Ke manaʻo nei ʻoe i kekahi manawa i kahi kaumaha ma kou puʻuwai, ke kaumaha, ka mehameha, a me ka manaʻo ʻaʻole makemake e hana i kekahi mea? Ua ʻike paha ʻoe i kahi hoaaloha a ʻohana paha e ʻeha nei i kēia maʻi. ʻO kēia maʻi a mākou e kapa nei he 'kaumaha', a i ʻole e like me ka mea i kapa ʻia ma ka ʻepekema lapaʻau, "Major Depressive Disorder", he maʻi noʻonoʻo maʻamau loa ia i ko mākou ʻāina a me ke ao nei. Akā ʻo ka mea nui loa, ʻaʻole kēia he nāwaliwali a i ʻole kahi mea i haku ʻia, akā he maʻi hiki ke mālama ʻia. ʻO ka nūhou maikaʻi, me ka holomua o ka ʻepekema lapaʻau i nā makahiki he 20 i hala iho nei, ua hoʻolauna ʻia nā lāʻau lapaʻau hou a holomua loa no ke kaumaha.
ʻAʻole kūpono ka mālama like ʻana i nā kānaka a pau!
ʻAʻole e like me ka wā ma mua, ua ʻike mākou i kēia manawa he ʻokoʻa ka hopena o ke kaumaha i kēlā me kēia kanaka. E like me ko mākou mau manamana lima, he kū hoʻokahi kēlā me kēia kanaka. ʻO ke kumu nui o kēia, ʻo ia ke ʻano o nā kaʻina hana kemika e hana ʻia ana i loko o ko mākou lolo, i kapa ʻia ʻo "Neurochemistry," ʻokoʻa mai kēlā kanaka a kēia kanaka.
I ka ʻōlelo maʻalahi, ua hoʻomalu ʻia ko kākou mau manaʻo, nā manaʻo, a me nā hana e nā ʻelele kemika i loko o ka lolo i kapa ʻia ʻo "Neurotransmitters." Ke loaʻa ka kaumaha, ua hoʻopilikia ʻia ke kaulike o kēia mau kemika. No laila, ʻo ka pahuhopu nui o nā lāʻau lapaʻau o kēia lā, ʻo ia ke ʻike pololei i kēia loli kemika i hana ʻia i loko o ka lolo o kēlā me kēia kanaka a hāʻawi i kahi lāʻau lapaʻau i kuhikuhi ʻia e kūlike me ia. ʻO ia hoʻi, ma kahi o ka hāʻawi ʻana i nā kānaka a pau i ka lāʻau lapaʻau like, e hana ana i kahi hoʻolālā lapaʻau e pili pono ana iā ʻoe .
| ʻAno lapaʻau | Nā mea e ʻike ai e pili ana i ia mea |
|---|---|
| Lapaʻau lāʻau lapaʻau | ʻOi aku ka holomua o nā lāʻau antidepressants i loaʻa i kēia lā ma mua o nā mea i loaʻa i ka wā ma mua. Hana pololei lākou a emi iho nā hopena ʻaoʻao. No ka laʻana, hoʻohana pinepine ʻia nā lāʻau lapaʻau e like me (Citalopram), (Escitalopram), (Fluoxetine), a me (Sertraline) . Eia kekahi, ua hoʻolauna ʻia nā lāʻau lapaʻau hou e like me (Auvelity) a me (Spravato) . |
| Hoʻōla noʻonoʻo | Hiki i ke aʻo ʻana a i ʻole ka psychotherapy, ʻoiai hoʻi ka Cognitive-Behavioral Therapy (CBT), ke lilo i mea pono loa i ka wā e lawe ana i ka lāʻau lapaʻau.ʻO ia hoʻi, aia nā hōʻike e hōʻike ana he pono loa ka psychodynamic therapy , kahi ʻano lapaʻau e ʻike a hoʻololi i kou mau manaʻo noʻonoʻo maikaʻi ʻole. |
| Hoʻōla uila (ECT) | E makaʻu paha kekahi poʻe ke lohe lākou i kēia inoa. Akā, ʻoi aku ka palekana o ke ʻano hana i hoʻohana ʻia i kēia lā (Electroconvulsive Therapy - ECT) ma mua o ka wā ma mua, a ʻaʻohe ʻeha. Hoʻohana pinepine ʻia ia no ka poʻe me ke kaumaha nui loa i pane ʻole i kekahi lāʻau lapaʻau ʻē aʻe a i ʻole psychotherapy. A ʻo ia hoʻi ma lalo o ka nānā pono ʻana o nā kauka loea. |
E hoʻomanaʻo, pono i kāu kauka ke hoʻoholo i kahi o kēia mau lāʻau lapaʻau i kūpono loa iā ʻoe. E pale i ka lawe ʻana i ka lāʻau lapaʻau ma muli o kāu i heluhelu ai ma ka pūnaewele a i lohe paha mai kekahi.
ʻO nā lāʻau lapaʻau hou loa e kamaʻilio ʻia nei i kēia mau lā
Ma waho aʻe o nā ʻano hana kuʻuna i ʻōlelo ʻia ma luna, aia kekahi mau lāʻau lapaʻau hou no ke kaumaha i hōʻike i nā hopena holomua loa. ʻO kekahi o kēia ka lāʻau lapaʻau `(Ketamine)`.
He aha ka lāʻau lapaʻau Ketamine?
Ua lohe paha ʻoe i ka `(Ketamine)` ma ke ʻano he lāʻau hoʻomaha. ʻAe, hoʻohana ʻia ia e hoʻopau i ka ʻeha i ka wā o ke ʻoki ʻana. Akā ua ʻike ʻia e nā noiʻi hou nei, hiki i kēia lāʻau lapaʻau, ke hāʻawi ʻia i nā mahele haʻahaʻa loa, ma lalo o ka nānā ʻana o ke kauka, ke kāohi koke i ke kaumaha koʻikoʻi i pane ʻole i nā lāʻau lapaʻau ʻē aʻe.
Pehea lā e hana ai?
E noʻonoʻo ʻoe i ke kaumaha e hoʻopilikia ai i kekahi o nā pūnaewele neural i loko o kou lolo e "paʻa" a hana hewa paha. ʻO ka hana a Ketamine therapy, ʻo ia ke "hoʻonohonoho hou" i kēlā mau pūnaewele neural. Hāʻawi kēia i ka lolo i kahi manawa e kūkulu ai i nā pilina hou a olakino. ʻO ka hopena, ua emi koke ka nui o nā hōʻailona o ke kaumaha, a ʻike kekahi mau maʻi i ka hōʻoluʻolu lōʻihi.
Akā he mea nui loa kēia: ʻAʻole hiki ke hoʻohana ʻia ʻo Ketamine ma ka home. He lāʻau lapaʻau kūikawā loa ia e hāʻawi wale ʻia ma kahi haukapila, ma lalo o ka nānā pono ʻana o kahi loea psychiatrist. He mea nui e nānā mau i ka nui o ka lāʻau, ke ʻano o ka lawelawe ʻana, a me ke kūlana o ka mea maʻi.
I kēia manawa, hoʻohana wale ʻia kēia lāʻau lapaʻau no ka poʻe me ke kaumaha nui ʻaʻole i pane i nā lāʻau lapaʻau ʻē aʻe (kūʻē i ka lāʻau lapaʻau). Akā aia ke kamaʻilio ʻana ma waena o nā kauka e hiki ke hoʻohana mua ʻia i ka wā e hiki mai ana no ke kaumaha nui.
Leka Lawe-Home
- ʻAʻole he nāwaliwali ke kaumaha, he maʻi maoli ia e hiki ke mālama ʻia i hoʻokumu ʻia e nā loli kemika i loko o ka lolo.
- I kēia lā, nui nā lāʻau lapaʻau holomua loa, kūpono, a ʻaʻohe hopena ʻaoʻao no ke kaumaha. No laila, mai hoʻopau i ka manaʻolana.
- Inā manaʻo ʻoe ua loaʻa iā ʻoe a i ʻole kekahi mea āu i ʻike ai ke kaumaha, ʻo ka mea maikaʻi loa e hana ai, ʻo ia ke ʻike i kāu kauka a kamaʻilio e pili ana i ia mea.
- Ke hui pū ʻia ka lāʻau lapaʻau a me ka psychotherapy, hiki ke hoʻokō pinepine ʻia nā hopena maikaʻi loa.
- Mai hoʻohana i kekahi lāʻau lapaʻau a hoʻōki paha i ka lawe ʻana me ke aʻo ʻole ʻia e ke kauka. Hiki ke lilo i mea weliweli.
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