Inā loaʻa iā ʻoe ka Major Depressive Disorder (MDD), e noʻonoʻo paha ʻoe e pili ana i ka hoʻomaka ʻana i kahi ʻohana. "Pono anei au e hoʻōki i kaʻu lāʻau lapaʻau?", "E pilikia anei ka pēpē inā ʻaʻole au e hoʻōki i ka lawe ʻana?", "Hiki iaʻu ke lawe i kēia lāʻau lapaʻau i ka wā e hānai waiū ai?" He nui paha kāu mau nīnau ma kou manaʻo. Ua lōʻihi paha kou hakakā ʻana me ke kaumaha, a i ʻole ua ʻike koke ʻia ʻoe me ia. ʻOiai ke kumu, aia kekahi mau mea e pono ai ʻoe e makaʻala i kou hoʻomaka ʻana i kēia huakaʻi. E kamaʻilio kākou e pili ana iā lākou.
No ke aha he mea nui ka lāʻau lapaʻau?
I ka ʻōlelo maʻalahi, inā ʻaʻole ʻoe e mālama i kou kaumaha, hiki i kāu mau hōʻailona ke hoʻi hou mai. Kāhea mākou i kēia he relapse. Ke kaumaha ʻoe, ʻoi aku ka nui o kou nele i nā mea e like me ka ʻai ʻana a me ka inu ʻana, ka loaʻa ʻana o ka mālama olakino āu a me kāu pēpē e pono ai, a ʻoi aku ka nui o kou huli ʻana i nā mea e like me nā lāʻau lapaʻau.
ʻOi aku ka mea nui, aia kahi kiʻekiʻe o ka pilikia o ke kaumaha postpartum , hiki ke hoʻopilikia pololei i kāu pilina me kāu pēpē.
E like me ka ʻōlelo a nā loea lapaʻau, ʻo nā keiki i hānau ʻia e nā makuahine e ʻeha nei i ke kaumaha, ke kaumaha, a i ʻole ka hopohopo i ka wā hāpai, he kiʻekiʻe ko lākou kiʻekiʻe o ka hormone stress 'Cortisol'. Hiki i kēia ke hoʻolilo i kēlā mau keiki i hypersensitive emotionally (extra reactive) i ka wā ʻōpiopio. Hiki i kēia ke hoʻomākaukau i ke ala no lākou e hoʻomohala i nā pilikia noʻonoʻo i ka wā e hiki mai ana.
ʻO ke koho ʻana i ka lāʻau kūpono nāu e pili ana i kekahi mau kumu.
- Ke koʻikoʻi o kou kaumaha.
- He aha ka lāʻau lapaʻau āu e loaʻa nei i kēia manawa?
- Pehea ʻoe i pane ai i nā lāʻau lapaʻau āu i hoʻohana ai ma mua.
- Inā ʻoe e hāpai ana, e hoʻolālā ana e hāpai, a i ʻole e hānai waiū ana.
Inā he ʻoluʻolu kou kaumaha, a ua loaʻa iā ʻoe ka hōʻoluʻolu mai nā mea e like me ka psychotherapy, nā hui kākoʻo, a i ʻole ka yoga prenatal, hiki paha iā ʻoe ke hele i kēia wā me ka ʻole o ka lāʻau lapaʻau. Akā he mea ia e kūkākūkā ai me kāu kauka. Inā makemake ʻoe i ka lāʻau lapaʻau ma hope, nui nā koho e hoʻomaka ai i kahi lāʻau lapaʻau liʻiliʻi.
No nā hihia koʻikoʻi o ke kaumaha i pane ʻole i ka lāʻau lapaʻau, aia kekahi lāʻau i kapa ʻia ʻo electroconvulsive therapy (ECT) . Pili kēia i ka hoʻouna ʻana i nā pulse uila liʻiliʻi i loko o ka lolo, e hoʻololi ana i ka hana o nā cell nerve (neurons) a me kekahi mau kemika. Ua manaʻo ʻia kēia lāʻau palekana no ʻoe a me kāu pēpē .
Nā lāʻau lapaʻau a me ko lākou mau pilikia
Ma keʻano laulā, haʻahaʻa loa ka pilikia o nā kīnā hānau a i ʻole nā pilikia ʻē aʻe i loko o ka pēpē mai ka lawe ʻana i nā lāʻau antidepressants i ka wā hāpai. Eia nō naʻe, ua hōʻike ʻia e ka noiʻi he ʻoi aku ka palekana o kekahi mau lāʻau lapaʻau ma mua o nā mea ʻē aʻe. E nānā kākou i ke ʻano o lākou.
| Ka wā | He aha e hana ai a me nā lāʻau lapaʻau e noʻonoʻo ai |
|---|---|
| Ma mua o ka hāpai ʻana | Inā hiki, e kamaʻilio me kāu kauka hānau keiki a me ke kauka noʻonoʻo ma mua o kou hoʻomaka ʻana e noʻonoʻo e pili ana i ka loaʻa ʻana o kahi pēpē a hana i kahi hoʻolālā lapaʻau. Inā pono ʻoe e hoʻololi i nā lāʻau lapaʻau, ʻo kēia ka manawa kūpono loa e hana ai pēlā. ʻO nā papa ʻelua o nā antidepressants i hōʻike ʻia ʻo ia ka palekana loa i ka wā hāpai, ʻo ia nā SSRI (Selective Serotonin Reuptake Inhibitors) a me nā TCA (Tricyclic Antidepressants) . Eia nō naʻe, no ka mea, he mau lāʻau lapaʻau kahiko nā TCA me nā hopena ʻaoʻao he nui, ʻaʻole ʻōlelo mua nā kauka iā lākou. Ua kuhikuhi ʻia ka hapa nui o ka poʻe i kahi SSRI i noiʻi maikaʻi ʻia. Nā laʻana: Citalopram (Celexa), Escitalopram (Lexapro), Fluoxetine (Prozac), Sertraline (Zoloft) . |
| I ka wā hāpai | Inā ʻoe e lawe nei i ka lāʻau lapaʻau, mai hoʻololi koke i kahi lāʻau lapaʻau ʻē aʻe, ʻaʻohe mea he aha ia. E pale aku kēia i ka pēpē mai ka hoʻopili ʻia ʻana i nā lāʻau lapaʻau he nui me ke kumu ʻole. ʻO ka mea nui loa, mai manaʻo hewa no ka lawe ʻana i ka lāʻau lapaʻau no ke kaumaha i ka wā hāpai. Manaʻo kekahi poʻe, ʻoiai nā kauka, he mea pono e lawe ʻia kēia lāʻau lapaʻau "inā pono loa." Akā, he maʻi olakino ke kaumaha e pono e mālama ʻia, e like me ka maʻi diabetes a i ʻole ke koko kiʻekiʻe. |
| Ma hope o ka hānau ʻana o kahi pēpē | He mea paʻakikī loa ke kū i nā hōʻailona o ke kaumaha i ka wā e mālama ana i kahi keiki hānau hou. No laila he mea nui loa ia e hoʻomau i ka lawe ʻana i kāu lāʻau lapaʻau. Inā manaʻo ʻoe e ʻoi aku ka ʻino o kāu mau hōʻailona, e kamaʻilio koke me kāu kauka. Hiki i nā lāʻau lapaʻau ke komo i loko o ka waiū umauma, akā he liʻiliʻi wale nō. I ka pololei, ʻaʻole i hiki i ka 10% o ka nui āu e lawe ai.No laila, ʻaʻohe kūlana kahi e pono ai ʻoe e hoʻōki i ka hānai ʻana i kāu pēpē no ka mea ke lawe nei ʻoe i ka lāʻau lapaʻau. |
E aʻo pū kākou e pili ana i nā ʻano lāʻau lapaʻau ʻē aʻe.
Inā ʻoe e lawe ana i kahi SNRI (Serotonin-Norepinephrine Reuptake Inhibitor) no ka mea ʻaʻole hana nā SSRI iā ʻoe, e like me Duloxetine (Cymbalta) a i ʻole Venlafaxine (Effexor), ʻaʻole ia he mea nui. ʻŌlelo nā kauka, "Inā hana kēia lāʻau lapaʻau no kēia kanaka, a ʻike mākou ʻaʻole paha e hana kekahi, ʻaʻole au makemake e hoʻololi." No ka mea, aia nā haʻawina e hōʻike ana i kekahi pae palekana no nā SNRI.
Eia nō naʻe, ʻaʻole i lawa ka noiʻi ʻana i nā lāʻau lapaʻau hou e like me Vortioxetine (Trintellix) e hoʻoholo ai i ko lākou palekana i ka wā hāpai. I kēlā mau hihia, hiki i kāu kauka ke ʻōlelo aku e hoʻololi i kahi lāʻau lapaʻau palekana.
ʻO nā manaʻo e hoʻopili nei iā ʻoe ...
"He makuahine maikaʻi ʻole anei au no ka mea ke lawe nei au i ka lāʻau lapaʻau?" Hiki paha i kēia mau manaʻo ke komo i kou manaʻo. Akā, ʻaʻole pēlā maoli.
"Ma muli o ka stigma e pili ana i ka maʻi noʻonoʻo ma ko mākou ʻāina, manaʻo ka poʻe he nui he mea keu a pono ʻole ka lawe ʻana i ka lāʻau lapaʻau no ke kaumaha. Ke ʻōlelo ʻoe, 'E lawe wale i kēia lāʻau lapaʻau inā pono maoli ʻoe,' ua hewa loa ka makuahine iā ia iho," wahi a nā loea.
ʻO ka mea nui e pono ai ʻoe e hoʻomaopopo, ʻaʻole he nāwaliwali ke kaumaha ma kou ʻaoʻao. He maʻi ia e pono ai ka mālama ʻana. ʻO ka lilo ʻana i makuahine olakino e hana i kahi maikaʻi loa no kahi pēpē olakino. Inā pono ka lāʻau lapaʻau, ʻo ka lawe ʻana iā ia ka mea maikaʻi loa hiki iā ʻoe ke hana no ʻoe iho a me kāu pēpē.
Leka Lawe-Home
- He maʻi maoli ke kaumaha. He mea nui e mālama iā ia no ʻoe a me kāu pēpē.
- I nā manawa hiki, e kamaʻilio me kāu kauka ma mua o ka hāpai ʻana a hoʻomohala i kahi hoʻolālā lapaʻau.
- He palekana nā lāʻau lapaʻau he nui i hoʻohana ʻia no ke kaumaha i ka wā hāpai a me ka hānai waiū.
- Mai ho'ōki i ka lawe ʻana i ka lāʻau lapaʻau a hoʻololi paha i ka dosage me ka ʻole o ke kūkākūkā ʻana me kāu kauka.
- Mai manaʻo hewa no ka lawe ʻana i ka lāʻau lapaʻau e noho olakino. ʻO ka makuahine olakino ka makana maikaʻi loa no kahi keiki olakino.
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