ʻO ka maʻi kaumaha mau loa (Dysthymia)

Anter

• Nā ʻōuli o ka maʻi kūmau mau
• Nā Kumu o ka maʻi kūmau mau
• Nānā i nā maʻi maʻi kūmau mau
• Ke mālama nei i nā maʻi maʻi kaumaha mau
• Nā Lapaʻau
• Lapaʻau kino
• Nā Hoʻololi nohona
• Ka Manawa Lōʻihi no ka poʻe me ka maʻi kaumaha mau
• Q:
• A:

He aha ka maʻi maʻi kaumaha mau (PDD)?

ʻO ka maʻi depressive hoʻomau (PDD) kahi ʻano o ke kaumaha mau loa. He hōʻailona hou ia e hui pū i nā diagnose ʻelua ma mua dysthymia a me ka maʻi depressive nui depressive. E like me nā ʻano kaumaha ʻē aʻe, PDD ke kumu o ka mau o ke kaumaha a me ka manaʻolana ʻole. Hiki i kēia mau manaʻo ke hoʻololi i kou ʻano a me kāu lawena a me nā hana kino, e like me ka makemake a me ka hiamoe. A ʻo kahi hopena, lilo ka poʻe me ka maʻi i ka hoihoi ʻole i ka hana ʻana i nā hana a lākou i leʻaleʻa ai a paʻakikī hoʻi i ka hoʻopau ʻana i nā hana o kēlā me kēia lā.

ʻIke ʻia kēia mau ʻōuli ma nā ʻano kaumaha āpau. I ka PDD, eia naʻe, ʻoi aku ka liʻiliʻi o nā ʻōuli a ʻoi aku ka lōʻihi. Hiki iā lākou ke hoʻomau no nā makahiki a ke hoʻopilikia paha i ke kula, ka hana, a me ka pilina pilikino. Hiki i ke ʻano mau o PDD ke hoʻolilo iā ia i mea paʻakikī hou aku e kū i nā ʻōuli. Eia nō naʻe, hiki ke lilo i ka hui ʻana o ka lāʻau a me ka therapy therapy i ka mālama ʻana iā PDD.

Nā ʻōuli o ka maʻi kūmau mau

ʻO nā ʻōuli o PDD e like me ke kaumaha. Eia nō naʻe, ʻo ka ʻokoʻa nui ʻo PDD ka lōʻihi, me nā ʻōuli e hana ʻia i nā lā he nui no ʻelua mau makahiki. Loaʻa kēia mau ʻōuli:

• manaʻo mau o ke kaumaha a me ka manaʻolana ʻole
• pilikia pilikia hiamoe
• ikehu haʻahaʻa
• he hoʻololi i ka makemake
• paʻakikī paʻakikī
• kanalua ole
• hoihoi ʻole i nā hana o kēlā me kēia lā
• hoʻemi i ka hana
• manaʻo maikaʻi ʻole
• he ʻano maikaʻi ʻole
• hōʻalo i nā hana kaiaulu

Hoʻomaka pinepine nā ʻōuli o PDD i ka wā kamaliʻi a ʻōpio paha. ʻIke paha nā keiki a me nā ʻōpio me PDD he huhū, ʻona, a pessimistic paha i kahi lōʻihi. Hōʻike paha lākou i nā pilikia o ka lawena, hana maikaʻi ʻole ma ke kula, a me ka paʻakikī e launa pū me nā keiki ʻē aʻe i nā kūlana kaiaulu. Hele mai paha kā lākou mau hōʻailona a hala kekahi mau makahiki, a ʻokoʻa paha ke koʻikoʻi o lākou i ka manawa.

Nā Kumu o ka maʻi kūmau mau

ʻAʻole maopopo ke kumu o PDD. Hiki ke hāʻawi i kekahi mau mea i ka hoʻomohala ʻana i ke ʻano. Pākuʻi ʻia kēia mau mea:

• kahi kaulike ʻole kemika i ka lolo
• kahi moʻolelo ʻohana o ke kūlana
• kahi moʻolelo o nā kūlana olakino ʻē aʻe, e like me ka hopohopo a i ʻole maʻi maʻi bipolar
• pilikia a i ʻole traumatic hanana hanana, e like me ka nalo ʻana o kahi mea i aloha ʻia a i ʻole nā ​​pilikia kālā
• maʻi maʻi mau, e like me ka maʻi puʻuwai a i ʻole diabetes
• hōʻeha kino o ka lolo, e like me ka concussion

Nānā i nā maʻi maʻi kūmau mau

No ka hōʻoia pololei ʻana, e hana mua kāu kauka i kahi hoʻokolokolo kino. E hana pū kāu kauka i nā hoʻokolohua koko a i ʻole nā ​​hoʻokolohua keʻena hoʻokolohua e kāpae i nā kūlana olakino hiki ke hana ʻia i kāu mau ʻōuli. Inā ʻaʻohe wehewehe kino no kāu mau ʻōuli, a laila hoʻomaka paha kāu kauka e manaʻo he maʻi olakino kou.

E nīnau aku kāu kauka iā ʻoe i kekahi mau nīnau e loiloi ai i kou ʻano noʻonoʻo a me ka naʻau i kēia manawa. He mea nui e hoʻopono me kāu kauka e pili ana i kāu mau hōʻailona. E kōkua kāu mau pane iā lākou e hoʻoholo inā loaʻa iā PDD a i ʻole kekahi ʻano maʻi maʻi noʻonoʻo.

Hoʻohana nā kauka he nui i nā ʻōuli i helu ʻia i ka Diagnostic a me ka Statistic Statistic of Mental Disorder (DSM-5) e kuhikuhi iā PDD. Hoʻopuka ʻia kēia manual e ka American Psychiatric Association. ʻO nā ʻōuli PDD i helu ʻia i ka DSM-5 e komo pū ana:

• kahi ʻano kaumaha ʻaneʻane i kēlā me kēia lā no ka hapa nui o ka lā
• loaʻa ka ʻai ʻilihune a ʻai nui paha
• paʻakikī e hiamoe a hiamoe paha
• haʻahaʻa ikehu a luhi paha
• manaʻo hoʻohaʻahaʻa haʻahaʻa
• kūpilikiʻi maikaʻi ʻole a paʻakikī hoʻi i ka hoʻoholo ʻana
• manaʻo o ka manaʻolana ʻole

No nā mākua e ʻike ʻia me ka maʻi, pono lākou e ʻike i ke ʻano kaumaha i ka hapa nui o ka lā, kokoke i kēlā me kēia lā, no ʻelua a ʻoi paha mau makahiki.

No nā keiki a ʻōpio paha e ʻike ʻia me ka maʻi, pono lākou e ʻike i ke ʻano kaumaha a i ʻole ka ukiuki i ka hapa nui o ka lā, kokoke i kēlā me kēia lā, no hoʻokahi makahiki.

Inā manaʻo kāu kauka he PDD kāu, e kuhikuhi paha lākou iā ʻoe i kahi ʻoihana ola no ka loiloi hou a me ka lāʻau.

Ke mālama nei i nā maʻi maʻi kaumaha mau

ʻO ka mālama ʻana no PDD me ka lāʻau a me ka therapy therapy. Manaʻo ʻia he lāʻau ʻoi aku ka maikaʻi o ka lāʻau ma mua o ka therapy therapy ke hoʻohana wale ʻia. Eia nō naʻe, ʻo ka hoʻohuihui ʻana o ka lāʻau a me ka therapy therapy ka mea ʻoi loa ka maikaʻi o ka lapaʻau.

Nā Lapaʻau

Hiki ke mālama ʻia ʻo PDD me nā ʻano antidepressants, me:

• nā mea hoʻoliʻiliʻi hou i nā serotonin reuptake (SSRIs), e like me fluoxetine (Prozac) a me sertraline (Zoloft)
• tricyclic antidepressants (TCAs), e like me amitriptyline (Elavil) a me amoxapine (Asendin)
• serotonin and norepinephrine reuptake inhibitors (SNRIs), e like me desvenlafaxine (Pristiq) a me duloxetine (Cymbalta)

Hiki paha iā ʻoe ke hoʻāʻo i nā lāʻau a me nā lāʻau ʻokoʻa e ʻimi i kahi hopena maikaʻi nāu. Pono kēia i ke ahonui, ʻoiai he nui nā lāʻau e lawe i mau pule e hana i ka hopena.

E kamaʻilio me kāu kauka inā hoʻomau ʻoe i ka hopohopo e pili ana i kāu lāʻau. E ʻōlelo paha kāu kauka e hana i kahi loli i ka lāʻau a i ʻole ka lāʻau. Mai hōʻoki i ka lawe ʻana i kāu lāʻau i kuhikuhi ʻia me ka ʻōlelo ʻole ʻana i kāu kauka. Ke kū nei i ka mālama ʻana a i ʻole nalo ʻana i kekahi mau kaha lāʻau i kumu e haʻalele ai-e like me nā ʻōuli a hoʻonui i nā ʻōuli depressive.

Lapaʻau kino

ʻO ka Talk therapy kahi koho lapaʻau maikaʻi no nā poʻe he nui me PDD. Hiki i ke ʻike ʻana i kahi mea hoʻoponopono ke kōkua iā ʻoe e aʻo pehea e:

• e hōʻike i kou mau manaʻo a me kou mau manaʻo i ke ala olakino
• pale me kou naʻau
• hoʻomaʻa i kahi pilikia o ke ola a i ʻole ka pilikia
• ʻike i nā manaʻo, nā lawena, a me nā manaʻo e hoʻonāukiuki a hōʻeha paha i nā ʻōuli
• e pani i nā manaʻo maikaʻi ʻole me nā mea maikaʻi
• loaʻa hou kahi leʻaleʻa a me ka kaohi i kou ola
• e hoʻonoho i mau pahu hopu kūpono nāu

Hiki ke hana pākahi ke kamaʻilio kamaʻilio a i ʻole kahi hui. Kūpono nā pūʻulu kākoʻo no ka poʻe e makemake e kaʻana like i ko lākou mau manaʻo me nā poʻe ʻē aʻe e loaʻa nei nā pilikia like.

Nā Hoʻololi nohona

He kūlana lōʻihi loa ʻo PDD, no laila he mea nui e komo ʻeleu i kāu hoʻolālā mālama. Hiki i ka hoʻoponopono ʻana i kekahi ʻano nohona ke kōkua i nā lāʻau lapaʻau a kōkua i ka hōʻoluʻolu ʻana i nā ʻōuli. ʻO kēia mau hoʻoponopono me:

• hoʻoikaika kino ma ka liʻiliʻi ʻekolu mau manawa i kēlā me kēia pule
• ʻo ka ʻai ʻana i ka papaʻai ka mea nui o nā meaʻai kūlohelohe, e like me nā huaʻai a me nā mea kanu
• ka hōʻalo ʻana i nā lāʻau a me ka ʻalekohola
• ke ʻike nei i kahi mea hoʻomaʻamaʻa
• ke lawe nei i kekahi mau mea hoʻopihapiha, e like me kā St. John wort a me ka aila iʻa
• ke hana nei i ka yoga, tai chi, a i ʻole ka noʻonoʻo ʻana
• ke kākau nei i loko o kahi puke pai

Ka Manawa Lōʻihi no ka poʻe me ka maʻi kaumaha mau

ʻOiai ʻo PDD kahi maʻi mau loa, ʻaʻole hoʻōla hou kekahi poʻe. Hiki i ke kōkua ke kōkua i ka poʻe he nui e hoʻokele i kā lākou mau hōʻailona, ​​akā ʻaʻole kūleʻa kēia no kēlā me kēia. E hoʻomau paha kekahi poʻe i ka ʻike i nā ʻōuli koʻikoʻi e hoʻopilikia i ko lākou ola pilikino a i ʻole ʻoihana.

Ke loaʻa iā ʻoe kahi manawa paʻakikī e kāpae i kāu mau hōʻailona, ​​kāhea i ka National Suicide Prevent Lifeline ma 800-273-8255. Loaʻa i ka poʻe he 24 mau hola i kēlā me kēia lā, ʻehiku lā o ka pule e kamaʻilio pū me ʻoe e pili ana i kekahi pilikia e loaʻa ana iā ʻoe. Hiki iā ʻoe ke kipa i kā lākou pūnaewele no ke kōkua hou a me nā kumuwaiwai.

Q:

Pehea e hiki ai iaʻu ke kōkua i kekahi me ka maʻi kaumaha mau?

Hoʻomanawanui inoa ʻole

A:

ʻO ka mea nui i hiki i kekahi ke hana e kōkua i ka poʻe i loaʻa i ka maʻi depressive hoʻomau e ʻike he maʻi maoli kā lākou a ʻaʻole e hoʻāʻo nei e "paʻakikī" i kā lākou hui pū ʻana me ʻoe. ʻAʻole paha lākou e pane i ka lono maikaʻi a i ʻole nā ​​hanana ola maikaʻi e like me ka hopena o ka poʻe me ka ʻole o kēia maʻi. Pono ʻoe e paipai iā lākou e hele i kā lākou kauka a me nā koho therapist a lawe i kā lākou lāʻau i kauoha ʻia.

ʻO Timothy Legg PhD, PMHNP-BC, GNP-BC, CARN-AP, MCHES Nā pane e hōʻike i nā manaʻo o kā mākou kauka loea. Hoʻomaopopo ʻike ʻike ʻole ʻia nā ʻike āpau a pono ʻole e noʻonoʻo ʻia he ʻōlelo aʻoaʻo olakino.