He nūhou maikaʻi no ʻoukou e hakakā nei me ke kaumaha!

He kūlana paʻakikī loa a kaumaha hoʻi ke kaumaha. Ke hoʻāʻo nei ʻoe e haʻalele i kēia kūlana, malia paha ua kuhikuhi ke kauka iā ʻoe i ka lāʻau lapaʻau kamaʻilio a i ʻole nā ​​​​​​lāʻau antidepressants. Eia naʻe, ʻaʻole like ka hana o kēia mau lāʻau lapaʻau no nā mea āpau. ʻO ia kekahi o nā pilikia nui loa. Hōʻike kekahi mau noiʻi ʻaʻole i loaʻa koke i kahi o hoʻokahi o ʻekolu mau kānaka me ke kaumaha ka hōʻoluʻolu mai kēia mau lāʻau lapaʻau maʻamau.

No ke aha e hana like ʻole ai ka lāʻau like no nā kānaka a pau?

ʻO ke kumu nui o kēia, ʻo ia ka ʻokoʻa loa o ko kākou kino a me ko kākou lolo. ʻOiai i ka lāʻau like, hiki ke ʻokoʻa loa ke ʻano o ka pane ʻana o kou lolo iā ia a me ke ʻano o ka pane ʻana o ka lolo o kekahi. E noʻonoʻo, ʻoiai ʻelua mau kaikaina i loko o ka ʻohana hoʻokahi he ʻokoʻa ko lākou ʻono i ka meaʻai, nā mea inu, a me nā lole. Pēlā nō ia. ʻOkoʻa nō hoʻi ka hana ʻana o nā kemika i loko o ko kākou lolo mai kekahi kanaka a i kekahi.

I ka ʻōlelo maʻalahi, paʻakikī i nā kauka ke ʻōlelo pololei 100%, "ʻAe, ʻo kēia ka lāʻau lapaʻau kūpono iā ʻoe" i ka wā mua. ʻO ia ke kumu e lōʻihi ai ka manawa e loaʻa ai ka lāʻau lapaʻau kūpono iā ʻoe.

Nā lāʻau lapaʻau SSRI holomua aʻe

I kēia mau lā, ʻoi aku ka nui o ke kauka e kuhikuhi mua i kahi lāʻau i kapa ʻia ʻo SSRIs (Selective Serotonin Reuptake Inhibitors) i kahi kanaka me ka Major Depressive Disorder (MDD). ʻOi aku ka holomua o kēia mau mea ma mua o nā lāʻau kahiko.

ʻOiai paha e like kēia inoa me he mea nui lā, he mea maʻalahi maoli nō ia. Aia i loko o ko kākou lolo kahi neurotransmitter i kapa ʻia ʻo "Serotonin." Kōkua kēia i ka hoʻoponopono ʻana i nā mea e like me ko kākou ʻano, ka hauʻoli, a me ka hiamoe. Hiki i ka poʻe me ke kaumaha ke loaʻa nā pae haʻahaʻa o kēia serotonin. Hana nā lāʻau lapaʻau SSRI ma ka mālama ʻana i ka serotonin i loko o ka lolo no kekahi manawa. Ua like ia me ke kāohi ʻana i ke kahe ʻana o ka wai no kekahi manawa a mālama iā ia ma kahi e pono ai no kekahi manawa.

Eia kekahi mau ʻano lāʻau lapaʻau ʻē aʻe no ka hui SSRIs:

ʻO kekahi o nā pono nui o kēia mau lāʻau SSRI, ʻo ia ka liʻiliʻi o nā hopena ʻaoʻao i hoʻohālikelike ʻia me nā lāʻau kahiko. No laila hiki iā ʻoe ke hoʻomau i ka hoʻohana ʻana i kēia mau lāʻau me ka ʻole o nā pilikia a hiki i ka loaʻa ʻana o nā hopena i makemake ʻia.

Ma ka awelika, ma kahi o ʻeono o ka ʻumi mau kānaka (6/10) e lawe ana i nā SSRI e ʻike i ka hoʻomaikaʻi nui ʻana i ko lākou mau hōʻailona i loko o ʻelua mahina. Akā ʻo ke koena 40% ʻaʻole paha e loaʻa ka hōʻoluʻolu mai kēia mau lāʻau lapaʻau wale nō. ʻO ia ka manawa e pono ai mākou e noʻonoʻo i nā lāʻau lapaʻau ʻē aʻe.

ʻO ka manaʻolana hou loa no ka poʻe i kamaʻāina ʻole i ka lāʻau lapaʻau: Ketamine

He lāʻau lapaʻau ʻo Ketamine i lawe mai i ka manaʻolana nui i ka poʻe e ʻeha nei i ke kaumaha kū ʻole i ka lāʻau lapaʻau i pane ʻole i nā lāʻau lapaʻau maʻamau.

ʻOiai ua hoʻohana mua ʻia kēia lāʻau lapaʻau ma ke ʻano he anesthetic i ka wā o ke ʻoki ʻana, ua ʻike ʻia ma hope e hiki iā ia ke hāʻawi i ka hōʻoluʻolu wikiwiki loa mai ke kaumaha. Hana ʻo Ketoconazole ma ke ʻano ʻokoʻa loa ma mua o SSRIs. ʻO ia hoʻi, hoʻopilikia ia i kahi ʻōnaehana kemika ʻokoʻa i loko o ka lolo.

He aha ka mea kūikawā e pili ana i ka ketamine?

• Nā hopena wikiwiki: ʻAʻole pono ʻoe e kali i nā pule e like me nā lāʻau lapaʻau maʻamau. Hiki iā Ketamine ke hāʻawi koke i ka hōʻoluʻolu noʻonoʻo, i kekahi manawa i loko o kekahi mau hola.
• Kūpono no nā hihia koʻikoʻi: He mea kūpono loa kēia no ka poʻe i pane ʻole i nā lāʻau lapaʻau e like me SSRIs. Kōkua pū ia i ka kaohi ʻana i nā kūlana koʻikoʻi e like me nā manaʻo pepehi kanaka.

Hiki ke loaʻa ka mālama ʻana iā Ketamine ma nā ʻano nui ʻelua:

1. ʻŌpī Ihu: ʻO Spravato kēiaAia ia ma lalo o ka inoa inoa "Esketamine." Loaʻa iā ia kahi hui i kapa ʻia ʻo "esketamine," ʻo ia kekahi ʻano ketamine. Ua ʻāpono ʻia e nā keʻena e like me ka U.S. Food and Drug Administration (FDA), no laila loaʻa nō hoʻi ma o ka ʻinikua.

2. ʻAno Intravenous (IV): He ʻano hana no ka hāʻawi pololei ʻana i ka lāʻau i loko o ke kino ma o kahi aa. ʻOiai ʻaʻole i ʻae ʻia kēia no ke kaumaha (hoʻohana ma waho o ka lepili), hoʻohana ʻia ia i nā hihia koʻikoʻi ma lalo o ka nānā ʻana o kekahi mau kauka.

ʻO ka mea nui loa, pono e hana ʻia kēia mau lāʻau lapaʻau a pau ma lalo o ka nānā pono ʻana a ke kauka akamai. Mai hoʻāʻo i kēia mau mea ma kāu iho. Na kāu kauka e hoʻoholo i ka lāʻau lapaʻau kūpono loa no kou kūlana.