Ke lohe nei ʻoe i nā leo i hiki ʻole i kekahi ke lohe? (Audiotory Hallucinations) - E kamaʻilio kākou e pili ana i kēia

Ke lohe nei ʻoe i kekahi e kamaʻilio ana i ka wā ʻaʻohe mea a puni? A i ʻole ke lohe nei ʻoe i nā leo like ʻole, nā mele, a pēlā aku? Inā ua loaʻa iā ʻoe kēia ʻike, mai hopohopo. ʻAʻole ʻoe hoʻokahi. Ua kapa ʻia kēia ʻano ma ke ʻano lapaʻau ʻo auditory hallucinations . ʻO kēia ka manawa āu e manaʻo ai e lohe ana ʻoe i kahi leo ʻoiai ʻaʻohe leo. I kēia lā, e kamaʻilio mākou e pili ana i kēia me nā kikoʻī a me ka maʻalahi.

Pehea ke ʻano maoli o kēia leo?

Hiki ke ʻokoʻa loa nā leo āu e lohe ai mai kēlā kanaka a i kēia kanaka. Me he mea lā e puka mai ana mai kou mau pepeiao mai, mai loko mai o kou poʻo, a i ʻole mai ke kaiapuni a puni ʻoe. Hiki ke hana ʻia kēia i ka lā holoʻokoʻa, a i ʻole hoʻokahi a ʻelua paha manawa o ka lā.

Hiki ke puʻunaue nui ʻia kēia mau mea i ʻelua ʻano.

He mea maʻamau anei ka lohe ʻana i nā walaʻau e like me kēia?

E hoʻomaopopo pono i kēia. ʻAʻole kēia he hōʻailona mau o ka maʻi.

• Nā Manaʻo Hypnogogic: Inā lohe ʻoe i nā leo like ʻole i kou kokoke ʻana e hiamoe, he mea maʻamau paha ia. ʻAʻohe mea e hopohopo ai.
• Nā Hallucinations Hypnopompic: He mea maʻamau nō hoʻi ke lohe i nā leo i ke ala ʻana mai ka hiamoe ma mua o ka loaʻa hou ʻana o ka ʻike piha.

He aha paha ke kumu o kēia?

Aia kekahi mau kumu kūpono no kēia. He manawa pōkole kekahi, he lōʻihi kekahi. Wahi a nā kānaka ʻepekema, hiki ke hana ʻia e ka pūnaewele lohe i loko o ko kākou lolo e hana koke ana me ke kumu ʻole, a i ʻole ma muli o ke kaulike ʻole o nā neurotransmitters e like me ka dopamine a me ka serotonin i loko o ka lolo.

Eia kekahi o nā kumu nui:

1. Nā pilikia olakino noʻonoʻo

Schizophrenia : ʻO kēia ke kumu nui. Ma kahi o 75% o ka poʻe me ka schizophrenia e lohe i nā leo ma kēia ʻano. He kūlana kēia o ka hoʻokaʻawale ʻana mai ka ʻoiaʻiʻo.
• Maʻi Bipolar: Ma waena o 20% -50% o ka poʻe me kēia maʻi e ʻike paha i kēia.
• ʻO ka maʻi kaumaha ma hope o ka trauma (PTSD): Hiki ke ʻike ʻia kēia ʻano ma kahi o 40% o ka poʻe i loaʻa i ka trauma koʻikoʻi.
• Ka Maʻi Hopohopo a me ke Kaumaha Nui: Hiki ke hana ʻia nā hallucinations auditory i kekahi manawa me kēia mau kūlana.

2. Ka hemahema o ka lohe

ʻO ka poʻe me ka nalowale o ka lohe, ʻoiai i ko lākou ʻelemakule ʻana, he 16% ka manawa e loaʻa ai kēia maʻi. ʻO Tinnitus, kahi kani mau i nā pepeiao, hiki ke pili pū me kēia maʻi. ʻO ka nui o ka nalowale o ka lohe, ʻo ka nui o ka hiki ke loaʻa i kēia mau hallucinations.

3. Nā maʻi o ka ʻōnaehana nerve

• nā maʻi e pili ana i ka hiamoe (e.g., narcolepsy , insomnia)
• ka maʻi o Parkinson
• Hahau
• Migraine
• Nā puʻupuʻu lolo a i ʻole nā ​​​​​​ʻeha

4. Nā kumu manawa pōkole ʻē aʻe

• Ka hoʻohana ʻana i ka waiʻona a me nā lāʻau lapaʻau
• ʻO ka hiamoe ʻole nui
• Pōloli nui
• Ma ke ʻano he hopena ʻaoʻao o kekahi mau lāʻau lapaʻau i kuhikuhi ʻia
• Ke kaumaha nui a i ʻole ke kaumaha nui, e like me ka make ʻana o kahi mea aloha
• Nā maʻi e like me nā maʻi ʻaʻai mimi (UTI), ʻoi aku hoʻi i ka poʻe ʻelemakule
• I ka wā e ola hou ai mai ka anesthesia ma hope o ke ʻoki ʻana

He aha nā lāʻau lapaʻau no kēia?

Aia ka lāʻau lapaʻau i ke kumu. Inā he manawa pōkole ke kumu, e like me ka hiamoe ʻole a i ʻole ka pōloli, e pau ka walaʻau ke pau ke kumu.

Eia nō naʻe, inā he ʻāpana kēia o kahi maʻi lōʻihi, pono ka mālama lapaʻau.

• Lāʻau lapaʻau:
• Nā lāʻau antipsychotics: I nā kūlana e like me ka schizophrenia, hiki i kēia mau lāʻau lapaʻau ke hōʻemi i ke alapine a me ke koʻikoʻi o ka lohe ʻana i nā leo. No ka laʻana, he maikaʻi loa ka lāʻau Clozapine , akā pono e hoʻohana ʻia ma lalo o ka nānā ʻana o ke kauka ma muli o kona mau hopena ʻaoʻao.
• Nā lāʻau lapaʻau psychotropic ʻē aʻe: Hiki ke hoʻomalu ʻia kēia mau hōʻailona me nā lāʻau lapaʻau i hāʻawi ʻia no nā kūlana e like me ke kaumaha a i ʻole ka maʻi bipolar.

• Hoʻōla Manaʻo / Hoʻōla Kamaʻilio:

He mea nui loa ke aʻo ʻana me ka lāʻau lapaʻau. E kōkua kēia iā ʻoe e ola me ke kūlana, e hoʻokele iā ia, a lanakila i kou makaʻu iā ia.

• Lapaʻau Hana Noʻonoʻo (CBT): Kōkua kēia iā ʻoe e hoʻololi i ke ʻano āu e nānā ai i nā leo āu e lohe ai a aʻo e kaohi iā lākou.
• ʻO ka ʻae ʻana a me ka hoʻokō ʻana (ACT): Pili kēia i ka ʻae ʻana i ka ʻoiaʻiʻo e lohe ana ʻoe i kēia mau leo ​​a hāʻawi iā ʻoe iho i ka ikaika e neʻe ai i kāu mau pahuhopu ola.
• ʻO ka Hallucination-Focused Integrative Treatment (HIT): He ʻano lapaʻau kēia i manaʻo kūikawā ʻia no ka lohe ʻana i nā leo.

He aha kaʻu e hana ai e kāohi i kēia?

Ma waho aʻe o nā lāʻau lapaʻau a kāu kauka e hāʻawi ai iā ʻoe, aia kekahi mau mea hiki iā ʻoe ke hana.

• Hoʻohilahila: Ke hoʻomaka ʻoe e lohe i nā walaʻau, e kau i nā headphone a hoʻolohe i kahi mele, hoʻoikaika kino, kuke i kahi mea āu e makemake ai, a i ʻole e komo i kahi hana leʻaleʻa ʻē aʻe.
• Nā Pūʻulu Kākoʻo: ʻO ka hui ʻana me kahi hui o ka poʻe i loaʻa nā ʻike like me kāu hiki ke lilo i kumu ikaika nui.
• Ke kāohi nei: Hoʻowahāwahā kekahi poʻe i nā leo a lākou e lohe ai. Hoʻāʻo kekahi e kāohi iā lākou ma ka haʻi ʻana iā lākou i loko o ko lākou noʻonoʻo e "hoʻōki i ke kamaʻilio ʻana."
• He nohona olakino: He mea nui nā mea e like me ka lawa ʻana o ka hiamoe, ka pale ʻana i ka waiʻona/lāʻau lapaʻau, a me ka ʻai ʻana i ka meaʻai kaulike.

Āhea wau e ʻike ai i ke kauka?

ʻO kēia ka ʻāpana koʻikoʻi loa.

ʻOi loa aku inā ʻo nā leo āu e lohe nei e haʻi ana iā ʻoe e hōʻeha iā ʻoe iho a i ʻole kekahi mea ʻē aʻe, he pilikia ia. I kēlā hihia, e ʻimi koke i ke kōkua lapaʻau.

Inā ʻeha kekahi āu i ʻike ai i kēia maʻi a ke hana nei lākou ma waho o ka pilina me ka ʻoiaʻiʻo a hiki ke hoʻoweliweli iā lākou iho a i ʻole i nā poʻe ʻē aʻe, he mea nui loa e lawe iā lākou i ka haukapila kokoke loa ʻo Emergency Department (ETU) .

Mai makaʻu e kamaʻilio ākea e pili ana i kēia me kou ʻohana, kahi hoaaloha hilinaʻi, a ʻoi aku hoʻi i kāu kauka. He mau kūlana kēia e hiki ke hoʻomalu maikaʻi ʻia me ka lāʻau lapaʻau.