Ke kaumaha nei ʻoe? ʻOiai ma hope o ka ʻike ʻana i ke kauka a lawe pololei i ka lāʻau lapaʻau i kuhikuhi ʻia, ʻaʻole ʻoe e ʻike i ka hoʻomaikaʻi a i ʻole ka loli? Ua piha ʻoe i nā nīnau e like me, "No ke aha e hana nei kēia iaʻu wale nō? ʻAʻole anei e hana ka lāʻau lapaʻau? ʻAʻole anei noʻu wale nō kēia maʻi?" Inā pēlā, ʻaʻole ʻoe hoʻokahi. He ʻano kēia e hoʻopilikia ai i nā poʻe he nui. I kēia lā e kamaʻilio mākou e pili ana i kēia. Ma nā ʻōlelo lapaʻau, ua kapa ʻia kēia ʻo Treatment-Resistant Depression .
E hoʻāʻo kākou e hoʻomaopopo i kēia moʻolelo ma o ka ʻike o kahi wahine ʻōpio i kapa ʻia ʻo Imade. He wahine ʻōpio akamai a hoʻonaʻauao ʻo Imade. Ma hope o kona puka ʻana mai ke kulanui hanohano, ua hana nui ʻo ia e ʻimi i kahi hana maikaʻi. Akā, ʻaʻole i maʻalahi iā ia. I kona hoʻāʻo mau ʻana akā ʻaʻole hiki ke loaʻa kahi hana, ua hoʻomaka ʻo ia e manaʻo i ka nui o ke kaomi a me ka haʻihaʻi. "ʻO ka ʻoiaʻiʻo ʻaʻohe oʻu hana, ka manaʻo he hemahema wau i ke ola, ua hoʻonui i koʻu mau pilikia noʻonoʻo," wahi āna. ʻAʻole hiki ke hoʻomanawanui i kēia kaomi, ua hoʻāʻo ʻo ia e pepehi iā ia iho. ʻO ia ka manawa i ʻike ai nā kauka iā ia me ka Major Depressive Disorder .
"Ma hope wale nō o koʻu hoʻāʻo ʻana e pepehi iā ia iho, ua ʻike au ʻaʻole hana kekahi o nā lāʻau lapaʻau ʻekolu aʻu e lawe nei," wahi a Imade. Ua loaʻa anei iā ʻoe kahi ʻike like? No laila e nānā kākou i ke kumu o kēia.
Depression Test (PHQ-9)
Check if you have depression with the internationally recognized PHQ-9 method
He aha maoli ke kaumaha kūʻē i ka lāʻau lapaʻau?
ʻOiai paha he mea weliweli iki ke kani ʻana o ka inoa, he mea maʻalahi loa ia e hoʻomaopopo.
I ka ʻōlelo maʻalahi, ʻo ke kaumaha kūpaʻa-lāʻau (TRD) ka wā i ʻike ʻole ai ke kanaka me ka maʻi kaumaha nui i ka hōʻoluʻolu kūpono o kā lākou mau hōʻailona ʻoiai ua lawe ʻo ia i ʻelua ʻano antidepressants like ʻole, ma ka nui kūpono a no ka manawa kūpono.
E noʻonoʻo i kēia ʻano. Ua like ko kākou lolo me nā kaapuni uila paʻakikī. ʻO ke kaumaha kahi kūlana i pio ai kekahi o nā kuapo i loko o kēlā kaapuni. ʻO nā lāʻau lapaʻau a ke kauka e kuhikuhi ai ua like ia me nā kī e hoʻihoʻi i kēlā mau kuapo. I kekahi manawa ʻaʻole hiki iā ʻoe ke wehe i ka puka me hoʻokahi kī, pono ʻoe e hoʻāʻo i kekahi. Pēlā ʻo TRD. ʻAʻole paha e hana kekahi lāʻau lapaʻau. Malia paha ʻaʻole paha e hana ʻelua mau lāʻau lapaʻau. ʻAʻole na ʻoe ia hewa. He pane olaola wale nō ia o ke kino.
E hoʻomanaʻo, ʻaʻole kou hewa a i ʻole kou nāwaliwali i ka hana ʻole ʻana o ka lāʻau lapaʻau. He maʻi olakino kēia.
E nānā kākou i kēia papa e wehewehe hou aku i kēia.
| Kūlana | I ka ʻōlelo maʻalahi... |
|---|---|
| Ka maʻi kaumaha nui | Nā manaʻo o ke kaumaha no ka manawa lōʻihi, ka nalowale o ka hoihoi i kekahi mea, nā loli i nā ʻano hiamoe a me ka ʻai ʻana, a me ka luhi me ke ola. |
| Ke kaumaha kū'ē i ka lāʻau lapaʻau (TRD) | ʻAʻole i ho'ōla ʻia ke kūlana i luna nei ʻoiai ua hoʻokele ʻia ma ka liʻiliʻi he ʻelua mau ʻano antidepressants like ʻole, ma ka nui kūpono a no ka manawa kūpono. |
| He aha ke kumu o kēia? | He ʻokoʻa ke kino a me ka lolo o kēlā me kēia kanaka. ʻAʻole like ka hana o ka lāʻau lapaʻau hoʻokahi no kēlā me kēia kanaka. I kekahi manawa hiki i nā kūlana olakino ʻē aʻe i ʻike ʻole ʻia a i ʻole nā pilikia olakino noʻonoʻo ke kōkua i kēia. |
ʻAʻole wale ke kaumaha ... ke hoʻopilikia nei nā pilikia noʻonoʻo ʻē aʻe iā ia?
ʻAe. He mea nui loa kēia. I kekahi manawa ʻo ke kumu i holo pono ʻole ai ka lāʻau lapaʻau no ke kaumaha no ka mea aia paha kekahi maʻi noʻonoʻo ʻē aʻe.
E hoʻi kākou i ka moʻolelo o Imade. Ma hope o nā makahiki o ka mālama ʻana no ke kaumaha me ka ʻole o ka hōʻoluʻolu, ua hoʻāʻo hou nā kauka iā ia. ʻO ia ka manawa i ʻike ai lākou he maʻi kona i kapa ʻia ʻo Borderline Personality Disorder (BPD) .
He aha ka maʻi pilikino palena (BPD)?
ʻO ka mea e hana ʻia ana ma kēia, ʻo ia ka loli wikiwiki a me ka ikaika o nā manaʻo o ke kanaka.
- Ka nalowale ʻana o ke kūpaʻa o ka noʻonoʻo.
- Ka makaʻu mau i ka haʻalele ʻia ʻana e haʻi.
- Ka huhū loa a i ʻole ke kaumaha loa no kekahi mea liʻiliʻi loa.
- Ke hana nei me ka noʻonoʻo ʻole a me ka noʻonoʻo ʻole.
I ka nalowale ʻana o ka hana a Imade a ua hōʻole ʻia, ua loaʻa iā ia kēia mau hōʻailona BPD. ʻO ke ʻano kēia he kumu ikaika ʻē aʻe ma hope o kona kaumaha.
Eia kekahi, ua loaʻa iā ia ka hopohopo nui. "Ke luhi wau i ke ola, ʻaʻohe oʻu manawa e noʻonoʻo ai, 'He hopohopo koʻu?'" wahi āna. Ma hope mai, ma hope o ka loaʻa ʻana o ka lāʻau no ka hopohopo, ua loaʻa iā ia ka maluhia nui o ka noʻonoʻo.
Ke hoʻomaopopo nei anei kēia iā mākou i kekahi manawa ke ʻimi nei mākou i kahi pane i hoʻokahi nīnau, ʻo ke kumu no ia he nīnau ʻē aʻe i hūnā ʻia ma lalo. E like me ka ʻakaʻakai. Ke ʻili ʻoe i ka papa luna, aia kekahi papa ʻē aʻe. No lailaHe mea nui loa ka hōʻoia pololei.
Medical test equipment that can be used at home
Essential home medical devices including blood pressure monitors, oximeters and digital thermometers.
Check Availability →Inā ʻaʻole e holo pono ka lāʻau lapaʻau, he aha kaʻu e hana ai?
ʻO kēia ka mea nui loa. Inā manaʻo ʻoe ʻaʻole ʻoe e hoʻomaikaʻi ma hope o ka lawe ʻana i ka lāʻau lapaʻau, mai hoʻōki i ka lawe ʻana i ka lāʻau lapaʻau a hoʻololi paha i ka nui o ka lāʻau ma kāu iho. E hoʻonui wale kēia i ke kūlana. ʻO ka mea mua a maikaʻi loa āu e hana ai, ʻo ia ke kamaʻilio ākea me kāu kauka e pili ana i kēia.
"E ke kauka, ua lawe au i kēia lāʻau lapaʻau no nā mahina i hala aku nei, akā ʻaʻole au i ʻike i kekahi ʻokoʻa," hiki iā ʻoe ke ʻōlelo me ka ʻoiaʻiʻo. ʻO kou kuleana kēlā.
A laila hiki i kāu kauka ke kuhikuhi i nā hoʻonā e like me kēia:
- Ke hoʻololi nei: Hiki ke hāʻawi ʻia kahi ʻano antidepressant ʻē aʻe ma kahi o ka lāʻau lapaʻau o kēia manawa.
- Hoʻonui: Me ka lāʻau lapaʻau e hoʻohana ʻia nei, hiki ke hoʻohui ʻia kekahi ʻano lāʻau lapaʻau e hoʻonui ai i kona pono.
- Hoʻoponopono ʻana i ka mahele lāʻau: I kekahi manawa, ʻaʻole lawa paha ka mahele lāʻau āu e pono ai. No laila, hiki ke hoʻololi ʻia ka mahele lāʻau.
- Nā lāʻau lapaʻau ʻē aʻe: Ma waho aʻe o ka lāʻau lapaʻau, hiki ke hoʻohana ʻia ka psychotherapy. ʻO ka Dialectical Behavioral Therapy (DBT) kekahi o ia mau lāʻau lapaʻau i kōkua iā Imade e ho'ōla.
- Ke nānā ʻana i nā kūlana olakino ʻē aʻe: I kekahi manawa hiki ke kumu ʻia ke kaumaha e nā kūlana kino ʻē aʻe, e like me nā pilikia hormone thyroid. No laila e nānā pū ke kauka i kēlā mau mea.
ʻIke ʻoe? Nui nā ala e kōkua iā ʻoe. ʻO ka mea nui loa, ʻo ia ka hoʻōki i ka manaʻolana a hana pū me kāu kauka e ʻike i ka lāʻau lapaʻau e kūpono loa iā ʻoe. ʻAʻohe hopena hoʻokahi e kūpono i nā mea āpau. Aia ka hopena i loko o kahi hoʻolālā lapaʻau pilikino i kūpono iā ʻoe.
Leka Lawe-Home
- He ʻano olakino maoli ka Luhi Kūʻē i ka Lāʻau Lapaʻau a ʻike ʻia. ʻAʻole ia he mea āu i noʻonoʻo ai.
- ʻAʻole kou hewa a nāwaliwali paha i ka hana ʻole ʻana o kāu lāʻau antidepressant. Aia nā kumu olaola no ia mea.
- Inā ʻaʻole ʻoe e maikaʻi me kāu lāʻau lapaʻau, ʻo ka mea nui e hana ai, ʻo ia ke hoʻomaopopo i kāu kauka. Mai hoʻōki a hoʻololi paha i kāu lāʻau lapaʻau ma kāu iho.
- I kekahi manawa hiki ke hele pū ʻia ke kaumaha me nā kūlana ʻē aʻe, e like me ka hopohopo a i ʻole ka maʻi pilikino borderline (BPD). He mea nui ka loaʻa ʻana o ka ʻike kūpono.
- Mai hoʻopau i ka manaʻolana inā ʻaʻole holo pono nā lāʻau lapaʻau mua ʻelua. Nui nā ʻano lapaʻau like ʻole i loaʻa, me ka psychotherapy a me nā lāʻau lapaʻau ʻē aʻe.Aia nō ke ala e ho'ōla ai.
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