Loaʻa i kāu keiki ka ADHD ( Attention-Deficit/Hyperactivity Disorder )? Ua kuhikuhi anei ke kauka i ka lāʻau lapaʻau e kāohi i kona nele i ka nānā, ka hoʻomaha ʻole, a me ke ʻano impulsive? ʻO ka maʻamau, kuhikuhi mua nā kauka i nā mea hoʻoulu. Akā, ʻaʻole pane maikaʻi kekahi mau keiki i kēia mau lāʻau lapaʻau. Hiki iā lākou ke hana i nā hopena ʻaoʻao. I kēia lā, e kamaʻilio mākou e pili ana i kahi lāʻau lapaʻau ʻē aʻe i hoʻohana ʻia i ia mau hihia.
He mau lāʻau hoʻoulu ʻole kēia. E nānā pono kākou i nā lāʻau lapaʻau o kēia hui, ʻo Guanfacine lāua ʻo Clonidine. Ua kapa ʻia kēia mau mea he Alpha-2 Agonists. Hiki i kēia mau lāʻau lapaʻau ke kōkua nui no kekahi mau keiki.
He aha nā Guanfacine lāua ʻo Clonidine?
ʻOiaʻiʻo, ua hoʻolauna mua ʻia kēia mau lāʻau ʻelua e mālama i ke koko kiʻekiʻe, a i ʻole ka hypertension. Hana lākou ma luna o ko mākou mau impulses nerve a hoʻomaha i nā kīʻaha koko, kahi e hoʻohaʻahaʻa ai i ke koko. Akā ua ʻike nā kānaka ʻepekema ma hope ua hoʻopilikia pū kēia mau lāʻau i ka ʻāpana o ko mākou lolo e kaohi ana i ka nānā a me ke ʻano hana manawaleʻa .
Ua hōʻike ʻia nā noiʻi ma waena o 55% a me 60% o nā keiki me ADHD e loaʻa ana ka pōmaikaʻi mai kēia mau lāʻau lapaʻau 'Alpha-2 Agonist'.
ʻO ka maʻamau, ʻōlelo ke kauka i kēia mau lāʻau lapaʻau inā hāʻule mua nā lāʻau hoʻoulu i hāʻawi ʻia i ke keiki. Ua hōʻike ʻia e ka noiʻi ʻoi aku ka maikaʻi o nā lāʻau hoʻoulu i ka kaohi ʻana i nā hōʻailona ADHD ma mua o kēia mau lāʻau 'Alpha-2 Agonist'.
Akā no kekahi mau keiki, he koho maikaʻi kēia inā loaʻa iā lākou nā hopena ʻaoʻao he nui mai nā lāʻau lapaʻau ʻē aʻe. Ua ʻāpono ka FDA, ʻo ia hoʻi ka Food and Drug Administration, i kēia mau lāʻau lapaʻau no nā keiki ma waena o 6 a me 17 mau makahiki. Akā i kekahi manawa hoʻohana nā kauka iā lākou no nā keiki ma lalo o kēlā.
I nā kūlana hea e kuhikuhi ai nā kauka i kēia lāʻau lapaʻau?
He koho maikaʻi paha ka lāʻau lapaʻau ʻALP ha-2 Agonist no kāu keiki. E nānā kākou i ka wā e kau ʻia ai kēlā ma kēia papa.
| Kumu | He wehewehe maʻalahi |
|---|---|
| Inā ʻaʻole hana pono ka lāʻau hoʻoulu | Ke ʻole ka ʻokoʻa nui o ka lāʻau lapaʻau mua i nā hōʻailona ADHD o ke keiki. |
| Inā ʻaʻole hiki iā ʻoe ke ʻae i nā hopena ʻaoʻao | Inā ʻike ke keiki i ka hiamoe ʻole, ka pohō kaumaha, ke poʻo ʻeha, a me ka nalowale o ka makemake ma muli o nā lāʻau lapaʻau ʻē aʻe, ua nui loa ia no ke keiki ke ʻae. |
| Inā he mau pilikia olakino ʻē aʻe kāu | Inā loaʻa i ke keiki kahi maʻi neurological e like me nā tics a i ʻole kahi maʻi puʻuwai, ʻaʻole kūpono nā lāʻau hoʻoulu. |
| Inā he pilikia o ka hoʻohana hewa ʻana i ka lāʻau lapaʻau | ʻOi loa aku inā pilikia nā keiki ʻōpio i ka hoʻohana pono ʻole ʻana i nā mea hoʻoulu. |
I kekahi manawa, me ka lāʻau hoʻoulu, hiki i kāu kauka ke kuhikuhi iā 'Guanfacine' a i ʻole 'Clonidine' e hoʻonui hou aku i kona hopena.
Pehea e hoʻohana ʻia ai kēia mau lāʻau lapaʻau?
Loaʻa kēia mau lāʻau lapaʻau ʻelua i loko o nā pila hana lōʻihi. E hoʻomaka ke kauka i ke keiki ma ka mahele haʻahaʻa loa a laila e hoʻonui mālie i ka mahele ma muli o ka pane a ke keiki.
- Guanfacine : E lawe i hoʻokahi manawa i ka lā. Hiki ke lawe ʻia i ke kakahiaka a i ke ahiahi paha. Loaʻa ia i nā mahele o 1, 2, 3, a me 4 milligrams (mg).
- Clonidine: E lawe i ʻelua manawa i ka lā, hoʻokahi i ke kakahiaka a hoʻokahi i ka wā hiamoe. Loaʻa ia i nā mahele he 0.1 mg a me 0.2 mg.
ʻO ka mea nui loa, ʻaʻole maikaʻi ke wāwahi, wili, a nau paha i kēia mau pila. Pono e ale ʻia ka pila me ke ale holoʻokoʻa. E noi i kāu kauka no nā kuhikuhi kikoʻī no kēia.
Hiki ke hala he 4 a 8 mau pule e ʻike ai i nā hopena piha o kēia mau lāʻau lapaʻau , no laila pono ʻoe e hoʻomanawanui.
ʻO kekahi mea nui ʻē aʻe, ʻaʻole ia he manaʻo maikaʻi e hoʻōki koke i ka lawe ʻana i kēia lāʻau lapaʻau. ʻO ka hana ʻana pēlā e hiki ai ke hana i nā hōʻailona haʻalele i ke keiki, e like me ke koko kiʻekiʻe a me nā pilikia o ka puʻuwai. No laila,Inā ʻoe e hoʻōki ana i ka lāʻau lapaʻau, pono ʻoe e hana pēlā e like me nā kuhikuhi a kāu kauka, ma ka hoʻēmi mālie ʻana i ka nui (tapering off).
He aha nā hopena ʻaoʻao a me nā pilikia e hiki mai ana?
E like me nā lāʻau lapaʻau ʻē aʻe, hiki i kēia mau lāʻau 'Alpha-2 Agonist' ke hana i kekahi mau hopena ʻaoʻao.
- Hiamoe
- Luhi
- Pōʻino
- ʻEha poʻo
- Hoʻonāukiuki
- Waha maloʻo
- ʻEha ʻōpū
- Ke koko haʻahaʻa
ʻOi aku ka maʻamau o kēia mau hopena ʻaoʻao i nā wā mua o ka lawe ʻana i ka lāʻau lapaʻau, a emi mālie iho i ka wā e maʻa ai ke kino i ka lāʻau lapaʻau.
Nā mea e pono ai ke nānā pono ʻia
Manaʻo kekahi mau noiʻi e hoʻonui paha kēia mau lāʻau i ka pilikia o kekahi mau maʻi puʻuwai. No laila, inā he moʻolelo maʻi puʻuwai ko kekahi o kou ʻohana, e hoʻomaopopo pono i kāu kauka ma mua o ka hoʻomaka ʻana i ka lāʻau.
Pono e hāʻawi ʻia kēia lāʻau lapaʻau me ke akahele nui i nā keiki i loaʻa a i ʻole e pilikia ana no kēia mau kūlana:
- Ke koko haʻahaʻa
- Ka lohi o ka puʻuwai (bradycardia)
- Ka mae pinepine ʻana (Fainting)
- ʻO ka poloka puʻuwai, kahi kūlana e loaʻa ai ka pilikia me nā hōʻailona uila o ka puʻuwai
Pehea e koho ai i ka lāʻau lapaʻau maikaʻi loa no ka ADHD?
He mea paʻakikī ke ʻōlelo maopopo i ka lāʻau lapaʻau maikaʻi loa no ke keiki me ADHD. He hoʻoholo kēia na ʻoe a me kāu kauka e hana pū ai, e kaupaona ana i nā pono a me nā pōʻino o kēlā me kēia koho lapaʻau.
ʻAʻole pono kekahi lāʻau lapaʻau no nā mea āpau. No laila pono paha ʻoe e hoʻāʻo i kekahi mau lāʻau lapaʻau a hiki i kou loaʻa ʻana o ka mea kūpono loa no kāu keiki. Pono paha ʻoe e hoʻoponopono i ka nui o ka lāʻau a hoʻololi paha i kahi lāʻau lapaʻau ʻē aʻe i ka ulu ʻana o kāu keiki.
Ma ke ʻano he mau mākua, he kuleana nui ko ʻoe a me nā kumu o kāu keiki i kēia huakaʻi. He mea nui loa ia e nānā pono i ke ʻano o kāu keiki, nā hōʻailona, a me nā hopena ʻaoʻao a hōʻike iā lākou i ke kauka.
ʻO ka mea hope loa, e hoʻomanaʻo ʻaʻole hiki i ka lāʻau lapaʻau wale nō ke ho'ōla loa i ka ADHD. ʻOi aku ka maikaʻi o ka hoʻokō ʻana i kēia ke hui pū ʻia me ka behavioral therapy, ke kākoʻo makua a me ke kumu. ʻOiai ʻaʻole hiki i nā lāʻau lapaʻau e like me Guanfacine lāua ʻo Clonidine ke ho'ōla i ke kūlana o ke keiki, hiki iā lākou ke kōkua iā lākou e hoʻoponopono i nā hana o kēlā me kēia lā ma ke kula a ma ka home.
Leka Lawe-Home
- He koho maikaʻi nā lāʻau lapaʻau Alpha-2 Agonist (Guanfacine, Clonidine) no nā keiki me ADHD i hāʻule i nā lāʻau hoʻoulu.
- Hiki i kēia mau lāʻau lapaʻau ke hana i nā hopena ʻaoʻao e like me ka hiamoe a me ke koko haʻahaʻa, no laila e makaʻala i kāu keiki.
- Mai ho'ōki koke i ka lawe ʻana i kēia lāʻau lapaʻau me ka ʻole o ke kūkākūkā ʻana me kāu kauka. ʻO ka hana ʻana pēlā e hōʻeha paha i nā hōʻailona haʻalele i kāu keiki.
- He huakaʻi ka loaʻa ʻana o ka lāʻau lapaʻau kūpono no kāu keiki. E hana pū me kāu kauka ma kēia huakaʻi.
- No ka hoʻokō ʻana i nā hopena maikaʻi loa no ka ADHD, pono e hui pū ʻia nā lāʻau lapaʻau, ka hoʻoponopono ʻano, a me ke kākoʻo makua/kumu.
💬 Comments (0)
ʻAʻohe manaʻo i kau ʻia. Hoʻohui i kāu manaʻo ma ʻaneʻi no ka manawa mua.
Hoʻohui i kāu manaʻo