Maʻi maʻi Post-traumatic

ʻO ka maʻi pilikia post-traumatic (PTSD) kahi ʻano o ka maʻi pīhoihoi. Hiki iā ia ke hana ma hope o kou hele ʻana i loko o kahi trauma ʻino loa e pili ana i ka hoʻoweliweli ʻeha a make paha.

ʻAʻole ʻike ka poʻe lawelawe olakino i ke kumu o nā hanana traumatic e hoʻokumu ai iā PTSD i kekahi poʻe, akā ʻaʻole i kekahi. Hiki i kāu genes, Emotions, a me kāu hoʻonohonoho ʻohana ke pāʻani i nā kuleana āpau. Hiki paha i ka ʻeha o ka naʻau i hala ke hoʻonui i kou makaʻu o PTSD ma hope o kahi hanana traumatic hou.

Me PTSD, ua hoʻololi ʻia ka pane o ke kino i kahi hanana pilikia. ʻO ka maʻamau, ma hope o ka hanana, ola ke kino. ʻO nā hormones a me nā kemika i hoʻokuʻu ʻia e ke kino ma muli o ke koʻikoʻi e hoʻi i nā pae maʻamau. No kekahi kumu i loko o kahi kanaka me PTSD, hoʻomau ka hoʻokuʻu ʻana o ke kino i nā hormones koʻikoʻi a me nā kemika.

Hiki i ka PTSD ke hana i kēlā me kēia makahiki. Hiki iā ia ke hana ma hope o nā hanana e like me:

• Limanui
• Nā ulia kaʻa
• Hana hoʻomāinoino home
• Nā pōʻino kūlohelohe
• Noho paʻahao
• Ka hoʻouka kolohe
• Ka hoʻoweliweli
• Kaua

Aia he 4 ʻano o nā hōʻailona PTSD:

1. Ke hoʻomanaʻo nei i ka hanana, ka mea e hoʻopilikia ai i ka hana o kēlā me kēia lā

• Nā ʻāpana Flashback i kahi e ʻike ʻia ai ka hanana i kēlā me kēia manawa
• Hoʻomanaʻo hou i nā mea hoʻomanaʻo hōʻeha no ka hanana
• Nā moeʻuhane hou o ka hanana
• Nā hopena ikaika, ʻoluʻolu ʻole i nā hanana e hoʻomanaʻo iā ʻoe i ka hanana

2. Ka hōʻalo ʻana

• Numbing a ʻano manaʻo paha me he mea lā ʻaʻole ʻoe e mālama i kekahi mea
• Hoʻokaʻawale ʻia ka manaʻo
• ʻAʻole hiki ke hoʻomanaʻo i nā ʻāpana nui o ka hanana
• ʻAʻole hoihoi i nā hana maʻamau
• Ke hōʻike nei i ka liʻiliʻi o kou ʻano
• Ke pale nei i nā wahi, ka poʻe, a i ʻole nā ​​manaʻo e hoʻomanaʻo iā ʻoe i ka hanana
• Ke manaʻo nei ʻaʻohe ou wā e hiki mai ana

3. Hyperarousal

• Ke nānā nei i kou mau wahi a puni no nā hōʻailona o ka weliweli (hypervigilance)
• ʻAʻole hiki ke noʻonoʻo
• Māmā wale nō
• Hoʻonāukiuki a i ʻole ka huhū o ka huhū
• Ka pilikia e hiamoe ana a hiamoe paha

4. Nā manaʻo maikaʻi ʻole a me ke ʻano a me nā naʻau

• Ka hewa mau e pili ana i ka hanana, me ka hewa o ka poʻe i pakele
• Ka hoʻopiʻi ʻana iā haʻi no ka hanana
• ʻAʻole hiki ke hoʻomanaʻo i nā ʻāpana nui o ka hanana
• Loaʻa ka hoihoi ʻole i nā hana a i ʻole nā ​​poʻe ʻē aʻe

Hiki paha iā ʻoe ke loaʻa nā ʻōuli o ka hopohopo, ke koʻikoʻi, a me ka hoʻoluhi.

• Hoʻonāukiuki a i ʻole excitability
• Puʻupuʻu
• Mauleʻa
• Ke manaʻo nei e kuʻi kou puʻuwai i kou umauma
• ʻEha poʻo

E nīnau paha kāu mea hāʻawi i ka lōʻihi o kāu loaʻa ʻana i nā ʻōuli. ʻIke ʻia ʻo PTSD ke loaʻa iā ʻoe nā hōʻailona no 30 mau lā ma ka liʻiliʻi.

Hana paha kāu mea hāʻawi i kahi hoʻokolohua olakino noʻonoʻo, hōʻike kino, a me nā hōʻoia koko. Hana ʻia kēia e nānā no nā maʻi ʻē aʻe e like me PTSD.

Hoʻopili ka mālama ʻana iā PTSD i ka therapy therapy (ʻōlelo aʻoaʻo), nā lāʻau, a i ʻole ʻelua paha.

KALAPALAI ANA

I ka wā o ka therapy therapy, kamaʻilio ʻoe me kahi loea olakino noʻonoʻo, e like me ka psychiatrist a i ʻole therapist, i kahi mālie a me ka ʻae ʻana i kahi hoʻonohonoho. Hiki iā lākou ke kōkua iā ʻoe e hoʻokele i kāu mau hōʻailona PTSD. E alakaʻi lākou iā ʻoe i kāu hana ʻana i kāu mau manaʻo e pili ana i ka ʻeha.

Nui a hewahewa nā ʻano o ka haʻiʻōlelo therapy. Hoʻohana ʻia kekahi ʻano e hoʻohana pinepine ʻia no PTSD i ka desensitization. I ka wā o ka hoʻōla, paipai ʻia ʻoe e hoʻomanaʻo i ka hanana traumatic a hōʻike i kou mau manaʻo e pili ana iā ia. I ka hala ʻana o ka manawa, lilo i mau mea hoʻomanaʻo no ka hanana i mea makaʻu loa.

I ka wā o ka therapy therapy, hiki paha iā ʻoe ke aʻo i nā ala e hoʻomaha ai, e like me ka hoʻomaka ʻana o nā flashbacks.

NA LAAU LAPAAU

E ʻōlelo paha kāu mea hāʻawi e lawe i nā lāʻau. Hiki iā lākou ke kōkua e hōʻoluʻolu i kou kaumaha a hopohopo paha. Hiki iā lākou ke kōkua iā ʻoe e hiamoe maikaʻi. Pono nā lāʻau i ka manawa e hana ai. Mai hōʻoki i ka lawe ʻana iā lākou a i ʻole hoʻololi i ka nui (mahele lāʻau) āu e lawe ai me ke kamaʻilio ʻole ʻana i kāu mea hāʻawi. E noi i kāu mea hoʻolako e pili ana i nā hopena ʻē aʻe a me ka mea e hana ai inā ʻike ʻoe iā lākou.

ʻO nā hui kākoʻo, nona nā lālā he poʻe like ka ʻike me PTSD, hiki ke kōkua. E noi i kāu mea hoʻolako e pili ana i nā hui i kou wahi.

ʻO nā hui kākoʻo ʻaʻole maʻa mau kahi mea pani no ka therapy therapy a me ka lawe ʻana i ka lāʻau, akā hiki iā lākou ke lilo i mea kōkua maikaʻi.

• ʻAhahui hōʻeha a me ke kaumaha o ʻAmelika - adaa.org
• National Institute of Mental Health - www.nimh.nih.gov/health/topics/post-traumatic-stress-disorder-ptsd/index.shtml

Inā ʻoe he kahu o ka pūʻali koa koa, hiki iā ʻoe ke loaʻa ke kākoʻo a me ka paipai ma o ka U.S. Department of Veterans Affairs ma www.ptsd.va.gov.

Hiki ke mālama ʻia ʻo PTSD. Hiki iā ʻoe ke hoʻonui i ka manawa o kahi hopena maikaʻi:

• E ʻike koke i kahi mea hoʻolako inā manaʻo ʻoe he PTSD kāu.
• E hana i kahi ʻeleu i kāu lāʻau lapaʻau a hāhai i nā ʻōlelo aʻoaʻo a kāu mea hāʻawi.
• ʻAe i ke kākoʻo mai nā poʻe ʻē aʻe.
• E mālama i kou olakino. Hoʻomaʻamaʻa a ʻai i nā meaʻai olakino.
• Mai inu i ka waiʻona a hoʻohana i nā lāʻau leʻaleʻa. Hiki i kēia ke hōʻino i kāu PTSD.

ʻOiai nā hanana traumatic hiki i ke kaumaha, ʻaʻole nā ​​manaʻo ʻeha a pau nā ʻōuli o PTSD. E kamaʻilio e pili ana i kou mau manaʻo me nā hoaaloha a me nā ʻohana. Inā ʻaʻole hoʻomaikaʻi hou kāu mau ʻōuli a hoʻonāukiuki paha iā ʻoe, e hoʻokaʻaʻike i kāu mea hāʻawi.

E ʻimi koke i ke kōkua inā:

• Ua kaumaha ʻoe
• Ke manaʻo nei ʻoe e hōʻeha iā ʻoe iho a i kekahi mea ʻē aʻe
• ʻAʻole hiki iā ʻoe ke kaohi i kāu hana
• Loaʻa iā ʻoe nā ʻōuli hoʻonāukiuki loa o PTSD

PTSD

• Maʻi maʻi Post-traumatic

ʻAhahui Psychiatric ʻAmelika. Nā maʻi pili i ka ʻeha a me ka pilikia. I: ʻAmelika Psychiatric Association, ed. Nānā Diagnostic a me Statistics o nā maʻi noʻonoʻo. 5th lā. Arlington, VA: Ka hoʻopuka Psychiatric ʻAmelika; 2013: 265-290.

ʻO Dekel S, Gilbertson MW, Orr SP, Rauch SL, Wood NE, Pitman RK. Nā maʻi trauma a me posttraumatic stress. 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 34.

ʻO Lyness JM. Nā maʻi psychiatric i ka hana olakino. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 369.

Pūnaewele Institute of Mental Health pūnaewele. Nā pilikia kūpilikiʻi. www.nimh.nih.gov/health/topics/anxiance-disorder/index.shtml. Hoʻohou i Iulai 2018. Loaʻa ʻia i Iune 17, 2020.