ʻAʻole anei e noho kāu keiki liʻiliʻi ma kahi hoʻokahi? Ke holo nei ʻo ia e like me ka mea holo mokokaikala? Lele anei ʻo ia i loko i kāu kamaʻilio ʻana? No kekahi mau mākua, ua maʻa loa kēia, a hiki ke lilo i mea luhi loa. ʻOiai he nui ka poʻe e manaʻo nei he kolohe a paʻakikī paha kēia o ke keiki, i kekahi manawa hiki ke lilo i mea hohonu. I kēia lā ke kamaʻilio nei mākou e pili ana i ka ADHD, ʻo ia hoʻi ke ʻano.
I ka ʻōlelo maʻalahi, he aha ka Hyperactive-Impulsive ADHD?
Aia kekahi mau ʻano nui o ka Attention-Deficit/Hyperactivity Disorder, i ʻike ʻia hoʻi ʻo ADHD. ʻO ka Hyperactive-Impulsive ADHD, a mākou e kamaʻilio nei i kēia lā, ʻo ia kekahi o lākou. Hōʻike ʻia ia e ka hoʻomaha ʻole, ka hyperactivity, a me ke ʻano impulsive. I ka ʻōlelo maʻalahi, loaʻa i kēia mau keiki kahi ʻano e hana ma mua o ko lākou noʻonoʻo ʻana.
He paʻakikī anei i kāu keiki ke noho mālie? Ke kamaʻilio nei ʻo ia i nā manawa kūpono ʻole? ʻO kēia ka mea a mākou e kapa nei he hyperactivity. Eia kekahi, ʻo nā mea e like me ka lele ʻana i luna i kāu kamaʻilio ʻana a i ʻole ke kali ʻole ʻana i ko lākou manawa i ka wā e pāʻani ana hiki ke kapa ʻia he impulsiveness.
Hiki ke loaʻa kēia ʻano maʻi i nā pākeke, akā ʻaʻole ia he mea maʻamau i nā keiki. Hiki ke emi mālie kēia hyperactivity i ko kākou wā ʻelemakule.
He aha nā hōʻailona o kēia maʻi? Pehea ʻoe e ʻike ai?
ʻO ka mea mua, ʻaʻole hiki ke ʻōlelo maopopo he ADHD kāu keiki me hoʻokahi hoʻāʻo wale nō. E hoʻāʻo mua kāu kauka e kāpae i nā kumu ʻē aʻe o kēia ʻano. No ka laʻana, ʻo ke kaumaha mai nā pilikia ʻohana, ka ʻike maka ʻole , a i ʻole nā kīnā aʻo ʻana hiki ke paʻakikī i ke keiki ke noho noʻonoʻo.
Ke kānalua ke kauka i ka ADHD, e nānā pono lākou i nā hōʻailona ma lalo nei. Pono kēia mau hōʻailona e kū no ka liʻiliʻi he 6 mahina .
| ʻŌuli/ʻAno | He wehewehe maʻalahi |
|---|---|
| Ke ʻoniʻoni nei/Ke ʻoniʻoni nei | ʻAʻole hiki ke noho mālie, hoʻomau i ka neʻe ʻana a me ka hoʻomau ʻana i ka neʻe ʻana. |
| Kamaʻilio Mau Loa | Kamaʻilio mau ʻana i kūpono ʻole no ia hanana. |
| ʻAʻole makemake i ka hana mālie | Ka paʻakikī i ka noʻonoʻo ʻana i nā hana e pono ai ka noʻonoʻo mālie, e like me ka heluhelu ʻana i kahi puke a i ʻole ke kaha kiʻi ʻana i kahi kiʻi. |
| Hana "e like me ka motika" | Ke holo nei mai kēlā wahi a i kēia wahi, ʻaʻole hiki ke noho mālie. |
| Ke ala mau nei a ke hele wāwae | Ke ala mau nei mai kahi noho, ke piʻi ʻana ma luna o nā noho, nā pākaukau, a me nā lako hale. |
| Hoʻomanawanui ʻole | Ke kali nei ma ka laina, ʻaʻole hiki ke kali i kou manawa. |
| Ke hoʻopuka waha nei | Ke pane ʻana i kahi nīnau ma mua o ka pau ʻana, ka hōʻike ʻana i nā manaʻo i ka manawa kūpono ʻole. |
| Ke hoʻopilikia nei | Ke hōʻoki nei i nā kamaʻilio a me nā pāʻani a haʻi. |
| Ke hoʻowahāwahā nei i nā pōʻino | Ke hana nei me ka ʻike ʻole i nā pōʻino o kahi kūlana. |
ʻO ka mea nui, ʻaʻole nā keiki a pau e holo a pāʻani ana he ADHD. I kapa ʻia ʻo ADHD, pono e loaʻa i kēia mau hōʻailona ka hopena maopopo i ke ola maʻamau o ke keiki (e like me ka hana kula, ka pilina me nā hoaaloha).
No ka hōʻoia ʻana i ka ADHD, e noʻonoʻo ke kauka i kekahi mau kumu ʻē aʻe:
- Ke nānā nei mākou inā ua hoʻomaka kēia mau hōʻailona ma mua o ka piha ʻana o nā makahiki 12 .
- Nānā mākou inā ʻaʻole i hōʻike ʻia kēia mau ʻano ma kahi hoʻokahi wale nō (e like me ka home), akā, ma nā wahi he nui (e like me ka home a me ke kula) .
- Ke hōʻoia nei mākou ʻaʻohe maʻi olakino ʻē aʻe e hiki ke wehewehe i kēia mau ʻano .
He aha ka ʻokoʻa ma waena o ka ADHD a me nā ʻano ʻē aʻe?
Aia kekahi ʻano nui o ka ADHD, i kapa ʻia ʻo Inattentive ADHD . ʻO ke ʻano nui o kēia ʻano ka paʻakikī o ka hoʻolohe ʻana. E noʻonoʻo, ua maʻalahi kēia mau keiki e hoʻohuli ʻia e nā mea ʻē aʻe, me he mea lā aia lākou i loko o kahi honua moeʻuhane, nalowale pinepine nā mea, hana i nā hewa liʻiliʻi, a paʻakikī ke hoʻopau i nā hana a lākou e hoʻomaka ai. Akā, ʻaʻole lākou e hōʻike i ka hoʻomaha nui a i ʻole ka impulsivity e like me ke ʻano Hyperactive-Impulsive a mākou i kamaʻilio ai ma mua.
Akā ʻo ka ʻoiaʻiʻo, he nui ka poʻe i loaʻa ka hui pū ʻana o nā ʻano ʻelua. Ua kapa ʻia ʻo ia ʻo ke ʻAno Hui Pū ʻia . ʻO ia hoʻi, he paʻakikī iā lākou ke noho ma kahi hoʻokahi a he paʻakikī hoʻi ke hoʻokō i nā mea.
No ke aha lā e kū mai ai kēia kūlana?
E like me nā ʻano ADHD āpau, ʻaʻole maopopo loa ke kumu pololei. Wahi a nā kānaka ʻepekema aia kahi ʻāpana genetic . ʻO ke ʻano kēia, hiki i nā genes i hoʻoili ʻia mai nā mākua a i nā keiki ke pāʻani i kahi kuleana. Inā loaʻa i kahi lālā o ka ʻohana pili ʻo ADHD, ʻoi aku ka nui o ka loaʻa ʻana o ke keiki iā ia.
Eia kekahi, aia kekahi mau kumu ʻē aʻe e hoʻonui ai i ka pilikia:
- Ka puhipaka a inu waiʻona paha o ka makuahine i ka wā hāpai.
- Ka hānau mua ʻana .
- ʻO ka hānau ʻia ʻana me ke kaumaha hānau haʻahaʻa loa.
- Ka ʻai ʻana i nā mea ʻawahia e like me ke kēpau i ka wā kamaliʻi.
- Nā ʻeha o ka lolo.
Manaʻo ka nui o nā mākua he kumu ke kō i ka hana kolohe o nā keiki. Eia nō naʻe, ʻaʻohe hōʻike ʻepekema e hōʻike ana ke kō i ke kumu a i ʻole ka hoʻonui ʻana i ka ADHD. ʻOiai aia ke kamaʻilio ʻana no ka pilina ma waena o nā kala artificial a me nā mea hoʻomalu (nā mea hoʻohui meaʻai) a me ka ADHD, ʻaʻole i hōʻoia ʻia.
Pehea e mālama ʻia ai?
ʻAe, i kēia manawa ua ʻike ʻia ke kūlana, ʻo ka hana aʻe ka mālama ʻana. E ʻokoʻa ka hoʻolālā mālama no kēlā me kēia keiki. I kekahi manawa, pono paha ʻoe e hoʻāʻo i kekahi mau ʻano hana e ʻike ai i ka mea kūpono loa no kāu keiki. ʻO kēiaHe huakaʻi hana like ma waena ou, kāu keiki, a me kāu kauka.
Hoʻomaka pinepine ka lāʻau lapaʻau me ka lāʻau lapaʻau. ʻElua ʻano nui o ka lāʻau lapaʻau.
1. Nā lāʻau hoʻoulu
ʻOiai ua kapa ʻia kēia mau mea he "stimulants," ʻaʻole hoʻoulu kēia mau lāʻau lapaʻau i nā keiki me ADHD, hoʻomālielie maoli lākou iā lākou.
- Methylphenidate (e.g. Ritalin, Concerta)
- ʻO Dexmethylphenidate (e laʻa, ʻo Focalin)
- Lisdexamfetamine (e.g. Vyvanse)
- Nā lāʻau ʻano Amphetamine (e like me Adderall)
Loaʻa kēia i nā ʻano like ʻole, e like me nā pila, nā wai, a me nā ʻāpana ʻili. ʻAʻole e pōmaikaʻi nā keiki āpau mai ka lāʻau like, no laila e koho kāu kauka i ka mea maikaʻi loa no kāu keiki.
2. Nā lāʻau lapaʻau ʻaʻole hoʻoulu
ʻOiai ʻaʻole hana wikiwiki kēia mau mea e like me nā lāʻau hoʻoulu, hiki ke emi mai ko lākou hopena ʻaoʻao.
- ʻAtomoxetine (Strattera)
- ʻO Guanfacine (Intuniv)
- ʻO Clonidine (Kapvay)
I kekahi manawa, hiki i nā lāʻau lapaʻau no ke koko kiʻekiʻe a me kekahi mau antidepressants ke kōkua i ka mālama ʻana i nā hōʻailona ADHD.
E makaʻala i nā hopena ʻaoʻao o nā lāʻau lapaʻau.
I ka wā e hoʻohana ai i ka lāʻau lapaʻau, he mea nui loa ia e makaʻala i nā hopena ʻaoʻao. E kamaʻilio ākea me kāu kauka e pili ana i kēia.
| Nā hopena ʻaoʻao maʻamau | Nā hopena ʻaoʻao kakaikahi akā koʻikoʻi (e hoʻomaopopo koke i ke kauka) |
|---|---|
|
He mea kākaʻikahi loa nā hopena ʻaoʻao koʻikoʻi e like me kēia. Akā inā hōʻike kāu keiki i kekahi mau hōʻailona ʻē, e kāhea koke i kāu kauka. E nānā mau ke kauka i ke kiʻekiʻe o kāu keiki, ke kaumaha, ke koko, a me ka helu o ka puʻuwai i ka wā e lawe ana lākou i ka lāʻau.
Lapaʻau Hana
Me ka lāʻau lapaʻau, he mea nui nō hoʻi ka behavioral therapy.Kōkua kekahi psychologist a therapist paha i ke keiki e ʻike a kāohi i kā lākou mau ʻano hoʻomaha ʻole a me ka impulsive.
- Ke hoʻomaʻamaʻa nei au i nā hana maʻamau i kēlā me kēia lā.
- Kōkua i ka hoʻomaikaʻi ʻana i nā mākau pilikanaka.
- Ua hoʻolauna ʻia kahi ʻōnaehana uku a me nā hopena no nā mākua a me nā kumu e paipai i ka hana maikaʻi a hāʻawi i nā hopena no ka hana maikaʻi ʻole.
Leka Lawe-Home
- ʻAʻole ka ADHD Hyperactive-Impulsive he ʻano "maikaʻi ʻole" a "kolohe" paha i loko o kahi keiki, he maʻi ia e pono e mālama ʻia.
- Inā he kānalua kou e pili ana i ke ʻano o kāu keiki, mai kuhi wale a e ʻimi i ka ʻōlelo aʻo mai ke kauka kūpono.
- ʻO ka hui pū ʻana o nā lāʻau lapaʻau a me ka behavioral therapy ka mea maikaʻi loa no ka mālama ʻana.
- E kamaʻilio mau me kāu kauka e pili ana i nā lāʻau lapaʻau a kāu keiki e lawe nei, kā lākou dosage, a me nā hopena ʻaoʻao.
- Ma ke ʻano he mau mākua, he mea nui loa kou aloha, ahonui, a me ke kākoʻo no ka pono o kāu keiki.
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