ʻO ka maʻi Bipolar (Manic Depression)
Anter
- He aha nā hōʻailona?
- Nā ʻano o ka maʻi Bipolar
- Bipolar I
- Bipolar II
- ʻAʻole i hōʻike ʻia kahi maʻi Bipolar (BP-NOS)
- Maʻi maʻi Cyclothymic (Cyclothymia)
- ʻO ka maʻi Bipolar wikiwiki
- ʻIke i ka maʻi Bipolar
- Ke mālama nei i ka maʻi Bipolar
- Outlook
He aha ka maʻi Bipolar?
ʻO ka maʻi Bipolar kahi maʻi lolo koʻikoʻi kahi e ʻike ai ke kanaka i ka ʻokoʻa loa o ka noʻonoʻo, ke ʻano, a me ka lawena. Kāhea ʻia ka maʻi Bipolar i kekahi manawa i ka maʻi manic-depressive a i ʻole ke kaumaha manic.
ʻO ka poʻe i loaʻa i ka maʻi bipolar e hele pinepine i nā wā o ke kaumaha a me ka mania. Hiki paha iā lākou ke ʻike i nā loli pinepine i ke ʻano.
ʻAʻole like ke ʻano no kēlā me kēia kanaka i loaʻa iā ia. ʻIke paha kekahi poʻe i nā mokuʻāina kaumaha. Loaʻa i nā poʻe ʻē aʻe ka hapa nui o nā manic phase. Hiki ke hiki ke loaʻa nā kaumaha a me nā manic i ka manawa like.
Ma luna o 2 pākēneka o ko ʻAmelika e hoʻomohala i ka maʻi bipolar.
He aha nā hōʻailona?
ʻO nā ʻōuli o ka maʻi bipolar me ka loli i ke ʻano (i kekahi manawa ʻoi loa) a me nā loli i:
- ikehu
- pae hana
- nā hiamoe hiamoe
- nā hana
ʻAʻole paha ʻike ke kanaka me ka maʻi bipolar i kahi hanana depressive a manic paha. Hiki iā lākou ke ʻike i nā wā lōʻihi o nā ʻano naue ʻole. ʻO ka poʻe me ka loaʻa ʻole o ka maʻi bipolar ʻike pinepine i nā "kiʻekiʻe a me nā haʻahaʻa" i ko lākou ʻano. ʻOkoʻa nā ʻano loli i ke ʻano o ka maʻi bipolar mai kēia mau "kiʻekiʻe a me nā haʻahaʻa."
ʻO ka maʻi Bipolar ka hopena pinepine i ka hana maikaʻi ʻole, ka pilikia ma ke kula, a i ʻole nā pilina i hōʻino ʻia. ʻO ka poʻe i loaʻa i nā hihia koʻikoʻi koʻikoʻi ʻole ʻia o ka maʻi bipolar i kekahi manawa he pepehi kanaka lākou.
ʻO ka poʻe me ka maʻi bipolar ka ʻike i nā mokuʻāina huhū i kapa ʻia ʻo "mood episodes."
Hiki i nā ʻōuli o ke ʻano kaumaha ke komo pū:
- manaʻo o ka ʻole a waiwai ʻole paha
- nalo o ka hoihoi i nā hana leʻaleʻa e like me ka moekolohe
- hoʻololi i ka hana
- ka luhi a i ʻole ka ikehu haʻahaʻa
- nā pilikia me ka noʻonoʻo nui, ka hoʻoholo ʻana, a me ka poina
- hoʻomaha ʻole a i ʻole huhū
- hoʻololi i ka ʻai ʻana a i ʻole ka hiamoe
- manaʻo suicidal a i ʻole ka hoʻāʻo pepehi kanaka
Ma nā ʻaoʻao ʻē aʻe o ka pae i loaʻa nā manic episodes. Pākuʻi ʻia paha nā ʻōuli o mania:
- wā lōʻihi o ka hauʻoli nui, pīhoihoi, a i ʻole euphoria
- huhū loa, hoʻonāukiuki, a i ʻole ke ʻano o ke "wired" (lele lele)
- hoʻoluhi maʻalahi a hoʻomaha ʻole paha
- he mau manaʻo heihei
- 'ōlelo wikiwiki loa (pinepine ʻole hiki ʻole i nā poʻe ʻē aʻe ke mālama mau)
- lawe i nā papahana hou aʻe ma mua o ka hiki i kekahi ke mālama (kuhikuhi i ka pahuhopu i kuhikuhi ʻia)
- hemahema iki
- nā manaʻoʻiʻo ʻole e pili ana i nā hiki o kekahi
- ke komo nei i nā hana impulsive a kiʻekiʻe paha e like me ka pili kālā ʻana a i ʻole ke hoʻolilo ʻana i nā sprees, ka wahine palekana ʻole, a i ʻole ka hana ʻana i nā hoʻopukapuka naʻaupō
Hiki i kekahi poʻe me ka maʻi bipolar ke ʻike i ka hypomania. ʻO ka manaʻo Hypomania "ma lalo o ka mania" a ʻo nā hōʻailona e like loa me ka mania, akā ʻoi aku ka paʻakikī. ʻO ka ʻokoʻa nui loa ma waena o nā ʻelua ʻo ia nā ʻōuli o hypomania e hōʻino ʻole ʻole i kou ola. Hiki i nā ʻāpana manic ke alakaʻi i ka haukapila.
ʻO kekahi poʻe me ka maʻi bipolar ʻike i ka "state mood campuran" kahi e noho pū ai nā ʻōuli depressive a me nā manic. I ke ʻano huikau, e loaʻa pinepine i kahi kanaka nā ʻōuli e pili pū me:
- hoohaunaele
- ʻōlohelohe
- nā hoʻololi loa i ka makemake
- manaʻo suicidal
E ʻike pinepine ke kanaka i ka ikaika i ka wā e ʻike nei lākou i nā ʻōuli o luna.
Eʻoi aku ka maikaʻi o nā ʻōuli o ka maʻi bipolar me ka mālama ʻole ʻia. He mea nui loa ia e ʻike i kāu mea lawelawe mua inā manaʻo ʻoe ke ʻike nei ʻoe i nā ʻōuli o ka maʻi bipolar.
Nā ʻano o ka maʻi Bipolar
Bipolar I
Hoʻohālikelike ʻia kēia ʻano e nā manic a i ʻole nā hui i kāwili ʻia ma hope o hoʻokahi pule. Hiki iā ʻoe ke ʻike i nā hōʻailona manic koʻikoʻi e pono ai ka mālama koke ʻana i ka haukapila. Inā ʻoe e ʻike i nā māhele depressive, hala mau lākou i ʻelua mau pule. ʻO nā ʻōuli o ke kaumaha a me ka mania he mea ʻokoʻa loa e like me ka hana maʻamau a ke kanaka.
Bipolar II
Hoʻohālikelike ʻia kēia ʻano e kahi hiʻohiʻona o nā ʻāpana depressive i kāwili ʻia me nā ʻāpana hypomanic i nele i nā manic (a i ʻole mix) ʻāpana.
ʻAʻole i hōʻike ʻia kahi maʻi Bipolar (BP-NOS)
Kuhi ʻia kēia ʻano i kekahi manawa ke loaʻa i kekahi kanaka nā ʻōuli i kū ʻole i ke ana diagnostic piha no bipolar I a i ʻole bipolar II. Eia nō naʻe, ʻike ke kanaka i nā loli ʻano ʻokoʻa loa mai kā lākou hana maʻamau.
Maʻi maʻi Cyclothymic (Cyclothymia)
ʻO ka maʻi Cyclothymic kahi ʻano akahai o ka maʻi bipolar kahi i loaʻa i ke kanaka ke kaumaha haʻahaʻa i hui ʻia me nā hanana hypomanic no ʻelua mau makahiki.
ʻO ka maʻi Bipolar wikiwiki
E ʻike ʻia kekahi mau kānaka me ka mea i ʻike ʻia ʻo "maʻi bipolar holo wikiwiki." I loko o hoʻokahi makahiki, ʻo nā mea maʻi me kēia maʻi he ʻehā a ʻoi paha mau ʻāpana o:
- kaumaha nui
- mania
- hypomania
ʻOi aku ka maʻamau i nā poʻe me ka maʻi bipolar koʻikoʻi a i nā mea i ʻike ʻia i ka wā ma mua (pinepine i ka waena o nā makahiki o ka hopena), a ʻoi aku ka hopena ma mua o nā kāne.
ʻIke i ka maʻi Bipolar
Hoʻomaka ka hapa nui o nā maʻi bipolar ma mua o ke kū ʻana o kekahi kanaka i 25 mau makahiki. ʻIke paha kekahi poʻe i kā lākou mau hōʻailona mua i ka wā kamaliʻi a i ʻole, ma kahi ʻē, a lohi paha i ke ola. Hiki i nā hōʻailona Bipolar ke piʻi i ka ikaika mai ka naʻau haʻahaʻa i ke kaumaha nui, a i ʻole hypomania i ka mania koʻikoʻi. He paʻakikī pinepine ke kuhi no ka mea hele mai ia a lohi a hōʻemi hoʻi i ka hala ʻana o ka manawa.
E hoʻomaka maʻamau kāu mea mālama mālama mua ma ka nīnau ʻana iā ʻoe i nā nīnau e pili ana i kāu hōʻailona a me ka mōʻaukala olakino. Makemake pū lākou e ʻike e pili ana i kāu inu ʻona a lāʻau lāʻau paha. Hiki iā lākou ke hana i nā hoʻokolohua hale hoʻokolohua e kāpae i nā kūlana olakino ʻē aʻe. ʻO ka hapa nui o nā mea maʻi e ʻimi wale i ke kōkua i ka wā o ke kaumaha, no laila he mea nui ia no kāu mea lawelawe mua e hana i kahi loiloi diagnostical piha ma mua o ka hana ʻana i kahi hōʻailona o ka maʻi bipolar. E kuhikuhi kekahi mau mea lawelawe mua i kahi loea psychiatric inā e kuhi ʻia kahi maʻi o ka maʻi bipolar.
ʻO nā kānaka me ka maʻi bipolar i kahi kiʻekiʻe o ka makaʻu no kekahi mau maʻi noʻonoʻo a me nā kino ʻē aʻe, e like me:
- post-traumatic stress maʻi (PTSD)
- nā maʻi pīhoihoi
- phobias kaiaulu
- ADHD
- ʻeha poʻo migraine
- maʻi thyroid
- diabetes
- momona
ʻO nā pilikia hoʻomāinoino i nā mea maʻamau i waena o nā mea maʻi me ka maʻi bipolar.
ʻAʻohe kumu i ʻike ʻia no ka maʻi bipolar, akā holo ia i loko o nā ʻohana.
Ke mālama nei i ka maʻi Bipolar
ʻAʻole hiki ke hoʻōla ʻia ka maʻi Bipolar. Ua manaʻo ʻia he maʻi maʻi mau ia, e like me ka maʻi kō, a pono e mālama pono ʻia a mālama ʻia i kou ola. Hoʻopili maʻamau ka mālama ʻana i nā lāʻau a me nā mea lapaʻau, e like me ka lāʻau behavioral cognitive. Nā lāʻau i hoʻohana ʻia i ka mālama ʻana i nā maʻi bipolar:
- nā mea hoʻonāukiuki e like me lithium (Eskalith a i ʻole Lithobid)
- nā lāʻau lapaʻau atypical antipsychotic e like me olanzapine (Zyprexa), quetiapine (Seroquel), a me risperidone (Risperdal)
- ʻO nā lāʻau anti-hopohopo e like me benzodiazepine e hoʻohana ʻia i kekahi manawa i ka manawa koʻikoʻi o ka mania
- nā lāʻau lapaʻau anti-seizure (i ʻike ʻia he anticonvulsants) e like me divalproex-sodium (Depakote), lamotrigine (Lamictal), a me valproic acid (Depakene)
- ʻO nā kānaka me ka maʻi bipolar e kuhikuhi ʻia i kekahi manawa i nā antidepressants e mālama i nā hōʻailona o ko lākou kaumaha, a i ʻole nā kūlana ʻē aʻe (e like me ka maʻi ʻōpilikia pū ʻia. Eia nō naʻe, pono lākou i ka manawa pinepine i kahi mea e hoʻokau ai i ka naʻau, ʻo kahi antidepressant wale nō e hoʻonui i ka manawa o ke kanaka e lilo i manic a i hypomanic paha (a i ʻole e hoʻomohala ʻana i nā ʻōuli o ke kaʻa kaʻa wikiwiki).
Outlook
ʻO kahi maʻi Bipolar kahi kūlana maikaʻi loa. Inā manaʻo ʻoe he maʻi bipolar kou, he mea nui ia e hoʻopaʻa manawa ai me kāu kahu mālama mua a loiloi ʻia. E hele a māhuahua wale nā ʻōuli i mālama ʻole ʻia o ka maʻi bipolar. Ua manaʻo ʻia ma kahi o 15 pākēneka o ka poʻe me ka maʻi bipolar i hana ʻole ʻia e hana i ka make.
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.