Ua noʻonoʻo paha ʻoe pehea i ʻike ʻia ai nā lāʻau lapaʻau a me nā lāʻau pale a mākou e hoʻohana nei i kēia lā? A i ʻole pehea e hoʻomaikaʻi hou aku ai i nā lāʻau lapaʻau no nā kūlana e like me ADHD, kahi mea maʻamau i nā keiki? ʻO ka pane ʻo 'noiʻi lapaʻau'. ʻO ia ka mea a mākou e kapa nei he "Hoʻāʻo Lapaʻau" ma ka ʻōlelo Pelekania. Ke lohe ʻoe i kēia inoa, kani paha he mea koʻikoʻi iki. Akā ʻo ka ʻoiaʻiʻo, ʻo ia ke ala palekana a ʻepekema loa e hāʻawi i nā kānaka i nā ʻike hou i ka ʻepekema lapaʻau. No laila e kamaʻilio kākou e pili ana i kēia i kēia lā.
I ka ʻōlelo maʻalahi, he aha ka hoʻokolohua lapaʻau?
He noiʻi ʻepekema ka hoʻāʻo lapaʻau e hoʻāʻo ai i ka pono a me ka palekana o kahi lāʻau lapaʻau hou, lāʻau lapaʻau, a i ʻole mea lapaʻau no kahi kūlana kikoʻī. Ua like ia me ka wā e hana ai mākou i kahi meaʻai hou, hāʻawi mākou i ko mākou ʻohana e ʻono, hoʻoponopono i nā hemahema, a laila lawelawe iā ia i nā malihini ma hope o ka hōʻoia ʻana he maikaʻi.
ʻAʻole wale kēia noiʻi e pili ana i ka loaʻa ʻana o nā lāʻau lapaʻau hou. E pili ana hoʻi i ke ʻano o ka hoʻomaikaʻi ʻana i nā lāʻau lapaʻau e kū nei, nā ala hou e ʻike ai i nā maʻi, a pehea e pale aku ai i nā maʻi ma mua o ko lākou hiki ʻana mai. Pili nā mea manawaleʻa i kēia. Akā, hana ʻia kēia mau mea a pau i loko o kahi hoʻonohonoho paʻa o nā lula a me nā ʻōnaehana pono.
He aha nā pae o kēia noiʻi?
ʻAʻole hāʻawi ʻia kahi lāʻau lapaʻau hou i nā mea āpau i ka manawa hoʻokahi. Ua like ia me ka piʻi ʻana i kahi alapiʻi, holomua ia i kēlā me kēia ʻanuʻu, i kēlā me kēia pae. Hana ʻia kēia no ka hōʻoia ʻana i ka palekana loa no ka poʻe e komo ana. ʻEhā mau pae nui.
| Pae | ʻO ke kumu nui a me ka wehewehe ʻana |
|---|---|
| Pae I | ʻO kēia ka hana mua. Maanei, ua hāʻawi ʻia kahi hui liʻiliʻi loa o ka poʻe (malia paha he mau mea manawaleʻa olakino) i ka lāʻau lapaʻau hou. ʻO ka pahuhopu nui ka ʻike inā palekana . ʻO ia hoʻi, ʻo nā mea nui e aʻo ʻia ma ʻaneʻi, ʻo ia ka nui o ka lāʻau e hāʻawi ʻia a me nā hopena ʻaoʻao e hiki mai ana. |
| Pae II | Inā holomua ka pae mua, hiki mai ka pae aʻe. Maanei, hāʻawi ʻia ka lāʻau lapaʻau i kahi hui nui o ka poʻe me ka maʻi i manaʻo ʻia. Maanei, nānā mākou inā hana maoli kēia lāʻau lapaʻau (kūpono) . ʻO ia hoʻi, inā ua hoʻemi ʻia nā hōʻailona, inā ua hoʻōla ʻia ka maʻi, a pēlā aku. Hōʻiliʻili pū mākou i ka ʻike hou aku e pili ana i ka palekana. |
| Pae III | ʻO kēia ke kahua nui loa a koʻikoʻi loa. He hui nui o nā maʻi (i kekahi manawa he mau tausani) e komo ma ʻaneʻi. Hoʻohālikelike ʻia ka lāʻau lapaʻau hou me ka lāʻau lapaʻau maʻamau e kū nei a i kekahi manawa me ka placebo. ʻO ka pahuhopu ka ʻike inā ʻoi aku ka maikaʻi o ka lāʻau hou ma mua o ka lāʻau lapaʻau e kū nei, he emi nā hopena ʻaoʻao, a ʻo wai ka mea e loaʻa ka pōmaikaʻi nui loa. Inā hoʻopau pono ʻia kēia kahua, ua ʻae ʻia ka lāʻau lapaʻau no ka hoʻokuʻu ʻana i ka mākeke. |
| Pae IV | Ua kapa ʻia hoʻi kēia he 'post-marketing study'. ʻO ia hoʻi, he noiʻi i hana ʻia ma hope o ka ʻāpono ʻia ʻana o ka lāʻau lapaʻau a loaʻa i ka lehulehu . Maanei, he mau tausani a i ʻole he mau haneli tausani o ka poʻe e hoʻohana ana i ka lāʻau lapaʻau, no laila hiki ke hōʻiliʻili i ka ʻike e pili ana i nā hopena ʻaoʻao kakaikahi loa a i ʻole nā hopena lōʻihi i ʻike ʻole ʻia i nā pae mua. |
Pehea ʻoe e koho ai i kekahi no ka noiʻi?
He mea nui loa nō hoʻi kēia. ʻO ka maʻamau, ma ka Pae III, ua māhele ʻia nā mea komo i ʻelua a ʻoi aku paha mau hui. Loaʻa i kekahi hui ka lāʻau lapaʻau hou (Treatment Group), a loaʻa i kekahi hui ka lāʻau lapaʻau maʻamau a i ʻole kahi "Placebo" (Control Group).
ʻO ka mea nui loa, ʻo ia ka hoʻohana ʻia ʻana o ka randomization e hoʻoholo ai i ka mea e hele i ka hui hea. Ua like ia me ka hoʻolei ʻana i kahi ʻāpana kālā. Hana ʻia kēia e pale aku i ka manaʻo pāʻokoʻa i nā hopena mai nā hoʻoholo e pili ana i nā makemake pilikino o nā mea noiʻi a i ʻole nā maʻi. ʻOi aku ka pololei a me ka hilinaʻi o nā hopena.
He aha ka 'Placebo'?
placeboʻO ka placebo he pila, wai, a i ʻole ka inikini e like me ka lāʻau maoli akā ʻaʻohe mea hana lāʻau lapaʻau ikaika. Hoʻohana ʻia ia e hoʻokaʻawale i nā hopena maoli o kahi lāʻau hou mai nā hopena noʻonoʻo. Ma mua o ke komo ʻana o kekahi i kahi noiʻi, ua hoʻomaopopo maopopo ʻia lākou e hiki ke hoʻohana ʻia kahi "placebo".
ADHD a me ka noiʻi lapaʻau pediatric
He maʻi maʻamau ka ADHD (Attention-Deficit/Hyperactivity Disorder) i waena o nā keiki. Ua hana ʻia nā hoʻokolohua lapaʻau he nui a puni ka honua e ʻike i nā lāʻau lapaʻau kūpono a palekana hoʻi no kēia maʻi.
- Lapaʻau Lāʻau: Ua hōʻoia ʻia ka pono a me ka palekana o nā lāʻau like ʻole i hoʻohana ʻia no ADHD ma o ka noiʻi ʻana e like me kēia.
- Lapaʻau Hana : Ke hana ʻia nei nā noiʻi ʻana i nā ʻano hana e mālama ai i ke kūlana ma ka hoʻololi ʻana i ke ʻano o ke keiki me ka ʻole o ka lāʻau lapaʻau.
- Nā lāʻau lapaʻau i hui pū ʻia: Ke nānā nei kekahi mau noiʻi i nā hopena o ka hoʻohana pū ʻana i nā lāʻau lapaʻau a me nā lāʻau lapaʻau.
Eia kekahi, ke hana ʻia nei nā noiʻi ʻana i nā mea pili i ke kaiapuni e hiki ke kōkua i ka ADHD. No ka laʻana, ke noiʻi ʻia nei ka ʻike ʻana i nā neurotoxins e like me ke kēpau a me nā kūlana psychosocial like ʻole e hoʻoholo ai inā kōkua lākou i ka ulu ʻana o ka ADHD.
Nā nīnau koʻikoʻi e nīnau aku i kāu kauka
Inā ʻoe a i ʻole kāu keiki e noʻonoʻo ana e komo i kahi hoʻokolohua lapaʻau, e kamaʻilio me kāu kauka a nīnau i kēia mau nīnau ma mua o ka hoʻoholo ʻana.
- He aha ke kumu nui o kēia haʻawina?
- He aha ka mea i loaʻa ma nā noiʻi mua e pili ana i kēia lāʻau lapaʻau?
- He aha ka mea e hiki mai ana i koʻu kūlana inā e loaʻa iaʻu kēia lāʻau lapaʻau a i ʻole?
- He aha nā lāʻau lapaʻau maʻamau o kēia manawa no kēia maʻi?
- Pehea e hoʻohālikelike ai kēia noiʻi hou i nā lāʻau lapaʻau maʻamau?
- He aha nā pilikia a me nā pono e loaʻa iaʻu?
- He aha kaʻu e hana ai inā loaʻa iaʻu kekahi ʻehaʻeha i ka wā o ka noiʻi?
- Hiki iaʻu ke hoʻihoʻi mai ka noiʻi i kēlā me kēia manawa?
Ma muli o nā pane i kēia mau nīnau, hiki iā ʻoe ke hana i kahi hoʻoholo naʻauao a maopopo hoʻi. E hoʻomanaʻo, ʻo kāu wale nō ka hoʻoholo inā e komo a ʻaʻole paha.
Leka Lawe-Home
- ʻO kahi hoʻokolohua lapaʻau he haʻawina ʻepekema i hoʻolālā nui ʻia e hōʻoiaʻiʻo ana i ka palekana a me ka pono o nā lāʻau lapaʻau hou.
- Hana ʻia kēia mau mea ma nā pae he nui e hōʻoia i ka palekana loa o ka poʻe komo.
- He mea nui loa kēia noiʻi i ka loaʻa ʻana o nā lāʻau lapaʻau maikaʻi aʻe no nā kūlana e like me ADHD.
- He manawaleʻa loa ke komo ʻana i ka noiʻi. Loaʻa iā ʻoe ke kuleana e haʻalele i kēlā me kēia manawa.
- Ma mua o ke komo ʻana i kekahi noiʻi, he mea nui e kūkākūkā i nā kikoʻī āpau, nā pilikia, a me nā pono me kāu kauka a loaʻa kahi ʻike maopopo.
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