Loaʻa iā kākou a pau nā manawa i ko kākou ola ke kaumaha a hoʻohoka ʻia, ʻeā? He mea maʻamau loa ke kaumaha ke nalowale kahi mea aloha, hāʻule i kahi hoʻokolohua, a nalowale paha kāu hana. ʻO ko kākou ʻano kanaka ke kaumaha. Akā inā mau kēia kaumaha nui, ke kōkua ʻole, a me ka waiwai ʻole āu e manaʻo ai no nā lā a i ʻole nā pule, e hōʻino ana i kou ola a pau, hiki ke lilo i mea ʻoi aku ma mua o ke kaumaha maʻamau. ʻO ia ka mea a kākou e kamaʻilio nei i kēia lā, ke kaumaha, a i ʻole kahi maʻi hiki ke mālama ʻia i kapa ʻia ʻo Clinical Depression .
He aha maoli ke kaumaha? (He aha ke kaumaha?)
I ka ʻōlelo maʻalahi, ʻo ke kaumaha kahi maʻi olakino noʻonoʻo e hoʻopilikia i kou ʻano. Hiki iā ia ke hoʻolilo iā ʻoe i ke kaumaha i nā manawa a pau a nalowale paha ka hoihoi i nā mea āu i hauʻoli ai. Ua like ia me ke ao ʻeleʻele e kau ana ma luna o kou poʻo. Hoʻopilikia ia i kou manaʻo, kou manaʻo, a me ke ʻano o kāu hana ʻana i kou ola o kēlā me kēia lā.
ʻO ka mea nui, ʻaʻole ka kaumaha he palaualelo a nāwaliwali paha o ka noʻonoʻo. He maʻi olakino maoli ia e pono ai ka mālama ʻana, e like me ka maʻi diabetes a i ʻole ke koko kiʻekiʻe.
ʻOiai ʻaʻohe "pila kilokilo" e hiki ke ho'ōla piha i kēia maʻi, me ka mālama kūpono a me ke aʻo ʻana, hiki ke hoʻomalu piha ʻia nā hōʻailona a hiki iā ʻoe ke ola i kahi ola maʻamau a hauʻoli. Kāhea mākou i kēlā kūlana o ka maʻi he kala ʻana. No laila, mai haʻalele i ka manaʻolana.
Loaʻa iā ʻoe kēia mau hōʻailona?
Wahi a ka Diagnostic and Statistical Manual of Mental Disorders (DSM-5), a nā kauka e hoʻohana ai e ʻike i nā maʻi noʻonoʻo, inā loaʻa iā ʻoe ʻelima a ʻoi aku paha o nā hōʻailona ma lalo nei no ʻelua pule , hiki iā ʻoe ke loaʻa i ke kaumaha. E nānā kākou i ke ʻano o lākou.
| Hōʻailona | He wehewehe maʻalahi |
|---|---|
| ʻAno kaumaha e mau ana i ka lā a pau | ʻO ka ʻole, ke kaumaha, a me ka hoʻonāukiuki āu e manaʻo ai, ʻoiai i ke kakahiaka. |
| Ka nele i ka ikaika/luhi | Luhi a hiamoe hoʻi i ka lā a pau, ʻoiai me ka hana ʻole ʻana i kekahi mea. |
| Manaʻo o ka waiwai ʻole/hewa iā ʻoe iho | ʻO nā manaʻo pinepine e like me "He mea ʻole wau" a "Naʻu ke kuleana no nā mea āpau." |
| Manaʻo o ka hoka | Nā manaʻo hopohopo e like me "ʻaʻohe mea e ʻoi aku ka maikaʻi." |
| Ka paʻakikī i ka noʻonoʻo ʻana a me ka hoʻoholo ʻana i nā hoʻoholo | Paʻakikī i ka hoʻomanaʻo ʻana i nā mea liʻiliʻi, ka noʻonoʻo ʻana i ka hana, a me ka hoʻoholo ʻana i nā hoʻoholo. |
| Nā loli hiamoe | ʻO ka hiamoe ʻole a i ʻole ka hiamoe nui (hiamoe i ka lā a pau). |
| Ka nalowale o ka hoihoi i nā mea leʻaleʻa ma mua | Ka nalowale o ka hoihoi i ke kamaʻilio ʻana me nā hoaaloha, ka nānā ʻana i ka TV, a i ʻole ke komo ʻana i nā hana leʻaleʻa. |
| Nā manaʻo e pili ana i ka make a i ʻole ka pepehi kanaka | Ke manaʻo nei he mea ʻole ke ola, ke manaʻo nei e hōʻeha iā ʻoe iho. |
| Ka loli ʻana o ke kaumaha o ke kino | Ka nalowale ʻana o ka makemake a me ka pohō kaumaha a i ʻole ka piʻi ʻana o ka makemake a me ka piʻi ʻana o ke kaumaha. |
Eia kekahi, hiki ke loaʻa nā hōʻailona kino e like me ka huhū pinepine, ka hoʻomaha ʻole, ka ʻeha mau o ke kino, ka ʻeha poʻo, a me ka ʻeha o ka ʻōpū. ʻO kēia no ka mea ua pili nā kemika o ka lolo e pili ana i ke kaumaha, e like me ka serotonin a me ka norepinephrine, i ko kākou ʻano a me ka ʻeha.
Loaʻa pū kekahi i nā keiki ʻōpio a me nā ʻōpio ke kaumaha?
ʻAe. Hiki i kēia ke hoʻopilikia i kekahi o kēlā me kēia makahiki.
- Nā kamaliʻi: He mea maʻamau i ke keiki ke kaumaha. Akā inā hoʻomau ke kaumaha no kekahi mau lā, a aia nā loli o ke ʻano e hoʻopilikia ai i ka hana kula a i ʻole ka pāʻani ʻana me nā hoaaloha, he kaumaha paha ia.
- ʻŌpio: He mea maʻamau ka loli ʻana o ka naʻau i kēia makahiki. Eia nō naʻe, inā ʻike ʻoe i nā hōʻailona o ke kaumaha e mau ana ma mua o ʻelua pule, ka haʻalele ʻana i ka hana kula, ka haʻalele ʻana mai nā hoaaloha, a i ʻole ka huli ʻana i nā lāʻau lapaʻau a i ʻole ka waiʻona, pono ʻoe e hopohopo. E kamaʻilio koke me ke kauka no ka ʻōlelo aʻo.
He aha nā kumu o ke kaumaha?
ʻAʻohe kumu kikoʻī hoʻokahi o ke kaumaha i loaʻa, akā manaʻoʻiʻo nā kauka ua hiki ke hana ʻia e ka hui pū ʻana o nā kumu.
- ʻAno o ka lolo: Hiki ke ʻike ʻia nā loli kino ma kekahi mau ʻāpana o ka lolo o ka poʻe me ke kaumaha.
- Nā Loli Kemika o ka Lolo: Hoʻokele ʻia ko mākou ʻano e nā ʻelele kemika i loko o ka lolo i kapa ʻia ʻo neurotransmitters . Ke kaulike ʻole kēia mau mea, hiki ke loaʻa ke kaumaha.
- Nā Hormones: Hiki ke hoʻoulu ʻia ke kaumaha e nā loli hormonal e kū mai ana i ka wā hāpai, postpartum, nā pilikia thyroid, a me ka menopause.
- ʻIke Hoʻoilina: Inā loaʻa kekahi o kou ʻohana i ke kaumaha, aia paha ʻoe i kahi pilikia kiʻekiʻe iki o ka loaʻa ʻana iā ia.
Aia kekahi mau ʻano kaumaha like ʻole?
ʻAe, hiki ke loaʻa ke kaumaha ma nā ʻano he nui a ma lalo o nā inoa like ʻole. E ʻike kāu kauka i ke ʻano āu i loaʻa ai ma muli o kāu mau hōʻailona.
- Kaumaha nui unipolar: ʻO ke ʻano kaumaha maʻamau.
- Maʻi kaumaha mau (Dysthymia): He kūlana kaumaha emi iki akā lōʻihi e mau ana no ʻelua mau makahiki a ʻoi paha.
- ʻO ka maʻi dysphoric premenstrual (PMDD): He kūlana kahi e ʻike ai nā wāhine i ke kaumaha a me nā loli o ka naʻau i ʻoi aku ka koʻikoʻi ma mua o ka PMS maʻamau ma mua o ko lākou wā mahina.
- Kaumaha Peripartum: Kaumaha e kū mai ana i ka wā hāpai a ma hope paha o ka hānau ʻana.
- Ka maʻi naʻau i hoʻoulu ʻia e ka lāʻau: Nā hōʻailona kaumaha e kū mai ana ma muli o ka hoʻohana ʻana i ka lāʻau lapaʻau a i ʻole ka waiʻona a i ʻole ma hope o ka hoʻōki ʻana iā lākou.
- ʻAno kau: Ka hoʻomaka ʻana o nā hōʻailona kaumaha i kekahi mau manawa o ka makahiki, ʻoi aku hoʻi i nā mahina pouli a me nā mahina ʻaʻole i ʻike ʻia ka lā.
Pehea e ʻike ʻia ai a mālama ʻia ai ke kaumaha?
Inā manaʻo ʻoe he mau hōʻailona kou o ke kaumaha, ʻo ka mea maikaʻi loa e hana ai, ʻo ia ke ʻike i kāu kauka ʻohana. E nānā ʻo ia iā ʻoe a, inā pono, e kuhikuhi iā ʻoe i kahi loea olakino noʻonoʻo.
ʻIkepili
Na ke kauka:
1.E hana ʻia kahi hoʻokolohua kino e nānā i nā kūlana olakino ʻē aʻe.
2. E nānā ʻia nā mea e like me nā pae hormone thyroid ma o nā hoʻokolohua koko .
3. E kamaʻilio lākou me ʻoe e pili ana i kou mau manaʻo, nā manaʻo, a me nā ʻano hana. He mea nui loa kēia.
4. E loiloi ʻia kāu mau hōʻailona e like me nā pae hoʻohālikelike (DSM-5).
Lapaʻau
ʻO ke ʻano o ka mālama ʻana ma muli o ke ʻano a me ke koʻikoʻi o kāu mau hōʻailona.
- Lāʻau lapaʻau: He kūpono loa nā lāʻau antidepressants no ke kaumaha. Pono paha ʻoe e hoʻāʻo i kekahi mau lāʻau lapaʻau e ʻike i ka mea kūpono loa iā ʻoe. Pono e hoʻohana ʻia kēia mau mea ma lalo o ka nānā ʻana o ke kauka.
- Psychotherapy: I ka ʻōlelo maʻalahi, he ʻano kamaʻilio kēia. ʻO ke kamaʻilio ʻana e pili ana i kou mau pilikia me ke kākāʻōlelo olakino noʻonoʻo hiki ke kōkua iā ʻoe e hoʻokele i kāu mau hōʻailona. ʻO Cognitive Behavioral Therapy (CBT) kekahi ʻano hana kaulana i hoʻohana ʻia no kēia.
- Nā lāʻau lapaʻau ʻē aʻe: I nā hihia koʻikoʻi i pane ʻole i ka lāʻau lapaʻau, e ʻōlelo ʻia paha nā lāʻau lapaʻau kūikawā e like me ka electroconvulsive therapy (ECT) .
Nā hōʻailona pilikia a me nā manaʻo pepehi kanaka
He mea koʻikoʻi loa kēia a he mea koʻikoʻi hoʻi.
Inā loaʻa iā ʻoe nā manaʻo pinepine e hōʻeha iā ʻoe iho a make paha, mai hoʻowahāwahā iā ia. He ʻāpana ia o ka maʻi. Mai kānalua e noi i ke kōkua.
Inā ʻoe a i ʻole kekahi āu i ʻike ai e hoʻolālā ana a kamaʻilio paha e pili ana i ka hōʻeha ʻana iā lākou iho, e hele koke i ka Emergency Treatment Unit (ETU) kokoke loa. A i ʻole e ʻike i ke kauka i ka hikiwawe loa.
Leka Lawe-Home
- ʻAʻole ka kaumaha he nāwaliwali o ka puʻuwai, he maʻi ia e hiki ke mālama ʻia.
- Inā he kaumaha kou a i ʻole kekahi āu i ʻike ai, nele i ka hoihoi, a me nā hōʻailona ʻē aʻe e mau ana ma mua o ʻelua pule, mai kānalua e ʻimi i ke kōkua lapaʻau.
- Me ka lāʻau lapaʻau kūpono (lāʻau lapaʻau a me ka psychotherapy), hiki ke hoʻomalu pono ʻia ke kaumaha a hiki iā ʻoe ke ola i kahi ola hauʻoli.
- Inā he manaʻo kou e hōʻeha iā ʻoe iho, he pilikia ia. E ʻimi koke i ke kōkua lapaʻau. ʻAʻole ʻoe hoʻokahi, he nui ka poʻe e hiki ke kōkua.
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