Aia kekahi mau lā ʻaʻole ʻoe makemake e ala aʻe mai kahi moe? ʻOiai kekahi mea maʻalahi e like me ka kuke ʻana i kahi meaʻai a i ʻole ka ʻauʻau ʻana, ua like ia me he mauna nui e piʻi ai... He mea luhi ke kamaʻilio e pili ana, he mea luhi ke noʻonoʻo e pili ana. Inā ʻoe e ʻike mau ana i kēia ʻano mea, ʻaʻole paha he luhi a luhi paha. He maʻi lapaʻau kēia e pono ai kākou e kamaʻilio e pili ana. ʻO kēia ka mea a kākou e kamaʻilio nei i kēia lā.
He aha ka Psychomotor Impairment?
ʻOiai paha he ʻano paʻakikī iki kēia huaʻōlelo, he maʻalahi loa kona manaʻo. ʻO "Psycho" ke ʻano "pili i ka noʻonoʻo." ʻO "Motor" ke ʻano "pili i ka neʻe ʻana. " ʻO "Psychomotor" e pili ana i ka pilina ma waena o kou noʻonoʻo (manaʻo) a me nā neʻe (hana) o kou kino . ʻO "Impairment" ke ʻano he nāwaliwali.
I ka ʻōlelo maʻalahi, ʻo ka "Psychomotor Impairment" ka wā e lohi loa ai kou mau manaʻo, kāu ʻōlelo, a me kou neʻe kino. Me he mea lā e hana ana kou noʻonoʻo a me kou kino i ka "neʻe lohi." He hōʻailona nui kēia o kahi maʻi i kapa ʻia ʻo "Major Depressive Disorder (MDD)". Eia naʻe, ʻaʻole nā kānaka a pau me ke kaumaha e ʻike i kēia hōʻailona.
Pehea ko kākou manaʻo a me ko kākou ʻano i mua o kekahi poʻe ma kēia kūlana?
Hiki i ke kanaka me kēia maʻi ke manaʻo ʻaʻole hiki iā lākou ke kāohi i ko lākou noʻonoʻo a me ke kino, e hana lohi ana. E nānā pono kākou i kēia mau hōʻailona.
| ʻĀpana i hoʻopilikia ʻia | Nā hōʻailona e hōʻike ana |
|---|---|
| Ma ke kino |
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| Ma ke ʻano noʻonoʻo |
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| Pehea e pili ai i ke ola o kēlā me kēia lā |
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Inā ʻoe a i ʻole kekahi mea āu i ʻike ai e ʻike nei i kēia mau hōʻailona, he mea nui e ʻike i kahi loea olakino noʻonoʻo, e like me ke kauka a i ʻole ke kauka noʻonoʻo .
No ke aha lā kēia e hana nei iā kākou? He aha nā kumu?
E like me kā mākou i ʻōlelo ai ma mua, ʻo ke kumu nui o kēia ʻano, ʻo ia ka Major Depressive Disorder (MDD) . He maʻi noʻonoʻo ka MDD i hōʻailona ʻia e ka wā lōʻihi o ke kaumaha a me ka nalowale o ka hoihoi i nā hana leʻaleʻa ma mua.
ʻOiai ʻaʻole maopopo i nā kānaka noiʻi ke kumu o ia mea, manaʻoʻiʻo lākou he kumu nui nā loli i nā kemika o ka lolo . ʻO ke kikoʻī, ʻo nā kaulike ʻole i loko o nā neurotransmitters serotonin, norepinephrine, a me dopamine e kōkua i ka MDD. ʻO nā hanana ola traumatic, e like me ka nalowale ʻana o kahi mea aloha, hiki ke hoʻoulu i ke kūlana.
Aia kekahi ʻaoʻao ʻē aʻe i kēia?
ʻAe. Loaʻa i kekahi poʻe maʻi MDD ka ʻaoʻao ʻē aʻe o kēia, ʻo ia hoʻi ka "Psychomotor Agitation". ʻO kēia ka manawa e hiki ʻole ai iā lākou ke noho mālie a hōʻike i ka hana kino nui, e like me ka hele wāwae a me ka lulu ʻana i ko lākou mau lima a me nā wāwae. He mea maʻamau kēia i nā keiki a me nā ʻōpio.
Hiki ke hana ʻia ka hōʻino ʻana o ka psychomotor ma ke ʻano he hōʻailona o nā maʻi ʻē aʻe.
- I nā hanana kaumaha o ka maʻi bipolar ʻO ka maʻi schizophrenia
- ka maʻi o Parkinson
- I kekahi mau ʻeha o ka lolo
He aha nā lāʻau lapaʻau no kēia?
ʻO ka mea nui i ka mālama ʻana i kēia, ʻo ia ka mālama ʻana i ke kūlana kumu.- ʻO ia hoʻi, ʻo ka hapa nui o ka manawa no MDD. Nui nā lāʻau lapaʻau no kēia.
- Psychotherapy: ʻO ke ʻano kēia o ka mālama ʻana ma o ke kamaʻilio ʻana.
- Nā lāʻau antidepressants: Nā lāʻau lapaʻau i hāʻawi ʻia no ke kaumaha.
- Nā lāʻau lapaʻau ʻē aʻe: Ua hōʻike ʻia nā noiʻi he ʻoi aku ka maikaʻi o kekahi mau lāʻau lapaʻau kikoʻī inā hele pū ʻia ka MDD me ka 'Psychomotor Impairment'.
- ʻO ka lāʻau lapaʻau Electroconvulsive (ECT): He lāʻau lapaʻau palekana loa kēia e hoʻohana ana i ka anesthesia a hāʻawi i nā hōʻailona uila liʻiliʻi loa i ka lolo e hoʻihoʻi i ke kaulike neurochemical.
- Hoʻoulu hou ʻia ka magnetic transcranial (rTMS): Hoʻohana kēia i kahi kahua magnetic e hoʻoulu i nā ʻāpana o ka lolo e kaohi i ke ʻano.
Hiki iā ʻoe a me kāu kauka ke hana pū e koho i ka hoʻolālā lapaʻau e kūpono loa iā ʻoe. ʻAʻole paha ʻoe e loaʻa i ka hōʻoluʻolu mai hoʻokahi lāʻau lapaʻau, akā mai haʻalele. He mea nui e hoʻomau i ka lawe ʻana i kāu hoʻolālā lapaʻau.
He aha nā pilikia inā ʻaʻole mālama ʻia?
Inā ʻaʻole mālama ʻia, hiki i kēia maʻi ke alakaʻi i nā pilikia koʻikoʻi, e like me ka ʻai ʻole ma muli o ka ʻai ʻole ʻana, a me ka hoʻowahāwahā ʻana iā ia iho . I ia mau hihia, pono paha ka hoʻokipa ʻia ʻana i ka haukapila a me ka mālama ʻana.
ʻO ka mea nui loa: ʻO ka MDD i mālama ʻole ʻia a me ka Psychomotor Impairment e hoʻonui nui i ka pilikia o ka pepehi kanaka . Inā ʻoe a i ʻole kekahi āu i ʻike ai e loaʻa ana nā manaʻo pepehi kanaka, e ʻoluʻolu, mai hele hoʻokahi. E haʻi koke aku i kahi āu e hilinaʻi nei. E hele i ka haukapila kokoke loa i ka Emergency Department (ETU). E hoʻomanaʻo, he nui ka poʻe e hiki ke kōkua iā ʻoe.
ʻO ka Psychomotor Impairment kahi manaʻo e like me ʻoe e ʻauʻau ana i loko o kahi syrup mānoanoa. A i ʻole e like me kekahi i hoʻohuli i ke pihi "slow-motion" ma kou noʻonoʻo a me kou kino. ʻO ka hoʻonohonoho ʻana i kahi manawa e ʻike ai i ke kauka hiki ke like me kahi hana paʻakikī i nā manawa e like me kēia. Akā ʻo ke noi ʻana i ke kōkua ka hana nui loa. Inā pilikia ʻoe i ka hana ʻana i kēia ma kāu iho, e noi i kahi lālā o ka ʻohana a i ʻole hoaaloha no ke kōkua. ʻO ka wikiwiki o kou loaʻa ʻana o ke kōkua lapaʻau, ʻoi aku ka maʻalahi o ka hoʻihoʻi ʻana i kou mau manaʻo a me kāu mau hana i ke ala kūpono.
Leka Lawe-Home
- ʻAʻole wale ka luhi ka Psychomotor Impairment. Hiki iā ia ke lilo i hōʻailona koʻikoʻi o ka maʻi kaumaha nui (MDD).
- ʻO ka mea e hana ʻia ma ʻaneʻi, ʻoiai e lohi ana kou noʻonoʻo, e lohi pū ana nā hana o kou kino.
- Aia nā lāʻau lapaʻau kūpono loa no kēia, no laila he mea nui loa e ʻike koke i kāu kauka a e ʻimi i ka ʻōlelo aʻo.
- Inā paʻakikī iā ʻoe ke noi i ke kōkua, e ʻoluʻolu e hoʻokaʻaʻike aku i kahi lālā o ka ʻohana a i ʻole hoaaloha hilinaʻi. ʻAʻole pono ʻoe e hele hoʻokahi ma kēia huakaʻi.
👩🏽⚕️ Nā nīnau hou aku (FAQs)
💬 He aha ka Flank Mass?
ʻAʻole kēia he ʻōhū ʻili maʻamau! ʻO ka 'Flank Mass' kahi ulu ʻano ʻē i hiki ke ʻike ʻia ma ka ʻāpana costovertebral (ka wahi ma waena o kou mau iwi ʻaoʻao a me kou mau iwi ʻūhā). ʻOiai ʻo kēia wahi ka home o nā puʻupaʻa, hiki i kēia puʻupuʻu ke lilo i 'puʻupaʻa i hoʻonui ʻia'!
💬 He aha nā kumu nui e ʻike ʻia ai kahi puʻupuʻu/puʻupuʻu (Flank Mass) ma ka ʻaoʻao o ka ʻaoʻao (waena waho)?
ʻEkolu mau kumu nui a weliweli loa o kēia: 1) 'Renal Cell Carcinoma / Kidney Cancer' - Ma kēia maʻi kanesa, ʻaʻohe hōʻailona i ka wā mua (loaʻa wale kahi puʻupuʻu/nodule nui ma lalo o ka ʻili). 2) Pehu ka puʻupaʻa a hiki i ka piha ʻana i ka mimi/pus a lilo ka puʻupaʻa i pōhaku (Hydronephrosis/Abscess), no laila ua like ka puʻupaʻa me kahi puʻupuʻu (Palpable kidney). 3) He maʻi genetic kahi e hana ʻia ai nā cysts wai ma loko o ka puʻupaʻa (Polycystic Kidney Disease).
💬 Inā ʻike ʻoe i kahi puʻupuʻu ma kou ʻaoʻao (ʻaoʻao o ka ʻūhā), pono ʻoe e ʻike i ke kauka/hele koke i ka haukapila. He aha nā 'kūlana hoʻoweliweli ola/pilikia'?
Inā loaʻa iā ʻoe kēlā ʻano puʻupuʻu/puʻupuʻu, pono ʻoe e hele i ke kauka (no ka ultrasound scan) me ka hoʻokaʻulua ʻole (hiki ke lilo i maʻi ʻaʻai)! Akā ʻo ka pōʻino nui loa! Me ka puʻupuʻu, inā, 1) loaʻa iā ʻoe ka 'ʻeha ʻole o ka ʻōpū' (me ka ʻeha ʻole) me kou mimi, 2) loaʻa iā ʻoe ka ʻeha ʻaoʻao hiki ʻole ke hoʻomanawanui me ke kuni kiʻekiʻe (kuni/anuanu - ke pala nei ka puʻupaʻa), 3) emi ke kaumaha me ke kumu ʻole (lilo kaumaha), pono ʻoe e lawe koke ʻia i ka haukapila!
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