I ētahi wā o te ao, me tūtaki tātou ki ngā āhuatanga whakamataku, whakamataku kāore i whakaarohia e tātou, tika? He mea noa te rongo i te ohorere nui me te mataku ina puta mai tētahi mea pēnei. Engari i ētahi wā ka ahua nui rawa atu tēnei ohorere. Kua pāngia koe e tētahi wheako rite? Haere mai, kia kōrerohia ake tēnei.
He aha te Mate Auau Kino (ASD)?
Ki te kī māmā noa,
ko te Mate Ahotea Whakamataku he āhua pōuri hinengaro poto e puta ana i roto i te marama tuatahi i muri i te wheako i tētahi huihuinga tino kino, mamae hoki. Tērā pea ka pāngia koe e ēnei e whai ake nei:
- Manukanuka Nui: Ehara i te mea ko te wehi anake, engari he kare ā-roto o te taumahatanga nui me te āwangawanga.
- Te wehi nui, te kore āwhina rānei e taea te whakamanawanui: Ina mahara koe ki te kaupapa, ka tere tō ngakau, ka werawera koe, ā, ka whakaaro koe kāore e taea e koe te mahi i tetahi mea.
- Ngā mahara whakamuri, ngā moemoeā kino rānei: Te whakaaro me te mea kei te tupu anō te kaupapa, te moemoeā kino rānei mōna.
- Te āhua wehe atu i tō tinana, me te kore o ngā kare ā-roto: I ētahi wā, ka whakaaro pea koe kāore he mea i te tūturu, me te mea he moemoeā. Kāore rānei e taea e koe te rongo i ngā kare ā-roto pērā i te harikoa, i te pouri rānei.
- Te karo i ngā wāhi, ngā mea, me ngā tāngata e whakamahara ana i a koe ki te huihuinga: Kāore pea koe e hiahia ki te haere ki te wāhi i tū ai te huihuinga, ki te kōrero mō taua huihuinga, ki te tūtaki rānei ki ngā tāngata e whai wāhi ana ki taua huihuinga.
Whakaarohia kei roto koe i tētahi waipuke ohorere, kei te kite rānei koe i tētahi aituā motuka nui, kei te whakatoi rānei tētahi i a koe. Koinei ngā mea e kiia nei e tātou ko ngā "tūponotanga whakamataku". Anei ētahi tauira:
- Ngā āhuatanga taiao pēnei i ngā awhiowhio, ngā ahi, me ngā waipuke .
- Te whakaeke ā-ira tangata , te whakaeke tinana rānei.
- Te tukino ā-waha kino .
- Te kitenga i tētahi atu e whara tinana ana , e kite rānei i te matenga .
- Ngā aituā kino, pērā i ngā aituā motuka nunui.
- Te whara kino ohorere , te mate kino ohorere rānei.
- Ngā āhuatanga pakanga .
Ka taea e te tangata te pā mai tēnei āhuatanga (Acute Stress Disorder), ahakoa he tamaiti, he taiohi, he pakeke rānei.
He aha te rerekētanga i waenga i te (Acute Stress Disorder) me te (PTSD)?
Kua rongo pea koe i te
PTSD ,
te Post-Traumatic Stress Disorder rānei. Ko te rerekētanga matua i waenga i ngā mea e rua ko te roa o ngā tohu. I roto i
te Acute Stress Disorder , ka puta ēnei tohu e pā ana ki te ahotea
i roto i ngā rā e toru ki te whā wiki (kotahi marama) i muri i tētahi huihuinga mamae. Heoi,
ka roa ake ēnei tohu i te whā wiki.Ki te mau tonu, tera pea he āhuatanga e kiia nei ko te PTSD. He kupu ngāwari noa iho, ko te ASD he urupare e puta tonu mai ana i muri i te whara. Ka taea te whanake hei PTSD mena kāore e rongoatia tika.
He aha te rerekētanga i waenga i te (Adjustment Disorder) me te (Acute Stress Disorder)?
Ko
te Mate Whakarerekētanga he āhua hinengaro anō hoki e puta ana hei urupare ki tētahi huringa o te ao, ki tētahi huihuinga taumaha rānei. Heoi, ko te rerekētanga i konei, i roto i te Mate Āwangawanga Whakamataku, ko te huihuinga e whakaoho ana i te Mate Whakarerekētanga (hei tauira, te ngaronga mahi, te pakaru o te whanaungatanga) kāore i te tino kino pērā i te huihuinga e whakaoho ana i te Mate Whakarerekētanga (hei tauira, te whakaeke moepuku, te āwangawanga taiao nui). I roto i te Mate Whakarerekētanga, ko ngā tohu kare ā-roto me ngā tohu whanonga e puta ana he nui ake i te mea e tumanakohia ana.
He pēhea te noa o te Mate Auau Whakamataku?
Kāore ngā kairangahau i te tino mōhio ki te whānui o tēnei āhuatanga. Ko tētahi take, kāore ētahi tāngata e rapu awhina hauora kia tae rā anō ngā tohu ki te taumata o te PTSD. E ai ki ngā rangahau maha, ko te auau o te Mate Ahotea Whakamataku (ASD) i muri i tētahi huihuinga mamae ka rerekē mai i
te 6% ki te 33% . Ka rerekē anō hoki tēnei ōrau i runga i te āhua o te huihuinga. Hei tauira, ko te hunga i ora mai i ngā aituā, i ngā āhuatanga taiao rānei, he iti ake te tūponotanga ki te whakawhanake i te ASD. Heoi, ko te hunga kua pāngia e ngā huihuinga tutu (ngā whakaekenga, ngā pū) he nui ake te tūponotanga ki te whakawhanake i te ASD.
He aha ngā tohu o te Mate Auau Whakapeka?
Ko ngā tohu o te ASD he tohu hinengaro me te tohu whanonga. Ko ētahi o ēnei:
- He maharatanga auau, he kore e taea te whakahaere, he whakapouri hoki mō te kaupapa, me te mea nei kei te hokihoki tonu te kaupapa i roto i tō hinengaro i ngā wā katoa .
- Ngā moemoeā kino maha, inā koa ko ērā e pā ana ki te raruraru.
- Ko ngā mahara whakamuri he kare ā-roto o te hokinga mai ki te kaupapa. Arā, te whakaaro kei reira tonu koe i taua wā.
- Te pēhanga nui, te mamae rānei i roto i te hinengaro, i te tinana rānei ina kite, ina rongo, ina pā mai rānei tētahi mea e whakamahara ana i a koe ki taua kaupapa.
- He uaua tonu ki te rongo i ngā kare ā-roto pai pēnei i te harikoa, te whakamarie, me ngā kare ā-roto o te aroha. Tērā pea ka noho kau noa iho koe, ka kore hoki he harikoa.
- Me te mea kua rerekē te taiao, me te mea kei roto koe i te moemoeā, ā, e puhoi ana te haere o te wā.
- Te wareware i ngā wāhanga nui o te huihuinga.
- E ngana ana ki te karo i ngā maharatanga, ngā whakaaro, me ngā kare ā-roto mamae e pā ana ki te huihuinga.
- Te ngana ki te karo i ngā mea o waho (ngā tāngata, ngā wāhi, ngā mea) e whakamahara ana i a koe ki te kaupapa.
- Ngā mate moe. Te kore e taea te moe, te oho pinepine, te kore e taea te moe nā ngā moemoeā kino.
- Te pukuriri, te ngawari rānei o te riri. Te riri me te pōuri mō ngā mea nohinohi.
- Te tūpato nui: Te tūpato tonu ki ngā tūponotanga (te tūpato nui). Te whakapae me te mataku i ngā mea katoa.
- He uaua ki te arotahi. He uaua ki te whakaoti i ngā mahi, ki te pānui pukapuka, ki te maumahara ki ngā mea.
- Te tino ohorere oho ake, ahakoa he tangi, he nekehanga rānei ohorere.
Whakaarohia, i kite koe i tētahi aituā nui i a koe e hikoi ana i te rori. I muri i tēnā, ka mataku koe ki te wehe atu i te rohe i tupu ai te aituā, ka mataku koe ina rongo koe i te haruru o ngā waka, kāore e taea e koe te moe i te pō, ā, ka moemoeā koe mō taua aituā anō. Koinei ngā mea ka taea te tupu i roto i te ASD .
He aha ngā pūtake o te Mate Auau Whakamataku?
Ahakoa te tūtaki ki te momo huihuinga mamae kotahi, kāore te katoa e tauhohe ana i te huarahi kotahi. Ka pāngia ētahi e te ASD, ko ētahi kāore. Kāore anō kia mārama te take o tēnei. Ko tētahi ariā ko te ariā o te
"whakatikatika wehi." Ko te mea ka tupu ko te tīmatanga o tō tinana ki te tauhohe me te wehi ki ētahi mea (ngā whakaohooho) e pā ana ki te huihuinga mamae. Hei tauira, whakaarohia i roto koe i tētahi aituā motuka inapo. He wharekai kai tere kei roto i tō motuka i taua wā. Inaianei, ki te hongi koe i te kai tere i tētahi wā i muri mai i taua pō, ahakoa kāore he aituā tuturu, ka tauhohe pea tō tinana me te wehi i te huarahi kotahi i te wā o te aituā. Arā, ka tīmata pea koe ki te manukanuka me te werawera. Ka urutau ētahi tāngata ki tēnei "whakatikatika wehi." Arā, ka whakaiti haere i tā rātou tauhohe ki aua whakaohooho wehi. Engari ki te kore tēnei e tupu tika, ka taea e ia te arahi ki te Mate Ahotea Whakamataku me te PTSD pea.
He aha ngā āhuatanga mōrearea e pā ana ki te whakawhanaketanga o te Mate Auau Kino?
Tērā ētahi āhuatanga mōrearea ka whai wāhi ki te whanaketanga o te ASD. Ko ēnei:
- He raruraru hauora hinengaro ō mua (tae atu ki ngā wheako mamae o mua).
- Ko te manukanuka nui rawa ko te manukanuka nui rawa ki ngā mea, me te whakaaro whakangaro .
- Te whai i tētahi momo karo hei ārai i te raruraru .
- Te kore o te tautoko pāpori (pūnaha tautoko). Arā, kāore he tangata hei kōrero atu, hei tono āwhina rānei ina he raruraru.
He aha ngā raruraru o tēnei āhuatanga?
Ko te raruraru matua o te Mate Ahotea Whakapeka ko tōna whanaketanga hei
Mate Ahotea Muri-Whara (PTSD) . Ki te kore e rongoatia tika te Mate Ahotea Whakapeka, ka nui ake te tūponotanga ka puta te PTSD.
Me pēhea te tātaritanga o te Mate Ahotea Whakapeka?
Kāore he whakamātautau motuhake hei tautuhi i te Mate Ahotea Whakamataku. Mā te tākuta, mā
te kaitohutohu hauora hinengaro rānei e tautuhi mā te kōrero ki a koe mō ō tohu me tō hītori hauora hinengaro. Ka whakamahia e rātou ngā paearu i roto i te Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) .
He aha ngā maimoatanga mō te Mate Auau Whakamataku?
(Mate ahotea nui)Ko te rongoā matua mō
te PTSD ko te hinengaro hinengaro , he momo rongoā kōrero. He tino whai hua tētahi momo
rongoā whanonga hinengaro (CBT ) e kiia nei ko te Trauma-Focused CBT . Ka tukuna tēnei rongoā e tētahi
tohunga hauora hinengaro kua whakangungua, kua raihanahia, pērā i te tohunga hinengaro, te tohunga hinengaro rānei. Ka whakaratohia he tautoko, he mātauranga, me te ārahi ki a koe, me tō whānau hoki, ki te tika.
Ko te Trauma-Focused CBT e whai wāhi ana ki:
- Ka ako koe mō te urupare a tō tinana ki te ohorere me te ahotea.
- Ka ako koe i ngā huarahi hei whakahaere i ngā tohumate.
- Mā te whakarerekē i te āhua o ngā tauira whakaaro ka āwhina i a koe ki te tautuhi i ngā tauira whakaaro raruraru me te whakarerekē i aua tauira.
- Te whakaora i te pānga: Kei roto i tēnei ko te whakaatu mārire i a koe ki ngā mea e wehi ana koe, me te karo i roto i te taiao haumaru. Ko te hunga whai Mate Pāwera Whakamataku ka karo i ngā mea me ngā wāhi e pā ana ki te huihuinga mamae. Nō reira, kāore rātou e whai wāhi ki te ako me pēhea te whakahaere i ō rātou wehi ina tūtaki ki aua mea. Ka whakamahia e ngā kaiwhakaora hinengaro tēnei tikanga hei whakatenatena i te hunga whai ASD kia āta aro atu ki ngā āhuatanga e whakararuraru ana i a rātou, kātahi ka whakaharatau ki te noho tonu i roto i aua āhuatanga me te aro atu ki aua āhuatanga.
Ētahi atu maimoatanga mō te Mate Auau Whakamataku
Ahakoa kāore i te nui ngā taunakitanga hei tautoko i te whakamahinga o ngā rongoā mō te mate ahotea whakapeka, tera pea ētahi rongoā hei āwhina i te whakamamae i ngā tohu o te PTSD. Hei tauira:
Engari ko te tākuta anake ka whakatau mēnā ka hoatu tēnei rongoā, me te aha hoki hei hoatu.
Ka taea te ārai i te Mate Auau Kino?
Kāore e taea te ārai i tētahi aituā mamae. Heoi, kua whakaatuhia e ngā rangahau ka taea te whakahaere i te kaha o ngā tohu o te Mate Ahotea Whakamataku. Ka taea e ēnei mea te āwhina:
- Haumaru whaiaro: He mea tino nui te noho haumaru i muri i tētahi huihuinga mamae. He tino āwhina te tautoko mai i te hunga e arohaina ana, me ngā tohunga ngaio kua whakangungua ki te āwhina i muri i tētahi huihuinga mamae.
- Hauora tinana: He mea nui kia mau tonu te hauora o ia rā i muri i tētahi aituā mamae. Whakaritea ngā mea nui pēnei i te kai taurite, te moe pai, te whakakori tinana, me te whakaaroaro. Kaua e whakamahi i te waipiro, i ētahi atu raau taero rānei hei whakaora wā poto.
- Tautoko kare ā-roto: mai i te whānau me ngā hoa i muri i tētahi huihuinga mamaeHe mea nui kia whiwhi tautoko kare ā-roto. Ki te kore e taea, ka taea e ngā tākuta me ngā kaitohutohu te whakarato i taua tautoko.
- Me whakapā atu ki tō tīma hauora: He mea nui kia kite koe i tō tākuta me/ranei i tō tohunga hauora hinengaro mō te maimoatanga i muri i tētahi huihuinga mamae.
He aha te āhua o te mate ahotea whakapeka?
He rerekē te tirohanga mō te Mate Ahotea Whakamataku i ia tangata, i ia tangata. Mēnā kāore e rongoatia ngā tohu, ka nui ake te tūponotanga ka puta mai ētahi atu raruraru. Hei tauira:
- Te waranga ki te waipiro me/ranei ki te tarukino.
- Ētahi atu āhuatanga hauora hinengaro pērā i te PTSD, te manukanuka, te pouri , te mate mataku rānei .
- Ngā whakaaro ki te whakamomori, ki te whara rānei i a koe anō/i ētahi atu.
- Ngā raruraru i te mahi me ngā whanaungatanga whaiaro.
Mena kei te whakaaro koe, kei te whakaaro rānei tētahi atu e mōhio ana koe ki te whakamomori, waea atu ki te Rārangi Whakamomori me te Rārangi Ora mō ngā Āhuatanga Whakararu i te 988. Mēnā rānei, haere tonu ki te rūma ohorere o te hōhipera e tata ana.
Mena kei a au te mate ahotea nui (Acute Stress Disorder), me pēhea taku tiaki i a au anō?
Haunga te rapu maimoatanga ngaio mō te Mate Ahotea Whakamataku, ka whai hua pea koe i ngā mahi pai pēnei i:
- Te whakakori tinana hei whakaiti i te ahotea. Ngā mahi pēnei i te hikoi, te mahi yoga rānei.
- Whakatakotoria he whāinga tūturu, ā, ngana ki te whakatutuki i aua whāinga. Tīmata ki ngā mea iti.
- Te whakapau i te wā ki te hunga e whakawhirinaki ana koe, me te whakaako i a rātou mō ō wheako me ngā huarahi e taea ai e koe te āwhina i a rātou.
- Te tautuhi i ngā wāhi me ngā wā e whakamarie ai koe, me te arotahi ki aua wāhi.
- He huarahi pai te whakauru atu ki tētahi rōpū tautoko whara kia mōhio ai koe kāore koe i te mokemoke.
- Manawanui me te whakatairanga i te tiaki i a koe anō. Kia maumahara, ka āta pai haere ngā tohu, kaua e tere katoa.
Āhea ahau me toro atu ki taku tākuta?
He mea tino nui hoki kia kite i tō tākuta, i tō tohunga hauora hinengaro rānei i muri i tētahi aituā mamae. Kōrerohia mā te tuwhera ki a rātou ō kare ā-roto me ō uauatanga.
Āhea ahau me haere ki te rūma whawhati tata?
Mena kei te
whakaaro koe ki te whakamomori, ki te whara rānei i a koe anō , he āhuatanga tino kino tēnei.
Waea atu ki te 1990 (ambulance) tonu atu, haere rānei ki te tari ohorere o te hōhipera tata, waea atu rānei ki te 988 ki te hono atu ki te Suicide and Crisis Lifeline. Hei whakamutunga, kia maumahara (Karere Tangohia ki te Kāinga)
He uaua pea te rapu āwhina ngaio i muri i tētahi huihuinga mamae. Heoi anō,
(Acute Stress Disorder - ASD)Kia mārama koe he mea tino nui te whiwhi maimoatanga mō tō āhua. I roto i te wā, ka taea e te maimoatanga te āwhina i a koe kia pai ake te ahua. Kōrero ki tō tākuta mō ngā kōwhiringa maimoatanga. Kia maumahara, kei reira rātou hei āwhina i a koe, hei tautoko i a koe.
Kāore koe i te mokemoke. Kia kitea e koe te kaha ki te wikitoria i tēnei!
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