Manukanuka

Ko te āwangawanga tūpono he wāhi noa iho o te oranga. Heoi, ko te hunga e pangia ana e ngā mate āwangawanga ka maha tonu te āwangawanga nui, nui rawa atu, me te roa tonu hoki mō ngā āhuatanga o ia rā. I te nuinga o te wā, ko ngā mate āwangawanga ka uru atu ki ngā wāhanga maha o ngā āwangawanga me te wehi nui, ka tae ki te pito i roto i ngā meneti (ngā whakaeke āwangawanga). Ko ēnei āwangawanga me te wehi ka whakaroa i ngā mahi o ia rā, ka uaua ki te whakahaere, ka nui atu i te tūponotanga tūturu, ā, ka roa pea. Ka karo pea koe i ngā wāhi, i ngā āhuatanga rānei hei aukati i ēnei āwangawanga. Ka tīmata pea ngā tohu i te wā tamariki, i te tau rangatahi rānei, ā, ka haere tonu ki te pakeketanga. Ko ētahi tauira o ngā mate āwangawanga ko te mate āwangawanga whānui, te mate āwangawanga pāpori (te wehi pāpori), ngā wehi motuhake, me te mate āwangawanga wehewehe. Ka nui atu i te kotahi te mate āwangawanga ka taea e koe. I etahi wa, ko te āwangawanga te hua o te āhuatanga hauora e hiahia ana ki te rongoā. Ahakoa te momo āwangawanga kei a koe, ka taea e te rongoā te āwhina.

Ngā tohu me ngā pūāhua o te manukanuka whānui e whai ake nei: Te mōhio he manukanuka, he awangawanga rānei, he pēhanga rānei Te mōhio kei te tata mai te tūkino, te wehi rānei, te mate rānei Te piki o te tere o te ngākau Te manawa tere (hyperventilation) Te whakawhāiti Te ruru Te mōhio he ngoikore, he ngenge rānei Te raruraru ki te aro atu, ki te whakaaro rānei ki tetahi mea atu i te awangawanga o nāianei Te raruraru ki te moe Te wheako i ngā raruraru o te pūnaha kai (GI) Te raruraru ki te whakahaere i te awangawanga Te hia kia karo i ngā mea e whakaohooho ana i te manukanuka He maha ngā momo mate manukanuka: Ko te Agoraphobia (ag-uh-ruh-FOE-be-uh) he momo mate manukanuka kei roto i te wehi me te karo i ngā wāhi, i ngā āhuatanga rānei ka pāngia ai koe e te manukanuka, ka ngaro ai koe i te mana, ka whakama ai rānei. Ko te mate manukanuka nā te āhuatanga hauora e whai ake nei: ngā tohu o te manukanuka nui, o te manukanuka rānei e puta tika ana i te raruraru hauora tinana. Ko te mate manukanuka whānui e whai ake nei: te manukanuka me te awangawanga roa me te nui rawa atu mō ngā mahi, mō ngā kaupapa rānei – ahakoa ngā take noa, ngā take noa. Ko te awangawanga ka nui atu i te āhuatanga pono, he uaua ki te whakahaere, ā, ka pā ki te ahua o tō tinana. Ka puta pinepine ngā mate manukanuka atu, te pouri rānei. Ko te mate manukanuka ohorere e whai ake nei: ngā wāhanga maha o ngā āhuatanga ohorere o te manukanuka nui me te wehi, te wehi rānei e tae ana ki te pito i roto i ngā meneti (ngā whakaeke ohorere). Ka mōhio pea koe kei te tata mai te mate, te poto o te manawa, te mamae o te uma, te tere rānei, te rere, te patu rānei o te ngākau (ngā patu o te ngākau). Ka ārahi pea ēnei whakaeke ohorere ki te awangawanga mō te puta mai anō, ki te karo rānei i ngā āhuatanga i puta ai. Ko te mutu kōrero tīpakanga he kore e kōrero tonu ngā tamariki i etahi āhuatanga, pēnei i te kura, ahakoa ka taea e rātou te kōrero i etahi atu āhuatanga, pēnei i te kāinga me ngā mema whānau tata. Ka taea e tēnei te whakaroa i te kura, te mahi me te mahi whānau. Ko te mate manukanuka wehe atu he mate tamariki e tohuhia ana e te manukanuka e nui rawa ana mō te taumata whanaketanga o te tamaiti, ā, e pā ana ki te wehe atu i ngā mātua, i ētahi atu rānei he mahi mātua. Ko te mate manukanuka pāpori (mate wehi pāpori) e whai ake nei: ngā taumata teitei o te manukanuka, te wehi me te karo i ngā āhuatanga pāpori nā te mōhio he whakama, he whakaaro ki a ia ano, me te awangawanga kei te whakawakia, kei te titiro kinotia rānei e ētahi atu. Ko ngā wehi motuhake e tohuhia ana e te manukanuka nui ina whakaaturia koe ki tetahi mea motuhake, ki tetahi āhuatanga rānei, me te hiahia ki te karo i taua mea. Ka whakaohooho ngā wehi i ngā whakaeke ohorere ki ētahi tangata. Ko te mate manukanuka e puta ana i te whakamahinga o te matū e tohuhia ana e ngā tohu o te manukanuka nui, o te manukanuka rānei e puta tika ana i te whakamahinga he o ngā rongoā, te tango rongoā, te whakaaturia ki tetahi matū kawa rānei, te mutu rānei o ngā rongoā. Ko ētahi atu mate manukanuka kua tohua me te mate manukanuka kaore i tohua he kupu mō te manukanuka, mō ngā wehi rānei kaore e tutuki ki ngā paerewa tika mō ētahi atu mate manukanuka, engari he nui rawa te āwangawanga me te whakaroa. Tirohia tō tākuta mena: Kei te mōhio koe kei te nui rawa tō awangawanga, ā, kei te whakaroa i tō mahi, i ō whanaungatanga rānei, i ētahi atu wāhanga o tō oranga Kei te awangawanga koe, kei te manukanuka rānei, ā, he uaua ki te whakahaere Kei te pouri koe, kei te raruraru rānei koe ki te inu waipiro, ki te whakamahinga rongoā rānei, kei a koe rānei ētahi atu take hauora hinengaro me te manukanuka Kei te whakaaro koe kei te hono atu tō manukanuka ki tetahi raruraru hauora tinana Kei a koe ngā whakaaro, ngā mahi rānei whakamomori – ki te pēnei, rapuhia te rongoā ohorere tonu Kaore pea e ngaro ngā awangawanga, ā, ka kaha ake pea i te wā ki te kore koe e rapu awhina. Tirohia tō tākuta, tētahi kaiwhakarato hauora hinengaro rānei i mua i te kaha ake o tō manukanuka. He ngāwari ake te whakaora mena ka whiwhi koe i te awhina i te tīmatanga.

Tirohia tō tākuta ki te: Kei te āwangawanga nui koe, ā, kei te āwangawanga te mahi, ngā whanaungatanga, me ētahi atu wāhanga o tō oranga. Kei te pouri koe, kei te raru koe ki te waipiro, ki te whakamahinga rongoā rānei, kei a koe etahi atu raruraru hauora hinengaro me te manukanuka. Kei te whakaaro koe pea kei te hono atu tō manukanuka ki tetahi raruraru hauora tinana. Kei a koe ngā whakaaro whakamomori, ngā mahi rānei—ki te pēnei, rapuhia te rongoā tūpato tonu. Ka taea pea te kore haere atu o ō awangawanga, ā, ka kaha ake pea i te wā ki te kore koe e rapu awhina. Tirohia tō tākuta, tētahi kaiwhakarato hauora hinengaro rānei i mua i te kaha ake o tō manukanuka. He ngāwari ake te whakaora mena ka whiwhi koe i te awhina i te tīmatanga.

Kāore i tino mōhiotia ngā take o ngā mate manukanuka. E āta kī ana ngā wheako o te oranga, pēnei i ngā kaupapa nanakia, ki te whakaoho i ngā mate manukanuka ki ngā tāngata kua pāngia kē atu ki te manukanuka. Ka taea hoki te whakauru i ngā āhuatanga kua oti te whakawhiwhi. Ki ētahi tāngata, ka hono pea te manukanuka ki te take hauora kei raro. I ētahi wā, ko ngā tohu me ngā tohu o te manukanuka ko ngā tohu tuatahi o te mate hauora. Mena ka whakaaro to tākuta pea he take hauora tō manukanuka, ka tono pea ia i ngā whakamātautau hei titiro ki ngā tohu o te raruraru. Ko ētahi tauira o ngā raruraru hauora e taea ana te hono atu ki te manukanuka ko: Te mate ngakauTe huka totoTe raruraru o te thyroid, pēnei i te hyperthyroidismNgā mate manawa, pēnei i te mate pūhahu pupuhi roa (COPD) me te mate huangoTe whakamahi rongoā kino te tango rongoā rongoā rongoā rongoā rongoā rongoā rongoā rongoā rongoā rongoā rongoā rongoā rongoā rongoā rongoā rongoā rongoā rongoā rongoā rongoā rongoā rongoā rongoā rongoā rongoā rongoā rongoā rongoā rongoā rongoā rongoā rongoā rongoā rongoā rongoā rongoā rongoā rongoā rongoā rongoā rongoā rongoā rongoā rongoā rongoā rongoā rongoā rongoā rongoā rongoā rongoā rongoā rongoā rongoā rongoā rongoā rongoā rongoā rongoā rongoā rongoā rongoā rongoā rongoā rongoā rongoā rongoā rongoā rongoā rongoā rongoā rongoā rongoā rongoā rongoā rongoā rongoā rongoā rongoā rongoā rongoā rongoā rongoā rongoā rongoā rongoā rongoā rongoā rongoā rongoā rongoā rongoā rongoā rongoā rongoā rongoā rongoā rongoā rongoā rongoā rongoā rongoā rongoā rongoā 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Ko ēnei take pea ka piki ake ai tō tūponotanga ki te whanake i te mate manukanuka: Ngā tūponotanga kino. Ko ngā tamariki i āhei te tukino, te tūponotanga kino rānei, i te kite rānei i ngā mahi tūponotanga kino, kei te nui ake te tūponotanga o te whanake i te mate manukanuka i tētahi wā o te ora. Ka taea hoki e ngā pakeke e pā ana ki te tūponotanga kino te whanake i ngā mate manukanuka.Te ahotea nā te mate. Ko te whai i te āhuatanga hauora, te mate kino rānei, ka taea te whakaputa i te awangawanga nui mō ngā take pērā i tō maimoatanga me tō heke mai.Te hanga ahotea. He mahi nui, he hanga rānei o ngā āhuatanga ora ahotea iti ake ka taea te whakaoho i te manukanuka nui – hei tauira, te mate i roto i te whānau, te ahotea mahi, te manukanuka tonu rānei mō ngā pūtea.Te tuakiri. Ko ngā tāngata e whai ana i ētahi momo tuakiri kei te nui ake te tūponotanga ki ngā mate manukanuka atu i ētahi atu.Ngā mate hauora hinengaro anō. Ko ngā tāngata e whai ana i ētahi atu mate hauora hinengaro, pērā i te pouri, he maha tonu te whai i te mate manukanuka.Te whai whānau toto e whai ana i te mate manukanuka. Ka taea e ngā mate manukanuka te rere i roto i ngā whānau.Nga raau taero, waipiro ranei. Ko te whakamahinga raau taero, te whakamahinga waipiro ranei, te tango ranei ka taea te whakaoho, te kino rānei i te manukanuka.

Ko te whai mate manukanuka ka nui atu i te manukanuka. Ka taea hoki e te mate te arahi atu ranei, te whakaiti ake ranei i etahi atu ahuatanga hinengaro me te tinana, penei i te: Te pouri (ka puta pinepine me te mate manukanuka) tetahi atu raru hauora hinengaroTe whakamahi kino i nga matūTe raruraru moe (insomnia)Nga raru o te puku, o te kopuRaru o te mahunga me te mamae roaTe motu haporiNga raruraru mahi i te kura, i te mahiTe kounga o te ora he itiTe whakamomori

Kāore he huarahi hei kī tika mō te take ka puta ai te mate manukanuka ki te tangata, engari ka taea e koe te mahi kia whakaitihia te pānga o ngā tohu mena kei te manukanuka koe: Rapua te āwhina i te tīmatanga. Ko te manukanuka, pēnei i te nuinga o ētahi atu āhuatanga hauora hinengaro, ka uaua ake te whakaora mena ka tatari koe. Noho mahi tonu. Whakauru ki ngā mahi e pai ana koe, ā, e pai ana koe ki a koe. Kia pai te hononga whānau me ngā hononga aroha, ka taea te whakaiti i ō manukanuka. Kaua e inu waipiro, kaua hoki e whakamahi raau taero. Ka taea e te waipiro me te raau taero te whakaoho, te whakaiti rānei i te manukanuka. Ki te whakamahi koe i ētahi o ēnei mea, ka taea te manukanuka te mutu. Ki te kore e taea e koe te mutu māu ake, tirohia tō tākuta, kia rapu rānei i tētahi rōpū tautoko hei āwhina i a koe.

Ka taea e koe te tīmata mā te tūtaki atu ki tō kaiwhakarato rongoā matua hei kimi mena e hono ana tō manukanuka ki tō hauora tinana. Ka taea e ia te tirotiro i ngā tohu o te mate hauora kei raro i te mata, ā, me āwhina pea. Heoi, me tūtaki pea koe ki te tohunga hauora hinengaro mēnā he nui tō manukanuka. He taote te kaimātai hinengaro, ā, he tohunga ia ki te whakatau me te whakaora i ngā āhuatanga hauora hinengaro. Ka taea e te tohunga hinengaro me ētahi atu tohunga hauora hinengaro te whakatau i te manukanuka me te whakarato i te tohutohu (whakaora hinengaro). Hei āwhina i te whakatau i te mate manukanuka, ka taea e tō kaiwhakarato hauora hinengaro: Te hoatu i tētahi aromatawai hinengaro ki a koe. Kei roto i tēnei te kōrero mō ō whakaaro, ō ngā āhuatanga me ō mahi hei āwhina i te kimi i te whakatau me te tirotiro i ngā raruraru e pā ana. Ka puta pinepine ngā mate manukanuka me ētahi atu raruraru hauora hinengaro—pēnei i te pouri, te whakamahi rongoā—ka āhei te whakahirahira i te whakatau. Te whakataurite i ō tohu ki ngā paerewa kei roto i te DSM-5. He tokomaha ngā tākuta e whakamahi ana i ngā paerewa kei roto i te Diagnostic and Statistical Manual of Mental Disorders (DSM-5), i whakaputaina e te American Psychiatric Association, hei whakatau i te mate manukanuka. Te tiaki i te Kaupapa Hauora Mayo Ka taea e tō tātau rōpū manaaki o ngā tohunga o te Kaupapa Hauora Mayo te āwhina i a koe ki ō raruraru hauora e pā ana ki ngā mate manukanuka Tīmata Mai I konei

Ko ngā rongoā matua e rua mō ngā raruraru manukanuka ko te whakaora hinengaro me ngā rongoā. Ka nui pea tō painga mai i te whakakotahitanga o ngā rua. Ka mutu pea te whakamātautau me te he kia kitea ko ēhea ngā rongoā e pai ana mōu. Ko te whakaora hinengaro I mohiotia anō ko te rongoā kōrero, te tohutohu hinengaro rānei, ko te whakaora hinengaro te mahi tahi me te kaiwhakaora hei whakaiti i ō tohu manukanuka. Ka taea te rongoā whai hua mō te manukanuka. Ko te rongoā whanonga mātauranga (CBT) te ahua whai hua rawa atu o te whakaora hinengaro mō ngā raruraru manukanuka. Ko te tikanga he rongoā poto-wā, ka arotahi te CBT ki te whakaako i a koe ki ngā pūkenga motuhake hei whakapai ake i ō tohu me te hoki haere māmā ki ngā mahi kua karohia e koe nā te manukanuka. Kei roto i te CBT te rongoā whakaatu, i reira ka tūtaki haere koe ki te mea, te āhuatanga rānei e whakaohooho ana i tō manukanuka kia whakawhanakehia e koe te whakawhirinaki ka taea e koe te whakahaere i te āhuatanga me ngā tohu manukanuka. Ngā rongoā Kei te whakamahia etahi momo rongoā hei awhina i te whakaora i ngā tohu, kei runga i te momo raruraru manukanuka kei a koe me te mea kei a koe anō ētahi atu raruraru hauora hinengaro, tinana rānei. Hei tauira: Kei te whakamahia anō ētahi rongoā whakaora mate pouri hei whakaora i ngā raruraru manukanuka. Ka taea te tāpā te rongoā anti-manukanuka e kiia nei ko te buspirone. I raro i ngā āhuatanga iti, ka taea e tō tākuta te tāpā ētahi atu momo rongoā, pēnei i ngā rongoā moe, e kiia ana anō ko ngā benzodiazepines, ngā beta blockers rānei. Ko ēnei rongoā mō te whakaora poto-wā i ngā tohu manukanuka, kāo te whakaaro kia whakamahia mō te wā roa. Kōrero atu ki tō tākuta mō ngā painga, ngā tūponotanga me ngā pānga taha pea o ngā rongoā. Ētahi atu mōhiohio Ngā tiaki raruraru manukanuka i te Kaupapa Hauora o Mayo Tono kia whakaritea he whakatau He raruraru kei te korero i raro nei, me tuku anō te puka. Mai i te Kaupapa Hauora o Mayo ki tō pouakaroto Rēhita kore utu me noho tonu ki te whakahou i ngā whakahaere rangahau, ngā tohu hauora, ngā kaupapa hauora o nāianei, me te mātauranga mō te whakahaere hauora. Pāwhiri konei mō te tirohanga īmēra. Wāhitau Īmēra 1 He hapa Kei te hiahiatia te mara īmēra He hapa Tāpirihia he wāhitau īmēra tika Ako atu mō te whakamahinga raraunga a te Kaupapa Hauora o Mayo. Hei whakarato i ngā mōhiohio tino tika me te whai hua ki a koe, me te mārama ko ēhea ngā mōhiohio e whai hua ana, ka taea e mātou te whakakotahi i ō mōhiohio īmēra me te whakamahinga paetukutuku me ētahi atu mōhiohio kei a mātou mōu. Ki te mea he tūmanako koe o te Kaupapa Hauora o Mayo, ka uru pea tenei ki ngā mōhiohio hauora tiaki. Ki te whakakotahi mātou i ēnei mōhiohio me ō mōhiohio hauora tiaki, ka whakahaere mātou i aua mōhiohio katoa hei mōhiohio hauora tiaki, ā, ka whakamahi noa rānei, ka whakapuaki rānei i aua mōhiohio i whakaritea i roto i tā mātou panui mō ngā mahi tūmataiti. Ka taea e koe te whakakore i ngā whakapā īmēra i tetahi wā mā te pāwhiri i te hononga whakakore i roto i te īmēra. Ohauru! Mauruuru mō tō ohaurunga! Ka tīmata wawe koe ki te whiwhi i ngā mōhiohio hauora hou a te Kaupapa Hauora o Mayo i tonoa e koe ki tō pouakaroto. Kaore i te pai tetahi mea i tō ohaurunga Tēnā, whakamātau anō i roto i ngā meneti torutoru Whakamātau anō

Hei whakahaere i te mate awangawanga, koinei ngā mea ka taea e koe: Akohia tō mate. Kōrero atu ki tō tākuta, ki tō kaiwhakarato hauora hinengaro rānei. Rapua he aha te take o tō āhuatanga motuhake, me tehea ngā rongoā ka pai rawa mōu. Whakauruhia tō whānau me ō hoa, ka tono atu ki a rātou hei tautoko. Pupuri ki tō mahere rongoā. Tangohia ngā rongoā rite tonu ki te tohutohu. Pupurihia ngā whakaritenga whakaora, me te whakaoti i ngā mahi ka hoatu e tō kairongoā ki a koe. Ka taea e te mau tonu te whakarereke nui, ina koa mo te tango i ō rongoā. Kia mahi. Akohia ngā mea e whakaohooho ana i tō awangawanga, i te ahotea rānei. Whakamahia ngā rautaki i whakawhanakehia e koe me tō kaiwhakarato hauora hinengaro kia rite koe ki te whakahaere i ngā kare-a-roto awangawanga i enei wāhi. Pupuri i te puka. Ko te pupuri i te tuhi o tō oranga whaiaro ka āhei te awhina i a koe me tō kaiwhakarato hauora hinengaro ki te tautuhi he aha te mea e whakaputa ana i te ahotea, me te aha te mea e āhei ana te awhina i a koe kia pai ake te ahua. Hono atu ki tētahi rōpū tautoko awangawanga. Kia mahara kei te noho kotahi koe. Ka tukuna e ngā rōpū tautoko te aroha, te mārama me ngā wheako whanui. Ka whakaratohia e te National Alliance on Mental Illness me te Anxiety and Depression Association of America ngā mōhiohio mō te kimi tautoko. Akohia ngā tikanga whakahaere wā. Ka taea e koe te whakaiti i te awangawanga mā te ako ki te whakahaere tika i tō wā me tō kaha. Whakawhitiwhiti. Kaua e tuku i ngā āwangawanga kia wehewehe i a koe i ngā tāngata aroha, i ngā mahi rānei. Whakamutu i te huringa. Ina rongo koe i te awangawanga, haereere tere, haere rānei ki tētahi mahi takaro hei aro atu i tō ngākau mai i ō āwangawanga.