Manaʻo mākou a pau i ke kaumaha a me ke kaumaha i kekahi manawa o ko mākou ola. He mea maʻamau loa ia. Eia nō naʻe, ʻo ke kaumaha ma kēia ʻano maʻamau a me ka ʻike ʻia ʻana he kaumaha, he maʻi ia, he ʻelua mau mea ʻokoʻa loa. Pono e ʻike ʻia a ʻike ʻia kēia e ke kauka kūpono. E nānā ʻo ia iā ʻoe a, inā pono, e hoʻohana i kahi nīnau nīnau no ka ʻike ʻana i ke kaumaha e hoʻoholo ai i ke ʻano o ke kūlana āu.
I ka ʻōlelo maʻalahi, ʻaʻohe hoʻāʻo koko hoʻokahi a i ʻole scan e hiki ke haʻi pololei iā ʻoe inā he kaumaha kou. Akā, e hana ke kauka i nā hoʻokolohua e kāpae i nā kūlana ʻē aʻe (e like me ka hypothyroidism), e hoʻohana i kahi nīnau nīnau nānā kaumaha, a e kamaʻilio maikaʻi me ʻoe.
No ke aha he mea paʻakikī ke ʻike i ke kaumaha?
Hiki ke paʻakikī iki ka ʻike ʻana i ke kaumaha i kekahi manawa, no ka mea, pili ia i kēlā me kēia kanaka i nā ʻano like ʻole. Eia kekahi laʻana, ke kaumaha kekahi, lilo lākou i mālie loa a nalowale ka hoihoi i kekahi mea. ʻO ia hoʻi, lilo lākou i mea hoʻokaʻawale noʻonoʻo. Akā, hiki i kekahi poʻe ke lilo i mea huhū loa a hoʻomaha ʻole.
Pēlā nō hoʻi me ka ʻai ʻana, ka inu ʻana, a me ka hiamoe ʻana. ʻAi nui kekahi kanaka a hiamoe nui paha. Akā, haʻalele loa kekahi kanaka i ka ʻai ʻana, ka inu ʻana, a me ka hiamoe ʻana. I kekahi manawa, ʻaʻohe mea nui ka nui o ka haki ʻana o ka noʻonoʻo o loko o kekahi, hiki ke maalea loa nā hōʻailona o waho. ʻO ia ke kumu he mea paʻakikī iki ka ʻike pololei ʻana i kēia.
He ʻano olakino ke kaumaha e hiki ke hoʻopilikia i ke kino, nā manaʻo, nā manaʻo, a me ke ʻano o ke kanaka ma nā ʻano like ʻole.
He aha nā ʻano nui o ke kaumaha?
I ka wā ma mua, ua hoʻohui pū ʻia nā maʻi noʻonoʻo a pau, akā i kēia manawa, me ka holomua o ka ʻepekema lapaʻau, hiki ke ʻike pono i ke ʻano o ke kaumaha āu e loaʻa nei. He mea nui loa kēia hoʻokaʻawale ʻana, no ka mea, ʻokoʻa nā lāʻau lapaʻau no kēlā me kēia ʻano .
E hāʻawi i kekahi mau laʻana:
- Maʻi Kaumaha Nui: ʻO kēia ke ʻano nui a mākou e kamaʻilio pinepine ai ke kamaʻilio mākou e pili ana i ke kaumaha.
- ʻO Dysthymia: He ʻano kaumaha e mau ana ma kahi pae haʻahaʻa no nā makahiki.
- Maʻi Hoʻopilikia Kau (SAD): ʻOiai ʻaʻole kēia he mea maʻamau i ko mākou ʻāina, he ʻano kaumaha ia e kū mai ana i nā wā o ka lā haʻahaʻa (e.g. hoʻoilo). Hōʻike kēia e hiki ke ʻokoʻa nā kumu no kēlā me kēia ʻano.
- Kaumaha Perinatal/Postpartum: Kaumaha e kū mai ana i nā makuahine (a i kekahi manawa nā makuakāne) ma hope o ka hānau ʻana o kahi pēpē.
Ke ʻike kāu kauka i ke ʻano kikoʻī āu i loaʻa ai, e hāʻawi ʻo ia iā ʻoe i ka hoʻolālā lapaʻau kūpono loa.
ʻO nā pae hoʻohālikelike a ke kauka e hoʻohana ai e ʻike i ke kaumaha
Aia nā papa inoa maopopo e kōkua i nā kauka e ʻike i nā ʻano kaumaha like ʻole. E nānā kākou i kēia ʻike ma kahi papa.
| ʻAno kaumaha | Nā hiʻohiʻona koʻikoʻi e ʻike ai |
|---|---|
| Kaumaha Nui | Pono e loaʻa kekahi o nā hōʻailona ʻelua: kahi ʻano kaumaha a i ʻole ka nalowale o ka hoihoi a i ʻole ka leʻaleʻa i ke ola no ʻelua pule a ʻoi aku paha. Eia kekahi, pono e loaʻa ʻehā a ʻoi aku paha o kēia mau hōʻailona:
|
| Ka maʻi Dysthymic | He ʻano kaumaha i hoʻomau ʻia no ʻelua mau makahiki ma ka liʻiliʻi (me ka ʻole o ka hōʻoluʻolu mai nā hōʻailona no nā mahina ʻelua a ʻoi aku paha). Eia kekahi, pono e loaʻa ʻelua a ʻoi aku paha o kēia mau hōʻailona:
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| Kaumaha Perinatal | Ma waho aʻe o nā hōʻailona i ʻōlelo ʻia ma luna nei, hiki iā ʻoe ke ʻike i kekahi o kēia mau mea:
|
Nā hoʻokolohua kino e nānā ai no ke kaumaha
Ke nānā mua kāu kauka iā ʻoe, e hana paha ʻo ia i kekahi mau hoʻokolohua lapaʻau maʻamau. E hoʻomanaʻo, ʻaʻole hana ʻia kēia mau hoʻokolohua e ʻike pololei i ke kaumaha. Hana ʻia lākou e kāpae i nā kūlana kino ʻē aʻe e hiki ke hoʻoulu i kāu mau hōʻailona.
- Nā hoʻāʻo koko: E nānā i nā mea e like me nā pae hormone thyroid, ka hana o ke akepaʻa a me nā puʻupaʻa, a me nā hemahema o nā huaora. Hiki i nā loli i kēia mau mea ke hana i nā hōʻailona like me ke kaumaha.
- Nā scan lolo: Hiki ke hana ʻia kahi scan "(CT)" a i ʻole "(MRI)" e hōʻoia ʻaʻohe maʻi koʻikoʻi e like me ka puʻupuʻu lolo.
- Nā hoʻokolohua ʻē aʻe: Inā kānalua ʻia kahi maʻi puʻuwai, hiki ke hana ʻia kahi electrocardiogram (EKG) a i ʻole kahi hoʻāʻo EEG e nānā i ka hana uila o ka lolo.
Nā Hoʻāʻo Nānā e Kōkua i ka ʻIke ʻana i ke Kaumaha
Ma hope o ke kamaʻilio ʻana me ʻoe, e nīnau paha kāu kauka iā ʻoe i kekahi mau nīnau. He mau nīnau kēia i hoʻolālā kūikawā ʻia no ka ʻike ʻana i ke kaumaha. He ʻāpana wale nō kēia o ke kaʻina hana ʻike. E kōkua nā pane i kēia mau nīnau i kāu kauka e loaʻa kahi ʻike hohonu o kou olakino noʻonoʻo.
Eia kekahi laʻana, aia ʻelua mau nīnau maʻalahi akā kūpono loa:
1. "I loko o ka mahina i hala iho nei, ua kaumaha pinepine anei ʻoe, hoʻonāukiuki, a manaʻolana ʻole paha?"
2. "I loko o kēia mahina i hala aku nei, ua nalowale anei kou hoihoi a i ʻole ka leʻaleʻa i nā mea āu e hauʻoli mau ai?"
ʻO kāu mau pane e hoʻoholo i ka mea a kāu kauka e hana ai ma hope. Eia nō naʻe, ʻaʻole hiki ke hoʻohana ʻia kēia mau nīnau wale nō e hana i kahi hōʻailona. ʻAʻole lākou he pani no kahi kūkākūkā me ke kauka, akā he kōkua. No laila, he mea nui loa e pane pololei i kēia mau nīnau.
He aha kāu e hana ai e kōkua ai i ke kauka ?
Hiki ke paʻakikī iki ka hoʻoholo ʻana e hele i ke kauka a kamaʻilio e pili ana i kahi mea e like me kēia. Akā inā ʻoe e hele mākaukau, e ʻoi aku ka maikaʻi o kou manaʻo.
ʻO ka mea nui loa, ʻo ia ke wehe a me ka ʻoiaʻiʻo e like me ka hiki e pili ana i kou mau manaʻo a me nā hōʻailona i ke kamaʻilio ʻana me kāu kauka. ʻO ka nui o ka ʻike a kāu kauka , ʻo ka maʻalahi iā ia ke ʻike pololei i kou kūlana a hāʻawi iā ʻoe i kahi hoʻolālā lapaʻau holomua.
Ma mua o kou hele ʻana e ʻike i ke kauka, e kākau i kēia mau mea ma kahi ʻāpana pepa:
- nā pilikia noʻonoʻo a me ke kino āu e ʻike nei (e like me ke poʻo mau, ke kaumaha)
- Nā loli maʻamau ʻole i kāu ʻano
- Inā paha ua loaʻa i kekahi o kou ʻohana ke kaumaha a i ʻole nā maʻi noʻonoʻo ʻē aʻe ma mua
- ʻO nā lāʻau lapaʻau a pau āu e lawe nei (nā lāʻau lapaʻau i kauoha ʻia a me nā lāʻau lapaʻau ma luna o ke kūʻai aku)
- ʻO nā huaora a i ʻole nā huahana lāʻau lapaʻau ʻē aʻe āu e lawe ai
- Kou mau ʻano nohona (hoʻoikaika kino, ʻai, puhipaka, hoʻohana ʻana i ka waiʻona)
- Nā kumu o ke kaumaha i kou ola (e.g., nā pilikia male, nā pilikia hana)
- Nā nīnau e pono ai ʻoe e ʻike e pili ana i ke kaumaha a me ka mālama ʻana
Pehea ʻoe e ʻike ai i ka manawa e noi ai i ke kōkua?
ʻO ke keakea nui loa i ka ʻike ʻana a me ka mālama ʻana i ke kaumaha, ʻo ia ka ʻike ʻana he maʻi ko kekahi. ʻO ka mea kaumaha, ʻo ka hapalua o ka poʻe me ke kaumaha ʻaʻole i ʻike ʻia a ʻimi ʻia paha ka lāʻau. ʻO ka loaʻa ʻole o ka lāʻau hiki ke hoʻoweliweli i ke ola.
Inā hoʻopilikia kou mau manaʻo kaumaha i kou mau pilina, ka hana, a i ʻole ke ola ʻohana, a ʻaʻohe hopena maopopo, e ʻimi koke i ke kōkua lapaʻau ma mua o ka ʻino ʻana o ke kūlana.
ʻOi aku hoʻi, inā ʻoe a i ʻole kekahi āu i ʻike ai e loaʻa ana nā manaʻo pepehi kanaka, mai hoʻokaʻulua. E hele koke i ka haukapila kokoke loa ʻo Emergency Department (ETU). Hiki ke lilo i mea e pili ana i ke ola a me ka make, no laila mai lawe māmā.
Leka Lawe-Home
- ʻAʻole wale ke kaumaha he manaʻo kaumaha, he kūlana olakino ia e pono ai ka mālama ʻia.
- Ua ʻike ʻia kēia maʻi e ke kauka ma hope o ke kamaʻilio ʻana me ʻoe, ka nānā ʻana iā ʻoe, a me ka hōʻoia ʻana ʻaʻohe ou maʻi ʻē aʻe. ʻAʻohe ala pōkole i kēia.
- Aia nā ʻano kaumaha like ʻole, a hiki iā ʻoe ke loaʻa ka lāʻau maikaʻi loa inā ʻike ʻoe i ke ʻano kikoʻī āu i loaʻa ai.
- E kamaʻilio me kāu kauka me ka ʻoiaʻiʻo a me ka wehe ʻana e like me ka hiki. He mea kōkua ke kākau i kāu mau hōʻailona ma mua o kou hele ʻana e ʻike iā ia.
- Inā hoʻopilikia kou kūlana noʻonoʻo i kou ola o kēlā me kēia lā, a inā paha he mau manaʻo kou e pepehi iā ʻoe iho, mai hoʻokaʻulua a e ʻimi koke i ke kōkua lapaʻau .
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