Kua roa pea koe e tango rongoā ana mō te pouri, mō ngā marama, mō ngā tau rānei. Kua kite pea koe i ētahi tākuta. Engari kāore anō kia rongo i te whakamarie, i te huringa rānei? Kei te mau tonu te pouri, te taumaha? Kei te whakaaro koe kāore ēnei maimoatanga e āwhina? Kāore koe i te mokemoke. He mea tēnei e pā ana ki te tini o te tangata. Ina kore e whai hua tēnei momo maimoatanga, ka kiia e mātou i roto i te rongoā ko te 'Treatment-Resistant Depression' (TRD) .
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He aha te tikanga o tēnei 'pōuri ātete-maimoatanga'?
Tērā pea he mea nui tēnei ina rongo koe i te ingoa. Engari i roto i ngā kupu māmā, ko te tikanga kei te tango koe i te maimoatanga tika mō te pouri, arā, kia rua ngā rongoā ārai pouri mai i ngā momo rerekē, i te horopeta tika, mō te roanga o te wā tika, engari kāore ō tohumate e tino pai ake ana.
Whakaarohia tēnei: Tata ki te rua hautoru o te hunga e pāngia ana e te pouri kāore e kite i te pai o te rongoā tuatahi i whakamātauria e rātou. Ā, tata ki te kotahi hautoru kāore pea e pai ake ahakoa kua whakamātauria ētahi rongoā.
Ko te mea nui, ehara tēnei i te he nāu. Ā, ehara i te mea kāore koe e ora i tēnei mate. Engari me kaha ake tō mahi ki te kimi i te maimoatanga tika māu.
A, mehemea kei te whakapae ahau kei a au tēnei mate?
Ki te mea he ruarua koe mō tēnei mea, pātai atu ki a koe anō ēnei pātai.
| Kei te pēnei anō hoki ō whakaaro? |
|---|
| Kāore koe e kite ana i tētahi whakapainga, i tētahi panoni rānei i muri i ngā maimoatanga e whiwhi ana koe? |
| Ahakoa kua pai ake tō āhua i muri i te maimoatanga, kei te ahua nei kāore anō kia hoki mai tō hihiri me tō harikoa o mua? |
| He uaua ki a koe te aro atu ki ngā pānga taha o ngā rongoā kua tohua ki a koe? |
| Kua piki ake te auau me te kaha o te pouri i roto i ngā wā? |
| Kei te whakaaro koe kua piki ake ētahi atu raruraru hinengaro, pērā i te manukanuka? |
Mena he "āe" tāu whakautu ki tētahi o ēnei, me kōrero koe ki tō tākuta mō tēnei mea. Ehara i te mea he TRD tōu, engari he tohu pai tēnei me whakarerekē tō mahere maimoatanga.
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Essential home medical devices including blood pressure monitors, oximeters and digital thermometers.
Check Availability →Me pēhea rawa te tiki āwhina?
I te nuinga o te wā, ka taea e tō tākuta tiaki tuatahi te rongoā i te pouri. Heoi, ki te whakaaro koe he ātete tō mate ki tēnei momo maimoatanga, he pai ake te toro atu ki tētahi tohunga hinengaro, he tohunga mātauranga tōna ki te rongoā i ēnei mate uaua.
Ina kite koe i tētahi tohunga, ka āta tirotirohia e ia ēnei mea:
1. Kia tika tō tātaritanga: I ētahi wā, ko te mea e whakaarohia ana e koe he pouri, tera pea he mea kē atu. Hei tauira, ko te tangata he mate hinengaro rua, kāore pea e pai te urupare ki ngā rongoā ārai pouri noa. Waihoki, ko ngā tohu o te pouri ka puta mai i ngā āhuatanga tinana pēnei i te hypothyroidism. Nō reira, ki te kore te tātaritanga e tika, kāore pea te maimoatanga e mahi.
2. Tirohia mēnā kei te tika te tango i tō rongoā: Kāore ētahi tāngata e tango i ā rātou rongoā i te wā tika, e peke ana i ngā horopeta, e mutu rānei te tango nā te mea he pānga taha. Kia maumahara, e 4 ki te 12 wiki pea ka mahi te rongoā ārai pouri. Nō reira, ehara i te mea pai kia mutu wawe rawa te tango.
3. Tirohia mēnā he take kē atu: Ka taea hoki e te waipiro, te whakamahi tarukino, ngā rongoā e tangohia ana mō ētahi atu mate, me ētahi atu āhuatanga te whakakino ake i te pouri, te kore rānei e aro ki te maimoatanga.
He aha ngā kōwhiringa maimoatanga kei reira?
Kaua e mutu te tumanako! He maha ngā maimoatanga e wātea ana mō te TRD. Mā tō tākuta koe e āwhina ki te whiriwhiri i te mea e tika ana māu.
Ngā Rautaki Rongoā
Kei roto i tō tātou roro ngā karere matū e whakahaere ana i te wairua, e kiia ana e tātou he neurotransmitters . Ka mahi ngā rongoā ārai pouri mā te whakataurite i te mahi a ēnei. Ki te kore e mahi tētahi rongoā, ka taea e koe te whakamātau i tētahi atu rongoā e mahi ana i tētahi atu huarahi.
- Te Whakawhiti Rongoā: Ki te kore e pai te whakamahi i tētahi SSRI (Selective Serotonin Reuptake Inhibitor) māu, ka pai pea te whakamahi i tētahi atu rongoā o taua momo rongoā anō. Ka taea rānei e koe te whakawhiti ki tētahi atu momo rongoā, pērā i ngā SNRI, ngā Tricyclics, ngā MAO inhibitors rānei.
- Te tāpiri i tētahi atu rongoā (Whakanui/Tāpiri):I ētahi wā, mēnā kei te pāngia koe e te whakamamatanga mai i tō rongoā o nāianei, ka whakatau pea tō tākuta ki te tāpiri i tētahi rongoā mai i tētahi atu momo hei āwhina, kaua e whakamutu. Hei tauira, ka whakamahia ngā rongoā pēnei i a Aripiprazole me Quetiapine.
- Ngā maimoatanga hou: Kei te whakamahia angitu hoki te rehu ihu Esketamine (Spravato) me te werohanga Ketamine mō te TRD. He rerekē te pānga o ēnei ki te roro i ērā o ngā rongoā ārai pouri noa, ā, ka tere ake te whakaora.
Ngā Maimoatanga Kore-Rongoā
He maha atu anō ngā huarahi hei āwhina i te TRD, ehara i te rongoā anake.
| Tikanga maimoatanga | Hei whakarāpopototanga, |
|---|---|
| Hinengaro Whakaora | Mā ngā tikanga pēnei i te Cognitive Behavioral Therapy (CBT) ka āwhina i a koe ki te wikitoria i te pouri mā te whakarerekē i ō whakaaro me ō whanonga. Ina honoa ki te rongoā, ka tino whai hua tēnei maimoatanga. |
| Te Whakaora Hiko-ā-ringa (ECT) | Kaua e wehi ina rongo koe i tēnei ingoa. He maimoatanga tino haumaru tēnei, he rongoā whakangote, ā, kei raro i te tirotiro a te rata. He tino whai hua ki te whakaora tere i te hunga e pāngia ana e te pouri nui me ngā whakaaro whakamomori kāore anō kia pai ki tētahi atu maimoatanga. |
| Te Whakaoho Aukume Whakawhiti-Angaanga (TMS) | He maimoatanga kore-pokanga tēnei e whakamahi ana i ngā ngaru aukume mai i waho o te angaanga hei whakaoho i ngā wāhanga motuhake o te roro. He tikanga maimoatanga angitu anō hoki tēnei. |
| Te Whakaoho i te Io Vagus (VNS) | Ka tāraihia he taputapu iti ki raro i te kiri o te uma mā te pokanga, ā, ka whakaoho i te io vagus i te kaki. Ka whakamahia tēnei mō te pouri roa, ā, kāore e taea te rongoā. |
Te whakaurunga ki te hōhipera
I ētahi wā, ki te tino kino tō pouri, ā, kei te tūpono koe ki te whara i a koe anō, ka whakatau pea tō tākuta ki te pupuri i a koe ki te hōhipera mō te wā poto. Mā tēnei ka taea e koe te noho i roto i te taiao haumaru, tawhiti atu i ngā ahotea o te oranga o ia rā, ā, ka taea hoki e ō tākuta te whakawhanake i tētahi mahere maimoatanga e pai ana mōu.
Ngā mea ka taea e koe te mahi i a koe e noho ana me tēnei mate
Tērā pea ka roa te wā ki te kimi i te maimoatanga tika māu. I tēnei wā, ka taea e ēnei mea te āwhina i a koe ki te whakahaere i tō āhua.
- Kia tika te whai i tāu mahere maimoatanga. Kaua e mutu te tango i tāu rongoā, kaua hoki e whakarerekē i te horopeta kia tohutohu rā anō tō tākuta.
- Āta karohia te waipiro me ngā raau taero. Ka whakararuraru ēnei i te whai huatanga o ngā rongoā ārai pouri, ā, ka kino ake pea te pouri.
- Moe pai i te pō. Ngāna kia 7-8 hāora te moe kore e mutu i te rā.
- Whakahaerehia te ahotea. Mahia tetahi mea i ia rā hei whakamarie i a koe, pēnei i te whakaaroaro, te yoga, te whakarongo waiata rānei.
- Korikori tinana. Mā te hikoi, te oma rānei mō te 30 meneti pea i ia rā ka āwhina i te whakapai ake i tō wairua.
Karere Tangohia ki te Kāinga
- Ehara i te mea nāu te he, nāu rānei te pouri ātete-maimoatanga (TRD). He mate hauora tēnei.
- He mea noa te whai wā ki te kimi i te maimoatanga tika māu. Me manawanui, me whakapau kaha hoki.
- I roto i tēnei āhuatanga, he mea tino nui te mahi tahi me tētahi tohunga hinengaro.
- He maha ngā wā, ko te huinga o te rongoā me te kōrero whakaora (hinengaro whakaora) te mea tino whai hua.
- Kaua e mutu te tumanako. Ka taea e koe te ora katoa i tēnei mate. He maha ngā maimoatanga me ngā tikanga hei āwhina i a koe.
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