Hāhāu I Muri I Te Whara

Ko te mate pouri whai muri i te whara (PTSD) he āhuatanga hauora hinengaro e puta mai ana i tetahi kaupapa tino awangawanga, ranei wehi nui—arā, mā te whai wāhi ki reira, mā te titiro rānei. Ā, e ngā tohu pea: ngā whakamaharatanga o mua, ngā moemoea kino, te awangawanga nui, me ngā whakaaro kaore e taea te whakahaere e pā ana ki taua kaupapa. E tino pēhea ana te nuinga o te hunga e tūtaki ana ki ngā kaupapa nanakia, ka uaua pea te whakarite me te whakahaere mō tētahi wā poto. Engari mā te wā, mā te tiaki pai hoki i a rātou anō, ka ora rātou. Ki te kino haere ngā tohu, ki te roa atu i ngā marama, i ngā tau rānei, ā, ki te pā ki to rātou kaha ki te mahi i ngā mahi o ia rā, pea he PTSD kei a rātou. He mea tino nui te whiwhi i te rongoā i muri i te puta mai o ngā tohu PTSD hei whakaora i ngā tohu, hei āwhina hoki i te hunga kia pai ake te mahi.

Ka taea te tīmata o ngā tohu o te mate pouri whai muri i te whara i roto i ngā marama e toru tuatahi i muri i tetahi kaupapa nanakia. Engari i etahi wā, ka kore pea e puta ngā tohu kia tae ra ano ki ngā tau i muri i te kaupapa. Ka roa atu i te marama tēnā tohu, ā, ka puta he raruraru nui ki ngā āhuatanga pāpori, ki ngā āhuatanga mahi rānei, me te āhua o te hononga ki ētahi atu. Ka pā anō ki tō kaha ki te mahi i ō mahi o ia rā. Ko te nuinga, ka whakarōpūhia ngā tohu PTSD ki ngā momo e whā: ngā whakamahara whakapōhututanga, te karo, ngā huringa kino ki te whakaaro me te ngākau, me ngā huringa ki ngā āhuatanga tinana me ngā āhuatanga o te ngākau. Ka rereke pea ngā tohu i te wā, i te tangata rānei. Ngā tohu o ngā whakamahara whakapōhututanga: Ngā whakamahara kore e hiahiatia, e pouri ana, mō tetahi kaupapa nanakia e hoki mai ana anō, anō, anō. Te whakahoki mai o tetahi kaupapa nanakia me te mea kei te puta tonu, e mohiotia ana hoki ko ngā whakamaharatanga. Ngā moemoea, ngā moemoea rānei e pā ana ki tetahi kaupapa nanakia. Te pouri nui o te ngākau, te āhuatanga tinana rānei ki tetahi mea e whakamahara ana i a koe ki tetahi kaupapa nanakia. Ngā tohu o te karo: Te ngana ki te kore e whakaaro, ki te kōrero rānei mō tetahi kaupapa nanakia. Te noho atu i ngā wāhi, ngā mahi, ngā tāngata rānei e whakamahara ana i a koe ki tetahi kaupapa nanakia. Ngā tohu o ngā huringa kino ki te whakaaro me te ngākau: Ngā whakaaro kino mōu anō, mō ētahi atu tāngata, mō te ao rānei. Ngā ngākau kino tonu o te wehi, te whakahe, te whakama, te riri, te whakama rānei. Ngā raruraru mahara, tae atu ki te kore e mahara ki ngā āhuatanga nui o tetahi kaupapa nanakia. Te ngaro atu i te whānau me ngā hoa. Te kore e hiahia ki ngā mahi i arohaina e koe. Te uaua ki te whai i ngā ngākau pai. Te ngaro o te ngākau. Ngā tohu o ngā huringa ki ngā āhuatanga tinana me ngā āhuatanga o te ngākau, e kiia ana hoki ko ngā tohu whakaohooho, ka uru pea: Te ngawari ki te ohorere, ki te wehi rānei. Te noho tonu i te tiaki mō te tūponotanga. Te whāinga whakangaro i a koe anō, pēnei i te inu nui rawa atu, te taraiwa tere rawa atu rānei. Te raruraru moe. Te raruraru aro. Te riri, ngā putanga riri, te whāinga whakahē rānei. Ngā āhuatanga tinana, pēnei i te werawera, te manawa tere, te ngākau tere, te wiri rānei. Mō ngā tamariki e 6 tau te pakeke, iti iho rānei, ka uru pea ngā tohu: Te whakahoki mai o tetahi kaupapa nanakia, ngā āhuatanga rānei o tetahi kaupapa nanakia mā te takaro. Ngā moemoea wehi e uru ana pea, e kore rānei e uru ki ngā āhuatanga o tetahi kaupapa nanakia. I te wā, ka rereke pea te kaha o ngā tohu PTSD. Ka nui ake pea ō tohu PTSD ina pouri koe, ina tae mai rānei ngā mea e whakamahara ana i a koe ki ngā mea i pā ki a koe, tae atu ki te wā o te tau i puta ai tetahi kaupapa nanakia o mua. Hei tauira, ka rongo pea koe i tetahi motuka e pupuhi ana, ā, ka whakahoki mai ngā wheako pakanga. Rānei, ka kite pea koe i tetahi pūrongo i runga i ngā purongo mō te whakaeke ira tangata, ā, ka pakaru koe i ngā whakamahara o tō whakaeke. Kōrero atu ki tō kaimahi hauora, ki tetahi tohunga hauora hinengaro rānei, ki te mea kei a koe ngā whakaaro, ngā ngākau rānei e awangawanga ana mō tetahi kaupapa nanakia mō tetahi marama neke atu, ina koa ki te kaha. Waihoki, tirohia tetahi tohunga hauora ki te uaua ana koe ki te whakahoki i tō oranga ki raro i te mana. Ko te whiwhi i te rongoā i te wa e taea ai te āwhina i te aukati i ngā tohu PTSD kei te kino ake. Ki te mea kei a koe, kei tetahi tangata rānei e mohio ana koe he whakaaro whakamomori, rapu awhina tonu: Whakapā atu ki tētahi hoa tata, ki tētahi hoa aroha rānei. Whakapā atu ki tētahi minita, ki tētahi rangatira wairua rānei, ki tētahi i roto i tō hapori whakapono rānei. Whakapā atu ki tētahi raina waea whakamomori. I te U.S., waea atu, karere atu rānei ki te 988 hei whakapā atu ki te 988 Suicide & Crisis Lifeline, e wātea ana i ngā hāora 24 o te rā, whitu rā i te wiki. Rānei, whakamahia te Kōrerorero Lifeline. He kore utu, he tūpato ngā ratonga. Ngā hoia, ngā mema ratonga rānei o te U.S. kei roto i te raruraru, ka taea te waea atu ki te 988, ka pēhi i te "1" mō te Veterans Crisis Line. Rānei, karere atu ki te 838255. Rānei, kōrero ipurangi. Kei te Suicide & Crisis Lifeline i te U.S. he raina waea reo Pāniora i te 1-888-628-9454 (kore utu). Whakaritea he hui ki tō kaimahi hauora, ki tetahi tohunga hauora hinengaro rānei. Ki te whakaaro koe pea ka whara koe i a koe anō, ka ngana rānei ki te whakamomori, waea atu ki te 911, ki tō nama urupare o te rohe rānei tonu. Ki te mohio koe ki tetahi kei te tūpono ki te ngana ki te whakamomori, kua ngana rānei ki te whakamomori, kia noho tētahi ki taua tangata mō te haumaru. Waea atu ki te 911, ki tō nama urupare o te rohe rānei tonu. Rānei, ki te taea e koe te mahi i te haumaru, kawe atu taua tangata ki te tari urupare o te hōhipera tata rawa atu.

Korero ki tō kaiāwhina hauora, ki tetahi tohunga hauora hinengaro rānei, ki te pēhea te roa o ō whakaaro me ō ngākau whakawehi e pā ana ki tētahi kaupapa nanakia neke atu i te marama kotahi, ā, tērā anō, ki te tino kino. Tirohia hoki tētahi tohunga hauora ki te raruraru koe ki te whakahoki i tō oranga ki raro i tō mana. Ko te whiwhi i te rongoā i te wa e taea ai ka āwhina i te aukati i ngā tohu PTSD kei te kino ake.

Ka taea e koe te whanake i te mate pouri o muri i te whara ina haere koe, ina kite koe, ina rongo koe rānei i tetahi kaupapa e pā ana ki te mate, ki te whara kino rānei, ki te whakaeke wahine rānei. Kāore ngā tohunga hauora e tino mōhio he aha i pangia ai ētahi e te PTSD. Pēnei i te nuinga o ngā raruraru hauora hinengaro, he maha pea ngā take e pā ana, tae atu ki: Ngā wheako tino pēhanga, me te nui me te kino o te trauma i pā ki a koe i roto i tō oranga. Ngā tūponotanga hauora hinengaro i tukuna mai, pēnei i te hītori whānau o te manukanuka me te pouri. Ngā āhuatanga o tō tūāhua i tukuna mai—e kiia ana he ahua. Te huarahi e whakahaeretia ai e tō roro ngā matū me ngā homoni e tukuna ana e tō tinana hei whakautu ki te pēhanga.

Ka taea e te iwi o ngā tau katoa te whai i te mate pouri whai muri i te whara. Engari pea ka nui ake te tūponotanga o te whanake i te PTSD i muri i tetahi kaupapa nanakia mena: He wheako nanakia nui rānei te roa. I whara tinana koe i te wā o te kaupapa nanakia. Kua whakahekea koe ki ētahi atu tūponotanga i mua i te ora, pēnei i te tukino tamariki. He mahi kei te whakahekea koe ki ngā kaupapa nanakia, pēnei i te noho i te taua, te tūāpapa rānei. He raruraru hauora hinengaro ētahi atu, pēnei i te awangawanga, te pouri rānei. Inu nui rawa atu, te whakamahi rānei i ngā raau taero. Kāo te pūnaha tautoko pai o te whānau me ngā hoa. He whānau toto e whai raruraru hauora hinengaro ana, tae atu ki te PTSD, te pouri rānei.

Ka taea e te mate pouri i muri i te whara te whakakore i to oranga katoa—to mātauranga, to mahi, te pai o to hononga ki ētahi atu, te hauora tinana me te ngākau koa ki ngā mahi o ia rā. Ka piki pea hoki te tūponotanga o ētahi atu raruraru hauora hinengaro ki a koe, pēnei i te: Te pouri me ngā mate manukanuka. Ngā raruraru me te whakamahinga rongoā, waipiro rānei. Te whakaaro me te ngana ki te whakamomori.

I muri i te ora i tetahi kaupapa nanakia, he tokomaha ngā tāngata e whai tohu rite ki te PTSD i te tīmatanga, pēnei i te kore e taea te mutu te whakaaro ki ngā mea kua pā. Ko te wehi, te manukanuka, te riri, te pouri, me te whakama he whakautu noa katoa ki te mōrehu. Engari ko te nuinga o ngā tāngata i pāngia e te mōrehu kaore e whanake PTSD. Ko te whiwhi āwhina me te tautoko wa tika ka ārai pea i ngā whakautu ahotea noa ki te kino ake me te arahi ki te PTSD. Arā pea te anga atu ki ngā whānau me ngā hoa e whakarongo ana ka whakawhiwhia te whakamārire. Arā pea te rapu atu i tetahi tohunga hauora hinengaro mō tētahi kaupapa poto o te rongoā. Ka kite pea etahi atu i te whai hua te anga atu ki ō rātou hāpori whakapono. Ko te tautoko mai i ētahi atu ka ārai pea i a koe ki te anga atu ki ngā tikanga whakahaere hauora, pēnei i te whakamahi kino i te waipiro, i ngā rongoā rānei.

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