ʻO ka hoʻouka kaumaha kahi hanana koke o ka makaʻu nui e hoʻonāukiuki i nā pane kino koʻikoʻi i ka wā ʻaʻohe pōʻino maoli a i ʻole kumu maopopo. Hiki i nā hoʻouka kaumaha ke hopohopo loa. I ka wā e kū mai ai nā hoʻouka kaumaha, manaʻo paha ʻoe e nalowale ana ʻoe i ke kaohi, loaʻa ana kahi hoʻouka naʻau a make paha.
He nui ka poʻe i loaʻa hoʻokahi a ʻelua paha mau hoʻouka kaumaha i ko lākou ola, a hala aku ka pilikia, malia paha i ka pau ʻana o kahi kūlana pilikia. Akā inā ua loaʻa iā ʻoe nā hoʻouka kaumaha i kū hou mai, i manaʻo ʻole ʻia a ua lilo i manawa lōʻihi i ka makaʻu mau i kahi hoʻouka ʻē aʻe, loaʻa paha iā ʻoe kahi kūlana i kapa ʻia ʻo ka maʻi kaumaha.
ʻOiai ʻaʻole weliweli i ke ola nā hoʻouka kaumaha iho, hiki iā lākou ke hopohopo a hoʻopilikia nui i kou maikaʻi o ke ola. Akā hiki i ka mālama ke maikaʻi loa.
ʻO ka hoʻomaka pinepine ʻana o nā hoʻouka weliweli, me ka ʻole o ka ʻike mua. Hiki iā lākou ke hele mai i kēlā me kēia manawa—ke kalaiwa nei ʻoe i kahi kaʻa, ma ke kikowaena kūʻai, e hiamoe ana, a i ʻole ma waena o kahi hālāwai ʻoihana. Hiki iā ʻoe ke loaʻa nā hoʻouka weliweli i kekahi manawa, a i ʻole paha e pinepine ana.
He nui nā ʻano like ʻole o nā hoʻouka weliweli, akā ʻo ka maʻamau o nā hōʻailona i loko o kekahi mau minuke. Hiki iā ʻoe ke manaʻo luhi a palaualelo ma hope o ka pau ʻana o ka hoʻouka weliweli.
ʻO nā hōʻailona a i ʻole nā hōʻailona maʻamau o nā hoʻouka weliweli:
ʻO kekahi o nā mea ʻino loa e pili ana i nā hoʻouka weliweli, ʻo ia ka makaʻu nui e loaʻa hou kekahi. Hiki iā ʻoe ke makaʻu nui i ka loaʻa ʻana o nā hoʻouka weliweli, no laila e pale aku ʻoe i kekahi mau kūlana kahi e hiki ai ke loaʻa.
Inā loaʻa iā ʻoe nā hōʻailona o ka hoʻouka kaumaha, e ʻimi koke i ka kōkua lapaʻau. ʻO nā hoʻouka kaumaha, ʻoiai he mea ʻoluʻolu ʻole loa, ʻaʻole ia he mea weliweli. Akā, he mea paʻakikī ka mālama ʻana i nā hoʻouka kaumaha ma kāu iho, a hiki paha ke ʻoi aku ka ʻino me ka ʻole o ka mālama. Hiki i nā hōʻailona o ka hoʻouka kaumaha ke like pū me nā hōʻailona o nā pilikia olakino koʻikoʻi ʻē aʻe, e like me ka hoʻouka naʻau, no laila he mea nui ia e loiloi ʻia e kāu mea mālama ola mua inā ʻaʻole ʻoe maopopo i ke kumu o kāu mau hōʻailona.
ʻAʻole maopopo ka mea e hoʻoulu ai i nā hoʻouka weliweli a i ʻole ka maʻi weliweli, akā hiki i kēia mau mea ke pāʻani i kahi kuleana:
Hiki i nā hoʻouka weliweli ke hele koke mai a me ka ʻole o ka ʻōlelo aʻo i ka wā mua, akā ma hope o kekahi manawa, hoʻoulu ʻia lākou e kekahi mau kūlana.
Ke hōʻike nei kekahi mau noiʻi e pili ana ka pane kaua-a-holo kūlohelohe o kou kino i ka pōʻino i nā hoʻouka weliweli. No ka laʻana, inā hele mai kahi bea grizzly ma hope ou, e pane koke kou kino. E wikiwiki kou puʻuwai a me kou hanu i ka hoʻomākaukau ʻana o kou kino no kahi kūlana weliweli ola. He nui nā pane like e hana ʻia i ka hoʻouka weliweli. Akā ʻaʻole maopopo ke kumu o ka hoʻouka weliweli ke ʻole ka pōʻino maopopo i loaʻa.
Hoʻomaka pinepine nā hōʻailona o ka maʻi hopohopo i ka hopena o nā makahiki ʻōpio a i ʻole ka wā ʻōpio mua a ʻoi aku ka nui o nā wahine ma mua o nā kāne.
Nā kumu e hoʻonui ai i ka pilikia o ka loaʻa ʻana o nā hopohopo a i ʻole ka maʻi hopohopo:
Inā ʻaʻole i mālama ʻia, hiki i nā hoʻouka panik a me ka maʻi panik ke hoʻopilikia kokoke i nā ʻāpana a pau o kou ola. Hiki paha iā ʻoe ke makaʻu nui i ka loaʻa hou ʻana o nā hoʻouka panik a no laila e noho mau ana ʻoe i ka makaʻu, e hoʻopōʻino ana i kou ola maikaʻi.
ʻO nā pilikia e hiki ai i nā hoʻouka panik ke hoʻokumu ai a pili paha iā lākou:
No kekahi poʻe, hiki i ka maʻi panik ke komo pū me ka agoraphobia — ke pale ʻana i nā wahi a i ʻole nā kūlana e hoʻoulu ai i kou hopohopo no ka mea e makaʻu ana ʻoe i ka hiki ʻole ke pakele a i ʻole ke loaʻa ʻana o ke kōkua inā loaʻa iā ʻoe kahi hoʻouka panik. A i ʻole e hilinaʻi paha ʻoe i nā poʻe ʻē aʻe e noho pū me ʻoe i mea e haʻalele ai i kou home.
ʻAʻohe ala maopopo e pale aku ai i nā hoʻouka weliweli a i ʻole ka maʻi weliweli. Eia naʻe, hiki i kēia mau manaʻo kōkua ke kōkua.
E hoʻoholo kāu mea mālama ola mua inā loaʻa iā ʻoe nā hoʻouka weliweli, ka maʻi weliweli a i ʻole kekahi ʻano ʻē aʻe, e like me nā pilikia o ka naʻau a i ʻole ka thyroid, me nā hōʻailona e like me nā hoʻouka weliweli.\n\nNo ke kōkua ʻana i ka ʻike pololei ʻana i ka maʻi, hiki iā ʻoe ke loaʻa:\n\n- Kahi nānā kino piha\n- Nā hoʻokolohua koko e nānā i kou thyroid a me nā kūlana ʻē aʻe a me nā hoʻokolohua ma kou naʻau, e like me ka electrocardiogram (ECG a i ʻole EKG)\n- Kahi loiloi noʻonoʻo e kamaʻilio e pili ana i kou mau hōʻailona, nā makaʻu a i ʻole nā hopohopo, nā kūlana pilikia, nā pilikia pilina, nā kūlana āu e hūnā ai paha, a me ka mōʻaukala ʻohana\n\nʻAʻole nā kānaka a pau loaʻa nā hoʻouka weliweli loaʻa i ka maʻi weliweli. No ka ʻike ʻana i ka maʻi weliweli, ʻo ka Diagnostic and Statistical Manual of Mental Disorders (DSM-5), i paʻi ʻia e ka American Psychiatric Association, e heluhelu i kēia mau kiko:\n\n- Loaʻa iā ʻoe nā hoʻouka weliweli pinepine, i manaʻo ʻole ʻia.\n- Ma hope o hoʻokahi o kāu mau hoʻouka, ua ukali ʻia e hoʻokahi mahina a ʻoi aku paha o ka hopohopo mau e pili ana i ka loaʻa ʻana o kahi hoʻouka ʻē aʻe; ke hopohopo mau nei i nā hopena o ka hoʻouka ʻana, e like me ka lilo ʻana o ke kaohi, ka loaʻa ʻana o ka maʻi naʻau a i ʻole ka "ʻehaʻeha"; a i ʻole nā hoʻololi nui i kou ʻano, e like me ka pale ʻana i nā kūlana āu i manaʻo ai e hoʻoulu i kahi hoʻouka weliweli.\n- ʻAʻole i hana ʻia kāu mau hoʻouka weliweli e nā lāʻau lapaʻau a i ʻole nā mea hoʻohana ʻē aʻe, kahi kūlana olakino, a i ʻole kekahi kūlana olakino noʻonoʻo, e like me ka phobia pilikanaka a i ʻole ka obsessive-compulsive disorder.\n\nInā loaʻa iā ʻoe nā hoʻouka weliweli akā ʻaʻole i ʻike ʻia ka maʻi weliweli, hiki iā ʻoe ke pōmaikaʻi mai ka mālama ʻana. Inā ʻaʻole i mālama ʻia nā hoʻouka weliweli, hiki iā lākou ke ʻoi aku ka maikaʻi a hoʻomohala i ka maʻi weliweli a i ʻole nā phobia.
Hiki i ka lāʻau lapaʻau ke kōkua i ka ho'emi 'ana i ka ikaika a me ka pinepine o kāu mau hoʻouka kaumaha a ho'omaika'i i kāu hana i ke ola o kēlā me kēia lā. ʻO nā koho lapaʻau nui loa, ʻo ia ka psychotherapy a me nā lāʻau lapaʻau. Hiki ke'ōlelo ʻia kekahi a i ʻole nā ʻano lapaʻau ʻelua, ma muli o kāu makemake, kāu moʻolelo, ka nui o kāu maʻi kaumaha, a inā paha loaʻa iā ʻoe nā kauka lapaʻau i loaʻa iā lākou ka hoʻomaʻamaʻa kūikawā i ka mālama ʻana i nā maʻi kaumaha.
Ua manaʻo ʻia ka Psychotherapy, i kapa ʻia hoʻi he kamaʻilio lapaʻau, he koho lapaʻau mua maikaʻi loa no nā hoʻouka kaumaha a me ka maʻi kaumaha. Hiki i ka Psychotherapy ke kōkua iā ʻoe e hoʻomaopopo i nā hoʻouka kaumaha a me ka maʻi kaumaha a aʻo pehea e kūpaʻa ai iā lākou.
Hiki i ke ʻano o ka psychotherapy i kapa ʻia ʻo ka cognitive behavioral therapy ke kōkua iā ʻoe e aʻo, ma o kāu ʻike ponoʻī, ʻaʻole weliweli nā hōʻailona kaumaha. E kōkua kāu kauka lapaʻau iā ʻoe e hana hou mālie i nā hōʻailona o ka hoʻouka kaumaha ma kahi palekana, hana hou. I ka manawa e manaʻo ʻole ai nā manaʻo kino o ka kaumaha he mea weliweli, hoʻomaka nā hoʻouka e hoʻonā. Hiki i ka lapaʻau holomua ke kōkua pū iā ʻoe e lanakila i nā makaʻu i nā kūlana āu i pale aku ai ma muli o nā hoʻouka kaumaha.
Hiki i ka ʻike ʻana i nā hopena mai ka lapaʻau ke lawe i ka manawa a me ka hoʻoikaika. Hiki iā ʻoe ke hoʻomaka e ʻike i ka emi ʻana o nā hōʻailona hoʻouka kaumaha i loko o kekahi mau pule, a pinepine e emi nui nā hōʻailona a i ʻole e nalowale i loko o kekahi mau mahina. Hiki iā ʻoe ke hoʻonohonoho i nā kipa mālama manawa e kōkua ai e hōʻoia i ka mālama ʻia ʻana o kāu mau hoʻouka kaumaha a i ʻole e mālama i nā hoʻi hou.
Inā ʻaʻole hana maikaʻi kekahi lāʻau lapaʻau no ʻoe, hiki i kāu kauka ke'ōlelo e hoʻololi i kekahi a i ʻole e hoʻohui i kekahi mau lāʻau lapaʻau e hoʻonui i ka pono. E hoʻomanaʻo he mau pule paha ma hope o ka hoʻomaka mua ʻana o ka lāʻau lapaʻau e ʻike i ka hoʻomaikaʻi ʻana i nā hōʻailona.
Loaʻa i nā lāʻau lapaʻau a pau ka pilikia o nā hopena ʻaoʻao, a ʻaʻole hiki ke'ōlelo ʻia kekahi i kekahi mau kūlana, e like me ka hāpai keiki. E kamaʻilio me kāu kauka e pili ana i nā hopena ʻaoʻao a me nā pilikia.
ʻOiai ke pōmaikaʻi nei nā kaumaha hopohopo a me ka maʻi hopohopo mai ka mālama ʻana o ka poʻe loea, hiki i kēia mau ʻanuʻu mālama ponoʻī ke kōkua iā ʻoe e hoʻokele i nā hōʻailona:
Ua noiʻi ʻia kekahi mau mea hoʻohui meaʻai ma ke ʻano he lāʻau no ka maʻi hopohopo, akā pono ke noiʻi hou aku e hoʻomaopopo i nā pilikia a me nā pōmaikaʻi. ʻAʻole nānā ʻia nā huahana mea kanu a me nā mea hoʻohui meaʻai e ka Food and Drug Administration (FDA) e like me nā lāʻau lapaʻau. ʻAʻole hiki iā ʻoe ke maopopo mau i ka mea āu e loaʻa nei a inā paha he palekana.
Ma mua o ka ho'āʻo ʻana i nā lāʻau lapaʻau mea kanu a i ʻole nā mea hoʻohui meaʻai, e kamaʻilio me kāu kauka. Hiki i kekahi o kēia mau huahana ke hoʻopilikia i nā lāʻau lapaʻau kuhikuhi a i ʻole ke kumu i nā pilina weliweli.
Inā loaʻa iā ʻoe nā hōʻailona a i ʻole nā hōʻailona o kahi hoʻouka weliweli, e hana i kahi kūkā me kāu mea lawelawe mālama ola mua. Ma hope o ka loiloi mua, hiki iā ia ke kuhikuhi iā ʻoe i kahi loea olakino noʻonoʻo no ka mālama.
Ma mua o kāu kūkā, e hana i kahi papa inoa o:
E noi i kahi lālā hilinaʻi o ka ʻohana a i ʻole hoaaloha e hele pū me ʻoe i kāu kūkā, inā hiki, e kōkua i ke kākoʻo a kōkua iā ʻoe e hoʻomanaʻo i ka ʻike.
Mai kānalua e nīnau i nā nīnau ʻē aʻe.
Hiki i kāu mea lawelawe mālama ola mua a i ʻole loea olakino noʻonoʻo ke nīnau:
E nīnau hou aku kāu mea lawelawe mālama ola mua a i ʻole loea olakino noʻonoʻo ma muli o kāu mau pane, nā hōʻailona a me nā pono. E kōkua ka hoʻomākaukau a me ka manaʻo i nā nīnau iā ʻoe e hana i ka hapa nui o kāu manawa kūkā.
Hōʻole: He kahua ʻike olakino ʻo ʻAukake a ʻaʻole hōʻike kāna mau pane i ka ʻōlelo aʻoaʻo lapaʻau. E kūkākūkā mau me kahi ʻoihana lapaʻau laikini kokoke iā ʻoe ma mua o ka hana ʻana i nā hoʻololi.
Hana ʻia i India, no ka honua