E noʻonoʻo, i ka mea āu i hauʻoli ai a hauʻoli ai i ka hana ... malia paha e hele ana i kahi huakaʻi me nā hoaaloha, e nānā ana i kahi kiʻiʻoniʻoni maikaʻi, e hana ana i kahi māla liʻiliʻi, a i ʻole e ʻai i kāu meaʻai punahele. Akā i kēia manawa, ʻaʻole ʻoe e ʻike i ka hauʻoli, ʻaʻohe leʻaleʻa, ʻaʻohe 'māʻona' mai kekahi o kēlā mau mea? He aha inā ʻaʻole kēlā mau mea e manaʻo hou ʻia he 'leʻaleʻa' iā ʻoe? ʻO ia ka mea a mākou e kapa nei i ka lāʻau lapaʻau he anhedonia. I ka ʻōlelo maʻalahi, ʻo ka nalowale o ka hiki ke ʻike i ka leʻaleʻa.
He aha maoli ʻo Anhedonia?
ʻO ke ʻano o Anhedonia ʻo "ka nele o ka leʻaleʻa."
He hōʻailona maʻamau ia o ke kaumaha a me nā kūlana olakino noʻonoʻo ʻē aʻe. ʻO ka ʻoiaʻiʻo, ʻehiku o ka ʻumi o ka poʻe me ka maʻi kaumaha nui (MDD) i loaʻa i ka anhedonia. ʻIke pinepine mākou i ke ʻano o ka hauʻoli, a hauʻoli mākou i kekahi mau mea. Akā i ka wā e hana ʻia ai kēia, nalowale kēlā manaʻo o ka leʻaleʻa. Makemake ʻoe i ka ʻai ʻana i ka kokoleka a i ʻole ka hoʻolohe ʻana i kahi mele. I kēia manawa e ʻike paha ʻoe ʻo ka hana ʻana i kēlā mau mea e hoʻemi ai i kou hauʻoli. ʻAʻole paha ʻoe e ʻike i ke kumu.
He nui ka poʻe e huikau i kēia me ka apathy, ʻo ia hoʻi ke kūlana o ka 'makemake ʻole e hana i kekahi mea'. Akā he ʻelua mau mea like ʻole kēia. ʻO ka apathy ka nele o ka hoihoi a i ʻole ka hoʻoikaika e hoʻomaka i kahi mea. Akā ʻo ka anhedonia ka hiki ʻole ke loaʻa ka leʻaleʻa mai ka hana ʻana i kēlā mea.
Manaʻo paha ke kanaka me ka anhedonia he waiwai nui nā pilina aloha a me nā pilina ʻohana, akā, ʻaʻole paha lākou e ʻike i ka leʻaleʻa, a i ʻole ka 'uku', i loaʻa mai kēlā mau mea, no laila, manaʻo paha lākou ʻaʻohe pono o ka hana nui ʻana no lākou.
Aia kekahi mau ʻano nui o ka anhedonia?
ʻAe, ke kamaʻilio nei mākou e pili ana i ʻelua ʻano nui o ka anhedonia. Aia kekahi mau ʻano kikoʻī ʻē aʻe. E nānā kākou i kēia mau mea ma kahi papa.
| ʻAno o ka anhedonia | I ka ʻōlelo maʻalahi… |
|---|
| ʻAnedonia Kaiapili | ʻAʻohe manaʻo pili a hauʻoli paha me kou mau hoaaloha a me kou ʻohana maikaʻi loa. ʻAʻole makemake e hālāwai me nā hoaaloha a hele paha i nā pāʻina. Manaʻo maikaʻi e pili ana i ka noho hoʻokahi ʻana ma ka home. |
| ʻAnhedonia kino | ʻAʻohe leʻaleʻa mai nā manaʻo kino. Eia kekahi laʻana, ka manaʻo hakahaka ʻoiai ke ʻapo ʻia me ke aloha, ka manaʻo ʻaʻole ʻono kāu meaʻai punahele, ka loaʻa ʻole o ka leʻaleʻa mai ka moekolohe, a i ʻole ka emi ʻana o ka libido. |
Kekahi mau ʻano kikoʻī hou aʻe
- ʻAnhedonia Manaʻo: ʻO ka nele o kekahi manaʻolana o ka leʻaleʻa e pili ana i kahi mea leʻaleʻa (e.g., kahi huakaʻi) e hiki mai ana. ʻO ka hiki ʻole ke hauʻoli e pili ana i ia mea ʻoiai ua ʻike ʻoe he mea leʻaleʻa ia.
- ʻO ka Anhedonia hoʻopau: Ka nele o ka leʻaleʻa i kahi hana i ka manawa. Ka nele o ka leʻaleʻa i ke kamaʻilio ʻana me kahi hoaaloha.
- ʻAnhedonia Mele: ʻO ka hiki ʻole ke hauʻoli i ke mele, ke mele, a i ʻole ke kani . ʻO ke kani ʻana o ke mele he leo wale nō ia, me ka ʻole o ka manaʻo.
- ʻO Ejaculatory Anhedonia: He ʻano olakino moekolohe kēia kahi e loaʻa ai iā ʻoe ka orgasm i ka wā o ka moekolohe akā ʻaʻole ʻoe e ʻoluʻolu i ia mea.
No ke aha lā kēia e hana nei? He aha nā kumu?
ʻOiai ʻo ka anhedonia kahi hōʻailona koʻikoʻi o ke kaumaha, aia kekahi mau kumu ʻē aʻe e hiki ai ke kumu. Hiki iā ʻoe ke piʻi aʻe ka pilikia o ka hoʻomohala ʻana i ka anhedonia inā loaʻa iā ʻoe nā kūlana penei:
Ma ke ʻano ʻepekema, hoʻokumu ʻia ka anhedonia e
kahi hoʻopilikia ʻana i nā kaapuni leʻaleʻa a me ka uku i loko o ko kākou lolo . Manaʻo ka poʻe loea he nui ʻo ke kumu nui ka emi ʻana o ka hana o kahi kemika i loko o ka lolo i kapa ʻia ʻo
dopamine . ʻO Dopamine kahi hormone "manaʻo-maikaʻi" e hoʻohauʻoli ai iā mākou, māʻona, a hoʻoikaika ʻia. Ke hoʻopilikia ʻia kēia ʻōnaehana dopamine, ʻike mākou i ka leʻaleʻa liʻiliʻi.
Loaʻa iā ʻoe kēia mau ʻano?
Ua like ʻo Anhedonia me kahi ʻole. Ma kahi i loaʻa ai ka hauʻoli ma mua, aia paha i kēia manawa kahi manaʻo o ka ʻole, ka nele o ka manaʻo. ʻOiai nā mea maikaʻi, ʻaʻole maikaʻi ka manaʻo. ʻO nā hōʻailona maʻamau:
- Māʻule
- Ke nalowale nei ka hoihoi i nā hana leʻaleʻa āu i hauʻoli ai
- Ka haʻalele ʻana mai nā poʻe ʻē aʻe a me ka pale ʻana i nā hana kaiāulu
- Ka paʻakikī i ka hoʻoholo ʻana
- Ke kaumaha mau nei, ka maikaʻi ʻole, a i ʻole ka palaualelo
- ʻAʻohe hoihoi a makemake ʻole paha e hana i kekahi mea (Apathy)
- Nā pilikia hiamoe a me ka emi ʻana o ka makemake moekolohe
ʻAʻole like kēia mau hōʻailona no kēlā me kēia kanaka. No kekahi poʻe, hele mai a hele aku lākou no kekahi manawa, a no kekahi poʻe, hiki ke mau lākou.
Pehea e ʻike ai ke kauka i kēia?
Ke wehewehe ʻoe i kēia mau hōʻailona, e nānā mua kāu kauka e ʻike inā he kaumaha kou. E nānā pū lākou i nā kūlana kino ʻē aʻe e hiki ke hoʻoulu i kēia mau hōʻailona. No ka hana ʻana i kēia,
- E nīnau ʻia ʻoe i kekahi mau nīnau e pili ana i kou ʻano a me nā hōʻailona.
- Hiki ke hana i nā hoʻāʻo koko e nānā i ka haʻahaʻa o ka wikamina D a i ʻole nā pae hormone thyroid.
- E nānā ʻia kou olakino kino.
- I kekahi manawa hiki iā ʻoe ke hoʻohana i nā nīnau nīnau kūikawā (nā anamanaʻo) i hoʻolālā ʻia e ana i kou pae o ka hauʻoli.
Hana ʻia kēia mau mea a pau e ʻike pono i kou kūlana a koho i ka lāʻau kūpono loa.
He aha nā lāʻau lapaʻau no kēia?
No ka mea, he hōʻailona ka anhedonia, ʻo ka mea nui i ka wā e mālama ai, ʻo ia ka ʻike ʻana i ke kumu kumu. ʻO ka hoʻolālā lapaʻau he hui pū ʻana o ka lāʻau lapaʻau a me ka hoʻōla kamaʻilio.
Nā lāʻau lapaʻau
Hiki i kekahi mau lāʻau antidepressant ke kōkua. ʻOi aku ka maikaʻi, ua hōʻike ʻia nā lāʻau lapaʻau e hoʻopilikia i nā pae dopamine i loko o ka lolo, e like me
ka bupropion (Wellbutrin), he mea kōkua no kekahi mau maʻi. Ua hōʻike kekahi mau noiʻi ʻaʻole nui ka hopena o nā lāʻau SSRI kuʻuna i kēia kūlana, a hiki ke hoʻomāmā i nā manaʻo. No laila, e hoʻoholo kāu kauka i ka lāʻau lapaʻau maikaʻi loa iā ʻoe. I kekahi mau hihia i pane ʻole i nā lāʻau lapaʻau ʻē aʻe, ke noiʻi ʻia nei nā lāʻau lapaʻau hou, e like me
ka ketamine therapy.
Hoʻōla Kamaʻilio
He ʻāpana koʻikoʻi loa kēia o ke kaʻina hana ho'ōla.
- ʻO ka Cognitive Behavioral Therapy (CBT): Kōkua kēia iā ʻoe e ʻike a hoʻololi i kāu mau ʻano noʻonoʻo maikaʻi ʻole. Hiki iā ʻoe ke hoʻokūkū i nā manaʻo e pale ana iā ʻoe mai ka ʻike ʻana i ka hauʻoli.
- Hoʻāla Hana: Paipai ka mea hoʻōla iā ʻoe e hoʻomaka mālie e hana i nā mea āu i hauʻoli ai, ʻoiai inā ʻaʻole ʻoe makemake e hana iā lākou. Ke maʻa mālie ʻoe iā lākou, e hoʻomaka paha ʻoe e hauʻoli hou iā lākou.
ʻO nā lāʻau lapaʻau ʻē aʻe e pili ana i ka electroconvulsive therapy (ECT) a me ka transcranial magnetic stimulation (TMS).
Nā pilikia inā ʻaʻole mālama ʻia
ʻAʻole wale ka Anhedonia he nele i ka leʻaleʻa. Inā ʻaʻole mālama ʻia, hiki iā ia ke loaʻa ka hopena koʻikoʻi i kou ola.
- Ka hāʻule ʻana o ka pilina:ʻO ka hoʻolilo ʻana i ka manawa me nā hoaaloha a me ka ʻohana hiki ke lilo i mea kaumaha no ka mea ʻaʻole ʻoe e hauʻoli. Hiki i kēia ke alakaʻi iā ʻoe e mamao mālie mai nā mea āpau.
- Kaʻawale kaiapili: Aia paha he makaʻu a kānalua paha e hālāwai me nā kānaka a komo i nā hana kaiapili.
- Ka hoʻonui ʻia ʻana o nā kūlana olakino noʻonoʻo: Hiki iā Anhedonia ke hoʻonui i nā kūlana e like me ke kaumaha.
- Manaʻo pepehi kanaka: He pilikia koʻikoʻi loa kēia. Aia kahi pilina ikaika ma waena o ka anhedonia a me nā manaʻo pepehi kanaka.
Inā ʻoe a i ʻole kekahi āu i ʻike ai e noʻonoʻo ana e hōʻeha a pepehi paha iā lākou iho, e ʻoluʻolu, mai ʻeha hoʻokahi. E ʻimi koke i ke kōkua. Hiki iā ʻoe ke kelepona iā Sri Lanka Friends ma 011-2692909 a i ʻole ka National Mental Health Helpline ma 1926. He pilikino a manuahi kēia mau lawelawe. I kahi pilikia, e hele i ka Emergency Treatment Unit (ETU) o ka haukapila kokoke loa.
ʻAʻole he maʻi mau loa ʻo Anhedonia. Hiki ke ho'ōla loa ʻia me ka mālama kūpono. No laila, inā loaʻa iā ʻoe nā hōʻailona, he mea nui loa ia e ʻimi koke i ke kōkua lapaʻau.
Leka Lawe-Home
- ʻO Anhedonia ka hiki ʻole ke ʻike i ka leʻaleʻa mai nā mea i lawe mai i ka leʻaleʻa. He hōʻailona maʻamau kēia o nā maʻi e like me ke kaumaha.
- ʻAʻole kēia ma muli o ka palaualelo, akā, no nā loli i ka hana o nā kemika e like me ka dopamine i loko o ka lolo.
- Hiki ke hoʻomaikaʻi ʻia kēia kūlana me ka lāʻau lapaʻau, ke kamaʻilio ʻana, a me nā loli o ke ʻano o ka nohona.
- Inā loaʻa iā ʻoe kēia mau hōʻailona, ʻo ka mea maikaʻi loa e hana ai, ʻaʻole ia e hilahila a makaʻu paha, akā e kamaʻilio me ke kauka hilinaʻi.
ʻAnhedonia, anhedonia, kaumaha, dopamine, olakino noʻonoʻo
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