He mea maʻamau ke kaumaha a me ke kaumaha i kekahi manawa. He mea maʻamau ke ʻike i kēia mau manaʻo i ka wā e hoʻomau ai ke ola. Akā, ʻo kēia kaumaha, kēia kaumaha i loko o kou puʻuwai, kēia manaʻo o ka makemake ʻole e hana i kekahi mea, ua like ia me he mea lā ua lawe i kou ola holoʻokoʻa no nā pule a i ʻole nā mahina? ʻAʻole anei ʻoe makemake hou e hana i nā mea āu i hauʻoli ai? Hoʻomaka ʻoe i kēlā me kēia lā me ka luhi a mehameha? ʻĀ, hiki paha iā ʻoe kēia. E kamaʻilio ākea kākou e pili ana i kēia ʻano, ʻo ia hoʻi ke kaumaha.
He aha maoli ke kaumaha?
ʻO ka mea mua e hoʻomaopopo ai, ʻaʻole he maʻi noʻonoʻo a he kūlana i hana ʻia ke kaumaha. He kūlana olakino maoli ia e pono e mālama ʻia, e like me ka maʻi diabetes a i ʻole ke koko kiʻekiʻe. Pili ia i nā loli i nā kemika (neurotransmitters) i loko o ko kākou lolo e kaohi ana i ke ʻano, nā manaʻo, a me ke ʻano.
Hilahila ka poʻe he nui e kamaʻilio e pili ana i kēia, makaʻu i "ka mea a ka poʻe e manaʻo ai." ʻEha wale kekahi, me ka ʻōlelo ʻana "pono lākou e ikaika." Huli kekahi i ka waiʻona a me nā lāʻau lapaʻau e pakele ai i ka ʻeha o ko lākou naʻau. Eia naʻe, ʻaʻohe o kēia mau mea kūpono. ʻO ka mea nui loa, ʻo ia ka ʻike pololei ʻana i ka maʻi a me ka ʻimi ʻana i ka lāʻau kūpono.
Pehea ʻoe e ʻike pono ai inā he kaumaha kēia?
Inā manaʻo ʻoe e loaʻa ana paha iā ʻoe nā hōʻailona o ke kaumaha, e ʻoluʻolu e ʻike i kahi loea lapaʻau kūpono. I nā hihia he nui, hiki i kāu kauka mālama mua ke ʻike a hoʻomaka i ka mālama ʻana no kēia maʻi.
E nīnau aku kāu kauka iā ʻoe e pili ana i kou mau hōʻailona a inā paha ua loaʻa i kekahi o kou ʻohana kēia mau maʻi. Hiki iā lākou ke noi iā ʻoe e hoʻopiha i kahi nīnau. Hiki iā lākou ke hana i kekahi mau hoʻokolohua e ʻike ai inā he mau maʻi kino ʻē aʻe paha e hiki ke hoʻoulu i kou mau hōʻailona. Eia kekahi laʻana:
- ʻO ka thyroid hana ʻole
- ʻO kekahi mau hemahema o nā huaora a me nā meaʻai
- Nā hopena i nā lāʻau lapaʻau ʻē aʻe a i ʻole nā lāʻau lapaʻau / waiʻona
Mea nui: Inā koʻikoʻi loa kou mau hōʻailona, a inā he mau manaʻo kou e hoʻopau i kou ola a hōʻeha paha iā ʻoe iho a i ʻole kekahi poʻe ʻē aʻe, e ʻike koke aku i ke kauka noʻonoʻo me ka kānalua ʻole.
He aha nā lāʻau lapaʻau kūpono no ke kaumaha?
ʻO ka nūhou maikaʻi, he maʻi hiki ke mālama ʻia ke kaumaha. Nui nā koho lapaʻau. Loaʻa pinepine nā hopena maikaʻi loa ke hoʻohana pū ʻia kekahi a ʻoi aku paha nā lāʻau lapaʻau. ʻO nā koho lapaʻau nui ʻelua:
1. Lāʻau lapaʻau
2. Psychotherapy a i ʻole ka hoʻoponopono kamaʻilio ʻana
E nānā kākou i kēia mau mea ʻelua ma ke kaʻawale.
Lāʻau lapaʻau
Hana nui nā lāʻau lapaʻau i hoʻohana ʻia e mālama i ke kaumaha ma ka hoʻihoʻi ʻana i ke kaulike o nā kemika i loko o ka lolo e kaohi ana i ke ʻano. Nui nā ʻano o kēia mau lāʻau lapaʻau. Na kāu kauka e hoʻoholo i ka lāʻau lapaʻau a me ka nui o ka lāʻau i kūpono loa iā ʻoe.
| Māhele lāʻau lapaʻau | He wehewehe maʻalahi |
|---|---|
| Nā SSRI a me nā SNRI | ʻO kēia nā lāʻau lapaʻau i hoʻohana pinepine ʻia me nā hopena ʻaoʻao liʻiliʻi. Hoʻoponopono lākou i ka hana o nā ʻelele kemika i loko o ka lolo i kapa ʻia ʻo serotonin a me norepinephrine. Eia kekahi laʻana: Fluoxetine, Sertraline, Venlafaxine. |
| Nā lāʻau antidepressants Tricyclic (TCAs) | He papa lāʻau kahiko iki kēia. Loaʻa iā lākou nā hopena ʻaoʻao he nui ma mua o nā SSRI. Akā hiki iā lākou ke ʻoi aku ka maikaʻi no kekahi poʻe. Eia kekahi laʻana: ʻO Amitriptyline. |
| Nā MAOI | He mau lāʻau lapaʻau maikaʻi nō hoʻi kēia. Eia nō naʻe, ʻaʻole hoʻohana nui ʻia lākou i kēia manawa no ka mea pono lākou e pale i kekahi mau meaʻai (e like me ka tīhi i hoʻoulu ʻia) a me nā lāʻau lapaʻau ʻē aʻe i ka wā e lawe ai iā lākou. |
| Nā Lāʻau Lapaʻau ʻē aʻe | I kekahi manawa, ma waho aʻe o nā antidepressants, hiki ke hoʻohui ʻia nā lāʻau lapaʻau ʻē aʻe, e like me nā antipsychotics atypical. Aia kekahi mau lāʻau lapaʻau hou, e like me Ketamine. |
E hoʻomanaʻo pono i kēia mau mea e pili ana i ka lāʻau lapaʻau:
* Hiki ke hala kekahi mau pule (malia paha 4-8) no ka ʻike piha ʻana i ka hopena o ka lāʻau. No laila, mai hoʻōki i ka lawe ʻana i ka lāʻau no ka mea ʻaʻohe ʻokoʻa i nā pule mua.
* He lōʻihi paha ka manawa e loaʻa ai ka lāʻau kūpono nāu. Inā ʻaʻole holo pono kekahi lāʻau, hiki iā ʻoe ke kamaʻilio me kāu kauka e pili ana i ka hoʻololi ʻana i kekahi.
* Mai ho'ōki koke i ka lawe ʻana i kāu lāʻau lapaʻau me ka ʻole o ke aʻo ʻana a kāu kauka. ʻO ka hana ʻana pēlā e hoʻi hou mai ai nā hōʻailona ʻoluʻolu ʻole.
* He mea nui loa i nā mākua a me nā kauka ke makaʻala i kēia, no ka mea, e piʻi aʻe paha nā manaʻo maikaʻi ʻole, ʻoi aku hoʻi i nā keiki a me nā ʻōpio i nā pule mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau.
Hoʻōla noʻonoʻo
Ua like kēia me ka psychotherapy. Pili ia i ke kamaʻilio ʻana me kahi kākāʻōlelo aʻoaʻo a mea hoʻoponopono paha i aʻo ʻia, e hoʻomaopopo ana i kou mau manaʻo, nā manaʻo, a me nā ʻano, a me ke aʻo ʻana e hoʻokele iā lākou.
- ʻO ka Cognitive Behavioral Therapy (CBT): Kōkua iā ʻoe e ʻike i nā manaʻo maikaʻi ʻole a lapuwale a hoʻololi iā lākou me nā manaʻo maoli a maikaʻi hoʻi.
- Hoʻōla Pilikino: Hoʻomaopopo i ka hopena o kou pilina me ka ʻohana a me nā hoaaloha i kou ʻano a kōkua iā ʻoe e hoʻoponopono i kēlā mau pilikia.
He mea nui e loaʻa kahi kanaka āu e ʻoluʻolu ai, i hiki iā ʻoe ke kamaʻilio e pili ana i kou manaʻo me ka makaʻu ʻole a kānalua paha. Hiki i kēia lāʻau lapaʻau ke mau mai kekahi mau pule a i kekahi mau mahina.
Lawe mai nā loli o ke ʻano o ka nohona i ka hōʻoluʻolu nui!
Me nā lāʻau lapaʻau a me ka psychotherapy, nā mea maʻalahi hiki iā ʻoe ke hoʻohui i kāu hana maʻamau i kēlā me kēia lā hiki ke hāʻawi i ka hōʻoluʻolu nui mai nā hōʻailona o ke kaumaha.
- Hoʻoikaika Kino: ʻO ka hoʻoikaika kino ʻana ma ka liʻiliʻi he 30 mau minuke i kēlā me kēia lā, e like me ka hele wāwae, ka holo ʻana, a i ʻole ka ʻauʻau ʻana, e hoʻonui i ke kahe o ke koko i ka lolo a hoʻomaikaʻi i ke ʻano. Wahi a kekahi mau noiʻi, hiki i ka hoʻoikaika kino mau ke like me ka maikaʻi o kekahi mau lāʻau lapaʻau.
- Hiamoe: He mea nui ka hiamoe maikaʻi no ke olakino noʻonoʻo. E hoʻomaʻamaʻa i ka hele ʻana e hiamoe a ala i ka manawa like i kēlā me kēia lā. E pale i ka hoʻohana ʻana i kāu kelepona a i ʻole ka nānā ʻana i ke TV ma mua o ka hiamoe ʻana a hana i kahi mea hoʻomaha, e like me ka heluhelu ʻana i kahi puke.
- ʻAi: E ʻai i ka ʻai kaulike. E hōʻemi i nā mea ʻono a me nā meaʻai wikiwiki i ka hiki. E hoʻokomo i nā huaʻai, nā mea kanu, a me nā greens i kāu ʻai.
- Nā pilina pili kanaka: Mai hoʻokaʻawale iā ʻoe iho, e kamaʻilio me kahi hoaaloha hilinaʻi a ʻohana paha e pili ana i kou manaʻo.
- Nā hana leʻaleʻa: E lawe i kahi mea āu i hauʻoli ai. Kaha kiʻi, hoʻolohe i ke mele, māla. ʻOiai kahi mea liʻiliʻi hiki ke lawe mai iā ʻoe i ka hauʻoli.
- ʻAno a me ka lā: ʻO ka loaʻa ʻana o kahi liʻiliʻi o ka lā i kēlā me kēia lā ʻaʻole ia e hāʻawi wale i ka wikamina D, akā hoʻomaikaʻi pū kekahi i ke ʻano.
Nā lāʻau lapaʻau ʻē aʻe
Aia kekahi mau lāʻau lapaʻau kūikawā ʻē aʻe no ke kaumaha nui i pane maikaʻi ʻole i ka lāʻau lapaʻau a me ka psychotherapy.
- ECT (Lapaʻau Hoʻonāukiuki Uila):He lāʻau lapaʻau palekana a maikaʻi loa kēia i hana ʻia ma lalo o ka anesthesia. Hoʻohana ʻia ia e hāʻawi i ka hōʻoluʻolu wikiwiki i ka poʻe me ke kaumaha nui a me nā manaʻo pepehi kanaka.
- rTMS (Repetitive Transcranial Magnetic Stimulation): Pili kēia i ka hoʻoulu ʻana i nā wahi kikoʻī o ka lolo me ka hoʻohana ʻana i nā nalu magnetic.
- VNS a me DBS: He mau ʻokiʻoki kēia e hana ʻia ana ma ke kahua noiʻi.
Leka Lawe-Home
- ʻAʻole kou hewa a he nāwaliwali paha ke kaumaha. He maʻi maoli ia e pono ai ka mālama ʻana.
- ʻAʻole pono ʻoe e ʻeha hoʻokahi. E noi i ke kōkua. Ma ke ʻano he hana mua, e ʻike i kahi kauka hilinaʻi.
- Aia nā lāʻau lapaʻau kūpono. Hiki i nā lāʻau lapaʻau, psychotherapy, a me nā hoʻololi ʻana i ke ʻano o ka nohona ke kōkua iā ʻoe e ho'ōla.
- Mai ho'ōki i ka lawe ʻana i nā antidepressants me ka ʻole o ke aʻo ʻana a ke kauka.
- Aia kekahi poʻe aloha iā ʻoe a mālama iā ʻoe. E kamaʻilio me lākou. E hoʻomanaʻo ʻaʻole ʻoe hoʻokahi ma kēia huakaʻi.
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