Aia kekahi mau lā ke manaʻo nei mākou ʻaʻole makemake e hana i kekahi mea, a kaumaha loa mākou a kaumaha hoʻi. He mea maʻamau kēlā. Akā inā hoʻomau kēia manaʻo no nā pule ʻelua a ʻoi aku, inā me he mea lā ʻaʻohe manaʻolana a me ka manaʻolana ʻole nā mea āpau, he mea hohonu paha ia ma mua o ke kaumaha wale nō. Ke kamaʻilio nei mākou e pili ana i ke kaumaha, a i ʻole e like me ka kapa ʻana a nā kauka , ʻo 'Major Depressive Disorder' . ʻO kēia ka maʻi noʻonoʻo maʻamau loa ma ka honua. Akā, mai hopohopo, ʻaʻole ʻoe hoʻokahi i ke kamaʻilio ʻana e pili ana i kēia a me ke noi ʻana i ke kōkua.
He aha maoli ke kaumaha?
I ka ʻōlelo maʻalahi, he maʻi noʻonoʻo ke kaumaha e hoʻopilikia i kou ʻano. ʻAʻole ia he maʻi noʻonoʻo a i ʻole he mea hoʻokalakupua o kou noʻonoʻo. He maʻi olakino maoli ia. ʻOiai ʻaʻohe kumu hoʻokahi i ʻike ʻia, manaʻoʻiʻo nā kānaka ʻepekema he hiki ke hana ʻia e ka hui pū ʻana o nā kumu, me nā loli kemika i loko o ka lolo, nā mana genetic, a me nā hanana ola traumatic.
No ka hōʻoia ʻana i kēia maʻi, pono ʻoe e loaʻa i kekahi o nā hōʻailona ma lalo nei no ka liʻiliʻi he ʻelua pule i ka lālani:
- He kaumaha nui a me ka ʻole e like me ia e mau ana i ka lā a pau.
- Ka nalowale ʻana o ka hoihoi i nā mea āu i hauʻoli ai.
- Manaʻo luhi loa, ola ʻole.
- Nā loli o ka hiamoe (hiamoe nui a hiamoe ʻole paha).
- Nā loli i ka makemake (nalowale ka makemake a i ʻole ka ʻai nui ʻana).
- Hoʻohaʻahaʻa iā ʻoe iho, manaʻo he mea ʻole.
- Paʻakikī i ka noʻonoʻo ʻana.
ʻO ka mea nui, he kūlana kēia e hiki ke mālama maikaʻi ʻia me ka lāʻau lapaʻau, no laila, ʻaʻole loa e lohi ke noi ʻana i ke kōkua.
Pehea i hana ʻia ai ka lāʻau lapaʻau i ka wā ma mua? Nā ʻano lāʻau lapaʻau kahiko
No ka manawa lōʻihi, ma kahi o 50 mau makahiki, i ka wā e pili ana i ka mālama ʻana i ke kaumaha, ua kālele nui nā kānaka ʻepekema i nā kemika i loko o ko kākou lolo i kapa ʻia ʻo neurotransmitters. E noʻonoʻo iā lākou he 'hōʻailona' e hiki ai i nā hunaola nerve i loko o ko kākou lolo ke kamaʻilio kekahi i kekahi. Inā ʻaʻole hana pono kēia mau hōʻailona, hiki ke hoʻopilikia ʻia ko kākou ʻano.
Ua hoʻomohala ʻia nā lāʻau lapaʻau kahiko he nui, i kapa ʻia ʻo 'antidepressants', e kaulike i ka hana o ʻekolu mau ʻelele kemika : serotonin, norepinephrine, a me dopamine . Ua loaʻa i kēia mau lāʻau lapaʻau nā hopena maikaʻi no nā poʻe he nui, akā ʻaʻole no nā mea āpau.
No ke aha i hana ʻole ai kēia lāʻau lapaʻau no nā kānaka a pau?
Eia ka pilikia. Ma kahi o ʻekolu o kēlā me kēia ʻumi kānaka me ke kaumaha ʻaʻole lākou e loaʻa ka hōʻoluʻolu nui ma hope o ka hoʻololi ʻana ʻaʻole wale i hoʻokahi lāʻau lapaʻau, akā ʻelua. Ua kapa nā kauka i kēia ʻano he maʻiUa kapa ʻia ʻo ia ʻo 'Treatment-Resistant Depression'.
ʻO ia ke kumu, i nā makahiki he iwakālua i hala iho nei, ua hoʻololi loa nā kānaka ʻepekema i ko lākou manaʻo e pili ana i ke kaumaha. Ua ʻike lākou ʻaʻole wale ke kaumaha he pilikia me kēlā mau ʻelele kemika ʻekolu a mākou i kamaʻilio ai ma mua. ʻOi aku ka paʻakikī o ka biology o ka lolo ma mua o kēlā. A ke wehe nei kēlā i kahi ala hou no ka loaʻa ʻana o nā lāʻau lapaʻau hou.
E nānā kākou i ka ʻokoʻa ma waena o nā lāʻau lapaʻau kahiko a me nā lāʻau lapaʻau hou ma kēia ʻano.
| Hiʻona | Nā lāʻau lapaʻau kahiko (ka hapa nui o nā antidepressants) | Nā lāʻau lapaʻau hou loa |
|---|---|---|
| Pahuhopu nui | ʻO nā neurotransmitters e like me serotonin, norepinephrine, a me dopamine | ʻO nā ʻōnaehana hōʻailona ʻē aʻe a me nā kaapuni neural i loko o ka lolo, e like me nā mea loaʻa GABA |
| Ka manawa o nā hopena | Hiki ke hala i kekahi mau pule a i ʻole hoʻokahi mahina. | Nā hopena wikiwiki i loko o kekahi mau hola a i ʻole mau lā |
| Pehea e hāʻawi ai | Lawe pinepine ʻia nā lāʻau i kēlā me kēia lā | ʻO ka hoʻokomo ʻana o IV a i ʻole ka pīpī ihu |
ʻO ka lāʻau lapaʻau hana wikiwiki hou loa
Ke loli nei ka manaʻo he mau pule a he mau mahina paha e ho'ōla ai i ke kaumaha. Ua hoʻonui nā lāʻau lapaʻau hou a wikiwiki i nā palena o nā mea hiki ke hana ʻia ma kēia kahua.
He lāʻau lapaʻau kūikawā no ke kaumaha postpartum
I ka makahiki 2019, ua ʻāpono ʻia kahi lāʻau i kapa ʻia ʻo Brexanolone . Ua hoʻolālā kūikawā ʻia ia noʻO ke kaumaha ma hope o ka hānau ʻana kahi ʻano maʻi kaumaha nui.
- Pehea e hana ai? ʻOiai ʻaʻole maopopo loa pehea e hana ai, he kope synthetic ia o kahi steroid i hana maoli ʻia e ko mākou kino. Hana ia ma ka hoʻopili ʻana i nā receptors i loko o ka lolo i kapa ʻia ʻo GABA, nāna e kōkua i ka hoʻomalu ʻana i ko mākou ʻano.
- Pehea ʻoe e lawe ai? ʻAʻole maʻalahi kēia lāʻau lapaʻau e like me nā antidepressants ʻē aʻe. Pono e hāʻawi ʻia ma ke ʻano he IV infusion (e like me ka saline) ma luna o 60 mau hola , ma ka haukapila, ma lalo o ka nānā ʻana o ke kauka.
- Nā hopena? ʻO ka mea kupanaha, wikiwiki loa nā hopena. Hiki ke hoʻomaka e emi iho kou mau hōʻailona kaumaha ke pau ka mālama ʻana.
Pēlā nō, ke hoʻomau nei ka noiʻi ʻana i nā lāʻau lapaʻau hou ʻē aʻe e hiki ke hāʻawi i nā hopena wikiwiki no ke kaumaha kūpaʻa i ka lāʻau lapaʻau, ʻo ia hoʻi hiki iā mākou ke manaʻo i nā lāʻau lapaʻau maikaʻi aʻe i ka wā e hiki mai ana.
No laila, he aha kaʻu e hana ai?
Inā ʻoe e heluhelu nei i kēia ʻatikala a loaʻa iā ʻoe kekahi o kēia mau hōʻailona, mai ʻeha hoʻokahi. Mai hoʻoholo he maʻi kou ma ka nānā ʻana ma ka pūnaewele.
ʻO ka mea maikaʻi loa hiki iā ʻoe ke hana, ʻo ia ke ʻike i kāu kauka hilinaʻi a kamaʻilio e pili ana i kēia.
ʻO kāu kauka wale nō ke hiki ke ʻike pololei i kou kūlana a hoʻoholo i ka lāʻau lapaʻau maikaʻi loa nāu. Hiki i kēia ke komo pū me ka lāʻau lapaʻau maʻamau, ke aʻo ʻana/therapy, a i ʻole ka kuhikuhi ʻana i kahi loea olakino noʻonoʻo inā pono. E hoʻomanaʻo, ʻo ke noi ʻana i ke kōkua he hōʻailona ia o ka ikaika.
Leka Lawe-Home
- ʻAʻole ka maʻi kaumaha nui he nāwaliwali, he maʻi olakino maoli ia e pono e mālama ʻia.
- ʻOiai ke kōkua nei nā lāʻau lapaʻau kahiko i nā kānaka he nui, ʻaʻole lākou e hana no nā kānaka a pau.
- Me ka holomua o ka ʻepekema, aia nā lāʻau lapaʻau hou e pili ana i nā ʻōnaehana hōʻailona ʻē aʻe i loko o ka lolo a hāʻawi i nā hopena wikiwiki.
- Loaʻa i kēia manawa nā lāʻau lapaʻau wikiwiki a kūpono loa no nā kūlana kikoʻī, e like me ke kaumaha postpartum.
- Mai hoʻoholo ponoʻī a hoʻōla paha iā ʻoe iho. Inā manaʻo ʻoe he kaumaha kou, e ʻimi koke i ke kōkua lapaʻau.
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