Ma ke ʻano he makua o kahi keiki me ADHD (Attention Deficit Hyperactivity Disorder), hopohopo iki paha ʻoe a kānalua paha e pili ana i ka hoʻomaka ʻana i kāu keiki i ka lāʻau lapaʻau. He mea maʻamau kēlā. ʻIke mākou i ka nui o ke kōkua o kēia mau lāʻau lapaʻau i kāu keiki me nā hana kula, nā hana o kēlā me kēia lā , a me ke ola home. Akā e like me nā lāʻau lapaʻau āpau, hiki iā lākou ke loaʻa kekahi mau hopena ʻaoʻao. ʻO ka mea nui, ʻo ia ka makaʻala iā lākou, e ʻike pono, a e mākaukau e kūkākūkā i kekahi mea me kāu kauka.
Ma mua o ka hoʻomaka ʻana i kahi lāʻau lapaʻau hou no kāu keiki, a i ʻole ka hoʻololi ʻana i ke ʻano a i ʻole ka nui o ka lāʻau lapaʻau, he manaʻo maikaʻi e mālama i kahi moʻolelo o nā ʻano maʻamau o kāu keiki (ʻai ʻana, nā ʻano hiamoe, ke ʻano). E kōkua kēia iā ʻoe e ʻike i nā loli ma hope o ka hoʻomaka ʻana i ka lāʻau lapaʻau, a inā ma muli o nā hopena ʻaoʻao, e maʻalahi ka ʻike ʻana iā lākou. He mea maʻamau ka ʻike ʻana i nā hopena ʻaoʻao liʻiliʻi i nā lā mua. Hiki ke hala i kekahi mau lā a i ʻole mau pule no ke kino o kāu keiki e hoʻomaʻamaʻa i ka lāʻau lapaʻau hou.
Nā hopena ʻaoʻao maʻamau i ʻike pinepine ʻia
ʻO kēia nā hopena ʻaoʻao maʻamau a ʻaʻole koʻikoʻi loa. Eia nō naʻe, inā ke hoʻopilikia nei kēia i kāu keiki, pono ʻoe e kamaʻilio me kāu kauka.
Ka paʻakikī e hiamoe ana
ʻO ke ʻano lāʻau lapaʻau maʻamau i hoʻohana ʻia no ka ADHD he mau mea hoʻoulu . Hoʻonui kēia mau lāʻau i nā pae o nā kemika i loko o ka lolo i kapa ʻia ʻo dopamine a me norepinephrine. Hiki i kēia hopena hoʻoulu ke paʻakikī i kahi keiki ke hiamoe i ka pō, ʻoiai ke hoʻomaka mua ʻia ka lāʻau.
He aha ka mea hiki ke hana ʻia?
I ka manawa pinepine, hiki ke hoʻoponopono ʻia kēia pilikia ma ka hoʻololi ʻana i ka manawa e lawe ai kāu keiki i ka lāʻau lapaʻau. No ka laʻana, hiki i ka hāʻawi ʻana i ka lāʻau lapaʻau i ke kakahiaka ke kōkua i ka hōʻemi ʻana i kona hopena i ka pō. A i ʻole, hiki iā ʻoe ke hoʻololi mai kahi lāʻau lapaʻau hana lōʻihi i kahi lāʻau lapaʻau hana pōkole e hana ana ma luna o kekahi mau hola. Pono e hana ʻia kēia ma lalo o ka ʻōlelo aʻo a kāu kauka .
Hāʻawi ʻia kekahi mau keiki i nā lāʻau lapaʻau ʻaʻole hoʻoulu, e like me guanfacine a me clonidine. Hiki i kēia ke loaʻa ka hopena ʻē aʻe i kekahi manawa, e hoʻoulu ai i ka hiamoe i ke ao. I ia mau hihia, hiki ke hoʻomalu ʻia kēia ma ka hāʻawi ʻana i ka lāʻau lapaʻau kokoke i ka wā hiamoe a i ʻole ma ka puʻunaue ʻana i ka mahele i ʻelua mau mahele i kēlā me kēia lā.
Makemake nui
Inā ʻoe e lawe ana i kahi lāʻau hoʻoulu, ʻaʻole paha makemake kāu keiki e ʻai no nā hola mua ma hope o ka lawe ʻana i ka lāʻau. He mea maʻamau loa kēia. Nalo pinepine kēia ma hope o kekahi mau pule. A i ʻole, hiki iā ʻoe ke hāʻawi i ka lāʻau ma hope o ka ʻaina kakahiaka maikaʻi a momona hoʻi . A laila, hiki iā ʻoe ke ʻai i kahi meaʻai māmā i ke ao, a laila e ʻai i kahi ʻaina ahiahi maikaʻi ke pau nā hopena o ka lāʻau i ke ahiahi. Eia nō naʻe , inā e emi ana ke kaumaha o kāu keiki, e kamaʻilio me kāu kauka.
ʻEha poʻo a me ka ʻōpū
He mea maʻamau ka ʻike ʻana i kahi ʻeha poʻo iki, ʻeha ʻōpū, a me ka nausea i ka wā e hoʻomaka ai i kahi lāʻau lapaʻau hou. Nalo pinepine kēia mau mea i loko o kekahi mau lā a i ʻole mau pule. ʻO ka hāʻawi ʻana i kāu keiki i ka lāʻau lapaʻau me ka meaʻai e hiki ke kōkua i ka hōʻemi ʻana i kēia ʻeha.
Ka huhū a me nā loli o ke ʻano (Rebound Effect)
Hana wale nō ka lāʻau lapaʻau ADHD i ka wā e noho ana i loko o ke kino. Hiki i kēia ke lōʻihi mai 4 a 12 mau hola. Ke pau nā hopena o ka lāʻau lapaʻau, hiki ke hana i ke ahiahi a i ka pō paha, hiki i ke keiki ke lilo i mea huhū loa a huhū i nā mea liʻiliʻi loa (he hopena rebound).
I nā manawa e like me kēia, hiki i ka hoʻolālā ʻana i nā hana a kāu keiki a puni kēlā manawa ke hana i kahi ʻokoʻa nui. No ka laʻana, ʻo ka hoʻomaka ʻana i ka hana home ma hope o ka ʻaina ahiahi, a i ʻole ka hāʻawi ʻana iā lākou i kahi ʻauʻau mālie a i ʻole ka heluhelu ʻana i kahi puke ma mua o ka hiamoe ʻana hiki ke kōkua. I kekahi manawa, hiki i ke kauka ke ʻōlelo aku e hāʻawi i kahi lāʻau liʻiliʻi a pōkole i ke ahiahi (booster dose).
Nā hopena ʻaoʻao koʻikoʻi e pono ai ka nānā koke ʻana
He mea kākaʻikahi loa kēia, akā inā ʻike ʻoe i kekahi mea e like me kēia, pono ʻoe e kamaʻilio koke me kāu kauka ma mua o ka hāʻawi ʻana i kahi mahele ʻē aʻe o ka lāʻau lapaʻau.
| Nā hopena ʻaoʻao koʻikoʻi | Ka wehewehe a me nā mea e hana ai |
|---|---|
| Nā manaʻo hoʻokalakupua | ʻIke i nā mea ʻaʻole ma laila (e like me nā pepeke), lohe i nā leo ʻaʻole ma laila, a me ka makaʻu nui ʻole (paranoia). E hōʻike koke i kekahi ʻano hana ʻē e like me kēia i kāu kauka. |
| Nā manaʻo pepehi kanaka | ʻO nā keiki me ka ADHD a me ke kaumaha he wahi liʻiliʻi ka pilikia o ka loaʻa ʻana o kēia mau manaʻo, ʻoiai ke lawe nei i nā lāʻau lapaʻau e like me atomoxetine. Inā he mau hopohopo kāu, e kāhea koke aku i kāu kauka . |
| Nā loli o ke ʻano | I ka piʻi ʻana o ka nui o ka lāʻau lapaʻau, hiki i kekahi mau keiki ke lilo i "zombie-like," me ka manaʻo he mae a hoʻokaʻawale ʻia mai ke ao nei. Inā e uē mau ana kāu keiki a me ka noho mālie, e kamaʻilio me kāu kauka e pili ana i ka hoʻololi ʻana i ka lāʻau lapaʻau. |
| Nā Tics | Hiki ke loaʻa nā tic, e like me ka ʻālohilohi pinepine ʻana o nā maka, nā ʻano helehelena, a me ka ʻāʻī ʻana o ka puʻu. ʻAʻole maopopo inā he mea hou kēia a i ʻole e ʻoi aku ka ʻino ma muli o ka lāʻau lapaʻau. Inā he pilikia kēia no ke keiki i nā kūlana pilikanaka, e kamaʻilio me ke kauka e pili ana i ka hoʻololi ʻana i kahi lāʻau lapaʻau ʻē aʻe. |
| Nā pilikia o ka puʻuwai | ʻOiai palekana no nā keiki olakino, hiki i nā mea hoʻoulu ke hoʻopilikia i ka poʻe i pilikia i ka maʻi puʻuwai. Inā loaʻa i kāu keiki a lālā paha o ka ʻohana kahi moʻolelo o ka maʻi puʻuwai, nā kīnā hānau, a i ʻole ka puʻuwai puʻuwai kūpono ʻole, e hōʻoia e haʻi i kāu kauka ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau . |
| Ka pōʻino o ke akepaʻa | ʻAʻole hiki i ka Atomoxetine ke hōʻino i ke akepaʻa i ka wā pinepine. Inā he melemele ka ʻili o kāu keiki, he mimi ʻeleʻele, he kuni, a he ʻeha paha o ka ʻōpū o luna, e kāhea koke i kāu kauka. |
He hopena anei ia i ka ulu ʻana o ke keiki?
He nīnau kēia a nā mākua he nui. Aia kahi manaʻoʻiʻo e hiki i nā lāʻau hoʻoulu ke hoʻopilikia i nā hormones ulu ma o ka nalowale ʻana o ka makemake a me ka hoʻonui ʻana i nā pae dopamine. No laila, aia kahi hopohopo e hoʻopilikia ia i ka ulu ʻana o ke kiʻekiʻe a me ke kaumaha.
Eia nō naʻe, ua hōʻike ʻia nā noiʻi hou nei he hopena manawa pōkole kēia, ʻoiai inā loaʻa. Ua ʻike ʻia nā noiʻi ʻaʻole pōkole nā keiki e lawe ana i ka lāʻau lapaʻau no ADHD ma mua o ka poʻe i lawe ʻole i ka lāʻau lapaʻau.
ʻO ka mea nui loa, ʻo ia ke nānā ʻana o ke kauka i ke kiʻekiʻe a me ke kaumaha o ke keiki i ka manawa a pau e lawe ana ke keiki i ka lāʻau. ʻOi aku paha ka waiwai o ka hoʻomaikaʻi ʻana i ke ʻano o ke keiki ma mua o kēia hopena ulu manawa pōkole. ʻO kēlā hoʻoholo kahi mea āu a me kāu kauka e hana pū ai.
Leka Lawe-Home
- He kōkua nui ka lāʻau lapaʻau ADHD no ke keiki, akā e like me nā lāʻau lapaʻau āpau, hiki iā ia ke hana i nā hopena ʻaoʻao liʻiliʻi.
- ʻO ka hapa nui o nā hopena ʻaoʻao (ka hiamoe ʻole, ka nalowale o ka makemake) he mea liʻiliʻi a nalo aku i ka hala ʻana o ka manawa.
- E kamaʻilio mau me kāu kauka ma mua o ka hoʻololi ʻana i ka manawa, ka nui, a i ʻole ke ʻano o ka lāʻau lapaʻau. Mai hoʻoholo hoʻokahi.
- E makaʻala i ke ʻano maʻamau o kāu keiki ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau. E maʻalahi kēia i ka ʻike ʻana i nā loli.
- ʻAʻole pinepine nā hopena ʻino e like me nā hallucinations a me nā hōʻailona puʻuwai, akā inā loaʻa iā ʻoe kekahi o kēia mau mea, e ʻimi koke i ke kōkua lapaʻau .
- E kamaʻilio ākea me kāu kauka e pili ana i nā nīnau a hopohopo paha āu e loaʻa ai. E hui pū ʻoe a me ke kauka e hoʻoholo i ka mea maikaʻi loa no kāu keiki.
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