Maʻi maʻi depressive mau

ʻO ka maʻi depressive hoʻomau (PDD) kahi ʻano mau o ke kaumaha kahi e haʻahaʻa ai ka naʻau o ke kanaka.

ʻO ka maʻi depressive hoʻomau i kapa ʻia ʻo dysthymia.

ʻAʻole ʻike ʻia ke kumu kūpono o PDD. Hiki iā ia ke holo i loko o nā ʻohana. Kū pinepine ʻo PDD i nā wahine.

ʻO ka hapa nui o ka poʻe me PDD e loaʻa kahi ʻāpana o ke kaumaha nui i kekahi manawa i ko lākou ola.

He paʻakikī paha ka poʻe ʻelemakule me PDD i ka mālama ʻana iā lākou iho, e hakakā me ke kaʻawale, a i ʻole nā ​​maʻi olakino.

ʻO ka hōʻailona nui o PDD kahi haʻahaʻa, ʻeleʻele, a me ke ʻano kaumaha i nā lā he nui no 2 mau makahiki. I nā keiki a me nā ʻōpio, hiki i ka naʻau ke huhū ma kahi o ke kaumaha a mau no 1 mau makahiki.

Hoʻohui ʻia, ʻelua a ʻoi paha o nā ʻōuli e hiki mai ana ma kahi o nā manawa āpau.

• Nā manaʻo hopohopo ʻole
• Liʻiliʻi loa a nui ʻole paha ka hiamoe
• Low ikehu a luhi paha
• Manaʻo haʻahaʻa haʻahaʻa
• Makemake maikaʻi ʻole a ʻai nui paha
• Nānā maikaʻi ʻole

Lawe pinepine ka poʻe me PDD i ka manaʻo maikaʻi ʻole a hoʻonāwaliwali paha iā lākou iho, i ko lākou wā e hiki mai ana, nā poʻe ʻē aʻe, a me nā hanana ola. ʻIke pinepine nā pilikia e hoʻonā.

E lawe kāu mea mālama ola i ka mōʻaukala o kou naʻau a me nā hōʻailona olakino noʻonoʻo ʻē aʻe. E nānā pū paha ka mea hāʻawi i kou koko a me ka mimi e kāpae i nā kumu olakino o ke kaumaha.

Nui nā mea hiki iā ʻoe ke hoʻāʻo e hoʻomaikaʻi i ka PDD:

• E lawa ka hiamoe.
• E hāhai i kahi papaʻai olakino, momona.
• E lawe pololei i nā lāʻau. Kūkākūkā i nā hopena ʻē aʻe me kāu mea hāʻawi.
• E aʻo e nānā i nā hōʻailona mua e lilo ana kāu PDD i mea maikaʻi ʻole. E hoʻolālā i kahi pehea e pane ai inā hana ia.
• E hoʻāʻo e hoʻoikaika mau.
• E nānā i nā hana e hauʻoli ai ʻoe.
• E kamaʻilio me kahi mea āu e hilinaʻi ai e pili ana i kou ʻano.
• E hoʻopuni iā ​​ʻoe iho me ka poʻe mālama a maikaʻi hoʻi.
• Hōʻalo i ka wai ʻona a me nā lāʻau kū ʻole i ke kānāwai. Hiki i kēia ke hōʻino i kou ʻano i ka manawa a hōʻino i kāu hoʻokolokolo.

Hoʻomaʻamaʻa pinepine nā lāʻau no PDD, ʻoiai ʻaʻole hana kekahi manawa e like me ka hana ʻana no ke kaumaha nui a lōʻihi paha ka lōʻihi o ka hana.

Mai hōʻoki i ka lawe ʻana i kāu lāʻau i kāu iho, ʻoiai inā ʻoe e ʻoi aku ka maikaʻi a i ʻole nā ​​hopena ʻaoʻao. Kāhea pinepine i kāu mea hāʻawi.

Ke hiki i ka manawa e hōʻoki i kāu lāʻau lapaʻau, e aʻo aku kāu mea lawelawe iā ʻoe i ka hoʻoliʻiliʻi lohi o ka lāʻau ma kahi o ka kū koke ʻana.

Kōkua ʻia ka poʻe me PDD e kekahi ʻano o ke kamaʻilio kūmau. Kahi kūkā kamaʻilio kahi maikaʻi e kamaʻilio e pili ana i nā manaʻo a me nā manaʻo, a e aʻo i nā ala e hana ai me lākou. Hiki iā ia ke kōkua e hoʻomaopopo i ka hopena o kāu PDD i kou ola a me ka hoʻokō pono ʻana. Nā ʻano o ka haʻiʻōlelo therapy pū me:

• Cognitive behavioral therapy (CBT), ka mea e kōkua iā ʻoe e aʻo e makaʻala hou i kāu mau ʻōuli a me nā mea e hōʻino ai iā lākou. E aʻo ʻia ʻoe i nā mākau hoʻonā pilikia.
• ʻIke ʻike a i ʻole psychotherapy, hiki ke kōkua i ka poʻe me PDD e hoʻomaopopo i nā mea i hope o kā lākou mau manaʻo kaumaha a me nā manaʻo.

ʻO ka hui ʻana i kahi hui kākoʻo no nā poʻe e loaʻa ana nā pilikia e like me ʻoe hiki ke kōkua. E noi i kāu mea hoʻoponopono a mea lawelawe olakino paha e ʻōlelo i kahi hui.

ʻO PDD kahi maʻi mau i hiki ke mau no nā makahiki. He nui ka poʻe e hoʻōla piha ʻoiai e hoʻomau ana kekahi i kekahi mau ʻōuli, ʻoiai me ka lāʻau.

Hoʻonui pū ka PDD i ka makaʻu o ka pepehi kanaka.

Kāhea i kahi manawa me kāu mea hāʻawi inā:

• ʻIke mau ʻoe i ke kaumaha a haʻahaʻa paha
• Ke piʻi nei ka maikaʻi o kāu mau ʻōuli

Kāhea koke aku no ke kōkua inā ʻoe a i ʻole kekahi mea āu e ʻike nei e hoʻomohala i nā hōʻailona o ka pilikia hoʻomake:

• Ke hāʻawi aku nei i nā mea, a i ʻole ke kamaʻilio ʻana e pili ana i ka hele a me ka pono e loaʻa nā "hihia i ke kauoha"
• Ke hana nei i nā hana hōʻino ponoʻī, e like me ka hōʻeha ʻana iā lākou iho
• Ke hoʻololi koke nei i nā ʻano, keu hoʻi i ka mālie ma hope o kahi manawa hopohopo
• E kamaʻilio e pili ana i ka make a i ʻole ka pepehi kanaka
• Ke haʻalele nei i nā hoaaloha a i ʻole makemake ʻole e hele i kēlā me kēia wahi

PDD; Kaumaha kaumaha; Paʻapū - kaumaha; ʻO Dysthymia

ʻAhahui Psychiatric ʻAmelika. ʻO ka maʻi depressive mau (dysthymia). Nānā Diagnostic a me Statistic o nā maʻi noʻonoʻo. 5th lā. Arlington, VA: Ka Lapaʻau ʻAmelika Psychiatric, 2013; 168-171.

Fava M, Østergaard SD, Cassano P. Nā maʻi Mood: nā maʻi kaumaha (ka maʻi kaumaha nui). I: Stern TA, Fava M, Wilens TE, Rosenbaum JF, eds. ʻO ka haukapila laulima ʻo Massachusetts General Hospital. ʻElua ed. Piladelapia, PA: Elsevier; 2016: chap 29.

Schramm E, Klein DN, Elsaesser M, Furukawa TA, Domschke K. Nānā i ka dysthymia a me nā maʻi depressive mau: ka moʻolelo, nā pili, a me nā hopena maʻi. ʻO Lancet Psychiatry. 2020; 7 (9): 801-812. PMID: 32828168 pubmed.ncbi.nlm.nih.gov/32828168/.