Kaumaha kaumaha ʻōpio
Anter
- Pehea e ʻike ai i ke kaumaha i kāu keiki
- Kāohi ʻana i ke ola
- He aha ke kumu o ke kaumaha o ke ʻōpio?
- Nā ʻokoʻa i ka lolo
- Nā hanana Life Early Traumatic
- Nā ʻano hoʻoilina
- Nā lauana i aʻo ʻia no ka noʻonoʻo maikaʻi ʻole
- Pehea e kuhikuhi ʻia ai ke kaumaha o ke ʻōpio?
- Ke mālama nei i ke kaumaha o ke ʻōpio
- Laau Lapaʻau
- Selective Serotonin Reuptake Inhibitors (SSRIs)
- Selotonin Serotonin a me Norepinephrine Reuptake Inhibitors (SNRI)
- Tricyclic Antidepressants (TCAs)
- MonoamineʻOxidase Inhibitors (MAOI)
- Psychotherapy
- Hoʻoikaika kino
- Hiamoe
- Meaʻai kaulike
- Hōʻalo i ka Caffeine keu
- Hōʻalo i ka ʻalekohola
- Ke noho nei me ke kaumaha o ke ʻōpio
He aha ke kaumaha ʻōpio?
ʻO ka mea i kapa pinepine ʻia e like me ke kaumaha o ka ʻōpio, ʻaʻole ʻokoʻa ka maʻi noʻonoʻo a me ka naʻau i ka lāʻau mai ka kaumaha o nā mākua. Eia nō naʻe, hiki i nā ʻōuli i nā ʻōpio ke hōʻike iā lākou iho i nā ʻano ʻokoʻa ma mua o ka poʻe mākua ma muli o nā pilikia kūlike a me nā hoʻoulu ulu ʻana i mua o nā ʻōpio. Pākuʻi ʻia kēia mau mea:
- kaomi a ka hoa
- haʻuki
- ke hoʻololi nei i nā pae hormonone
- kino hoʻomohala
Pili ke kaumaha me nā kiʻekiʻe kiʻekiʻe o ke koʻikoʻi, hopohopo, a me nā hanana maikaʻi loa, pepehi kanaka. Hiki iā ia ke hoʻololi i ka ʻōpio:
- ola pilikino
- ke ola kula
- ola hana
- Nohona ola
- ola ʻohana
Hiki i kēia ke alakaʻi i ka hoʻokaʻawale kaiaulu a me nā pilikia ʻē aʻe.
ʻAʻole ke kaumaha ke kūlana i hiki i nā kānaka ke "lele i waho," a i ʻole ka "ʻoliʻoli" wale mai. He kūlana olakino maoli ia e hiki ke hoʻopili i ke ola o ke kanaka i kēlā me kēia ʻano inā ʻaʻole e mālama pono ʻia.
Pehea e ʻike ai i ke kaumaha i kāu keiki
Kuhi ʻia mai kahi noiʻi i paʻi ʻia ma ka ʻAmelika Kauka Lapaʻau mokuʻāina a hiki i ka 15 pākēneka o nā keiki a me nā ʻōpio i loaʻa kekahi mau ʻōuli o ke kaumaha.
Hiki i nā ʻōuli o ke kaumaha ke paʻakikī i nā mākua ke ʻike aku. I kekahi manawa, huikau ka manaʻo kaumaha me nā manaʻo maʻamau o ka wā ʻōpio a me ka hoʻoponopono ʻōpio.
Eia naʻe, ʻoi aku ka kaumaha ma mua o ka luhi a hoihoi ʻole paha i ke kula. Wahi a ka American Academy of Child and Adolescent Psychiatry (AACAP), kekahi o nā hōʻailona o ke kaumaha ʻōpio me:
- ʻike ʻia ke kaumaha, huhū, a uē waimaka paha
- loli i ka makemake a i ʻole ke kaupaona
- ua hoʻoliʻiliʻi ka hoihoi i nā hana a kāu keiki i ʻoluʻolu ai
- he emi o ka ikehu
- paʻakikī paʻakikī
- manaʻo o ka hewa, waiwai ʻole, a kōkua ʻole paha
- nā hoʻololi nui i nā ʻano hiamoe
- ʻōhumu maʻamau o ka luhi
- kamailio o ka pepehi kanaka
- ka haʻalele ʻana mai nā hoaaloha a i ʻole nā hana ma hope o ke kula
- ke kaumaha o ka hana ʻana o ke kula
Kekahi o kēia mau ʻōuli ʻaʻole paha he mau hōʻailona o ke kaumaha. Inā ua hānai ʻoe i kahi ʻōpio, ʻike ʻoe he maʻa mau nā loli makemake, ʻo ia hoʻi i nā manawa o ka ulu ʻana o ka ulu a keu hoʻi inā pili kāu ʻōpio i nā haʻuki.
Eia nō naʻe, ke nānā nei no ka hoʻololi ʻana i nā hōʻailona a me nā lawena i kāu ʻōpio hiki ke kōkua iā lākou ke nele lākou.
Kāohi ʻana i ke ola
Inā manaʻo ʻoe aia kekahi i ka makaʻu koke iā ia iho a hōʻeha paha i kekahi.
- Kāhea iā 911 a i ʻole kāu helu kūloko kūloko.
- Noho me ke kanaka a hiki ke kōkua.
- Wehe i nā pū, nā pahi, nā lāʻau, a i ʻole nā mea ʻē aʻe e hoʻopōʻino.
- E hoʻolohe, akā, mai hoʻokolokolo, hoʻopaʻapaʻa, hoʻoweliweli, a walaʻau paha.
Inā manaʻo ʻoe e noʻonoʻo ana kekahi i ka pepehi kanaka, e kiʻi i ke kōkua mai kahi pilikia a i ʻole ka laina pale pale hoʻomake. E hoʻāʻo i ka National Suicide Prevent Lifeline ma 800-273-8255.
Nā Kumuwaiwai: National Suicide Prevent Lifeline a ʻO ka hoʻomāinoino lawelawe kino a me ka lawelawe ʻana i ka lawelawe olakino noʻonoʻo
He aha ke kumu o ke kaumaha o ke ʻōpio?
ʻAʻohe kumu hoʻokahi i ʻike ʻia o ke kaumaha o ka ʻōpio. Wahi a ka Mayo Clinic, hiki i nā kumu he nui ke alakaʻi i ke kaumaha, e like me:
Nā ʻokoʻa i ka lolo
Ua hōʻike ʻia ka noiʻi ʻana he ʻokoʻa ke ʻano o ka lolo o ka poʻe ʻōpio ma mua o ka lolo o nā mākua. Hiki i nā ʻōpio me ke kaumaha ke loaʻa nā ʻokoʻa hormonone a me nā pae like ʻole o nā neurotransmitters. ʻO nā Neurotransmitters nā kemika kī i ka lolo e pili ana i ke kamaʻilio ʻana o nā lolo i kekahi i kekahi a he kuleana nui i ka hoʻoponopono ʻana i nā ʻano a me nā lawena.
Nā hanana Life Early Traumatic
ʻO ka hapa nui o nā keiki ʻaʻole i hoʻomohala maikaʻi i nā ʻano hana. Hiki i kahi hanana traumatic ke waiho i kahi manaʻo mau loa. ʻO ka nalowale o kahi makua a i ʻole kino, naʻau, a hoʻomāinoino kolohe paha hiki ke waiho i nā hopena hope loa ma ka lolo o kahi keiki i hiki ke kōkua i ke kaumaha.
Nā ʻano hoʻoilina
Hōʻike ka noiʻi ua loaʻa i ke kaumaha ke ʻano o nā meaola. Hiki ke hoʻoili ʻia mai nā mākua i kā lākou poʻe keiki. ʻO nā keiki i hoʻokahi a ʻoi paha nā ʻohana pili loa me ke kaumaha, ʻoi aku ka makua, e loaʻa paha iā lākou ke kaumaha.
Nā lauana i aʻo ʻia no ka noʻonoʻo maikaʻi ʻole
Hōʻike pinepine ʻia nā ʻōpio i ka noʻonoʻo pessimistic, keu hoʻi mai ko lākou mau mākua, a me ka poʻe e aʻo i ka manaʻo ʻole ma kahi o ka lanakila ʻana i nā pilikia, hiki ke hoʻomohala i ke kaumaha.
Pehea e kuhikuhi ʻia ai ke kaumaha o ke ʻōpio?
No ka lapaʻau kūpono, paipai ʻia e hana ka psychiatrist a psychologist paha i kahi loiloi psychological, e noi ana i kāu keiki i nā nīnau e pili ana i ko lākou ʻano, ʻano, a me nā manaʻo.
Pono e hoʻokō i kāu ʻōpio i nā pae hoʻohālikelike i kākau ʻia i loko e ʻike ʻia me ka maʻi kaumaha nui, a he ʻelua a ʻoi paha mau ʻāpana depressive nui no ʻelua mau pule paha. Pono e pili i kā lākou episodes ma ka liʻiliʻi he ʻelima o nā ʻōuli penei:
- hoʻonāukiuki a psychomotor retardation paha i ʻike ʻia e nā poʻe ʻē aʻe
- ʻano kaumaha i ka hapa nui o ka lā
- he hiki i hoʻēmi ʻia e noʻonoʻo a noʻonoʻo paha
- kahi hoihoi i ka hapa nui a i ʻole nā hana āpau
- luhi
- manaʻo o ka waiwai ʻole a i ʻole ka hewa nui
- hiamoe a hiamoe nui paha
- manaʻo hou o ka make
- ka pohō kaumaha a loaʻa ʻole paha
E nīnau paha kāu ʻoihana olakino manaʻo e pili ana i ka nohona a me ke ʻano o kāu keiki. Hiki ke hoʻohana ʻia kahi hoʻokolohua kino e kōkua ai i ka pale ʻana i nā kumu ʻē aʻe o ko lākou mau manaʻo. Hiki i kekahi ʻano olakino ke kōkua i ke kaumaha.
Ke mālama nei i ke kaumaha o ke ʻōpio
E like me ke kaumaha ʻole o ke kumu hoʻokahi, ʻaʻohe mālama hoʻokahi e kōkua i kēlā me kēia mea i loaʻa ke kaumaha. ʻO ka pinepine, ʻo ka loaʻa ʻana o ka lāʻau kūpono ka hoʻāʻo a me ke kaʻina hewa. Hiki ke hoʻolōʻihi i ka manawa e hoʻoholo ai i kahi o ka lāʻau e ʻoi aku ai ka maikaʻi.
Laau Lapaʻau
Hoʻonohonoho ʻia nā papa lapaʻau he nui e hōʻemi i nā ʻōuli o ke kaumaha. ʻO kekahi o nā ʻano maʻamau o nā lāʻau lapaʻau kaumaha me nā:
Selective Serotonin Reuptake Inhibitors (SSRIs)
ʻO nā mea hoʻohiehie serotonin reuptake (SSRIs) kekahi o nā antidepressants i kuhikuhi pinepine ʻia. He lāʻau lapaʻau makemake ʻia lākou no ka mea makemake lākou e loaʻa nā hopena ʻē aʻe ma mua o nā lāʻau ʻē aʻe.
Hana nā SSRI i ka serotonin neurotransmitter. Hōʻike ka noiʻi i nā poʻe me ke kaumaha e loaʻa i nā pae maʻamau o nā neurotransmitters e pili ana i ka hoʻoponopono ʻana i ke ʻano. Pale aku ʻo SSRI i ko lākou kino mai ke omo ʻana i ka serotonin no laila hiki ke hoʻohana pono ʻia i ka lolo.
ʻO nā SSRI o kēia manawa i ʻae ʻia e ka U.S. Food and Drug Administration (FDA) e komo pū me:
- citalopram (Celexa)
- escitalopram (Lexapro)
- fluoxetine (Prozac)
- fluvoxamine (Luvox)
- paroxetine (Paxil, Pexeva)
- sertraline (Zoloft)
ʻO nā hopena ʻaoʻao maʻamau i hōʻike ʻia me SSRI e komo pū me:
- nā pilikia moekolohe
- nausea
- pāhoehoe
- ʻeha poʻo
E kamaʻilio me kāu kauka inā keakeʻa nā hopena i ka maikaʻi o ke ola o kāu keiki.
Selotonin Serotonin a me Norepinephrine Reuptake Inhibitors (SNRI)
Selotonin seleboin a me nā norepinephrine reuptake inhibitors (SNRI) pale i ka reabsorption o nā neurotransmitters serotonin a me norepinephrine, i kōkua i ka hoʻoponopono ʻana i ke ʻano. ʻO nā hopena ʻaoʻao o SNRI nā:
- nausea
- ka luaʻi
- ʻōlohelohe
- kōpaʻa
- hopohopo
- ʻeha poʻo
ʻO nā SNRI maʻamau ka duloxetine (Cymbalta) a me ka venlafaxine (Effexor).
Tricyclic Antidepressants (TCAs)
E like me SSRI a me SNRI, nā tricyclic antidepressants (TCAs) e ālai i ka loaʻa hou ʻana o kekahi mau neurotransmitters. ʻAʻole like me nā poʻe ʻē aʻe, hana nā TCA ma serotonin, norepinephrine, a me ka dopamine.
Hana paha nā TCA i nā hopena ʻē aʻe ma mua o nā antidepressants ʻē aʻe, e like me:
- ʻike hihi ʻole
- kōpaʻa
- ʻūpā
- waha maloo
- moe kolohe
- hiamoe
- loaʻa kaupaona
ʻAʻole kuhikuhi ʻia nā TCA no ka poʻe me ka prostate hoʻonui ʻia, glaucoma, a i ʻole nā maʻi puʻuwai, no ka mea hiki i kēia ke hana i nā pilikia koʻikoʻi.
ʻO nā TCA i kuhikuhi pinepine ʻia e:
- amitriptyline
- amoxapine
- clomipramine (Anafranil), i hoʻohana ʻia no ka maʻi obsessive-compulsive
- desipramine (Norpramin)
- doxepin (Sinequan)
- imipramine (Tofranil)
- nortriptyline (Pamelor)
- protriptyline (Vivactil)
- trimipramine (Surmontil)
MonoamineʻOxidase Inhibitors (MAOI)
ʻO nā Monoamine oxidase inhibitors (MAOI) ka papa mua o nā antidepressants ma ka mākeke a i kēia manawa ʻaʻole i kuhikuhi ʻia. ʻO kēia no nā pilikia, nā kapu, a me nā hopena ʻaoʻao a lākou e hana ai.
Paʻa nā MAOI i ka serotonin, dopamine, a me nā norepinephrine, akā hoʻopili pū kekahi i nā kemika ʻē aʻe i ke kino. Hiki i kēia ke kumu:
- haʻahaʻa haʻahaʻa haʻahaʻa
- ʻūpā
- kōpaʻa
- luhi
- nausea
- waha maloo
- ʻālohilohi
Pono ka poʻe e lawe ana i ka MAOI e hōʻalo i kekahi mau meaʻai a me nā mea inu, e like me:
- hapa nui o nā paʻi waiū
- mea ʻai pickled
- kokoleka
- kekahi mau ʻiʻo
- pia, waina, a me ka waiʻona-ʻole a me ka waiʻona inu liʻiliʻi a hoʻemi ʻia paha
Loaʻa nā MAOI maʻamau:
- isocarboxazid (Marplan)
- phenelzine (Nardil)
- tranylcypromine (Parnate)
- selegiline (Emsam)
Pono ʻoe e makaʻala ua koi ka FDA i nā mea hana o nā lāʻau antidepressant e hoʻopili i kahi "ʻōlelo aʻoaʻo ʻeleʻele," i offset i loko o kahi pahu ʻeleʻele. Wahi a ka ʻōlelo aʻoaʻo, ʻo ka hoʻohana ʻana i nā lāʻau antidepressant i ka poʻe ʻōpio makua 18 a 24 mau makahiki e pili ana me ka nui o ka hopena o ka noʻonoʻo a me ka lawena suicidal, ʻike ʻia ʻo suicidality
Psychotherapy
Paipai ʻia ʻoe e ʻike i kāu keiki i ka ʻoihana olakino noʻonoʻo kūpono ma mua a i ʻole i ka manawa like e hoʻomaka ai ka lāʻau lapaʻau. Loaʻa nā ʻano like ʻole o ka therapy.
- ʻO ke kamaʻilio kamaʻilio ka ʻano maʻamau o ka therapy a me nā kau maʻamau me kahi psychologist.
- Alakaʻi ʻia ka cognitive-behavioral therapy e hoʻololi i nā manaʻo maikaʻi ʻole a me nā naʻau me nā mea maikaʻi.
- Hoʻokumu ka psychodynamic therapy i ke komo ʻana i loko o ka psyche o ke kanaka e kōkua ai i ka hoʻopau ʻana i nā hakakā kūloko, e like me ke koʻikoʻi a me ka hakakā paha.
- Kōkua ka hoʻoponopono hoʻoponopono pilikia i kahi kanaka e ʻike i kahi ala optimistic ma o nā ʻike pili i ke ola, e like me ka nalo ʻana o kahi mea i aloha ʻia a i ʻole kekahi wā hoʻololi.
Hoʻoikaika kino
Hōʻike ka noiʻi e hoʻonāukiuki ka hoʻoikaika mau i ka hana ʻana o nā kemika "maikaʻi" i ka lolo e hoʻokiʻekiʻe i ka naʻau. E kākau inoa i kāu keiki i kahi pāʻani e makemake ai lākou, a i ʻole e noʻonoʻo i nā pāʻani e paipai i ka hoʻoikaika kino.
Hiamoe
He mea nui ka hiamoe i ke ʻano o kāu ʻōpio. E ʻike pono ua lawa ka hiamoe o lākou i kēlā me kēia pō a ukali i kahi papa hana moena maʻamau.
Meaʻai kaulike
Lawe ʻia i ke kino ka ikaika e hana i nā meaʻai i kiʻekiʻe i ka momona a me ke kō. Hiki i kēia mau meaʻai ke hōʻoluʻolu iā ʻoe. Hoʻopili i nā ʻaina awakea no kāu keiki i piha i nā meaʻai like ʻole.
Hōʻalo i ka Caffeine keu
Hiki i ka cafeeine ke hoʻonui i ka naʻau i kēia manawa. Eia nō naʻe, hiki i ka hoʻohana mau ʻana i kāu ʻōpio ke "hina," ke luhi a i lalo paha.
Hōʻalo i ka ʻalekohola
ʻO ka inu ʻana, keu hoʻi no nā ʻōpio, hiki ke hana i nā pilikia hou aʻe. Pono ka poʻe me ke kaumaha e hōʻalo i ka ʻalekohola.
Ke noho nei me ke kaumaha o ke ʻōpio
Hiki i ka luʻuluʻu ke hopena i ka ola o kāu keiki a hiki ke hoʻohui wale i nā pilikia e pili ana i nā makahiki ʻōpio. ʻAʻole pinepine ke kaumaha ʻōpio i ke ʻano maʻalahi e ʻike. Eia nō naʻe, me ka mālama pono ʻana i hiki i kāu keiki ke loaʻa ke kōkua e pono ai.