Maʻi maʻi Somatic
Kū kekahi maʻi maʻi Somatic (SSD) ke manaʻo ke kanaka i ka nui loa, ka pīhoihoi nui e pili ana i nā hōʻailona kino. He manaʻo nui ko ke kanaka, nā manaʻo, a me nā ʻano e pili ana i nā ʻōuli, manaʻo lākou ʻaʻole hiki iā lākou ke hana i kekahi o nā hana o ke ola o kēlā me kēia lā. Manaʻoʻiʻo paha lākou i nā pilikia olakino maʻamau e hoʻoweliweli nei i ke ola. ʻAʻole hiki ke hoʻomaikaʻi i kēia hopohopo me ka hopena o nā hopena hōʻike maʻamau a me ka hōʻoiaʻiʻo ʻana mai ka mea mālama ola.
ʻAʻole kolohe kahi kanaka me SSD i kā lākou mau hōʻailona. ʻO ka ʻeha a me nā pilikia ʻē aʻe he ʻoiaʻiʻo. Hoʻokumu ʻia paha lākou e kahi pilikia olakino. ʻO ka pinepine, ʻaʻole hiki ke loaʻa kahi kumu kino. Eia nō naʻe, ʻo ka hopena loa a me nā lawena e pili ana i nā ʻōuli ka pilikia nui.
Hoʻomaka ka SSD ma mua o ka makahiki 30. ʻOi aku ka pinepine o ka hana ma nā wahine ma mua o nā kāne. ʻAʻole maopopo i ke kumu e hoʻomohala ai kekahi poʻe i kēia ʻano. Pili paha kekahi mau kumu:
- Loaʻa i kahi manaʻo maikaʻi ʻole
- ʻOi aku ke kino a me ka naʻau i ka ʻeha a me nā ʻano ʻē aʻe
- ʻO ka mōʻaukala ʻohana a i ʻole ke hānai ʻana
- Nā Genetics
ʻO ka poʻe i loaʻa ka mōʻaukala o ka hoʻomāinoino kino a i ʻole moekolohe paha e loaʻa paha i kēia maʻi. Akā ʻaʻole kēlā me kēia me SSD kahi moʻolelo o ka hōʻino.
ʻAno like ʻo SSD me nā maʻi hopohopo maʻi (hypochondria). ʻO kēia ka manawa e pīhoihoi nui ai ka poʻe e lilo i maʻi a hoʻomōhala ʻana i kahi maʻi koʻikoʻi. Manaʻo piha lākou e maʻi loa lākou i kekahi manawa. ʻAʻole like me SSD, me ka maʻi hopohopo maʻi, he kakaikahi a ʻaʻohe paha nā ʻōuli maoli.
Hiki i nā ʻōuli kino ke hana me SSD ke hoʻopili pū ʻia.
- ʻEha
- Ka luhi a nawaliwali paha
- Pokole o ka hanu
Mālie paha nā ʻōuli. Hoʻokahi a ʻoi paha mau hōʻailona. Hele mai paha lākou a hele a hoʻololi paha. Kūpono ʻia nā ʻōuli ma ke ʻano olakino akā ʻaʻohe kumu maopopo pū kekahi.
Pehea ka manaʻo a me ke ʻano o ka poʻe i ka pane ʻana i kēia mau manaʻo kino ke ʻano nui o ka SSD. Pono e hoʻomau i kēia mau hopena no 6 mau mahina a ʻoi. ʻO ka poʻe me SSD paha:
- Hopohopo nui e pili ana i nā ʻōuli
- Manaʻo hopohopo ʻo nā ʻōuli mālie kahi hōʻailona o ka maʻi nui
- E hele i ke kauka no nā hoʻokolohua a me nā kaʻina hana he nui, akā ʻaʻole ʻoe e hilinaʻi i nā hopena
- Manaʻo ʻoe ʻaʻole i lawe ke kauka i kā lākou mau hōʻailona a lawa ʻole a hana maikaʻi ʻole paha i ka hana ʻana i ka pilikia
- Hoʻolilo i ka manawa a me ka ikaika e pili ana i nā hopohopo olakino
- E pilikia i ka hana ma muli o nā manaʻo, nā manaʻo, a me nā ʻano e pili ana i nā ʻōuli
E loaʻa iā ʻoe kahi hōʻike kino holoʻokoʻa. Hana paha kāu mea hāʻawi i kekahi mau hoʻokolohua e ʻike i nā kumu o ke kino. Pili nā ʻano o nā hoʻāʻo i nā hōʻailona i loaʻa iā ʻoe.
E kuhikuhi paha kāu mea hāʻawi iā ʻoe i kahi mea mālama ola noʻonoʻo. Hiki i ka mea mālama ola noʻonoʻo ke hana hou i ka hoʻāʻo.
ʻO ka pahuhopu o ka mālama ʻana e kaohi i kāu mau ʻōuli a kōkua iā ʻoe e hana i ke ola.
Loaʻa ka pilina kākoʻo me kāu mea hoʻolako i mea nui no kāu mālama ʻana.
- Hoʻokahi wale nō kāu mālama mālama mua. E kōkua kēia iā ʻoe e hōʻole i nā hoʻokolohua a me nā kaʻina hana i koi ʻole ʻia.
- Pono ʻoe e ʻike pinepine i kāu mea hāʻawi e loiloi i kāu mau ʻōuli a pehea ʻoe e hoʻoponopono ai.
Hiki paha iā ʻoe ke ʻike i kahi mea mālama ola noʻonoʻo (therapist). He mea nui ia e ʻike i kahi mea hoʻoponopono i loaʻa ka ʻike e mālama iā SSD. ʻO ka Cognitive behavioral therapy kahi ʻano o ke kamaʻilio kamaʻilio e hiki ke kōkua i ka mālama ʻana iā SSD. ʻO ka hana pū ʻana me kahi mea hoʻoponopono hiki ke kōkua i ka hōʻoluʻolu i kou ʻeha a me nā hōʻailona ʻē aʻe. I ka wā o ke olakino, e aʻo ʻoe i:
- E nānā i kou mau manaʻo a me kou mau manaʻo e pili ana i ke olakino a me kāu mau hōʻailona
- E ʻike i nā ala e hōʻemi ai i ke koʻikoʻi a me ka hopohopo e pili ana i nā ʻōuli
- Kāohi i ka nānā nui ʻana i kāu mau hōʻailona kino
- ʻIke i ka mea e hōʻeha ai i ka ʻeha a i ʻole nā hōʻailona ʻē aʻe
- E aʻo pehea e kū ai i ka ʻeha a i ʻole nā hōʻailona ʻē aʻe
- Noho mau a pilikanaka, ʻoiai inā ʻeha mau ʻoe a i ʻole nā hōʻailona ʻē aʻe
- Hana maikaʻi i kou ola i kēlā me kēia lā
E mālama pū kāu mea hoʻoponopono i ke kaumaha a i ʻole nā maʻi olakino ʻē aʻe i loaʻa iā ʻoe. Hiki iā ʻoe ke lawe i nā antidepressants e kōkua i ka hoʻoluhi i ka hopohopo a me ke kaumaha.
ʻAʻole pono e haʻi ʻia iā ʻoe he naʻauana kāu mau hōʻailona a i ʻole i loko o kou poʻo. Pono kāu mea lawelawe e hana pū me ʻoe e hoʻokele i nā hōʻailona o ke kino a me ka naʻau.
Inā mālama ʻole ʻia, loaʻa paha iā ʻoe:
- Ka pilikia e holo nei i ke ola
- Nā pilikia me ka ʻohana, nā hoaaloha, a me ka hana
- Ola maikaʻi ʻole
- Hoʻonui i ka makaʻu no ke kaumaha a me ka pepehi kanaka
- Nā pilikia kālā ma muli o ke kumukūʻai o ke kipa keʻena a me nā hoʻāʻo nui
ʻO SSD kahi kūlana lōʻihi (mau). ʻO ka hana pū ʻana me kāu poʻe lawelawe a me ka ukali ʻana i kāu papa hana lapaʻau he mea nui ia no ka mālama ʻana me kēia maʻi.
Pono ʻoe e kāhea i kāu mea hāʻawi inā ʻoe:
- Manaʻo nui e pili ana i nā hōʻailona kino i hiki ʻole iā ʻoe ke hana
- Loaʻa nā ʻōuli o ka pīhoihoi a i ʻole ke kaumaha
Kōkua paha ka ʻōlelo aʻoaʻo i ka poʻe i prone iā SSD e aʻo i nā ʻano ʻē aʻe o ka hana ʻana me ke koʻikoʻi. Hiki i kēia ke kōkua i ka hoʻēmi ʻana i ka ikaika o nā ʻōuli.
ʻO Somatic hōʻailona a me nā maʻi e pili ana; Maʻi maʻi Somatization; Nā maʻi Somatiform; Maʻi Briquet; Maʻi maʻi maʻi
ʻAhahui Psychiatric ʻAmelika. Maʻi maʻi Somatic. Nānā Diagnostic a me Statistic o nā maʻi noʻonoʻo. 5th lā. Arlington, VA: Ka hoʻopuka Psychiatric ʻAmelika; 2013: 311-315.
ʻO Gerstenblith TA, Kontos N. Nā maʻi maʻi Somatic. 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 24.