Maʻi ʻaʻano obsessive-compulsive
ʻO ka maʻi obsessive-compulsive (OCD) kahi maʻi noʻonoʻo kahi i makemake ʻole ʻia ai ka poʻe i nā manaʻo, nā manaʻo, nā manaʻo, nā sensations (obsessed), a me nā ʻano e hoʻohuli iā lākou e hana i kekahi mea ma (mau manawa).
Hāpai pinepine ke kanaka i nā ʻano hana e kāpae ai i nā manaʻo pulakaumaka. Akā hāʻawi wale kēia i ka hoʻomaha manawa pōkole. ʻAʻole hiki i nā hana obsessive ke kumu i ka hopohopo a me ke kaumaha nui.
ʻAʻole ʻike ka poʻe lawelawe olakino i ke kumu kikoʻī o OCD. ʻO nā kumu e pāʻani paha i ka ʻeha poʻo, nā maʻi, a me nā hana maʻamau ʻole i kekahi mau wahi o ka lolo. He mea nui paha ka hana a Genes (moʻolelo o ka ʻohana). ʻIke ʻia kahi moʻolelo o ka hoʻomāinoino kino a kolohe paha e hoʻonui i ka makaʻu no ka OCD.
Hoʻomaopopo pinepine nā mākua a me nā kumu i nā ʻōuli OCD i nā keiki. Hoʻomaopopo ʻia ka hapa nui o ka poʻe e ka makahiki 19 a 20 paha, akā ʻaʻole hōʻike kekahi i nā hōʻailona a hiki i ka makahiki 30.
ʻO nā poʻe me ka OCD he mau manaʻo hou, koi, a i ʻole nā kiʻi noʻonoʻo e hoʻonāukiuki. Kapa ʻia kēia mau mea he pulakaumaka.
Eia kekahi laʻana:
- Ka makaʻu nui loa i nā germat
- Nā manaʻo pāpā ʻia e pili ana i ka moekolohe, ka haipule, a i ʻole ka hōʻino iā haʻi a i ʻole iā ʻoe iho
- Pono no ke kauoha
Hana lākou i nā ʻano hana hou i ka pane i ko lākou mau manaʻo a i ʻole nā pulakaumaka. ʻO nā laʻana me:
- Nānā a nānā hou ʻana i nā hana (e like me ka pio ʻana o nā kukui a me ka laka ʻana i ka puka)
- Heluhelu nui ʻana
- Ke kauoha ʻana i nā mea ma kekahi ʻano
- Holoi hou i nā lima e pale i ka maʻi
- Ke hāmau nei i nā huaʻōlelo
- Ke pule hāmau nei i nā manawa a pau
ʻAʻole nā kānaka āpau i loaʻa nā ʻano maʻamau a i ʻole nā hana maʻamau e makemake lākou e hana he OCD. Akā, ke kanaka me OCD:
- ʻAʻole hiki iā ia ke kaohi i ko lākou mau manaʻo a me nā ʻano, ke maopopo iā lākou ke nui loa.
- Noho ma ka liʻiliʻi i hoʻokahi hola i ka lā i kēia mau manaʻo a me nā ʻano.
- ʻAʻole ʻoluʻolu i ka hana ʻana i kahi ʻano a i ʻole ka lawena, ʻē aʻe ma mua o ka hoʻomaha pōkole o ka hopohopo.
- Loaʻa nā pilikia nui i ke ola o kēlā me kēia lā ma muli o kēia mau manaʻo a me nā loina.
Loaʻa paha i ka poʻe me OCD kahi maʻi tic, e like me:
- ʻ .lapa ka maka
- ʻImmū maka
- ʻŪhā poʻohiwi
- ʻAno poʻo
- ʻO ka hoʻomaʻemaʻe hou ʻana o ka ʻāʻī, honi ʻana, a i ʻole nā kaniʻuhū ʻana
Hoʻokumu ʻia ka hōʻailona ma muli o kahi nīnauele a ke kanaka a me nā lālā o ka ʻohana. Hiki i kahi hoʻokolohua kino ke hoʻopau i nā kumu o ke kino. Hiki i kahi loiloi olakino noʻonoʻo ke pale i nā maʻi noʻonoʻo ʻē aʻe.
Hiki i nā nīnau nīnau ke kōkua i ka diagnose OCD a me ka nānā ʻana i ka holomua o ka lāʻau.
Mālama ʻia ʻo OCD me ka hoʻohana ʻana i kahi hui o ka lāʻau a me ka lāʻau behavioral.
ʻO nā lāʻau i hoʻohana ʻia me nā antidepressants, antipsychotics, a me nā stabilizer ʻano.
Ua hōʻike ʻia ke olakino kamaʻilio (cognitive behavioral therapy; CBT) no kēia maʻi. I ka wā o ka therapy, hōʻike pinepine ʻia ke kanaka i kahi manawa e hoʻonāukiuki i nā manaʻo pulakaumaka a aʻo e hoʻomanawanui i ka hopohopo a pale aku i ka makemake e hana i ke koi. Hiki ke hoʻohana ʻia ka Therapy e hōʻemi ai i ke koʻikoʻi a me ka hopohopo a hoʻonā i nā hakakā o loko.
Hiki iā ʻoe ke hoʻomāmā i ke koʻikoʻi o ka loaʻa ʻana iā OCD e ke komo ʻana i kahi hui kākoʻo. ʻO ke kaʻana ʻana me nā poʻe ʻē aʻe i loaʻa nā ʻike a me nā pilikia maʻamau e hiki ke kōkua iā ʻoe e noʻonoʻo ʻole.
ʻO nā hui kākoʻo ʻaʻole maʻa mau kahi mea pani no ka therapy therapy a me ka lawe ʻana i ka lāʻau, akā hiki ke lilo i mea kōkua maikaʻi.
- International OCD Foundation - iocdf.org/ocd-finding-help/supportgroups/
- National Institute of Mental Health - www.nimh.nih.gov/health/find-help/index.shtml
ʻO ka OCD kahi maʻi lōʻihi (mau) me nā wā o nā ʻōuli nui a ukali ʻia e nā manawa o ka hoʻomaikaʻi. ʻO kahi manawa kūʻokoʻa hōʻailona ʻaʻohe mea maʻamau. Hoʻonui ka hapa nui o ka poʻe me ka lāʻau.
Pili nā pilikia lōʻihi o OCD me ke ʻano o ka pulakaumaka a i ʻole ka koi ʻana. ʻO kahi laʻana, hiki i ka holoi lima mau ʻana ke hoʻohaunaele i ka ʻili. ʻAʻole holomua ʻo OCD i kekahi pilikia noʻonoʻo.
Kāhea i kahi hālāwai me kāu mea hāʻawi inā pilikia kāu mau ʻōuli i kēlā me kēia lā i ke ola, ka hana, a i ʻole nā pilina.
ʻO ka neurosis obsessive-compulsive; OCD
- Maʻi ʻaʻano obsessive-compulsive
ʻAhahui Psychiatric ʻAmelika. Obsessive-koi a me nā maʻi e pili pū ana. I: ʻAmelika Psychiatric Association, ed. Nānā Diagnostic a me Statistics o nā maʻi noʻonoʻo. 5th lā. Arlington, VA: Ka hoʻopuka Psychiatric ʻAmelika; 2013: 235-264.
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.
Stewart SE, Lafleur D, Dougherty DD, Wilhelm S, Keuthen NJ, Jenike MA. ʻO ka maʻi obsessive-compulsive a me nā obsessive-compulsive a me nā maʻi e pili ana. 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 33.