Pehea e hoʻomalu ai i ke kūpikipiki-pale kūpilikiʻi

Anter

• He aha ke kaumaha o ka lāʻau kūpaʻa?
• Pehea e ʻike ʻia ai ke kaumaha kaumaha?
• He aha ke kumu o ke kaumaha kaumaha?
• Kuhi kūpono ʻole
• Nā kumu kūmole
• Maʻi maʻi Metabolic
• Nā kumumea ʻē aʻe
• Pehea e mālama ʻia ai ke kaumaha kaumaha?
• Nā Antidepressants
• Nā lāʻau ʻē aʻe
• Psychotherapy
• Nā Hanana
• He aha e pili ana i ka hoʻohana o stimulants?
• He aha ke kuanaʻike?

He aha ke kaumaha o ka lāʻau kūpaʻa?

ʻO ke ʻano kaumaha a hopohopo paha mai kēlā manawa a kēia manawa kahi maʻa maʻamau a kūlohelohe hoʻi o ke ola. Hana ʻia i nā mea āpau. No ka poʻe me ke kaumaha, hiki i kēia mau manaʻo ke lilo i ikaika a lōʻihi. Hiki i kēia ke alakaʻi i nā pilikia ma ka hana, home, a kula paha.

Hoʻomaʻamaʻa pinepine ʻia ke kaumaha me ka hui pū ʻana o ka lāʻau antidepressant a me kekahi ʻano o ka therapy, me psychotherapy. No kekahi, hāʻawi nā antidepressants i ka lawa kūpono i kā lākou iho.

ʻOiai e hana maikaʻi nā antidepressants no nā poʻe he nui, ʻaʻole lākou e hoʻomaikaʻi i nā hōʻailona no ka poʻe me ke kaumaha. Eia hou, e nānā wale i kahi hoʻomaikaʻi hapa ʻana i kā lākou mau ʻōuli.

ʻO ke kaumaha ʻole e pane i nā antidepressants ʻike ʻia ʻo ke kaumaha-kūpaʻa kaumaha. ʻO kekahi e kuhikuhi nei iā ia ma ke ʻano he depress-depressive depression.

E heluhelu e aʻo hou aʻe e pili ana i ke kaumaha-kūpaʻa kaumaha, me ka lapaʻau hoʻokokoke ʻana i hiki ke kōkua.

Pehea e ʻike ʻia ai ke kaumaha kaumaha?

ʻAʻohe pae hoʻohālikelike maʻamau no ke kaumaha o ka lāʻau lapaʻau, akā hana maʻamau nā kauka i kēia kuhi inā ua hoʻāʻo kekahi ma kahi o ʻelua mau ʻano lāʻau antidepressant me ka hoʻomaikaʻi ʻole.

Inā manaʻo ʻoe he kaumaha kūpaʻa kūpaʻa kou, he mea nui e kiʻi i kahi hōʻailona mai ke kauka. ʻOiai loaʻa paha iā ʻoe kahi kaumaha kūpaʻa kūpaʻa, makemake lākou e nānā pālua i kekahi mau mea ma mua, e like me:

• Ua ʻike pololei ʻia kou kaumaha i ka wā mua?
• Aia kekahi mau kumu ʻē aʻe i hiki ke kumu a hōʻino paha i nā ʻōuli?
• Ua hoʻohana ʻia ka antidepressant i ka mahele kūpono?
• Ua lawe pololei ʻia ka antidepressant?
• Ua hoʻāʻo ʻia ka antidepressant no kahi manawa lōʻihi?

ʻAʻole hana wikiwiki nā Antidepressants. Pono mau lākou e lawe no ʻeono a ʻewalu mau pule i nā koina kūpono e ʻike ai i ka hopena holoʻokoʻa. He mea nui e hoʻāʻo ʻia nā lāʻau no kahi manawa lōʻihi ma mua o ka hoʻoholo ʻana ʻaʻole e holo.

Eia nō naʻe, hōʻike kekahi mau noiʻi i ka poʻe e hōʻike ana i kahi hoʻomaikaʻi i loko o ʻelua mau pule o ka hoʻomaka ʻana i kahi antidepressant e hoʻomaikaʻi maikaʻi loa ʻia i kā lākou mau hōʻailona.

ʻO ka poʻe i loaʻa ʻole ka pane i ka wanaʻao o ka mālama ʻana he mea liʻiliʻi ia e hoʻomaikaʻi piha, ʻoiai ma hope o kekahi mau pule.

He aha ke kumu o ke kaumaha kaumaha?

ʻAʻole maopopo i ka poʻe loea ke kumu e pane ʻole ai kekahi poʻe i nā antidepressants, akā aia kekahi mau kumumanaʻo.

ʻO kekahi o nā mea i makemake nui ʻia e komo pū me:

Kuhi kūpono ʻole

ʻO kekahi o nā kumumanaʻo maʻamau ʻo ia ka poʻe i pane ʻole i ka mālama ʻana ʻaʻohe o lākou maʻi kaumaha nui. Loaʻa paha iā lākou nā ʻōuli e like me ke kaumaha, akā loaʻa maoli ka maʻi bipolar a i ʻole nā ​​kūlana ʻē aʻe me nā ʻōuli like.

Nā kumu kūmole

Hoʻokahi a ʻoi aku paha nā kumu kūlohelohe i ke kuleana i ka lāʻau lapaʻau-kūpaʻa kaumaha.

Hoʻonui paha kekahi mau ʻano kūʻē i ka wā e haki ai ke kino i nā antidepressants, kahi e hiki ai ke hōʻemi iā lākou i ka hopena. Hoʻololi paha nā ʻano ʻē aʻe i ka pane ʻana o ke kino i nā antidepressants.

ʻOiai ʻoi aku ka nui o ka noiʻi e pono ai i kēia wahi, hiki i nā kauka ke kauoha i kahi hoʻokolohua kūlohelohe e hiki ke kōkua i ka hoʻoholo ʻana i nā antidepressants e hana maikaʻi loa nāu.

Maʻi maʻi Metabolic

ʻO kekahi kumumanaʻo ʻo ia ka poʻe e pane ʻole i ka lāʻau e hana paha i kekahi mau meaola ʻokoʻa. Hoʻokahi o nā noiʻi i loaʻa i kekahi poʻe e pane ʻole i ka mālama antidepressant he mau haʻahaʻa haʻahaʻa o ka folate i loko o ka wai a puni ka lolo a me ka iwi kuamoʻo (cerebrospinal fluid).

Eia nō naʻe, ʻaʻohe mea e maopopo ke kumu o kēia pae haʻahaʻa o folate a i ʻole pehea e pili ai i ke kaumaha o ka lāʻau kūpaʻa.

Nā kumumea ʻē aʻe

Ua ʻike pū kekahi nā kānaka noiʻi i kekahi mau mea e hoʻonui ai i kou makaʻu i ka loaʻa ʻana o ke kaumaha o ka lāʻau.

ʻO kēia mau kumuhana pilikia:

• Lōʻihi o ke kaumaha. ʻO ka poʻe i loaʻa i ke kaumaha nui no ka wā lōʻihi ʻoi aku ka loaʻa ʻana o ke kaumaha kūpaʻa kūpaʻa.
• Ka nui o nā ʻōuli. ʻO ka poʻe me nā ʻōuli kaumaha loa a i ʻole nā ​​hōʻailona akahai e hoʻolohe pono ʻole i nā antidepressants.
• Nā kūlana ʻē aʻe. ʻO ka poʻe i loaʻa nā kūlana ʻē aʻe, e like me ka hopohopo, me ke kaumaha e loaʻa i ke kaumaha e pane ʻole i nā antidepressants.

Pehea e mālama ʻia ai ke kaumaha kaumaha?

ʻOiai kona inoa, hiki ke mālama ʻia i ke kaumaha kū ʻole i ka lāʻau. Lawe paha kēia i kahi manawa e ʻike i ka hoʻolālā kūpono.

Nā Antidepressants

ʻO nā lāʻau Antidepressant ke koho mua loa no ka mālama ʻana i ke kaumaha. Inā ua hoʻāʻo ʻoe i nā antidepressants me ka ʻole o ka kūleʻa nui, e hoʻomaka paha kāu kauka ma ka ʻōlelo ʻana i kahi antidepressant i kahi papa lāʻau ʻokoʻa.

ʻO kahi papa lāʻau kahi hui o nā lāʻau e hana i kahi ala like. ʻO nā papa lāʻau ʻokoʻa o nā antidepressants e komo pū ana:

• nā mea hoʻoliʻiliʻi serotonin reuptake, e like me citalopram (Celexa), escitalopram (Lexapro), fluoxetine (Prozac), paroxetine (Paxil), a me sertraline (Zoloft)
• Serotonin-norepinephrine reuptake inhibitors, e like me desvenlafaxine (Pristiq), duloxetine (Cymbalta), levomilnacipran (Fetzima), milnacipran (Savella), a me venlafaxine (Effexor)
• norepinephrine a me ka dopamine reuptake inhibitors, e like me bupropion (Wellbutrin)
• nā tetidacycline antidepressants, e like me maprotiline (Ludiomil) a me mirtazapine
• nā tridclic antidepressants, e like me amitriptyline, desipramine (Norpramin), doxepin (Silenor), imipramine (Tofranil), a me nortriptyline (Pamelor)
• Nā mea hoʻopale monoamine oxidase, e like me phenelzine (Nardil), selegiline (Emsam), a me tranylcypromine (Parnate)

Inā ʻo ka antidepressant mua āu i hoʻāʻo ai he mea hōʻoki hou i ka serotonin reuptake, hiki i kāu kauka ke ʻōlelo aku i kahi antidepressant ʻokoʻa i kēia papa a i ʻole kahi antidepressant i kahi papa ʻokoʻa.

Inā hoʻomaikaʻi ʻole ka lawe ʻana i hoʻokahi antidepressant i kāu mau hōʻailona, ​​hiki i kāu kauka ke kuhikuhi i ʻelua mau antidepressants e lawe ʻia i ka manawa like. No kekahi poʻe, ʻoi aku paha ka maikaʻi o ka hui ma mua o ka lawe ʻana i hoʻokahi lāʻau iā lākou iho.

Nā lāʻau ʻē aʻe

Inā ʻaʻole hoʻomaikaʻi kahi antidepressant hoʻokahi i kāu mau ʻōuli, e kuhikuhi paha kāu kauka i kekahi ʻano lāʻau like ʻole e lawe pū me ia.

ʻO ka hoʻohui ʻana i nā lāʻau ʻē aʻe me kahi antidepressant i kekahi manawa hana ʻoi aku ka maikaʻi ma mua o ka antidepressant na lākou iho. Kapa ʻia kēia mau hoʻoponopono ʻē aʻe i nā lapaʻau hoʻomāhuahua.

ʻO nā lāʻau ʻē aʻe e hoʻohana mau ʻia me nā antidepressants e komo pū me:

• likiuma (Lithobid)
• antipsychotics, e like me aripiprazole (Abilify), olanzapine (Zyprexa), a i ʻole quetiapine (Seroquel)
• hōmona thyroid

ʻO nā lāʻau ʻē aʻe e koi ai kāu kauka e komo pū:

• nā lāʻau dopamine, e like me pramipexole (Mirapex) a me ropinirole (Requip)
• ketamine

Hiki ke kōkua i nā mea kōkua ʻaiaola, keu hoʻi inā he hemahema kou. Pili pū kekahi o kēia mau mea:

• ʻaila iʻa a i ʻole omega-3 mau waikawa momona
• waikawa folic
• L-methylfolate
• ademetionine
• kiniki

Psychotherapy

I kekahi manawa, ʻike ka poʻe ʻaʻohe o lākou kūleʻa nui i ka lawe ʻana i nā antidepressants ʻoi aku ka maikaʻi o ka psychotherapy a i ʻole ka cognitive behavioral therapy (CBT). Akā e aʻoaʻo paha kāu kauka iā ʻoe e hoʻomau i ka lawe ʻana i ka lāʻau.

Eia hou, hōʻike kekahi mau hoʻomaikaʻi ʻo CBT i nā poʻe i hoʻomaikaʻi ʻole ma hope o ka lawe ʻana i nā antidepressants. Eia hou, ʻo ka hapa nui o kēia mau noiʻi pili i ka poʻe i ka manawa like e lawe i ka lāʻau a hana CBT.

Nā Hanana

Inā ʻaʻole e hana ana nā lāʻau lapaʻau a me ka hoʻōla i ka maʻalea, aia kekahi mau kaʻina hana e kōkua ai paha.

ʻElua o nā kaʻina hana nui i hoʻohana ʻia no ke kaumaha kūpaʻa kūpaʻa me:

• Hoʻonāukiuki Vagus nerve. Hoʻohana ka stimulate nerve Vagus i kahi mea i hoʻokomo ʻia e hoʻouna i kahi impulse uila uila i loko o ka ʻōnaehana ʻōnaehana o kou kino, kahi e kōkua ai e hoʻomaikaʻi i nā hōʻailona kaumaha.
• Hoʻoikaika electroconvulsive. Ua puni kēia mālama ʻana mai ka makahiki 1930 a ua ʻike mua ʻia ʻo electroshock therapy. I loko o nā mau makahiki i hala aku nei, ua hāʻule ia mai ka ʻoluʻolu a noho mau i ka hoʻopaʻapaʻa. Akā hiki ke lilo i ka hopena ma nā hihia kahi hana ʻole kahi mea ʻē aʻe. Hoʻopaʻa pinepine nā kauka i kēia lapaʻau ma ke ʻano he koho hope loa.

Aia kekahi ʻano like ʻole o nā lāʻau lapaʻau ʻē aʻe e hoʻāʻo ai kekahi poʻe no ke kaumaha kū ʻole i ka lāʻau. ʻAʻole nui ka noiʻi ʻana e kākoʻo i ka maikaʻi o kēia mau mālama ʻana, akā he mea kūpono paha ka hoʻāʻo ʻana e hoʻohui i nā ʻano lāʻau ʻē aʻe.

ʻO kekahi o kēia mau mea:

• ʻākehu
• hoʻonāukiuki hohonu o ka lolo
• ʻōlinolino kukui
• hoʻoulu mākē transcranial

He aha e pili ana i ka hoʻohana o stimulants?

I nā makahiki i hala aku nei, nui ka hoihoi i ka hoʻohana ʻana i nā lāʻau stimulant me nā antidepressants e hoʻomaikaʻi ai i ke kaumaha kūpaʻa kūpaʻa.

ʻO nā mea hoʻonāukiuki i hoʻohana ʻia i kekahi manawa me nā antidepressants:

• modafinil (Provigil)
• methylphenidate (Ritalin)
• lisdexamfetamine (Vyvanse)
• Adderall

Akā i kēia manawa, ʻo ka noiʻi e pili ana i ka hoʻohana ʻana i nā stimulants no ka mālama ʻana i ke kaumaha kaumaha.

ʻO kahi laʻana, i loko o hoʻokahi noiʻi, me ka hoʻohana ʻana i ka methylphenidate me nā antidepressants ʻaʻole i hoʻomaikaʻi i nā hōʻailona holoʻokoʻa o ke kaumaha.

Ua loaʻa nā hopena like i kahi noiʻi ʻē aʻe i nānā i ka hoʻohana ʻana o methylphenidate me nā antidepressants a me kekahi i loiloi ʻia me ka hoʻohana ʻana i ka modafinil me nā antidepressants.

ʻOiai ʻaʻole i loaʻa kēia mau noiʻi i kahi pōmaikaʻi holoʻokoʻa, ua hōʻike lākou i kahi hoʻomaikaʻi o nā ʻōuli, e like me ka luhi a me ka luhi.

No laila, he koho paha nā stimulants inā he luhi a i ʻole ka luhi nui ʻole e hoʻomaikaʻi ʻole me nā antidepressants wale nō. He koho paha lākou inā loaʻa ʻoe i ka maʻi hyperactivity deficit a me ke kaumaha.

ʻO Lisdexamfetamine kekahi o nā stimulants i aʻo ʻia ʻoi loa i hoʻohana ʻia no ke kaumaha kūpaʻa kūpaʻa. ʻOiai ua loaʻa kekahi mau noiʻi i nā ʻōuli hoʻomaikaʻi ke hoʻohui ʻia me nā antidepressants, ʻaʻole loaʻa kahi pōmaikaʻi i kahi noiʻi ʻē aʻe.

Ua ʻike ʻia kahi anamanaʻo o ʻehā mau noiʻi o ka lisdexamfetamine a me nā antidepressants ʻaʻole i ʻoi aku ka maikaʻi o ka hui ʻana ma mua o ka lawe ʻana i nā antidepressants wale nō.

He aha ke kuanaʻike?

Hiki ke paʻakikī ka mālama ʻana i ke kaumaha kū i ka lāʻau lapaʻau, akā ʻaʻole hiki ʻole. Me kahi manawa iki a me ke ahonui, hiki iā ʻoe a me kāu kauka ke hoʻomohala i kahi hoʻolālā lapaʻau e hoʻomaikaʻi ai i kāu mau hōʻailona.

I kēia manawa, e noʻonoʻo e hoʻopili me nā poʻe ʻē aʻe e kū nei i nā pilikia like no ke kākoʻo a me ka ʻike e pili ana i nā mea i hana no lākou.

Hāʻawi ka National Alliance on Mental Illness i kahi papahana i kapa ʻia ʻo Peer to Peer e pili ana iā 10 mau kau aʻo manuahi e wāwahi i nā mea āpau mai ke kamaʻilio ʻana me kāu kauka a hiki i kēia manawa ke noi hou.

Hiki iā ʻoe ke heluhelu ma o kā mākou mau koho no nā blog kaumaha kaumaha ʻoi loa o ka makahiki.