Kaumaha nui me nā hiʻohiʻona Psychotic (Psychotic Depression)

Anter

• He aha nā hōʻailona o ke kaumaha kaumaha?
• Kāohi ʻana i ke ola
• He aha ke kumu o ke kaumaha kaumaha?
• Pehea e kuhikuhi ʻia ai ke kaumaha Psychotic?
• Pehea e mālama ʻia ai ke kaumaha psychotic?
• He aha ka manaʻo no kekahi me ke kaumaha kaumaha?
• Pehea e pale ai i ka pepehi kanaka

He aha ke kaumaha kaumaha?

ʻO ke kaumaha psychotic, i ʻike ʻia ʻo ka maʻi depressive nui me nā hiʻohiʻona psychotic, kahi kūlana koʻikoʻi e pono ai ka mālama koke ʻana a me ka nānā pono ʻana e kahi kauka olakino a olakino noʻonoʻo paha.

ʻO ka maʻi depressive nui kahi maʻi noʻonoʻo maʻamau i hiki ke hoʻololi maikaʻi ʻole i nā wahi he nui i ko haʻi ola. Hoʻopili ia i ke ʻano a me ka lawena a me nā ʻano hana like ʻole, e like me ka makemake a me ka hiamoe. ʻO ka poʻe me ke kaumaha nui e nalo pinepine i ka makemake i nā hana a lākou e leʻaleʻa ai a pilikia i ka hana ʻana i nā hana o kēlā me kēia lā. I kekahi manawa, manaʻo paha lākou me he mea ʻole ke ola ke ola.

Ua koho ʻia ma kahi o 20 pākēneka o ka poʻe me ke kaumaha nui i loaʻa i nā ʻōuli o psychosis. Kuhi ʻia kēia hui ʻana i kekahi manawa ma ke ʻano he kaumaha psychotic. I ka psychiatry, eia nō naʻe, ʻo ka ʻoihana ʻenehana ʻoi aku ka maʻi depressive nui me nā hiʻohiʻona psychotic. ʻO ke ʻano ke kumu e ʻike ai, e lohe ai, a e hilinaʻi ai paha nā poʻe i nā mea maoli ʻole.

Aia ʻelua ʻano ʻokoʻa o ka maʻi depressive nui me nā hiʻohiʻona psychotic. I loko o nā mea ʻelua, aia nā kuhi hewa a me nā hallucination, akā e ʻike paha ka mea i hoʻopili ʻia i kahi maʻi depressive nui me nā hiʻohiʻona psychotic mood-congruent a i ʻole nā ​​hiʻohiʻona psychotic incongruent.

ʻO ka maʻi depressive nui me nā hiʻohiʻona psychotic mood-congruent ʻo ia hoʻi ke kūlike o nā ʻike a me nā kuhihewa me nā manaʻo depressive maʻamau. Hoʻopili paha kēia i nā manaʻo o ka pono ʻole pilikino, hewa, a waiwai ʻole paha.ʻO ka maʻi depressive nui me nā hiʻohiʻona psychotic-incongruent hiʻohiʻona ke ʻano o ka ʻike o nā moemoeā a me nā kuhi hewa ʻole e pili i nā kumuhana depressive maʻamau. Hiki paha i kekahi poʻe ke ʻike i ka hui pū ʻana o nā poʻomanaʻo-kūlike a me nā poʻomanaʻo-incongruent ʻelua i loko o kā lākou mau kuhihewa a me nā moemoeā.

ʻO nā ʻōuli o kēlā me kēia ʻano he mea weliweli loa ia, ʻoiai he weliweli nā kuhi hewa a me nā hallucination a hiki ke hoʻonui i ka makaʻu o ka pepehi kanaka. ʻO ka hōʻoia koke a me ka mālama ʻana he mea koʻikoʻi i ka pale ʻana i kekahi mai ka hōʻeha iā lākou iho a i kekahi mau mea ʻē aʻe.

He aha nā hōʻailona o ke kaumaha kaumaha?

ʻO nā kānaka me ke kaumaha psychotic he mau hōʻailona o ke kaumaha nui a me psychosis.

ʻO nā ʻōuli o ke kaumaha nui pū kekahi:

• luhi
• ukiuki
• paʻakikī paʻakikī
• manaʻo o ka manaʻolana a me ka kōkua ʻole
• manaʻo o ka waiwai ʻole a i ʻole hoʻowahāwahā iā ʻoe iho
• kaʻawale ka nohona
• nalo o ka hoihoi i nā hana i ʻike ʻia i mua leʻaleʻa
• hiamoe liʻiliʻi a nui loa paha
• loli i ka makemake
• ka pohō kaumaha hikiwawe a i ʻole ka loaʻa ʻana o ke kaumaha
• kamaʻilio a hoʻoweliweli paha i ka pepehi kanaka

Kuhi ʻia ka Psychosis e ka nalowale o ka pilina me ka ʻoiaʻiʻo. ʻO nā ʻōuli o ka psychosis e komo pū me nā kuhi hewa, a i ʻole nā ​​manaʻo wahaheʻe a me nā ʻike wahaheʻe, a me nā hallucination, a i ʻole ka ʻike ʻana a me ka hoʻolohe ʻana i nā mea i ʻole.

Ke hoʻomohala nei kekahi poʻe i nā manaʻoʻiʻo wahaheʻe e pili ana i ko lākou olakino ponoʻī, e like me ka manaʻoʻiʻo he maʻi ʻaʻai kā lākou inā ʻaʻole maoli. Lohe kekahi i nā leo e hōʻino ana iā lākou, e ʻōlelo ana i nā mea e like me "ʻaʻole lawa ʻoe" a "ʻaʻole pono ʻoe e ola."

Me he mea lā kēia mau kuhihewa a me nā hallucination i ke kanaka e ʻike nei iā lākou. I kekahi manawa, hiki iā lākou ke hoʻonāukiuki i kekahi e hōʻeha iā lākou iho a i kekahi mau mea ʻē aʻe. ʻO kēia ke kumu koʻikoʻi no kekahi me ke kaumaha psychotic e ʻimi koke i ke kōkua.

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 kaumaha?

ʻAʻole ʻike ʻia ke kumu kūpono o ke kaumaha psychotic. Eia nō naʻe, ʻo ka poʻe me ka ʻohana a i ʻole ka mōʻaukala pilikino o nā maʻi noʻonoʻo e hoʻonui i ke kaumaha psychotic. Kū paha ke ʻano ma ona iho a i ʻole me kahi kūlana psychiatric ʻē aʻe.

Manaʻo pū kekahi nā kānaka noiʻi he hiki i ka hui ʻana o nā gen a me ke koʻikoʻi ke hoʻopili i ka hana ʻana o kekahi mau kemika i ka lolo, e kōkua ana i ka ulu ʻana o ke kaumaha psychotic. Hiki ke hoʻoulu ʻia ka maʻi noʻonoʻo e nā loli i ke kaulike o nā hormones i ke kino.

Pehea e kuhikuhi ʻia ai ke kaumaha Psychotic?

ʻO ke kaumaha psychotic kahi kūlana koʻikoʻi e alakaʻi i kahi kanaka e hana ʻino iā lākou iho a i kekahi poʻe ʻē aʻe paha. ʻO ke kanaka e ʻike nei i nā hōʻailona psychotic a i ʻole kahu mālama nāna e ʻike i nā hanana psychotic e hoʻokaʻaʻike koke aku i kekahi ʻoihana olakino.

ʻO ka mea mua a lākou e hana ai i ka hōʻoia ʻana i ke kaumaha psychotic ka hana ʻana i kahi hoʻokolokolo kino a nīnau i nā nīnau e pili ana i nā ʻōuli o ke kanaka a me ka mōʻaukala olakino. E hana paha lākou i nā hoʻokolohua koko a me ka mimi e kāpae i nā kūlana olakino ʻē aʻe. Inā loaʻa i ke kanaka ka moʻolelo ʻohana o ka maʻi bipolar, hiki iā lākou ke nānā no nā ʻāpana manic a hypomanic pū kekahi. ʻAʻole ia hōʻoia e hōʻoia a hōʻemi paha i ka hiki o ka maʻi bipolar, akā kōkua paha ia iā lākou e hōʻalo i kahi kuhi hewa.

Manaʻo paha lākou he kaumaha psychotic inā e ʻike ke kanaka i nā ʻōuli o ke kaumaha nui a me ka psychosis. Eia nō naʻe, hiki ke paʻakikī i nā mea mālama mālama mua e hana i kahi hōʻailona paʻa. ʻAʻole paha e ʻike ʻia nā ʻōuli o psychosis, a ʻaʻole hōʻike pinepine ka poʻe ke ʻike nei lākou i nā kuhihewa a i ʻole nā ​​hallucination. I kēia mau hihia, hōʻike ʻia ke kuhikuhi i kahi psychiatrist.

I ʻike ʻia me ke kaumaha nui, pono i kahi kanaka kahi hanana depressive e mau ana i ʻelua mau pule a ʻoi paha. Loaʻa iā lākou he ʻelima a ʻoi paha o nā hōʻailona aʻe:

• hoʻonāukiuki a lohi paha i ka hana kaʻa
• loli i ka makemake a i ʻole ke kaupaona
• ʻano kaumaha
• paʻakikī paʻakikī
• manaʻo o ka hewa
• hiamoe liʻiliʻi a hiamoe nui paha
• ʻaʻohe hoihoi a leʻaleʻa paha i ka hapa nui o nā hana
• pae ikehu haʻahaʻa
• nā manaʻo o ka make a me ka pepehi kanaka paha

I ʻike ʻia me ke kaumaha psychotic, pono i kahi kanaka e hōʻike i kēia mau hōʻailona o ke kaumaha nui a me nā ʻōuli o psychosis, e like me nā kuhihewa a me nā moemoeā.

Pehea e mālama ʻia ai ke kaumaha psychotic?

ʻAʻohe o nā lapaʻau i ʻae ʻia e ka FDA i kikoʻī no ke kaumaha psychotic. Eia nō naʻe, hiki ke mālama ʻia ke ʻano me ka hui pū ʻana o antidepressant a me nā lāʻau antipsychotic a i ʻole me electroconvulsive therapy (ECT). E like me nā maʻi noʻonoʻo ʻē aʻe, pono e kūkākūkā ka poʻe a me ko lākou mau ʻohana i nā koho lapaʻau āpau me kā lākou kahu mālama ola a i ʻole ka ʻoihana olakino noʻonoʻo.

ʻO ka hapa nui o nā ʻoihana olakino e kuhikuhi i kahi hui o antidepressants a me nā antipsychotics. Hoʻopili kēia mau lāʻau i nā neurotransmitters i ka lolo i waho o ke kaulike ʻole i ka poʻe me ke kaumaha psychotic. I nā manawa he nui, hoʻohana ʻia kahi mea hoʻoliʻiliʻi hou serotonin (SSRI), e like me fluoxetine (Prozac), me kahi o nā antipsychotics e hiki mai ana:

• olanzapine (Zyprexa)
• quetiapine (Seroquel)
• risperidone (Risperdalone)

Eia nō naʻe, lilo kēia mau lāʻau i mau pule a i ʻole mau mahina e pono ai.

ʻAʻole pane paha kekahi poʻe me ke kaumaha psychotic i nā lāʻau e like me nā poʻe ʻē aʻe. I kēia mau hihia, pono paha ka electroconvulsive therapy (ECT) e hōʻoluʻolu i nā ʻōuli. ʻIke ʻia hoʻi ma ke ʻano he electroshock therapy, ua hōʻoia ʻo ECT i kahi ʻano palekana, maikaʻi no nā poʻe me nā manaʻo suicidal a me nā hōʻailona depressive psychotic. I ka wā o ECT, ka mea e hana mau ʻia e ka psychiatrist, hoʻouna ʻia nā kahe uila i nā nui i kāohi ʻia i ka lolo. Hana kēia i kahi hopu mālie, kahi e hopena ai i nā pae o nā neurotransmitters i kou lolo. Hana pinepine ʻia ʻo ECT i kahi haukapila ma lalo o ka anesthesia ākea.

I nā hihia koʻikoʻi o ke kaumaha psychotic, pono ʻia i ka haukapila no kekahi mau lā, keu hoʻi inā ua hoʻāʻo ʻia kekahi mau pepehi kanaka.

He aha ka manaʻo no kekahi me ke kaumaha kaumaha?

Hiki ke loli ke kuanaʻike no kekahi me ke kaumaha psychotic e pili ana i ka loaʻa koke o ka lāʻau iā lākou. I ka hapanui o nā hihia, akā, hiki ke mālama maikaʻi ʻia ke kaumaha psychotic. Inā loaʻa iā ʻoe kahi kaumaha psychotic, pono ʻoe e hoʻomau me kāu lāʻau lapaʻau no ka mea pono e lawe i nā lāʻau no nā wā lōʻihi e pale i nā hōʻailona mai ka hoʻi ʻana. Pono ʻoe e hele i nā manawa e hāhai mau ai i ka manawa o ka mālama ʻana.

Pehea e pale ai i ka pepehi kanaka

ʻOi aku ka kiʻekiʻe o ka make o ka pepehi kanaka i nā poʻe me ke kaumaha psychotic ma mua o nā mea me ke kaumaha wale. Kāhea iā 911 a i ʻole hele i kahi lumi pilikia ka haukapila inā he manaʻo kou no ka make ʻana iā ʻoe iho a hōʻeha paha i nā poʻe ʻē aʻe. Hiki iā ʻoe ke kāhea i ka National Suicide Prevent Lifeline ma 1-800-273-TALK (8255). Ua hoʻomaʻamaʻa lākou i nā limahana i hiki ke ʻōlelo aku iā ʻoe 24 mau lā i ka lā, ʻehiku lā o ka pule.