Ke manaʻo nei anei ʻoe he hana luhi nā mea āu i hauʻoli ai ma mua, e like me ke kamaʻilio ʻana me nā hoaaloha, ka hoʻolohe ʻana i kahi mele maikaʻi, a i ʻole ka ʻai ʻana i kahi meaʻai ʻono? Ke manaʻo nei ʻoe he hakahaka a ʻaʻole hiki ke loaʻa ka hauʻoli a i ʻole ka leʻaleʻa i kekahi mea o ke ola? Inā pēlā, ʻaʻole ʻoe hoʻokahi. He maʻi olakino noʻonoʻo kēia e hoʻopilikia ana i nā poʻe he nui akā ʻaʻole i kamaʻilio nui ʻia. E kamaʻilio kākou e pili ana i kēia lā.
I ka ʻōlelo maʻalahi, he aha ka anhedonia?
ʻO Anhedonia ka wā ʻaʻole mākou e loaʻa hou i ka leʻaleʻa mai nā ʻike i lawe mai iā mākou i ka hauʻoli, ka leʻaleʻa, a i ʻole ka ʻoluʻolu. He mea maʻamau ka loli ʻana o ko mākou makemake i ka hala ʻana o ka manawa. Akā, he ʻokoʻa ka anhedonia. ʻO ka mea e hana ʻia ma ʻaneʻi, ʻo ia ka nalowale ʻana o ka nui o ka leʻaleʻa mai nā mea āu i hauʻoli ai.
ʻElua ʻano nui o kēia:
- ʻAnedonia Pilikanaka: ʻO kēia ka wā e nalowale ai kou makemake e hoʻolilo manawa me nā poʻe ʻē aʻe, e like me nā hoaaloha a me ka ʻohana. Hoʻomaka ka noho pū ʻana me nā kānaka e like me ke kaumaha a me ke kaumaha.
- ʻAnedonia Kino: ʻO kēia ka wā e nalowale ai ka leʻaleʻa mai nā manaʻo kino. No ka laʻana, ʻaʻole leʻaleʻa ka ʻai ʻana i kahi meaʻai ʻono, ka honi ʻana i kahi ʻala, ka hoʻolohe ʻana i ke mele, a i ʻole ka moekolohe.
E noʻonoʻo, ke pāʻani nei kahi mele āu i hauʻoli nui ai i kēia lā, akā ʻaʻohe ou manaʻo. He leo wale nō ia. ʻO ia ke ʻano o ka anhedonia.
He aha ke ʻano o ka anhedonia?
ʻO ka mea nui a kekahi e ʻike nei i ka anhedonia e manaʻo ai ʻo ia ka "ʻole." Me he mea lā he hakahaka kahi e pono ai nā manaʻo. Me he ao ʻeleʻele lā e kau ana ma luna o kou poʻo, e ālai ana i ka lā. Hiki i kēia ke manaʻo penei:
- Mālie: He ʻano o ka ʻike ʻole ʻana i kekahi mau manaʻo, e like me ka hauʻoli a me ke kaumaha.
- Luhi: He manaʻo o ka luuluu i nā mea āpau a me ka ʻole o ka hoihoi i kekahi mea.
- ʻAʻohe ona manaʻo: Ka nele o ka hoʻoikaika a i ʻole ka ikaika e hana i kekahi mea.
- Manaʻo maikaʻi ʻole: Ka noʻonoʻo maikaʻi ʻole i nā mea āpau.
Eia kekahi, hiki iā ʻoe ke loaʻa nā pilikia hiamoe . Hiki i kēia ke hoʻopilikia pololei i kou ʻano a me kou hiki ke hana i ke ao. Hiki iā ia ke lilo i kumu o ka emi ʻana o ka libido .
E paʻakikī paha iā ʻoe ke hoʻolilo manawa me nā poʻe ʻē aʻe. Manaʻo paha ʻoe ʻaʻohe āu mea e hāʻawi aku ai ma ke ʻano o ke aloha, ke aloha, a i ʻole ka mahalo. Hiki i kēia ke alakaʻi i ka noho kaʻawale ʻana o ka lehulehu a i ʻole ka maʻi hopohopo pili kanaka.
| Kūlana | ʻO ke ʻano maʻalahi |
|---|---|
| ʻAnedonia | Ke hiki ʻole ke loaʻa ka leʻaleʻa a i ʻole ka hauʻoli mai kekahi mea. |
| Hoʻowahāwahā | Ka nele i ka ikaika a i ʻole ka hoʻoikaika e hana i kekahi mea. |
He aha ke kumu o ka anhedonia?
ʻAʻole ʻo Anhedonia he maʻi i loko ona iho. He hōʻailona ia o kahi maʻi ʻē aʻe. ʻO ke ʻano kēia, kū mai ia ma muli o kahi kumu kumu. ʻO nā kūlana nui e hiki ai ke hoʻoulu i ka anhedonia:
- Kaumaha ʻO ka maʻi schizophrenia
- Maʻi Bipolar
- Ka maʻi hoʻohana ʻona
- Ka maʻi o Parkinson
- Ka maʻi hoʻoluhi ma hope o ka trauma (PTSD)
- ʻEha lolo traumatic
He aha ka mea e hana nei ma ke ʻano ʻepekema?
Ke noiʻi ʻia nei kēia. Akā, ʻo ka manaʻo o kēia manawa, ʻo ia ka emi ʻana o ka hana o ka ʻāpana o ko kākou lolo i kapa ʻia ʻo ke 'kikowaena leʻaleʻa'. Loaʻa i kēia kikowaena a hana i ka 'hormone hauʻoli' i kapa ʻia ʻo dopamine . Inā hoʻopilikia ʻia ka hana o kēia ʻōnaehana dopamine no kekahi kumu, ʻaʻole mākou e hauʻoli a māʻona. ʻO kēia ka mea e hana ʻia ma ka anhedonia.
Pehea e ʻike ʻia ai a mālama ʻia ai kēia maʻi?
Inā loaʻa iā ʻoe kēia mau hōʻailona, pono ʻoe e ʻike i ke kauka . E hoʻāʻo ke kauka e ʻike i ke kūlana ma ka nīnau ʻana iā ʻoe i nā nīnau e pili ana i kou mau manaʻo a me kou ʻano. E hana pū lākou i kahi hoʻokolokolo kino e nānā i nā kumu ʻē aʻe.
Ma muli o ka pili ʻana o ka anhedonia me nā kūlana e like me ke kaumaha, hiki i kāu kauka ke paipai i kekahi mau hoʻāʻo koko. Eia kekahi laʻana:
- Nā hemahema o ka wikamina (ʻoi aku ka wikamina D)
- Nā hemahema o ka hormone thyroid (Hypothyroidism)
He aha nā lāʻau lapaʻau?
ʻAʻohe lāʻau lapaʻau kūikawā no ka anhedonia. Hoʻāʻo nā kauka e ʻike a mālama i ke kūlana kumu e hoʻokumu ai. Ke hoʻomaikaʻi ʻia kēlā kūlana, nalowale mālie nā hōʻailona o ka anhedonia. ʻO nā koho lapaʻau e komo pū me:
- Nā lāʻau lapaʻau: Nā lāʻau lapaʻau e like me nā antidepressants, ʻoi aku hoʻi nā SSRIs.
- Kūkākūkā: ʻOi aku nā ʻano hana e like me ka Cognitive Behavioral Therapy (CBT).
- Nā lāʻau lapaʻau ʻē aʻe: I kekahi mau hihia, hiki i nā kauka ke ʻōlelo i nā lāʻau lapaʻau kikoʻī e like me ka electroconvulsive therapy (ECT) a i ʻole Transcranial Magnetic Stimulation (TMS).
ʻO ka mea nui loa, ʻo ia ka hahai ʻana i nā ʻōlelo a kāu kauka. I kekahi manawa pono ʻoe e hoʻohui i ka lāʻau lapaʻau a me ke aʻo ʻana. Inā loaʻa iā ʻoe kekahi mau hopena ʻaoʻao, ʻoiai nā manaʻo pepehi kanaka, i ka wā e hoʻomaka ai i kahi lāʻau hou, pono ʻoe e haʻi koke i kāu kauka.
He aha nā pilikia inā ʻaʻole mālama ʻia?
Inā ʻaʻole mālama ʻia ka anhedonia a me ke kumu kumu e kumu ai, hiki iā ia ke loaʻa ka hopena koʻikoʻi i kou olakino noʻonoʻo a me ke kino.
- Ka hoʻonui ʻia ʻana o nā kūlana e like me ka Major Depressive Disorder.
- Ka hoʻokaʻawale piha ʻana mai ke kaiāulu.
- Hoʻonui ʻia ka hopohopo.
- Ka paʻakikī i ka mālama ʻana i nā pilina.
- Nā manaʻo pepehi kanaka.
- Ka nalowale ʻana o ka ikehu o ke kino a me ka luhi mau.
- Ka ʻai pono ʻole ma muli o ka nele i ka makemake.
He mea nui loa: Inā loaʻa iā ʻoe nā manaʻo pepehi kanaka i kēlā me kēia manawa, mai ʻeha hoʻokahi. E ʻike koke i kāu kauka a i ʻole e hele i ka Emergency Department (ETU) o ka haukapila kokoke loa iā ʻoe. Nui ka poʻe e hiki ke kōkua iā ʻoe.
Leka Lawe-Home
- ʻAʻole wale ka Anhedonia he luhi a nele paha i ka hoihoi. He nalowale ia o ka hiki ke ʻike i ka leʻaleʻa i ke ola.
- He hōʻailona pinepine kēia o kekahi maʻi noʻonoʻo a kino paha, e like me ke kaumaha.
- ʻAʻole e nalowale kēia maʻi iā ia iho, akā me ka mālama kūpono, hiki ke ho'ōla loa ʻia.
- Inā loaʻa iā ʻoe a i ʻole kekahi āu i ʻike ai kēia mau hōʻailona, mai hilahila a makaʻu paha e ʻike i ke kauka no ka ʻōlelo aʻo. ʻO ka wikiwiki o kou loaʻa ʻana o ke kōkua, ʻo ka wikiwiki o kou hoʻōla ʻana.
👩🏽⚕️ Nā nīnau hou aku (FAQs)
💬 He aha ke ʻano o ka maʻi noʻonoʻo weliweli ʻo Anhedonia?
ʻAʻole kēia he kaumaha/hoʻohoka wale nō! ʻO 'Anhedonia' ka 'hiki ʻole ke ʻike i ka leʻaleʻa' i loaʻa iā ʻoe mai nā mea āu i makemake nui ai e hana i kou ola (e like me ka hauʻoli, ka hoʻolohe ʻana i ke mele, ka moekolohe, ka leʻaleʻa me nā hoaaloha, ka ʻai ʻana i ka meaʻai) ʻaʻole ʻoe e manaʻo hou i ka 100% o ka manawa, a he maʻi noʻonoʻo koʻikoʻi loa ia e manaʻo ai ʻoe ʻaʻohe hauʻoli/manaʻo i kekahi mea i ke ola!
💬 He aha nā kumu nui e nalowale koke ai ka poʻe i ka 100% o ko lākou hauʻoli i ke ola (Anhedonia)?
ʻO ke kumu nui o kēia, ʻo ia ka haki/hoʻopau piha ʻana o ka ʻōnaehana kemika i kapa ʻia ʻo 'Dopamine reward system' i loko o ko kākou lolo, ka mea e hoʻoulu ai i ka leʻaleʻa! Hana pinepine kēia i loko o, 1) Major Depressive Disorder (Depression). 2) Schizophrenia (ʻAʻohe manaʻo o kēia mau maʻi ma ko lākou mau helehelena). 3) Ka haʻalele ʻana i ka hoʻohana ʻana i nā lāʻau lapaʻau paʻakikī (Heroin/Meth). 4) Ka ʻeha o ka lolo ma muli o ke kaumaha (Chronic stress / PTSD).
💬 No ke aha he mea ʻino ke waiho wale i kekahi/ma ka home me ka ʻole o ka hauʻoli i ke ola (Anhedonia)? Hiki ke ho'ōla ʻia kēia?
ʻO ka pōʻino nui loa a make loa, ʻo ia ka wā e nalowale ai ʻoe i ka hauʻoli a pau i ke ola, ʻo ka leka aʻe e hiki mai ana i kou lolo ʻo ia ka 'ʻAʻohe kumu o ke ola ʻana, e Marian (High risk of Suicide)'! Ma muli o kēia, ʻaʻole hiki ke ʻōlelo i ka wā e pepehi ai kēia poʻe iā lākou iho. He kūlana kēia e hiki ke ho'ōla ʻia 100% me ka lāʻau lapaʻau (Antidepressants / Therapy / rTMS) a hiki iā ʻoe ke lilo i kanaka hauʻoli āu i noho ai ma mua, no laila pono ʻoe e ʻike koke i kahi kauka noʻonoʻo!











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