Inā ʻoe e mālama ʻia no ke kaumaha, ua kuhikuhi paha kāu kauka iā ʻoe i kahi lāʻau antidepressant. Hiki i kēia mau lāʻau ke kōkua i ka hōʻoluʻolu ʻana i kāu mau hōʻailona. Eia kekahi, ʻo ka talk therapy, i ʻike ʻia hoʻi he psychotherapy, hiki ke lilo i mea kōkua nui i kēia huakaʻi. Akā e like me nā lāʻau lapaʻau ʻē aʻe, hiki iā ia ke hana i kekahi mau hopena ʻaoʻao. Akā, mai hopohopo, ʻae maikaʻi ka hapa nui o ka poʻe i kēia lāʻau lapaʻau.
He aha nā hopena ʻaoʻao maʻamau?
Aia kekahi mau ʻano antidepressants a nā kauka e kuhikuhi pinepine ai. No ka laʻana, `(SSRIs)`, `(SNRIs)`, `(Tricyclic antidepressants)`, `(Atypical antidepressants)` a me `(MAOIs)`. Hiki i kēlā me kēia ʻano ke loaʻa kona mau hopena ʻaoʻao ponoʻī. E nānā kākou i nā mea maʻamau.
| Nā hopena ʻaoʻao maʻamau | |
|---|---|
| ʻEha poʻo | Ka hana ʻino a i ʻole nā pilikia moekolohe |
| Ka luaʻi | Luhi |
| Waha maloʻo | Piʻi ke kaumaha |
| ʻAʻole hiki ke hiamoe | Nā haʻalulu |
| Pōʻino | Hoʻonui ʻia ka hou ʻana |
| Ka maʻi kahe a i ʻole ka paʻa ʻana o ka ʻōpū | |
Akā, mai hopohopo ʻoe i kēia.Nalo ka hapa nui o kēia mau hopena ʻaoʻao i ka wā e maʻa ai kou kino i ka lāʻau lapaʻau. Hoʻomaha pinepine lākou i loko o ʻelua pule, a nalowale paha kekahi i loko o kekahi mau lā. Eia nō naʻe, ʻo nā mea e like me nā pilikia moekolohe a me ka piʻi ʻana o ke kaumaha e mau iki paha.
ʻO wai ka mea e loaʻa ana i kēia mau hopena ʻaoʻao?
He mea pilikino loa kēia. ʻOiai inā ʻoe e lawe i ka lāʻau lapaʻau like, ʻokoʻa loa paha nā hopena ʻaoʻao āu e ʻike ai mai nā mea i ʻike ʻia e kekahi. ʻAʻole paha e ʻike kekahi poʻe i kekahi pilikia. Aia kekahi mau mea e hiki ke hoʻopilikia i ke ʻano o ka pane ʻana o kou kino i ka lāʻau lapaʻau:
- Nā lāʻau lapaʻau ʻē aʻe: Inā ʻoe e lawe nei i nā lāʻau lapaʻau no nā kūlana ʻē aʻe, hiki iā lākou ke launa pū me kēia antidepressant. Hiki i kēia ke hoʻonui i nā hopena ʻaoʻao a hōʻemi paha i ka pono o ka antidepressant. No laila, he mea nui loa ia e hoʻomaopopo i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei (me nā mea āu e kūʻai ai mai ka hale kūʻai lāʻau).
- Makahiki: ʻOi aku ka nui o ka loaʻa ʻana o nā hopena ʻaoʻao i nā poʻe maʻi ʻelemakule ma mua o ka poʻe ʻōpio.
- Nā Genes: Hoʻoholo kou mau genes i ka wikiwiki o ka omo ʻana o kou kino i nā lāʻau lapaʻau. I ka ʻōlelo maʻalahi, ʻo ka lohi o kou kino i ka omo ʻana i nā lāʻau lapaʻau, ʻo ka nui o ka hiki ke loaʻa iā ʻoe nā hopena ʻaoʻao.
- ʻAno lāʻau lapaʻau: ʻO nā lāʻau lapaʻau kahiko, e like me nā "Tricyclic antidepressants" a me nā "MAOI", ʻoi aku ka nui o nā hopena ʻaoʻao ma mua o nā lāʻau lapaʻau hou, e like me nā "SSRI" a me nā "SNRI".
ʻO ka lāʻau antidepressant a me nā manaʻo pepehi kanaka
He kumuhana koʻikoʻi loa kēia. Ua kauoha ka FDA e hoʻokomo pū ʻia kahi pahu ʻeleʻele i loko o nā pūʻolo pila antidepressant e hōʻike ana he nui aʻe ka pilikia o nā keiki, nā ʻōpio, a me nā mākua ʻōpio ma lalo o 25 mau makahiki i nā manaʻo a me nā hana pepehi kanaka.
ʻOiai kēia ʻōlelo aʻo, ʻaʻole hiki ke ʻōlelo ʻia he "pilina paʻa" ma waena o kēia mau lāʻau lapaʻau a me nā manaʻo pepehi kanaka. ʻO kaʻoiaʻiʻo, ua hōʻike ʻia e ka noiʻi ua emi nā helu pepehi kanaka i ka piʻi ʻana o ka hoʻohana ʻana i ka antidepressant.
E hoʻomanaʻo, ʻo ke kaumaha i mālama ʻole ʻia he kumu nui ia no ka pepehi kanaka. No laila, i ka hapanui o nā hihia, ʻoi aku ka nui o nā pono o kēia mau lāʻau lapaʻau ma mua o nā pilikia. E kūkākūkā pono kāu kauka i kēia me ʻoe.
Inā loaʻa i kekahi ka manaʻo e pepehi iā ia iho, hiki ke ʻike mua i nā hōʻailona hōʻailona.
| Nā hōʻailona hōʻike o nā manaʻo pepehi kanaka | |
|---|---|
| Nā loli nui o ka naʻau | Ke kamaʻilio nei e pili ana i ka hōʻeha ʻana iā ʻoe iho a i ʻole ka makemake e make |
| Ka hiamoe nui a liʻiliʻi paha | Kaʻawale ʻana o ka nohona |
| Hoʻonui ʻia ka hoʻohana ʻana i ka lāʻau lapaʻau a i ʻole ka waiʻona | Manaʻo manaʻolana ʻole a kōkua ʻole paha |
| Nā loli maʻamau ʻole i ke ʻano | Ka hoʻonui ʻia ʻana o nā hōʻailona kaumaha e kū nei |
I nā keiki a me nā kamaliʻi ʻōpio, e makaʻala hoʻi i nā hōʻailona e like me ka hoʻomaha ʻole, ka hana hoʻopūhoihoi, a me ka ʻōlelo ʻana i nā mea e like me "e ʻoi aku ka maikaʻi o ka ʻohana me ka ʻole oʻu." Inā manaʻo ʻoe ua pilikia kāu keiki a mea aloha paha i ka hōʻeha ʻana iā lākou iho, e ʻimi koke i ke kōkua ulia pōpilikia. Inā pono, e hele pololei i ka haukapila kokoke loa i ka Emergency Department (ETU).
Pehea e hana ai me nā hopena ʻaoʻao kikoʻī?
I ka wā e pili ana i ka hoʻokele ʻana i nā hopena ʻaoʻao, ʻo ka ʻōlelo aʻoaʻo mua, ʻo ia ke "hoʻomanawanui wale." ʻO ka hapa nui o ka manawa, e nalo aku kēia mau mea i ka wā e hoʻomaʻamaʻa ai kou kino. Inā ʻaʻole, hiki iā ʻoe ke hoʻāʻo i kēia mau mea.
Nā pilikia moekolohe
ʻO ka emi ʻana o ka makemake moekolohe a me ka paʻakikī i ka hoʻokō ʻana i ka orgasm nā hopena ʻaoʻao maʻamau o kēia lāʻau lapaʻau. "ʻO ka mea pōʻino, ʻo ia ke kumu e hoʻōki ai kekahi poʻe i ka lawe ʻana i kahi lāʻau lapaʻau e hana maikaʻi ana," wahi a nā kauka. Inā loaʻa iā ʻoe kēia mau pilikia, e kamaʻilio me kāu kauka e pili ana iā lākou. Hiki paha iā lākou ke hoʻohaʻahaʻa i kāu mahele lāʻau a hoʻololi paha iā ʻoe i kahi lāʻau lapaʻau i emi iho ka hopena ʻaoʻao moekolohe. I kekahi manawa, hiki i kahi lāʻau lapaʻau ʻē aʻe, e like me Bupropion a i ʻole Sildenafil, ke kōkua.
Piʻi ke kaumaha
He pilikia nō hoʻi kēia no nā kānaka he nui. Hiki ke kāohi ʻia kēia ma ka pale ʻana i nā meaʻai kiʻekiʻe i ka sodium (paʻakai), nā mea inu kō, ka ʻai ʻana i kahi meaʻai olakino, a me ka hoʻoikaika kino mau. Eia kekahi, hiki ke loaʻa ke kaumaha ma muli o nā kumu ʻē aʻe, e like me ka pilikia thyroid. No laila he manaʻo maikaʻi e kamaʻilio pū me kāu kauka e pili ana i kēia.
Nā pilikia ʻōpū
Inā loaʻa iā ʻoe kekahi ʻano ʻoluʻolu ʻole, e like me ka nausea, e nīnau i kāu kauka inā pono ʻoe e lawe i ka lāʻau lapaʻau me ka meaʻai a i ʻole ma kahi kaʻawale. ʻO ka ʻai ʻana i nā meaʻai liʻiliʻi i nā manawa he nui i ka lā e hiki ke kōkua i ka hōʻemi ʻana i ka ʻeha o ka ʻōpū a me nā pilikia o ka ʻai ʻana.
Nā pilikia hiamoe
ʻOiai hiki i kekahi mau lāʻau lapaʻau ke hoʻohiamoe iā ʻoe, hiki i kekahi ke hoʻohiamoe iā ʻoe i ka lā a pau. ʻO ka mea mua e noʻonoʻo ai ma ʻaneʻi, ʻo ia ka wā e lawe ai i ka lāʻau lapaʻau. No ka laʻana, inā ʻoe e lawe i kāu lāʻau lapaʻau i ke kakahiaka a hoʻohiamoe iā ʻoe i ka lā a pau, e kamaʻilio me kāu kauka e pili ana i ka hiki iā ʻoe ke lawe i ka pō. Inā ʻaʻole kōkua ka lāʻau lapaʻau āu e lawe ai i ka pō iā ʻoe e hiamoe, hiki iā ʻoe ke hoʻololi iā ia i ke kakahiaka. Inā ʻaʻole ia e holo pono, he mea nui e nānā i nā kūlana ʻē aʻe, e like me ka apnea hiamoe.
E kamaʻilio me kāu kauka ma mua o ka hoʻōki ʻana i ka lāʻau lapaʻau!
ʻO kēia ka mea nui loa. Mai ho'ōki koke i ka lawe ʻana i ka lāʻau lapaʻau me ka ʻole o ke kūkākūkā ʻana me kāu kauka. Inā hana ʻoe pēlā, hiki iā ʻoe ke ʻike i ka ʻoluʻolu ʻole i loko o kou kino. Hiki ke loaʻa nā hōʻailona e like me ke poʻo ʻeha a me ke kuni (discontinuation syndrome).
ʻO ka mea ʻoi aku ka weliweli, inā ʻoe e hoʻōki i ka lawe ʻana i ka lāʻau lapaʻau, e hoʻi hou mai paha kāu mau hōʻailona kaumaha. Hiki iā ʻoe ke manaʻo maikaʻi i kēia manawa, akā no ka lāʻau lapaʻau ia. No laila, he mea nui e hoʻomau i ka lawe ʻana i ka lāʻau lapaʻau e pale aku ai i ka hoʻi hou ʻana.
Inā ʻaʻole hiki ke hoʻomanawanui i nā hopena ʻaoʻao, e kamaʻilio me kāu kauka e pili ana i ia mea. Hiki ke lōʻihi ka manawa e loaʻa ai ka lāʻau lapaʻau kūpono nāu. Akā, mai hoʻokuʻu.
Leka Lawe-Home
- He mea maʻamau nā hopena ʻaoʻao o nā antidepressants, a ʻo ka hapa nui o lākou e nalowale i ka hala ʻana o ka manawa.
- ʻAʻole ʻoe e hoʻōki i ka lawe ʻana i ka lāʻau lapaʻau a hoʻololi paha i ka dosage no kekahi kumu me ka ʻole o ka ʻōlelo aʻoaʻo a kāu kauka.
- E hoʻomaopopo i kāu kauka e pili ana i nā hopena ʻaoʻao āu e ʻike ai a me nā lāʻau lapaʻau ʻē aʻe āu e lawe nei.
- ʻO ka lāʻau lapaʻau hoʻokahi wale nō ʻāpana o ka lāʻau lapaʻau. Hiki ke hoʻokō ʻia nā hopena maikaʻi aʻe ma ka hoʻohui ʻana me nā lāʻau lapaʻau ʻē aʻe, e like me ka psychotherapy.
- Inā ʻoe a i ʻole kekahi āu i ʻike ai e loaʻa ana nā manaʻo pepehi kanaka, e ʻimi koke i ke kōkua lapaʻau pilikia. ʻAʻole ʻoe hoʻokahi, a mai makaʻu e noi i ke kōkua.
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