Ua kaumaha anei ʻoe, mehameha, luhi, a hoʻonāukiuki ʻia ʻaʻole hiki iā ʻoe ke hana i kekahi mea? ʻOiaʻiʻo, ke manaʻo nei mākou a pau i kēia mau manaʻo i kekahi manawa o ko mākou ola. He mea maʻamau ia. Akā inā ʻaʻole e nalowale kēia manaʻo i loko o kekahi mau lā, akā e kaumaha ana i kou manaʻo no nā pule a i ʻole nā mahina, a ke hoʻopilikia nei i kāu mau hana o kēlā me kēia lā, a laila ʻaʻole ia he kaumaha wale nō. Hiki ke lilo i kūlana i kapa ʻia ʻo "Depression." E kamaʻilio kākou e pili ana i kēia i kēia lā.
ʻAʻole ka kaumaha he nāwaliwali o ka puʻuwai a i ʻole he hōʻailona o ke kaumaha. E like me ka maʻi diabetes a i ʻole ke koko kiʻekiʻe, he maʻi olakino maoli ia e pono e mālama ʻia. I kekahi manawa hiki ke hoʻoulu ʻia ke kaumaha e kekahi maʻi olakino ʻē aʻe. Akā ʻo ka hapa nui o ka manawa he maʻi noʻonoʻo paʻakikī loa ia. ʻO ka mea nui, ʻaʻole hiki mai ke kaumaha ma kekahi ʻano a i ʻole kekahi. He ʻano like ʻole a me nā ʻano like ʻole.
He aha nā ʻano nui o ke kaumaha?
E kamaʻilio kākou e pili ana i kekahi o nā ʻano kaumaha maʻamau. He ʻokoʻa iki nā hōʻailona o kēlā me kēia.
- Ka Maʻi Kaumaha Nui: ʻO kēia ke ʻano koʻikoʻi loa a mākou e manaʻo pinepine ai ke ʻōlelo mākou "kaumaha."
- Ka Maʻi Kaumaha Mau Loa (Dysthymia): He ʻano kaumaha e mau ana no ka manawa lōʻihi a ʻaʻole i ʻoi aku ka koʻikoʻi.
- Ka Maʻi Hoʻopilikia Kau (SAD): He ʻano kaumaha e kū wale ana i kekahi mau manawa o ka makahiki.
- Kaumaha Noʻonoʻo: He ʻano koʻikoʻi i hōʻike ʻia e nā hōʻailona o ke kaumaha a me nā hallucinations (ʻike/lohe i nā mea i ʻike ʻole ʻia).
- Kaumaha Bipolar: He ʻano kaumaha kēia e kū mai ana ma ke ʻano he ʻāpana o ka maʻi bipolar.
E nānā kākou i kēlā me kēia me nā kikoʻī hou aku.
Ka maʻi kaumaha nui
ʻO ke kanaka me kēia maʻi e manaʻo nei i ke kaumaha hohonu a pau ʻole, ka manaʻolana ʻole, a me ka ʻole. ʻO kēia hui pū ʻana o nā hōʻailona e paʻakikī ai ka hana ʻana i nā mea o kēlā me kēia lā e like me ka hana, ke aʻo ʻana, ka hiamoe, a me ka ʻai ʻana. ʻOiai nā mea i leʻaleʻa ma mua, ʻaʻole ia e lawe mai i ka hauʻoli. Hiki i kēia maʻi ke hele mai a hele aku i hoʻokahi manawa i ke ola, akā no nā poʻe he nui hiki ke hana pinepine i ko lākou ola.
| Hōʻailona | He wehewehe maʻalahi |
|---|---|
| Ke kaumaha a me ka hakahaka paha i nā manawa a pau | Ke kaumaha a me ke kaumaha i ka lā a pau me ke kumu ʻole. |
| Ka nalowale o ka hoihoi i nā mea āu i hauʻoli ai | ʻAʻole lawe hou mai ka hauʻoli i nā mea e like me ka nānā ʻana i kahi kiʻiʻoniʻoni a i ʻole ka hālāwai ʻana me kahi hoaaloha. |
| Nā loli i ka hiamoe | ʻO ka hiamoe ʻole a i ʻole ka hiamoe nui ʻana. |
| Nā loli o ka makemake a me nā loli o 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. |
| ʻAʻohe ikaika, luhi mau | ʻOiai ke ala au i ke kakahiaka, ua manaʻo wau ua make wau, ua luhi loa wau e hana i kahi hana liʻiliʻi loa. |
| Paʻakikī i ka noʻonoʻo ʻana | Ke paʻakikī nei i ka heluhelu ʻana i kahi puke, ka hoʻoholo ʻana, a i ʻole ka hoʻomanaʻo ʻana i kahi mea. |
| Manaʻo hewa iā ʻoe iho, manaʻo hewa | Nā manaʻo e like me "He mea ʻole wau", "Naʻu ke kuleana no nā mea āpau". |
| Nā manaʻo e hoʻopau i kou ola | Nā manaʻo e like me "ʻAʻohe manaʻo o kēia ola," "Makemake au e make." He ʻano weliweli loa kēia. |
Kaumaha Noʻonoʻo
He ʻano kaumaha koʻikoʻi loa kēia. Ma kahi o 25% o nā maʻi kaumaha i hoʻokipa ʻia i ka haukapila e loaʻa ana kēia ʻano. Ma waho aʻe o nā hōʻailona kaumaha i ʻōlelo ʻia ma mua, ua hoʻohui ʻia ʻelua mau hōʻailona koʻikoʻi ʻē aʻe.
1. Nā Manaʻo Halau: ʻIke ʻana a lohe ʻana paha i nā mea ʻaʻole maoli ma laila (e laʻa me ka lohe ʻana i kekahi e kamaʻilio ana, ʻike ʻana i nā kiʻi ʻaʻole ma laila).
2. Nā Manaʻo Hoʻopunipuni: ʻO ka hiki ʻana mai o nā manaʻoʻiʻo wahaheʻe ikaika a kūpono ʻole i ka ʻoiaʻiʻo. (Eia kekahi laʻana, ka manaʻoʻiʻo ikaika i nā mea e like me "Ua hana au i kahi hewa nui a ke hoʻopaʻi ʻia nei au no ia mea," "Ke hoʻāʻo nei kekahi e hōʻeha iaʻu.")
ʻAʻole paha e haʻi aku ka poʻe me kēia maʻi i nā poʻe ʻē aʻe e pili ana i kā lākou ʻike a lohe paha no ka hilahila a me ka makaʻu, e paʻakikī ai ka ʻike ʻana.
No ke aha lā e loaʻa ai iā kākou ke kaumaha?
ʻAʻohe kumu hoʻokahi no kēia. He paʻakikī loa ia. ʻO ka maʻamau, hiki mai ke kaumaha ma muli o ka hui pū ʻana o kekahi mau kumu.
- Mana hoʻoilina (Biology): Inā ua loaʻa kekahi o kou ʻohana i ke kaumaha, aia paha ʻoe i kekahi pilikia o ka loaʻa ʻana iā ia.
- Nā loli kemika i loko o ka lolo: Malia paha ma muli o ke kaulike ʻole o nā kemika i loko o ka lolo (nā neurotransmitters) e kaohi ana i ko kākou mau manaʻo e like me ka hauʻoli a me ke kaumaha.
- Nā hanana ola weliweli: ʻO ka make ʻana o kahi mea aloha, ka nalowale ʻana o kahi hana, ka uhaki ʻana i kahi pilina, a i ʻole ka loaʻa ʻana o kahi maʻi koʻikoʻi hiki ke hoʻoulu i ke kaumaha.
- Nā kumu o ke kaiapuni: ʻO nā mea e like me ke kaumaha lōʻihi, ka mehameha, a me ka nele o ke kākoʻo kaiāulu he kuleana ko lākou.
ʻO ka mea nui, i kekahi manawa hiki ke loaʻa ke kaumaha me ke kumu ʻole. No laila, mai hilahila a hilahila paha ma ka noʻonoʻo ʻana, "ʻAʻohe kumu noʻu e like me kēia."
Pehea ʻoe e ʻike pono ai he maʻi kēia? He aha nā lāʻau lapaʻau?
Inā loaʻa iā ʻoe nā hōʻailona i ʻōlelo ʻia ma luna nei no nā pule ʻelua a ke hoʻopilikia nei lākou i kou ola o kēlā me kēia lā, ʻo ka mea mua a me ka mea nui āu e hana ai, ʻo ia ke ʻike ʻana i ke kauka kūpono.
E nīnau kāu kauka iā ʻoe i nā nīnau, e loiloi i ke koʻikoʻi o kāu mau hōʻailona, a me ka lōʻihi o kou loaʻa ʻana iā lākou ma mua o ka hana ʻana i kahi hōʻailona. I kekahi manawa, hiki ke hana ʻia nā hōʻailona kaumaha e nā kūlana kino ʻē aʻe, e like me nā pilikia thyroid, no laila e hana paha lākou i nā mea e like me nā hoʻāʻo koko e kāpae i kēlā mau mea.
ʻO ka nūhou maikaʻi, hiki ke mālama ʻia ke kaumaha.ʻO ka nūhou maikaʻi, he maʻi hiki ke mālama ʻia ke kaumaha. Me ka lāʻau lapaʻau, hiki iā ʻoe ke loaʻa hou ka mana o kou ola.
ʻElua mau ʻano nui i hoʻohana ʻia e like me ka mālama ʻana:
1. Lāʻau lapaʻau: Aia nā ʻano antidepressants. No ka laʻana, nā papa o nā lāʻau lapaʻau e like me 'SSRIs' a me 'SNRIs'. Hana kēia mau mea ma ke kaulike hou ʻana i nā kemika i loko o ka lolo i lilo i mea kaulike ʻole. Pono e hoʻomaka ʻia kēia mau lāʻau lapaʻau ma ke aʻo ʻana a ke kauka .
2. Ke aʻo ʻana a me ka hoʻōla kamaʻilio (Psychotherapy/Talk Therapy):Ke kamaʻilio nei me kahi loea noʻonoʻo a kākāʻōlelo paha, e ʻike ana i kou mau pilikia ponoʻī a me nā ʻano noʻonoʻo a me ke aʻo ʻana e hoʻokele iā lākou. He holomua loa nā hopena ke hoʻohana pū ʻia kēia mau ʻano ʻelua.
I nā hihia koʻikoʻi loa i pane ʻole i nā lāʻau lapaʻau ʻē aʻe, hiki ke ʻōlelo ʻia nā lāʻau lapaʻau kūikawā ʻē aʻe e like me ka `ECT (Electroconvulsive Therapy)`.
Leka Lawe-Home
- ʻAʻole ka kaumaha he nāwaliwali, he maʻi maoli ia e pono ai ka mālama ʻia.
- Inā ʻoe a i ʻole kekahi āu i ʻike ai e ʻike nei i nā hōʻailona o ke kaumaha, mai hoʻowahāwahā iā ia. Mai hilahila e noi i ke kōkua.
- ʻO ka hana mua, ʻo ia ke ʻike ʻana i kāu kauka ʻohana. E hiki iā ia ke hāʻawi iā ʻoe i ke alakaʻi kūpono.
- Hiki ke mālama pono ʻia ke kaumaha me ka lāʻau lapaʻau a me ke aʻo ʻana. Me ka mālama kūpono, hiki iā ʻoe ke ola hou i kahi ola maikaʻi.
- ʻAʻole ʻoe hoʻokahi. Nui ka poʻe e ʻeha nei i kēia maʻi, a aia kekahi poʻe e hiki ke kōkua iā ʻoe.
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