Kua hoha hoki koe i te pōuri, te manukanuka, me te kore e taea te aro ki tetahi mea? I ētahi wā, tera pea e rite ana ki te whawhai ko koe anake ki ēnei kare ā-roto. Engari kāore koe i te mokemoke. He mate ka taea te rongoā i te pouri. Ehara te rapu āwhina mōna i te ngoikore, engari ko te kaha nui rawa atu ka taea e koe te hoatu ki a koe anō. Nō reira, kia tirohia tātou he aha ngā maimoatanga e wātea ana mōna.
Me pēhea te whiriwhiri i te maimoatanga e tika ana māu?
Mō te rongoā i te pouri, kāore he mahere maimoatanga kotahi e tika ana mō te katoa. He rite ki te tuitui i tētahi hūtu, me whakarite kia rite ki tō āhua. Mā tō tākuta e whakatau te mahere maimoatanga pai rawa atu māu i runga i te momo pouri e pā ana ki a koe me tōna kaha.
He maha ngā wāhanga matua o tēnei mahere maimoatanga:
- Hinengaro Whakaora: Kei roto i tēnei ko te kōrero mō ō raruraru ki tētahi kaitohutohu hauora hinengaro whai tohu.
- Rongoā: Ngā rongoā e kiia nei he rongoā ārai pouri.
- Whakakorikori tinana: He tino pai te pānga o te whakakorikori tinana ki te hinengaro.
I ētahi wā, kāore pea ēnei mea anake e ranea hei whakaora. Kaua e manukanuka. Ki te pērā, ka whakaarohia pea e tō tākuta ngā maimoatanga whakaoho roro, pērā i te `(Electroconvulsive Therapy - ECT)`.
Ko te mea nui ko te manawanui. Tērā pea ka roa te wā ki te kimi i te rongoā me te horopeta tika māu. Me ngana hoki ki te kimi i tētahi tākuta, i tētahi kaiwhakaora hinengaro rānei, he ngāwari ki te kōrero ki a ia, ā, e tino mārama ana ki a koe. Mā te manawanui me te tuwhera o te hinengaro i a koe e haere ana i tēnei haerenga ka āwhina nui i a koe kia tere te ora.
Me pēhea te mahi a ngā rongoā ārai pouri?
Ka karangatia ēnei momo rongoā he rongoā pōuri . Ka āwhina ēnei ki te whakaiti i tō pouri, tō ngakaukore, me tō manukanuka, ā, ka whakapai ake hoki i tō wairua.
Ki te kī ngāwari, e pā ana tēnei ki ngā matū kawe karere i roto i tō tātou roro. E toru ngā matū matua e āwhina ana ki te whakahaere i tō tātou wairua. Ko te serotonin, te norepinephrine, me te dopamine . Kua kitea e ngā rangahau i roto i te roro o te tangata e pāngia ana e te pouri, kāore ngā ara iahiko e whakamahi ana i ēnei matū e mahi tika ana. Ka mahi ngā rongoā ārai pouri mā te whakahaere i te mahi a ēnei matū ki tētahi taumata, me te whakahoki anō i aua ara iahiko ki te mahi tika. Koinei te mea e pai ake ai tō wairua.
Kia pēhea te roa me tango e au tēnei rongoā?
He maha ngā wā ka tohutohu tō tākuta kia haere tonu te tango i tō rongoā mō tētahi wā i muri i tō pai haere. Hei whakaiti i te tūponotanga o te hokinga mai o ō tohumate. Ko te roa o te wā e hiahiatia ana e koe ki te tango i tō rongoā ka whakawhirinaki ki ō tohumate, ki te pai o te whakapainga, me te mea kua pāngia koe e te pouri i mua. Nō reira, kaua e mutu te tango i tō rongoā kia kīia rā anō e tō tākuta.
He aha ngā momo matua o ngā rongoā ārai pouri?
He maha ngā momo rongoā ārai pouri. Mena kei te tango koe i ētahi atu rongoā, huaora, tāpiringa, otaota rānei, me kōrero koe ki tō tākuta mō ēnei, nā te mea ka taea e ētahi rongoā te taunekeneke tetahi ki tetahi.
Kia mārama tātou ki ēnei momo rongoā matua mai i te ripanga i raro nei.
| Momo rongoā | Me pēhea te mahi ngāwari | Ngā tauira |
|---|---|---|
| Ngā SSRI (Ngā Ārai Whakahoki Anō o te Serotonin Kōwhiringa) | Ko te momo e tino taunakitia ana e ngā tākuta. Ka whakapai ake i te whakamahinga o te matū e kiia nei ko te serotonin i roto i te roro. | Fluoxetine, Sertraline, Citalopram, Escitalopram |
| Ngā SNRI (Ngā Ārai Whakahoki Anō o te Serotonin me te Norepinephrine) | Ka pāngia te mahi a ngā matū roro e rua e kiia nei ko te serotonin me te norepinephrine. | Venlafaxine, Duloxetine, Desvenlafaxine |
| Ngā rongoā ārai pouri Tricyclic (TCAs) | He momo rongoā tawhito ake ēnei. Ahakoa he rite tonu te mahi ki ngā SNRI, kāore e hoatu tuatahitia nā te mea he nui ake ngā pānga taha. | Amitriptyline, Imipramine |
| Ngā MAOI (Ngā Ārai Monoamine Oxidase) | Koinei ngā rongoā tuatahi hei ārai i te pouri. Ka hoatu noa mēnā kāore ētahi atu rongoā i āwhina. I a koe e tango ana i ēnei rongoā, me karo rawa koe i ētahi kai, pērā i te tiihi me te mīti kua pakeke, me ētahi rongoā (pērā i ngā rongoā whakamamae mamae). | Phenelzine, Isocarboxazid, Selegiline (pāteke) |
He tino kaha te mahi hinengaro-whakaora.
Haunga te rongoā, me ētahi wā nui atu, he rongoā tino whai hua te kōrero whakaora mō te pouri. Ka kiia hoki ko te "Talk Therapy". Ko te tikanga o tēnei ko te tūtaki ki tētahi tohunga hinengaro, tohunga hinengaro, tētahi atu kaiwhakatakoto whakaaro hauora hinengaro rānei kua whakangungua hei kōrero mō ō kare ā-roto.
Ko te whāinga o tēnei rongoā he:
- Hei āwhina i a koe kia mārama ki te take o tō pouri.
- Te whakaako i a koe me pēhea te whakahaere i ō kare ā-roto me te whakatau i aua kare ā-roto.
- Te whakaako i ngā huarahi hou hei aro atu ki ngā wero o te ao.
Ngā tikanga rerekē o te kōrero whakaora
Ka taea hoki te whakahaere i tēnei whakaora i tētahi ara e pai ana ki a koe.
- Whakaora takitahi: Ko koe anake me te kaiwhakaora ka whai wāhi atu.
- Whakaora ā-rōpū: He huarahi pai te kōrero ki ētahi atu e pāngia ana e ngā raruraru ōrite ki a koe kia whai mana ai koe, kia mōhio ai hoki kāore koe i te mokemoke.
- Te whakaora i ngā tāne me ngā wāhine: Ka āwhina i tō hoa ki te mārama ki tō āhua.
- Whakaora whānau: Ka ako koe me pēhea te tautoko a tō whānau i a koe.
I roto i ngā huarahi maimoatanga matua , ko te Whakaora Whanoke Hinengaro (CBT) me te Whakaora Tangata te mea tino rongonui. Ka āwhina te CBT i a koe ki te tautuhi i ō tauira whakaaro kino me te whakarerekē i aua tauira.
He aha atu ngā kōwhiringa maimoatanga?
Haunga te rongoā me te kōrerorero whakaora, he maha atu anō ngā kōwhiringa maimoatanga.
Whakakorikori tinana
He rongoā pai te whakakori tinana mō te pouri ngawari. Mā te whakakori tinana mō te 45-60 meneti, 3-5 rā i te wiki, ka āwhina i te whakaiti i ngā tohu. Engari kia maumahara, me rongoā, me whakaora rānei koe me te whakakori tinana.
Ngā Maimoatanga Whakaoho Roro
Ka whakamahia ēnei mō ngā āhuatanga pouri tino kino kāore anō kia whai hua ki tētahi atu maimoatanga.
- Te Whakaora Hiko-Hiko (ECT): Ahakoa te āhua whakamataku o te ingoa, he maimoatanga tino haumaru, matatau hoki tēnei. Ka mahia i a koe e moe ana, e moe ana. Ka tukuna e te tākuta he ru hiko poto, kāore he mamae ki tō roro. Ka whakamahia hei whakarato hua tere ki ngā tūroro e tūpono ana ki te whara i a rātou anō nā te mea ka roa ake te mahi a ētahi atu maimoatanga.
- Te Whakaoho Aukume Whakawhiti-Angaanga (TMS): Ko te whakatakoto i tētahi koiri aukume ki runga i te angaanga, me te whakaoho i ngā wāhanga o te roro e whakahaere ana i te wairua. Kāore e hiahiatia he rongoā whakamoe.
- Te Whakaoho i te Nerve Vagus (VNS): Ka pokangahia he taputapu iti ki raro i te kiri o te uma, hei whakaoho i te nerve vagus i te kaki.
Ka mahia ēnei maimoatanga katoa i raro i te tirotiro a ngā tākuta tohunga. Mā tō tākuta e whakatau mēnā e hiahiatia ana e koe, kāore rānei.
Karere Tangohia ki te Kāinga
- Ehara te pouri i te ngoikore, he mate e taea te rongoā.
- Tērā pea ka roa te wā ki te kimi i te maimoatanga tika (rongoā, whakaora tinana) māu, nō reira kia manawanui.
- Kaua rawa e tīmata, e mutu, e whakarerekē rānei i te horopeta o te rongoā me te kore kōrero ki tō tākuta.
- Kōrerotia ki tō tākuta mō ētahi atu rongoā, tāpiringa rānei e tangohia ana e koe.
- He rite tonu te hiranga o te kōrero whakaora me te whakakori tinana ki te rongoā.
- He whakamana te tono āwhina. Tērā ētahi tāngata hei āwhina i a koe. Kāore koe i te mokemoke.
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