kēia. E kōkua kāu psychiatrist, therapist, a psychologist paha iā ʻoe e ʻike i ke ʻano āu i hoʻokumu ai i kā lākou hōʻike.

ʻO nā maʻi bipolar a me nā kikoʻī pili ʻole kekahi i hōʻike ʻia a ʻano ʻē aʻe kekahi ʻano o ka maʻi bipolar. Hiki iā ʻoe ke loaʻa i kēia ʻano inā kū ʻole kāu mau ʻōuli i nā ʻano ʻekolu i helu ʻia ma luna.

He aha nā koho lapaʻau no ka maʻi bipolar?

ʻO ke ala ʻoi loa e mālama ai i ka maʻi bipolar a me kāna mau ʻōuli ke ola lōʻihi. Kauoha pinepine nā mea mālama ola i ka hui ʻana o nā lāʻau, psychotherapy, a me nā home therapies.

Nā Lapaʻau

Hiki i kekahi mau lāʻau ke kōkua me ke kūpaʻa ʻana i ke ʻano. He mea nui e hōʻike pinepine i kāu poʻe mālama ola inā ʻike ʻoe i nā hopena ʻaoʻao a ʻike ʻole i kahi paʻa i kāu ʻano. ʻO kekahi mau lāʻau i kuhikuhi ʻia e like me:

• naoh naoh e like me ka lithium (Lithobid), valproic acid (Depakene), a i ʻole lamaotrigine (Lamictal)
• antipsychotics, e like me olanzapine (Zyprexa), risperidone (Risperdal), quetiapine (Seroquel), a me aripiprazole (Abilify)
• antidepressants, e like me Paxil
• antidepressant-antipsychotics, e like me Symbyax, kahi hui o fluoxetine a me olanzapine
• nā lāʻau lapaʻau anti-hopohopo, e like me benzodiazepines (e laʻa, valium, a i ʻole Xanax)

Nā hana lapaʻau ʻē aʻe

Ke holo ʻole ka lāʻau, e paipai paha kāu ʻoihana olakino noʻonoʻo:

• Hoʻoikaika electroconvulsive (ECT). Hoʻopili ʻo ECT i nā kaila uila e hele i loko o ka lolo e hoʻowalewale i kahi hopu, hiki ke kōkua me ka mania a me ke kaumaha.
• Hoʻoulu ka magnet transcranial (TMS). Hoʻonohonoho ʻo TMS i ka naʻau no ka poʻe e pane ʻole ana i nā antidepressants, eia nō naʻe ke hoʻohana nei i ka maʻi bipolar e ulu mau nei a pono e aʻo hou ʻia.

Psychotherapy

ʻO ka Psychotherapy kekahi kī nui o ka mālama ʻana i ka maʻi bipolar. Hiki ke hāpai ʻia i loko o kahi kanaka, ʻohana, a i ʻole hoʻonohonoho hoʻonohonoho.

ʻO kekahi mau psychotherapies e kōkua paha i loko:

• ʻO ka hoʻomaʻamaʻa hana cognitive (CBT). Hoʻohana ʻia ʻo CBT e kōkua i ka hoʻololi ʻana i nā manaʻo maikaʻi ʻole a me nā lawena me nā mea maikaʻi, e aʻo pehea e kū ai i nā ʻōuli, a ʻoi aku ka maikaʻi o ka mālama ʻana i ke koʻikoʻi.
• Psychoed Education. Hoʻohana ʻia ka Psychoeducation e aʻo hou iā ʻoe e pili ana i ka maʻi bipolar e kōkua iā ʻoe e hoʻoholo maikaʻi e pili ana i kāu mālama a me kāu mālama ʻana.
• Interpersonal a me ka nohona rhythm therapy (IPSRT). Hoʻohana ʻia ʻo IPSRT e kōkua iā ʻoe e hana i kahi hana maʻamau i kēlā me kēia lā no ka hiamoe, ʻai, a me ka hoʻoikaika kino.
• Kūkākūkā kamaʻilio. Hoʻohana ʻia ka therapy therapy e kōkua iā ʻoe e hōʻike i kou mau manaʻo a e kūkākūkā i kāu mau pilikia i ke alo a ke alo.

Nā hoʻoponopono ʻino ma ka home

Hiki i nā loli nohona ke hoʻemi i ka ikaika o nā ʻano a me ke alapine o ke keke keke.

Loaʻa i nā loli ka hoʻāʻo ʻana i:

• hōʻole i ka waiʻona a me nā lāʻau lapaʻau maʻamau
• hōʻalo i nā pili olakino
• e kiʻi ma ka liʻiliʻi he 30 mau minuke hoʻoikaika kino i ka lā
• e kiʻi ma ka liʻiliʻi he 7 a he 9 mau hola o ka hiamoe i kēlā me kēia pō
• ʻai i ka papaʻai olakino, kaulike i momona i nā hua a me nā lau

Lawe aku

E kamaʻilio me kāu kauka inā ʻaʻole kāu lāʻau lapaʻau a me kāu therapies e hoʻomaha ai i kāu mau ʻōuli. I kekahi mau hihia, hiki i nā antidepressants ke hōʻeha i nā ʻōuli o ka maʻi bipolar.

Aia kekahi mau lāʻau lapaʻau ʻē aʻe a me nā hoʻoponopono e kōkua i ka mālama ʻana i ke ʻano. Hiki i kāu kauka olakino ke kōkua iā ʻoe e hana i kahi hoʻolālā lapaʻau e hana maikaʻi nāu.