He pōʻino anei ka lawe ʻana i ka lāʻau no ke kaumaha? E kamaʻilio kākou e pili ana i ke 'Kaumaha Kūʻē i ka Lāʻau'

Ua lawe paha ʻoe i ka lāʻau lapaʻau no ke kaumaha no nā mahina, a i ʻole he mau makahiki paha. Ua ʻike paha ʻoe i kekahi mau kauka. Akā, ʻaʻole ʻoe i ʻike i kekahi hōʻoluʻolu a loli paha? Aia nō anei kēlā manaʻo ʻeleʻele a kaumaha? Manaʻo ʻoe ʻaʻole e kōkua kēia mau lāʻau lapaʻau? A laila, ʻaʻole ʻoe hoʻokahi. He mea kēia e hana ʻia i nā poʻe he nui. Ke holo pono ʻole kēia ʻano lāʻau lapaʻau, kapa mākou ia mea ma ke ʻano lapaʻau ʻo 'Treatment-Resistant Depression' (TRD) .

I ka ʻōlelo maʻalahi, he aha kēia 'kaumaha kūʻē i ka lāʻau lapaʻau'?

He mea nui paha kēia ke lohe ʻoe i ka inoa. Akā ma nā huaʻōlelo maʻalahi, ʻo ia hoʻi ke lawe nei ʻoe i ka lāʻau kūpono no ke kaumaha, ʻo ia hoʻi ma ka liʻiliʻi he ʻelua mau lāʻau antidepressant mai nā papa like ʻole, ma ka nui kūpono, no ka manawa kūpono, akā ʻaʻole i hoʻomaikaʻi nui ʻia kāu mau hōʻailona.

E noʻonoʻo i kēia: Ma kahi o ʻelua hapakolu o ka poʻe me ke kaumaha ʻaʻole lākou e ʻike i ka lāʻau lapaʻau mua a lākou e hoʻāʻo ai e hana maikaʻi. A ma kahi o hoʻokahi hapakolu ʻaʻole paha e hoʻomaikaʻi ma hope o ka hoʻāʻo ʻana i kekahi mau lāʻau lapaʻau.

He aha inā ke kānalua nei au he maʻi koʻu?

Inā he kānalua kou no kēia, e nīnau iā ʻoe iho i kēia mau nīnau.

Inā ua pane ʻoe "ʻae" i kekahi o kēia mau mea, pono ʻoe e kamaʻilio me kāu kauka e pili ana i ia mea. ʻAʻole ia he manaʻo he TRD kou, akā he hōʻailona maikaʻi ia e pono e hoʻololi ʻia kāu hoʻolālā lapaʻau.

Pehea maoli ʻoe e loaʻa ai ke kōkua?

I ka hapa nui o ka manawa, hiki i kāu kauka mālama mua ke mālama i ke kaumaha. Eia nō naʻe, inā manaʻo ʻoe ua kūʻē kou kūlana i kēia ʻano lapaʻau, ʻoi aku ka maikaʻi o ke ʻike ʻana i kahi kauka noʻonoʻo, nona ka ʻike kūikawā i ka mālama ʻana i kēia mau kūlana paʻakikī.

Ke ʻike ʻoe i kahi loea, e nānā pono ʻo ia i kēia mau mea:

1. E hōʻoia i ka pololei o kāu hōʻailona: I kekahi manawa, ʻo ka mea āu e manaʻo ai he kaumaha, he mea ʻē aʻe paha ia. No ka laʻana, ʻaʻole paha e pane maikaʻi kekahi me ka maʻi bipolar i nā antidepressants maʻamau. Eia kekahi, hiki ke hana ʻia nā hōʻailona o ke kaumaha e nā kūlana kino e like me ka hypothyroidism. No laila, inā ʻaʻole pololei ka hōʻailona, ​​ʻaʻole e holo pono ka lāʻau.

2. E nānā i kou lawe pono ʻana i kāu lāʻau lapaʻau: ʻAʻole lawe kekahi poʻe i kā lākou lāʻau lapaʻau i ka manawa kūpono, hōʻole i nā lāʻau lapaʻau, a hoʻōki paha i ka lawe ʻana ma muli o nā hopena ʻaoʻao. E hoʻomanaʻo, hiki ke hala i 4 a 12 mau pule no ka hana ʻana o kahi lāʻau antidepressant. No laila, ʻaʻole ia he manaʻo maikaʻi e hoʻōki koke i ka lawe ʻana.

3. E nānā i nā kumu ʻē aʻe: ʻO ka waiʻona, ka hoʻohana ʻana i nā lāʻau lapaʻau, nā lāʻau lapaʻau i lawe ʻia no nā maʻi ʻē aʻe, a me nā mea ʻē aʻe hiki ke hoʻonui i ke kaumaha a i ʻole e hoʻolilo iā ia i mea pane ʻole i ka lāʻau.

He aha nā koho lapaʻau e loaʻa ana?

Mai hoʻopau i ka manaʻolana! Nui nā lāʻau lapaʻau i loaʻa no TRD. E kōkua kāu kauka iā ʻoe e koho i ka mea kūpono iā ʻoe.

Nā Hoʻolālā Lāʻau Lapaʻau

Aia nā ʻelele kemika i loko o ko kākou lolo e kaohi ana i ke ʻano, kapa mākou iā lākou he mau neurotransmitters . Hana nā antidepressants ma ke kaulike ʻana i ka hana o kēia mau mea. Inā ʻaʻole hana kekahi lāʻau, hiki iā ʻoe ke hoʻāʻo i kahi lāʻau ʻē aʻe e hana ana ma ke ʻano ʻokoʻa.

• Ke Hoʻololi ʻana i nā Lāʻau Lapaʻau: Inā ʻaʻole hana kekahi SSRI (Selective Serotonin Reuptake Inhibitor) iā ʻoe, hiki ke hana kekahi lāʻau ʻē aʻe ma ka papa like. A i ʻole hiki iā ʻoe ke hoʻololi i kahi papa ʻokoʻa loa, e like me SNRIs, Tricyclics, a i ʻole MAO inhibitors.
• Ke hoʻohui nei i kahi lāʻau lapaʻau ʻē aʻe (Augmentation/Adjunct):I kekahi manawa, inā ʻoe e ʻike nei i kahi hōʻoluʻolu mai kāu lāʻau lapaʻau o kēia manawa, hiki i kāu kauka ke hoʻoholo e hoʻohui i kahi lāʻau lapaʻau mai kahi papa ʻē aʻe e kōkua, ma mua o ka hoʻōki ʻana. No ka laʻana, hoʻohana ʻia nā lāʻau lapaʻau e like me Aripiprazole lāua ʻo Quetiapine ma kēia ʻano.
• Nā lāʻau lapaʻau hou: ʻO ka Esketamine (Spravato) i hoʻolauna hou ʻia nei a me ka Ketamine injectable ke hoʻohana pono ʻia nei no TRD. Hoʻopilikia lākou i ka lolo ma ke ʻano ʻokoʻa ma mua o nā antidepressants maʻamau, e kōkua ana i ka hāʻawi wikiwiki ʻana i ka hōʻoluʻolu.

Nā Lapaʻau ʻAʻole Lāʻau Lapaʻau

Nui nā ʻano ʻē aʻe e kōkua ai me TRD, ʻaʻole wale nā ​​​​lāʻau lapaʻau.

Hoʻokipa ʻia ʻana ma ka haukapila

I kekahi manawa, inā koʻikoʻi loa kou kaumaha a hiki iā ʻoe ke hōʻeha iā ʻoe iho, hiki i kāu kauka ke hoʻoholo e hoʻokomo iā ʻoe i ka haukapila no kahi manawa pōkole. ʻAe kēia iā ʻoe e noho i kahi palekana, kahi kaʻawale mai nā pilikia o ke ola o kēlā me kēia lā, a hiki i kāu mau kauka ke hoʻomohala i kahi hoʻolālā lapaʻau e kūpono loa iā ʻoe.

Nā mea hiki iā ʻoe ke hana i kou wā e noho ana me kēia maʻi

He lōʻihi paha ka manawa e loaʻa ai ka lāʻau kūpono nou. I kēia manawa, hiki i kēia mau mea ke kōkua iā ʻoe e hoʻokele i kou kūlana.

• E hahai pono i kāu hoʻolālā lapaʻau. Mai ho'ōki i ka lawe ʻana i kāu lāʻau lapaʻau a hoʻololi paha i ka nui a hiki i ka wā e ʻōlelo aku ai kāu kauka iā ʻoe.
• E pale loa i ka waiʻona a me nā lāʻau lapaʻau. Hoʻopilikia kēia i ka pono o nā antidepressants a hiki ke hoʻonui i ke kaumaha.
• E hiamoe maikaʻi i ka pō. E ho'āʻo e loaʻa i 7-8 mau hola o ka hiamoe me ke keakea ʻole i ka lā.
• E hoʻokele i ke kaumaha. E hana i kahi mea i kēlā me kēia lā e lawe mai iā ʻoe i ka maluhia, e like me ka noʻonoʻo ʻana, ka yoga, a i ʻole ka hoʻolohe ʻana i ke mele.
• Hoʻoikaika kino. ʻO ka hele wāwae a holo paha no 30 mau minuke ma ka liʻiliʻi i kēlā me kēia lā e hiki ke kōkua i ka hoʻoikaika ʻana i kou ʻano.