He hoaaloha kou, he ʻohana, a i ʻole kekahi āu i ʻike ai e minoʻaka mau ana, e ʻakaʻaka ana, a me he mea lā hauʻoli loa. Manaʻo paha kākou ʻaʻohe pilikia i ko lākou ola, ke holo pono nei nā mea a pau. Akā, ua ʻike anei ʻoe ma hope o kēlā minoʻaka nani, he nui ke kaumaha, ka mehameha, a me ke kaumaha? I kēia lā, e kamaʻilio ana kākou e pili ana i kahi kumuhana koʻikoʻi. ʻO ia hoʻi ka 'Smiling Depression'.
He aha maoli ke ʻano o ke "Smiling Depression"?
Inā ʻoe e nānā i nā puke kūhelu e hoʻokaʻawale ana i nā maʻi noʻonoʻo, ʻaʻole ʻoe e ʻike i kahi kūlana i kapa ʻia ʻo 'smiling depression'. No ka mea, ʻaʻole ia he huaʻōlelo lapaʻau kūhelu. Eia nō naʻe, hoʻohana nā loea olakino noʻonoʻo i ka huaʻōlelo e wehewehe i kahi hui kikoʻī o ka poʻe. ʻO ia ka poʻe e hana hauʻoli ana ma waho, ʻoiai ke ʻeha nei lākou i ke kaumaha ma loko.
I ka ʻōlelo maʻalahi, ua kaumaha loa ʻoe a me ka hakahaka i loko, akā ke ʻōlelo aku nei ʻoe i nā poʻe ʻē aʻe, "Ua maikaʻi wau." ʻAʻole ʻoe e like me he mea lā ua pilikia ʻoe. Hele ʻoe i ka hana, hana i nā hana o ka hale, a ʻakaʻaka a kamaʻilio me nā hoaaloha. I kekahi manawa ua kapa ʻia kēia ʻo 'high-functioning depression.' ʻO ke ʻano kēia e hana ʻoe i kāu mau hana o kēlā me kēia lā e like me ka hiki, no laila ʻaʻole ʻike kou ʻohana a me kou mau hoaaloha e pono ana ʻoe i ke kōkua. I kekahi manawa ʻaʻole paha ʻoe e ʻike he hōʻailona kēia hakakā i loko o kou manaʻo o ke kaumaha.
E hoʻomanaʻo, ʻo ka hūnā ʻana i kou ʻeha me ka minoʻaka ʻaʻole ia he manaʻo ua nāwaliwali ʻoe. Akā, he mea nui e ʻike i ia mea a noi i ke kōkua.
ʻO wai ka mea i hoʻopilikia nui ʻia e kēia maʻi?
ʻOiai ʻaʻole he hōʻailona kūhelu ka 'kaumaha ʻakaʻaka', ʻaʻole nui ka noiʻi ʻana ma luna. Eia naʻe, e like me nā kauka, ʻo kēia mau hōʻailona ka mea maʻamau i waena o kēia poʻe:
- ʻO ka poʻe ma nā moʻomeheu kahi e weliweli ai a hilahila hoʻi ke kamaʻilio ʻana e pili ana i nā pilikia olakino noʻonoʻo: ʻOiai i loko o ko kākou kaiāulu, inā ʻōlelo ʻoe "Ke kaumaha nei au," makaʻu ʻoe i ka kapa ʻia ʻana he "pupule." ʻO ia ke kumu e hūnā ai ka poʻe he nui i ko lākou kaumaha.
- Ka poʻe hemolele: ʻO ka poʻe e manaʻo nei, "ʻAʻole hiki iaʻu ke hana hewa," "Pono wau e ikaika mau," a ʻaʻole makemake e hōʻike i ko lākou nāwaliwali.
- ʻO ka poʻe e ola holomua ana, ke ola nei lākou ma waho: ka poʻe i loaʻa kahi ʻoihana maikaʻi, kahi ola ʻohana, kahi hoʻonaʻauao, a ʻaʻohe hōʻailona o ka nāwaliwali.
- ʻO ka poʻe e ʻeha nei i ke kaumaha iki a kaumaha paha i hala no ka manawa lōʻihi: Kapa mākou i kēia ʻano ma ke ʻano lapaʻau he "Persistent Depressive Disorder".
Ma keʻano laulā, hiki i ke kaumaha ke hoʻopilikia i kekahi, me ka nānā ʻole i ka makahiki a i ʻole ke kāne. Eia nō naʻe, ʻoi aku ka nui o ka pilikia o kekahi mau hui. Eia kekahi laʻana:
- Nā wahine
- Nā kānaka no ke kaiāulu LGBTQI+
- Inā ua loaʻa iā ʻoe a i ʻole kekahi o kou ʻohana ke kaumaha ma mua
- ʻO nā kānaka e kū nei i nā pilikia nui, nā traumas, a me nā pae kiʻekiʻe o ke kaumaha i ko lākou ola
- ʻO nā kānaka me nā maʻi koʻikoʻi e like me ka maʻi diabetes, ke kanesa, a me ka maʻi puʻuwai.
He aha kēlā mau hōʻailona huna?
Inā loaʻa iā ʻoe ke 'kaumaha ʻakaʻaka', hiki iā ʻoe ke ʻike i nā hōʻailona maʻamau o ke kaumaha. ʻO ka ʻokoʻa, ʻo ia kou hūnā ʻana iā lākou mai nā poʻe ʻē aʻe. E nānā kākou i ke ʻano o kēia mau hōʻailona.
| ʻAno hiʻohiʻona | Wehewehena |
|---|---|
| Noʻonoʻo a me ka naʻau | Ke kaumaha mau, ka hopohopo, a i ʻole nā manaʻo o ka ʻole. Ka nalowale o ka manaʻolana no ka wā e hiki mai ana, ka huhū, a i ʻole ka hoʻomaha ʻole. Nā manaʻo hewa a i ʻole ka waiwai ʻole. |
| Nā hana a me nā makemake | Ka nalowale o ka hoihoi i nā mea āu i hauʻoli ai (nā hana leʻaleʻa, ka hālāwai ʻana me nā hoaaloha). |
| Ikehu a me ka hiamoe | Ka luhi mau, ka nele o ka ikaika, ka hiamoe ʻole, ke ala ʻana i ke kakahiaka nui, a i ʻole ka hiamoe nui ʻana. |
| ʻAi a me ke kaumaha | Nā loli i ka makemake e ʻai (e emi ana a piʻi aʻe paha). Ka pohō a i ʻole ka piʻi ʻana o ke kaumaha me ka manaʻo ʻole. |
| ʻEha kino | ʻEha kino, ʻeha poʻo, ʻeha ʻōpū e hele mai me ke kumu ʻole. |
| Nā Manaʻo | Paʻakikī i ka noʻonoʻo ʻana, ka hoʻomanaʻo ʻana, a me ka hoʻoholo ʻana i nā hoʻoholo. Manaʻo e hoʻopau i kou ola. |
ʻO ka mea nui, ʻaʻole pono ʻoe e loaʻa i kēia mau hōʻailona āpau. Inā hoʻopilikia kekahi o lākou i kou ola no nā pule ʻelua a ʻoi aku, ʻoiai inā ʻaʻole maopopo ia i nā poʻe ʻē aʻe, hiki iā ʻoe ke loaʻa i ke kaumaha.
He aha ka pōʻino o ka mālama ʻana i kēia mea huna?
Ke hūnā ʻoe i kou kaumaha, ʻaʻole paha e ʻike ka poʻe a puni ʻoe e pono ana ʻoe i ke kōkua. Hiki i kēia ke hoʻopaneʻe i ka lāʻau lapaʻau āu e pono ai. Eia kekahi mau mea e hiki ke hana ke loaʻa ʻole iā ʻoe ka lāʻau lapaʻau:
- ʻO ka hoʻonui ʻia o ka pilikia o ka hoʻohui ʻana i ka waiʻona a i ʻole nā lāʻau lapaʻau ʻē aʻe.
- Nā loli maʻamau ʻole i ke kaumaha o ke kino.
- Ka hoʻonui ʻia o ka pilikia o ka maʻi kino.
- Ka hōʻeha ʻana iā ʻoe iho, no ka laʻana, ka ʻoki ʻana iā ʻoe iho.
ʻO ka mea weliweli loa e pili ana i kēia mau mea a pau, ʻo ia ka hoʻonui ʻana o ke kaumaha i ka pilikia o nā manaʻo pepehi kanaka. No ka mea, he nui ka ikaika e pono ai e minoʻaka a hana. A pau kēlā ikaika, kiʻekiʻe ka manawa e hana ai i kahi hoʻoholo weliweli.
Inā ʻoe a i ʻole kekahi āu i ʻike ai e noʻonoʻo ana e pepehi iā ʻoe iho, e ʻoluʻolu, mai hele hoʻokahi. E ʻimi koke i ke kōkua.
- E kamaʻilio me kāu kauka ʻohana.
- E hele i ke Keʻena Pilikia (ETU) o ka haukapila kokoke loa.
- Kāhea aku i nā Hoaaloha Sri Lanka (Kelepona: 0112692909). Ua mākaukau lākou e hoʻolohe iā ʻoe.
- Inā loaʻa kahi overdose, e kelepona koke i ke National Poison Information Centre (0112686143) aia ma ka Halemai Lahui ʻo Colombo.
Pehea ʻoe e ʻike pono ai inā he maʻi kēia?
Inā kānalua ʻoe he kaumaha kou, ʻo ka hana mua āu e hana ai, ʻo ia ke ʻike i kāu kauka ʻohana. E nīnau ʻo ia iā ʻoe i nā nīnau a hana paha i kekahi mau hoʻāʻo koko e nānā i nā kumu kino ʻē aʻe, e like me ka pilikia thyroid. A laila, inā pono, e kuhikuhi ʻo ia iā ʻoe i kahi loea olakino noʻonoʻo, e like me ke kauka noʻonoʻo.
Ma laila, e hāʻawi paha lākou iā ʻoe i kekahi mau nīnau e aʻo hou aʻe e pili ana i kou mau manaʻo, nā manaʻo, a me nā ʻano. Ma hope o ka nānā ʻana i kēia mau mea a pau, e hoʻoholo lākou i ke ʻano o ke kūlana āu e loaʻa nei, e like me ka manual hoʻokaʻawale olakino noʻonoʻo kūhelu, ʻo ka Diagnostic and Statistical Manual of Mental Disorders (DSM-5). ʻO kēlā hōʻailona paha he Major Depressive Disorder a i ʻole Persistent Depressive Disorder.
He aha nā lāʻau lapaʻau no kēia?
ʻO ka nūhou maikaʻi, ʻo ke ʻano kaumaha ʻakaʻaka he maʻi hiki ke mālama piha ʻia . ʻElua mau koho lapaʻau nui:
1. Nā lāʻau lapaʻau:ʻO ka papa lāʻau i hoʻohana nui ʻia ʻo ia ka mea i kapa ʻia he selective serotonin reuptake inhibitors (SSRIs). Hana kēia mau mea ma ke kaulike ʻana i ka hana o nā kemika neurotransmitter i loko o ka lolo, e like me ka serotonin. Hiki ke lōʻihi ka manawa e loaʻa ai ka lāʻau kūpono nāu.
2. Psychotherapy: Ua kapa ʻia kēia he 'counseling' wale nō. Maanei, kamaʻilio ʻoe me kahi loea i aʻo ʻia e pili ana i kāu mau pilikia, kōkua iā lākou e hoʻololi i ko lākou ʻano noʻonoʻo, a kōkua iā lākou e aʻo i nā ala hou e hoʻoponopono ai i ko lākou mau pilikia. ʻO ka Cognitive Behavioral Therapy kahi ʻano hana kaulana i hoʻohana ʻia no kēia.
Nā mea hiki iā ʻoe ke hana iā ʻoe iho (kōkua ponoʻī)
Me ka mālama ʻana, aia kekahi mau mea hiki iā ʻoe ke hana iā ʻoe iho e hoʻomaikaʻi i kou olakino noʻonoʻo:
- Hoʻoikaika kino: ʻOiai ka hele wāwae ʻana no 30 mau minuke i ka lā hiki ke hana i kahi ʻokoʻa nui.
- E hoʻomaʻamaʻa i kāu hiamoe: E hoʻomaʻamaʻa i ka hele ʻana i ka hiamoe a me ke ala ʻana i ka manawa like.
- E ʻai i ka meaʻai olakino: E ʻai i ka papaʻai i ka manawa kūpono, e ʻai i nā mea momona.
- E kamaʻilio me kahi mea āu e hilinaʻi ai: E kaʻana like i kou manaʻo me kahi hoaaloha a ʻohana paha.
- E noho mamao aku mai ka waiʻona a me nā lāʻau lapaʻau.
Pehea ʻoe e kōkua ai i kou hoaaloha inā ʻo ia ma kēia kūlana?
Hiki ke paʻakikī ke ʻike i kekahi me ke 'kaumaha ʻakaʻaka.' Eia nō naʻe, e ʻike paha ʻoe i nā loli liʻiliʻi e like me kēia:
- Nā loli i nā ʻano hiamoe (hiamoe nui a liʻiliʻi paha).
- Nā loli i ka makemake.
- ʻAʻole pane koke i nā kelepona a me nā leka e like me ma mua.
- Nā hoʻopiʻi pinepine e pili ana i nā ʻeha poʻo a me nā ʻeha kino me ke kumu ʻole.
Inā kānalua ʻoe i kekahi e like me ia, eia pehea e hiki ai iā ʻoe ke kōkua:
- E kamaʻilio me ke kanaka: "Ke ʻike nei au ʻaʻole ʻoe e like me ka wā ma mua, aia kekahi hewa?" E nīnau me ke aloha.
- E wehewehe ʻaʻole ke kaumaha he mea e hilahila ai, akā, he maʻi hiki ke mālama ʻia.
- E paipai iā ʻoe e ʻike i ke kauka. Hiki iā ʻoe ke hele pū me ia inā makemake ʻoe.
- E noho me kēlā kanaka. ʻO ka ʻōlelo ʻana "Aia pū wau me ʻoe" he ikaika nui nō hoʻi ia.
Leka Lawe-Home
- ʻO ke ʻano o ke "kaumaha ʻakaʻaka" kahi e ʻike ʻia ai ʻoe he hauʻoli ma waho akā he kaumaha ma loko.
- ʻAʻole kēia he nāwaliwali a he mea e hilahila ai. He maʻi olakino hiki ke mālama ʻia.
- Inā loaʻa iā ʻoe a i ʻole kekahi āu i ʻike ai kēia mau hōʻailona, mai ʻeha wale ʻoe. E ʻike i ke kauka a e kiʻi i ke kōkua.
- Mai makaʻu e kamaʻilio e pili ana i ke kaumaha e peʻe ana ma hope o kāu minoʻaka. ʻAʻole ʻoe hoʻokahi.
- Inā loaʻa iā ʻoe nā manaʻo pepehi iā ʻoe iho, he pilikia ia. E hoʻomaopopo koke i ka haukapila kokoke loa ʻo ETU a i ʻole kekahi kanaka hilinaʻi.
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