ʻO ka Hypomania kahi maʻi maʻi i hōʻike ʻia e nā manawa o ka huhū, hyperactivity, a me nā ʻano loli. ʻAʻole hiki ke ʻike ʻia e like me ia a ke ʻike ʻia nei he manawa maikaʻi loa. ʻO ka hoʻomaka pinepine ia o kahi manawa o ke kaumaha ma hope o ka manawa o ka hypomania e alakaʻi ai i ka ʻike o ka maʻi. ʻO ka hui pū ʻana o ka lāʻau lapaʻau, psychotherapy a me ke ola olakino e kōkua i ka hoʻopaʻa ʻana i ke ʻano o ka mea maʻi.

Wehewehe o hypomania

ʻO ka Hypomania kahi maʻi naʻau i hōʻike ʻia e nā manawa o ka irritability, hyperactivity a me ke ʻano swings, pili pū me nā pilikia hiamoe. ʻAʻole lōʻihi ka lōʻihi o kēia mau hōʻailona ma mua o ʻehā lā.

Hoʻopili pinepine ʻia kēia māhele e kekahi, depressive. A laila e kamaʻilio mākou no ka bipolarity, ʻo ia hoʻi ka manic depression, nā hoʻololi o nā mania a me nā puʻuwai.

ʻO ka hypomania ka maʻamau. He mana māmā ia o ka mania. ʻO ka mania kahi maʻi maʻi e mau ana no ka liʻiliʻi o hoʻokahi pule a hōʻike i kahi loli nui i ka hana e hiki ai ke alakaʻi i ka hale hoʻokipa a i ʻole ke ʻano o nā hōʻailona psychotic - hallucinations, delusions, paranoia.

Hiki ke loaʻa ka hypomania ma ke ʻano he ʻāpana o ka maʻi deficit nānā me ka hyperactivity a i ʻole ka hyperactivity - i ʻike ʻia e ka acronym ADHD -, a i ʻole he maʻi schizoaffective, inā i hele pū ʻia me nā ʻāpana. hoʻopunipuni.

Nā ʻano d'hypomanies

Hoʻokahi wale nō ʻano hypomania.

Nā kumu o ka hypomanie

ʻO kekahi o nā kumu o ka hypomania he genetic. Hōʻike nā haʻawina hou i ke komo ʻana o kekahi mau genes - e pili ana i nā chromosomes 9, 10, 14, 13 a me 22 - i ka hoʻomaka ʻana o ka maʻi. ʻO kēia hui pū ʻana o nā genes, i ʻōlelo ʻia he palupalu, hana i nā hōʻailona, ​​a no laila ʻokoʻa nā lāʻau lapaʻau no kēlā me kēia kanaka.

Hoʻopuka kekahi kuhiakau i kahi pilikia i ka hana ʻana i nā manaʻo. E hele mai ana kēia hopohopo mai ka hana ʻole o kekahi mau neurons, kahi e hoʻoulu ai i ka hyperactivity o ka hippocampus - kahi wahi o ka lolo e pono ai ka hoʻomanaʻo a me ke aʻo ʻana. E hoʻopilikia kēia i ka hana o nā neurotransmitters e hana nui ana i ka hana ʻana o nā manaʻo. Kākoʻo ʻia kēia kumumanaʻo e ka pili pono o nā lāʻau psychotropic - me nā stabilizers mood - e hana ana i kēia mau neurotransmitters.

ʻO ka hōʻailona o ka hypomania

Ma muli o ko lākou haʻahaʻa haʻahaʻa a me ko lākou pōkole, paʻakikī loa ka ʻike ʻana i nā pae o ka hypomania, no laila ke alakaʻi nei i kahi underdiagnosis o kēia mau ʻāpana. Ke manaʻoʻiʻo nei ka poʻe i ka manawa maikaʻi loa ke kanaka, i ke ʻano maikaʻi. ʻO ka manawa pinepine ka hoʻomaka ʻana o kahi maʻi depressive ma hope o kēia pae hypomanic e hōʻoia i ka ʻike.

Hoʻohana pinepine ʻia ka ʻike hope loa i ka wā ʻōpio a i ʻole ka wā ʻōpio, ma kahi o 20-25 mau makahiki.

Hiki i nā mea hana ke hoʻokō maikaʻi i ke kuhiakau o ke alo o hypomania:

• ʻO ka nīnau nīnau maʻi maʻi –Ka mana kumu ma ka ʻōlelo Pelekania– i paʻi ʻia ma 2000 ma kaKa PepekemaʻAmelikaʻo'Akepila, hiki iā ia ke hoʻomaopopo i ʻehiku o ka ʻumi poʻe me ka maʻi maʻi maʻi maʻi maʻi bipolar - me ka maʻi maʻi (hypo) mania a me ke kaumaha - a e kānana i ʻeiwa o ka ʻumi poʻe ʻaʻole. Manaʻo Pelekania kumu: http://www.sadag.org/images/pdf/mdq.pdf. Unuhi ʻia ka mana ma ka ʻōlelo Palani: http://www.cercle-d-excellence-psy.org/fileadmin/Restreint/MDQ%20et%20Cotation.pdf;
• La Ka papa inoa o ka hypomanie, e huli ana i ka hypomania wale nō, i hoʻomohala ʻia i ka makahiki 1998 e Jules Angst, ke kaukaʻi o ka psychiatry: http://fmc31200.free.fr/bibliotheque/hypomanie_angst.pdf.

E makaʻala, hiki i kahi ʻoihana mālama ola ke hoʻokumu i kahi hōʻailona hilinaʻi me ka hoʻohana ʻana i kēia mau mea hana.

ʻO nā kānaka i loaʻa i ka hypomania

ʻO ka nui o ke ola o ka hypomania i ka heluna kanaka he 2-3%.

Nā mea e makemake ai i ka hypomania

Hoʻolaha nā ʻohana like ʻole i ka hypomania.

Nā mea e pili ana i nā hanana ola koʻikoʻi a poina paha e like me:

• ʻO ke koʻikoʻi koʻikoʻi - ʻike nui ʻia i ka wā kamaliʻi;
• He aie moe nui;
• ʻO ka nalowale o kahi mea aloha;
• Nalo a hoololi paha i ka hana;
• Ke neʻe nei.

Nā mea pili i ka ʻai ʻana i nā mea kikoʻī:

• Ka hoʻohana ʻana i ka cannabis i ka wā o ka wā ʻōpio a i ʻole ka wā ʻōpio;
• Ka hoʻohanaʻana i nā anabolic androgenic steroids (ASA) - nā mea hana doping ikaika no nā mea pāʻani);
• ʻO ka lawe ʻana i nā antidepressants tricyclic e like me desipramine, ka mea i ʻike ʻia e hoʻoulu i nā pōʻai wikiwiki a i ʻole manic a hypomanic episodes.

ʻO ka hope, ʻaʻole pono e hoʻopau ʻia nā kumu genetic. A ua hoʻonui ʻia ka pilikia o ka hoʻomohala ʻana i ka hypomania i ʻelima inā loaʻa i kekahi o kā mākou ʻohana degere mua.

ʻO ka Hyperactivity

ʻO ka Hypomania ke alakaʻi i ka pilikanaka, ʻoihana, kula a i ʻole ka moe kolohe a i ʻole ka hoʻonāukiuki - disorderly, pathological a maladaptive psychomotor hyperactivity.

ʻAʻohe pono

ʻO ka Hypomania ke kumu o ka nele o ka noʻonoʻo a me ka nānā. ʻO ka poʻe me ka hypomania he mea maʻalahi a hoʻohuli ʻia a / a i ʻole i nā mea hoʻoulu ʻia waho.

Ke kaʻa ʻana i ka nui o ka pilikia

Hoʻokomo nui ka hypomaniac i nā hana leʻaleʻa, akā hiki ke loaʻa i nā hopena pōʻino - no ka laʻana, hoʻomaka ke kanaka me ka ʻole o ke kūʻai ʻana me ka noʻonoʻo ʻole, ka moe kolohe ʻole a i ʻole nā ​​hoʻopukapuka ʻoihana kūpono ʻole.

Maʻi ʻaʻano Depressive

ʻO ka hoʻomaka pinepine ia o kahi maʻi depressive ma hope o kahi māhele o ka hyperactivity e hōʻoia i ka maʻi.

ʻO nā hōʻailona ʻē aʻe

• Hoʻonui i ka manaʻo ponoʻī a i ʻole nā ​​​​manaʻo nui;
• Hoʻonui;
• Euphoria;
• Hoʻemi ʻia ka manawa hiamoe me ka ʻole o ka luhi;
• ʻO ka makemake e ʻōlelo mau, kamaʻilio nui;
• Pakele i nā manaʻo: hele wikiwiki ka mea maʻi mai ka moa a i ka hoki;
• Huhū;
• ʻO nā manaʻo hoʻokiʻekiʻe a ʻino paha.

Hoʻohui pinepine ka mālama ʻana i ka hypomania i nā ʻano lāʻau lapaʻau.

Eia kekahi, i loko o ka pōʻaiapili o kahi hanana o ka hypomania kahi i ʻike ʻole ʻia ai ka hoʻololi ʻana i ka hana ʻoihana, nā hana pili kanaka, a i ʻole nā ​​pilina interpersonal, ʻaʻole pono ka halemai.

Hiki ke kuhikuhi ʻia ka lāʻau lapaʻau no nā manawa lōʻihi, mai ʻelua a ʻelima mau makahiki, a i ʻole no ke ola. Hiki i kēia lāʻau lapaʻau ke komo:

• He mea hoʻopaʻa i ka manaʻo –a i ʻole thymoregulator–, ʻaʻole ia he mea hoʻoikaika a hoʻomaha hoʻi, a ʻo nā mea nui 3 he lithium, valproate a me ka carbamazepine;
• ʻO kahi antipsychotic atypical (APA): olanzapine, risperidone, aripiprazole a me quetiapine.

Hoʻokumu ka noiʻi hou loa i ka manawa waena - ma luna o hoʻokahi a ʻelua paha makahiki - ʻo ka hui pū ʻana o kahi ʻano stabilizer me kahi APA he hoʻolālā therapeutic e hāʻawi i nā hopena maikaʻi aʻe ma mua o ka monotherapy.

E akahele naʻe, i ka wā o ka manawa mua o ka hypomania, ke kono nei ka ʻike o kēia manawa iā mākou e makemake i ka monotherapy, e kūʻē i kahi ʻilihune maikaʻi ʻole o ka hui ʻana o nā molekala.

Pono pū nā psychotherapies e mālama i ka hypomania. E haʻi kākou:

• Kōkua ka Psychoeducation i ka hoʻomohala ʻana i nā hoʻolālā hoʻoponopono a i ʻole ka pale ʻana i nā manic episodes ma ka hoʻoponopono ʻana i ka hiamoe, ka meaʻai a me ka hana kino;
• Nā lāʻau lapaʻau noʻonoʻo.

ʻO ka mea hope loa, ʻo ka ʻai maikaʻi ʻana, me nā huaʻai a me nā mea kanu, a me ka mālama ʻana i ke kaumaha e kōkua pū i ka hypomania.

Pono ka pale ʻana i ka hypomania a i ʻole ka hoʻi hou ʻana:

• E mālama i ke ola olakino;
• E hōʻalo i nā lāʻau antidepressants - ke ʻole ka hopena o ka lāʻau lapaʻau mua a ʻaʻole i hoʻokumu i kahi hoʻololi hypomanic hui pū ʻia, a i ʻole ke kaumaha ke ʻano i ka wā e hoʻōki ai i ka antidepressant;
• Hōʻalo i ka hoʻokomo ʻana o St. John's Wort, kahi antidepressant kūlohelohe;
• Mai ho'ōki i ka mālama ʻana - ʻo ka hapalua o ka hoʻihoʻi ʻana ma muli o ka hoʻōki ʻana i ka mālama ʻana ma hope o ʻeono mahina.