Kei te manukanuka tonu koe mō ngā mea kāore e tika ana? Mō te Mate Manukanuka Whānui (GAD) tēnei!

Kei te pōuri koe, kei te āwangawanga hoki mō ngā mea iti rawa? Ehara pea i te mea he āwangawanga iti noa iho. Mā te whakaaro nui rawa ki ngā mahi o ia rā, me te āwangawanga mō aua mea ka pā kino ki tō hauora hinengaro. I tēnei rā, e kōrero ana tātou mō tētahi āhuatanga pēnei, e kiia nei ko te 'Generized Anxiety Disorder', ko te ``(Generalized Anxiety Disorder - GAD)`` rānei.

He aha tēnei āhuatanga e pāngia ai te katoa? He Mate Manukanuka Whānui (GAD) rānei?

He maha tonu ō āwangawanga mō ngā mea iti rawa? He nui rawa ō āwangawanga, ā, kāore e taea te whakahaere , mō ngā mea o ia rā, pērā i ngā mahi o te whare, ngā mahi tari, ngā mahi kura a āu tamariki, ngā raruraru moni, te hauora o tō whānau rānei? Whakaarohia, mai i te wā e ara ake ai koe i te ata tae noa ki te wā e moe ai koe i te pō, kei te ahua kei a koe he maha ngā āwangawanga e hurihuri ana i roto i tō mahunga? Koinei te mea e kīia nei e tātou ko te '(Generalized Anxiety Disorder - GAD)'.

Tērā pea kei te whakaaro koe, 'Ko wai kāore e manukanuka? He mea anō kei te manukanuka te katoa.' He pono. He mea noa te manukanuka me te mataku ina puta he raruraru nui i te ao, ina tata mai he whakamātautau, ina tīmata rānei koe i tētahi mahi hou. Heoi, mō te tangata whai GAD, ka puta tonu tēnei manukanuka, tēnei wehi, ahakoa kāore he take . Hei tika, ka nui tō manukanuka, kāore he take, ā, mō ngā mea iti. Me te mea he 'pātene manukanuka' kei tō hinengaro e mau tonu ana.

Ki te pēnei tonu tō manukanuka, ehara i te mea ko tō hinengaro anake te pānga. Ka pā hoki ki tō tinana . Tērā pea ka pāngia koe e te mamae o te upoko, te mamae o te tinana, me te tino āwangawanga. Inaa, he uaua pea te whakapau i te rā. E kiia ana tata ki te 3% o te taupori pakeke i te Hononga o Amerika e pāngia ana e tēnei mate, ā, tata ki te 5% o te tangata e pāngia ana i tētahi wā o ō rātou oranga. Heoi, 43% anake o te hunga e pāngia ana e rapu maimoatanga. Nō reira, ki te pāngia koe e tēnei, he mea tino nui kia rapu awhina i te tākuta.

Kei te whakaaro anō koe mēnā kei a koe te GAD? Me titiro tātou ki ēnei tohu.

E rua ngā tohu matua ka kitea i roto i te GAD:

• Te manukanuka nui rawa atu me te mau tonu ki ngā mea o ia rā.
• He tino uaua ki te whakahaere i ēnei whakaaro whakararuraru.

Haunga ēnei, ka taea hoki e tēnei manukanuka tonu i roto i tō hinengaro te whakaputa i ngā tohu ā-tinana . Tirohia mēnā kei a koe ētahi o ēnei:

• Te uaua ki te moe , te kore rānei e taea te moe tika ahakoa kua moe, te oho pinepine.
• E ngenge tonu ana , e ngenge ana hoki .
• He āwangawanga kāore e taea te whakahaere, he tino manukanuka, he riri tonu mō ngā mea iti rawa.
• Te mamae o te upoko i ngā wā maha.
• Te āhua nei kei te tere haere te pao o tō ngākau (te tere o te palpitations o te ngākau) .
• He pīkari ōku uaua, he mamae hoki.Ko te kare ā-roto ko `(Te pēhanga o te uaua)`.
• Te kore okiokinga .
• He āhua uaua ki te manawa, me te mea kei te mōmona koe .
• Te werawera, kāore he take.
• He uaua ki te arotahi ki te mahi e mahia ana e koe.
• Te mamae o te tinana kāore i te mārama (hei tauira, te mamae o te uaua, te mamae o te puku).

Ka puta mai, ka ngaro atu ēnei tohu i ētahi wā, ā, i ētahi wā ka kino haere ina pōuri koe, ina manukanuka rānei .

He aha tātou ka pāngia ai e te GAD? He aha ngā take?

Ahakoa kāore e taea te kī tika he aha te pūtake o te GAD, e whakapono ana ngā kairangahau he huinga o ngā āhuatanga maha.

• Te mahi a te roro: Tērā pea he rerekētanga kei roto i te huarahi e whakahaere ai tō roro i te manukanuka me te ahotea.
• Ira: Ka taea e te GAD te horapa i roto i ngā whānau. Ko te tikanga tēnei, ki te pāngia tētahi o tō whānau e te mate, ka nui ake te tūponotanga ka pāngia koe. Ka taea e ngā huringa ira te whakaputa huringa i roto i ngā karere matū nui i roto i te roro, pērā i te serotonin, te dopamine, me te GABA, ka pā ki ō tauira whakaaro.
• Ngā Wheako o te Ao: Ka taea hoki e ngā wheako ahotea, wero kua pā ki a koe i roto i ngā wā (hei tauira, ngā raruraru i te mahi, ngā tautohe whānau, ngā aituā) te whakarerekē i tō huarahi e aro atu ai ki ngā mea o ia rā.

Ko wai te hunga ka nui ake te tūponotanga ki te whakawhanake i te GAD? (Ngā āhuatanga mōrearea)

Ka pāngia ngā tamariki me ngā pakeke e te GAD. I te nuinga o te wā ka tīmata i te tamarikitanga, i te taiohitanga rānei, engari ka taea te tīmata i ngā tau katoa.

Tērā pea ka nui ake tō tūponotanga ki te whakawhanake i te GAD mō ēnei take e whai ake nei:

• Mena he wahine koe.
• Mena kua tākutatia tetahi o tō whānau ki te GAD .
• Mena kua pāngia koe e tētahi āhuatanga mamae , e tētahi ahotea hinengaro nui rānei i roto i tōu ao.
• Me i tukinotia koe i tō tamarikitanga .
• Mena kei te pāngia koe e tētahi atu āhuatanga hauora hinengaro, hei tauira, "Panic Attacks" (te putanga ohorere mai o te wehi), "Pouri" (te pouri), "Phobia" rānei (he wehi nui ki tētahi mea) .
• Mena kei te pāngia koe e tētahi mate hauora mō te wā roa (hei tauira, te mate huka, te mate ngakau).
• Mena ka whakamahi auau koe i ngā raau taero pēnei i te tupeka, te waipiro, te tarukino rānei.

Ka taea e te GAD te whakaputa i ētahi atu raruraru?

Ae, ka taea e te GAD te noho tahi me ētahi atu raruraru hauora hinengaro . Hei tauira, ka taea e ngā mate whakamahi matū me te pouri te noho tahi me te GAD. Tērā pea ka pāngia koe e ngā huringa o te wairua, ngā huringa o te whanonga, me ngā huringa o ngā taumata pūngao.

Ko te mea nui rawa atu, ka taea e te GAD te whakaoho i a koe ki te whakaaro ka hoha koe ki te ao, ki te whakaaro ka whara koe i a koe anō. Ki te mea kei roto koe i tētahi wāhi uaua, kaua e mangere ki te tono āwhina. I Sri Lanka, kei reira ngā whakahaere pēnei i a Sumithrayo (0112692909, 0112682535 rānei) ka taea e koe te kōrero ki a rātou me te tiki āwhina. Ka taea rānei e koe te waea atu ki te National Mental Health Helpline i te 1926. Kia mahara kāore koe i te mokemoke.

Me pēhea te tātaritanga tika a te tākuta i te GAD?

Ki te whakapae koe kei a koe te GAD, ka taea e koe te toro atu ki tō tākuta whānau, ka taea rānei e koe te toro tika atu ki tētahi tohunga hauora hinengaro, pērā i tētahi "Tohunga Hinengaro" me tētahi "Tohunga Hinengaro" rānei.

Ka pātai atu rātou ki a koe mō tō hauora hinengaro me te hītori hauora o tō whānau . Tērā pea ka mataku koe, ka āwangawanga hoki i tēnei wā. Engari he mea nui kia kōrerotia ngā kōrero katoa e taea ana. Nā te mea ko reira anake ka taea e te tākuta te mārama tika ki tō āhua, ā, ka hoatu ki a koe te maimoatanga tino tika.

Hei tāpiri, ka taea hoki e te tākuta te mahi i ngā mea penei:

• Te mahi i tētahi whakamātautau tinana .
• Te tono atu ki a koe kia whakakī i tētahi puka pātai (pēnei i te "GAD-7") hei rapu mōhiohio mō tō wairua.
• Te mātakitaki i ngā mea pēnei i te āhua o tō kanohi me te āhua o tāu kōrero.
• Te whakahaere i ētahi whakamātautau hei tirotiro mēnā he take kē atu mō ō tohumate. Hei tauira:
• Ngā whakamātautau toto: `(Whakamātautau mahi tairoiti)` (tirohia te mahi tairoiti), `(Whakamātautau huka toto)` (tirohia ngā taumata huka toto), `(Whakamātautau rongoā)` (tirohia te whakamahinga rongoā).
• Echocardiogram (tirohia te mahi o te ngākau).

He aha ngā paearu mō te tautuhi i te GAD?

Ka whakamahia e ngā tākuta ngā paearu mai i te Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5-TR) hei tātaritanga i te GAD. Hei tātaritanga i te GAD, me nui rawa tō manukanuka mō te ono marama neke atu rānei, i te nuinga o ngā rā o te wiki . Ā, me tino uaua te whakahaere i te manukanuka.

Haunga tēnei āwangawanga tonu, e toru pea ngā tohu e whai ake nei ka pā ki te pakeke (tērā pea kotahi anake te tohu e pā ana ki ngā tamariki):

• Te āhua o te kore okiokinga, te manukanuka tonu rānei.
• Te tere o te ngenge.
• He uaua ki te arotahi, he ahua kau rānei tō hinengaro.
• Te riri mō ngā mea iti.
• Te pakari o te uaua me te mamae.
• Te uaua ki te moe, te noho moe, te kore rānei e moe marino.

Me pā ēnei tohu ki ō mahi o ia rā, ki tāu mahi, ki ō whanaungatanga whānau, me tō hauora whānui .

Waihoki, ka whakaū te tākuta kei te whakamahi koe i ēnei tohu.Ka whakaū anō hoki kāore ngā tohu i puta mai i ngā rongoā, i ētahi atu rongoā rānei . Ka whakaū anō hoki kāore ngā tohu i te pai ake te whakamārama e tētahi atu āhuatanga hauora hinengaro (pēnei i te "Panic Disorder", "Social Anxiety", "Obsessive-Compulsive Disorder (OCD)", "Post-Traumatic Stress Disorder (PTSD)" rānei).

He maimoatanga hei whakaiti i te manukanuka? (Te maimoatanga mō te GAD)

Ko te rongo pai, he mate ka taea te rongoā i te GAD. I te nuinga o te wā ka rongoāhia mā te hinengaro hinengaro (kōrero whakaora) mā te rongoā rānei, mā te whakakotahitanga rānei o ngā mea e rua. Kua whakaatuhia e ngā rangahau ka tutuki ngā hua pai rawa atu ina whakakotahihia ngā huarahi e rua. Ka mahi tahi tō tākuta me koe ki te kimi i te mahere maimoatanga e tika ana māu, i runga i ō tohu, ō hiahia, me tō hauora whānui.

Te whakaora mā te kōrero: Te rongoā hinengaro

Ko te whakaora hinengaro, i te whakarapopototanga, he 'whakaora kōrero' . Ko te tikanga he kōrero hōhonu ki tētahi mō ō whakaaro, ō kare ā-roto, me ō whanonga hei āwhina i a rātou ki te mārama ki aua whakaaro. Ka mahia tēnei me tētahi kaitohutohu hauora hinengaro whai tohu i roto i tētahi taiao haumaru, tautoko hoki.

Mā tēnei whakaora hinengaro, ka taea e koe te ako i ngā taputapu me ngā tikanga e hiahiatia ana e koe hei oranga pai mō tō oranga o ia rā, hei whakapai ake hoki i tō oranga hinengaro.

Ko tētahi o ngā huarahi tino whai hua ki te rongoā i te GAD ko te whakamahi i te rongoā whanonga hinengaro (CBT). Ka āwhina i a koe ki te tautuhi me te whakarerekē i ngā whakaaro kino e whakanui ana i tō manukanuka, e meinga ai koe kia whanonga i roto i ētahi huarahi. I roto i te wā, ka taea e te CBT te āwhina i a koe ki te whakaiti i tō manukanuka nui, me te hanga i ngā pūkenga e hiahiatia ana e koe hei whakatau i ngā raruraru i roto i te huarahi hauora.

Te whakaora i te rongoā: Ngā rongoā mō te GAD

Tērā pea ka tohua he rongoā hei wāhanga o tō mahere maimoatanga GAD. Anei ētahi o ngā rongoā e whakamahia whānuitia ana:

• Ngā Aukati Whakahoki Anō o te Serotonin (SSRI): Hei tauira, Escitalopram, Paroxetine, Sertraline rānei.
• Ngā Aukati i te Whakahokinga Anō o te Serotonin-Norepinephrine (SNRI): Ko ētahi tauira ko te Duloxetine me te Venlafaxine.
• Ngā Benzodiazepines (Ko ēnei te tikanga mō te whakamahinga poto).
• `(Buspirone)`.

Mena kāore ēnei rongoā e whakapai ake i tō āhua, ka whakaarohia pea e te tākuta ētahi atu rongoā, pēnei i:

• `(Ngā rongoā ārai pouri Tricyclic)`: Hei tauira `(Amitriptyline)`.
• `(Ngā Rongoā Ārai Hinengaro o te Reanga Tuarua)`.
• `(Valproate)`.

Me toro atu koe ki te tākuta?

Mena kei te tango rongoā koe mō te GAD, he mea tino nui kia kite i tō tākuta i ia wā, i ia wā, kia kite ai koe i te pai o te mahi a te rongoā, ā, kia whakarerekētia hoki te horopeta mēnā e tika ana.Mena ka pā mai ētahi pānga taha, ētahi tohu hou rānei, me kōrero ki tō tākuta .

Mena kei te whai koe i te rongoā hinengaro, ngana ki te haere ki ia wāhanga. Ki te kore e taea, ngana ki te whakarite anō. He roa te wā e hiahiatia ana hei whakaora katoa i te rongoā. Engari ko te noho tonu ki te rongoā he wāhanga nui o tō haerenga whakaora.

Ki te pōuri koe, ki te whakaaro rānei koe ki te whara i a koe anō, me kōrero tonu atu ki tō tākuta . Ki te mea kei roto koe i tētahi āhuatanga ohorere, waea atu ki te 1990 (Suvaseriya) i Sri Lanka, haere rānei ki te wāhanga ohorere o te hōhipera tata.

He aha ngā mea ka taea e koe te tumanako ina noho tahi koe me te GAD?

Ka rerekē pea tēnei i ia tangata, i ia tangata. Ki ētahi, he mate roa pea te GAD me whakahaere tonu. I ētahi rā ka kino rawa atu tō manukanuka me tō āwangawanga, inā koa i ngā rā e tino taumaha ana koe . I ētahi atu rā, ka māmā ake pea te whakahaere.

Engari ko te mea pai rawa atu, ka taea e te maimoatanga te hanga i tētahi rerekētanga nui. Mā te huinga tika o te hinengaro hinengaro, te rongoā, me ngā rautaki aro atu, ka taea e koe te whakahaere i ō tohumate me te whai mana ake ki tō oranga. Ka mahi tahi tō rōpū hauora, tae atu ki ngā tākuta, ngā nēhi, me ētahi atu tohunga ngaio, ki a koe ki te kimi i te mea e pai ana mō tō tinana, tō momo noho, me ō whāinga. I te mea ka huri ō hiahia i roto i te wā, ka taea te whakarerekē i tō mahere maimoatanga.

He aha ētahi mea ka taea e koe te mahi māu ake mēnā kei a koe te GAD?

Haunga te maimoatanga hauora, he maha ngā mea ka taea e koe te mahi hei whakahaere i ngā tohumate GAD:

• Hangaia ngā huringa iti pai ki tō oranga: Whakaitihia te kai i ngā inu kawheine pēnei i te kawhe me te tī. Whakaitihia te wā ki ngā pāpāho pāpori. Whakapaua te wā ki ngā hoa me te whānau. Kia nui te moe . Kai i ngā kai hauora . Kia kaha te tinana (whakakorikori tinana).
• Whakamātauria ngā tikanga whakangā: Whakaitihia te ahotea mā te mahi i ngā mea pēnei i te yoga, te whakaaroaro, te aroātahi rānei.
• Me noho tawhiti atu i ngā matū whakawara: Ka taea e te waipiro me ētahi atu tarukino te whakanui ake i tō manukanuka. Ka taea hoki e ēnei te taunekeneke me ngā rongoā e tangohia ana e koe mō te GAD.
• Rapua he tautoko: He rōpū tautoko kei reira ka taea e te hunga whai GAD pērā i a koe te huihui. Ka taea e rātou te āwhina i a koe ki te whakapuaki i ō wheako, te ako mai i ētahi atu, me te whiwhi i te whakatenatena e hiahiatia ana e koe i a koe e noho tahi ana me te GAD.
• Whakamahia ngā `Taupānga` hauora hinengaro:He maha ngā taupānga hei āwhina i a koe ki te whai i ngā huringa o tō wairua me te whakaharatau i ngā rautaki aro atu ki ngā raruraru.

Hei whakamutunga, me kī atu tēnei ki a koe...

Ka taea e te Mate Manukanuka Whānui (GAD) te whakararuraru i ngā mahi o ia rā, pērā i te māra, te wehe atu rānei i te whare. I te mutunga o te rā, ka taea e tēnei ahotea tonu te waiho i a koe kia ngenge, kia ngenge hoki.

Engari kia maumahara, kāore koe e hiahia ki te whawhai ko koe anake ki ēnei tohu. Ka taea e te tākuta te āwhina i a koe ki te kimi huarahi hei whakatau i te mate me te waihanga i tētahi mahere maimoatanga e tika ana mōu. Tērā pea ka kitea e koe te whakaoranga mā te hinengaro hinengaro, te rongoā, te whakakotahitanga rānei o ngā mea e rua.

He roa te wā e ora ai koe. Me manawanui koe ki a koe anō. Kāore pea koe e kite i tētahi rerekētanga nui i te wā tonu. Engari, mā te āwhina me te maimoatanga tika, ka taea e koe te hoki mārire ki tō oranga noa, ki tō āhua tūturu. Nō reira, ki te mea kei te pōuri koe, kāore i te roa rawa te tono āwhina.

Manukanuka , hauora hinengaro, GAD, manukanuka, ahotea, maimoatanga, rongoā hinengaro