ʻO ke kaumaha nui me nā hiʻohiʻona psychotic
ʻO ke kaumaha nui me nā hiʻohiʻona psychotic kahi maʻi noʻonoʻo kahi kahi i kaumaha ai ke kanaka a me ka nalo ʻana o ka paʻi me ka ʻoiaʻiʻo (psychosis).
ʻAʻole ʻike ʻia ke kumu. ʻO kahi moʻolelo ʻohana a pilikino paha o ke kaumaha a i ʻole ka maʻi psychotic e hoʻonui iā ʻoe i kēia ʻano.
ʻO nā kānaka me ke kaumaha psychotic he mau hōʻailona o ke kaumaha a me ka psychosis.
ʻO Psychosis kahi nalowale o ka pilina me ka ʻoiaʻiʻo. Hoʻokomo ʻia ia:
- Nā manaʻo hoʻopunipuni: nā manaʻo wahaheʻe e pili ana i nā mea e hana nei a ʻo wai lā kekahi
- Hallucination: Ke ʻike a lohe nei paha i nā mea ʻaʻole ma laila
ʻO nā ʻano delusions a me nā hallucination e pili pinepine i kāu mau manaʻo kaumaha. ʻO kahi laʻana, lohe paha kekahi poʻe i nā leo e hōʻino ana iā lākou, a i ʻole e haʻi ʻana iā lākou ʻaʻole pono lākou e ola. Hiki i ke kanaka ke hoʻomohala i nā manaʻoʻiʻo wahaheʻe e pili ana i ko lākou kino, e like me ka manaʻoʻiʻo he maʻi maʻi ko lākou.
E hana kāu mea mālama ola i kahi hoʻokolohua kino a nīnau i nā nīnau e pili ana i kāu mōʻaukala a me nā hōʻailona. Hiki i kāu mau pane a me kekahi mau nīnau nīnau ke kōkua i kāu mea nāna e kuhikuhi i kēia ʻano a hoʻoholo i ke koʻikoʻi.
ʻO nā hoʻāʻo ʻana i ke koko a me ka mimi, a malia paha e hana ʻia kahi scan ka lolo e hōʻoki i nā kūlana olakino ʻē aʻe me nā ʻōuli like.
Pono ke kaumaha psychotic i ka mālama olakino koke a me ka mālama ʻana.
Hoʻopili maʻamau ka mālama ʻana i ka lāʻau antidepressant a me antipsychotic. Pono paha ʻoe i ka lāʻau antipsychotic no kahi manawa pōkole.
Hiki i ka electroconvulsive therapy ke kōkua i ka mālama ʻana i ke kaumaha me nā hōʻailona psychotic. Eia nō naʻe, hoʻāʻo pinepine ʻia ka lāʻau.
He kūlana koʻikoʻi kēia. Pono ʻoe i ka mālama koke a me ka nānā pono ʻana e kahi mea hāʻawi.
Pono paha ʻoe e ʻai i ka lāʻau no ka manawa lōʻihi e pale ai i ke kaumaha mai ka hoʻi ʻana. E hoʻi paha nā hōʻailona kaumaha ma mua o nā hōʻailona psychotic.
ʻOi aku ka nui o ka makaʻu no ka pepehi kanaka ʻana i nā poʻe me ke kaumaha me nā ʻōuli psychotic ma mua o ka poʻe me ka psychosis. Pono paha ʻoe e noho i ka haukapila inā he manaʻo kou no ka pepehi kanaka. Pono e noʻonoʻo ʻia ka palekana o kekahi poʻe ʻē aʻe.
Inā ʻoe e noʻonoʻo e pili ana i ka hōʻeha iā ʻoe iho a i ʻole nā mea ʻē aʻe, e kāhea koke i kāu helu pilikia kūloko (e like me 911). A i ʻole, e hele i ka lumi pilikia o ka haukapila. MAI hoʻolohi.
Hiki iā ʻoe ke kāhea i ka National Suicide Prevent Lifeline ma 1-800-273-8255 (1-800-273-TALK), kahi e hiki ai iā ʻoe ke loaʻa i ke kākoʻo manuahi a pilikino hoʻi i kēlā me kēia lā i ka pō a i ʻole ka pō.
Kāhea koke i kāu mea hāʻawi inā:
- Lohe ʻoe i nā leo ʻaʻole ma laila.
- He ʻūlū uē pinepine kāu me ke kumu liʻiliʻi a kumu ʻole paha.
- Ke hoʻohaunaele nei kou kaumaha i ka hana, kula, a i ʻole ka ʻohana.
- Manaʻo ʻoe ʻaʻole e holo ana kāu mau lāʻau i kēia manawa a i ʻole ke kumu ʻana i nā hopena. Mai hoʻololi a kāpae paha i nā lāʻau me ka ʻole e kamaʻilio mua me kāu mea hāʻawi.
Kaumaha Psychotic; Luʻu kaumaha Delusional
- Nā ʻano kaumaha
ʻAhahui Psychiatric ʻAmelika. ʻO ka maʻi depressive nui. Nānā Diagnostic a me kaʻikepili helu o nā maʻi noʻonoʻo: DSM-5. 5th lā. Arlington, VA: Ka hoʻopuka Psychiatric ʻAmelika; 2013: 160-168.
Fava M, Ostergaard 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.