Ke kaumaha nui nei ʻoe i kekahi manawa, mehameha, a ʻaʻole makemake e hana i kekahi mea? Loaʻa iā kākou āpau kēlā mau lā i ko kākou ola. He mea maʻamau ia. Akā inā hoʻomau kēia kūlana no nā pule a i ʻole nā mahina, inā haʻahaʻa loa kou ʻano a ʻaʻole hiki iā ʻoe ke hana i kāu mau hana o kēlā me kēia lā, he mea ʻoi aku paha ia ma mua o ke kaumaha maʻamau. I ka lāʻau lapaʻau, kapa mākou i kēia ʻano he Major Depressive Disorder (MDD) . ʻAʻole kēia he nāwaliwali o ka noʻonoʻo, akā he maʻi maoli e pono ai ka mālama ʻana.
He aha ke kaumaha kū'ē i ka lā'au lapa'au (TRD)?
ʻO ka maʻamau, ke hoʻomaka ke kauka e mālama i kahi kanaka me ke kaumaha, hoʻomaka ka hapa nui o ka poʻe e ʻoluʻolu ma hope o kekahi manawa. Akā, ʻaʻole kekahi poʻe. No ka laʻana, inā ʻaʻole e hoʻomaikaʻi kāu mau hōʻailona ma hope o ka lawe ʻana i ʻelua mau lāʻau antidepressants i kuhikuhi ʻia e kāu kauka, ma ke ʻano kūpono, no ka manawa lōʻihi (ʻo ia hoʻi he 4 a 6 mau pule), kapa mākou i kēlā he kaumaha pale -lāʻau (TRD) .
I ka ʻōlelo maʻalahi, ʻo ia hoʻi, ʻaʻole pane maikaʻi kou kino a me kou lolo i nā lāʻau antidepressant maʻamau. Mai hopohopo i kēia. ʻAʻole kēia manaʻo ʻaʻole ʻoe e hoʻomaikaʻi. ʻO ia hoʻi, pono mākou e noʻonoʻo i nā lāʻau lapaʻau ʻē aʻe a ʻoi aku ka maikaʻi.
ʻO ka mea nui loa, ʻo ke kamaʻilio ākea me kāu kauka inā manaʻo ʻoe ʻaʻole ʻoe e loaʻa ana i kahi hōʻoluʻolu mai ka lāʻau lapaʻau, me ka mālama ʻole ʻana iā ʻoe iho.
He aha nā hōʻailona maʻamau o ke kaumaha a me ka TRD?
Ua like nā hōʻailona o ke kaumaha kūʻē i ka lāʻau lapaʻau (TRD) me nā hōʻailona o ka maʻi kaumaha nui (MDD). ʻO ka ʻokoʻa, ke mau nei kēia mau hōʻailona ma hope o ka lawe ʻana i ka lāʻau lapaʻau. E nānā kākou i kēia mau hōʻailona. Ua ʻike paha ʻoe i kekahi o kēia mau mea iā ʻoe iho.
| Hōʻailona | He aha ke ʻano o kēia? |
|---|---|
| Kaumaha a me ka ikehu haʻahaʻa | He manaʻo kaumaha a me ka hakahaka e mau ana i ka lā a pau. He kino make, me ka palaualelo e hana i nā hana liʻiliʻi loa. |
| ʻAnhedonia (nele i ka leʻaleʻa mai kekahi mea) | ʻO nā mea āu i hauʻoli ai e hana (e like me ka nānā ʻana i kahi kiʻiʻoniʻoni, ke kamaʻilio ʻana me nā hoaaloha, nā hana leʻaleʻa) i kēia manawa me he mea ʻole lā. |
| Ka hoʻohaunaele e pili ana i ka wā e hiki mai ana | ʻO nā manaʻo maikaʻi ʻole e like me "ʻAʻole loa au e ola hou" a me "Ua pau koʻu ola" e hoʻomanaʻo mau ʻia. |
| Paʻakikī i ka noʻonoʻo ʻana | Ke paʻakikī nei i ka heluhelu ʻana i kahi puke, ka hana ʻana i ka hana, ka hoʻoholo ʻana. ʻAʻole hiki ke hoʻopaʻa i kou manaʻo ma kahi hoʻokahi. |
| Manaʻo hewa iā ʻoe iho | Manaʻo ʻole i ka waiwai ʻole, e hoʻāhewa ana iā ʻoe iho no nā mea liʻiliʻi loa. |
| Nā loli hiamoe | ʻO ka hiamoe nui ʻana (hiamoe i ke ao), a i ʻole ka hiki ʻole ke hiamoe i ka pō a i ʻole ke ala ʻana mai ka hiamoe. |
| Nā loli i ka makemake a me ke kaumaha | Ka emi ʻana o ke kaumaha ma muli o ka nalowale ʻana o ka makemake e ʻai a i ʻole ka piʻi ʻana o ke kaumaha ma muli o ka ʻai nui ʻana. |
| Nā manaʻo e pili ana i ka make a i ʻole ka pepehi kanaka | Manaʻo ʻoe e like me kou makemake e hoʻopau i kou ola. He hōʻailona koʻikoʻi loa kēia, a inā loaʻa iā ʻoe kēia mau manaʻo, he mea nui e ʻimi koke i ke kōkua lapaʻau. |
He aha ka mea e hana ʻia inā ʻaʻole mālama ʻia kēia maʻi?
ʻO ke kaumaha i mālama ʻole ʻia hiki ke alakaʻi i nā mea e like me ka hiki ʻole ke mālama iā ʻoe iho a me ka haʻalele ʻana mai nā poʻe ʻē aʻe. ʻAʻole paha ʻoe e hiki ke hana pono i kāu hana. Loaʻa paha iā ʻoe nā pilikia me ke ola ʻohana a me nā pilina. I nā hihia ʻino loa, hiki ke hoʻoweliweli i ke ola.
No laila, mai lawe māmā i kēia mau hōʻailona. ʻAʻole ia kou hewa. He maʻi ia i hoʻokumu ʻia e ke kaulike ʻole o nā kemika i loko o ka lolo. ʻAʻohe hilahila i ka loaʻa ʻana o ke kōkua no ia mea. Ua like ia me ka lawe ʻana i ka lāʻau lapaʻau no ka maʻi diabetes a i ʻole ke koko kiʻekiʻe.
Aia anei ka manaʻolana? Nā lāʻau lapaʻau hou!
Eia ka nūhou maikaʻi! Ua holomua nui ka ʻepekema lapaʻau i ka mālama ʻana i ke kaumaha i nā makahiki i hala iho nei. ʻAʻole e like me ka wā ma mua, aia i kēia manawa he nui nā lāʻau lapaʻau kūpono i loaʻa, ʻoiai no ka poʻe me ke kaumaha kūʻē i ka lāʻau lapaʻau (TRD).
ʻO nā lāʻau lapaʻau kahiko i kuhikuhi nui i nā kemika (neurotransmitters) i loko o ka lolo e like me ka serotonin, dopamine, a me ka norepinephrine. Akā, hana ʻokoʻa nā lāʻau lapaʻau hou, e hana ana ma o nā ala ʻē aʻe i loko o ka lolo.
Nā lāʻau lapaʻau hana wikiwiki
ʻO kekahi o nā pono nui o kēia mau lāʻau lapaʻau hou, ʻo ia ko lākou wikiwiki. E noʻonoʻo, i ka wā ma mua, pono ʻoe e kali i nā pule, malia paha he mahina a ʻelua paha, e ʻike i nā hopena o kahi lāʻau. Akā me kekahi o nā lāʻau lapaʻau hou i loaʻa i kēia manawa, hiki iā ʻoe ke hoʻomaka e ʻike i ka hōʻoluʻolu mai nā hōʻailona i loko o kekahi mau hola a i ʻole mau lā.
ʻEhia ka nui o ka manaʻolana no kekahi e ʻeha nei i ka TRD a me ke kaumaha e pili ana i ko lākou ola? ʻO ka ikaika noʻonoʻo nui wale nō e hiki ke kōkua iā lākou e hoʻōla koke mai ko lākou kūlana kaumaha. Hiki iā ʻoe ke noi i kāu kauka no ka ʻike e pili ana i kēia mau lāʻau lapaʻau hou. ʻAʻole kūpono nā lāʻau lapaʻau āpau no nā mea āpau. No laila, ʻo kāu kauka ka mea nāna e nānā pono i kou kūlana a hoʻoholo i ka lāʻau lapaʻau kūpono loa iā ʻoe.
Leka Lawe-Home
- He maʻi ke kaumaha: ʻaʻole ia he nāwaliwali o ka puʻuwai, ʻaʻole hoʻi kou hewa. He kūlana maoli ia e pono ai ka mālama ʻia.
- E haʻi i kāu kauka inā ʻaʻole e holo pono ana ka lāʻau lapaʻau: Inā ʻaʻole ʻoe e ʻoi aku ka maikaʻi me ka lāʻau lapaʻau āu e lawe nei, mai hoʻopaʻa iā ia a ʻeha, akā e haʻi pono i kāu kauka. Loaʻa paha iā ʻoe ke kaumaha kūʻē i ka lāʻau lapaʻau (TRD).
- Loaʻa nā lāʻau lapaʻau hou: ʻOiai ka poʻe me TRD hiki ke loaʻa ka manaʻolana. Loaʻa nā lāʻau lapaʻau hou i kēia manawa e hana wikiwiki ana a maikaʻi loa.
- Mai makaʻu e noi i ke kōkua: He mea nui like ke olakino noʻonoʻo me ke olakino kino. ʻO ke noi ʻana i ke kōkua he hōʻailona ia o ka ikaika, ʻaʻole ka nāwaliwali. Aia mau kāu kauka ma laila e kōkua iā ʻoe.
- ʻAʻole ʻoe hoʻokahi: miliona mau kānaka ma Sri Lanka a puni ka honua e noho nei me ke kaumaha. Me ka mālama kūpono a me ke kākoʻo, hiki iā ʻoe ke ola hou i kahi ola olakino.
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