Ma hope o kou ʻike ʻana ua loaʻa iā ʻoe ke kaumaha, ua ʻike paha ʻoe i ke kauka a hoʻomaka e lawe i ka lāʻau lapaʻau. I kēia manawa, manaʻo paha ʻoe e hoʻomaikaʻi ana ʻoe. Ua emi iki ka kaumaha a me ke kaomi āu i manaʻo ai. No laila, i kēia manawa ke manaʻo nei paha ʻoe, "ʻAe, i kēia manawa ua ʻoi aku ka maikaʻi o koʻu manaʻo, no laila hiki iaʻu ke hoʻōki i ka lawe ʻana i kēia lāʻau lapaʻau." Akā, ʻōlelo paha kāu kauka, "E hoʻomau mākou i ka hoʻohana ʻana i kēia lāʻau lapaʻau no kekahi manawa hou aku." No ke aha ʻoe e ʻōlelo ai pēlā? E kamaʻilio kākou e pili ana i kēia i kēia lā.
No ke aha e pono ai iaʻu e hoʻomau i ka lawe ʻana i ka lāʻau lapaʻau ma hope o koʻu ho'ōla ʻia ʻana?
ʻO ka mea mua e hoʻomaopopo ai, ʻaʻole like nā lāʻau antidepressants me nā lāʻau lapaʻau no ke anu a i ʻole ke kuni. Ke loaʻa iā mākou ke anu, lawe mākou i ka lāʻau lapaʻau no kekahi mau lā e ho'ōla loa i ka maʻi. Akā, he ʻano ʻokoʻa ke kaumaha. Hoʻomalu kēia mau lāʻau i nā hōʻailona o ke kaumaha a hāʻawi i ka hoʻomaha i kou noʻonoʻo.
E noʻonoʻo e like me ka lawe ʻana i ka lāʻau lapaʻau no ka maʻi diabetes a i ʻole ke koko kiʻekiʻe. Ma kahi o ka hoʻopau loa ʻana i ka maʻi, kōkua kēlā mau lāʻau lapaʻau i ka hoʻomalu ʻana iā ia a kōkua iā ʻoe e ola i kahi ola maʻamau. I kekahi manawa hiki i ke kaumaha ke lilo i maʻi mau loa e pono ai ka mālama lōʻihi .
Inā ʻoe e loaʻa nei i ke kaumaha no ka manawa mua, ua ʻōlelo ka American Psychiatric Association e hoʻomau ʻoe i ka lawe ʻana i ka lāʻau lapaʻau no kahi o ʻehā a ʻelima mau mahina , ʻoiai ma hope o ka hoʻomaikaʻi nui ʻana o kāu mau hōʻailona a ua ʻoi aku kou maikaʻi. Inā ua loaʻa iā ʻoe ke kaumaha i nā manawa he nui ma mua, pono paha ʻoe e lawe i ka lāʻau lapaʻau no ka lōʻihi, malia paha no ke koena o kou ola.
ʻO kēia no ka mea inā ʻoe e hoʻōki koke i ka lawe ʻana i ka lāʻau lapaʻau, ʻoi aku ka nui o ka pilikia o ka hoʻi hou ʻana. ʻO ka hoʻomau ʻana i ka lawe ʻana i ka lāʻau lapaʻau e kāohi i ka maʻi ma kēia ʻano ua kapa ʻia ʻo "Maintenance Treatment."
He aha nā lāʻau lapaʻau maʻamau no ke kaumaha?
Aia kekahi mau ʻano lāʻau lapaʻau i hoʻohana ʻia e mālama i ke kaumaha. Hana kēlā me kēia ma ke ʻano ʻokoʻa iki. E koho kāu kauka i ka lāʻau lapaʻau kūpono loa iā ʻoe ma muli o kou kūlana, nā hōʻailona, a me nā kūlana olakino ʻē aʻe.
Nā Lāʻau Hoʻōla Lāʻau Hou
I nā makahiki he iwakālua i hala iho nei, ua hoʻolauna ʻia nā lāʻau lapaʻau he nui i ʻoi aku ka maikaʻi me nā hopena ʻaoʻao liʻiliʻi.
| Māhele lāʻau lapaʻau | He maʻalahi ke ʻano o kāna hana. | Nā hopena ʻaoʻao hiki ke loaʻa |
|---|---|---|
| Nā SSRI (Nā mea pale i ka hoʻihoʻi hou ʻana o ka serotonin koho) Laʻana: Fluoxetine, Sertraline, Citalopram, Escitalopram | Hoʻomaikaʻi ia i ka hana o ka serotonin , kahi ʻelele kemika i loko o ka lolo e kaohi ana i ko mākou ʻano. | ʻO ka ʻōpū ʻeha, ka hana pono ʻole o ka moekolohe, ka hiamoe ʻole, ka poniuniu, ka loli o ke kaumaha, ka ʻeha poʻo. (ʻO ka hapa nui he palupalu) |
| Nā SNRI (Serotonin a me Norepinephrine Reuptake Inhibitors) Laʻana: Venlafaxine, Duloxetine | Hoʻonui ia i ka hana o nā ʻelele kemika ʻelua i kapa ʻia ʻo serotonin a me norepinephrine . | ʻŌpū ʻeha, pilikia hiamoe, hana pono ʻole o ka moekolohe, ʻeha poʻo, hopohopo, poniuniu, nāwaliwali. |
| Nā NDRI (Nā mea hoʻopale i ka hoʻihoʻi ʻana o Norepinephrine a me Dopamine) Laʻana: Bupropion (Wellbutrin) | Hoʻopilikia ia i ka hana o nā ʻelele kemika norepinephrine a me dopamine . | ʻŌpū ʻeha, ʻeha poʻo, pilikia hiamoe, haʻalulu, hopohopo. (He mea kākaʻikahi nā hopena ʻaoʻao moekolohe a me ka piʻi ʻana o ke kaumaha. ) ʻAʻole kūpono kēia lāʻau lapaʻau no ka poʻe i loaʻa i nā hopu ma mua. |
| Nā NaSSA (Nā Antidepressants Noradrenergic a me nā Serotonergic kikoʻī) Laʻana: Mirtazapine (Remeron) | He ʻokoʻa ka hopena o ka serotonin a me ka norepinephrine. | ʻŌpū ʻeha, hiamoe, piʻi ke kaumaha, hopohopo, poniuniu. |
Nā Lāʻau Hoʻohaʻahaʻa Kaulana
Aia kekahi mau lāʻau lapaʻau i hoʻohana ʻia e mālama i ke kaumaha i ka wā ma mua. ʻO kēia nā Tricyclic Antidepressants a me MAOIs (Monoamine Oxidase Inhibitors).Hana kēia mau hana ma ka hoʻopili ʻana i nā ʻelele kemika (neurotransmitters) i loko o ka lolo.
ʻOiai he kūpono loa kēia mau lāʻau lapaʻau no kekahi poʻe, he nui nā hopena ʻaoʻao. A no ka mea hiki iā lākou ke hoʻopilikia i nā lāʻau lapaʻau ʻē aʻe a me kekahi mau meaʻai, ʻaʻole ʻōlelo hou nā kauka iā lākou ma ke ʻano he koho mua. Eia nō naʻe, he koho maikaʻi paha kēia mau lāʻau lapaʻau kahiko no kekahi poʻe i pane ʻole i nā lāʻau lapaʻau hou.
Nā Lāʻau Lapaʻau ʻē aʻe
I kekahi manawa, hiki i ke kauka ke hoʻoholo e kuhikuhi i nā lāʻau lapaʻau ʻē aʻe me ka lāʻau lapaʻau no ke kaumaha.
- Nā lāʻau lapaʻau no ka hopohopo a i ʻole ka insomnia: Kōkua kēia i ka kaohi ʻana i ka hopohopo a me nā pilikia hiamoe e hele mai me ke kaumaha.
- Nā Antipsychotics Atypical: ʻO nā lāʻau lapaʻau e like me Aripiprazole (Abilify) a me Quetiapine (Seroquel), i hāʻawi pinepine ʻia no ka schizophrenia a i ʻole ka maʻi bipolar, hiki ke kōkua i ka hoʻonui ʻana i ka pono o kahi antidepressant ke lawa ʻole.
- L-methylfolate (Deplin): ʻOiai ʻaʻole i hoʻokaʻawale ʻia he lāʻau lapaʻau e ka FDA, ua manaʻo ʻia he "meaʻai lapaʻau." He ʻano ikaika kēia o ka huaora B i kapa ʻia ʻo folate. Kōkua ia i ka hoʻoponopono ʻana i nā ʻelele kemika i loko o ka lolo e kaohi ana i ke ʻano. Ua kūpono ia i ka mālama ʻana i ke kaumaha i pane ʻole i nā lāʻau lapaʻau ʻē aʻe.
Pehea ʻoe e loaʻa ai ka lāʻau lapaʻau kūpono nou?
ʻO ka mea pōʻino, ʻaʻole maʻalahi ka loaʻa ʻana o ka lāʻau lapaʻau kūpono a me ka nui kūpono nou. ʻOkoʻa ka pane ʻana o kēlā me kēia kanaka i ka lāʻau lapaʻau like. ʻAʻole hiki i kāu kauka ke wānana pololei i ka maikaʻi o ka hana ʻana o kahi lāʻau lapaʻau nou.
No laila, he mea kēia e pono e hana ʻia me ke ahonui . Pono paha ʻoe e hoʻāʻo e hoʻololi ma waena o nā lāʻau lapaʻau. ʻO ka maʻamau, e hoʻomaka ʻoe e ʻike i kahi hōʻoluʻolu i loko o kekahi mau pule o ka hoʻomaka ʻana i kahi antidepressant, akā hiki ke hala i kekahi mau mahina e ʻike ai i nā hopena piha. No laila, mai haʻalele koke. I ka hala ʻana o ka manawa, hiki i kāu kauka ke hoʻonui a hoʻemi paha i kāu dosage ma muli o kou kūlana.
Inā ua lōʻihi kou lawe ʻana i kahi lāʻau lapaʻau a ʻaʻole ia e kōkua, e kamaʻilio me kāu kauka e pili ana i ia mea. Hiki iā ia ke paipai iā ʻoe e hoʻāʻo i kahi lāʻau lapaʻau ʻē aʻe. I ka hala ʻana o ka manawa, e ʻike paha ʻoe i kahi lāʻau lapaʻau a i ʻole ka hui pū ʻana o nā lāʻau lapaʻau e pono ai iā ʻoe.
ʻO ka mea nui loa, ʻoiai inā ʻoe e ʻoi aku ka maikaʻi i kēia manawa, mai hoʻōki i ka lawe ʻana i kāu lāʻau lapaʻau me ka ʻole o ka nīnau mua ʻana i kāu kauka. ʻO ka hana ʻana pēlā e hiki ai ke hoʻi hou mai kou kaumaha, a i ʻole me kekahi mau lāʻau lapaʻau, hiki ke hana i nā hopena ʻaoʻao e like me nā hōʻailona like me ka maʻi flu, ka nausea, a me ka poniuniu. No laila, inā ʻoe e hoʻōki i ka lawe ʻana i kāu lāʻau lapaʻau, e hana mālie, e hahai ana i nā kuhikuhi a kāu kauka.
Pono kāu kauka e ʻike pinepine iā ʻoe, ʻoiai ke hoʻomaka mua ʻoe i kahi lāʻau lapaʻau hou. I loko o kēia manawa, e kamaʻilio ākea e pili ana i kekahi ʻeha a pilikia paha āu e ʻike nei me ka lāʻau lapaʻau.
Leka Lawe-Home
- ʻAʻole ka kaumaha he nāwaliwali, he maʻi ia e pono ai ka mālama ʻia, e like me ka maʻi diabetes.
- ʻOiai inā ʻoe e ʻoi aku ka maikaʻi, e hoʻomau i ka lawe ʻana i kāu lāʻau lapaʻau no ka lōʻihi o ka manawa a kāu kauka e ʻōlelo ai iā ʻoe e pale aku i ka hoʻi hou ʻana. Ua kapa ʻia kēia ʻo "maintenance treatment."
- Hiki ke lōʻihi ka manawa e loaʻa ai ka lāʻau lapaʻau kūpono a me ka nui kūpono nou, no laila e hoʻomanawanui i kāu lāʻau lapaʻau.
- Mai ho'ōki i ka lawe ʻana i ka lāʻau lapaʻau a hoʻololi paha i ka nui me ka ʻole o ka ʻae ʻia e kāu kauka.
- Inā he mau nīnau kāu e pili ana i ka lāʻau lapaʻau a i ʻole kekahi ʻeha āu e ʻike nei, e kūkākūkā ākea me kāu kauka.
💬 Comments (0)
ʻAʻohe manaʻo i kau ʻia. Hoʻohui i kāu manaʻo ma ʻaneʻi no ka manawa mua.
Hoʻohui i kāu manaʻo