Ke haʻi aku kāu kauka iā ʻoe ua loaʻa i kāu keiki ka ADHD, ʻo ka hana aʻe paha ka hoʻomaka ʻana i ka lāʻau lapaʻau. Akā e noʻonoʻo paha ʻoe no ke aha ʻaʻole hāʻawi wale kāu kauka iā ʻoe i ka nui like o ka lāʻau lapaʻau, akā hoʻololi mālie ia, a i kekahi manawa hoʻololi loa i ka lāʻau lapaʻau. ʻO ia ke kaʻina hana a mākou e kamaʻilio ai i kēia lā. He mea nui loa kēia.
He aha ka titration? Pehea e hana ʻia ai?
Me he huaʻōlelo nui lā ka Titration, akā i ka maʻalahi, ʻo ia hoʻi ka hana pū ʻana me kāu kauka e hoʻoponopono i ka nui o ka lāʻau lapaʻau i hāʻawi ʻia i kāu keiki i kūpono loa ia no lākou.
ʻO ka pahuhopu nui o kēia, ʻo ia ka loaʻa ʻana o ka nui o ka lāʻau lapaʻau e hoʻomalu maikaʻi loa i nā hōʻailona ADHD o ke keiki, e like me ka maʻi hyperactivity deficit attention, a ʻoi aku ka liʻiliʻi o nā hopena ʻaoʻao. E hoʻomanaʻo, ʻaʻole like nā keiki āpau. No laila, ʻaʻole e hana ka lāʻau lapaʻau like a me ka nui like no nā mea āpau.
ʻO ka maʻamau, hana ke kauka i kēia:
1. E hoʻomaka me ka mahele lāʻau haʻahaʻa loa: E hoʻomaka me kahi mahele lāʻau haʻahaʻa loa.
2. E hoʻonui mālie: I kēlā me kēia pule a ʻekolu paha pule, pono ʻoe e hoʻonui iki i ka nui o ka lāʻau lapaʻau, e like me ka ʻōlelo a kāu kauka iā ʻoe.
3. Nānā ʻana: Ma kēlā me kēia o kēia mau ʻanuʻu, e nānā pono ʻoe a me ke kauka e ʻike inā e hoʻomaikaʻi ana nā hōʻailona o ke keiki a inā paha e loaʻa ana iā ia kekahi mau hopena ʻaoʻao .
Hoʻomau ʻia kēia kaʻina hana a hiki i ka wā e kāohi maikaʻi ʻia ai nā hōʻailona o ke keiki, a i ʻole a hiki i ka wā e loaʻa ai i ke keiki nā hopena ʻaoʻao hiki ʻole ke hoʻomanawanui. Hana ke kauka i kēia hoʻolālā ma hope o ka noʻonoʻo ʻana i nā kumu he nui, e like me ke kiʻekiʻe o ke keiki, ke kaumaha, ke ʻano o nā hōʻailona, a me kāna mau hana o kēlā me kēia lā (manawa kula, manawa hana home).
ʻO ka mea nui loa, ua like kēia me ka hana hui. Pono ke kauka, ʻo ʻoe a me kāu keiki, ʻo ʻoukou ʻekolu, e hele pū ma kēia huakaʻi.
Pehea ka lōʻihi o kēia?
Hiki i kēia ke hala i kekahi mau pule, i kekahi manawa he mau mahina paha. No laila , mai hopohopo. Mai hopohopo inā ʻaʻole holo pono ka lāʻau mua āu e hāʻawi ai. He mea maʻamau no kekahi mau keiki ke hoʻāʻo i ʻelua a ʻekolu paha mau lāʻau like ʻole e ʻike ai i ka lāʻau kūpono a me ka nui. He mea nui loa ke ahonui.
Pehea mākou e ʻike ai inā e hana ana ka lāʻau lapaʻau?
ʻO nā hōʻailona nui o ka ADHD ka hyperactivity, impulsivity, a me ka nānā ʻole. Me ka nui kūpono o ka lāʻau lapaʻau, e ʻike paha ʻoe i ka hoʻomaikaʻi mālie ʻana o nā hōʻailona o kāu keiki.
- E emi ana ka hiki ʻole ke noho ma kahi hoʻokahi a me ka neʻe ʻana e like me ma mua.
- Manaʻo wau ʻo ka hana me ka noʻonoʻo ʻole e hōʻemi ana i ka ukana hana.
- Hoʻonui ʻia ka manawa i hoʻolilo ʻia i ka nānā ʻana i nā haʻawina a me nā hana.
- Wahi a nā kumu ma ke kula hiki iā lākou ke ʻike i kahi ʻokoʻa i ke keiki.
He aha e hana ai e pili ana i nā hopena ʻaoʻao?
E like me nā lāʻau lapaʻau āpau, hiki i nā lāʻau lapaʻau ADHD ke loaʻa nā hopena ʻaoʻao. ʻOkoʻa kēia ma muli o ke ʻano o ka lāʻau lapaʻau i hāʻawi ʻia i kāu keiki. Eia kekahi mau hopena ʻaoʻao maʻamau e hiki ke loaʻa me nā lāʻau hoʻouluulu i kuhikuhi pinepine ʻia.
| Nā hopena ʻaoʻao maʻamau |
|---|
| Makemake nui |
| Ka emi ʻana o ke kaumaha |
| Ka paʻakikī e hiamoe ana |
| ʻeha ka ʻōpū |
| ʻEha poʻo |
| Ke milo nei |
| Nā loli o ke ʻano (kaumaha, huhū, emi ʻana o ka launa pū ʻana) |
ʻO ka mea maikaʻi loa, ʻo ka hapa nui o kēia mau hopena ʻaoʻao e nalowale iā lākou iho i loko o kekahi mau pule. No laila e haʻi aku kāu kauka iā ʻoe e kali i kekahi mau lā hou aʻe.
Eia nō naʻe, inā hopohopo nui ʻoe a kānalua paha e pili ana i nā hopena ʻaoʻao, ʻoiai inā e ʻike ʻia ana e ʻoi aku ka ʻino o kēlā me kēia lā, e kamaʻilio koke me kāu kauka.Eia kekahi laʻana, inā loaʻa i kāu keiki nā neʻe hana hou (tics) e like me ka ʻimo ʻana a i ʻole ka ʻūmiʻi ʻana, pono ʻoe e hoʻomaopopo i kāu kauka. Mai ho'āʻo e hoʻōki i ka lawe ʻana i ka lāʻau lapaʻau iā ʻoe iho me ka ʻole o ke kūkākūkā ʻana me kāu kauka. ʻO ka hoʻōki koke ʻana hiki ke loaʻa nā hopena weliweli.
Inā loaʻa iā ʻoe kekahi o nā hopena ʻaoʻao kakaʻikahi akā koʻikoʻi (nā pilikia puʻuwai, nā pilikia akepaʻa, ka ʻike ʻana/lohe ʻana i nā mea ʻaʻole ma laila, nā manaʻo pepehi kanaka), e hele koke i ka lumi pilikia haukapila kokoke loa (ETU) a haʻi i kāu kauka. E hoʻomanaʻo he mea kakaʻikahi loa kēia.
He aha kou kuleana ma ke ʻano he makua?
He kuleana nui kou i kēia kaʻina hana titration.
- E nīnau i nā nīnau: E nīnau i kāu kauka i nā nīnau a hopohopo paha āu e pili ana i ka lāʻau lapaʻau a i ʻole ke kaʻina hana.
- E nānā pono: E makaʻala pono i nā loli i ke ʻano o kāu keiki, pehea e hoʻomaikaʻi ai nā hōʻailona, a me nā hopena ʻaoʻao hou.
- E mālama i nā memo: E kākau i kēia mau mea i lalo, e like me ka puke pai. Hiki i ke kauka ke hāʻawi iā ʻoe a me nā kumu o kāu keiki i nā palapala kūikawā (nā unahi helu) e hoʻopiha. He mea nui loa e hoʻopiha pololei i kēia mau mea.
- Hoʻokaʻaʻike mau: Inā ʻaʻohe pilikia ma hope o ka mahina mua, e ʻike hou i kāu kauka. Ma hope o kēlā, pono ʻoe e ʻike i kāu kauka ma kahi o kēlā me kēia 3 mahina e hōʻoia i ka hana mau ʻana o ka hoʻolālā lāʻau lapaʻau no kāu keiki. Ke ulu aʻe kāu keiki a loli ko lākou mau pono, pono paha e hoʻoponopono ʻia ka nui o ka lāʻau.
ʻO nā ʻano lāʻau lapaʻau nui no ADHD
Hiki ke hoʻokaʻawale ʻia nā lāʻau lapaʻau no ka ADHD i kekahi mau ʻano nui. ʻO kāu kauka wale nō ke hoʻoholo e pili ana i kēia mau mea.
| Māhele lāʻau lapaʻau | Nā Laʻana |
|---|---|
| Nā mea hoʻoulu ʻO ke ʻano i hoʻohana pinepine ʻia. Hoʻonui i ka dopamine, kahi kemika lolo e hoʻopilikia ai i ka nānā ʻana a me ke ʻano. | ʻO Methylphenidate (Concerta, Ritalin), Dexmethylphenidate (Focalin), Dextroamphetamine (Adderall) |
| Nā mea hoʻoulu ʻole Hiki i kēia ke hala i kekahi mau pule e hana ai. Hoʻopilikia lākou i ka kemika norepinephrine no ka lolo. | ʻAtomoxetine (Strattera), Clonidine (Kapvay), Guanfacine (Intuniv) |
| Nā lāʻau lapaʻau ʻē aʻe I kekahi manawa hoʻohana ʻia nā papa lāʻau ʻē aʻe (nā antidepressants, nā lāʻau koko kiʻekiʻe) e hoʻonui i ka nānā. | Bupropion (Wellbutrin), Venlafaxine (Effexor) |
ʻO ka mea hope loa, ʻaʻole ka lāʻau lapaʻau ADHD he ʻano "hoʻokahi nui e kūpono i nā mea āpau". Ua like ia me ke kāhiko ʻana i nā lole, a pono e hoʻopilikino ʻia ke kino o kēlā me kēia kanaka. Ma ka hana hoʻomanawanui ma o kēia kaʻina hana titration, a me ka mālama ʻana i ka pilina maikaʻi me kāu kauka, hiki iā ʻoe ke kākoʻo maikaʻi loa i kāu keiki e hiki i ko lākou hiki piha.
Leka Lawe-Home
- He hana ka titration e pono ai ke ahonui. Hiki ke hala i nā pule a i ʻole nā mahina e ʻike ai i ka mahele kūpono no kāu keiki.
- E kamaʻilio pinepine me kāu kauka. E haʻi aku i kāu mau nīnau a me nā makaʻu a pau iā ia.
- E kiaʻi pono i kāu keiki. E mālama i nā memo e pili ana i nā hopena maikaʻi o ka lāʻau lapaʻau a me nā hopena ʻaoʻao.
- Mai ho'ōki i ka lawe ʻana i ka lāʻau lapaʻau a hoʻololi paha i ka nui me ka ʻole o ke aʻo ʻana a kāu kauka.
- I ka ulu ʻana o kāu keiki, loli kā lākou mau pono. No laila, e ʻike i kāu kauka ma ka liʻiliʻi i kēlā me kēia 3 mahina e hoʻohou i kāu hoʻolālā lāʻau lapaʻau.
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