ʻEha a me kou naʻau

Hiki i ka ʻeha mau ke kaohi i kāu mau hana i kēlā me kēia lā a paʻakikī i ka hana. Hiki iā ia ke hoʻopili i ke ʻano o kou pili ʻana me nā hoaaloha a me nā lālā o ka ʻohana. Hiki paha i nā hoa hana, ʻohana, a me nā hoaaloha ke hana i nā mea hou aʻe ma mua o kā lākou mahele maʻamau ke hiki ʻole iā ʻoe ke hana i nā mea āu e hana maʻamau. ʻIke paha ʻoe i kahi kaʻawale mai nā poʻe a puni ʻoe.

ʻO nā manaʻo makemake ʻole ʻia, e like me ka hoka, huhū, a me ke koʻikoʻi, he hopena pinepine ia. Hiki i kēia mau manaʻo a me nā manaʻo ke hōʻeha i kou ʻehaʻeha.

Hana pū ka noʻonoʻo a me ke kino, ʻaʻole hiki ke kaʻawale. Ke ala e kaohi ai i kou manaʻo a me nā ʻano i ke ʻano o kou kino e kaohi ai i ka ʻeha.

ʻO kaʻeha ponoʻī, a me ka makaʻu i ka ʻeha, hiki iā ʻoe ke hōʻalo i nā hana kino a me nā hana kaiaulu. Ma nā manawa i alakaʻi ʻia ai i ka liʻiliʻi o ka ikaika o ke kino a me nā pilina piliwaliwali. Hiki iā ia ke kumu i ka nele hou o ka hana a me ka ʻeha.

Loaʻa ka pilikia i ke kino a me ka naʻau i ko mākou kino. Hiki iā ia ke hāpai i ko mākou kahe koko, hoʻonui i kā mākou hanu a me ka helu o ka naʻau, a hoʻonāukiuki i nā mākala. Paʻa kēia mau mea i ke kino. Hiki iā lākou ke alakaʻi i ka luhi, nā pilikia moe, a me nā loli i ka makemake.

Inā ʻoe e luhi akā paʻakikī i ka hiamoe ʻana, loaʻa paha ʻoe i ka luhi e pili ana i ke koʻikoʻi. A i ʻole ʻike paha ʻoe hiki iā ʻoe ke hiamoe, akā paʻakikī ʻoe e hiamoe. ʻO kēia nā kumu āpau e kamaʻilio ai me kāu kauka e pili ana i ka hopena o ke kino i ke kino.

Hiki i ke koʻikoʻi ke alakaʻi i ka hopohopo, kaumaha, ka hilinaʻi ʻana i nā poʻe ʻē aʻe, a i ʻole ka hilinaʻi pono ʻole i nā lāʻau.

ʻO ke kaumaha loa ka mea maʻamau i waena o nā poʻe i loaʻa ka ʻeha mau. Hiki i ka ʻeha ke hana i ke kaumaha a i ʻole ke hoʻomāhuahua ʻana i ke kaumaha. Hiki i ke kaumaha ke hana i nā ʻeha kū i kēia manawa.

Inā he ʻeha a ʻeha paha kāu o kou ʻohana a i ʻole he kaumaha paha, ʻoi aku ka nui o ka makaʻu e hiki iā ʻoe ke hoʻomohala i kou kaumaha mai kou ʻeha mau. E ʻimi i ke kōkua ma ka hōʻailona mua o ke kaumaha. Hiki i ke kaumaha haʻahaʻa ke hoʻololi i ka hopena o kāu mālama i kou ʻeha a noho paʻa.

ʻO nā hōʻailona o ke kaumaha me:

• ʻO nā manaʻo kaumaha pinepine, huhū, waiwai ʻole, a i ʻole manaʻolana ʻole
• ʻOi aku ka ikehu
• Liʻiliʻi ka hoihoi i nā hana, a i ʻole leʻaleʻa mai kāu mau hana
• Hina paʻakikī a hiamoe paha
• Hoemi a hoʻonui ʻia paha ka makemake e kumu i ka pohō kaumaha a i ʻole ka loaʻa ʻana o ke kaumaha
• Paʻa ka noʻonoʻo ʻana
• Nā manaʻo e pili ana i ka make, pepehi kanaka ʻana, a i ʻole ke ʻeha ʻana iā ʻoe iho

ʻO kahi ʻano maʻamau o ka therapy no ka poʻe me ka ʻeha mau ke ʻano noʻonoʻo behavioral therapy. Ke ʻimi nei i ke kōkua mai kahi mea hoʻoponopono hiki ke kōkua iā ʻoe:

• E aʻo pehea e loaʻa ai nā manaʻo maikaʻi ma kahi o nā manaʻo maikaʻi ʻole
• E hoʻemi i kou makaʻu i ka ʻeha
• E hoʻoikaika i ka pilina koʻikoʻi
• E hoʻomohala i kahi ʻano kūʻokoʻa mai kou ʻeha
• E komo i nā hana āu e hauʻoli ai i ka hana

Inā kou ʻeha ka hopena o kahi ulia a i ʻole trauma ʻeha, hiki i kāu kauka olakino ke loiloi iā ʻoe no ka maʻi kaumaha post-traumatic (PTSD). ʻAʻole hiki i nā poʻe he nui me ka PTSD ke hana me ko lākou ʻehaʻeha a hiki i ka wā e hana ai lākou me ka naʻau kaumaha i hana ʻia e kā lākou mau ulia pōpilikia a i ʻole nā ​​traumas.

Inā manaʻo ʻoe ua kaumaha ʻoe, a inā paʻakikī ʻoe e kaohi i kou mau manaʻo, e kamaʻilio me kāu mea hāʻawi. E kiʻi ma mua o ke kōkua ma mua o ka hope. Hōʻike paha kāu mea hāʻawi i nā lāʻau e kōkua me kou mau manaʻo o ke koʻikoʻi a me ke kaumaha paha.

ʻO Cohen SP, Raja SN. ʻEha. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier Saunders; 2020: chap 27.

ʻO Schubiner H. Hoʻolaha manaʻo no ka ʻeha. I: Rakel D, ed. Laau Lapaʻau Hoʻohui. ʻEhā ed. Piladelapia, PA: Elsevier; 2018: chap 102.

ʻO Tureke DC. Nā hiʻohiʻona psychosocial o ka ʻeha mau. I: Benzon HT, Rathmell JP, Wu CL, Turk DC, Argoff CE, Hurley RW, hua pā. Ka Hoʻolālā Pono o Pain. 5th lā. Piladelapia, PA: Elsevier Mosby; 2014: chap 12.

• ʻEha ʻeha