Ke luhi nei ʻoe i kekahi manawa i nā mea āpau, ʻaʻole makemake e hana i kekahi mea, a kaumaha wale nō? A i ʻole he ʻano kou e hopohopo a makaʻu paha no nā mea liʻiliʻi loa? Inā ʻaʻole e nalowale kēia mau mea ma hope o kekahi mau lā a hoʻomau, loaʻa paha iā ʻoe kahi maʻi e like me ke kaumaha a i ʻole ka hopohopo. ʻO kēia nā kūlana e ʻoi aku ma mua o ke kaumaha maʻamau a pono e mālama ʻia. I kēia lā ke kamaʻilio nei mākou e pili ana i nā antidepressants, kahi ʻano lāʻau lapaʻau a nā kauka e ʻōlelo pinepine ai no ia mau pilikia olakino noʻonoʻo.
He aha kēia mau mea antidepressants?
I ka ʻōlelo maʻalahi, ʻo nā antidepressants kahi ʻano lāʻau lapaʻau i hoʻohana ʻia e mālama i nā kūlana olakino noʻonoʻo e like me ke kaumaha, ka hopohopo, a me ka maʻi kaumaha post-traumatic (PTSD). Hoʻohana ʻia hoʻi lākou i kekahi manawa e mālama i kekahi mau maʻi ʻai, ka ʻeha mau, a me ka insomnia.
ʻOi aku ka kaumaha ma mua o ka manaʻo kaumaha wale nō. He ʻano mau ia e hoʻopilikia ai i kou ʻano, kou mau manaʻo, kou ikaika, a me kou hoihoi i ka hana ʻana i nā mea. E nalowale paha kou hoihoi i nā mea āu i hauʻoli ai. E pilikia paha ʻoe i ka hoʻomanaʻo ʻana i nā mea, ka ʻai pono ʻana, a me ka hiamoe maikaʻi.
ʻO ka mea nui, ʻo kēia mau lāʻau lapaʻau e hōʻemi wale i kāu mau hōʻailona (e like me ke kaumaha a me ka luhi), akā ʻaʻole lākou e hoʻopau i ke kumu nui o ka maʻi. ʻO ia ke kumu e paipai pinepine ai nā kauka i ka psychotherapy, ʻo ia hoʻi ka talk therapy, me kēia mau lāʻau lapaʻau.
He aha nā kūlana e hoʻohana ʻia ai kēia lāʻau lapaʻau?
Ua ʻāpono nā kauka a puni ka honua i kēia mau lāʻau antidepressant no nā kūlana ma lalo nei.
| Ke kūlana maʻi | He wehewehe maʻalahi |
|---|---|
| Kaumaha a me nā kūlana pili | Nā kūlana e like me ka Major Depressive Disorder. |
| Nā maʻi hopohopo | Nā mea e like me ka Generalized Anxiety Disorder a me ka Social Anxiety Disorder. |
| Maʻi Bipolar | He kūlana o nā loli nui o ka naʻau. |
| Ka maʻi hoʻopilikia-koʻikoʻi (OCD) | Nā manaʻo a me nā hana i makemake ʻole ʻia e hana hou ʻia mai ana mai iā lākou. |
| Ka maʻi hopohopo | Ka makaʻu nui koke a me nā hōʻailona kino. |
| Ka maʻi hoʻoluhi ma hope o ka trauma (PTSD) | ʻO ke kūlana noʻonoʻo e kū mai ana ma hope o kahi hanana traumatic. |
| Nā maʻi ʻai | Nā kūlana e like me Bulimia Nervosa. |
| Nā kūlana ʻē aʻe | ʻEha mau loa, Fibromyalgia, ʻEha nerve e pili ana i ka maʻi diabetes, a me ka maʻi premenstrual dysphoric (PMDD). |
Eia kekahi, i kekahi manawa hiki i ke kauka ke kuhikuhi i kahi lāʻau lapaʻau no kahi kūlana i ʻae ʻole ʻia. Ua kapa ʻia kēia ʻo "off-label use." No ka laʻana, ua kuhikuhi ʻia kekahi mau antidepressants kahiko no ka insomnia a i ʻole migraines.
He aha nā ʻano nui o nā antidepressants?
Aia kekahi mau ʻano nui, a i ʻole nā māhele, o kēia mau lāʻau lapaʻau. Hana kēlā me kēia o lākou ma ke ʻano ʻokoʻa iki.
| ʻAno lāʻau lapaʻau | He maʻalahi ke ʻano o kāna hana. |
|---|---|
| Nā SSRI (Nā mea pale i ka hoʻihoʻi hou ʻana o ka serotonin koho) | Hana kēia mau mea ma ka hoʻonui ʻana i ka kemika i loko o kou lolo i kapa ʻia ʻo serotonin, ka mea e kaohi ana i ko kākou ʻano. ʻO kēia nā mea i hoʻohana pinepine ʻia. |
| Nā SNRI (Serotonin-Norepinephrine Reuptake Inhibitors) | Hoʻonui kēia i ka serotonin a me kahi kemika i kapa ʻia ʻo norepinephrine, kahi e kōkua ai i ka naʻau, ke kaumaha, a me ka makaʻala. |
| Nā lāʻau hoʻohaʻahaʻa kaumaha Tricyclic | Hoʻonui pū kēia i nā kemika ʻelua i ʻōlelo ʻia ma luna. Eia nō naʻe, ʻoiai he mau lāʻau lapaʻau kahiko kēia, he mau hopena ʻaoʻao hou aʻe ko lākou. |
| Nā MAOI (Nā mea pale Monoamine Oxidase) | Hoʻopaʻa kēia i kahi enzyme e wāwahi i nā kemika i loko o ka lolo, e hoʻonui ana i nā pae o kēlā mau kemika. He ʻano kahiko nō hoʻi kēia. |
| Nā ʻano ʻē aʻe (Nā Antidepressants Atypical) | ʻO nā lāʻau lapaʻau hou ʻaʻole i pili i nā māhele i luna a hana ʻokoʻa ma lalo o kēia māhele. |
I ka manawa pinepine, e hoʻomaka mua ke kauka me kahi lāʻau SSRI, no ka mea, he emi iki ko lākou hopena ʻaoʻao ma mua o nā ʻano ʻē aʻe.
Pehea e hana maoli ai kēia lāʻau lapaʻau?
I mea e hoʻomaopopo ai i kēia, pono kākou e ʻike iki e pili ana i ka lolo. ʻO nā neurotransmitters he mau ʻelele kemika a nā hunaola nerve i loko o ko kākou lolo e hoʻohana ai e kamaʻilio pū kekahi me kekahi. ʻO Serotonin a me norepinephrine kekahi mau kemika. I nā kūlana e like me ke kaumaha, hoʻopilikia ʻia ke kaulike o kēia mau kemika.
Hana nā antidepressants ma ke kāohi ʻana i kēia mau kemika a hoʻihoʻi i ko lākou kaulike, hiki ke hoʻomaikaʻi i kou ʻano a me kou ʻano.
Eia kekahi, ke hoʻomau ʻoe i ka lawe ʻana i kēia lāʻau lapaʻau, hiki i ka lolo ke hana i nā pilina hou ma waena o nā hunaola nerve. Ua like ia me ka uhi ʻana i kahi alanui kahiko a piha i nā lua a me ke kūkulu ʻana i kahi alanui hou a ʻoi aku ka maikaʻi. Kāhea mākou i kēia he neuroplasticity. Hiki i kēia ke alakaʻi i nā hoʻomaikaʻi mau loa i kou ʻano i ka hala ʻana o ka manawa.
Pehea e pono ai iaʻu ke hoʻohana i kēia lāʻau lapaʻau?
ʻO ka maʻamau, loaʻa kēia mau lāʻau lapaʻau ma ke ʻano pila. Ke hoʻomaka ʻoe e lawe iā lākou, e hoʻomaka pinepine kāu kauka iā ʻoe ma ka mahele haʻahaʻa loa. A laila, e nānā mau lākou iā ʻoe a hoʻonui mālie i ka mahele inā pono.
ʻO ka mea nui, ʻaʻole kēia e like me ka lawe ʻana i kahi pila paracetamol. Hiki ke hala i kekahi mau pule, malia paha he mahina a ʻelua paha, no ka hana ʻana o ka lāʻau a e ʻoluʻolu ʻoe. No laila pono ʻoe e hoʻomanawanui.
Ke hoʻomaka ʻoe e ʻoluʻolu, pono ʻoe e hoʻomau i ka lawe ʻana i ka lāʻau lapaʻau e like me ke kuhikuhi ʻana no ka lōʻihi o ka manawa a kāu kauka e ʻōlelo ai iā ʻoe. Mai hoʻōki koke i ka lawe ʻana i ka lāʻau lapaʻau no ka mea ua ʻoluʻolu ʻoe. ʻO ka hana ʻana pēlā e hōʻike ai i nā hōʻailona maikaʻi ʻole (e like me ke kuni, ka poniuniu, a me ka hiamoe ʻole). No laila, inā ʻoe e hoʻōki i ka lawe ʻana i ka lāʻau lapaʻau, pono ʻoe e hana pēlā e like me nā kuhikuhi a kāu kauka, e hoʻēmi mālie ana i ka nui.
Pehea e koho ai au i ka lāʻau lapaʻau kūpono noʻu?
ʻAʻole kēia he mea āu e hoʻoholo ai iā ʻoe iho. Na kāu kauka e koho i ka lāʻau lapaʻau kūpono loa iā ʻoe. E noʻonoʻo ʻo ia i kekahi mau mea.
- ʻO kāu mau hōʻailona: Ke kaumaha nui nei ʻoe? Hopohopo? Hiamoe ʻole?
- Nā hopena ʻaoʻao paha: Hoʻoulu kekahi mau lāʻau lapaʻau i ka hiamoe, aʻo kekahi e hoʻonui i ke kaumaha.
- Inā paha e launa pū me nā lāʻau lapaʻau ʻē aʻe āu e lawe nei: Hiki i kēia ke launa pū me nā lāʻau lapaʻau ʻē aʻe.
- Nā maʻi ʻē aʻe āu i loaʻa ai: Inā he mau maʻi ʻē aʻe kāu e like me ka maʻi puʻuwai a i ʻole ka maʻi diabetes, e noʻonoʻo ʻia nō hoʻi lākou.
E noʻonoʻo i ia mea, inā ʻoe e hoʻolālā ana e loaʻa kahi pēpē, e haʻi aku i kāu kauka e pili ana i ia mea. No ka mea, aia nā lāʻau lapaʻau palekana i ka wā hāpai. No laila he mea nui loa ia e kūkākūkā i kāu mau kikoʻī āpau me kāu kauka.
I kekahi manawa, ʻaʻole paha e hana pono ka lāʻau lapaʻau mua i hāʻawi ʻia iā ʻoe. Inā hana ia, mai hopohopo. He mea maʻamau kēlā. Hiki iā ʻoe ke kamaʻilio me kāu kauka a hoʻololi i ka nui o ka lāʻau a hoʻololi paha i kahi lāʻau lapaʻau ʻē aʻe.
He aha nā hopena ʻaoʻao o nā antidepressants?
E like me nā lāʻau lapaʻau āpau, hiki i kēia lāʻau lapaʻau ke loaʻa nā hopena ʻaoʻao. Eia nō naʻe, i ka hapa nui o ka manawa, ʻaʻole koʻikoʻi kēia mau mea a e emi iho i ka hala ʻana o ka manawa ke hoʻomau ʻoe i ka hoʻohana ʻana i ka lāʻau lapaʻau. ʻO kekahi o nā hopena ʻaoʻao maʻamau:
- Ka luaʻi
- Waha maloʻo
- Hiamoe a hiamoe ʻole paha
- Pōʻino
- ʻEha poʻo
- Ua emi ka makemake moekolohe
- Piʻi ke kaumaha
- Ka hou ʻana
Inā ʻoe e hopohopo nei e pili ana i kekahi o kēia mau hopena ʻaoʻao, e haʻi i kāu kauka e pili ana i ia mea.
He pilikia kūikawā e makaʻala ai
Aia kekahi mea kūikawā e pono ai mākou e kamaʻilio e pili ana ma ʻaneʻi. Aia kahi pilikia liʻiliʻi e hoʻonui paha nā manaʻo pepehi kanaka ke hoʻomaka kekahi ma lalo o 24 mau makahiki e lawe i kēia lāʻau lapaʻau, ʻoiai i nā pule mua. ʻAʻole kēia e hana i nā mea āpau, akā he mea nui e makaʻala i kēia a e haʻi koke i kāu kauka a ʻohana paha inā loaʻa iā ʻoe kēia mau manaʻo.
Nā pilikia e hiki mai ana mai ka lawe ʻana i kēia lāʻau lapaʻau
Lawe ka hapa nui o ka poʻe i kēia lāʻau lapaʻau me ka ʻole o nā pilikia, akā he mea maikaʻi ke makaʻala i kekahi mau kūlana koʻikoʻi e hiki ke kū mai i nā hihia kakaikahi.
| Ka pilikia | Nā mea e pono ai ʻoe e ʻike |
|---|---|
| ʻO ka maʻi Serotonin | He mea kākaʻikahi loa kēia, akā he koʻikoʻi. Hana ʻia ia ke nui loa ka serotonin i loko o ke kino. Hiki i nā hōʻailona ke komo pū me ka huikau, ka ʻoʻoleʻa o nā ʻiʻo, ke kuni nui, a me nā hopu ʻana. |
| ʻO ka maʻi hoʻōki | Inā ʻoe e hoʻōki koke i ka lawe ʻana i ka lāʻau lapaʻau, hiki iā ʻoe ke loaʻa i ke kuni, ka poniuniu, ka hiamoe ʻole, a me nā loli o ke ʻano. |
| Overdose | ʻO ka lawe ʻana i nā lāʻau lapaʻau ma mua o ka mea a kāu kauka e ʻōlelo ai hiki ke hoʻoweliweli i ke ola. Inā manaʻo ʻoe ua lawe nui ʻoe i nā lāʻau lapaʻau, e hele koke i ka Emergency Department (ETU) o ka haukapila kokoke loa. |
Hiki iā ʻoe ke lilo i mea hoʻohui i nā antidepressants?
ʻAʻole. He nīnau kēia a ka poʻe he nui e nīnau ai. ʻAʻole hoʻopili kēia mau lāʻau lapaʻau. Eia naʻe, e like me ka mea i ʻōlelo ʻia ma luna, inā ʻoe e hoʻōki koke i ka lawe ʻana iā lākou, pono ʻoe e hana pēlā e like me ke kuhikuhi a kāu kauka.
Āhea ʻoe e ʻimi ai i ka mālama ulia pōpilikia?
- Inā ʻike ʻoe i nā hōʻailona o ka serotonin syndrome (ke kuni kiʻekiʻe, ka hopu ʻana, ka huikau) a i ʻole ke manaʻo nei he overdose, e hele koke i ka lumi pilikia haukapila kokoke loa (ETU) .
- Inā he manaʻo kou e pepehi iā ʻoe iho, mai noho mehameha. E kamaʻilio koke me kahi mea āu e hilinaʻi ai (he lālā o ka ʻohana, he hoaaloha, he kauka). A i ʻole, hiki iā ʻoe ke ʻimi i ke kōkua mai kahi hui e like me Sumithrayo ma Sri Lanka. Ua mākaukau lākou e hoʻolohe a kōkua iā ʻoe. He mea waiwai nui kou ola.
Hiki i nā lāʻau antidepressants ke kōkua maoli i nā manaʻo o ka hopohopo a me ka manaʻolana ʻole. Akā, he manawa ko lākou. Pono ʻoe e hāʻawi i kou lolo i ka manawa e hoʻokumu hou i kēlā kaulike.
E hana pū me kāu kauka e ʻimi i ka lāʻau lapaʻau kūpono nāu. He hana kēia. Pono paha ʻoe e hana i nā hoʻololi ma ke ala. Inā loaʻa iā ʻoe kekahi ʻoluʻolu ʻole a i ʻole nā hopena ʻaoʻao, e kamaʻilio e pili ana iā lākou. A laila hiki iā ʻoe ke hana i nā hoʻololi e pono ai e loaʻa nā hopena maikaʻi loa.
Leka Lawe-Home
- ʻO nā lāʻau antidepressants he mau lāʻau i hāʻawi ʻia e mālama i nā maʻi noʻonoʻo e like me ke kaumaha a me ka hopohopo, ʻaʻole wale kahi mea e lawe ai no ke kaumaha.
- He 4-8 mau pule ka lōʻihi e hana ai kēia mau mea a e ʻike ʻoe i nā hopena; no laila e hoʻomanawanui a hoʻomau i ka lāʻau lapaʻau.
- Mai hoʻomaka, hoʻōki, a hoʻololi paha i ka nui o ka lāʻau lapaʻau me ka ʻole o ke aʻo a kāu kauka.
- Inā hoʻopilikia nā hopena ʻaoʻao iā ʻoe a i ʻole ʻaʻole hoʻomaikaʻi kāu mau hōʻailona, e kamaʻilio me kāu kauka e pili ana i ia mea.
- ʻAʻole hoʻopilikia kēia lāʻau lapaʻau.
- No ka hoʻokō ʻana i nā hopena maikaʻi loa, he mea nui loa ka hoʻohana ʻana i ka ʻōlelo aʻoaʻo me ka lāʻau lapaʻau.
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