Ke kaumaha nei ʻoe i kekahi manawa, kaumaha, a i ʻole makemake ʻole e hana i kekahi mea? He mea maʻamau ia. ʻAʻole like mau ko kākou ola. Eia nō naʻe, inā loaʻa iā ʻoe kēia kaumaha, melancholy, a i ʻole ka nele o ka hoihoi i kekahi mea no nā lā, nā pule, malia paha he mau mahina, a i ʻole nā makahiki, a laila he mea ia e hopohopo ai. Ke manaʻo nei hoʻi ʻoe ua iho mai kahi ao ʻeleʻele ma kou manaʻo a ke uhi nei iā ʻoe me ka hele ʻole aku? Inā pēlā, ʻo ke kumuhana a mākou e kamaʻilio ai i kēia lā he mea nui loa ia iā ʻoe. E kamaʻilio kākou e pili ana i ka Persistent Depressive Disorder (PDD) , he melancholy lōʻihi ia.
He aha ka maʻalahi o ka Persistent Depressive Disorder (PDD)?
I ka ʻōlelo maʻalahi, ʻaʻole wale ka Persistent Depressive Disorder (PDD) he kaumaha maʻamau e nalowale ana i loko o kekahi mau lā. He ʻano like ia me ke kaumaha iki a waena . Akā ʻo ka ʻokoʻa, he lōʻihi kona mau ʻana . Hiki i ke kanaka me PDD ke ʻike i ke kaumaha, ke kaumaha, a me nā hōʻailona ʻē aʻe i ka hapa nui o ka lā. Hoʻomaopopo nā kauka iā ia he PDD inā ua loaʻa no ʻelua mau makahiki. I nā keiki a me nā ʻōpio, hiki ke kānalua ʻia ka PDD ʻoiai inā ua loaʻa kēia mau hōʻailona no kahi o hoʻokahi makahiki.
E noʻonoʻo, he hoaaloha kāu e kaumaha mau ana, a kaumaha loa. ʻAʻohe ona hoihoi nui i kekahi mea. ʻŌlelo mau ʻo ia, "ʻAʻohe mea e lawe mai iaʻu i ka hauʻoli i kēia manawa, e ke kanaka." ʻOiai ʻaʻohe ona huhū nui, aia nō iā ia kēia kaumaha liʻiliʻi. ʻO ia ka PDD.
Ua kapa ʻia kēia he mea ʻē aʻe ma mua.
Ua lohe paha ʻoe i ka dysthymia a i ʻole ka maʻi dysthymic . ʻO ia nā inoa i hoʻohana ʻia e wehewehe i kēia kūlana. I kēia manawa, hoʻohana nā kauka i ka inoa Persistent Depressive Disorder (PDD).
Pehea ka maʻamau o kēia ʻano?
Wahi a nā noiʻi i mālama ʻia ma ʻAmelika Hui Pū ʻIa, ma kahi o 1.5% o nā pākeke ma ka ʻāina i loaʻa i ka PDD i ka makahiki i hala. Ua ʻike pū nā kānaka noiʻi ma kahi o 2.5% o nā pākeke ma ka ʻāina i loaʻa i kēia kūlana PDD i kekahi manawa o ko lākou ola. ʻOiai ʻaʻohe helu kikoʻī e pili ana i ka maʻamau o ia ma ko mākou ʻāina, ʻo kēia kūlana kekahi mea e ʻike ʻia i loko o ko mākou kaiāulu.
He aha nā hōʻailona o ka PDD?
ʻO ka hōʻailona nui o ka PDD he manaʻo mau o ke kaumaha, ka melancholy, a i ʻole ke ʻano kaumaha . ʻO ke ʻano kēia, aia kēia manaʻo no ka hapa nui o ka lā, i ka hapa nui o nā lā. Eia kekahi, hiki ke loaʻa kekahi mau hōʻailona ʻē aʻe me ka PDD. ʻO kēia mau mea:
- Luhi mau a me ka luhi: Manaʻo luhi loa ma hope o ka hiamoe maikaʻi ʻana a i ʻole ka hana ʻole ʻana.
- Nā manaʻo o ka manaʻolana ʻole a me/a i ʻole ka waiwai ʻole:ʻO nā manaʻo e like me "ʻAʻohe mea e mālama iaʻu," "ʻOiai kaʻu hana, ʻaʻole ia e holo pono."
- ʻAʻohe makemake i ka ʻai a i ʻole ka ʻai nui ʻana: ʻAʻole hiki i kekahi poʻe ke kū i ka ʻike ʻana i ka meaʻai, aʻo kekahi poʻe e ʻai hou aku ma muli o ka huhū.
- ʻAʻohe noʻonoʻo pono: ʻO ka hiki ʻole ke hoʻolohe i kahi puke, hana i kahi hana, a i ʻole kahi kamaʻilio ʻana.
- Ikehu palena: Luhi koke ʻoe ma hope o ka hana ʻana i nā hana liʻiliʻi, a palaualelo ʻoe i ka lā a pau.
- Ka manaʻo haʻahaʻa iā ʻoe iho: Ka nele o ka hilinaʻi i nā hiki o kekahi a me ka manaʻo haʻahaʻa i ka hoʻohālikelike ʻia me nā poʻe ʻē aʻe.
- Paʻakikī e hana ma ka hana a ma ke kula paha: Poho ka hoʻomanaʻo, ka hoʻopaneʻe ʻana, a me ka nele o ka hoihoi e alakaʻi ana i ka hāʻule ʻana.
- Pilikia i ka hiamoe ʻana a hiamoe nui paha: Paʻakikī kekahi poʻe i ka hiamoe ʻana i ka pō, a hiamoe a hiamoe paha kekahi i ka hapa nui o ka lā.
ʻO ka mea nui, ʻaʻole ʻo PDD hoʻokahi a ʻelua paha o kēia mau hōʻailona e kū pinepine ana. ʻO ke alo ʻana o kēia mau hōʻailona he nui i ka hui pū ʻana, i ka hapa nui o ka lā, a ma luna o kahi manawa lōʻihi (ʻelua mau makahiki a ʻoi aku paha) ʻo ia ke ʻano o PDD.
No ke aha lā e kū mai ai kēia kūlana?
ʻAʻole maopopo loa i nā kānaka ʻepekema ke kumu o ka PDD. Eia nō naʻe, ua manaʻo ʻia ua hana ʻia e nā ʻano ʻē i nā pilina ma waena o nā ʻāpana like ʻole o ko kākou lolo . I ka ʻōlelo maʻalahi, kamaʻilio ko kākou mau hunaola lolo kekahi i kekahi. Ke loaʻa kahi kaulike ʻole i kēlā kamaʻilio ʻana , ʻo ia hoʻi, ke loaʻa nā loli i ka hana o nā kemika o ka lolo ('Neurotransmitters'), hiki ke loaʻa kēia mau ʻano haunaele noʻonoʻo.
ʻO wai ka mea i pilikia nui loa no ka hoʻomohala ʻana i ka PDD?
Ua hōʻike ʻia e ka noiʻi ʻana he ʻoi aku ka maʻamau o ka PDD i nā wahine . Hiki nō hoʻi ke holo i loko o nā ʻohana . ʻO ke ʻano kēia, inā loaʻa i kekahi o kou ʻohana, e like me ka makuahine, ka makuakāne, a i ʻole ke kaikaina, ka PDD, aia paha ʻoe i ka pilikia o ka loaʻa ʻana o ke kūlana. Hiki paha kēia ma muli o nā kumu hoʻoilina. Eia nō naʻe, he mea nui e hoʻomanaʻo e hiki i kekahi ke loaʻa i ke kūlana, ʻoiai inā ʻaʻohe mea o kou ʻohana i loaʻa iā ia.
Pehea ʻoe e ʻike pono ai inā loaʻa iā ʻoe ka PDD?
Inā manaʻo ʻoe he mau hōʻailona paha kāu o PDD, ʻo ka mea maikaʻi loa e hana ai, ʻo ia ke ʻike i ke kauka . ʻAʻohe hoʻāʻo koko kūikawā a i ʻole nā scan e ʻike ai i kēia ʻano kaumaha lōʻihi. E kamaʻilio kāu kauka me ʻoe, e nīnau iā ʻoe i nā nīnau, a e nīnau e pili ana i kāu mau hōʻailona e hoʻoholo ai inā loaʻa iā ʻoe ke ʻano.
I kekahi manawa e kuhikuhi paha kāu kauka ʻohana iā ʻoe no nā hoʻokolohua hou aʻe a me ka mālama ʻana.Hiki paha ke kuhikuhi ʻia ʻoe i kahi kauka noʻonoʻo a i ʻole he loea noʻonoʻo. He poʻe akamai lākou i ka hoʻoponopono ʻana i nā pilikia olakino noʻonoʻo e like me kēia, no laila hiki iā lākou ke kōkua maikaʻi iā ʻoe.
He aha nā lāʻau lapaʻau no PDD?
ʻO ke ala kūpono loa e mālama ai i ka PDD ʻo ia ka hoʻohana ʻana i ka hui pū ʻana o nā lāʻau lapaʻau a me ke kamaʻilio ʻana a i ʻole ke aʻo ʻana .
Nā lāʻau lapaʻau
Aia nā ʻano lāʻau lapaʻau kūikawā (`Antidepressants`) e hiki ke kōkua i ke kaumaha. ʻO kēia nā lāʻau lapaʻau i kuhikuhi ʻia e ke kauka. No ka mea, aia nā ʻano like ʻole o `(Antidepressants)`, na kāu kauka e hoʻoholo i ka lāʻau lapaʻau kūpono loa a me ka nui nou. ʻAʻole paha ʻoe e ʻike i ka ʻokoʻa nui no hoʻokahi mahina a ʻoi aku paha ma hope o kou hoʻomaka ʻana e hoʻohana i kēia mau lāʻau lapaʻau. No laila, mai hopohopo. He mea nui loa ka lawe ʻana i ka lāʻau lapaʻau e like me ke kuhikuhi ʻana a kāu kauka, no ka manawa piha . Inā loaʻa iā ʻoe kekahi mau hopena ʻaoʻao, e hoʻomaopopo i kāu kauka e pili ana iā lākou. Mai hoʻōki i ka lawe ʻana i ka lāʻau lapaʻau a hoʻololi paha i ka nui me ka ʻole o ka ʻōlelo aʻoaʻo a kāu kauka.
Kamaʻilio Lapaʻau - Kūkākūkā
He ʻano lapaʻau koʻikoʻi nō hoʻi ke aʻo ʻana no ka mālama ʻana i ka PDD. Nui nā ʻano lapaʻau like ʻole no kēia. I waena o lākou , ʻo ka cognitive behavioral therapy (`Cognitive Behavioral Therapy' - CBT`) kahi ʻano lapaʻau e lawe pinepine mai i nā hopena holomua no ke kaumaha.
Ma CBT, kamaʻilio kekahi mea lapaʻau a kākāʻōlelo paha iā ʻoe a kōkua iā ʻoe e hoʻomaopopo i ka pilina ma waena o kou mau manaʻo, manaʻo, a me nā ʻano . Hiki i nā manaʻo maikaʻi ʻole ke hoʻoulu iā mākou e kaumaha a hopohopo paha, a hiki ke hoʻopilikia i kā mākou ʻano. Kōkua ʻo CBT iā ʻoe e ʻike a hoʻololi i kēia mau ʻano manaʻo maikaʻi ʻole, a hoʻomaʻamaʻa iā ʻoe e noʻonoʻo maikaʻi . Ua like kēia me ka hoʻoponopono ʻana i ka "papahana maikaʻi ʻole" i loko o kou noʻonoʻo.
Ke hoʻomaikaʻi nei ʻo PDD?
ʻAe, ʻoiaʻiʻo nō. Me ka lāʻau lapaʻau, ka hoʻoponopono kamaʻilio, a me nā loli nohona maikaʻi, hiki iā ʻoe ke hoʻokele maikaʻi i kou kūlana PDD a hoʻomaikaʻi. Hiki iā ʻoe ke hauʻoli hou i ke ola a ʻoi aku ka huahua ma ka hana.
Eia nō naʻe, i kekahi manawa e hoʻi mai paha kāu mau hōʻailona, a i ʻole ʻaʻole paha ʻoe e hoʻomaikaʻi koke e like me kou makemake. Inā hana ʻia kēia, mai hopohopo, akā e kamaʻilio me kāu kauka e pili ana i ia mea . Hiki paha iā ia ke hoʻololi i kāu lāʻau lapaʻau a hana paha i kahi mea ʻē aʻe.
Aia kekahi mau ala e pale aku ai i ka PDD?
ʻO kaʻoiaʻiʻo, ʻaʻole hiki iā mākou ke pale aku i kahi kūlana e like me ke kaumaha 100% o ka manawa. Eia nō naʻe, aia kekahi mau mea hiki iā mākou ke hana e hōʻemi i ka pilikia o ia mea.ʻAe. Inā ua ʻike mua ʻia ʻoe me PDD, hiki i kēia mau mea ke kōkua iā ʻoe e hoʻokele i kāu mau hōʻailona:
- E hoʻoikaika kino ma ka liʻiliʻi he mau lā o ka pule: E hana i kahi mea āu e makemake ai, e like me ka hele wāwae, ka holo ʻana, ka ʻauʻau ʻana, a i ʻole ka hula ʻana. Hoʻoulu ka hoʻoikaika kino i ka hana ʻana o nā kemika e hauʻoli ai ko kākou lolo.
- E hōʻalo i ka waiʻona a me nā lāʻau ʻē aʻe: ʻOiai hiki i kēia mau mea ke hāʻawi i ka hōʻoluʻolu no ka manawa pōkole, he mea hōʻino loa ia i ke olakino noʻonoʻo i ka wā lōʻihi.
- E noʻonoʻo pono: ʻO ka noʻonoʻo pono ʻana no kekahi mau minuke i ka lā e hiki ke kōkua i ka mālie o ka noʻonoʻo. ʻO ka hoʻomaʻamaʻa ʻana i nā ʻano hana noʻonoʻo pono he ala maikaʻi loa ia e kōkua ai.
- E hiamoe pono: E hoʻomaʻamaʻa i ka hiamoe ʻana a ala aʻe i ka manawa like i kēlā me kēia lā.
- E ʻai i ka meaʻai kaulike: He mea nui loa ka ʻai ʻana i ka meaʻai momona no ke olakino kino a me ka noʻonoʻo.
- E kamaʻilio e pili ana i kou mau pilikia me nā poʻe āu e hilinaʻi nei a pili loa iā ʻoe: ʻO ka haʻi ʻana i kou mau manaʻo me kekahi mea ʻē aʻe hiki ke lilo i mea hōʻoluʻolu nui.
Āhea mākou e ʻimi ai i ke aʻo lapaʻau wikiwiki?
He mea nui loa kēia. Inā manaʻo ʻoe e hōʻeha iā ʻoe iho a i ʻole kekahi, pono ʻoe e haʻi koke aku i kekahi. Hiki iā ʻoe ke haʻi aku i kāu kauka, i kahi hoaaloha pili, a i ʻole kekahi lālā o ka ʻohana.
Hiki iā ʻoe ke kelepona i ka National Mental Health Helpline ma Sri Lanka ma 1926. A i ʻole e hele koke i ka lumi pilikia o ka haukapila kokoke loa . E hoʻomanaʻo, ʻaʻole ʻoe hoʻokahi, aia mau kekahi ma laila e kōkua iā ʻoe. ʻO ka loaʻa ʻana o kēia mau manaʻo hiki ke lilo i ʻāpana o ka maʻi, no laila mai makaʻu e noi i ke kōkua.
Nā nīnau e nīnau aku ai i kāu kauka
Ke hele ʻoe e ʻike i ke kauka, loaʻa paha iā ʻoe kekahi mau nīnau e nīnau ai. Eia kekahi o lākou:
- Loaʻa iaʻu ka maʻi kaumaha mau loa (PDD) a i ʻole kekahi ʻano kaumaha ʻē aʻe?
- He aha ke ʻano o ka lāʻau lapaʻau āu e paipai mai nei iaʻu?
- Pono anei au e kamaʻilio me kekahi kākāʻōlelo?
- E hoʻomaikaʻi anei ka lāʻau lapaʻau i koʻu kūlana?
- Pehea ka lōʻihi e pono ai iaʻu e ʻoluʻolu?
- Aia kekahi mau hopena ʻaoʻao o ka lāʻau lapaʻau?
- He aha nā mea e pono iaʻu e hoʻololi i koʻu nohona?
Mai kānalua e nīnau i nā nīnau e like me kēia. ʻO ka maikaʻi o kou hoʻomaopopo ʻana i kou kūlana, ʻo ka wikiwiki hoʻi e kōkua iā ʻoe e hoʻōla.
ʻO ka hope, e hoʻomanaʻo ...
Inā ʻoe e kaumaha a kaumaha paha no ka hapa nui o ka lā, i ka hapa nui o nā lā, a no ka manawa lōʻihi, hiki iā ia ke lilo i Persistent Depressive Disorder (PDD). Inā loaʻa iā ʻoe kēia mau hōʻailona, he mea nui e ʻike i ke kauka no ka ʻōlelo aʻo. Me ka lāʻau lapaʻau, ke aʻo ʻana, a me ke ʻano olakino, hiki iā ʻoe ke hoʻi i ke ala kūpono a ola i kahi ola hauʻoli.
E hoʻomanaʻo, inā manaʻo ʻoe e hōʻeha iā ʻoe iho, e ʻimi koke i ke kōkua. ʻAʻole ʻoe hoʻokahi. Aia mau ka poʻe ma kēia huakaʻi e kōkua iā ʻoe a hoʻomaopopo iā ʻoe.
ʻO ka maʻi kaumaha mau loa, PDD, Kaumaha, Melancholy, Kaumaha, Ola kino noʻonoʻo, Lapaʻau, Dysthymia
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