Ua kaumaha a kaumaha mākou a pau i kekahi manawa. He mea maʻamau ia. Akā, ua manaʻo anei ʻoe, me ke kumu ʻole, i kahi ʻole hohonu i loko, kahi manaʻo o ka ʻole e lawe hou mai iā ʻoe i ka hauʻoli, ʻoiai i nā mea āu i hauʻoli ai, kahi manaʻo e ʻeleʻele a keʻokeʻo ke ao holoʻokoʻa? ʻAʻole kēia he kaumaha wale nō. I kēia lā e kamaʻilio mākou e pili ana i ia ʻano maʻi, ʻo ia hoʻi ʻo Melancholic Depression, kahi ʻano kaumaha koʻikoʻi. ʻAʻole kēia he nāwaliwali i kou noʻonoʻo, akā he maʻi olakino e pili ana i nā loli i ke kino, ʻoi aku hoʻi i ka ʻōnaehana nerve waena.
He aha maoli kēia mea i kapa ʻia ʻo Melancholic Depression?
I ka ʻōlelo maʻalahi, he ʻano kaumaha koʻikoʻi loa a hohonu hoʻi ke kaumaha Melancholic. Ua kapa pū kekahi poʻe iā ia ʻo Melancholia. Manaʻo nā kānaka noiʻi e hoʻopilikia nui kēia ʻano i ko mākou ʻōnaehana nerve waena. Ma waena o 25% a me 30% o ka poʻe me ke kaumaha e loaʻa ana kēia ʻano kaumaha.
Hiki ke paʻakikī ka mālama ʻana i kēia maʻi no ka mea ʻaʻole paha e pane maikaʻi i kekahi o nā lāʻau lapaʻau no ke kaumaha maʻamau, e like me nā lāʻau lapaʻau e like me SSRIs (Selective serotonin reuptake inhibitors) a i ʻole talk therapy.
Akā, ʻaʻole ia manaʻo ʻaʻohe lāʻau lapaʻau no ia mea. ʻElua mau lāʻau lapaʻau kūpono loa no kēia:
- Lapaʻau Electroconvulsive (ECT): Pili kēia i ka hoʻouna ʻana i nā hōʻailona uila liʻiliʻi loa i kāohi ʻia i ka lolo e hōʻoluʻolu i nā hōʻailona.
- Nā antidepressants Tricyclic (TCAs): ʻO kēia kekahi ʻano lāʻau lapaʻau i hoʻolauna mua ʻia no ke kaumaha.
ʻO ka mea nui, ʻoiai ke koʻikoʻi o nā hōʻailona o kēia maʻi, hiki iā ʻoe ke hoʻokele i kēia mau hōʻailona a ola maikaʻi me ke kōkua o kahi loea olakino noʻonoʻo kūpono, me kāu kauka.
He aha nā hōʻailona o kēia maʻi?
ʻAʻole wale ke kaumaha a me ka uē ʻana o ka Melancholic Depression, akā, ʻo nā hōʻailona kino ʻē aʻe hoʻi. Manaʻo paha ʻoe ua nele kou mana a me kou ʻuhane i loko. ʻAʻole paha ʻoe e hiki ke hauʻoli i nā mea maikaʻi. Hiki ke lohi kou mau manaʻo a me kou neʻe ʻana. E wehewehe kākou i kēia mau hōʻailona.
| Māhele hōʻailona | Wehewehena |
|---|---|
| ʻO nā hiʻohiʻona nui ʻelua | 1. Ka nalowale ʻana o ka leʻaleʻa. 2. Ka hiki ʻole ke pane maikaʻi i kahi mea maikaʻi a ʻoluʻolu paha. |
| Nā hiʻohiʻona maʻamau ʻē aʻe |
|
| Nā loli i nā neʻe kino (nā hōʻailona Psychomotor) | |
| Nā loli ʻano |
|
| ʻEha kino | Ua hōʻike kekahi mau noiʻi a hiki i ka 70% o ka poʻe me kēia ʻano e loaʻa paha i ka ʻeha musculoskeletal. |
No ke aha lā kēia e hana nei? He aha nā kumu?
ʻO ke kumu nui o kēia, ʻo ia nā loli olaola i loko o ko kākou lolo a me ka ʻōnaehana hormonal. E noʻonoʻo, he mau ʻāpana kūikawā ko ko kākou lolo e kāohi ana i ka hoʻomanaʻo, nā manaʻo, a me nā manaʻo. Aia kekahi ʻōnaehana e pili ana i kēia mau mea a hana i kapa ʻia ʻo "Hypothalamic-pituitary-adrenal (HPA) axis". I ka ʻōlelo maʻalahi, ʻo ia ka ʻōnaehana nui i loko o ko kākou kino e hoʻoponopono ana i nā mea he nui, e like me ke kaumaha a me ka makemake.
I loko o ke kanaka me ka Melancholic Depression, ʻaʻole hana pono kēia axis HPA. No laila, ke kaumaha mākou, ʻo ka hormone `(cortisol)` i hana ʻia e ko mākou kino aia ma kahi pae kiʻekiʻe pono ʻole. Hiki i kēia hoʻonui ʻana i nā pae `(cortisol)` ke hoʻopilikia pololei i ko mākou makemake, metabolism, a me ka hoʻomanaʻo. Eia kekahi, ʻo nā loli i ka ʻōnaehana hōʻailona (`(neurons)`) e lawe ana i nā leka ma waena o nā cell nerve i loko o ka lolo ke kumu.
ʻO wai ka mea i ʻoi aku ka pilikia o ka loaʻa ʻana o kēia maʻi?
- Makahiki: ʻIke pinepine ʻia nā hōʻailona o ke kaumaha melancholic ma hope o ke ola, ʻo ia hoʻi, i kou wā ʻelemakule.
- ʻIke Hoʻoilina: Loaʻa pinepine kēia maʻi i loko o nā ʻohana. Inā ua loaʻa i kekahi o kou ʻohana kēia ʻano maʻi noʻonoʻo ma mua, hiki paha iā ʻoe ke pilikia.
- Ke aniau a me nā kau: No kekahi poʻe, e ʻoi aku ka ʻino o kēia mau hōʻailona i ka wā o ka lā haʻahaʻa, nā hola pōkole o ke ao, a me ke anuanu.
- Nā loli ma hope o ka hānau ʻana: Hiki i kekahi mau makuahine me ke kaumaha postpartum ke ʻike i kēia mau hōʻailona kaumaha.
Pehea e ʻike ai ke kauka i kēia?
E ʻike kāu kauka a i ʻole ke kākāʻōlelo olakino noʻonoʻo i kēia maʻi ma hope o ke aʻo pono ʻana i kāu mau hōʻailona. I mea e ʻike ʻia ai, pono ʻoe e loaʻa i kekahi a i ʻole nā hōʻailona koʻikoʻi ʻelua:
Nā hiʻohiʻona koʻikoʻi: Ka nalowale ʻana o ka hiki ke hauʻoli i ke ola a i ʻole e pane i nā mea leʻaleʻa.
Eia kekahi, pono ʻoe e loaʻa i ʻekolu o nā ʻano ma lalo nei:
- He manaʻo o ka manaʻolana ʻole loa i pili ʻole i ke kaumaha, e like me ka nalowale ʻana o kahi mea aloha.
- Ka nalowale ʻana o ka makemake a i ʻole ka pohō nui o ke kaumaha.
- Nā loli i nā neʻe kino (lohi a hoʻomaha ʻole paha).
- Ke kaumaha a me ke kaumaha i ke kakahiaka ma mua o nā manawa ʻē aʻe o ka lā.
- Ke ala ʻana ma ka liʻiliʻi he 2 mau hola ma mua o ka mea i manaʻo ʻia.
- Nā manaʻo o ka hewa nui e pili ana iā ʻoe iho.
He aha nā lāʻau lapaʻau?
Hoʻohana ʻia ka hui pū ʻana o nā lāʻau lapaʻau a me nā lāʻau lapaʻau ʻē aʻe no ke kaumaha melancholic.
| ʻAno lapaʻau | E pili ana i ia mea |
|---|---|
| Nā lāʻau lapaʻau (Nā lāʻau hoʻēmi kaumaha) | Hoʻomaʻamaʻa pinepine nā kauka i kahi papa o nā lāʻau i kapa ʻia ʻo tricyclic antidepressants (TCAs) . No kēia papa nā lāʻau e like me Amitriptyline, Imipramine, a me Nortriptyline. Eia kekahi, hiki i kāu kauka ke ʻōlelo i nā lāʻau ʻē aʻe ma muli o kou kūlana. |
| Hoʻōla uila (ECT) | Ke holo pono ʻole nā lāʻau ʻē aʻe, e kuhikuhi paha kāu kauka i ka ECT. Pili kēia i ke kau ʻana iā ʻoe ma lalo o ka anesthesia laulā a me ka hoʻouna ʻana i nā impulses uila liʻiliʻi i kou lolo e hoʻihoʻi i ke kaulike kemika o ka lolo a hōʻoluʻolu i nā hōʻailona. He lāʻau palekana a maikaʻi loa kēia. |
| Hoʻōla noʻonoʻo | ʻIke ʻia hoʻi ʻo 'talk therapy', pili kēia ʻano hana i ke kamaʻilio ʻana me ke kauka noʻonoʻo a i ʻole ke kauka noʻonoʻo e pili ana i kou mau manaʻo, nā manaʻo, a me nā ʻano. Eia nō naʻe, ʻaʻole e like me nā ʻano kaumaha ʻē aʻe, ʻaʻole paha e kūpono loa kēia lāʻau lapaʻau wale nō no ke kaumaha melancholic. Hoʻohana pinepine ʻia me ka lāʻau lapaʻau. |
Pehea e ola ai me kēia kūlana?
E hana kāu kauka i kahi hoʻolālā lapaʻau kūpono iā ʻoe. ʻOiai e hahai pono ana i kēlā lapaʻau, hiki iā ʻoe ke hana i nā hoʻololi liʻiliʻi i kou nohona.
- E lawe i kāu lāʻau lapaʻau e like me ke kauoha: E lawe i kāu lāʻau lapaʻau e like me ke kauoha, i ka manawa kūpono, a e nīnau mau i kāu kauka ma mua o ka lawe ʻana i kekahi lāʻau lapaʻau a mea hoʻohui paha.
- Hoʻoikaika Kino: E hana i kahi mea e hoʻoikaika kino ai i kou kino i kēlā me kēia lā, e like me ka hele wāwae, ʻauʻau, hula, a i ʻole ka yoga.
- E hoʻolilo i ka hiamoe i mea nui: E hoʻomaʻamaʻa i ka hele ʻana i ka hiamoe a me ke ala ʻana i ka manawa like.
- ʻAi olakino: E ʻai i ka ʻai momona a kaulike hoʻi.
- E pale i ka puhipaka a me ka waiʻona: Hiki i kēia ke hoʻonui i ke kaumaha.
- E hoʻolilo i ka manawa me nā hoaaloha: E kamaʻilio a e hoʻolilo i ka manawa me ka ʻohana a me nā hoaaloha aloha iā ʻoe a hoʻomaopopo iā ʻoe.
E kōkua i kekahi e mālama ana i kekahi e like me kēia.
Inā he ʻohana a he hoaaloha paha kou me kēia maʻi, he mea waiwai nui kāu kākoʻo. Akā, ʻaʻole maʻalahi ka mālama ʻana i kekahi e like me ia. Hiki paha iā ʻoe ke luhi, mehameha, a kaumaha. No laila, he mea nui loa ka mālama ʻana iā ʻoe iho.
- E noʻonoʻo hoʻi i kou olakino: hiamoe maikaʻi, ʻai i ka meaʻai momona, a hoʻoikaika kino.
- E noi i ke kōkua: Mai ho'āʻo e hana i nā mea āpau me ʻoe wale nō. E noi i ke kōkua mai nā ʻohana ʻē aʻe a me nā hoaaloha.
- E hāʻawi iā ʻoe iho i kahi hoʻomaha: E hoʻokaʻawale i kahi manawa iki i kēlā me kēia lā nou iho. E heluhelu i kahi puke, e hoʻolohe i kahi mele, e hana i kahi mea āu e makemake ai.
- E ʻimi i ke kōkua lapaʻau inā ʻoe e hopohopo nei: Inā ʻaʻole hiki ke hoʻomanawanui i ke kaumaha o ka mālama ʻana i kekahi, e kamaʻilio me ke kauka a kākāʻōlelo paha e pili ana i ia mea.
Leka Lawe-Home
- ʻAʻole ka Luhi Melancholic he nāwaliwali o ka puʻuwai a i ʻole ka manaʻo palaualelo. He maʻi maoli ia i hoʻokumu ʻia e nā loli i loko o ka lolo a me nā hormones.
- ʻO ke ʻano nui o kēia, ʻo nā mea i leʻaleʻa ma mua, ʻaʻole ia e lawe mai i ka hauʻoli a me ka leʻaleʻa.
- Aia kekahi mau lāʻau lapaʻau kūpono loa (e like me nā lāʻau ECT a me TCA) no kēia ʻano.
- Inā ʻoe a i ʻole kekahi āu i ʻike ai e ʻike nei i kēia mau hōʻailona, he mea nui loa e ʻike koke i ke kauka a ʻimi i ka ʻōlelo aʻo, ma mua o ka ʻeha hoʻokahi.
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